replacing obamacare. republicans in the senate advance their own health care bill, what's in? what's out? and why the cost estimates are dragged through the mud. without a doubt. and a record 6 million job openings ready to be filled, or are they? america's skill gap is holding up hiring, but workers say they are just cheapskates. >> i'm ali velshi. >> and i'm stephanie ruhle. and for once the news out of washington is mostly focused on a key part of president trump's

economic agenda. >> a key to that agenda is repealing obamacare. one bill already passed the house. now it's the senate's turn, which is where we start. after so much secrecy, republicans in the senate finally came out with their own draft to the health care bill to owned obamacare. here's what the bill changes. medicaid expansion to millions of lower income americans gets phased out. states have the flexibility to wave coverage of essential health benefits. that's the list of more than a dozen things like pregnancy coverage, mental health, emergency services that obamacare mandates that every single insurance policy has to cover. the individual employer mandates to have insurance or provide insurance are going to disappear, as are the taxes on the wealthy that help fund obamacare. now we'll talk a little about that later. >> here's specifically what the senate bill keeps. low and middle income americans who purchase their own insurance will still get help in the form

of subsidies and tax credits. but compared to obamacare, the senate bill provides way less help for less coverage. insurers will still not be able to deny people coverage based on a pre-existing condition for now. and parents can still keep children on their health plans until the age of 26. now, my friend ali velshi, this does not look like a health care bill. >> something very strange about this is that the complaint has been that there's no private, real private insurance in america and that obamacare is spiraling out of control. but take a look at these tax cuts that are in this bill. this makes it more of a tax bill than anything else. they are repealing the taxes that paid for investment income, the taxes on the wealthy, financing medicare, taxes on tanning salons, health insurance industry and medical device industry taxes. now, i'm not arguing that these are good or bad taxes. i'm just saying there seems to be more focus on taxes in this bill than figuring out a way to

get people health insurance. >> there's also misinformation about medicaid. oftentimes people don't know if it's for old people or not. and i want to put in to perspective, 49% of all births are covered, 20% of all americans, 39% of all children and 64% of all nursing home residents. ali velshi, some could say this is about a transfer and states will look at this. but if you're a person that one of the millions of people depend on medicaid, great, if it's my state, what is the plan? >> states can't run deficits, the federal government can, which means when you transfer big amounts over to the states, there needs to be a plan for how the states pay for this. this is important because what was the montra about repeal on obamacare, that the exchanges are imploding. medicaid covers 17 million people. the exchanges cover 10 or 11 million people. so even if you believe that the exchanges are imploding, and

that is a debate for a different time, in fact, that's not really the problem. so one thing you have to pay attention to is the effect of this having on medicaid and the other big discussion is lowering premiums, right? everybody complains premiums are too high and going up too fast under obamacare. yes, premiums may go down on this thing, we have to see the cbo skorks bcore, but you are g less in exchange for less. that's the way the world works. >> there's going to be a lot of push-back on this. mitch mcconnell wants to take it through in a couple days and we'll find out. i want to dig into the senate bill and the specific impact on women's health. it defunds planned parenthood for a year. the line item was included to appease opponents of abortion who don't want the government to be funding that procedure, but planned parenthood says it helped 5 million americans a year, many of whom are on medicaid and offers all kind of medical services to women and men. and i want to share the list, again, there's misinformation

like i mentioned about medicaid. here's what they do at planned parenthood, pregnancy testing, pelvic exams, breast cancer screenings, abortion services and referrals, birth control, emergency contraception, educational programs, and i mentioned it before, men's health serviceses. ali velshi, for women, we consider these kind of services are basic essential health care. this is not a women's issue. >> you made an interesting point, if i go to a doctor, it's a general practitioner, an internist, right? >> my doctor, that's an ob/gyn. that's who i think of. so the issues are not issues, they are the bodies of half the population. >> this is an important point. i'm not going to -- we know that improving women's health care is generally improved health care for the family. there are concerns that this bill starts to draw back on that and that is something to be worried about.

>> for a number of medicaid cove covers, 40 million women. that's a big number. >> obamacare did not fully solve this problem, but the whole biggest cause of personal bankruptcy in the united states by a long shot is -- >> medical expenses. >> medical bills. >> if you're failing in your health and then you go bankrupt over it. >> the cbo score comes out on monday. the congressional office expects monday, could be tuesday. but as soon as it happens, you'll hear critics come out of the woodwork and say how unreliable and untrustworthy the cbo assessments are just after the house bill was scored. >> i don't believe the facts are correct. i'm not saying that because it looks bad for my political position. i'm saying that based upon a track record of the cbo being wrong before. >> in the past, the cbo score

has been meaningless. >> if you're looking to the cbo for accuracy, you're looking for the wrong place. >> so i'm asking for fact's sake, do they have a point? congress created the congressional budget office in 1974 to scrutinize all legislation. the cbo's mission is to score a bill that comes out of committee on capitol hill. and partisan rhetoric aside, the cbo is highly respected for its neutral nonpartisan analysis. on obamacare, it turns out that some of the cbo's estimates were off. that's why the republicans were quick to dismiss the scoring of the gop replacement legislation making its way through congress now. a cbo score usually indicates whether a piece of legislation ultimately increases or decreases the federal deficit. and in order to do that, the office needs to make assumptions, not just about the bill in question, but also about growth, inflation and economic

trends. about obamacare, cbo predicted that by 2016 there would be 23 million americans getting health insurance through the exchanges. the actual number was more like 10 million. sometimes, though, the cbo underestimates. the cbo predicted that by 2016, 10 million americans would be added to expanded medicaid roles. the actually number was higher, 14 million. but that is because of changes made by the state after the cbo projections. and sometimes the cbo is just right. the cbo also predicted a big drop in the percentage of uninsured americans under the age of 65 to just 11%. the actual rate turned out to be closer to 10%. pretty close. in fact, a 2015 report from the commonwealth fund, a health care research group, found that cbo obama projections were closer to

experience than many of the prominent forecasters. going back farther to 2009, the cbo estimated that obama's recovery act would cost $106 billion. the actual cost? $108 billion. and cbo projected that the stimulus spending would increase the federal deficit by $4.7 billion in 2015. the actual increase? $5 billion. no doubt, the cbo missed on some of the obamacare projections, but more often than not, the estimates are better than everything else out there. and anyone who says different isn't telling you the whole story. so it does feel a bit of blaming the referee. >> ali, if you don't like the ruler, have a new pressure. but they don't have one. and we're using the same measure, by the way, cbo is nonpartisan. tom price appointed the current head of the cbo. >> who is a republican, by the way. >> and we did know that when the cbo scored the house bill, 23

million more people would be going without insurance by 2026. i can't imagine this is going to be drastically different. but you can discredit the cbo all day long. that's not a good number. >> you and i are both numbers people. we know whether america is right or not, it's the same measure we are using. so again, we're most happy to have somebody invent a measure and we'll use that. we want an accurate scoring as we can actually get on this. >> are you going to blame the referee when you lose the game? next, putting your money where your mouth is. employees say they are hiring. so why aren't more americans landing new jobs? debating america's skills gap. >> and whether there is one. and the implosion of uber. why companies need to have more women on the boards and the ones that don't. we'll talk about that when we come back.

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ceos that they have dro job openings but they don't have workers with the skill set they need to fill those jobs. >> that's the president's daughter and advisor ivanka trump talking about the skills gap and the number of record job vacancies in this country. >> there's a huge debate going on right now about why employers are not hiring more of the jobs they say they need to fill. take a look. with unemployment below 5%, america's job market should be booming. and to a certain extent it is. since 2009, jobs have been filled at a steady clip. but the rate of increases in job openings has far outpaced the actual hires by as much as a factor of three. culminating in april with a record 6 million job openings, the highest ever. so what gives? many employers point to a skills gap in the labor force.

a mismatch between the jobs they are trying to fill and the works needed to fill them. >> about 95% of hiring is to hire people who are experienced. and so what they're after is for people with quite specific skims. they're not looking for people who they can train. >> reporter: but critics of the skills gap point the finger at employers. saying the mismatch is between the jobs employers are filling and how much they are willing to pay to fill them. they argue with unemployment so low companies should feel pressured to boost wages to attract new workers and to keep the ones already on their payrolls. instead, what we have seen since the last recession ended in 2009 is stagnating wage growth. barely keeping up with the annual rate of inflation. >> employers are reluctant to raise wages. we understand why. but as the economy tightens, it gets more and more difficult to hire people, especially if you

are not offering them a career or training or anything. unless you're paying a pretty good wage. >> reporter: what both sides can agree on, there should be more opportunities to train workers, whether it be vocational education at the high school level or apprenticeships for prospective employees to gain real work experience. >> the big thing we have to do more of, i think, though, is closer connections between employers and schools. and we need the employers to get back into the business of providing initial work experience for kids so that they can learn what it is like to do work. and job training. >> ali velshi, so many people are talking about this. the secretary alex acosta is talking about the jobs and where the quick look is. take a look. >> we have 6.9 million individuals unemployed as of monday data.

we have 6 million job openings, job openings are at a high level, the highest we have seen in years. and imagine if we could match the 6.9 million to this, the job market would virtually disappear. >> this is not a jigsaw puzzle but the real world. >> imagine if i have 20 pounds lighter and had a full head of hair. we can imagine these things. the jigsaw pieces with them piling up, somehow it will work. with the 6 million job openings, about 4 million are what we call churn. there are 3 to 4 million jobs not filled with thing that is don't have to do with the unemployment market. we have 2 million real openings and then the mismatch is, are people trained for it and if not, who is responsible for training them? the government? schools and colleges and

universities? or the employer? >> which costs a lot of money and long-term planning, which few people are willing to do. but in terms of that gap, it's a cultural shift. you know, we told americans in the last 20 years as part of the dream, all of your kids should aspire to go to college. and what do we have now? ballooning billions in student debt, kids coming out of schools with degrees that don't pair off with the jobs out there. so to really take a close look at that and focus on it, listen, if you're going to spend tens of thousands of dollars to go to school, you sure hope there's a job waiting on the other side. >> i'm a liberal arts graduate myself. so up don't want to be negative about it, but if you come out of the university with a bachelor's in social work, for instance, and you can expect a starting salary in about the $30,000 range. if you come out with a college diploma and apprenticeship in welding, you might earn $100,000. that's just things people should think about. >> as it relates to h1b visas, the tech ceos were at the white

house talking about how important it is to fill these jobs. if you come out of school with a communications degree or marketing degree, you're not going to get a computer science job. >> but with a computer science degree or chemical engineering degree, again, you're back in that 90,000 to 100,000 degree. all i'm saying is it is complicated. neither of us are advocating people shouldn't go to a university or a college. it's not a jigsaw puzzle. there are mismatches. we'll have to keep -- this is one of the topics that we'll stay on top of, jobs and unemployment. >> without a doubt. coming up, this is a good one. uber, the implosion over its sexist work culture highlighting the gender gap in the boardroom. why corporate america needs to change. is it all talk? >> it's an interesting topic. we'll pick it up on the other side. also, home prices keep rising, but do you know how many households cannot afford the home they live in? you could be one of them. we'll talk about it on the other side. [ america by simon and garfunkel ]

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welcome back to "velshi & ruhle." earlier this week, founder and ceo of uber travis kalanick resigned. and one of his biggest supporters decided to step down from the company's board, that comes a week after another board member left the board after specifically making a sexist remark during a company-wide town hall that was meant to address sexism and cultural issues. it is extraordinary. so here is the question -- >> they must have solved it, right? at least two board members resigned. >> exactly. and arianna huffington was talking about the importance and value of having diversity on boards and now there are two new board members and guess who they are. >> two more men.

>> dudes. that is correct. now, uber's board currently includes two women. but i want you to put this in perspective, only 20% of board seats at fortune 500 women are held by women, and that is less than 10% of boards that get filled by activist investors. so what gives? >> take a look. big brand names and i'll tell you about how many women they have that o. their board. johnson & johnson, only two women. coty, one woman out of nine total. l brands, which used to being be limited, two women out of 12. bed bath & beyond, only one woman. and dillard's, one out of 12 is a woman. all right. think about that. >> and look at those companies. who do you think shops in those stores? >> we'll let you answer that. some news this week on a story we've been covering,

housing costs, this concerns everybody. one-third of u.s. households are so-called cost burdened by what they pay for housing. this is a study put out by harva harvard. it means that they are paying 30% or most of of pretaxed income to housing dosss. 19 million households are severely cost burdened which means they are paying 50% of their income on housing. >> half of what you bring in goes to your rent. >> if you're in l.a. or new york or boston or san francisco, you'll be looking at there in shock obviously in some of those places that will be different. but on. >> on average, 30% is a number you should go for. >> and of those 19 million in the severe situation, 12 million are outside of cities. so it's not just an urban issue. and staying with housing, we're here to help. one last fact check for you.

president trump was quick to applaud his policies for a recent surge in home building during a rally in ira theyiowa week. >> we love our people and they love us. and more importantly, they love our policy. they love what we're doing. you see what wie're doing. home builders are starting to build again. >> that is amazing. home builders are starting to build again. >> really? according to the commerce department, wilbur ross was at that rally with the president and he could have given him a fact check. new home construction has fallen to its lowest level in eight months. and home builders have actually built fewer homes in the last three straight months. come on now president trump, fact check it. >> well, that was a fact that wasn't true. we'll continue to fact check because we actually want that to be true. we want there to be a good economy. that's what we're here for. >> that does it for us. "velshi & ruhle" signing off.

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making depositing a check seem so effortless. easy to use chase technology, for whatever you're trying to master. isaac, are you ready? yeah. chase. so you can. i'm alex witt here at msnbc. it's 1:00 here in the east. let's get to what is happening out there. president trump is criticizing democrats as senate republicans are encountering obstacles in trying to pass their version of a health care bill. here is part of his weekly address. >> my administration will never stop fighting for you and for the health care system that you deserve. we'll get it done even if we don't have any help from the democrats. we'll get it done. >> in just this last hour, i spoke with congressman titus on why she thinks her counterpart