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service by your provider. this is representative earl blumenauer, the democrat from oregon, a member of the ways and means subcommittee. thanks for joining us. you are a key sponsor of the medicare for all act of 2019. what is it, and what would it do if it were passed? we are moving towards having universal access to health care. medicare for all cuts to the chase be -- for us to not be the only rich country that is unable to provide health care as a parent he'd write -- a guaranteed right. we pay twice as much for health care results, on average, which are mediocre. americans get sick more often, it takes longer for them to get well, they die sooner. we need to be able to cut

through the clutter and to be able to provide care directly, making sure that we are not spending huge sums of money on administration. a typical doctor at $80,000 a year dealing with insurance, it's a little misguided. people talk about insurance companies but i don't know anybody who loves their insurance company. what we are seeking to do is to be able to provide that degree of health, like we have done .ith the medicare program better care, less interference, lower costs. can you make the case that your way is better than having this through an insurance company. ofst: there are a number ways you will be dealing with the transition, none of this happens overnight. the principle of universal care and move forward,

some people want medicare for more, medicaid for all. the notion is being able to fight for universal access. i think the outline in that legislation will work. he will be more effective. it will cost less. it will get to the point of actual care. we've been dancing around this for 70 years and we still have these fundamental problems that you don't have, our neighbors to canada, are very similar with dramatically different outcomes. this having single-payer universal coverage is the key. host: how was your legislation paid for? your legislation paid for? for federal health care are going up dramatically. we are in a situation where the long-term implications in terms of what we are going to be doing

are becoming unaffordable for individuals in terms of higher co-pays and what the deductible is, being able to have a uniform approach and have the federal government step up and fill that gap. the federal government is doing a lot of that now already. i'm quite confident in the course of the next couple of years we will be able to make the adjustments necessary. my friends on their public inside passed a $2 trillion tax cut for people who do not necessarily need it, adding to the deficit. now we are dealing with things that affects people's lives. i'm optimistic we will be able to do that in a way that people will be surprised at how much is saved. being borne by people now in ways that are not as visible, denying care, increasing deductibles, and co-pays. host: so as far as funding is it

a new tax structure? guest: we will be dealing with a lot of things of the tax structure, with things of the republicans did, there are a number of areas that cry out for reform, getting rid of the inheritance tax altogether is insane. right. an area that is the corporate tax cut given was more than what the business community asked for. there are areas where we can make serious opportunities for adjustment that will be welcomed by most people and give them a tangible benefit. ust: earl blumenauer joining as our guest. if you want to ask him questions, for republicans (202) 748-8001, for democrats (202) 748-8000, for independents (202) 748-8002. let's start on the independent line with jeremy in wisconsin. good morning. caller: good morning.

thank you for c-span. it's a pleasure to talk to you both. you started off the segment surprisingly intelligent regarding the idea of universals . there's a problem with health , we getng discussed these existential qualifiers to this universal idea, and i'm hoping you can respond. thank you for c-span. i'm not sure what the caller was driving at. as a matter of fact, what we are dealing with now is a system that is nonsustainable. we have ever burdensome costs, we are finding that companies increasingly bear a burden that foreign competitors don't come

if you have employer-sponsored health care. we have areas that have defied simple common sense adjustments. for example prescription drugs, we are not able to deal in a competitive sense to get a better price for the largest consumer of prescription drugs in the world, the medicare program. so having a principle established of universal coverage, the legislation we have offered up, i have had a chance to debate it at home with folks, people walk away convinced that there are opportunities to improve care, get more value, and get rid of the clutter that we have in terms of the current administration. we are on a path that is nonsustainable. the vat a, onn the republican line. caller: good morning. yes. thatarl, i want to say

your universal health care plan is just a nice word for socialistic health care. socialistic health care kills people. up in canada, people are waiting for months and months just to get liver transplants. my point is that socialism does not work, and under donald trump's watch you will not succeed in forcing every american to have insurance under your policy and plan. look up under the obama administration obamacare on page 1001 it states they will be able to force us to -- you and your cronies, will be able to force the american people to get a computer chip embedded in them and we will not take the mark of the beast. pass onell, let's computer chips. i'm from the pacific northwest

and routinely have an opportunity to visit in vancouver. people along the border have the chance to see that national healthcare program in canada has not created huge problems. there might be a glitch here or there, but overall the statistics are clear, canadians live longer. they have greater access to care. they don't get sick as often. it's one of the reasons you don't see people on the streets in canada that you do here we're -- do here with people simply not having access with substance abuse issues. americans go to canada to get risk and drugs that are affordable. it's ludicrous the notion that somehow people are dying light -- right and left in canada. they have a vibrant economy. we have people in the united states that travel to that country, and see it for themselves.

it's a donald trump talking point but it's a lie. host: one of the statements made by the president during the state of union was the topic of health care were you there to extremes it firsthand? guest: absolutely not. i'm not going to subject myself to a reality show barker with exaggeration and things that i find unseemly. nothe point of whether or there is a problem in terms of providing health care, the veterans administration are all doctors that are paid for by the federal government. people are trying to change that , but it provides better health care. it completely socialized. host: let me show you with the president said and get you to respond. [video clip] shouldamerican patient never be blindsided by medical bills, that's why i signed an executive order requiring price transparency.

[applause] many experts believe that transparency, which will go into full effect at the beginning of next year will be even bigger than health care reform. [applause] it will save families massive amounts of money for better care, but as we work to improve american health care, there are those i want to take away your health care, take away your doctor, and abolish private insurance entirely. 132 lawmakers in this room have endorsed legislation to impose a socialist takeover of our health care system, wiping out the private health insurance plans of 180 million them -- 180 million very happy americans.

to those watching at home tonight i want you to know, we will never let socialism destroy american health care. if he could get out of mar-a-lago and the bubble of his campaign rallies and speak to real life americans, he will find they are not happy. they have real challenges. my guest at the state of the union has a daughter with type 1 diabetes and has been fighting for years to have access to insulin. thatis the administration talks out of both sides of his mouth. he claims he's in favor of protecting those with , but heting conditions and republicans are litigating right now to have the affordable care act invalidated, which would take those protections away. he went into office promising

something bigger, better, cheaper, and it fell flat. you can sign an executive order for transparency but if you are an emergency room thank you very much after an accident, or just given a diagnosis of some serious form of cancer, and you are going to wade through the fine print and disclaimers given thatu, that's ludicrous you are somehow going to negotiate in the operating theater for a different doctor. that's not how the real world unrealistic and cruel to offer up that is a solution. host: from our democrats line, in louisville, kentucky, lisa. caller: thank you for c-span, i appreciate this segment. i agree that everybody should have some kind of insurance, universal, that would be all right with me.

i know it couldn't be implemented totally right away, but can you promise me that people currently on medicare, like me, that our premiums will not go up. i've already paid into the system and i think that would be unfair. and would you mind checking into the medicaid program? i know many people on medicaid and they are required, whether they need to or not, to go to the doctor every three months. that's billing you all for unnecessary things like going to the doctor because i won't give you your refills on your pills if you don't come in every three months. that's unfair and wasteful. but other than that i quite agree that everybody deserves health care in one form or another. i will think my comments off-line. thank you. host: thank you. guest: while there's no guarantee that there won't be adjustments in premiums, that's been the case as long as health care continues to become more expensive. there will be adjustments upward

i anticipate, but if we have an opportunity where we are spending less on unnecessary administration, having more people covered, you don't have the problems with catastrophic failures which you and i pay that bill. because once they get access to an emergency room they cannot be denied care. there's so much inefficiency ample the system and opportunities to make those changes. if we have more people involved with uniform standards and we don't wait until conditions get so bad that they are admitted to an emergency room we have people on the streets with substance abuse and mental illness who do not have care, and it spills over into the broader community as well as themselves. there is real potential to be able to put these pieces together in a way that provides better care, lower costs, and

less individual tragedy. host: if your version comes in the place what happens to the affordable care act and those under it? subsumed would be under that. there will be transition issues, we talked about two years, four years, these things don't happen overnight and there would be an opportunity for people to weigh in and fine-tune it. that's fine. but the principles need to be universal access, the government pays for it, streamline proposals, health care as a right, and be able to make sure that we are not paying so much on failure. and you relieve the uncertainty, even those with insurance, they have deductibles that go up every year. have co-pays going up every

year. and in some cases the policies themselves are getting skinnier. there's a subtle but real reduction in the health care being provided, even under some of the best plans. the: from bill, on independent line, in maryland. caller: what prompted me to pick up the phone if you asked the several occasions how it's going to be paid for. and i did not hear an answer. is goinghe government to pay for it, where is the money -- where does the government gets its money from? taxpayers. my question to him would be how are you going to fund it when my understanding is that we brought in 3.7 trillion last year and spend 4.7 trillion, meaning we borrowed one trillion. we owe 23 trillion and there's

150 trillion of unfunded andilities for medicare social security. how are you going to pay for it. how much are our tattoos -- taxes going to increase trade i have heard estimates as high as 50% tax in order to do the things that the socialists want to do. with that i will get off the air. guest: people ought to scroll back and look at what's happened to the tax system. this was the largest transfer of wealth in our nations history, passed by republicans, on a tax bill that they literally wrote what we were voting. a massive reduction in corporate taxes, we don't have to continue that tax giveaway. most people, even some friends of mine who benefit from it in terms of carried interest, a special tax break for certain categories of investors, which is not available to the rest of

us paying an even lower tax rate. why do we have to have a lower investe for people who than people who work? is there a different tax burden for work and wealth? . mentioned the inheritance tax these are all areas right for adjustment that are not going to be burdensome on typical americans, but would have an opportunity to recalibrate the balance. that's before we look at a whole series of programs that most americans feel should be cut. we are on a trajectory for $1.2 weapons.in new nuclear nuclear weapons we cannot afford , we cannot afford to use, that don't help with strategic towns is now with things like

terrorism -- strategic challenges now like terrorism and cyber terrorism. there is no end of opportunities, if we are going to reset not to start tax priorities but are spending priorities to be able to get the american public a better shake. host: our guest is the democrat from oregon serving on the subcommittee for the ways and means health subcommittee. of the your assessment federal response to the coronavirus to the u.s.? guest: it seems a little confused. but we have not had that much it seemse of late, and to me that what happens usually with this administration, they tend to get spent up on things at the border on things that are , with peopleto us who are refugees, now denying opportunities for people in new york to be able to have

traveling, these are real life problems that they are making like mountains out of mole hills. when it comes to something like this, we are not really prepared. we have people in acting capacities and they are distracted with the drama of the moment as opposed to the nuts and bolts of hard-core administration. keeping us safe, i think, is one of them, the investment in public health is going down by this administration. it's not prescriptive for success. also the chair of the ways that means -- of the and means trade subcommittee. there's a trade agreement with tariffs being slashed, where does that follows far as we are with china? guest: it has really been an

embarrassing episode. we have real issues with china and trade. are act in ways that dramatically unfair to american business in terms of getting access to intellectual property. our businesses are completing -- competing with heavily .ubsidized chinese enterprises the government gives them virtually unlimited money to compete against us. come in fore to american projects and we don't have reciprocity. the president went through these drive-by tariffs for three years , went through all of this agony , inflicting damage on americans . despite the delusional claims that the chinese are paying for the tariffs, the tariffs fall on american consumers and business. and the opportunity here to

start to unwind some of this, i think, is important. but it's only part of it. canadiandent declaring auto companies a national security threat to the united fores as a justification this erratic tariff policy, this is embarrassing. it doesn't help us. it confuses our allies. and it emboldens people who are competing against us. host: and on the passage of the usmca? guest: i was proud work with the speaker and the chair of our committee to be able to take a seriously flawed proposal, and they gave it to congress, it did not have the votes to pass and it should not have. we systematically worked through to strengthen the environmental provisions. i led the charge to strip off unnecessary protections for the pharmaceutical industry, shielding them from competition.

and most important, enforcement has been dramatically enhanced. working with people in organized labor, not picking fights but working cooperatively. i was proud of that that bill that we put forward that would not have passed originally had 193 democrats, and 192 republicans, and will be a dramatic improvement over what we have today. the democratsn line, we are ending in a few minutes, go ahead. caller: my mother is 89. i am her caretaker and caregiver at home, until recently, her needs became greater than my capabilities. her condition became serious. this past week she was hospitalized, she was stabilized and they said she is still not ready to come home and needs rehab in a rehab and nursing

home facility. she is covered under medicare at the hospital, for the first 20 days of the rehab facility because she has medical needs and physical therapy to get her back so she can maybe come home. we don't know. care qualify for long-term , and approved, conditions that are approved for long-term care, but they are telling me she cannot start getting it until .he's approved for medicaid sayre lower middle class, i to the professionals, i say what do i do in the meantime until she gets certified for medicaid and they look at me sadly and say you are in for a long process. and long-term care premiums are expensive, they would have bankrupted her so she doesn't have long-term care insurance. host: i apologize, we have to

leave it there, does this get covered under the a scope -- under the scope of what we are trying to do? people aremany facing uncertainty. medicaid is the default, it's available to people only after they have largely exhausted all of their personal financial resources. yet this is a program that my republican friends are looking downt, to be able to scale in the name of efficiency. but it means less care for more people. these are the sorts of comprehensive areas that we have to go ahead and include. we don't want to have a variety of different one-off programs paid for the administration, and have the gaps. if we have a notion that there ,s a universal access to care that that's our responsibility, health care has a right, it

provides a context to work these items through as all other rich countries do, not having gaps of this nature and burdens on individual families. host: we have 30 seconds left, what's the process of hr three being passed in the senate? what are its chances? the force good, but behind prescription drug reform is building. peril,me at their denying americans progress. the president even can paid on it. he has not done anything but there's an area where we could have a breakthrough to make a difference injecting comp attention into the system. earl blumenauer, the democrat from oregon the subcommittee member on the ways and means >> article two is adopted.

>> do you solemnly swear that in all things pertaining to the trial of the impeachment of donald don trump, president -- donald john trump, president of the u.s., impartial justice according to the constitution and laws, so help you god? as anate will convene court of impeachment. >> what we have seen is a dissent into constitutional madness. >> the way this will move forward is irregular to say the least. >> donald john trump, president of the united states, is not guilty as charged in the second article of impeachment. >> for the third time in u.s. history, a president has been impeached and acquitted from the house hearings to the senate trial. c-span has provided live comprehensive coverage of the impeachment of president trump. you can find all of our video with resources at c-span video /impeachment. c-span, your place for

unfiltered coverage of congress. on q&a, luomat ryan is bringing peace and conflict resolution through the refugee experience to a wider audience. >> some of us who experience true war, some of us from south sudan. these are all young people born in war and raised in war. grand theftlaying auto, how about if these young people play this videogame? it is too violent. in the videogame, it is the same. killing people and all that stuff. >> watch sunday night at 8:00 p.m. eastern on c-span's q and a.

>> during this election season, the candidates beyond the talking points are only revealed over time. since you can't see everywhere, there's c-span. our campaign 20 20 programming differs from all other political reason, for one simple it is c-span. we brought your unfiltered view of government everyday since 1979. this year, we are bringing an unfiltered view this november. in other words, your future. direct andon season unfiltered. see the biggest picture for yourself and make up your own mind. with c-span's campaign 2020, brought to you as a public service by a television provider. >> earlier today, president trump spoke to reporters before departing the white house for charlotte, north carolina. he was asked