often advertising telling you are not cool enough and let's go buy their product please. leave all the hawks that we along with our audience will watch league. hello i'm sam sacks in for tom hartman in washington d.c. here's what's coming up tonight on the big picture. if you want to understand why single payer is the only way forward for our broken health care system just talk to

a doctor more on that with dr dill geed seeing him in just a moment. and as he flirts with a nother deal with the democrats this time on dhaka is donald trump about to make permanent break with his most loyal supporters last brian pruitt and isaiah poole in tonight's politics panel. donald trump isn't much of a fan of single payer and he's now in a pair of tweets this afternoon he called the medicare for all plan that bernie sanders unveiled yesterday quote a curse on the american people even blamed republicans and said it was their failure to repeal and replace obamacare that gave democrats a chance to push for single payer for what it's worth trying maybe sora right that the g.o.p. has failed obamacare repeal push helped drum up support for medicare for all but

he's wrong about just about everything else let's ask a doctor joining me now is dr diljit singh national board member of physicians for a national health program dr saying welcome to the show thank you for having me so off the bat your reaction to the legislation that was introduced this week and in particular the enormous support. you know i'm qualifying it within the democratic caucus for this bill considering that when it was introduced three or four years ago it didn't have any co-sponsors besides bernie sanders it's awesome it's perfect it's amazing and i i have to say i do think donald trump helps us get here. if not oh in an unknowing way because he the plans the alternative g.o.p. plans where people started talking about twenty three million people who'd gotten insurance losing insurance it's it's really hard to take things away and so suddenly i think americans are begin coming more comfortable with demanding health

care for themselves in a way that we haven't before you know so many of my patients who you know missed a pap smear two ended up coming to me as an oncologist. when they see me they say oh yeah. i feel so you know i don't have insurance like like it was their fault yeah you know and so the idea like oh no no we should all have health care i think that that i think that's really awakening now in people and it's wonderful yes certainly the chaos created by republicans trying to repeal the affordable care act of things they were putting forward to replace it also can't discount the role bernie sanders played in the primary making this a number one issue turning this into a popular issue. all that all of that stuff is played in this. we know what this bill will do for working class people if it's implemented for everybody how will just make everybody's life a lot easier not dealing with health insurance companies having access to affordable health care you're a doctor practicing doctor what would this bill do to your life i mean how would

this bill make you being a doctor it easier but it would make it absolutely easier and better in a lot of ways so. doctors these days spend an average of the studies say nine hours i'd say it's a lot more than that and billing it in ministration in their most g.y.n. cancer specialist like me could do like four cancer surgeries in that time right it's not a very good use of our time as it is i happen to work for kaiser and it's a single insurance within my system and so i spend less time than average but i still spend a lot of time filling in papers and doing those kinds of things. but i think the other real challenges is when you have someone and you make a recommendation for what you think is the best thing for them and their family and it's not covered by their insurance and then the struggle with that and the work with them on that i mean i think those are the things these days that make it so hard to be a physician in many ways that's that's a really good point because doctors really are on the front lines of seeing that

all the time coming across impoverished people who can afford to have that care there's been an article circulating around. i missed who wrote it about written by a doctor about what it's like watching people die of poverty for forty years they said they've been watching david and yet in so have you know that was it from chicago or really out of forefront of single payer this is that you said you've had similar experiences so seeing this firsthand you know that he talks about somebody in that article in the washington post about who had died of the lack of a liver failure liver transplant. which is available unproven but equally really. tragic is dying of not getting a pap smear they're dying of not being able to pay for your blood pressure medicines. of dying of things that we have already figured out right it be great if medicine the thing we were worried about was how to cure more stuff not how to pay

for it right. so every single i mean i'd say easily once a week i take care of somebody who their or lack of insurance issues with insurance challenges led them to be seeing a cancer specialist. and that that's very difficult and that's relatively easy to fix and i think that's the other thing challenging thing for those of us in the movement to sort of see everybody else seeing it now that we can fix this you know that we don't have to use terms like op politically on viable involved we can say this is something that we think is important in america and we can say you know if we take back the thirty percent of every health care dollar that goes to administration and forms and profit that we could take that money back and put it into straight up health care that we could do it and it's so the idea of political infeasibility i think is finally going to come into the light it's not

just impoverished people too that have trouble getting the care they need even people who have health insurance find out the procedures they need aren't covered and you hear one of the biggest knocks against single payer is it's going to create death panels or you can have government panels and was even an attack used against the affordable care act which wasn't single payer is you're going to have government choosing who gets surgery who doesn't get surgery there's missive long lines at other in other countries and long wait times for surgery and then you dig down and you realize that the long lines are for usually non life threatening surgeries and people who need life learning procedures or bump to the top so when you hear things like death panels how is that any different in you know even saying that they're going to come into. existence for single payer but has to be different than what we have now with insurance companies that you have to see permit that people have to seek permission from before they get the sort of medical care that they absolutely need and often they don't get the permission to get that sort so the biggest difference is the motivator of of approving

a something if i'm a current i'm or insurance company my for do share responsibility is to make more money so by denying care i make more money so the motivator behind the system is to not cover things right if we had a panel of experts including patients who are making decisions about new technologies about new drugs their motivator would be what's best for people and that's you know the difference so there are panels making decisions for us those panels are thinking about how much money they're making you know when we look at the somebody sent me recently the. the pay's of c.e.o.'s of insurance companies the range for a day is somewhere like thirty six thousand to eighty thousand dollars a day how many procedures could that cover up enough to break how many pap smears could it cover i mean that's incredible right most families in america make then

like or less than that in a year. so the idea that that's part of our three point two trillion dollar health care budget that's kind of crazy right that's a lot of money going to like nothing related to making somebody better. so i think . i think when we think about panels and i get it bureaucracies are terrifying in so many things but we do have to make these decisions we just want the right people making the decisions and we want them to be motivated by the right things everybody's like oh dave you ever been to a post office lately it's miserable winds are long and you want better mention whatever government agency that's not working as like really you haven't dealt with health insurance company you know one of those it's an absolutely miserable dealing with them and i will sing with the other funny thing i hear is this oh well what about the people who work for health insurance companies what's going to happen to them and i swear to god do you think any of them want to be on the phone saying no

you don't think they'd rather be the person calling up and being like hey come in for your pap smear you're do we'll find out more if i basically got into the poor debt collectors out there we get rid of the debt collection industry and things like that that will find a word yet i don't want to be doing these you know i was making this i was with you but in this fight for a long time this fight for a truly universal health care yes single payer system why do you think i mean every other developed country in the world has some sort of system that guarantees access to health care for everybody and not just through showing up in an emergency room why do you think america has been so resistant to making misleading. so i don't think america is resistant to making the sleep i think we have a very very powerful pharmaceutical industry and insurance industry americans in general believe that everyone should have health care doctors in general believe that everyone should have health care so if you know the history of how we evolved the way we did and how we became a very payment basis to mike we could have

a whole long painful detailed conversation about it but the bottom line conversation of why it doesn't happen now it's not because people don't want it it because very very people powerful people people have a lot of money that we give them don't want it because that's what their businesses survive on and i think business is awesome right make fulton's make cars you know and honestly even from the business perspective why should our car companies be in why should every car include the price of health insurance for the employees that built it made when we talk about like oh where's the cost going to come our taxes are going to go up you know what if i can just pay for the car and not for the health insurance of those people and if our car companies could just innovate and then they would compete with all these other countries that already have universal health care it's not part of their business model even small business owners so many of the people who i deal with who go in and out of the insurance world are

people who have their own businesses people who. we're in a really bad job finally found their way out of it lost their insurance in that you know process you know even from a pure business perspective you know we would support people's individual innovation we would support company innovation or if we just disconnected it you know the employer based system is heralded as this great system but really what it does this tie people down to jobs that they might outlaw collates and prevent them from advancing about thirty seconds left message to other doctors who might not have seen the light on this issue like you have. you see doctors supporting you see doctors against single payer what would you say to those only i would say gold to our website go to physicians for a national health plan and learn about it i don't know a single physician who's ever gone through the learning about a process and not come out on the other and supporting single payer there's a lot of talk talk talk out there death panels and other things things that are are

just not true and then there's the nitty gritty that makes people nervous that they're not going to be able to do for their patients you know tomorrow what they can do today you know and we can help you get through that that discomfort that worry all sense and you will still get paid as a doctor this is a. doctor diljit saying thank you so much for stopping by having me coming up as he works with another deal with the democrats is donald trump making policy or published last brian pruitt and i was a pool in tonight's politics panel after the break. we'll.

get it on the old lol. according to just. come from iraq. all the world's a stage and all the news companies merely players but what kind of parties are in t. america r t america offers more r t america offers. many ways a new landscape just like this even real news

a good actor bad actor and in the end you could never you're on. the market all over the world all the world's a stage and we are definitely a player. you guys and i made a professional is powerpoint to show you how archie america gets into the greater media landscape our team is not all right but we are a solid alternative to the. liberal or conservative and as you can see from this bar graph we don't skew the facts either talking have left these talking head righties oh there you go above it all so look at world r.t. america is in the spotlight now every really have no idea how to classify as when it actually took me way more time than i care to admit it's. donald trump has done it again for the second time in two weeks he's apparently

reached an agreement with nancy pelosi and chuck schumer nancy in shock is he trying to blow up his base or is he just going where the ratings are let's ask tonight's politics panel. joining me for the panel are brian pruett contributor to red state and isaiah poole veteran journalist and communications director at people's action thank you both for joining me so before leaving for florida this morning donald trump essentially confirmed what he had initially denied that he was working on a deal or at least a framework of a deal with democrats to save daca the program to lead to undocumented immigrants stay and work in the u.s. if they were brought here as a child to work you know. exactly for want to see that happen you have eight hundred thousand young to be. brought here still since they're still working in the plant we'll see how it works out and we're going to get border security is

part of that and i think something should happen. in this deal won't involve trump signature issue the wall trump went on to say that that will have to come later now it's important to note guys that despite what chuck and nancy are saying despite what donald trump is saying paul ryan is saying there is no deal and he's saying that donald trump told them that there is no deal but paul ryan might not have a say in this post he said in her press conference today that she's working on a discharge petition on the dream act legislation that she says donald trump has agreed to and i see two potential problems here one. is donald trump a trusted negotiator in this instance is he telling. chuck schumer and nancy pelosi what they want to hear as he tends to tell people when he's in a close setting with him give them a good feeling as they waited to this trump even know what he's negotiating here is

he aware that the dream act what palosi considers the baseline of this deal includes a pathway to citizenship which is absolutely toxic to republicans and probably absolutely toxic if you praise it that way to donald trump himself so brian beyond these two or maybe you agree that these two what are the potential pitfalls here the pitfalls are first and foremost immigration is more of a third rail than so security or obamacare for the republican base so that we're going to see very quickly about the beginning of next week when all the over the weekend polling gets done whether trump truly has this thirty percent. base of republican support or whether that actually begins to split as well and whether he we start to see a divide between republicans and trump or spel that are personally loyal to him as both a candidate when he was running and as president now it's going to be very interesting to see whether that poll number stays at in the thirty's in the mid to upper

thirty's or whether it literally collapses if republicans begin to republicans who care about immigration whether they be into just i want to put a flag in there real quick because i want to get back to how this might affect trump space but you're going to say about this as well but the thing about it is that somewhere around eighty five or ninety percent of the country wants a solution for the dreamers that keeps them in the country keeps gives them some level of legal status in the country that a significant percentage of donald trump's base so you know being on that side of the issue is a winning issue politically for the. and as far as the border security is concerned a lot of what the democrats have been talking about in terms of electronic surveillance. all of the good is moe's that will be put along the border to enhance border security the democrats would support that so we're going to see what you can

to see that trumps next couple what i predict you'll see it trumps next couple rallies if he decides to have them is there will be conservative groups anti immigration reform groups planting you know planting people at these rallies to restart the build the wall chance because. what you don't see you know the president today tried to say that you know the the walls already being build it's being reconstructed there was kind of this hemming and hawing but i would keep an eye on these rallies whether they do more rallies and whether the anti immigration reform groups actually begin these build the wall chance because that's going to have a massive public impact on the present as almost a front page of breitbart i mean as a mention protecting dreamers is a very popular one it's bold if you can get this legislation out on the floor if you attach to it some border security and really democrats are pretty friendly negotiators when it comes to funding border security and doing drones and stuff

like on the border they don't want the wall but they'll bargain on that stuff i mean the comprehensive immigration bill that almost came up a few years ago included lots of funding for border security so if you can get this deal worked out where you have such a popular provision like the dream act and all this border security how do republicans vote against it but republicans won't vote against it will pass with flying colors of the easy but the and cultures of the world who are already under it or got an ounce or rise of any sort is going to be upset by this but at the same time he's going to have an accomplishment that he seems to want to have things getting past him signing things and he's going to get really good press on m.s.n. really going to go will lead we've heard says. it's learning about comments how he's made you know often had comments about how well he's being received on amazon you see right now the base is that was important to him right now then what his base cares because he's been worth sticking with there with his base for the first six seven months of this and it hasn't done much for him i think you're absolutely going to see

a backlash among the very loosely anti immigration reform folks and it will all depend on how much power they have within the republican constituency. but you know steve mann is on the outside now. you know a lot of the folks who were part of that camp or on the outside now. john kelly is trying to put a firm hand on both the information flow that gets to. trump as well as to people who get to trump. who knows what will happen i'm betting that you know the positive prost a positive raney's the positive good feeling there's the there's the how bright parts handling with this i miss the dawn trends a number one on twitter in washington d.c. so they're obviously reacting to this to broaden this out a little bit and taking into account what trump said about tax reform yesterday and talking about and today said you know rich people are going to tax cut their rates

might actually go up seems like something he can again work with democrats if you keep it middle income tax credit or tax cut and democrats will get on board with cutting corporate obama wanted to cut corporate tax rates as long as you close the loopholes you'd be willing to drop this thing i mean are we seeing a substantial change in which democrat and which trumps he's a more faithful negotiating partner with them certainly but the fact is he can't do anything without paul ryan and mitch mcconnell they gave into this current edition so you can get around all right but it but not in the senate it's a little bit i was going to say not in the senate so it gets out of the house but not and it doesn't go anywhere in the senate i want to move on real quick because we're running out of time here on this next topic equifax the federal trade commission confirmed today that it is investigating the colossal data breach at the credit reporting firm that breach exposed the personal information of at least one hundred forty three million americans to hackers and also appears to have made three of the company's top executives including its c.e.o. a cool couple million dollars one point eight million dollars the executives of this company sold off right before they claim to have learned about this breach of

course the american people didn't learn about the bridge until six weeks later after that. there's reporting of the company was negligent with security patches you know that initially equifax said that this was vulnerabilities in their website it's since been revealed that they had patches for those vulnerabilities but never installed them what should happen to a company that is this negligent and blows it this bad to where they've exposed one hundred forty four million people depend potential identity theft. going oh my answer would be sure to be shut down. but certainly at the very least. what this says companies like equifax really don't have a lot of accountability here and there they're very very hard the regulated at all and it points says to me that we really for companies to have that much power that much data they ought to be a lot more accountability to the public about what they do for example he should not have been shamed into taking out things like the.

cause that they had in there for a start attrition causes where they wanted to learn whether or not they were vulnerable they had to sign so they had their greet did it on a saturday the company hopelessly shamed and the company had to act out after they walked that back that should never have been in there because it should have been a law against we have to remember two quick things one you know the executives that sold stock should be investigated and prosecuted if it's a really it had thirty six republicans and democratic senators sent a letter to the f.c.c. and the d.o.j. calling for that investigation we haven't heard whether or not those agencies are investigating but the f.t.c. did secondly we need to keep in mind that the vast majority of americans don't understand that these credit reporting agencies the american people are not their customers businesses are their customers when they evaluate people for credit so we need to keep in mind one there they're doing what they need to do in terms of trying to make this right i'm not defending equifax and i don't think this is a situation where a company has to go out of business because it has different customers and

different constituencies where forcing the c.e.o. to resign after all this when absolute i think it probably appropriate yeah you're just going to stop short of the corporate death penalty. one of the things that's kind of come out of this debate on the left is why do we even have these companies why do we have credit reporting agencies as you said they serve businesses they don't serve us why don't we nationalize these things where people can know what their credit situation is have access to what this thing is go throughout life whether it's renting houses or getting jobs having this knowledge and have a process where they can work to. improve their credit were rather than having to deal with these cartels and private companies that keep this information only democrats would think that government could do this could do credit reporting better better than the private all the time doing a great job with you in the private industry is that your risk and they are the very. determining risk we're talking about accountability here though and you know for companies oligopoly three companies that control this maybe there is there is

a ninety fourth company but there are three companies that control this number one number two the customers really don't understand how these companies supposed to work and it costs a lot of money to do things like call them up ask for a credit freeze they charge you for that and in order to protect your credit they charge you for unfreezing new credit if you need to apply for a loan why should that be i think there should be better transparency and lower costs to do those sorts of things i completely agree but i'm an american citizen is not the customer of these companies or their i mean their data is house to help other businesses try to enrich just a little it's a little facts my ability to get a drop already houses rent a house or rent i know because i could find the only time i really want to know is when they're renting a house and then you have to pay money to find out where your own credit score is that seems like a predatory business brian prote i mean

a lot of last word i was able thank you both for joining us and that is the way it is tonight don't forget as tom always says democracy is not a spectator sport get out there get active tag your it. in case you need to go and this is how it works in the economy. it's built around corporation corporations run washington the washington post media the media the. voters elected a businessman to run this country business if. you must it's not business as usual it's business like it's never been done before.

what you have for breakfast yesterday why would you put those for the fish if your wife or. what's your biggest fear not going to build on a hay ride with the last time you read a book or you say if you ever met the best quarterback. that's one topic that doesn't belong to you now i may give you duquesne question more. all the world's dates and all the news companies merely players but what kind of parties are in t. america play party america offers more artsy american offers more. in many ways the news landscape is just like the few real news big names get out.