he just announced last week he is not taking medicare anymore because they keep cutting the reimbursements from medicare. so he can either take all medicare patients or no medicare patients. you're either allin or all out. he made the decision, we are going to be all out. there will soon be two tiers of medicare and yeah just like in england. long story short is this, we have got to start all over again. we have the affordable care act and it's the law of the land that both sides need to start talking about how we perform this to make it work to make it better because i will tom a conservative and libertarian friends walking -- watching who say we don't need health care and of course they say the same time don't touch medicare.

and their kids are signing up at the same time. the idea could do nothing and go ' doing nothing before the health care act is pure nonsense. what happens is when a poor mother takes her two children into the emergency room at 11:00 at night guess what? that is not a free lunch. we all pay for them exactly pay for it so it ends up costing the most money. we have got to do this all over again and we got to do it rationally and we are going to have to join arms together republicans and democrats alike are going to have to come up with a compromise that works for all americans. [applause] >> joe? one more question.

>> you got to sign books and go to politico. >> i'm going to answer these questions very quickly. >> iowa and new hampshire and south carolina. [laughter] >> that was easy. he is planning none. >> i like south carolina. i love iowa. and those new hampshire people are some of the best in america. [laughter] >> next question. last question. >> i watch her show religiously. 8:02 to 8:18 in the morning. i am stretching. i'm a strong democrat but your stand on the background check was really courageous and much appreciated. [applause] a question. i follow politics for a long time and there was a breed of liberal or moderate work

republican senators chuck percy all the ways to new england with clifford case and people like that in between. are there any of that breed still left and do we have hope for social moderates or fiscal conservatives? >> both of the parties have gone into their own corridor and of course at the same time there were conservative democrats in the south. you don't see that as much. i will tell you though i am glad to see the republican party. think about it. the 80s and 90s we were the party. of joe scarborough and tom delay and newt gingrich, carl rove and whoosh. the people driving the debate in our party were from the deep south. now you have chris christie in new jersey. i don't think he's a moderate and i don't think he is a liberal. scott walker and wisconsin.

scott is obviously conservative guy but paul ryan out of wisconsin. geographically we are starting to move north. i thought it was interesting you solve kelly ayotte in new hampshire being one of the few people that stood up during the government shut down saying enough is enough. you people are killing me up here. i was glad to see pat toomey take a couple of courageous stance as well on a couple of different issues. i think it's really good news the republican party has broken out of my reach and and is starting to influence elections in the northeast, the midwest and who knows maybe in the far west. here's the thing. if we want to be a national party again we are going to have to do that. in 2008, 2009, 2010 there wasn't a single republican representing anybody in new england.

hopefully we are turning that around because we have to be a national party game. that's only good for republicans but good for the two-party system in the country. thank you so much. i appreciate it. thank you, guys. [applause] >> we will do a book signing and if you can do it as orderly as possible. [inaudible conversations] now, this is official. good evening, ladies and gentlemen, my name is president obama. i'm the director of ford's theater society. on behalf of the board of trustees and everyone at