>> the elements that are popular are pre-existing conditions coming guarantee of coverage, 26 years old in the entire language of what people want are all the things that was health insurance reform. if they don't work you do lose good coverage of this

whole thing is jerry disabled. >> just trying to put this into perspective, i travel a lot and was in new york meeting said dave the news the little tabloid a story in the quarter -- the corner sat in queens new york the judge the critics thought he was too liberal and he was mugged on his way to his car then he said today it is unusual but i have an opening statement. i know there is an old joke a liberal is a conservative that has not been of but i have been mugged and i will not change my views a little lady steps up and said beat him up again he did not get the message. [laughter] that is what we do with the polls. retry and i will tell you is

it works like that little old he they keep beating them up until they get the message that is why at the end of the day i become less cynical because american public opinion really does referee the worst instincts of behavior. so with that we are happy to take any questions and i forgot to ask is there any press in the room? >> i see one. >> good to know. sometimes i get too carried away. [laughter] >> let's gather our questions. how do the republicans handle the next phase of budget negotiations with the time limited offer with the government being back for a certain amount of months and then do this again?

what do people take from this? >> i think the speaker of the house held the caucus together he did not carry the final vote but it did keep secaucus functioning in the leadership and the functioning. and mcconnell said publicly i will not shut down the government. i am not entirely convinced that is how the members feel but talk about unintended consequences and a straight line, i think the republican position which is if we increase the debt ceiling we have to increase other federal spending in other proportion. but when i talk about unintended consequences if you have the perception than

why would you presume there would not look for more during the next round? that would be additional federal spending cuts and other changes but the pressure inside the caucus would be to deliver more so they get something out of what they did. another real world'' if you had already done the time coming to the time -- done the crime, do the time. they have done the time if you look at the numbers. so when i say it will not change i think they keep pushing for more but when it is much better terrain talk about the need for structural change there will be a much stronger to rain

on that topic than there were with obamacare is. >> good morning. i uninterested to know is there enough support in the public to make dramatic changes with entitlements? and which ones are first? social security or medicare? >> no. no. [laughter] no. that happened because i thought of three snotty things that i squelched them all. [laughter] with the nbc will street journal for those reforms of medicare or medicaid in and almost all of them are

opposed in these serve very, very hard changes even with the adjustment of cost-of-living these are all hard. it would require a long debate with the public to convince why this is needed so the belief going into conference session that is not very popular. if you actually have the president of united states may be but it would take weeks or months to help in this bill the case so this is where congress is way

ahead of public opinion in terms of if they believe there is support for this. it is not some day that would be easy to change with what excess. >> i am with combined insurance. with one or two slides, that one. i'm sorry. that slide those are some of the core arguments that republicans were making against obamacare. and looks like they were not gaining much traction with the general public. am i misreading those results? >> this is a little unfair because i give you this as a percent of all interviews

but hours reduced can only happen if you are working. with those that are working it is not 3 percent but eight or 9% to think the job is lost say with a loss coverage talking about 89% but these are september numbers so there elements put into place in you lose those elements but for most people october is the roll out of the beginning of obamacare. what happens between now and next year will be pivotal how attitudes are shaped. the hours reduced goes up of 15 or 18% of my loss coverage is tanner 12% that may seem like small numbers

but that is 20 million people by dismayed that i will do the math but a complete and call members of congress so this is a baseline so we will track and in december and march talk about public opinion that the bad lines go up? is the public's perspective is people are losing their jobs or coverage it still creates an enormous problem here is to the thing about public opinion.

and my democrat friend tried to make a case a lot better shape is the hit was dead even. so the victory lap amount is that they get back to even also with his own data the people strongly opposed are more strongly oppose them strongly favored. so the way our brains work if you start with a weak base it is easier to hear negative information without reinforces what you believe then to hear so much new positive information you can change your opinion. those that support obamacare have this problem is easier to believe the negative and positive they have to deliver the positive in large numbers to restructure opinion. so given what i showed you

with those men and women could still be voting about the electoral process to which with those people back in charge to keep fighting and to an of the gate will work well enough to get off the political life support that is mailed personal view. >> other questions? >> have you done any polling on medicaid expansion? >> i have done a lot includes the governors that include medicaid expansion. trying to build support

could achieve riviera would say that there with no argument that would convince them to expand its support medicaid expansion so i cannot do in the first for polls i cannot do with this it is sustainable with public opinion. i am very supportive the year she was on a sustainable public opinion ground for purposes three talk about rebutted a kicker that says they keep their word has some governors did don't expand medicaid and i

would do all those things but i said it was sustainable politically for medicaid expansion however that does not mean you could produce a majority republicans that support that position you can get that with the support but to think it is so high but also with somebody running the republican primary so with the manner woman that experience medicaid expansion under obamacare. i don't see a lot of challengers running the republican primaries whose champion the cause. going from health care policy to health care reality we will see if it

works or not been the other states will be pressured very quickly because them on what works best is to cut abuse with the medicaid program but also with our tax money going to california or new york and that sticks in the republican primary crossed a a little bit. if it does work foot in the states thought the republican governors thought did and they say you are crazy it is working here. it could change quickly over time. >> this is the last question >> to related questions. we will start the process all over again led by wray

but the you expect to see any material differences in round two and in particular with the sequestration rules and so forth? >> republicans keep trying to offer to have more flexibility insider agency which is rational but with the unintended consequences sequestration from a republican perspective works well. the result will big thing that federal spending is still what it was but know that is of victory 8 percent over two years that is a victory. but the democrats tried to use every leverage that they can't.

i think for a lot of republicans this sequestration has been in the caucus the one thing that you got out of all of this so far i don't see this relenting unless there is a structural change and the democrats have been so close they are not willing to vote to give the agency's more flexibility so you are still stock why you are not at levels of agreement. so i am kept on a short leash with the microphone so she told me you have got to hear this story about my favorite college professor here is my philosophy.

believes talk about the freshman answer of who is socrates. he is a great philosopher. he talked and talked and talked and socrates was killed. [laughter] i would like you to remember that about keeping on tie when you start off the meeting is. [laughter] i remembered my isocrates warning. >> but he was killed and willingly. [laughter] please join me to take bill mc inturff. [applause] >> we will go ahead and start take your seats i am

privileged again to talk with you this morning to introduce another great panel that will talk about our early experiences with the exchanges and give you insights how things are going in where we're going and where we have come from. i will introduce our panel this morning. the first speaker is the chief executive officer of the louisiana health cooperative the first louisiana health cooperative to have a variety of health insurance options statewide for coverage 2014 and he is not just busy enough with that but also ran unopposed in the louisiana state representative house from the 90th house district and three elected in fall

2011 also serves as the chairman of the insurance committee that has oversight relating to public and private insurance and sets on a the hunt executive committee in the special committee on military and veterans affairs. our second speaker she is a executive director of the minnesota council of health plan and previously the county administrator for st. louis county if anybody knows to leak she brings a candid spirit to everything she does probably one of the most quoted health care plans executives are third speaker senior vice president at the new york health plan association and

was a news producer for the 6:00 news in the york and also a valuable advocate on behalf of our member companies in the york state from the agenda it looks a little different from what you expected we had a last-minute change jennifer could not be with us she is that the promises but her luggage is not. she sent her apology is the would have provided a stellar up dates so we wish her well hoping that her luggage arrives there with that i will go to the representative who will kick us off. >> it is good to be with you folks this morning home of the louisiana health cooperative. [laughter] that is a cheap plug.

[laughter] a little history about me i was in the space business for 31 years in the been working with the boeing corporation with the next generation with the vague rocket. i have been elected to the legislature six years into the insurance committee and in to take on the task of ceo of the louisiana health cooperative way our member government insurance company. now seven you may question the wisdom of that choice don't feel that you are alone but with my background

but then i had bad and rocket science the only exception is there in the actuaries? mckewon at the projections and with rocket science we have not set the world on fire but that is coming to the end of this year. whenever i was appointed to this position coming to meet

jeff kent company before i was even active in the position as chairman of the house of insurance committee what the prime service they do to my committee that was an easy choice to engage with our association. and also with the program as whole. >> what have we faced as a start up? the first hurdle that we have as a co-op that sped out of 70 through the hca is the education process they think we're the stage where

the mechanism that people enroll in to the insurance plans and we run it that is absolutely incorrect. we are in the exchange in the private marketplace and the private insurance company the next hurdle is some of our competitors have felt we could mandate cost in rates with our providers and that is incorrect also. we have to negotiate contracts with providers just like every bad deals and those that sponsor us us, of which is a very big health care system are the hardest people to negotiate rates with anybody i had to deal with i signed the last contract with them on october 1 and believe me i did not get any favorable consideration from them.

there on the federal marketplace october 1st october 1st, opened our internal exchange was ready the federal marketplace was supposedly ready we spun up and spun down very quickly there were glitches with the internal software and that was fixed by the end of the week although the federal government still has a glitch in their system. we are tonsure depending on who you talked u.n. -- when those pieces will be hired out. we talked to people three weeks ago and we were told it absolutely would not be working this year and our customer service representative was in the question than next week she made a call to washington and said it would absolutely be up and running october

october 1st 2 different answers that did not give us confidence with the peace that we were concerned about it is still not up and ready yet. the first week we were open though a friend of mine a ceo of the biggest competitor that i have been the state of louisiana in there is said group of a set play golf together we were talking about the numbers and when i started to talk about our numbers i found out i should be optimistic because i was ahead of him to assuage one. that is not a ratio but two / one. [laughter] that is the hundred pound gorilla i was taking him to his team's but one of the

encouraging things is that some of their early enrollees have been you people in their thirties which was a concern for all of us that we would not get any young folks to offset the high risk but we have a fair amount of volume with the younger folks that gives me reason to be optimistic that maybe there will be a chance for success. the most interest of our plan comes from folks that call us directly instead of going to the federal marketplace in there seems to be two reasons for that to me that there is a significant amount of frustration with the ability to get into the federal marketplace that people could do transactions that have all occurred between

the hours of 11:00 at night and 4:00 in the morning and some of that without some weights to make a single transaction so there is a lot of frustration that we your finding that those that work at the marketplace don't have any real idea about what they need or what is available. so it essentially they look for education what they can get or what they may need and what type of subsidies our available so therefore the fair subsidy eligible we walk them through the process. they are calling us directly to get into the programs. due to the problems we are

taking information manually as may educate them in actually calling them back hopefully within one week as we can access the system. with all the issues that are going on with the federal marketplace there are worker rowntree actively seeking a daily basis putting into play. the word came of the federal government will start looking at a manual applications to try to facilitate to get into the system to get on board but we are trying to stay ahead of that curve. all of the problems that we cease seems to come down to one key issue with all of the planning going into this

common the inadequacy of the amount of time that was scheduled of the federal marketplace resulting in our testing of our systems as we integrate has been sorely inadequate. we are putting them live on the web without good knowledge it will work in d.c. that's invade to upgrades taking the system down on the weekends and one of the big things is the final testing and implementation in that piece of the puzzle seems to have not been overlooked but to get to market in a timely fashion was not fairly allocated.

one big problem for our company maybe some of you see the same is the slowness of the enrollees to enable to get into this system. i have a small team but i see there will be frustration and sitting in and my biggest problem is not getting members enrolled will be keeping my team motivated and upbeat and a gauge they have to have a positive attitude when they talk to a consumer. there cannot be any frustration in their voice or concern. that is where i see one of my bigger problems for our look at my team as a football team. i am projecting out how we will grow and build and me prepared to wind.

this year we have a one game season. the referees have blown some calls and that is a kind way to put it it has prevented my offense from moving the ball down the field. we're looking for a strong second quarter between mid november a into the end of the year when these expect to see a plush but we see a little more access but we are hoping for a strong second quarter to get some points on the board a and this year or have time everybody will make adjustments which is the a moment period between january and march. if we can score points in the second quarter we could probably hold our own in the third and fourth quarter to have a successful season and

competes again next year. that is the goal to get past this year or next year than we hope to be super bowl winners. that is the play and i will use to motivate my team to keep them on track. that is all i have to offer i will take questions directly when time allows. thank you. >> that was fantastic. we will keep moving along with you and after a we are dash end. >> i'm not into sports. [laughter] but i a from lake woebegone where the women are strong demand are good-looking and the children or above-average and now paul bunyan and babe w. ochs is leading the way with the state exchange so my a story will be pretty similar but

from a different perspective. i want to set the stage for minnesota where we all get along and we smile and try really hard. [laughter] it has been tough couple years. minnesota to over 5 million people we have the uninsured rates of 8 percent that is of some fear the highest risk pool 26 years old so we have a pretty good idea that everybody is watching we have seven health plans and minnesota to hold the hmo license you must be a nonprofit.

now we have a very large for-profit company that is housed in minnetonka but that company doesn't to hmo business because it is for profit so we have a difference environment that we operate in and five of the health plans chose to go on to the minnesota exchange into of the health plans are not on the minnesota exchange the stamford health his is the schaede in three other states but not minnesota. that is where we start off the projections for the members of the individuals are name, i thought we would be drinking it. [laughter] it taste awful.

[laughter] but in any case 1.3 million is what they were shooting for. to give a history of the state based exchange there really was launched by the governor with the executive order in 2011 because for the first two years of never correct democrat governors term, the legislature both the house and the senate were republican and they were not interested to pass exchange legislation and we worked very hard with a coalition of business providers, very hard to convince the legislature that we should move to the state based schaede to minnesota in june to we cannot get that traction. when the election happened

in 2012 both houses of the legislature when democrat. the first thing i the first day of the 2012 session governor dayton and assigned that medicare expansion and this said that file was the exchange of legislation that moved through i think 20 some committee hearings and by the end of march we had our legislation passed this year. it is an active purchaser starting 2014 but the first year any company that is able to meet the requirements to get the products or rates approved can be on the exchange. we have had an mlr we are

very highly regulated market in rehab had rave reviews for ever so some of the pills coastal said to swallow for the first time or a bigger pill we could will through some of that. to ratify if companies on the minnesota exchanger only doing individual business and three do individual and small group. we have a very, very strict conflict of interest that constitutes who can be on and off the issue huge board. no brokers, no insurers, no providers that is a pretty frustrating thing for the stake holders who are so active to move this forward. fortunately for the board that was appointed appears

to understand working with the stakeholders who are involved will be essential to having a successful exchange. we have done a lot of work and i will give you some numbers, the first numbers out of the gate that were just announced you talk about the communication strategy that we adopted in my organization. as of wednesday's this week about 12,000 accounts have been created. i think that is a small number when we move to almost november with a long way to go before march but the exchange official said the this is meeting officials put of the 12,000

the 5500 completed applications to determine whether or not an individual is credible and but it will get better and of that 3900 have started the enrollment process. 406 commercial applications has been completed. and i will talk about the medicaid and the balance of all of those are medicaid enrollees stand a state subsidized program called minnesota care. 3500 are those. that system is not operating yet. that is the portal but it is

not working behind the curtain yet and we do that is what the status of this would be. at this point there has not been one successful 8234 fiat transmitted to a health plan that is where we are act on a daily basis talking with the exchange officials suppliants at this point reid know there are 406 names someplace but not one of the company is at this point knows who they are. they did receive a call a couple of days ago telling them of the 406, you have too% you do have 30% or you have a 9% but the numbers are small. i could be added daily 7:30 a.m. exchange call with all members to keep the

information flowing which has been very useful because we could turn around and communicate back to the officials what the plans are what we have heard during the operations calls and we expect expecting production ready 834 and the day. we thought it would be yesterday i had the call this morning has 730 now we expect it today. is imminent but greasy very positive and on message with the exchange so far. but so far we have not gotten the navigator with the sister function up on all fours in minnesota. that is one of the problems

after we get the 834 and the 820 salt said next is to get the position to start working so people start to enroll. i will tell you that my companies want the exchange to work in minnesota. rethink this is important. $110 million has been spent on this and that is something that we want to work or to be easy for folks to find your compare or make choices and to get coverage. the biggest challenge just talking one minute about communications strategy restarted working on the strategy about two years ago because from my perspective the biggest challenge that the health plans have is

minutes jean the expectations that once i go on the web site, i am from a health plan and that is not true. people are calling saying i enrolled yesterday i have to schedule surgery in january can you tell me of my physician is in the network? this is happening. we have been doing a lot of communication with the media trying to help the media understand how those promises that were made as a part of the passage you can keep your coverage, how that is basically true but everything will be individual. it is all individual how your impacted by the affordable care act is how does this hit you personally

or your family? what we did early in the year we developed a web site called my health care future.toward -- my health care future.org it would help you understand where you fit in the new world be eligible for a subsidy or a public program. you probably would not receive a subsidy but a choice. we got a lot of hits in the media coverage. but i believe we started to manage to the public understanding this will be complicated and not just a straight line and that is one of the objectives. we did a lot of media pieces

and i did the opinion piece that the twin cities major paper picked up this year that had a great graphic of a pie chart that laid out in minnesota where people get their coverage. so within that peace we could show a very small part of the pie would be impacted by the insurance exchange by a the accountable care act so we have done a lot to manage we talk with the exchange at least two times a week and we have worked hard to have an agreement that we are trying to stay on the same message and not let the public what go way.

one of our biggest concerns is that we will lose a lot of medicaid enrollees people will start to fall through the? which is a grave concern to us. we wanted to work, it is very complicated with that exchange organization and that this is proceeding as we had expected reid did not have a fast start out of that day but doing it to right with secured data transferred is the most important thing. one of the things that has work to our advantage not so much to the exchange organization was they had a security breach pride there's been dash by their

staff in the grand scheme this is little. they sent a file that was not corrected to a broker that had a list of other brokers names and social security numbers it is a breach to the violation but it was not a client specific information and. there's a lot of media and the auditor got involved but i hasten to the public perception for the need for this to be done right do we have used that secure transfer of uninterrupted information is the most important thing we can do for you as a consumer we are not off the runway at i see it will fly but i am not sure or fall. [laughter] but working on the next

communication plan is focused on 1114 where have you explain to people, what they had, things are not exactly the same you will get more benefits for the young people id not had to purchase maternity or mental health services but everybody will be doing this now and this is hard for the public to understand but we do have the media that can help us. i will stop there. >> now we will roll along. >> i could just say what she said. the save the for new york. [laughter] we have a lot of shared experiences.

if you were here yesterday and heard paul i will not repeat everything but i do want to roll back to give some history. 2011 new york wanted to go out to build its own exchange the first year of governor cuomo administration and he made it a top priority for his legislative priority that year to pass or set up the exchange and other top priority was to pass the gay marriage bill. they pass the gay marriage fell but only after a handful of republicans agreed to vote and as a result there was a tremendous backlash against the republicans. you're looking like a democrat. even though we are in a very blues state so even though we did have the agreed upon bill solfeggio peace and we cannot get behind obamacare

right now and we're waiting for the supreme court to strike it down and we are not doing this. nothing stops the andrew cuomo. he said i will create and a stage through executive order and that is what he did. so of you decided to go to the federal about the york think issue because we got the nose federal dollars that would have led to other states and we gladly took the dollars. the thing about the new york exchange is when they started staffing they went to the health plan to grab people to help staff the exchange so we do have some expertise and that is good but as a result we had an ongoing dialogue with the implementation but the bad news is in 2012 by governor

said expectations were high how wonderful the exchange would be and how much it would lower premiums for new yorkers the number thrown out was premiums will be 70% lower than current the today. there is a little times that for a very small percentage that it purchases those at from another state talk about the pie chart that is less than one-tenth of 1% but now they have set the bar at 70% lower premiums. of course, the plans were like you set the expectations so high you will have to eat crow in the

year when their previous come out and we talked about mendocino's expectations and we weren't significantly they've would drive to meet that. so good using banned news so they were my 70 percent lower but they were 53% just for that small percentage of individuals. the raid the itty bitty with the sense that it was for a small percentage than some people would see premiums go up which is why people of the committee to find out if they shop on the exchange. we have 16 plants that are participating that includes the hospital system put together a brief and new

entrants actually to new insurance companies that decided they wanted to do this on the exchange. also medicated government programs that decided to shift into the commercial market. in addition to the promise of a greatly reduced premiums another concern the plan had was the capability of the itc system the state spending a tremendous amount of money to build a brand new portal we had three plans ever chosen. of most of the of transferring files with the protocols and security breaches than other plants were invited to test but because of the way the portal was set up coming you cannot do anonymous shopping

on the individual exchange so they were giving screen shots in the plan said we would really like to test it. that has ben a problem and a concern but now fast for word october 1st of the exchange opens the doors to great fanfare and within two hours no one could log on and on the screen is said to to overwhelming interest the system is down law again later. they try to increase the capability of the portal overnight than the next day equi like to go big we have 30 million hits within 33 hours everybody said dizzily

2.seven uninsured. what does that mean so the media became very skeptical then they backed off to said we had 30 million hits individual page hits that we really had 250,000 unique visitors again said what does that mean? how many people have enrolled? we wanted to know how many people have enrolled correct they said we had 250,000 unique visitors a and 40,000 shoppers who were deemed eligible. how many people have enrolled? last week the officials of the ongoing meetings told us about 600 applications had been processed. but how many have been rolled? the bottom line is we still

don't have the bottom number like minnesota there has been no 824 transmitted but we were told there were 270-0834 ready to be transmitted but there was a significant error in half so they would hold them. we are from new york i feel like anb. tomorrow. it is all coming tomorrow. [laughter] and it is always one day away we still do not have 834 build mc inturff reminded us if you like your health care no one will take it away from you but last week "the new york post" ran the story on friday they found a self-employed will but who does not qualify for subsidies, she was a sole provider so buying a group program as an individual and

her coverage through the exchange because of prop. product is going away it will be $250 more per month than her current coverage and her'' in the paper right to a newsletter every week before the newsletter said the president said i could keep my coverage. he lied. and i will never forgive him for that. we are working very closely with the exchange. we don't want to publicly say we told you so but we are saying that we would like you to remember there are winners and losers and some people who will see their premiums decrease more will see them increase. we don't like to promote that too much but we work

with the exchange to make sure it is a success but we're still waiting for tomorrow. >> thank you very much. we have time for just a couple of questions. >> i you from stamford health plan in sioux falls, south dakota. do we have concrete numbers of how many people have enrolled? we haven't received a few 834 from the fed but does anybody have any members nationally? >> we are not getting any feedback of that. at least with the federal marketplace in the louisiana we have received some 834 filter down for processing. we know that there are others that are held up in

the system. we're trying to get the problem is resolved and a couple of folks have called us what he to know about paying premiums and we cannot find them so we know that 834 is out there. . .

>> i do think we need to be a lot of attention. >> i would just echo what you said. that's one of the things that i feel it. one of the things that been telling the media is that no one expects that people can go on and one of the reasons we have this open and roman period is because we want them to be responsible and actually do their homework and make sure

that when they are ready to push that button, it's like they are doing their due diligence and homeowner. >> i would totally echo that. i think that we always assume that people would register and make some comparisons and talk with their families and talk with friends. and then it goes back and it has such an ability in a short timeframe and we all knew and everyone knew that it was just not going to be possible to get the thing prevent including a daunting that could take some time to ramp up, but i totally agree with your comment. >> you know. >> the first week, that was very

secretive, if you will. a lot of folks and members of my staff had no intention of buying health insurance on the market market place, but as one entity that was working and what look like and what was out there. and you have seen a lot of people doing that. so we are hoping for a big second quarter to score some points and people are going to want to get enrolled before december 15 so that they have coverage on january the first. that is why we are hoping that folks are sitting on their thanksgiving tables talking about those and we are going to have an internal portal opened the afternoon of thanksgiving day so that folks want to take a look at what is out there in our

program. and it will be available. but that will be a big push to get enrollees, we hope in our second quarter. the second half of the enrollment before december 15. >> thank you guys so much. but as want to tell you that i took away earlier in the first quarter. we are not off the runway yet. communication is king and manage expectation is important. and doing it right is the most important thing and tomorrow is only a day away. so please tell me think these guys for such a great presentation. >> on the next "washington journal", jason fichtner of george washington university discussed the recent government shutdown and that limit debate and what could happen in early 20 working. then we have director john

junking fin at the oil embargo and what the cartel's role is in the world today, plus your e-mails and phone calls and tweets and your washington journalists live on c-span. >> starting today, c-span has a new ctarting today, c-span has a new channel on satellite radio. and we can be heard on stations on 20. >> she was thought to be out of touch with the people, but after her death, it was discovered that she provided financial help to hundreds of americans in need and never cashed the checks of those who paid her back. watch our program on lou hoover at 7:00 p.m. eastern on c-span. live on monday night, our series continues the spirit this is a tiebreaker that she wrote a column sans. what i have are the original

drafts of your columns that i wanted to share. the first one is actually her first column and it sets the tone for it to follow. she is typing about the comings and goings in the white house as they are getting back to the regular schedule after the holiday season. this clipping is a clipping from november 6, 1940, election day. she talks about how a larger crowd than usual came in with wonderful placket from the president went out to greet them. this is a tradition and the roosevelt to come to hyde park and await the election results. the folks folks would march down and the president would come out and greet them. >> first lady on the roosevelt at 9:00 p.m. eastern on c-span and c-span3. also on c-span radio and c-span.org. >> next, only clinton discusses refinance international affairs including china and this syrian civil water.

she was awarded the 2013 chatham house prize for her contribution to international diplomacy and her work on gender equality. this is about one hour. [applause] [cheers] [applause] [applause] [cheers] [applause] >> ladies and gentlemen, welcome to the chatham house in thank you very much for joining us today. before anything else, i'm going to be a little boring. please make sure that you don't have your mobile phones on and it would be a shame to be beeping through this and a shame also if you don't have your microphones switched off.

[laughter] >> you will be spotted if there is anything at all. i may just say it is my great honor to welcome you to chatham house. welcome to our institute. [applause] [applause] i just want to say that what i like about this, even though we get a little nervous is that it is from a selection of candidates nominated on the search programs, then members vote in the members are here, they have voted for you and it makes us a very special price and it was given for your great significant contributions and also this is important to you as well for promoting equal opportunities for them in the

world. this evening we will celebrate this formal event which lets us have an informal conversation today. i'm very glad that you would be so kind on the record format for the chatham house to have this conversation today and we can go anywhere. what one way to do it start off by just taking off a few questions that i will ask you and hopefully it will leave a bunch of things off the wall and hopefully we will be able to hang on for 20 minutes or so. [laughter] we have time and hopefully it won't take more than 20 minutes or all of your questions. hopefully i will do a fair amount of filibustering as well. going in many directions, and you kind of played two fundamental rules at the secretary of state strategically. i think the rebalance by the

asia pacific was clearly one of the big strategic point of the order process. also involve very much in having to make last-minute tough calls through the process, which is the job of the secretary of state and we have blended those two things with our conversation to talk about the grand strategy and am of those tough calls that you have made. i hope that we can draw out the insides of your experience for the future and let me take that off with a big question, i suppose. when you took up your position as secretary of state. there were questions about the future of american leadership and he wanted to be able to engage with allies and etc. at the very interesting look at

the world. america is a powerful country bandshell have strong alliances and allies. at the same time, getting shut down. you have this and i would say that fears outside the u.s. of a that it is instant and creeping into the body of politics. really feeling that it plays by the rules in a part of this key player that keeps coming up in the conversation. so with that setup, do you think america has the capacity and can it play a leadership role from four years ago. >> let me thank you and thank the members of chatham house for this very important and moving toward. i am a fan of your work and i appreciate greatly the vote of

the membership on my behalf and i think the question is one that has a very simple answer that yes, america's leadership remains not only a preeminent, but necessary. but the world in which we live poses new challenges to all of us on an ongoing basis. the requires a level of strategic thinking in the execution of starts first and foremost back in the democracies that we represent. so i would never criticize my country out of my country. but let me say that i do believe that it is distressing at any point to see a political system that has weathered so many crises over centuries now. to be caught up in what are very

partisan disputes. but i questions about america's direction at home and abroad includes this. and i am confident that we will work our way to build this latest challenge as we did back during my husband's administration's in 1995 and 1996. but i think that there is an underlying concern, and it's not only in our country, because we did not take a bow, but you did, that raises issues of ballot what are our responsibilities and how to we project power in 21st century, which is both traditional forms as well as new so-called so-called soft or what i like the smart. those are debates that the societies have to have, not just inside government offices.

so i am looking forward to talking and specific view but i think it is fair to say that the concerns that we have to be aware of, when we look at the international position of the united states, has to really come from a wellspring of effective decision-making at home. and that is economic and social and growing inequality and a sense that in the united states and in europe there is an ongoing debate about how we continue to provide the best services at the most affordable cost to our citizens. because that come, after all, it is really the core of what we can do around the world. i am confident. the debate we are having is one that requires very serious

analysis and thought. >> does it cramp the style of this domestic dimension that is so powerful it could have. we have public as part of the financial crisis by not going good handling in key parts of iraq and afghanistan. at the room for a scope that leadership is immortal. they find that they kind of want to do part of this and it must be quite a different one in terms of this. how do you find nine as the secretary of state in particular. >> i did not find it difficult but challenging because i took office on president obama was sworn in. in the midst of the economic crisis and i think it is easy for many to forget how close the world came to a much more

serious and long-lasting economic recession and even depression. i think it was something that required american leadership. i am certainly aware that some of the reasons lay in american financial decision-making and perhaps lack of regulatory oversight. but the fact is that when i came into that position, the president and i talked openly with each other about how important it was for me to get out around the world, making it clear that we would recover and the president had to deal with the congress and the immediate effects of the economic crisis and that is basically what i did. for much of the first year starting, as you say, by going to asia, which was unusual, if

not unprecedented for an american secretary of state. but it was an important message to send in part because, you know, china, to this day has heavily invested in american debt. it was raising questions and wondering about the decisions that would be made by the new administration and there was a feeling that because of the war in iraq in the aftermath of 9/11 in afghanistan, that the united states had shifted attention away from asia and that was a concern to a lot of our allies. in europe there was also a worry that the contagion of the economic crisis and what was felt to be a less than ongoing level of attention from the prior administration. i went to asia and i immediately came to europe to consult and

hear what people have to say we will always be concerned and we have a war to wind down and want to try to resolve. but i was very much on the forefront of the national security council agenda. briefly to send messages to others. >> just on this point about that trip to a asia and the role that he played in the pivoting or rebalancing foreign policy towards the asia pacific. you mentioned china and keeping the sun site and you are pushing this is strategic and economic dialogue and at the same time

you are a ally and mouse southeast asia in singapore and etc. how would you balance that with the fact that this may be seen as does have a point. did you feel we were meeting chinese leaders? >> oh, yes, i did. there were concerns on the part of the chinese leadership over what this meant. but when i planned the first trip and presented a strategy to the white house, by wanted to integrate the different strands of her our involvement and there is a very strong argument that rising china has to be the central focus of american foreign policy in the asia

pacific and also the increasingly even global view. the hope being that that involvement that we could move as bob has said, becoming a stakeholder. traditional allies and we have treated allowances would japan and south korea and the philippines and i stress and also there was a ceiling on their part that we need to be much clearer about what american interests would be like in the 21st century, that we were a resident pacific power and that we had obligations and we needed two more forcibly presented as. then there were the aussie on countries to be had alliances with but watch a much larger group is looking to try to figure out how to do with their own balance things. so what i said is that i didn't think you could think among those choices and you had to

have a more comprehensive approach because we had existing obligations and also because it seemed to mean that as we charted a course toward with china, we wanted china to realize that we were in the pacific to say. we were there not as an interloper but as they splendid pretense of then and therefore we wanted to become more involved in the regional organizations on that first trip. i went to jakarta and i signed a memorandum saying that the united states its move toward the treaty of amity and cooperation which is very important. in china it began what was a very candid conversation and i think that there were certainly areas of disagreement that we now know about china, you know, the historical interest and to

taiwan and those they raised with the united states and the sensitivity about human rights which were on the agenda. and we were looking for this new vehicle of the economic dialogue and with tim geithner and to expand the discussion. and the chinese would've been happy to stay focused on economic issues and part of that was and also we wanted to bring this then and there is a long claim of the east china sea and the conflicts that have occurred over the beguiling assets and

with north vietnam and the philippines and the back-and-forth arguing with japan. the continuing threats posed by japan in a precarious way which is very much a chinese problem and a potential solution. we wanted to broaden this so that we were just talking about currency, but we wanted to have a broader discussion to be made clear that the united states is there to stay. >> there was a moment that you must've wondered, one of the most remarkable moments is that those humans in the beginning of 2121 devise individual gave himself up to the u.s. embassy, which you have to hand in a particular way and then wait three months later i think had to be rescued into the embassy that way. and that was just before they

were part of the next strategic dialogue. please give us a feel for how you managed this. >> i like to have these virtual inboxes in my head, you know, the more immediate screening crisis, the long-term crisis and also i like to live in a big box of opportunities and it is a great example of the way that i think they expanded strategic and economic dialogue helped us to resolve very difficult issues. because when i tried to do in the dialogue was to try to really in bed and the governments of both of our countries, issues so that there was a lot more interchange. i came to believe the chinese,

for their own reasons and because of their own way of governing believe that somewhere in washington, there is a master plan about what we intend to do to try to control their lives and i see them i friend sitting in the front row, he and i have talked about that in the fleet. they really do because they have plans and all kinds of processes. they have never understood the quality in american government and democracy. and so what i try to do is began to strip away some of the misconceptions. we have views and interests and values, but we are not opaque and we want to share with you and we want to do begin to share with us.

when we showed up in a console and asking for asylum because of because his story was quite dramatic about him knowing that his wife and children and countrymen were part of this. he did not in any of the categories for united states getting him asylum. he had a record of corruption and of dinesh and brutality and he was an enforcer. they may have had a falling out and now he is trying to somehow get his way to a place of safety. on the other hand, the consulate was quickly encircled by other police who were either subordinate to honor looking to curry a favor and it was becoming a very dangerous situation and what we did was to

tell them that he could mop move into the consulate to offer that to them, but he kept saying that he wanted to get the truth and the government in beijing to know what was happening. so we set that we could arrange that energy that was what we did. we were very discreet about it and we do not try to embarrass anybody involved in it. but we try to handle it in a very professional manner, which i think we accomplished. fasting forward to this i get called late one night about a escape from house arrest, quite remarkably, he had broken his foot in the escape and have been picked up and was seeking asylum in our embassy in beijing and was on his way back.

of course he knows his courage courageous dissidents activity and he was a self-taught lawyer who had very bravely taken on one child policy of china and suing local officials and others for their behavior. as you say, it was a week before our annual and strategic dialogue meeting her this time in the city of beijing. i was very well aware that this would be an issue in the relationship and i also believe that this is an example of the american values and practice and this was and this was a man that deserves protection. lots of back and forth, as you can imagine, and i made a cause

that we are going to center people ought to go pick them out, so there was a rendezvous and we got him into the embassy and we got him medical treatment for some of his injuries and, you know, then, had to tell the chinese government that we were offering hospitality to one of their citizens and would love to talk to them about that. kurt campbell, whom some of you know it's my assistant secretary for the pacific affairs immediately got on the plane and we were fortunate that the head of my illegal department and lawyer with his own history of dissidents. his father was unable to return home from his position because of a pool in korea. so he had a filter that family tracked him down and he was at one of our strategic economic dialogue working groups and we

got our people to the embassy and they began talking with him and then they began to -- they began negotiating with their chinese counterparts. this is a long story. i don't want to take the time. but it was a very -- it was a very touching touch and go situation. we were able to negotiate with the chinese for safe passage for his family. so we were able to negotiate an agreement that he could attend college on something he wanted wanted or there was something he didn't want to and china. ..

the. >> really? what would you like? he said i would like to go to america. okay.

after saying it in node no-no. we worked out an arrangement to go to do york university to study the estimates we could get the second agreement with the tidies. all the work we put it into this and all of the incredible plan thank and and very candid conversations that i engaged with my counterparts because i had to say "this is it" your interest and our interest and a way we can work this out. his first response was we never want to talk about this man again. we cannot go back into negotiations and i said we have to because we have to get this resolved by the end of the meeting. we did it in a way that really i think validated the kind of arrangement and the

almost daily work that went into debt. the final thing is this was touch and go the final thing i was asked to do because they still had meetings on by a jet that they said please don't mention this to them we will work this out. so i didn't and we had a very predictable bidi then we had any event with the people to people exchange i know lot of foreign policy experts say what difference does that make? i can only tell you that the people to people event there is a young american and steady in china and the young chinese woman steady in the united states. be picked them out to speak

to the group in english and mandarin about their experiences and each other's countries i am convinced that help to convince the chinese government we would do the deal because i said in my prepared remarks this is what the future should be about with young people working together to understand each other better to find common ground. that is what we should be looking for. later that afternoon we could make the deal and then mr. chan and his family could leave so was just a broader story. >>host: that story is fascinating that is the example of that commission up. you forget diplomacy as half about results but then you have to go through

confidence-building. >>guest: and we are so impatient. this seems like of comment about politics like it just goes on and on and the miti in the san the dinners and i think it is more important to show what to dave and i used to be because everybody knows you can't communicate through technology without showing up and people say why you travel all over? we did have work to do to be blunt. [laughter] but we also have relationships to build that is worth investing because you never know what may come from them or what may stop. but yet in part because of the feeling speaking from my own country that this is

like frosting on the cake but not necessary but i see it is baked into the cake if you don't do it you will not understand what is possible with such a complex chain g world. >>host: even in the u.k. there is the export -- reemergence of the social media and the town hall meeting but said it becomes difficult to deal with the crisis. and i do have a bottle -- a bunch of questions about the middle east but we have people here who want to ask questions i will take a and i will not get to everyone told the up front but i will do my best.

>> also a student foreign relations with the pre-election thanks to your huge efforts and president obama we managed to overcome with the democracy per girlhood, dash. our government is overpressure from the west. >> question? >> at the same time with for

the sake of democracy and rule of law? madam clinton their efforts are greatly appreciated in georgia could you tell us your views of how we should tackle these? clearly on our way to build democracy in georgia. >> take at once. >> you have a very challenging situation and you have summarized it well because the progress at georgia has said -- made over 20 years is remarkable many of the people that contributed to the progress are currently out of office and you have a new government that understandably wants to

continue the progress to figure out the best way to do that. i cannot give you the easy answer that would say x zero or why it because there is so much writing -- writing on how you navigate through the next months in terms of your stability, whether or not you can and protect the rule of law without undermining the progress made. that takes a lot of careful thought that has to be depersonalized not of the people you believe to may have broken laws but think about the position that are currently being held by the

new government and to while pursuing other officeholders will consolidate democracy or with the country into a lot of pieces. what i would ask you to do is to try to avoid personalizing it but instead try to analyze what is of the best interest of georgia ? is a person you have to sort that out there is truth of reconciliation models and other inquiries to make things public.

with the instability even conflict that could undermine the product -- project in georgia. >> i will move on. i have cut about 12 people size so i would not look at anyone else. [laughter] >> madam secretary you spoke wisely of the foreign policy and in syria it is like a toll timescale. [laughter] and i wondered if you thought that the deal how it was reached with chemical weapons was irrelevant which was the civil war or if it is a step to resolving it? >> if this point it can be and should be a step to

resolving it prokofiev . on its own has merit fife or at least fully acknowledging to contain the assyria chemical capacity is very important for the ongoing civil war but also of the potential dangers that cayenne be put into the category of a positive outcome of these negotiations. syria is a dilemma at because there had not yet dead a willingness on the part of the russians to really push the assad regime to raid in their own support for the syrian military that opposition to organized the

united front that provides negotiators also the fact that russia and the united states and the rest of the world cooperated on the chemical weapons in denver i think is a plus to the the id to the geneva negotiations. i negotiated geneva of wind and it was a road map for a transition. i know that he left the room and went to the embassy to make the authorized phone call but it was our understanding we would take that to have a blessed by the security council said not just to the syrian group that included all the members of the security council but the broader community.

that did not have been and in part because i think the russians were not yet ready and aside was not ready to make that commitment to a process of a transition process away from him but more terrible things have happened and the refugee numbers are skyrocketing. jordan is under tremendous pressure turkey is doing an excellent but strange job to deal with the refugees. iraq plays a role and a side that is quite troubling and 11 non has all kinds of challenges said ucb are not an a stable situation in continuously deteriorating so i think this level of cooperation just won a nobel

prize. people see it as something worthwhile but it can lead to a better outcome at geneva t. ted you still the have the opposition and the increasing well armed militancy that answers to others of the syrian people that is a spoiler so we are a long way to see a positive outcome but the chemical weapons peace is a good step >>host: king to have incredible part of the opposition to be toward negotiation? without the incredible part to see a better armed?

and with general dempsey pushing that was then you loss of bubble that was the moment could you have incredible or more positive opposition? >> it is public deprivation that i pushed very hard to have a mission on the part of the united states and others to work with credible opposition in to help them gain to gain credibility and that it did not happen. i still think this is an opportunity to do that but what is missing is a

leadership to rally around them to work in a concerted way with the political track toward military track. if i was inside syria leading a small group from my village or three others i would want to follow someone who has a vision for a syria that is appealing to the post aside but i would not trust the leadership if there were those with weapons to back it up because there are some there with those assets. said you have to have the opposition not just talking but has some strength behind their position. >> chairman of the u.n. association. madam secretary, debut with

a frankness of which you are talking this afternoon. with those international institutions that with the strategic purposes and global cooperation don't you worry if the world with the national diplomacy is becoming to ad hoc? >>guest: i do think parts of the recent that international diplomacy is at talk to a certain degree is because the international institutions have difficulty moving quickly on a number of strategic france. -- affronts i think if we did not have the united nations we would have to invent it. we need that will that the plays that is critically important for the obvious

reasons but it is difficult to get controversial action done quickly within the security council. that is why people go off now eventually they try to circle back with chemical weapons you could not get a resolution god tougher sanctions of the assad regime were possible article seven action in the absence of pulling back. but on the chemical weapons peace that is everybody's interest. if you are russia or china or the united states you don't want syria to have a big chemical weapons stockpiles so you see this opportunity they agree and we go forward. everyone i have spoken to

about the international organization in those there is reform and a new global social contract but it is difficult to put that into operation you have the imf and the tech. derided the agency and regional organizations. it looks like the alphabet soup of a properly managed there are benefits to each of those but nothing will replace a more global framework it would be to everyone's benefit if we could put our heads together to go back to brad words what does it look like for the 21st century to say what does the we're not like? dash think that will happen soon but something we should consider.

>> a q madam secretary ford joining as. taking you back to leadership with the conversation is that i have indicate a weak american and order best that we have taken advantage of the weaker america with the argument says it could be a new form of leadership from the united states like leading from behind or leading together more of multilateral type of leadership. i am interested in your views is it a new strategic vision the obama tries to achieve? is a positive or a little more haphazard or ad hoc

terminology? >>guest: i definitely think the president and i believe there should be able or shared responsibility in will tithe lateral the names on the range of issues. that has been an approach that we have deployed in several instances but that does not mean we don't recognize or accept the primary responsibility. libya is in example the europeans came to the united states and instead we have to do something in the arab league said we have to do something about this and our response is what are you going to do? they said the last few in recent weather you going to do? [laughter] that sounds funny but the first time there was any

kind of partnership between nato or arab countries the first time the united states said we have certain assets that are uniquely ours and we will deploy those. you have assets that you should deploy your ears. i thought that was an appropriate way to respond to a problem that was certainly important to us but important to our allies. i take you can look at that leadership in the way that is described of networks that i like for a lot of reasons mike my director policy planning wrote to very influential article about the move to network leadership in the world

would of the reasons i asked her to join me at the state department because not only roundup of usual suspects but organizations and entities that have responsibilities and that is true not only in foreign policy but development policy where we try to put together networks and partnerships to solve problems point that governors alone -- governments alone would not be effective to do so we just came out of the clinton global initiative born out of my husband is in sight that there were so many different players and the world had a role to contribute to solving development problems we needed a vehicle to get them together to do so the same

is true on the security side as well. we will never deal with the cybersecurity of this there is a partnership with government and we will never be able to deal with the trendline problems whether terrorism or poaching or human trafficking without having a broader network of players and the leaders. i don't know if it is a new philosophy bit more of a recognition the way it is evolving if we stop elephant poaching in africa let's use social media to convince haitians it does not fall off like it too is but the elephant house to be killed. you engage the citizens themselves as agents as well as principals.

>> we will start to group questions to gather a little better. i will take you to first. >> a i am from "the guardian." tv kid is right there is a proper debate through the u.s. and u.k. intelligence in light of the new technology? >> madam secretary i am from fox news. [laughter] >> well-known news station. [laughter] >> i love the idea of "the guardian" and fox news our next to each other.

[laughter] [applause] >> we are having a moment. >> to talk about this momentum of the u.s. and iran and the moves we see happening day-by-day developments there could be a rapprochement in the not too distant future? thank you. >> these are very important question but i have to talk quickly. with the intelligence issue we are democracies thank goodness and we'd be to have an adult conversation about what is necessary to be done and how to do it in a way that is as transparent as it could be with as much oversight and suggests an understanding as it could be.

that has to be the framework there are things that i know from my own experience as senator and secretary of state that is critical ingredients with our homeland security to help to protect people in other countries as well. i also know much more personal informations about many more americans held by businesses them by our government will little over a decade of with those corresponding with increasing outreach of consumers on the business side and on security of the government side. people need to be better informed but going down a

wrong path if we were with the debate or intelligence activities i am all for opening up a more vigorous discussion. with respect to iran but there has not said a change of policy or response to the outstanding offer of the two years ago of t5+1 and when t5+1 comes together in geneva next week i will be interested to hear if the iranians are putting any beat on the bones of their hope that there can be a negotiation that they'd

still a resolution that is satisfying to them and acceptable to us. we have no way to know that yet. . .