state. there have been times when they have been willing to sit down. after the virginia tech shooting, we were able to work indirectly with them through their -- to the senators that supported their positions to get the instant check system amendments act passed. it's not going to come just from like me calling for it or suggesting it, it's going to ore from their members others pushing them to it but we've got those other issues in the government off the table, let's deal with this gun issue. if the n.r.a. sees something they've pushed for their reciprocityional and conceal carry, that might be enough of a carrot to bring them the table. >> who else has questions here? pwi network.

indicatingstatistic that between 2005 and 2010 some were stolen in home break-ins and issues like wondering how would -- how do you see the country addressing that you might, i guess say, loophole in background checks. an issue, too. when folks are interviewed in never know how much you can believe from what they're saying and where they but stolen guns is one of the areas where people get their gun. what --out all the time when i talk to friends that are gun owners, i say, i'm not as youn, as long recognize not only the rights but the responsibilities and the risks that go with owning a gun some of the risks are that there are different

have shown different percentages of how often that gun is likely to be used against family member, some studies say up to 21 times more against you ored family member than against an the risk itthere is will be used against you and part of it is somebody gets gets angry,ody somebody gets depressed, somebody shoots the thinkr-in-law when they it's an intruder but the other be stolen's going to so if you've got a gun, mak sure you know where it is and it's from it is kids or neighbors and secured from the burglar. burglarss that generally look for, according to police officers i've talked to, things they can carry quickly, jewelry, small electronics and guns. most popular three things when people break into a thee so if you've got it at bed stand, that's probably where it andglar will look for

if you put it under the burglars know it, too. keep a smartest place to gun. >> i just want to know how much can we learn from other countries and the way they've handled these situations, specifically countries like canada or australia with respect number and ownership and of deaths and injuries from guns. >> we haven't learned i don't think anything from other countries yet. are unique in the level of gun violence in this country and latest up on the statistics necessarily but it's something like you can take the next 20 largest industrialized countries in the world and our rate of gun violence is 25 times larger than them combined. other countries have taken steps. hear, othergument i countries don't have the second amendment but our second amendment pursuant to the heller decision allows regulation on

opening even with that from scalia and malyoto, we haven't been willing to do othertion yet but countries have figured out ways to do it. sometimes it's buying back weapons they consider too dangerous for civilians and sometimes it's restricting and sometimes it's encouraging a lot of gun ownership like in switzerland but having tight regulations militia,witzerland's regulating the number of bullets somebody has. i'm not saying that's the country.for this it's a bigger country with a lot more guns that are already out there and a history different think we can i learn from other countries. there are ways to protect yourselves. with are ways we can live guns without making it as dangerous as we make it for ourselves. there.l go to the back >> long-time gun violence prevention supporter. to ask paul about the myths circulating among the public and officials in

washington that keep us from making progress on gun violence prevention. >> i've talked before that i think there are myths that keep officials from doing things. one myth i usually hear from republicans that says we can't do anything about gun violence, can't even argue about background checks or restrictions because of the second amendment and what i need point out to them, have you read the heller case, have hellerd section 3 of the case, when it says these rights like other rights are not and these list of presumptively legal restrictions a list that'ss is not exhaustive. again, you can go too far but can do sothings you even this last april when the senate debated this again, half the time when the republicans were speaking, they were saying second amendment, second amendment whennd the proposal they were talking about didn't infringe on the amendment as defined by

justice scalia and the majority of the supreme court. myths.one of the the second amendment does allow things. the first amendment sounds too.ute, congress shall make no law but courts say you can't libel you can't slander somebody, you can't have pornography in public places. firstare restrictions on amendment law. there are restrictions on other amendments and restrictions that are constitutional with regard to the second amendment, too. it is not absolute and that's said.he court the other myth that i usually the with is the one that democrats usually say which is that gun control is so politically radioactive, we don't want to talk about it and i think that was one of the perhaps the president and the vice president didn't talk about the issue much until thoughheir election even it was after newton, too. i argue if they had done something after tucson, it might have laid the groundwork to do

something after newtown because it takes time to build public for issues but where is the argument come from that this is politically radioactive and say gingrich and the republican congress became in 1994 because of gun control but when we argue healthcare debate, in because ofcame hillary healthcare and other issues and i was a republican in indiana and involved in politics during the 1994 and three seats from d to r and none because of gun control. inmight have been know issue one race or there but very few races. i hear gore lost in 2000 because of gun control and i point out during that campaign george w. bush was more supportive of gore was.l than george w. bush supported the ban and supported trigger locks so that tells me the political calculation he and karl rove made were

that these were things that were withar, particularly independents, moderates and female voters and the suburban voter and that that was part of compassionate conservativism approach. maybe he didn't do much about it when he was elected but when campaigning, he realized it was the al gorewith election, you can argue any number of the things were the that al gore lost. wasve a friend of mine that a mayor in knoxville, tennessee, civic leaders group and he said if al gore had tennesseeone visit to during the campaign, he might have carried his own state. they didn't vote against him gun control but because he was treating them didn't know them anymore. he needed to visit so politically you have those what'sso i looked at when id lately and

followed closely the races in 2006 and 2008 and 2010 and 2012, i don't know of any races where somebody running on a pro gun platform lost because of that issue. they might have lost because of other issues but i don't recall lost because of that issue. there were a lot that talked about the issue, and won. think it was the one cycling where it was a big issue and senator boxer's re-elect campaign in california, she won again. it was an issue in governor quinn's campaign in illinois and he won and it was an issue in congressionals race outside of d.c. in virginia and he won so here's a senate race andovernor's congressional race on west coast, east coast and in midwest person who was in a tight race won advocating gun control type things so again i think it poingts out and the if gunone to me is control was so controversial starting after the brady bill how didult weapon ban, bill clinton get re-elected in 1996. one that pushed it and

put jim and sarah brady on the 1996 convention. it will be an issue in some races and controversial in some races but when i see polls that the american people support an expanded background including 75% of n.r.a. members, i think we have an opportunity to get something done. the other myth i talk about is say gun control doesn't work and my response is tried we know, we haven't it because really in this thisry all we have got is background check system that needs a lot of fixing, the definition of who's dangerous, the system, more checks going forward. that's basically all we've got. weapon banassault but that expired. we've got the definition of purchasers and requirement that federally licensed dealers do a background check. that's all we did in this a federalom perspective and that's not really trying gun control. itt's a first step toward and we haven't taken any other steps and in other countries it has been successful. we can do thats

i think fit this country, too. dick? presentation, paul. >> thank you. seend i was very pleased to you using the f.b.i. figures for per day.r of homicides that 30-ish a day is very i can assure you. one of the things -- and i make brief and we can discuss them at a later date maybe in indiana somewhere. the one thing that really struck me was that the number of have in owners that we this country, there are about 40 of citizensry state that believe that they save their own life because they have a firearm. to basically 40 times 50 is about 2,000 a day, people lives ashey save their

compared to 32 people -- 32 homicides, so it's really, i more of a human nature and ithan a gun issue have a couple of more points of many. thing that's important to me is that when has their home invaded, who is the first responder there? police. the it's the homeowner. had the citizen who's just their window kicked in and if body armor and everything up to but not including machine guns, we, as citizens, as the first responder, that's what we should be having. what we give our second responders and number three, in australia, once again, it goes back to human nature to address your point, what i did is i looked at a.i.c., australian institute of

criminology. i'll bet you've been there. and what they found after their gun confiscation or turn-in or voluntary turn-in or whatever it, what surprised me was that the homicide level only went down 10%. 10 years later, the homicide what it was% of when everyone that wanted to was armed but wait a minute, there's guns. what is wrong this picture. and that's what i think happens a total gun ban or confiscation or whatever you want to call it. is,then the shocking point i kept looking at the charts, what i found out, the 10% homicide that went down from guns went back up, additional homicides with knives and brutal weapons and it was a real for me.call and last point i thought you were kind of unfair to utah, disclosure, i'm a utah conceal carry holder and they eight hours of safety

normalg and the background check. you glossed over that. >> thank you. and ile of responses know, numbers, in terms of versusive uses homicides. one of the things i learned as crime any sort of statistic or crime related statistic is tough to keep just don't reporte rapes or people overestimate things. unreported -- just the reporting criteria so the one statistic that is generally the most solid and the most comparable jurisdiction to jurisdiction are homicides just because everything else is a little fuzzy. track a's easier to dead body than it is somebody who didn't report getting shot or burglarized. you can do different statistics. people sometimes believe a gun protects them when it was the thee in the backyard or

animal rustling. i'm not saying it wasn't every i'm not anti-gun and the supreme court in your case did indicate the homer owner has but my point is the realize theeds to risks and responsibility that is go with that and too many don't gunsat and in terms of the they use, most police, they're generally coming with a pistol they've got. they're not usually coming in with a s.w.a.t. team. teaman't have a s.w.a.t. response. most burglars don't want to do a somebodysion with there. they're looking for an easy in and out. thatourt made it clear individual homeowner has a right and that's the law of the land and that's not questioned. when we look at other countries, yeah, people are always going to be violent. existed in all of our history, people will do bad things, evil will exist and people will kill each other. we have made it easier and

easier every year to do that and even guns today are different than the ones that were around 20, 30 years ago. the saturday night specials that when he wasw prosecuting attorney in the 1960's were cheap, three away that could kill but often didn't work. what you see now with the higher velocities and larger bullet sizes and number of rounds they can hold is significantly we want to know if that's something we want for the civilian public to defend home, yound your don't need that sort of weapon. you might feel you need a weapon do that with the gun that you're not allowed to have thatc., with the shotgun mr. mcdonald had before the case as well as the pistol added since that case. i think we can find common ground on strengthening these making it harder for dangerous people to get gettings weapons and common sense. y with haven't done anything different since the early 1990's

help. to carol.ame is my husband and i are survivors of an in-person home invasion and we are vehement gun control advocates. helped us inave that situation but my question do we, as individual thezens, get the n.r.a. and gun lobby to sit down with you talkhe brady commission to about the issue of background checks. we do to promote that? >> the crucial thing is to keep front pages ase much as we can. talk out about it in your communities. get your friends to talk out it.t if you tell your story about the home invasion, if you've got friends that are gun owners, talk to them about it. again, a lot of the issues we argue about in this country, really, people do ofto extremes for a lot

reasons a lot of times. it's hard to find middle ground. abortion's an issue. if life begins at conception, about that.o argue guns are here, there is a constitutional right to have a for selfe home defense. there are a lot of things we can ground.e middle the challenge for the gun control side has been most of our supporters are in the areas people andongress senators are on that side, too. it's getting back to the indians the midwestern states and the southern states and mountain states where people haven't at it that way and i think now's the time since we've had the heller case and the case, since we've seen congress get blocked this april, on thiscan get progress kind of an issue. >> other questions? >> my name is ann bader and i'm a mom and a grandma and when i college, the issue that i

really worked very hard on was to get the 18-year-olds the right to vote. it was educating the did a lot of that and we got public opinion to be got passed.d it what i've seen in the united now is we didn't want to sequester. budget.a the fiasco of the last few weeks is abominable. vote several months ago on putting minimal things about control in and it got voted against it. men that havess 85% of their district that were for this and you sound like you're hopeful we can do something about this? i mean, i just don't see this could happen. this? we do how can we be hopeful? >> ok, you discouraged me. i quit. no -- i guess it's part of -- you got to have hope. got keep trying.

it's, youe time and know, i have been discouraged -- when i heard the news about newtown, i was so depressed partly because it shouldn't have have happened. you can't stop all evil, but it shouldn't have had to be this situation. and it's just, you got to keep pushing. doesieve that right triumph, that people do come to their senses, you can make a i didn'te and if believe that, i'm not sure i could get up in the morning and keep doing things. teaching freshmen. i'm hopeful just seeing younger people. a had a speaker or we had fella here in d.c. who's been in public office meeting with some of them and basically said, you know, this government shutdown and everything, you're probably so discouraged, you know, do any even consider going into politics and a lot of them said, yes, they want to go into

they want to go into government and get involved because we'veties screwed it up so much, they want to fix it and i really think attitude young people have today so even if we can't make the difference now and our generation or with the elected, at least let's hope the younger folks coming up will help push those things. i think demographics is actually one of the issues the gun rights side might be facing which is that i know when i was growing with myer went hunting dad but a lot of my friends did. there was a lot more area to hunt and now there's suburbs and subdivisions and malls. you're seeing less and less of other thingsg and interest young folks and gun ownership isn't part of that. and that might help give too.ical balance here, just one last point, i was meant to say this on another point, i recently howg

someone was upset that congress encouraged some regulation about cars having a rear view could see -- you know when you're backing up, you don't run over somebody and if there had been 230 deaths last year from rear view backups and upset that camera yet hadn't been adopted because there were 230 deaths. haveonly takes a week to 230 gun homicides. we need to start talking about and figuring how do we solve it worry 230 is enough to about on cameras and rear view on cars, it's enough to worry this if we keep pushing. somether point, i ran into of my elected officials from and, our twomonth senators from indiana and i complimented them for voting for background check amendment

and i criticized the other one thevoting against background check amendment but he supported the brady bill and efforts in the early 1990's and the comment from both of them -- the one who supported the background check, and i told him i sent him a note thanking him, said, must have been one of he's got so because many more criticizing him and the similar comment from the senator and the point is, for folks who want to have change, the elected officials are the people that make the change. hear fromhad had -- us with thanks and with criticisms. forget to thank the ones that support us and we need theet the ones that voted wrong way know that, too. i hope we can find common ground. toemlways willing to talk like dick heller and wayne lapierre and if we get folks can makedoing that, we

a difference. as a mayor, you work with everybody and learn to try to in yourngs work community. that's what i want to see for our country. too. thank you. [applause] [captions performed by national captioning institute] [captions copyright national cable satellite corp. 2013] >> during the depression, she thought to be that out of touch with the people but after death, it was found she

provided financial help of hundreds of americans in need cashed the checks of those who paid her back. lady,our program on first lou hoover. live on monday night, our series continues. >> this is eleanor roosevelt's typewriter. i have the original drafts of some of the "my day" columns i wanted to share. the first one is eleanor day" column.my she's talking about the comings goings at the white house. clip suggest from november 6, 1940, election day. she talks about how at midnight a larger crowd than usual came bands andpark with a torches and placards. the tradition on election night. gather family around

and when the results were hyde park folks from would come and the president would greet them >> next, a discussion about the healthcare exchanges and some of as thetches as well recent government shutdown and how that story helped take focus surrounding the opening of some of the exchanges. it's 45 minutes. pleasure this morning to introduce bill mcinturf who's spoken to our group before. he's fresh from i think one of the most compelling studies that done in many, many years about where we are in our political system. partner and co-founder of the public opinion strategies is a national political

public affairs survey research firm. that for more than beenars, bill probably has polling for us and we always bill's insights and find he is one of the most provocative individuals to talk to about national trends and how think about national trends. one of the most important things his bio, is that since founding the firm in 1991, the firm has completed more than six million interviews. can you imagine that? just says a lot about a guy who's actually completed that the reputation that he did 20 years ago, 10 years ago and two years ago so it says a lot for the firm, for insight intotheir national political trends. he's been called by the "new leadinges" the republican pollster and certainly the company has been leading republican polling

pollster company. appearedme time, he's cnn, andthe press," every news show you want to imagine, he has been a trusted the keyfor most of national politicians that we can name and that we're familiar those that are in notre incoet phase we're familiar with yet but will be. me in welcoming pill mcin turf. karen.k you, that was especially gracious. as my partners like to remind do all six million interviews myself. we started with three people. 11 partners added, women which ise terrific and a needed perspective and helping us to manage the firm. you manage people differently a little bit so that when one of

a women partners moved to bigger office in denver, i sent of cutuge bouquet flowers and afternoon around 4:00, i get this page and it says bill laurie's on the phone graciousxpected my thank you and she said, what about that did you think was funny? men in the room have been married more than 10 years? so those men should be able to predict my next two words. i'm sorry. know what i'd done wrong but after a long and marriage, i knew the words were i'm sorry and i said i'm sorry, i thought you'd love the flowers. she said the flowers were card said resthe in peace so i called my florist. order flowers a lot and the bill, you've got this all wrong, you're thinking the wrong way and i

said how should i be thinking somewherend he said in america there's a funeral that says best of luck in your new location. you is that when the florists are that quick on spin feet, can you anything. karen and l.d. asked me to give you the real stuff. a guy, i want to confirm for you, in eighth thee, when they put you in different sex ed class they said do one sports suephor or one manly sun quote. manly sun sue spends two chapters of the book talking about needing to find the right terrain for the battle. the battle success is based on your capacity to terraine battle on your and if you don't, you lose. i want toe context put in in terms of what just happened. let's talk about what was

fundamentally flawed about what just happened which is what horrible terrain -- because a massive difference between what you ask people do you favor, oppose, have a positive, negative opinion of obama care versus a different you wantwhich is, do to see a totally eliminated, and when you ask that question, which we did on cnbc, yes, 34% said no. you can't shut down a government here's thes and then question that should have been is, ofhich we did, which those 38%, we said if you believe it should be totally defunded, should we have a government shutdown until it's removed? said yes, thats they support aid government totally eliminate funding for obama care. 19%. so that's pretty awful terrain. you're not going to win a public of fivehere one out

people believe that you're doing makes sense and what they want. it got worse. karen was kind enough to talk about the impact of the nbc poll street journal" released last week because that number changed during the debate. as people heard about what was happening, people started shifting their opinions and their opinions shifted to, do i favor, oppose, totally eliminating and care?ing obama 50% said no. so but let me talk about the roots of why it happened. the old days -- this is a 20-year chart and it's telling from 20 years ago, the most liberal republican to the most conservative democrat, how much overlap there was in the house of representatives. generation words the ago, there was 344 members that were positioned between the most liberal republican and most

conservative democrat and then you can see how that changes and so in the last session, according to the national journal, there was 11 people who boundaries.y in other words, we have become a functional parliamentary system the parties have -- both parties, it isn't republicans -- have become much more ideological and there is no overlap anymore in terms of any of shared kind of common ground in washington. why? drew thef the way we congressional seats. again, when i started my career the 1980 campaign in national politics, there were that wereseats different than how they voted for president in other words, i be a democrat member who voted for reagan, i could be a republican member in a seat that voted for carter and there were 134 of those seats. today tweer down -- we're down seatso 26 people

wake up in a district where how they voted for president is than how they voted for congress. instantly, what it means is we have about 350 members who don't worry functionally about losing election but worry about losing a primary and if you're concerned about losing a your instincts are radically different in terms of your behavior. other thing that's happened 1996was there in the 1995, shutdown but only about, i don't 15% oft looks like about the members of the house and senate were. housee a stunningly new and stunningly new senate so the job of your association and karen's job and what you do is so important because there is zero institutional memory so the stuff i take for granted having been through, people no longer have been through in congress this, which is, when people say, well, how can be so tone deaf, you have

to understand, they're not -- tonelicans weren't being deaf. they're representing their instituents because republican districts around the country in october, this is the i've seen from republicans in a very long time, in their districts, the represent, barack 57%a's approval, 37%, disapprove and people in their districts said, yeah, i want a house, 46 to 38. in other words, their 230-plus bastion of people are --ee and think and have very high disapproval ratings for the president. let me kind of put this in context. my former wife, you know, we have these international republican and democratic institutes and send people all do democracyd to training. she helped right a constitution three weeks after

the -- were shot. she and her folks trained the for officetes to run for the first time ever in romanian history and then they teams where you go back and help monitor the people you helped elect and kind of help get democracy off the ground. so it works, she goes over there times, they elect a parliamentary system, they have a prime minister. goes over with an american delegation. american delegation is here, romanians are here and american how's it going, now that you're in office and voting with parliament. said, it's going well, we only have one question for the american delegation, are we supposed to vote for what our constituents want or what we think is right, and the american delegation breaks out laughing and says, ok, well that will be chapter 22 in the federalist papers when you figure that out.

so the point i want to powerfully make that people don't understand is, look, justlicans -- it wasn't kind of out of the blue. they're doing what their constituents wanted. constituents, though, have been carved into special seats incredibly republican. and then i always do this, as well. to remind you from that story, people have a right to do what they think is right. so i get these calls from the and york times" and npr msnbc and these liberal institutions and they always me about, and ask well, how crazy republicans, why would you do this, this is crazy i tend to do and, for example, the "new york times" editorial ining 2010 after the democrats lost 63 list of like the 37 heroes who voted for healthcare and lost their seat all these heroes who, when quoted, said, look, i believe in beenrsal healthcare, it's

75 years, if this costs my my want to do the right thing. you editorialized and said these were american heroes. that was nuts. they lost 63 seats. they voted in a partisan bill that has no biparty partisan change a sixth of our economy so you can't say those whene are heroes and the you elect a different generation the ok, i know only 19% of country agrees with me but i think it's a terrible bill and should be stopped and i don't care and if i lose my seat, ok, because i'm doing what they think is right. that's not a very good way to letting. whatslate, that leads to you've just seen but people have to understand these are held beliefs and you can't pick one or the other. adrable to vote for a unpopularnew would be

and lose your seat, it's not crazy to try to stop it and lose your seat. what are the consequences? an enormous impact with thenfidence governance of the country. marksare the three lowest in american history. when you slip below water gate levels, you know things are bad. are at an all-time two or three generation record for lack we'refidence about how governed in washington. thing is the significant drop in consumer confidence. two years ago, one of the single most significant events that killed consumer confidence since 1952, we're going to have to wait until the end of october samee're watching the instant kind of drop. dow has daily tracking where look at perceived confidence about the economy. we have been under water for june ifd starting in

you can see it, we were minus three. we'd come to the highest level we'd had for six years and between september and october it 17ost daily we dropped points in a month because they were dropping a point a day day after day during the shutdown. you cannot take a fragile economy, remove 24 billion of demolishactivity, consumer confidence and not know there's going to be an unduring consequence. number three, again, it's led to enormous anger about people in system.on, our elected we have a very cool question that my democratic partner, hart, made up, where we have been asking people -- he said, you know, let's just ask you could and you could vote out every single congress including your own representative, would you vote yes to remove every person in congress. we don't vote like that but it was a way for pollsters to

of discontentl and anger and the high water 2010.as october 45% said yes and that 45% 63-seat shift. debt ceiling negotiation, it was 54%, last week it was 60. 10 people said i would start totally from scratch. level of anger is debilitating and leads to a lack of confidence in our institutions. a republican perspective, this is an ideological boomerang. been asking people about the role of government, do you want government to do more, we'vement to do less, spent years where we've had the country at 48 and 48. the 48 to 48 and say of course we're at paralysis. if you ask a fundamental question about the role of government and you're equally about whether we'll do more or less, of course we're massive fight.

what this did was tipped older women, swing voters, tipped them in the direction of we need government to do more. that's the opposite of what you want as a republican. the second thing the republicans did was, what has been care, the about obama level of intensity from republicans has always been extraordinary. no real intensity support from the democrats. be core people that ought to favoring the bill favor it kind of without much strength, with weak tea, and then guess what happened. if you shut down the government this issue, then the hard democratic party sans say, oh, if they're going to be against it, i'm for it. what happened in these 2 1/2ening two weeks, weeks is the democrat intensity shifted and moved and the at its for the bill is high water mark since the 2012 close.n when it got this ok. gallup has been

recording the republican party image for a long time. the lowestcans have favorable image of any major political party in gallup history. charts are difficult to read but i'm starting with way over in the left, from the early are's, both parties relatively the same, 54%. the other issue that looks like. this impeachment votes by clinton, thegainst same kind of data. the republican party favorable to 31. today, democrats at 43, republicans at 28. theand that means that unfavorable rating for republicans is in the high 60's. that's a huge number. again, you all work and have brands. imagine a consumer brand that dropped to 28% favorable. that's -- by the way, again, people don't talk about it but is, ther point of this democrat brand is not in great shape. both of them have dropped.

you can see a little drop in the dark green line but we're not talking about that because we're the significant drop for republicans. ok. the other congressional moves against republicans, the nbc "wall street journal" doesn't ask how just says, you want a republican house, a septemberouse, so in people wanted a democrat house by three points and then by october, 2 1/2 weeks later, by eight points. here's the probable point. the -- to actually win the thee, the democrats to win house, they probably need to win actual vote cast by 4% to 6% 8% is probably not going to stay in place. i don't think this is what it by next year but if it were that big in a year, the house is in peril because the congressional district lines, it would take a massive to replacete to try

the republican house. ok. so what's coming next. so my other -- let me tell washington,pens in which is, there's sort of like a then washington presumes and the press presumes that trend line will continue unchanged. that's not how public policy works or public opinion is framed. no straight line. in early september we had a two-week meltdown over syria. that changesntry its focus incredibly quickly. -- cannot keep people focked focused on one topic. quote, democracy in america, writing about the likecan character, this is 1828, and he spends two years here and he's writing about this book about what are americans like and you read this book and you say, wow, they lot like us. and what he said is americans are the only people in the world

who would build a dream house and move before the roof is finished. so my point is, just because you're seeing all this grim doesn't mean it's going to stay this way. we'll get to some other issue goy quickly, things will back a little bit to normal and that leads to number two. is, you know, you were kind to mention the six million interviews. conveywas trying to about this data set last week was, ok, it means i've done a lot of surveys. my friend, peter hart, dates back to the mid 60's. says this is one of the five or six most consequently polls i've done in of hower in terms changedattitudes have and then he talks about it being offensive in 1968 or the release of the nixon tapes in 1973. starts comparing, this is the sixth survey in my career since the mid 60's where change thisata

public, you've dropped a opinion bomb that's blown up the normal world where we normally see modest changes. something like that, you don't get to understand it. downkes months to settle because when you blow it up, it doesn't reassemble in the same place. shifts subtly and that's going to take three to six months so we're not going to enduring consequence of this because everyone has to write and there will be talk who won, who lost, this is nonsense. to figureke months out the consequence. the third thing, is despite every bit of data you've seen it doesn't mean the republicans have a bad election cycle in 2013. house has been drawn to have 80 safe seats. there are very few seats in play are int of the campaigns republican terrain so despite everything you're seeing, you at this and say this

means bad things for republicans because typically in america, when we're sitting around next october, this episode will be in the long rear-view mirror and probably will not have that much consequence on what happens. i wish i could tell you is my -- mitch mcconnell has quoted -- i love the quote thing -- there's not much learning in the second kick of a mule. and he said, the first kick was 1996, he was there. this is the second kick. we didn't learn much and he hopefully all these new people learned their lesson, do thist going to again. having said all that, don't expect much change. i showed youou and why, the reasons why this happened, none of those things changed. so it's a real simple kind of equation. if that builds five reasons for of this happened, did any

those five things change in the last three weeks? no. if those things haven't changed, seen't think you'll fundamental change in how congress works or the continued paralysis. now, number five, here's the other kind of core rule they in politics which is imploding,onent is stand back and let them do it without you anywhere close. here's the other thing that is the obamach care, the sign-up website has had all these glitches, the sign-ups are going very slowly. world had this government open and republicans step back and let their center ofbe the attention, we'd be talking about oh, my gosh this is all not but guess what, what we'll drift back to. story will go in the rear-view mirror and people will focus on, where are we now, care, the point of obama how's it working and and it wono supportersama care

and the that's what i'm also saying, we're shifting from a fundamentale, debate about the role of government to, does this work or my otherand that's point. americans are not really an ideological country. this is a country that realigns based on does it work or not attitudes about this law are very simple. they're going to be based on, work.t work or not so between nbc-"wall street and cnbc where we also seriesing, we created a of tracks in september so we would have a baseline to measure what's the real impact of this or perceived impact on people so one we asked how up for an you to sign exchange. i'd beeverybody -- said likely to do it. 32% of the people not insured. don't see yet, there's no evidence from any polling i've seen that says they're going to

million people much less the original estimate of nine. i will be very surprised. it doesn't mean they're not going to do it. anre's money out there, infrastructure in place, there's a need, it could happen but you see it in terms of polling yet. the other thing we did on cnbc, asked people this question, have your premiums increased, have your work hours been reduced, have you lost your job, have you lost private coverage, are you being insured for the that time, then we asked question and we said do you think it's because of the new healthcare law or for some other factor. you the baseline allers in september, among americans saying that 18% of americans said, yeah, i think my premiums have gone up because of the law, 3%, my hours are reduced, 3%, i lost coverage, 1%, i have been insured for the first time and what struck me, a democraterg, pollster, did some work about think triednd he i

to present the positive stuff for why this is getting better you look at the data, it says, do you think the new healthcare law will be better worse for you or about offsame and people start net worse and then he gives them all the positives and fairly, some of the negatives and repeats the question and at the end it's still a net worse and my point is this is really simple. the president's core promise has been and you're so instrumental core promise has been if you like your good private coverage, you can keep and i've -- if that happens, this will be fine. fact, people start having their good private coverage replaced and it makes them in large numbers, it doesn't matter and this is -- it doesn't matter what people say tickedey're going to be and if they're going to be ticked, they're going to look and say what are you going to do

fix this because i'm losing my good private coverage, so in been theou have always core and center of this story entire hinge -- here's the last thing you have to remember. care thatts of obama really are popular are all health insurance reform items -- pre-existing conditions, guarantee of coverage, 26 years language inentire any survey about what people want are all the things that were health insurance reforms. so if in fact they don't work andyou lose good coverage you lose millions of people and happens, this whole thing will be very, very disstable. comparing notes and putting it in perspective, i travel a lot, i was in new york, i was reading news, that tabloid, flipping it through it. there's a story in the corner, in queens, new york, there was a judge whose critics

thought he was too liberal, he wasn't tough enough on crime and hisas mugged on the way to car after work and he came back two or three days later black and he said today is very unusual but i have an opening statement. know there's a cynical old joke that a liberal is a beenrvative who's not yet mugged but i want you to know i i'm notn mugged and changing my views, i still believe in social justice and old lady stood up in the back of the room and said, beat him up again, he didn't get message. that's what we do with polling. what i will tell you about american public opinion is it that little old lady where it keeps beating people up until they get the message so that's why at the end of the day i become less cynical cycle americanle because public opinion really does ourree the worst of instincts and behavior. with that as an overview, happy and ie any questions

forgot to ask, there any press in the room? one.see >> ok. thank you, ma'am. good to know. so far i have been saying this public but when i get to questions, sometimes i get be carried away and now i'll restrained and disciplined. questions.ther our i'll turn to you in a second. bill. how do the republicans handle the next phase of budget and we have a time limited offer in terms of government being back for a amount of months and then we're going to do this again. what do you think people take from this? i well, again, i think -- think that the speaker of the his caucus together. he didn't care a majority of the house in the final vote but he that kept they caucus functioning and his functioning.

the -- and mcconnell said theicly, i won't shut down government, this should be the object lesson. convinced thaty that's how their members feel and i don't think it's going to change much. i talk about unintended consequences and things not being a straight line, i think the republican position, which is if we're going to ceiling, we debt have to increase other federal spending in equal proportion, strengthened from this and that's what i'm saying. when i talk about like youtended consequences, if have the perception that republicans got very little out then why would you presume they're not going to round,r more the next and though looking for more would be additional federal and some sort of entitlement or other changes but pressure is that the inside the caucus and with their constituencies will be to

they getore so something out of what they did. quoteother real world that i love, if you've already done the time, do the crime. and so i would just say if you look at these numbers, they've done the time. so, you know, that's my say it's notn i going to change and blah, blah, blah, i think they'll keep more but they'll do more on by the way what is much, terrain whichter is people's concerns about our level of spending and the need for structural change, they'll be on much stronger terrain on ont topic than they were trying to shut the government down about obama care. >> questions? there's one right there. morning. i'm robert freeman from health partners. to know, is there enough support yet in the public to make these dramatic changes entitlements?

and which ones first? is it social security, is it medicare? >> no. no. no. [laughter] >> you can leave it there. will say that you know what, that happened, because i thought of three snotty things squelched them all. we do, again, nbc "wall street do what washington considers to be the kinds of reforms they need for medicare medicaid and these other programs and stuff and the point is almost all of them are opposed and these are very, very hard changes, even when the changedt's for a chained readjustment for how we of thesef living, all are hard. to do them, it would require a -- it would require a long debate with the american public. you'd have to kind of convince and explain to them why this was

and there'd have to be soad fire bipartisan support the belief you could go into a conference session with a make thosepeople and level of changes and announce actually not -- it's not very popular and so, now, if you actually had the president of the united states and republicans in lock arm it, maybe, but it would take weeks and months to help make and build that case. it's not something that could happen with the deadlines they're talking about so this is where again congress is kind of opinion, in public terms of you know if they believe there's support for this. so it's not something that i change ind be easy to the time line that >> my name is ray becker.

if you go back one or two slides, you had one that went. -- that one. >> and that one. >> those are some the core argument that republicans were making against obamacare. it looks as though they were not a gaming much traction with the general public him and i miss reading -- public,, i miss misreading?am i >> it can only happen if you are working. working, that is about 3%. the hours of their jobs have been lost because of this in the new health care law. the same with the law coverage. you are talking about 8% or 9%

workers which is not substantial. these are september numbers. yes, you know there are elements that have been put in place. people, this october rollout is the beginning of obamacare. what happens between now and the next year is going to be pivotal in terms of how attitudes are shaped. reduced goes up to like 15%, 18% of workers, like i believe 10%, 12% am it may sound like small numbers but you have to remember, 10% is 20 million people. i made thateople -- up. i will do the math in a minute. 20 million people ripple across their neighbors, friends, they are complaining. that is a lot of people.

wes is a baseline because are going to track them in december and march. the other thing -- public if bad lines go up. if these numbers go up and sharply and the reception is people are losing their jobs, their coverage, and that number is sharply up. if they are not fundamentally that high, if it is up on it creates an enormous problem in terms of support for this bill. here is the other thing about public opinion. was tryingreenberg to make a case it was in better inpe, his lot better shape his data was that even, 45-45 45-45. -- the people strongly opposed are more opposed or in favor.

work israelbrains is starting with a weak base it is easier to hear new -- brains it is starting with a weak base it is easier to hear new information. it will be easier for people to believe the negative and the positive. they will have to deliver the positive and large numbers to restructure opinion. lastly, given what i showed you about the men and women of whom live in those seats and vote could still be voting and that is what i am saying about the republican electoral, wow, that do not work. so, that is why i still think anything is going to work

theobama care for 2014 for life support is a been a been awful stuff that's my personal view. >> another question? right here. >> have you done any polling on medicaid expansion? >> i have done a lot. a lot of polling on medicaid expansion because our client base includes some of the republican governors in support of medicaid expansion. i have done a lot of work on trying to build support for medicaid expansion. good-humored lee i would say after the fourth governor, we said no, there is no argument oft would get the majority republicans to support. if i cannot do it in the first four, i cannot do it. i think of medicaid expansion is sustainable in terms of public

opinion. i am very supportive and i do not mean from a policy perspective, a political perspective. i am very supportive and i said i believe from a governor perspective, he or she is on sustainable ground to expand medicaid to the purposes we are talking about. i, as a republican, said if i were you i would put in a kicker that said this is based on the government keeping its match. at some covers did, do not expand medicaid put them on your private plan. i would do all of those things. i got it was sustainable -- i.t. out it was sustainable. it was sustainable. you cannot produce a majority republican in terms of voters. you could get the support of 30%, 40% of republicans.

also, in terms of an incumbent government as a body working in a republican primary and looking at the data it if i had to win it will be very difficult. to tot means is you have -- i do not see a lot of challengers working in the primaries large happening the cause. oninght theampi cause. the health-care reality is we will see if it works or not. the other states will be pressured to take their chunk of the money. what worked best for a pump is is a lot of new reforms that would cut abuse in the medicaid money. and pay our tax

the sort of sticks in republican primary voters' craw. or more likely it works in the states where republican governors did and it works and they are going to the meetings. here, this could certainly change again quickly over time. >> keep take one more quick one -- can you take one more quick one? >> two related questions. we are going to start the process all over again headed toward february. led by ryan and murray. do you expect to see differences in round two in general and in particular do you affect to -- do you expect to see impacts of sequester? >> republicans try to offer we

can change sequester by having more flexibility with in your agency which is rational. ,nintended consequences sequestration from a republican perspective worked pretty well. there was his hope -- whole big thing, it was a victory. it'd did not go up by a combined 12% over two years. it is a victory for the same level. the democrats are tried to do is use every leverage they can to change it. i do not know. i think that for a lots of republicans, the sequestration has been sustainable. the one thing we got out of all of this so far. i do not see them relenting unless something else, some other structural change in

spending and the democrats have been so opposed to it than not been willing to vote for it given more flexibility. if they would do that, you are still stuck in terms of not levels of agreement. friend tell you my kismet a short release what i am by a microphone. keeps me on a short lease when i am by a microphone. me, bill, you have got to the story about my favorite college professor. here's my philosophy professor and he always told the story about the freshman essay about socrates. socrates was a great loss for. .- philosopher he talked and talked and he was killed. i would like you to remember that. they put you by a microphone and stir of our meeting. i would tell you at the stroke

of 9:30 a.m. >> what you left out of the story he was killed -- [laughter] please join me in thanking bill mcinturff. >> on the next washington journal, george mason university and the herb answer discuss the recent government shutdown and debt ceiling debate and what can happen in early 2014. jon kingston looks at the 40th anniversary of the opec embargo. and what the role is in the world today. journal" live at 7:00 on c-span. >> for guys like us would've been in the game a long time, we know there are landmines and you have to be careful about how you manage your weight through. issues have to do with abortion

in the united states among guns thomas race -- united states, guns, race. i have been in other countries and they have their own a red lines. and what cartoonist can get away with an san francisco can be different for what you can get away with in alabama. >> there are a few republicans in journalism. it is generally not a conservative think. journalism tends to draw to be fair to say, people who are more liberal. >> and say bad news is good for cartoonist because it gives a lot of fodder. i would rather work harder and have a less the bad news knowing we are going in the right direction. we are not going in the right star russia right now. i feel very like it's a real calling for me. -- we are not going in the right direction right now.

>> this weekend is it is not all fun and games for editorial cartoonist. here why. book tv.n c-span2's -- saturday evening at 7:45 p.m. history tv, four decades after watergate, a look back at nixon. saturday afternoon at 1:00. >> more from the health-care conference with state officials from louisiana, minnesota, and new york on the challenges they are face. it is 50 minutes. >> we are going to go ahead and continue this morning. if you would go ahead and take your seat and i am privileged again to talk with you all and

introduced another great panel who is going to talk about our early experiences with the exchanges and give you insight from their perspective on how things are going and where we are going to stop i am going to go ahead and use our panel this morning. our first speaker is greg cromer , the chief executive officer of the louisiana health cooperative. op, itrst nonprofit co- plans to provide a variety of health insurance options for individuals and employers statewide starting january 1. greg is not just busy enough with that. to the ran unopposed louisiana state representatives among the house from the 90th intrict and was reelected 2011. he also serves as the chairman

of the insurance committee which has oversight of legislation pertaining to public and private insurance including automobile. he sits on the house executive building and homeland security and special committee of military and veterans affairs. he is a busy guy. our second speaker is going to be julie brunner. plan andsota health previously the county administrator for st. louis county in minnesota and work for the ramsey county attorney's office. and anybody knows her, she -- she's probably one was quoted executives in the nation and does a fantastic job for health plan members in minnesota. our third speaker is leslie moran, senior vice president at the new york health exchange.

she was a news producer for the in new york.nyt she's also a valuable advocate on behalf of our remember, nice -- our member companies. our agenda looks a little different from what you all expected. we had a little last-minute change. jennifer cannot be with us. she is in the premises. her luggage is not. she sends her apologies. she would have provided a stellar update on what is going on in illinois. we wish her well. with that, i am going to turn it over it to representative greg cromer who will kick us off. >> thank you. it is good to be with you folks in this morning. greetings from the state of louisiana. the home of the new portland -- new orleans saints and health cooperative. as a cheap plug but i had to do it. a little history. i was in the space business for

21 years building tanks. corp. --ith the boeing corporation. big, big rocket. i've been elected to legislature for six years. i was broke an opportunity to change career paths at age 55 -- brought an opportunity to change career paths at age 55. we are a nonprofit government insurance company. the newest in the state of louisiana. some of you may question the wisdom of that choice or decision to go from a profitable , successful airspace career into insurance. do not feel like you are alone because sometimes i do the same thing. with my background, i continue

our industry is not rocket science. i can say that with a little bit of authority because i've been in rocket science for a long time. the only exception may be the actuarial that we use. any actuaries in here? raise your hand. good. when i compared to rocket ,cience, we look at projections it may be more like science fiction than rocket science. market but weo have not set of the world on fire with what would've established so far. that is coming toward the end of this year. there was a question posed yesterday it will partner with state officials. whenever i was appointed to this position as ceo, louisiana association of health plans came to me and jeff and company in

the front row. i was activeefore in the position and started to talk to me, i know what a fine job they do in advocacy and education of my members and committee. it was an easy choice to engage with that association. with the agency as a whole. what do we face as a startup? the first hurdle we have faced know,o-op, as most of you has spun out of funding through and education process. most the folks look at us and think we are the exchange, we are the mechanism that people enrolled into insurance plans

and we run it which is actually incorrect. exchange.the we are in the private marketplace. that is one hurdle we had to overcome. some of our is competitors have felt that we could mandate costs and rates with our providers and that is absolutely incorrect. we have to go in and negotiate contracts with providers like anybody else. the folks who sponsored us, which is a big health care system in the louisiana, are the hardest people to negotiate with that i have dealt with. and we signed the last country -- contract before went to market on october 1. believe me, i did not get any favorable consideration from them. onwere finally operational october 1 on the federal

marketplace. exchange,our internal it was ready thomas the federal marketplace was supposedly ready. we spun up and down very quickly. there were glitches. we had them fixed before the end of the week. the federal government continues to have glitches in their system. , depending one who you talk to, when all of the pieces will get fixed. we talk to folks in washington about three weeks ago and we were told it absolutely would and ourorking this year customer service representative was in our office the next week and we asked her the next question. she came back and said it will be running on october 1. coming from the same agency, two

different answers did not give us a lot of confidence. therefore, when october rolled we worried piece about was not up and running. one of the good things about the week we were open was a friend biggest a ceo of the competitor that i have is a state of louisiana, there's a group of us that play golf. we were sitting around after a round of golf talking about our numbers and whenever we started talking to mike about his numbers and mine, low and behold i found a i should be optimistic because i was ahead of him 2 to 1. that is not a ratio, that is in rowley's. es.enrolle he was the 800 pound gorilla and i was taking him to his knees.

thingsthe encouraging that we are getting is that some of our early enrollees have been under 30 which was a concern which we would get all of the high risk business and not get any young folks to offset the high risk. we have had a fair amount of younger folks which give me reason to be optimistic that maybe there will be chance for success. most of the interest in our plans have been coming from folks that are calling us directly instead of going to the federal marketplace. there seems to be two reasons. one is that there is a significant amount of frustration with the ability to get the federal marketplace. the folks who have been able to get on and do transactions have all occurred between the hours of 11:00 at night and for clock

in the morning. some of that not without long waits of two hours to make a single trance action. there's a lot of frustration. -- a single transaction. an lot of folks looking at the marketplace have either had a coverage or no coverage at all and do not have any real idea about what they need or what is the billable to them. they are calling us directly and looking for education and what they can get and what they may need. of subsidies are available. we will therefore walk them through the process to enroll their subsidy eligible or through the process to enroll with our company. they are calling us directly to get into the programs. theto the problems with fmm, we are taking information

manually from customers who called. and calling them back, hopefully within a week in most instances as we are able to access the system. with all of the issues that are going on with the federal marketplace, we are actively seeking on a daily basis and putting into place and the word came out that the federal startment is going to looking at manual applications. we are already looking at immanuel applications to facilitate -- manual applications to facilitate people to get on board. we are trying to stay ahead of the curve. we arethe problems that seeing seem to come down to one key issue and that is with all of the planning that has goaded -- gone into this, the in advocacy of the amount of time

-- in adequacy of the amount of time of testing in the federal marketplace and resulting in our testing of our systems as we have been able to integrate has been sorely inadequate. putting it live on the web without good knowledge if they are actually going to work. you have seen that in the federal marketplace and they are doing upgrades just about every evening. take the system down on the weekends to make changes. one of the big things in developing software is the testing and implementation and that piece of the puzzle seems to have been -- i am not going to say overlooked, button to drive to get to market in a timely fashion was not allocated. i see one big problem for our andany in the near future

maybe some of you will see the same with the slowness of enabling ofd getting into the system. i have a small team that works for us. would be frustration setting in with those folks. my biggest problem is not getting the members and rolled, -- enrolled, keeping my team motivated and engaged. that got to have a positive attitude when they talk to consumers. it cannot be any frustration in their voice will concerned. they have to be positive and that is where i see one of my eager problems. -- bigger polls. i look at my team as a football team. we are projecting out how we are going to grow and be prepared to three-fivenext

years. this year we have a one-game season. we are in the first quarter. the referees have blown some calls. kind way of putting get. it has prevented my offense from being able to move the ball down the field. for a strongg second-quarter if you will between mid-november and in the end of the year when you expect to see a big push and we are hoping the systems are up and running more smoothly. a very strongfor second quarter so we can score a couple of times and get points on the board. and midyear, halftime, everybody will make adjustments. it will be the enrollment peri od.\ if we can score points in the second quarter thomas we can maintain and hold on in the third and fourth quarters and we will have a successful season and be able to compete next her.

that is the goal to get past this year and next year. -- and to the people next year. we hope to be super bowl winners. what i would use to motivate my team and keep them on track and on point. that is about all i have to offer you. i will take questions directly in a minute when time allows. thank you. >> thank you. that was fantastical stop would do -- that was fantastic. will do q and a. into sports. where thea place women are strong and the men are good-looking and the children are above average. my story is going to be pretty similar. from a little bit different perspective.

set the stage a little bit for minnesota we all get along and we smiled and we try really hard. [laughter] it has been tough. it is been a tough couple of years. we have over 5 million people, 5.5 million people. we have an uninsured rate at 8%. we have the largest high risk pool in the country. 26 years old. we have a pretty good idea as we phase that out what the risk is. we do not know where it's going. everybody is watching. we have seven health plans in minnesota. in order to hold an age male license, you must be not -- and you must be

nonprofit. we have a large for-profit company that is housed in minnetonka. it is for profit. we have a little bit different environment that we operate in. five of the health plans chose to go on the minnesota exchange. 2 of the health plans are not of anotheresota exchange, exchange inin the three other states but not in minnesota. that is where we are starting out. the projection for the numbers of individuals which we call our , i doubt we will be drinking this stuff. it tastes awful. in any case, it is about 1.3

million, the optimum number that will be shooting for. give you a little bit of a history of how we got to our state-based exchange. it really was launched by the orderor with an executive in 2011. that was because the first two years of our current democrat governor's term, the legislature, both the house and senate was republican and they were not interested in passing exchange legislature. we worked very hard, a coalition very hards providers, legislature that we should move toward a state- based exchange in minnesota. we're not able to get that traction. winning the election happen in

2012, both houses with democrats. dayfirst thing, the first of the 2012 session, governor dayton assigned the medicaid senate wasnd the exchange legislature that moved through 20 committee hearings. by the end of march, we had our legislature passed this year. registeractive starting in 2014. the first year, any company that was able to meet the requirements and get the products approved can be on the exchange. minnesota for a while. we are highly regulated market.

we had rate review forever. pills that people had to swallow for the first , we were able to roll through some of that. companies that are on the minnesota exchange are doing individual business. three of them are doing individual and small group. we have a very strict conflict of interest that constitutes who can be on and off the board. the exchange board in minnesota so there are no brokers, the nores -- insurers, providers. it is frustrating for the stakeholders who have been active in moving this forward. fortunately, the board that was appointed appears to understand

that working with stakeholders who are really involved in this is going to be central in having a successful exchange. we have done a lot of work with them. i wanted to give you some numbers will stop the first numbers out of the gate which were announced on wednesday. and i will talk about the communication strategy that we adapted in my organization. wednesday, about 12,000 accounts created. a really small number when you think we are moving toward almost november. we have a long way to go before march. the exchange officials are saying we are really pleased, it is meeting our expectations. i think it's a theme they have struck. the message is positive. 5500 completed

applications to determine whether or not an individual is eligible for credits or so forth has been completed. 12,000 tong from 5500. it will get better. 3900 have started the enrollment process. really mining down into it. 404 commercial applications have been completed. i will talk about the medicaid. the balance of all of those will be medicaid enrollees and we have a state subsidized program called minnesota cares. 500 of that system is not yet automated. it is not operating. it'll be the portal that people go into. it is not working. we knew that is what the status

was going to be. point there has not been filedccessful 834 interest in it to a health plan. that is the point we are at right now on a daily basis. talking with exchange officials so that planned at this point, we know there are 406 names somewhere but not one of the companies at this point knows who the enrollees are. the plans and did receive a call a couple of days ago telling them of the 406, you have 10% and you have 9%. the numbers are pretty small. -- i convene a daily exchange call with all of my members to keep information

flowing. it has been very useful because we are able to turn around and communicate back to the officials exactly what is going on. we expect a production ready any day. we thought it was going to be yesterday, i had my call this morning at 7:30 a.m. and now we expected today. it is imminent. it is coming. andre seeing very positive on message with exchange so far. we also have not gotten the navigator and a sister -- assistor function. that is one of the problems. 820 we can get the 834 and

soft is to get the navigator and peopler working to get enrolled. tocompanies wanted exchange work in minnesota. we think it is important. $110 million have been spent on this. that is something we want it to work and to be easy for folks to choices, and, make get coverage. the biggest challenge and i will talk a minute or so about communication strategy. we started working on a communication strategy about two years ago. the biggestpective, challenge that the health plans have is managing the expectations that people have

once i go on the website and enter information, i am in a health plan. that is just not true. people are calling health plans and minnesota saying i enrolled in you yesterday and i need to schedule surgery in january. can you tell me and my physician is in the network? this is happening. we have been doing a lot of ammunication with the media, lot of education with the media to help the media understand how those promises that were made as a part of the passage of the affordable care act that you can how your coverage and etc., that is basically true. but everything is going to be individual, it is all individual and how you are impacted. itis going to depend on how hits you personally or your family. one of the things we did early

in the year was a website called althcarefuture.org, it was a quiz you can take that helped you understand where you might fit into this new world of health care. where you might be eligible for program,, for a public probably not going to receive a subsidy but have a choice. very quick, we got a lot of hits. we got a nice media coverage. what we found is we started to the publicrd understanding of this is going to be complicated. it was not going to be a straight line to get your insurance and that was one of our objectives. we get a lot of media pieces. lot of media pieces.

i didn't opinion penances that -- an opinion piece that a major paper picked up which had a great graphic. it was a high chart. minnesota laid out in where people get their coverage. we were able in that piece show it -- a very small part of the pie was going to be impacted by the insurance exchange. lot to really manage. and of course, we talk with the exchange at least two times a week. we do conference calls with them. we worked really hard and have absolute agreement that we are trying to stay on the same message as them. we are trying not to let the public walk away from this.

one of our biggest concerns in terms of the plants that i work with is that we are going to enrollees of medicaid in the process. we are going to have people falling through the cracks which is a great concern to us. work.ted to it is very complicated. the message we have really stuck to with the exchange organization at this point is that this is proceeding as we had basically expected to stop we did not expect to have a fast start out of the gate. doing it right and having secured data transferred is the most important thing. one of the things that has worked to our advantage in this, not so much through the exchange organization, they had a security breach by their staff. in the grand scheme, it was a

little security breach. they send in an encrypted file to a broker at a list of other broker named and there were social security numbers. in violationch and of our data practices. it does not client specific information stop it got a lot of information.ific -- they got a lot of media attention. this to beed for done right. we have done the secure transfer of uncorrupted information is the most important that we can do for you as a consumer. we are not off the runway yet. as i like to say, it is going to but i amll -- orville, not sure. we have a communication plan. our next plan is really focus on

1/14. how do you explain to people what they had -- how does it fit to these levels? things are not exactly the same. you are able to get more benefits for young folks. i may not have to purchase maternity or mental health services. everybody is going to be doing this now. that is really hard for the public to understand. we think we have our media there. we think the media can help us with that. i will stop there. >> thank you so much. lastly -- leslie. -- iknow we are running could say what julie said. same for new york. with a lot of shared experiences. for those of you who were here yesterday, i would not repeat

everything that paul said. i want to give a little bit of history. 2011, new york wanted to build its own exchange with andrew cuomo's. he made a top priority for his legislative authority this year to pass -- to set up an exchange. another top priority was to pass gay marriage. they passed the gay marriage bill but only after a handful of republicans agreed to vote for the bill. as a result of that, as tremendous backlash against the republicans. you are looking much more like a democrat and we do not like that. even though we are in a very we hadate, even though an agreed-upon bill to create an exchange, the gop said we cannot get behind obama care right now.

we are waiting for the supreme court to strike it down and we know it what happened and they said we are not doing this. nothing stops andrew cuomo. great --find, i will fine, i will create an executive order. that is what he did. we got a lot of the federal dollars that would've gone to other states. we gladly took those dollars. the good news about the new york exchange is when they started staffing, they grabbed a lot of good people from the health plan. we have some plan expertise. that was the good thing. as a result, we have had a good ongoing dialogue with the implementation. 2012, thews is in governor when he talked about

building this change set high abouts very how it would lower premiums. the number that was thrown out there was premiums would be 70% lower than they are currently. there's a little asterisk to that. percentage who purchases, that is about 17,000 people. you talk about your pie charts. bar.hey have set the 70% lower premiums. folks, your -- second expectations so high you are going to be eating crow. managingned them about

those expectations. and we were significantly that were to drive the premium to meet that expectation. we have some good and bad news. when the rates did come out, they were not 70% lower. they were 53% lower. for a very small percentage. at thet a lot of time health care plan association reminding the media, lawmakers, it was for a very small percentage and some people were going to see the premium go up. people are beginning to find out as they shop on the exchange. plants that are participating including the three brand-new health plans, the hospital system put together.

2 new insurance companies that wanted to do business on the exchange. it also includes a number of our medicaid and government programs that decided to shift. promise of to the these greatly reduced premiums, another concern was capability of the i.t. system. state spending a tremendous amount to build this brand-new data system, brand-new portal. we had three plants that were chosen -- plans that were chosen. most of the testing involved, transferring files and make sure the protocols and when not have security breaches. a lot of plants were invited to .est because the way the portal is setup, you cannot do anonymous shopping on the individual exchange. they were giving plants -- plans

screenshots. they said we were really like to test it. that has been a bit of a problem and a concern. 1 andorward to october the exchange opens its doors, great fanfare. within two hours, nobody can log upand of the thing that came that said it due to overwhelming interest in the exchange, the system is down. the exchange was asked to increase capability of the portal overnight. and the next day the exchange came out and say we like to go big in new york. came out and said we had 30 million hits. 217 --dy said, there are

2.7 million uninsured. the media was skeptical. then they backed off and little bit and said, we have 30 million hits, individual page hits. we really had to enter 50,000 unique visitors. 000 unique visitors. people want to know, how many people enrolled? 000 unique250, visitors and 40,000 people deemed for the exchanges with the how many people enrolled? last week, the officials told us about 600 applications had been processed. again, we said how many people have enrolled? the bottom line is we still do not have a number of enrollees.

like minnesota, that been no 834 's transmitted. 720 8e told there were 34's ready, but there is a significant error in many. ," tomorrow.nie 4's.till do not have any 83 bill just remind us about the president's promise if you like your health care nobody will take away. storyew york post" ran a and they found a self-employed woman who does not qualify for any subsidies and she was a sole proprietor social was biting a group program as an individual. she found out her coverage of

the exchange because the sole proprietor, her coverage will be $2050 more expensive than her current -- $2050 more expensive than her current. i do a newsletter every week and my to have this quote. "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 and we do not want to publicly say we told you so. we are saying to them, would like you to remember there are winners and losers here. while there are some people for going to see their premiums are probablyre more people or going to see them increase. we do not like to promote that too much. we are working with exchange to make sure it is a success.

we are still waiting for tomorrow. >> thank you very much. i think we have time for a couple of questions for stop right here in the middle of the room. >> hi. do we have any concrete numbers? same sort of thing, how many people have enrolled? 4's.ave received a few 83 does anybody have numbers nationally? >> we are not getting any feedback on that. that is part of the federal marketplace in louisiana and we have receipts of 834's for processing. we know there are others that were held up in the system. we filed several tickets to get

problems resolved. with had a couple of folks who called us wanting to know about premiums. 's are out there being process. they are not really seeing any numbers. that speaks to where we are at. if the numbers were big am a you would be hearing about them in the media. questions? we have time for one more. somebody in the back. way in the back. >> of being a consumer, i were present nurse practitioners. one thing that strikes me when you are trying to shop for something, you are going to go on the site and everybody knows they have more time. i think we are dealing with our

concern that we know there is misleading information in terms of how much money you will save. the sense that somebody will go online and look at this and signed up the same day, i think it expecting a great deal of the public. i think we need to give a bit of time to see how people do. i'm concern is to make sure the areent, nurse practitioners able to see them. that is what we are trying to keep a finger on the pulse. i do think -- what you say.o that is one of the things i've been telling the media. look, nobody expected people to go on and sign up the first day. one of the reasons we have this solonged open enrollment is people can shop. we want them to be responsible and actually do their homework

and make sure that when they are ready to push that button and select a plan, they are picking the right plan and they have done their due diligence. that.otally echo we assume people would register, talk make comparisons, with family and friends, and go back. the big concern was the ability in such a short timeframe to do this i.t. bill and we all knew, everybody in this room new it was not going to be possible to get it perfect. it is really a matter of acknowledging that it is going to take some time to ramp up. but i totally agree with the comment. >> did tell. -- ditto.

the first day, the first week there was a huge volume. that was curiosity seekers. , lot of folks that i know members of my staff who had no intention of buying health insurance on the marketplace but wanting to see if it was working and what it looked like and what was out there. you see a -- you have seen a lot of people doing that. -- we are hoping for a big second quarter. people are going to want to get enrolled before december 15 so that without coverage for january 1. that is why we are hoping that folks are sitting around their thanksgiving tables talking about this. ourwe are going to have internal portal open the afternoon of thanksgiving day so if folks want to look at what is out there in our program, it will be available. that'll be our big push to get

enrollees. we hope in our second quarter, the second half before december 15. >> thank you so much. we are the first quarter with our eyes on the super bowl. we are not of the runway yet. communication is king. manage expectations and testing is important. doing the right is the most important. and tomorrow is only a day away. [laughter] will you help me think these guys? >> jason of george mason university and rudolph discuss the recent government shutdown and debt ceiling debate and what can happen in early 2014. jon kingston looks at the 40th anniversary of the opec embargo. and what the role is today.

plus your e-mails and phone calls. on c-span. journal" nomineeohnson is the for the department of homeland security. and after, gay rights act this talks about lgbt issues at the national press club. and the associated press is reporting that republican congressman bill young of florida has died one week after announcing he was not -- he would not seek a 22nd term. he was 82 years old. he died at walter reed medical center in bethesda. he had been there in for nearly two week's. representative young was florida's longest serving member of congress. flags were