looking good. thank you. owners are asking questions. owners are getting answers. and american express open is building the tools they need. tools like acceptpay, which lets owners take their accounts receivable online. acceptpay. invoice digitally. get paid faster. only from american express open. today, after over a year of debate, today, after all the votes have been tallied, health insurance reform becomes law of the united states of america. >> president obama makes history, signing the landmark health care bill into law. we'll talk to the woman president obama called an unsung hero of this sweeping legislation. white house director of health

reform. republicans are vowing revenge and threatening to repeal the health bill. the gop just can't stop fearmongering. they're warning democrats they'll be punished in this fall's elections. and hillary clinton and a team of president obama's cabinet secretaries will meet with mexican leaders to tackle the violence in the deadly drug war. good afternoon. i'm ed schultz in for tamron hall today. let's get right to it. this historic moment as the health care reform bill was signed at the white house today. it is now the law of the land. joining me now is nbc white house correspondent savannah guthrie. san van savannah, pretty exciting moment for the obama administration. six weeks ago it looked like this wasn't going to happen. you could sense today starting out with vice president joe biden he was going to definitely capture the moment and make everybody realize what it's like to be in washington for 30 years and get something like this done. this is the high point. now the sell job starts.

the president out on the road this week. here we go. what do you think? >> well, i think we saw the starting point of what he's going to be saying when he goes out on the road. that is to highlight everything that's going to happen immediately. if you look at a transcript of the speech he gave this morning in the east room, there's a refrain over and over again. this year. this year. this year. they want to show to the american people that health reform is not only not scary and that armageddon isn't going to come, as the president said later, but also there's a series of reforms, real reforms, that will be to their advantage immediately. so the democrats are feeling good today because they feel finally they feel something they can run on and, as you know, the president feels like they've gotten some momentum in these last few weeks. early in this process they were still trying to do deals with the insurance companies, so on and so forth. now they can make the insurance companies the heavy. and ever since then, ever since that choice, they've really been able to feel like they've gotten

some momentum here. i can tell you, people inside the room were really feeling a lot of relief. there was almost that kind of giddy feel inside the room. >> you know, i sense a real verbal punchback by the white house. because the republicans have been saying that this bill won't go into effect for four years, all the detractors are saying that, gosh, you won't feel any effects of this. yet i've noticed in the last few days we've seen david axelrod out on the talking heads, the president today talked about what's going to happen with this bill right away. which i think kind of underscores that the white house is really trying to make people think right off the top that, look, this is going to have an immediate effect on a lot of americans. did you sense that as well? >> oh, i don't think there's any question about it. i mean, i think one of the things that senior advisers have been saying for months if not more than a year is the problem is people are afraid of the unknown. they're afraid of the change. and so our opponents have more successfully been able to say

this is all what health care reform is going to do, the death panels, killing granny, that kind of thing. the emphasis now for the white house and frankly the challenge now for the white house is to convince the american people that this health care reform is providing something beneficial for them right now. we're going to hear a lot about, for example, the fact that young adults can now stay on their parents' insurance until the age of 26. i mean, this is going to be a huge issue in terms of the joblessness problem right now. frankly, there are a lot of kids coming out of college. a lot of parents can relate to this. the kids don't have jobs which means they're not getting insurance through their jobs. this is going to make a real difference for those folks. and make no mistake, it was not an accident. the first benefit that the president mentioned today was the small business tax credits, which they would argue will help to create jobs. so there's no question they want to talk about some of these popular reforms. >> and speaking of popular or unpopular vote, this is the president acknowledging that congress took some lumps.

>> that our generation is able to succeed in passing this reform is a testament to the persistence and the character of the american people who championed this cause, mobilized, organized. who believed that people who love this country can change it. it's also a testament to the historic leadership and uncommon courage of the men and women of the united states congress. who's taken their lumps during this difficult debate. >> yes, we did! >> always good to have humor at the white house at a big signing event. savannah, good to have you with us. thanks so much. we, of course, are ae waiting republican reaction to the president's signing of the health care reform bill. we'll go to that right now. this is mitch mcconnell, senate republican leader. >> well, some of the things i

expected the president did not mention this morning when he was signing the health spending bill were the fact that it cuts medicare half a trillion dollars, raises taxes by a half a trillion dollars and in all likelihood will drive the cost of insurance up. i expect he did not mention those provisions as he was signing the bill. but those are, in fact, the core of the bill. and so i think as we go forward here in the senate this week on the fix-it bill, the reconciliation bill, as senator greg can tell you, the medicare cuts have been increased. the taxes have been increased. and the special deals are still throughout the bill. with that, let me call on our budget leader, senator greg. >> well, i think it should be noted that this bill that we're dealing with, the reconciliation bill, is the fourth major step forward in the push to drive this country down a road towards a european style government. it started off by essentially

quasi nationalization of the financial system, nationalization of the automobiles, quasi nationalization of the health industry. now this bill has in it which nobody's focused on the nationalization of the student loan industry. it is a -- what we intend to do is throw up a series of substantive amendments, the purpose of which is to try to correct some of the fundamental flaws. i know we can't fix it, really, because it's such a terrible bill, some of the fundamental flaws of the underlying major bill which expanded the federal government's size by $2.6 trillion, grows the government from 20% of gdp up to 28%, 26% of gdp. and basically puts us on a path to fiscal insolvency as a nation. and so we have some ideas as to how to improve that bill in the area of not taking medicare money, for example, and using it to expand new entitlements, but rather using medicare savings to actually protect medicare and make it more solvent. in the area of not forcing people into an individual

mandate. in the area of taking out the special deals that were put in this bill for certain people in order to get their votes. and we will have one after another, a whole series of very substantive, appropriate amendments which will try to significantly improve what is a fundamentally bad bill so that the american people can see the problems here. >> the one thing that the president hasn't talked about either is the fact that over time this legislation will have the same effect that similar legislation has had in the european countries that senator gregg spoke of. and that is when you promise more and more people the benefits or the subsidies, the cost to the government will increase to the point that eventually rationing of health care will result. that's insidious. people won't see that right away. it will be -- it could be several years before that begins to happen, although you're already beginning to see it in medicaid. but as a result, it's a little bit like boiling the frog by turning up the water temperature one degree at a time.

eventually, he suffers the consequences. and the american people will suffer the consequences of delay and denial of health care as a result of this legislation as well. >> one of the most perplexing things about this health care bill is the determination of the white house and the democratic majority to shove this down the throat of the american people even though they've made it clear they don't support this bill. the cnn latest poll i saw said 59% of the respondents disapproved of the bill, didn't want it. cbs said only 20% thought it would make an improvement in their current situation. the rest thought it would either make it worse or make no difference at all. but i want to focus on its impact on individual races in november 2010. for example, indiana, where 2 out of every 3 respondents in the most current polling disapprove of this bill. and yet you're going to see this

become, i think, one of the signature issues in the november 2010 election. so in the end in this political process, in this great democracy we have, the voters, the people, always get the final say so. and i think this is very important to remember, is the president intends to take a victory lap on this bill. he's going to take a victory lap on a bill that the american people don't want because they know we can't afford it. because it will raise your premiums, cut medicare and raise taxes on the middle class. >> so there you have mitch mccannle, judd gregg, jon kyle and john cornyn all fearmongering again, saying we're going to be rationing health care in this country. i just cannot believe the position the republicans are taking on all of this. they are now obviously going out talking about poll numbers that are out. a lot of the poll numbers are the way they are because there is not a public option in this bill and the majority of

americans wanted just that. this, again, is a start. and i think for senator kyl to come out and say there is going to be a delay and denial of coverage is a stretch. but that's just how i see it. joining me now is republican congressman darrell issa of california. congressman, great to have you with us. you're the ranking republican on the house oversight and government reform committee. do you agree with your senate colleagues over there on the senate side? you're in the house, but do you agree with what was said? >> obviously you don't. so i'll move on to what i do believe. i do believe that this is an expensive way to accomplish somethi something. clearly global competitiveness is how you get american jobs. we're spending an awful lot in this health care program to insure but not get all people covered. i heard you ask for a single payer system. that's your right. until we start moving toward the 9% of gdp that canada achieves

instead of the 18%, 20% and growing that it cost us to create health care in this country, we're at a competitive disadvantage when we try to make things here and sell them overseas. that's what didn't happen in this bill that hopefully people like myself who came from the business world can be fighting for starting today. >> well, congressman, one of the concessions that progressives in this country gave up is that the cbo, the congressional budget office, never scored single payer. so we don't know exactly what the numbers would be because we kept asking the white house and asking the congress, can you score single payer? so we don't have a number as to whether it would be 20% or 18% of gdp or any of that. so i think -- until we get some hard numbers from those folks about that, it's -- i think it's hard to say that it flat out wouldn't work in america. >> i'm not debating single payer. that's a choice for the american people more broadly. what i am saying is sound science. is when you look around the world at mostly single payer

systems, what makes them cost 9% of gdp, less than half of what our system costs, is not necessarily the single payer, it's the limited liability. it's the health plans that clearly say we don't want defensive medicine, we don't want excessive procedures. and those countries have life expeck tansies as long as ours. >> is there anything in this bill you sflik. >> absolutely. i think it's a shame, it's a tragedy that state after state didn't come up with schemes to create affordability, to allow for pre-existing conditions, not to keep you from going from one job to another. i authored hr 3838 to give every person in america access to the same health care i enjoy. it can be done using -- leveraging private insurers. but more importantly, the states didn't do their job. that part of the federal bill i

think was long overdue. it would have gotten bipartisan support if that had been the bill. >> we're short on time here. but i do want to ask you about the criticism that david frum has come up with about the republican party. i'm sure you're aware of it. he says it could be your waterloo. your thoughts? >> i think the republican party and individuals in leadership in the party, i hope i'm one of them, we have to have solutions for what we want american to do and how we want america to go. i tend to leverage my years in business and say, i know what it'll take to help america be competitive, to add jobs, not lose jobs. and i'm going to work for that. so it will be leadership from the republicans. without it, you're right. with it, i think the american people have a clear choice of directions. i'd like to be part of leading america in the right direction. >> congressman, good to have you with us. appreciate your time today. congressman darrell issa, california, here on our coverage on msnbc. more health care coverage in just a moment. but right now in mexico, secretary of state hillary

clinton and other members of the u.s. cabinet are meeting with mexican leaders to plan new strategy in the war on drugs. the delegation's trip south of the border comes a year after president obama promised to be a full partner with mexico. and two weeks after an american consulate worker, her husband, and the husband of a mexican employee were killed. nbc's charles hadlock joins us live in texas. this is a very tight rope that the administration is walking right now. we have so many ties with mexico, but this drug war is out of hand. what can you tell us, charles, about how the administration -- what do they expect to accomplish on this trip? >> reporter: well, that meeting, ed, begins later today in mexico city between hillary clinton and her delegation and the president of mexico, felipe calderon. but it's happening in the backdrop of a major violent

outbreak of bloodshed here on the texas/mexico border. on the mexican side of the border you have the drug cartels fighting each other and also fighting the government. president calderon has launched his troops in a massive war against the drug cartels. and they are fighting back in a bloody manner. overall, 18,000 mexican civilians have been killed during this war, which began several years ago. caught up in the gunfire. 79 americans. and the u.s. has pledged $1.5 billion to help fight the drug trafficking which is fueling all this bloodshed and all the money that is involved in the drug cartels. what is concerning to people here in south texas, ed, is that some of that so-called spillover violence could happen here. and, in fact, i spent part of the day with the san juan, texas, police department. they have seen shootings. they've seen kidnappings. and they found a cache of korean

grenades used by the drug cartels in some of their violence. yes, it is spilling across here. what is more concerning to people here in south texas is the effect on tourism here. this is spring break. normally you would see this crossing here behind me filled with senior citizens and college students heading into mexico. that's not happening because of the fears of the drug violence in moexico. that's the concern here in south texas and all along the u.s. border. >> nbc's charles hadlock for us. up next, the woman the president says was instrumental in today's historic overhaul of health care. white house director of health reform, n joins us live in a moment. the economist is calling the house speaker the most powerful woman in history. we'll take a closer look at the power of pelosi. stay with us. ♪

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and one of the unsung heroes of this effort, an extraordinary woman who led the reform effort from the white house, nancy-ann deparle. >> president obama saluting nancy-ann deparle, the director of white house office of health reform. she joins us live from the white house today. nancy-ann, congratulations. i know you spent countless hours working on this. i would like to ask you, what determined what went into the bill? who were you listening to? where was your -- what was the white house's major source of information? i mean, you did town halls. you listened to people. was it letters? was it e-mails? was it business leaders? how did you formulate this bill that the republicans claim is

too many pages for them to read? >> well, for the record, it was about 900 pages that the president signed, the 908 pages, i think, today. the last page is where his signature went. it was a historic day for the american people. because it really marks a new season of giving them more control over their health insurance. and as far as where the ideas came from, remember that he spent two years traveling around the country talking to the american people about what works and what doesn't about the health care system. that's where the bones of this bill were found. and then, yes, he got ideas from talking to people at town halls. he got ideas from talking to members of congress. we worked together collaboratively with them. throughout the process when he'd be out on the stump and talking to people, he'd come back to me and say how would this bill help this person or that person? it was really a very personal effort on this part. >> so what's in this bill and what the president signed today, this is what he wants right now? i know that there may be more things that he wants later on, but right now he is signing

exactly what he wants? >> yes. we think this bill achieves his principles and his goals for the american people. but, remember, ed, as you know, today the senate will take up a small package of tweaks to that bill. some fixes to improve the affordability, to make sure that the doughnut hole is closed for seniors, to strengthen insurance reform. so there's a small bill, 100 pages or so, that they're taking up today, that also has some really great provisions. and i'm very proud of -- for pell grants, increase the number of pell grants for kids going to college and make other improvements in higher education. >> just to the left of you we're watching a live picture of the senate floor. this, of course, is the senate in action, taking up the reconciliation bill. and they're going right to work. nancy-ann deparle with us from the white house, this is rather unusual, but i am a business owner. i have a couple of businesses. i have to meet payroll.

and if i may tell you, i don't know if you listen to me, but i'm taking advantage of your tax credits when it comes to getting our entire construction team health care this year. this year. and -- >> great. >> and the thing that bothers me, nancy, is that the republicans know this. they know exactly what this does for small business people around the country. yet they are just saying no to it. that has to be a level of frustration with you folks inside the white house, that you couldn't get one person to come on with all the good stuff that is in this. >> well, you know, it is disappointing. we worked so hard. and the president himself spent countless hours. i spent hundreds of hours in one on one meetings and other meetings on the hill with republicans. and there are a bunch of republican ideas in this bill. >> there are. >> there's the small business exchange with the tax credits. that's an idea that came from a bill that a number of republicans sponsored a few years ago for the shop exchange. so, look, i just have to hope that eventually, just as with

medicare and social security, they'll be supporters of this program as well. because it does so much to help the american people. >> nancy-ann deparle from the white house. thanks so much for joining us, and congratulations. great work. >> thank you. if i may just take a moment -- okay. stunning new accusations that michael jackson's doctor stopped cpr as the king of pop was dying. we'll catch up on the headlines of the day when we return on that story. stay with us. time for the "your business" s entrepreneur of the week. they made custom pool tables. a customer looking at sawdust on the floor suggest they use it to make wood pel lets which can be used as heating fuel. those pellets now account for 40% of their business. for more, watch "your business" sunday mornings at 7:30 on msnbc. weather warms, walgreens and the makers of zyrtec... want to make sure allergies don't always have to keep you cooped up inside.

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there's a hospital where technology has a healing touch. there's a factory giving old industries new life. and there's a train that got a whole city moving again. somewhere in america, the toughest questions are answered every day. because somewhere in america, more than sixty thousand people spend every day answering them. siemens. answers. let's get a check on some of the other stories making headlines right now. contessa brewer is here with those. contessa, the senate making news? >> the senate is making big news today moving forward of course on that health care bill. getting you caught up to date on other headlines today, the attorney for michael jackson's former physician is blasting a witness's claims that dr. conrad murray stopped giving jackson cpr, tried to hide evidence. according to to a statement from a former security guard, murray

stopped trying to resuscitate the pop star, did not call 911 until after he tried to hide drug vials around the room. jackson suffered a fatal cardiac arrest last june. murray has been charged with involuntary manslaughter. in georgia, a hit and run caught on police dash cam video here. a woman in the street in the crosswalk no less, when suddenly that suv just slammed into her. the driver didn't stop. the victim was badly hurt. she had a message for the driver who was not caught. >> you just hit me, just i'm sorry and just take off. she can't be that sorry. if it was an accident, accident happens. stick around. i'm not a dog. >> the driver of the vehicle is a white woman with blond hair. police believe she's in her late 20s or early 30s. in maryland a light rail train conductor had to be taken to a trauma center after a crash with tractor trailer. that accident caused a partial

derailment. the crash trapped the conductor for about 25 minutes. her injuries are not believed to be life threatening. seven train passengers were also treated for minor injuries. a honda behind that truck was also in the crash. the drivers of both the truck and the honda refused treatment. those are just some of the other stories we're keeping on eye on today, ed. of course, the big one, health care. >> it is a big one. it is a big day for the president. big day for a lot of americans. thanks, con tes is a. republicans are trying to put the brakes on the senate reconciliation bill. we'll head to the capital for the latest on that. one lawmaker says house speaker nancy pelosi dragged president obama over the finish line when it came to health care reform. we'll look at the power of nancy pelosi, next. one of the best speakers the house of representatives has ever had, speaker nancy pelosi! this is preeminently the time to speak the truth,

frankly and boldly. this great nation will endure as it has endured, will revive and will prosper. so first of all, let me assert my firm belief that the only thing we have to fear is fear itself. [ dennis ] those words are just as true today as when fdr first spoke them. uncertainty will not rule our lives, when we put our lives in good hands.

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the fight over health care reform. they will try to derail the reconciliation bill that still must be approved by the senate. let's go to nbc's luke russert on capitol hill and christina, senior reporter for talking points memo at the white house. luke, has the battle begun over the reconciliation package? >> reporter: yeah. right now, ed, on the senate floor, you see the actual fix-it bill. they're going through some procedural votes right now. that should take up the rest of the day. they're essentially starting the 20 hours of debate. we expect republicans to thoroughly look at this bill, trying to find areas where they can take a -- get part of it to be changed. i just came out of a meeting with steny hoyer. he said he expects the senate to

finish this this week. he said essentially he will not release his numbers until they have taken a vote on this final package, if it does come back. they go to recess on monday. so a real sense of urgency to get this done before a two-week recess, ed. >> what are these 20 hours going to be like, luke? >> reporter: well, you're going to have the gop really trying to take a scalpel. they're going to go through line by line, saying this piece of the fix-it bill does not apply to the reconciliation process. why? it's not budgetary. they're going to look for that. if the senate parliamentarian agrees with them, then it goes back to the house and starts all over again. >> christina, what's white house reaction? they're just kind of spectators right now, or are they involved in the process? >> sort of. everybody took a big sigh of relief today when president obama signed the first part. they're waiting for the second part. the biggest applause the president got was when he said the house would take up the reconciliation package. some house democrats stood up and cheered.

everyone knows there's a lot of tension over this. >> there's also a letter with 52 senators that have signed that harry reid has shown the house leadership is the white house confident? those senators will hold. >> they say they are confident. i think everybody just wants people to make sure to get this finished up. again, it's that sense of urgency. and how much of a big deal do you make it feel like? the momentum is already there. it's already happened. i think they feel like house democrats aren't necessarily going to change their vote if they do end up having to vote for it again at the end of this week, as luke said. >> luke, have we seen the last of president obama on this? what do you think? >> reporter: i find it interesting, ed, that he held his signing ceremony today. it was very celebratory. it was almost like it's over, it's done, it's complete. by all means the senate bill is now the law of the land. there's no doubt about that. but, remember, ed, to get to this point, house democrats, 219 of them, had to agree they would vote on this and then the fix-it bill. i do believe there's two areas

of which the senate cannot touch that would really upset the house. that has to do with any of the changes to the cadillac tax and any of the changes of medicare reimbursement to the do gooder states. we expect it to be a small thing to be scalpeled. >> luke russert on capitol hill and christina at the white house, thanks so much. >> thanks, ed. how about this quote? lyndon johnson in a skirt. that's how one political strategist had described house speaker nancy pelosi. the iconic images of pelosi walking softly and carrying a big gavel this weekend will likely resonate as much as the historic passage of the health care reform bill. abc's diane sawyer asked the speaker to respond to comments calling her the most powerful woman in american history and the most powerful speaker in 100

years. >> sounds good. i don't -- i don't take it personally. except i take it as a compliment for all women. because as the first woman speaker, i certainly wanted to demonstrate that we could get a job done that has alluded others. >> presidential historian joins me from d.c. great to have you with us, mr. lickman. how will pelosi go down in history? i mean, i was telling our team, it wouldn't surprise me if she decides not to run for re-election in november because what else could she do? this is the highlight of her career. >> her triumph is extraordinary. i'm not sure what elevates her to the level of lyndon johnson, but she is certainly the most successful speaker of the house in recent times. not only did she get this through, mind you, she got it through without a single republican vote. that is almost unheard of in the history of the united states.

and a great triumph for women who were so much -- she had to rally the democrats, which as we know is like herding cats. she had to reconcile the left and the right. and she had to come up with a fix-it bill and get over the 216 vote barrier. there were so many things in her way. and rarely in american history when you look at social legislation of this magnitude does a speaker of the house feature as prominently as the president of the united states. think about that. >> those are all prominent things. not being accepted by the head of the gop, this is michael steele's response to all of her accomplishments. >> nancy pelosi owns this as much as anyone else. the bottom line is, if you want to try to undo a lot of the damage that's being done or being planned to be done in this bill, nancy pelosi has got to get fired. >> i don't think that's going to happen. >> no. >> that's kind of a stretch.

>> republicans are very frustrated because they were hoping for a replay of 1994 when bill clinton failed to get his health care bill through the congress. didn't even get a vote on the floor of the congress on his bill. and republicans took over both houses of the congress. that's not going to happen this time. to beat someone, you have to have something. and far better for the democrats to be running on this bill than to be running on failure. >> and does it -- i want to ask you, does it parallel other -- in historical perspective, look at the poll on nancy pelosi. she has 11% favorable, 37% unfavorable. 36% of american people don't even know who she is. 15% undecided, and 1% don't know. what do you make of those numbers? >> well, i'm not surprised. because she's heading a congress that is bitterly unpopular.

but if you look at the numbers on the congress the republicans are actually even more unpopular than the very unpopular democrats. and she doesn't have to run nationwide anyway. and i would say take the polls to this point and do to them what the great philosopher said you should do with works of superstition. consign them to the flames. because history shows that once a bill becomes law, people's attitudes change and they adjust to it. the great civil rights act of 1964 that ended segregation. >> well, it's be interesting to see if these attitudes change. the president's going to do everything he can to help those attitudes change. he's going to be out on the road. thank you so much for joining us here on msnbc. >> my pleasure. republicans continue to wage war on health care reform, even threatening now to repeal the health care bill. we'll look at the gop strategy and whether it's the correct move. you're watching msnbc, "the place for politics." introducing carefree® ultra protection™ liners.

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one of the most perplexing things about this health care bill is the determination of the white house and the democratic majority to shove this down the throat of the american people, even though they've made it clear they don't support this bill. >> that was senator john cornyn of texas, obviously not happy with the historical moment today. republican senators aren't the only ones promising to strike a blow to the health care bill. a group of 13 state attorney generals, 12 of them republican, have joined together to sue the federal government and the state of virginia has also filed its own separate lawsuit. the states say the health care bill is unconstitutional. ron