provide that care. and when i quit my job we lost our health insurance. we were incredibly fortunate that ethan qualified for medicaid. without it he most likely would have lost his leg and possibly his life. not having employer-based health insurance proved to be quite expensive. we had no income. and now we had to care for a sick child while balancing a mortgage, monthly bills and expensive insurance premiums because of my own personal health issues. thankfully his tumor healed around the time he turned one and we spent the next year catching him up to normal development. my husband and i managed to keep our heads above water for two and a half years. we lived frugly as much as possible and taking out student loans in the end we still had to sell our home and move in with family. ethan's third year was fantastic. he graduated from all of his therapies and started preschool. he was not just walking now, but run, jumping and hopping. with no pain whatsoever. in his fourth year the affordable care act wa

care. it's for private insurance. it's for anybody who has health coverage, the costs of health care are going up rapidly. and the approach of medicare has always been to look for ways to hold down the costs. there was a time that ophthalmologists would charge a fee for removing the cataract, and then ask for another fee for inserting the lens. well, that made sense when that surgery was brand new, but they didn't want to give up the two fees that they were receiving because it would be a reduction in their reimbursement. medicare said, no, that really doesn't make sense. medicare does a lot of things to hold down costs, and then private insurance picks them up because so much -- so often it makes sense. another 30 seconds. mr. holt: and i yield to him. mr. waxman: the way to hold down costs is to try to reform the way health care is delivered, and medicare tries to do that. if we don't do it that way, the republicans would say that private insurance will be able to control it because that'

all of that feeds the health care. the nhs is the largest employer with well over one million people on the payroll. you think it would be inefficient. >> it seems they do things more efficiently and it doesn't work in health care. >> a former overseas bureau chief with the "washington post," two of the world's health care systems for his recent book, the healing of america. >> the least efficient payers in the world are the american private insurance companies. they have administrative costs of 20 to 30%, that's a 30% tax on every dollar you spend on health care. britain is socialized medicine and administrative cost is 5%. canada is private dollars and public payers. 6%. it turns out in health care, governments are doing this more efficiently than our private sector. >> one reason is private insurers spend more money on nonmedical costs like ads and reviewing claims to help them stay profitable. another way governments can be more efficient, when they are footing the bill is having a more coordinated approach to heal

care. when the government takeover health care bill was passed, the liberal-control congress took away this right and instead created the pro bowlers association, yabe. this -- created the ipab. they are responsible for making cuts to medicare, which will lead to waiting, denial of care. republicans will vote on a bill that will eliminate ipab and strengthen a doctor-patient relationship. our country cannot spend $1.4 trillion on an unconstitutional government mandate which the nfib reveals it will destroy 1.6 million jobs. in conclusion, god bless our troops and we will never forget september 11 and the global war on terrorism. the speaker pro tempore: for what purpose does the gentleman from michigan seek recognition? >> to address the house for one minute. the speaker pro tempore: and the gentleman is recognized. >> madam speaker, i rise today in support of repeal ipab. however, i speak in opposition to tying this repeal to house resolution 5. this is disingenuous at best. it relingishes

when you have skin in the game, i don't care what it is, whether it's health care, buying a car, buying groceries, whatever it is, if there's a connection with an extraction from your pocketbook, you're a better consumer. when it's not, when there is no connection, we see what we're seeing in health care today. there's no differential increase in cost for over consumption. and we do know through lots of studies that we have overutilization in large areas in medicare. and the reason that we have over utilization in large areas doesn't have that much to do with patients as it does providers. we would put that in, and the example i use. i've had the good fortune to take care of a ton of amish families. they don't have health insurance. they're the best purchasers of health care i know anywhere in the world. they want to know what something costs before they buy it. they want to know why i have to have it. and if i have to have it, where can i buy it most cheaply? they negotiate deals on pricing, if i pay you in advance, do i get a discount? in other words, they're the ultimate consumer in

care for you care for me care for every family care for you care for me care for every family care foryou care for me care for every family care for you care for me care for every family care for new -- care for you care for me care for every family soon and very soon we are going to change the world soon and very soon we are going to change the world soon and very soon we are going to change the world that soon and very soon we are going to change the world host: good morning, you're looking at live pictures from capitol hill where moments ago the u.s. supreme court began hearing the initial oral arguments in telling this to the nation's health care law. that begins six hours of hearings over the next three days at the nation's highest court on health care. as you can see, people have come to the nation's capital from all across the country to express their views on a lot. if many are here on the u.s. capitol grounds co. this is the main site setup for protesters. it's across the street from the supreme court. organizations in favor and opposed to the bill have announced plans for eve

and for end of life care. now, mr. speaker, let me reflect on that a minute. i've just shown you the 40 pages of law in the president's health care bill that are the cost-saving mechanism that the president has proposed and that has been passed into law. and the o.m.b. director, office of management and budget director, for the obama administration said this, the core problem is that health care costs are concentrated among expensive treatments for chronic diseases and end of life care. now, mr. speaker, what choices then does that give us? if we agree that ipab is a critical measure for lowering health care costs and if we agree that health care costs are primarily concentrated with expensive treatments for chronic diseases and end of life care, how exactly is this unelected board going to lower those costs? it's an honest question, mr. speaker. if that's what has to happen for medicare to be saved, exactly how is this board going to do that? and every american on medicare, every american approaching medicare

health care. my friends acknowledge it is under congress's power to -- and to impose a minimum coverage provision. their argument is just that it has to occur at the point of sale. >> i don't see the difference. you can get burial insurance, you can get health insurance. moat people need health care. everybody is going to be buried or cremated at some point. >> one big difference is you don't have the cost shifting to other market participants. >> sure you do. if you don't have money, then the state is going to pay for it or a family member. >> that's the difference. it's a significant difference that this -- in this situation one of the economic effects that congress is addressing is that the many billions of dollars of uncompensated costs are transferred directly to other market participants because health care providers charge higher rates to cover uncompensated rates and they're covered in higher premiums which translates to $1,000 per family. >> isn't that a small part of what the mandate is

did not take care of it. number two, i heard an ability to pay over the course of that 10-year period. which raises the question for me, about responsibility, you mentioned earlier that patients can be responsible for the cost. but how much of what troubles our system has to do with individuals not been proactive, not taking care of themselves? >> i think of large part of the system is individuals not being proactive and not taking care of themselves, but a large part also is people who simply do not have access. it cannot afford it. the bills would be too overwhelming. in this woman's case, she had a job, but she had family responsibilities to keep up, a roof over kids head, to keep them fed, and that came first as opposed to paying for doctor bills. tavis: getting to the nitty gritty about physicians themselves, and the hunger, the greed. i do not want to indict the entire field, but agreed to make more money by recommending product x, y, and z nz, and z. tell me about the harm. >> i appreciate your saying

the care law? >> caller: i do not because it's taking our freedom of choice. >> what would you like the see happen? do you hope that the court overturns theco ress be the onet decision? >> i think congress should be the one make the decision but here lately they can't even maky need to eat or sleep. >> i'll leave it there. >> there are a lot ofissue of f of choice and that is -- this law has not reached the kind of hoped that it would. still about half population does not like the law.acss the board have shown. and a lot of the rea people give is freedom of choice. they feel like their choice -- they want to be able to choose whether they should insurance or not and that this takes away that choice. >> charlene frizzera,tem wh do, they deal with case loads if this law is upheld and more people go on medicaid and need to seek their s e health reform is to change the current health care delivery system. everybody agrees the current system where you get paid more for doing more services doesn't work.

care system. certainly primary care providers become essential not just physicians, but nurses and nurse practitioners and dental assistants. we are pleased that this budget continues the progress we've made. so far in the administration, we tripled the number of the health service core providers. this budget intends to continue the training of 7,100 new health care providers who will serve in the most under-served areas. i have the privilege of meeting with some of the young people every day who are thrilled with the idea that they can serve the under served communities and have their loans paid off so they don't emerge with so much debt. we are also, as you know, part of the affordable care act is encouraging more providers to deal with medicaid patients. changing medicaid rates to medicare. using our graduate medical resources to focus on slots for primary care. we are very aware of the looming issue if we are going to change from a sick care system to a health care system. the primary care wor

in the health care economy.re not insured. we see that in certain types of cosmetic dental surgery. in cosmetic surgery generally. we see it in medicine for pets. and what we see in all of those markets are markets. >> take lasik eye surgery, for example. since the procedure was introduced, prices have dropped considerably, despite all of the expensive equipment and well-trained specialists. lasik doctors actually compete for your business, with ads that tell you about their safety record and prices. >> ask a very simple question of your viewers. how many of them know the safest hospital in their neighborhood? why not? why is there nobody with a billboard saying, don't go to downtown, go to uptown, downtown will kill you? we've been through 45 years of turning over our power to insurers, to medicare, and medicaid. look at the result. >> goldhill's solution -- insurance should only cover catastrophic events, serious illnesses, while routine care like doctors' appointments should be paid for from a health savings

perfect. >> we provide primary care, urgent care, mental health services, recovery services, chronic disease management, and hiv prevention services. and, also, we are a huge training center. we have a direct link to the advance practice programs at the university of california. we are interdisciplinary as well. the only difference is that the nursing elements is running the practice. in our case. >> reporter: currently there are about 250 nurse managemented clinics across the country. glide is the largest on the west coast. but even as this center continues to expand its services, funding for the future remains a constant concern. >> we only have 28% of our population in insurance right now. the rest of the care is floated through a lot of creative funding. >> reporter: though nurse practitioners at glide can diagnose illnesses, prescribe medicine and perform other functions similar to doctors, many insurance plans refuse to recognize them as primary care providers. >> currently, there are many plans that will not look at those providers. this happened in massachusetts, when massach

forcing people to buy health care. we cannot afford it, and can never even think to buy health care if it wasn't for medicare/medicaid. i just -- i cannot tolerate something like this. i cannot. >> john, can i play devil's advocate for a minute. you said you're 82. i presume you're on medicaid. is that correct? >> caller: yes, sir. >> do you think medicare is legal? >> caller: i think it is in that it was brought about by the government, but it's the choice of a person whether or not you sign up for it. you're not forced by a law. i don't have to have medicare -- health insurance, but it wasn't forced on us by the senator, a president or anyone else. it was put out there as an alternative. >> all right, john. thank you for calling in. now, as i mentioned earlier, the oral arguments have concludnee e lawyers and some of the spectators are coming down. there should be press conferences held by the lawyers. donald, a u.s. solicitor general and paul clement and michael carvin of the national federation of independent busin

but they don't care about that. but they didn't care when the affordable care act was passed. three out of four americans did not want that act passed into law. but it was forced down the throats of the american people. it's going to destroy the quality of health care and destroy us economically across the board. >> you said at the beginning of this that you're focused on your re-election efforts. "the washington times" front headline, gop losing side of birth control. 30% in the republican party of th that this is a health care issu. it quotes the pollster saying drop this baby right now. drop it. this is not a winner. i don't kwasmart enough to box republicans into a corner on this. i don't know fit was by plan. but i think it work out that way. you don't sound like you're running away from the issue. >> it's not about birth control. it's about government control. it's about the federal government dictating everything to us and that's the thing about the affordable care act. it's going to give the federal government the opportunity to control every aspect of our lives and te

and more moderately priced care that is available in the country. at a hearing earlier today, i held up a booklet as just one example of the countless kinds of evidence we will share with you as the course of this debate goes forward. which is a consumer's guide to coronary artery bypass graft surgery that was put out by the pennsylvania health care cost containment council. pennsylvania started before the president was even elected for a number of years to collect information to try to answer the question that you are posing, and which is very important. if you look at just this one sim petition booklet which outlines how much it costs at every hospital in pennsylvania to perform this surgery, you will find that the cost ranges from 21,000 to $84,000. then if you look at quality indicators, including the number of patients who died and who were expected to die, given the severity of their illness, you will find that there is no correlation between the high cost and better outcomes. in fact, the lowest cost of the operation in one hospital has some

that's the future of obama care.all lose. >> greta: the whole insanity is not one member of congress could read it or did read it before voting on it. i tried reading it. it was absolutely incomprehensible. >> they didn't read the vot it e in the senate they didn't get it for three hours before they voted on it. >> greta: the thing made absolutely no sense, terribly written. >> it contained 100 billion to implement the bill. can you imagine members of congress voted for a bill that spent $105 billion and they didn't even know that that money was in there. bizarre. everybody should be outraged and demand that this get repealed. i don't care what the supreme court does. congress has to repeal this bill. that's the bottom line. >> greta: representive, nice to see you. >> good to see you, greta. >> coming up, the state of the health care law before the supreme court. some parts are already in place. what happens to those parts in the entire law is struck down? that's next. >>> in two minutes, caught red handed. a hot mic

demonizing a health care system in order to pass this health care law.. the president obama said would cut out a set of tonsils for a few extra dollars, doctors saved her life with and the first few hours of flight. and incredibly dedicated and skilled team of medical professionals totally reconstructed the upper chamber of the hard. her heart operates backwards now. she is 28 years old and is a nurse herself in that neonatal intensive care unit taking care of those little babies. when they passed patient protection affordable care act i knew the health care system to save my daughter was at risk. i also knew that this health care law was in no way, shape or form was going to reduce the federal deficit. it is not possible. how can you expect to add twenty-five million people to government run health care and reduce deficit at the same time. the reason they were able to put forward that fiction is the proposed a piece of legislation that would have revenue, fees and taxes, for ten years, and providing benefits for the last six years of that time period. t

we have disease care, and what we ought to be doing is how do we revert that back to health care where we prevent disease or manage disease effectively, so if you have 20 different companies competing for your business, and they know you're going to still be there, then what we want them to do is they want -- we want them to invest based on their own profitability in your prevention of a major disease. >> i have several questions, one is for you as a doctor, sir. how do you think treatment changes or differs as a result of medicare and government dictate? >> how do i think it changes? the first thing i think it changes based on medicare is doctors have no concern right now for what anything costs. there's no penalty for a physician ordering tests that aren't necessary. tell me what it is. if i have a patient that comes into my office that's referred to me that saw a doctor four days ago, and they did blood work, and i look and say well i can get the blood work back right now or i can spend an hour with my nurse trying to find online, i got to first of all meet hipaa requirements, so i

you'll get health care. so as a practical matter, whether it is a right or privilege, the person who gets sick goes to a doctor, a hospital and gets it. the taxpayer picks up the tab. one of the challenges we have right now is that in your premium, about $1,000 of it is to pay for uncompensated care. so we've got this as a practical matter system where everybody gets it. and in this country, we're paying twice as much for health care as most of the industrialized nation and we still have 45, 50 million people uninsured. it's not working. >> i have to leave it there. >> stay with us. much more on the supreme court. and some other stuff coming up ahead. >> change the health care reform bill that we passed after a century of time that says if you get sick in america, you will not go bankrupt. oooh, what's her secret? [ male announcer ] dawn hand renewal with olay beauty. improves the look and feel of hands in just five uses. [ sponge ] soft, smooth... fabulous! [ male announcer ] dawn does more... [ sponge ] so

care.that's what it boils down to. do you want to pay their bills? i don't think we should have to. i think 9/11 this country should accept that -- i think everyone in this country should accept that responsibility. there are other aspects you don't hear called for with respect to its repeal. you have a child graduating from college looking for a child? i've been in that circumstance. my wife and i raised three children. some of them found a job, took a little while. while they were looking for a job, did you ever say to your son or daughter fresh out of college, how about health insurance? you know what they probably said to you? sorry mom, sorry dad. can't do that now. when i get a job, i'll get back to it. but i feel just fine. i feel just fine. doesn't work that way. and any responsible parent knows it. so we changed the law. here's what we said: if you have family health insurance, it can cover your son or daughter up to the age of 26. that expanded the reach of health insurance covera

and obama care.he affordable care act is more ambitious in two ways. first of all, in massachusetts the federal government paid for our reform. so we didn't have to raise taxes. the federal government doesn't have that luxury. not like space aliens will pay for our reform, we've got to pay for it. the second place is the massachusetts law did not try to control health care costs. whereas the affordable care act takes on cost control in a serious way. >> how come throughout all of the effort to get this law through we heard that it wasn't going to cost the country anything, it was already paid for, and now we learn it's more than $1 trillion. the federal government plans to pay for some of the benefits by taxing those parts of the medical sector that stand to gain from an infusion of new customers. medical devices, pharmaceutical, insurance companies. nearly half of small business owners who aren't hiring say that's the reason they say they are concerned about the expense of health care. what's your r

cost of care. the issue of severeability. can states before us to act? all these eighteen million people. medicaid and the anti injunction act. if this is a tax which i believe it is how can the court -- can the government start counting a tax before it is introduced in 2014? they won't be able to see the impact of the tax until 2015 when people file tax returns. it is an important issue to the individual mandate and the and constitutionality versus constitutionality. the real problem is if the court rules this mandate is constitutional, this will be the first time the federal government will have the power to tell us not only that we have to buy health insurance in the private market but what will be the limit of that power? will we have to buy the prius car? what will we be told we have to live on broccoli and have meet? and a key to obamacare. many economists believe if this legislation is not repealed and replaced and the president really wants the single payer system. private insurers are goin

is not romney care. argument about the states. to think that you're not going to be a part of this conversation. that's just bad staff work. you know you'll be part of this conversation. try to get something in the conversation that at least makes your argument. >> it strikes me as this. you have the obama folks decided, hey, we'll embrace obamacare. fine. you want to call that it? we'll call it that. the romney folks haven't found that moment of embracing health care. >> it's two different strategies. santorum was amazing. i was over at the supreme court with him. >> it was a rally. >> i was standing right next to him. he sees this is his opening. >> maybe his last opening. he may not be winning a lot of states. but obama care tying to it romney, that's his spate. romney, it's all about the economy. >> i want to switch gears a little bit. the president oversees, i'm hoping we can play this one more time. about what was caught by white house pool cameras in this conversation he was having with russian pr

because the future of obama care is denial of care.it sounds good because it says everyone, poof, will have automatic health insurance coverage. you may be able to say you have health insurance coverage, but that's a far cry from saying you actually have access to care. and that's the future of obama care, denial of access. >> with divided government will heading in to a presidential election, if this law gets overturned, you don't see anything happening between now and november. >> sure we could. we could put further a bill that will actually drive down health care. we could easily have that before the congress and president obama can sign it. >> i'm skeptical, shall i say. >> we'll offer it. the house republicans would offer new health legislation. >> you have made, the tea party has made, repeal obama care, again, your term, a rallying cry for some time. it was critical when you were running for president. but you've had different approaches as to how it should be done. this is yourself earlier today at the rally. >> we leave that t

so i say this health care bill is what we need. this is not obama care, this is america care.eople need to stop saying that because a lot of presidents have did a lot of things and we have not attacked their name to it and we shouldn't do it now. we should all stand together. this is not a white or black issue, this is america issue. and america should lead by example. and thank you for letting me have the time. >> thanks for making the call. let's return to the supreme court exterior where there are comments being made by a group that are anti-health care law reverends. >> all right. i will make some comments on what we watched and heard in the courtroom today during the entirety of the arguments. all right. i'll wait. i am reverend rob shank, rob, schenck, president of the national clergy council here in washington, d.c. we represent church leaders from catholic, evangelical, orthodox, and mainline protestant traditions. we were in the courtroom today to listen to the first day of arguments. it was a very spirited exchange to say the least. there were some very humorous mome

improve our health care system.i'm a strong believer in the importance of advancing science and research. that is why i was pleased to see the president's support toward innovative bio-medical advancements through the nih. i was pleased to see the administration is proposed an expansion of the small business health care tax credit that could benefit 4 billion workers. my new jersey has a high wage base. i would like wage base included in the calculation of the tax credit and i'm planning on introducing the legislation that would remedy the solution. thank you, madam secretary, for being here. >> our witness today will be the secretary of the department of health and human services. the honorable kathleen sebelius. secretary sebelius, we a you are recognized for five minutes for an opening >> so much mr. chairman and ranking members pallone and mr. waxman. members of the committee, i'm pleased to be with you today to discuss the president's 2013 budget for the department of health and human serv helps to create an am

uncompensated care. if you accept that argument, you have to fundamentally alter the text of the constitution and give congress plenary power. it simply doesn't matter whether or not this regulation will promote health care commerce by reducing uncompensated care. all that matters is whether the activity actually being regulated by the act negatively affects commerce or negatively affects commerce regulation so that it's within the commerce power. if you agree with us that this is -- that this exceeds commerce power the law doesn't somehow become redeemed because it has beneficial policy effects in the health care market. in other words, congress does not have the power to promote commerce. congress has the power to regulate commerce, and if the power exceeds permissible regulatory authority then the law is invalid. >> surely the -- >> sorry. >> surely regulation includes the power to promote. ever since the new deal we've said regulation -- there's a market in agricultural products. congress has the pow

which was romney care. this is the most important issue in this it's one that ensap sul lates all of the issues at stake in this very critical election, our country's history. and there's only one candi the supporting the republican nomination that can make this the central issue that will be the winning issue for us to win the presidency back and that's rick santorum. and unfortele that case is mitt romney and that's why as i said, we're here today and he's not. [ inaudible question ]

president obama's health care law goes on trial. the wife of the soldier accused of killing afghan civilians says h he's innocent. and the president's private comments are caught on a hot microphone. time to play reporter roulette. rallies and more as the highest court in the land begins to hear arguments over whether the affo affordable health care act can require nearly all americans to have health insurance coverage. you'll hear from the justices in just a moment. but first, a congressional correspondent kate baldwin live outside the supreme court. you were inside the courtroom when this was all going on. what happened today? >> what happened today is a bit of what we're calling a bit of the warm-up act to the main event. the question was should they be taking this up now. the individual man date requiring nearly all americans have health insurance in 2014 or they'll take a penalty. in taking that up, they gave pretty clear signals they did not think there was any barriers taking up the big question of the consequence tunlty of t

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i support health care. as i listened to santorum speak, there's no outhouse attached to his motorcade. he uses public utilitieutilitiec gas, all these things were part of this great country and they were done through rate payers. you say a lot about tax payers. rate pa rate payers are the ones given the opportunity. i would like to see a plan that would operate like a public utility so everybody could compete and give their share. we did get sold out. i do believe insurance companies were the ones that insisted on the mandatory part of it. someone might check that out. there was a fear this would bankrupt the insurance companies. for those fundamental right wing chrisaysstns that render under seize sure, this is a government pastors -- they have their charges. i see that this built by rate electric bill, your gas bill and water bill, now that is being challenged because something that's beingic right of way. so if -- for me the affordable part would be to have it operate as a public >> thanks, robert. harri

care. the only question is who pays. never before seen details on the police report of trayvon martin's killing paint a different picture of that deadly encounter. "orlando sentinel" reports that george zimmerman was bleeding from the face and head when police arrived. they claim trayvon attacked him before shots were fired. up until now, accounts from witnesses and zimmerman's own phone calls to police strongly suggested zimmerman was the aggressor. the fact that he hasn't been arrested has set off a nationwide outcry. a march in washington is set to begin next hour. trayvon martin's parents are due on capitol hill. >>> act like a thug, die like a thug. a new orleans police officer is suspended without pay for posting that quote online about trayvon martin. police superintendent says he's furious and right now the naacp is holding a news conference. we'll bring you the comments soon as we get them. >>> self-proclaimed al qaeda jihadist killed after a standoff in southern france left behind

care. they do not. make no mistake about it, the republicans in congress, if any of them get their hands on the white house, i promise you, you'll see medicare ended as you know it. it is not just about medicare. it is about the other benefits for seniors they want to undo. we passed a law to close the doughnut hole. saving the average senior $600 just this last year alone. that will increase. they want to repeal it. they simply said they want to repeal it. we passed a law to provide for preventive services. thank god my mother had two financially successful children. not me. [laughter] we would get my mom's prescriptions. we would have to lie to her and tell her that it was all covered. we all chipped in about $6,000 a month. at the very end, when she needed some care, she had somebody there to help with her lunch. she always ask me, show me my check book. she had dignity. [applause] this is about what these guys do not get. it isn't more about whether or not my mother and father got the c

it's not good care. i believe in good care. number 1, it is not good care. number 2, it is not affordable. >> greta: what would you do with the 30, 40 million people who are uninsured if we take away the national health care? >> things can be done and they can be done much better than kircare. but money would be saved so much if you would do what i said, that things could be done to take care of other people. i am all for that. i mean, you know, i often say, i see people and they have no care, no medical care whatsoever. you -- what do they do? but they're not going to be taken care of very well under this obamacare system. and things could be done because we would save so much money if we let people bid, let all of these companies bid. i would love, as an example, i have a wonderful company with a nice plan. i would love to go to 20 companies. i'll tell you what, over a short period of time, my jb numbers would go way, way down and the country's numbers would be reduced to peanuts by comparison of what we are talking about. i am hearing it's going to cost a

to romney care then he uttered a sentence in which he said without mentioning obama care or romney care that romney would be the worst candidate to put up against barack obama. that sentence either stood on its own or didn't depending on how you looked at it so the reporter asks him about it and he short hands the statement in the question by saying worst republic in america. now, i don't think it's wrong for a reporter to ask a question. and, santorum, excuse me, could easily have said look that was in the context of obama care you have heard me say it a million times and that's what i meant. end of story and i don't have any reason to think that jeb would have taken him at anything but his word is he a reasonable guy. santorum probably out of fatigue which every candidate suffers and some exasperation reacted as he did and he blurted out, you know, he said that, you know, he seeshis stuff and it's b.s. and that was the thing that's gotten all the attention. >> i think it's more to it than that i think that santorum, i agree with you that he was probably fatigued and he probably caught

the donut hole would re-open if we repeal the health care bill. swallowing an additional $44 billion in extra drug costs for seniors through 2020. these are the kinds of figures we're talking about. some of you like me in this room are seniors. and you understand the consequences of that increase. you're now going to hear from an american who was every year. i want to thank you for being here. but thanks to the affordable care act his medicare prescription drug costs are much lower and as i said the donut hole is closing so i want to welcome bob meeks here. we want to hear from somebody who has real experience, real knowledge and real conviction. [ applause ] >> good afternoon, my name is bob meeks. and i am 75 years old or as one of my grandsons pointed out, papa, that's 3/4 of a century. he didn't have to say that. i live in florida near tampa. i'm here on behalf of the alliance for retired americans and for every senior citizen in this country that's covered by aca. during my working career i was a freight truck driver and a car hauler. two yea

care act. i will remind my friend from florida that there is no example that allows for any of us to have it both ways. this matter violates the constitution and clearly not just those that argue the 10th amendment from a conservative or liberal perspective, it is all of us that feel very strongly that this measure ewe suches the -- ewe certains the power of states -- usurps of power of states. i'm fond of saying what a constitution law professor at georgetown said, that people seem to be fair weather federalists and they abandon federalism whenever it is inconvenient to someone's policy preferences. h.r. 5 combines two completely unrelated measures. the first one is the reform of our nation's medical malpractice system. the second one is the repeal of the independent payment advisory board which was established by the affordable care act. please don't get me wrong, i'm fully aware of the challenges inherent to our medical liability system. the excessive cost of malpractice insurance faced by p

care act. i think it's a very complex credit. um, we've heard from a lot of practitioners and small businesses that the phaseouts around that and other issues have made it very hard for people to, a, understand if they can hit the sweet spot where you get the credit and, b, um, has sometimes discouraged people from actually taking advantage of the credit. the president's budget actually has a simplification proposal in it which, um, works on the phaseouts, um, and other issues to make it, hopefully, much more attractive to small businesses. and congress taking up and passing that, i think, would be beneficial, and i think -- >> you think that makes a lot of sense with what the administration is proposing? >> yes. >> now, what about in 2014, obviously, with the exchanges there's going to be a lot of credits going for the individuals within the exchange market and that. is the irs making preparations in order to deal with that, and are you on track? >> yeah. so we are making preparations. we are

in our health care system. wlet me start with this coverage expansion. under the law, people who need health care can get health insurance coverage. there is financial assistance to those who cannot afford it and according to the congressional budget office's most recent projections, 93% of americans will have affordable health insurance coverage by 2016 with full implementation of this act. that is 30 million more americans who will be covered who are currently uninsured. some of these provisions have already taken effect and had a significant impact. for example, young adults up to the age of 26 can now receive health insurance coverage under their parents' insurance, regardless of their marital or school or employment situation. and since the implementation of this provision, 2.5 million uninsured young people are across the country have gained that health insurance coverage. this includes over 21,000 young people in my home state of new mexico. in addition, 20,000 seniors in my state who are in the so-calle

the american people cannot to health care.alk about 27 million people remaining uninsured under obamacare, we're talking about one in 1000 of them dying every year because they lack health insurance. approximately 27,000 deaths annually from lack of health insurance. that is unacceptable to me as a physician and i think it is unacceptable to the american people. the debate will continue regardless of what happens in the supreme court this week. >> professor john mcdonough, the individual mandate, if is deemed unconstitutional by the supreme court because in the legislation it was made a inseverable, would it throughout the whole plan? >> no, absolutely not. i think the most the court would throw out with the individual mandate, if they did that and i do not think they will, but they would throw out the guaranteed issue, meaning the protection against pre-existing conditions and medical underwriting, and they may throw out the community rating as well. which i think would be very unfortunate and would create a less functional i

-- health care?aying the $800 fine. we could start there. guest: there is no criminal penalty. the only sanction is that you pay a tax. second of all, yes, it is true if i did not buy gasoline, i do not pave the gas tax, but i do pay my income tax and that is to build roads and all kinds of the infrastructure we never years. that is what it means to be an american, living in a collective society. we come together to help each other. we do not insist that we are all standing on our own two feet and have no concerns about the other we have concerns about the other, and we try to deal with it through laws that make sure we can deal with collective problems like securing our problems from enemies, like securing s four -- from disease. host: here is an old story from cnn. this is when the law was signed. and a dog that does not have health insurance -- an adult that does not have health insurance by 2014 will be penalized $95 or 1% of income by 2016, it increases by -- $695. guest: again, that is pegged p