these represent about 25% of the medicaid population, but approximately 58% of the total medicaid costs. where does star plus originate? it originated in 1998 as a pilot in houston. it was created largely to address concerns about cost, quality and access to services for the age blind and disabled population, also the subset we refer to as duals, and to address how we could better integrate long-term care for that population. the program started with about 58,000 people in 1998. today star plus now serves 42 texas counties and 257,000 people m in march 2012 the program was expanded to serve another 370,000 people in texas and 80 counties, and here's how the program works at a very high level. it's an integrated care delivery model in a cap i tated managed care environment. so we take acute care services and long-term services and bundle them together, delivered through the hmo. a service coordinator really work with that patient to get them services that they need. the service coordinator's responsible for assessing that person's need and insuring that the needs are met, and by doing th

>> this debate is not just medicaid, but medicare. the republicans want these maintenance effort requirements to be reduced. to give the states more control to oversee their budgets. the states have to balance their budgets with their medicaid dollars. this is something they would like to reduce. their hands are tied in what they can reduce. there is legislation submitted by senator hatch to give the states more flexibility. the states have to sit tight until 2014. until then, they will tweak at the things they can tweak out which put more burden on the most vulnerable. >> it is fascinating. justin is an extreme case. i hope we don't see more and more stories over the next two or three years. >>> a lot of people are desperate for health care. this man walked into a bank and handed the teller a note and by the time he was tracked down, he was in jail. here is what he told them. >> the note said this is a bank robbery. please only give me $1. i want to make it known to whoever would know that, you know, it wasn't done for monetary value

consume 39% of the medicaid funding.dditionally, the 2,005 medicare and medicaid program spent an average of $20,000 per deutsch eligible, almost five times greater than the average amount spent on other medicare beneficiaries. these individuals who have fewer resources and more complicated health care needs face the added struggle of trying to neck deep connecticut medicare and medicaid. medicare covers the basic acute care services and prescription drugs and medicaid fills in the gaps. redican generally pays the medicare part b premium and the cost sharing for medicare services. for some, medicaid also covers various benefits not covered by medicare including long-term care support and services, dental care, eyeglasses and other benefits. each state determines its own eligibility standards and which benefits will be provided to medicare beneficiaries. so we are able to watch various states experiment with different models and designs to better align the care of the will eligibles. currently 15 states have been selected

they want to cut medicaid. they want to cut social security, and they certainly do not want to ask the wealthiest people in the country to pay a nickel more in taxes. well, that's one poll. let's look at another poll. in fact, poll after poll has more or less mirrored what new hampshire voters are saying. a "wall street journal" poll found the following -- 81% of the american people believe it's totally acceptable or mostly acceptable to impose a surtax on millionaires to reduce the deficit. let me repeat that. 81% of the american people in that "wall street journal" and nbc poll believe it's mostly acceptable to impose a surtax on millionaires to reduce the deficit. 81% of the american people think it is a good idea, and yet we can't get one republican to ask the wealthy to pay a nickel more in taxes. talk about being out of touch with what the american people want. 74% in that same poll of the american people believe it's mostly acceptable to eliminate tax credits for the oil and gas industry, and on and on i

medicaid will take care of that. they force them to enroll. as the people between the current enrollment limit, medicaid will take care of those people. between 133% of the poverty level, there are subsidies and the health-insurance market that the statute creates. for people above that level, it is the employer mandates that the care of them. it is hard to say -- if you take away the driver 10 -- >> there is still the 10th amendment argument. there is some tension there. >> there is some tension there. it is on both sides. byis the judge's reaction the number of times he read in the brief how essential the individual mandate was to the rest of the statute. >> your position is if the mandate tells it all fails. suppose the government says if the mandate fails, the only thing that needs to -- is the preexisting guaranteed. that you could limit it. that is where they would limit and say the rest stance. would you take the position that if you're going to fund the mandate, you could do that. ? there is no other provisio

i have friends, we all have friends who have been on medicaid, are on medicaid, were on medicaid, have made it. unfortunately, sometimes those people forget their medicaid background and turn away from that because they're into a new and better life. somebody has to fight for these people, mr. president. somebody has to fight for them. is it the feeling that maybe they're an unwanted burden on society? we have a tendency in america to say that if you don't work, it's because you don't want to. if you're not -- if you don't have a decent job and you have a shabby home, it's because that's what you sought. not what was given to you in your, at least destiny of the moment. again, i think is it because most of the people enrolled are low-income and many typically do not vote? i think that sums it up pretty well. but it's more than that. it's more than that. it's very hard -- you can't go into the hollows of appalachia or nebraska or other places and organize poor people to vote because their sense is why? what does it get me? where does it get me? decade after decade. a little bit is there

on medicaid from day one. understand that clearly. i would say that to my colleagues. much has been said about a medicare voucher system -- medicare voucher s but capping medicaid spending would be just as bad for the 5.5 million seniors and 11 million individuals with disabilities enrolled in medicaid. five, instead of reducing the deficit, the savings achieved by

recipients either are smoking or are obese so when obese people are told that their medicaid costs are greater than their income and they fall off even that program and die for lack of health care generally charges and slaughter. i think is a thing that liberals you know they don't like smokers and they seem to have a problem with that idea you know because you don't smoke anywhere and they also restrict what you know what i think he you know you make sure that you labels right everything but when it comes to taking care of them health wise oh we have to you know i don't listen to that args in my face and i mean i'm not a fan this crack addicts one crack in my face either but i think it highly highly. two things one again it highlights the serious problem we have with medicare which again highlights thank god we have only one made it medicare and medicaid thank god we have someone like paul ryan to put out a plan for just killed two people in arizona and you and your number of paul ryan's going to do the same thing. that's not over plan b. i don't know what i would like to see i do and

in fact the state of arizona is having some trouble meeting its medicaid obligations earlier this year governor jan brewer removed certain life saving transplants from being covered under medicaid decision that led to the deaths of at least two individuals now arizona has a new idea they want to change the charge childless adults who are on medicare an extra fifty dollars a year if they're obese or smoking currently about half of arizona's medicaid recipients either are smoking or are obese so when obese poor people are told that their medicaid costs are greater than their income and they even that program and die for lack of health care job charges and slaughter. i think is a thing that liberals you know they don't like smokers and they seem to have a problem. you know because you don't smoke anywhere and they also restrict what you know what i think he you know you make sure that i do believe this right everything but when it comes to taking care of them health wise oh we have to you know i don't it's not that i mean the drugs in my face that i mean i'm not a fan of crack at explorin

medicaid will take care of that. they force them to enroll. as the people between the current enrollment limit, medicaid will take care of those people. between 133% of the poverty level, there are subsidies and the health-insurance market that the statute creates. for people above that level, it is the employer mandates that the care of them. it is hard to say -- if you take away the driver 10 -- >> there is still the 10th amendment argument. there is some tension there. >> there is some tension there. it is on both sides. byis the judge's reaction the number of times he read in the brief how essential the individual mandate was to the rest of the statute. >> your position is if the mandate tells it all fails. suppose the government says if the mandate fails, the only thing that needs to -- is the preexisting guaranteed. that you could limit it. that is where they would limit and say the rest stance. would you take the position that if you're going to fund the mandate, you could do that. ? there is no other provisio

on medicaid, medicaid is the federal-state program for health care for the poor. the federal program runs it and micromanage is a at a level that is frustrating to innovators. when i was governor, we went to washington and ask that we could try something new. can we do this or that? mostly, they said no. every time we meet a request to approve the medicaid program, they said no. we need to and the tool management of medicare and medicaid, shut off the spending increases, decide what we can afford, make congress to appropriate the money each year, and you will see amazing and positive results on reform. on medicare, which is the program for health care for seniors, we will have a medicare plan out in the next couple of months or less, so make sure you check that out on the internet, but the parts of it will say if you are near retirement, that is great, and in the future we may now -- we may allow that as an option. there will be other options and we are or to give people financial incentives to use the system wisely for people on the program. we have to switch the

medicaid is a badge of shame. if everybody had a medicare card, we could eliminate medicaid.. every major economist agrees to this. and we can't seem to get the message across. >> but if you got that -- >> only western nation -- >> if you got that message across -- if you got the message cross, if everybody is in the same program, still you have that problem. how do you attract enough doctors with the pay being what it is compared to specialists, attract enough people into primary care? >> well, one obvious way is that the subspecialists are going to have to give up some of their income. this has been done in other countries. there has to be some control over the number of physicians that go into various specialties. in other countries, 50% of the physicians are in primary care. i think in the united states it's going to be down to 16% to 17%. >> but they come out of med school at -- they have $200,000 in debt at least when they come out of med school. you are telling me you are going to cut the salary and they have that kind of debt? >> well, what they should be doing is, to

it's for medicaid. we all need to be pulling together. >> and there's been a lot of talk about where it is the republican plan, what is the conservative plan? republicans can come up with a 2801 page plan that would somehow get it right, we don't think that. we really believe that the way to change the health sector, to change the incentive. right now bureaucrats are making choices for people, and they don't like that. medicare run by federal washington bureaucrats. medicaid by state and federal bureaucrats. employee health benefits where people get their private insurance, by human resources directors, their bosses. people want those choices themselves, especially in information age economy. what you need to do is move power and control back to the consumer so that day, the market reorganizes itself around them, and that means changing the incentives and changing the resource allocation instead of moving power to washington, it moves it as jim and tom and bob, move it to the consumers. that's a resourc

medicaid comes in. in effect, you pay yourself down to the medicaid eligible. this would turn republican -- the republican proposal would turn medicaid not a to a guarantee program, the so- called grant program where states would get a designated level of funding. not based upon what the rising cost is, but based upon with the designated sum is. the republican plan for medicaid places both the availability and the quality of care at risk. finally, levees and altman, perhaps most egregiously, a budget cuts this trillions of dollars in new tax cuts to the very wealthiest americans. i am for working hard and i went to work with my republican colleagues to come up with a bipartisan plan that will bring our debt and deficit down. we must do that. my father's generation was called the greatest generation. we do not want to be called the most fiscally irresponsible generation. we want to make sure our kids inherit a solvent nation. that is our responsibility. i am committed to that. frankly, cutting from seniors to give to the wealthiest in america is not, i think, so

medicaid will take care of that. they force them to enroll. as the people between the current enrollment limit, medicaid will take care of those people. between 133% of the poverty level, there are subsidies and the health-insurance market that the statute creates. for people above that level, it is the employer mandates that the care of them. it is hard to say -- if you take away the driver 10 -- >> there is still the 10th amendment argument. there is some tension there. >> there is some tension there. it is on both sides. byis the judge's reaction the number of times he read in the brief how essential the individual mandate was to the rest of the statute. >> your position is if the mandate tells it all fails. suppose the government says if the mandate fails, the only thing that needs to -- is the preexisting guaranteed. that you could limit it. that is where they would limit and say the rest stance. would you take the position that if you're going to fund the mandate, you could do that. ? there is no other provisio

medicaid pays that. cutbacks in medicaid run the real risk of pushing those people out of quality care into lower-quality care or the streets. is that what america's all about? would we preserve a tax break for a person who owns thoroug ar thoroughbread horses and then say that elderly lady needs to nursing home she's been in. would we preserve the tax break for someone who owns a yawt and say unfortunately we won't be able to cover the cost for a needed surgery for a poor child at a children's hospital in chicago? if that sounds like an exaggeration, it's not. that's what this debate comes to. whether or not we want to defend tax breaks for the well-off people in america at the expense of the most vulnerable. we're better than that. and most well-off people that i know -- and i have friends who are doing very well in life -- would not be afraid to pay a little bit more in taxes to make sure america continues to move forward. they feel blessed to be a part of this country and blessed to be successful in

host: will it affect medicaid?e talking about how it takes into account the things that people to not think about such as nursing home care. guest: states are still in the process of implementing health care bills. to determine the exact costs, there are some uncertain questions. what we want to see is disability so that we can deal with changes, to deal with states' issues as long as we can. host: let's go to wichita, kansas. democrats line, good morning. caller: good morning. hey, i wanted to tie in a little bit with the last segment you were talking about schools, and also, now here in kansas, the republicans are making a huge, huge push to cut funding in our schools. and it seems really ridiculous that we're supporting corporations, we're throwing money at huge, huge problems, and we're not taking care of our future while we're claiming we're taking care of the future. they have recently attacked women's rights. they continually pass laws that perpetuate a fake war on drugs. and instead of americans just owning

so what happens to medicaid comes in. sites can be paid yourself down to the medicaid eligible. this would turn republican proposals would turn medicaid into not a guarantee program, said a so-called grant programs, where states would get a designated level of funding. not based upon what the rising cost is, that based upon what the designated sum is. the republican plan for medicaid faces both the availability and the quality of care at risk. finally, ladies and gentlemen and perhaps most egregiously, budget cuts are health care programs programs, gives trillions of dollars in new tax cut to the very wealthiest americans. now, i am for working hard and i want to work with my republican colleagues to come up with a bipartisan plan that will bring our debt and deficit down. we must do that. my father's generation was called the greatest generation. we don't want to be called the most fiscally irresponsible program. we want to make sure kids inherit a soul that they should. that is our response to it. i am committed to that man. the very frankly, cutting through seniors to go to t

there's structural fundamental problems or social security medicare and medicaid liberal socialist ponzi schemes that are crushing the the budget and consuming all of the federal spending but what about the u.s. economy you know what would you say about the joblessness about the current events in the last thirty. years government experience the private sector contracts because it eats up more money it's pouring more money it's. more all of which that is not very common but yes it's absolutely not at all what's happening right now and i can't. have stockpiled more money than they've ever had caroline i want to give you is likely to respond to what they ingest said about what's really the problem and as economy what stifling growth what do you think it is. well if it was stifling if social security and medicare were stifling growth so i want to say seen the zero zero deficit spending that we had under under bill clinton and you did say that those were the driving problems and i don't know that's where we should cut yes because the baby boomers are twenty years older than out and then they'

board, without regard to -- you're not going to pick between defense, social security, medicare, medicaidt's correct. here's the thing, so you know, that's a big stick for the congress. so the congress and the president must work together to make sure that we cut up with the cuts so we don't have to touch those programs. >> just so it's clear what you're saying, about two-thirds of government spending is in the entitlements and defense, what you're saying is two-thirds of that $143 or call it $100 billion, roughly, $100 billion in year two comes out of medicare, medicaid, social security, and defense spending? >> what we're saying is if the congress and president fail to act and make the 1% requisite cut, it would be across the board. if the congress does a half a percent, it would only be a half a percent across the board. >> that sounds eminently reasonable. you're a little bit copping out saying, we're doing it across the board. make the choices for us, where would you do it? i've seen your list. that maybe fine in year one. so in year two, how are you going to allocate that money? and

that's medicaid. that's lots else. those are the big three. as to defense, i don't believe we should cut the defense. i think we can slow down the growth compared to the cbo baseline. i think the savings can be realized and back into defense. it's really important that we maintain the first responsibility of this country, which make sure the country is secure and the people are secure. it's the first and most important of the federal government. deane, we're done. let me say thank you for coming. good luck on your finals. if you want more information on any of these stay in touch with us. we'll be happy to do it. over the course of the summer and fall, you'll see a series of additional policy initiatives from our effort. and we'd love to make sure that we keep this dialogue going. thanks for coming this morning. i appreciate it. [applause] [applause] [inaudible conversations] [inaudible conversations] [inaudible conversations] [inaudible conversations] [inaudible conversations] [inaudible conversations] [inaudible conversations] [inaudible con

the state of indiana recently passed a law that blocks planned parenthood from getting medicaid money because the group provides abortions. and just hours ago planned parenthood went to court to try to block that law. planned parenthood's own figures show that in 2009, the group performed approximately 330,000 abortions. but for some perspective, that was just 3% of planned parenthood services. as you can see, the majority of its worth deals with things like contraception, disease testing, and treatment and cancer screening. critics of indiana's new law say medicaid patients can't afford to lose access to those services but supporters argue federal money should not pay for abortions, no matter what. meantime, several other states have opposed similar legislation -- ---proposed similar legislation. they are keeping a close eye next on what happens in indiana. steve brown is live in our midwest newsroom. what happened in court today exactly. >> planned parenthood is seeking injunction to block the indiana law. essentially arguing that the federal statutes that created medicaid that is v

the vast bulk of our problem -- medicare, medicaid, social security. that is about 70% of the problem going forward. that is where you have to look. host: texas, democrat caller. people why don't you let cash out if you cannot get medicare later, much like corporations let people buy them out when they let them go. guest: that is similar to what we suggest. it is a take on the idea of having a payment every single year -- i am using a number hypothetically of 7000. you pay every year and give to medicare patients. if you can get the best deal you can, it may be the government deal, due to the best deal you can. in essence, we will give you $7,000 this year and increases by 1% by each year to the end of your life. you are almost like a buyout plan that a corporation would give. host: republican, vista california. caller: i would like to bring up something that very few people know about. i retired from the military in 1975. a shipmate of mine says, hey, do you know what? if you had a retired last year, you would have gotten more money. he said, they cha

dlauz mean medicare, medicaid must be on the table? should americans be told to expect some changes to their benefits in the future? >> well, before we get to that, it just seems to me that only in washington could taking away $21 billion in tax breaks to the top five oil companies is somehow raising taxes. average americans don't get those tax breaks and certainly to t oil companies will make $144 billion in profit this is year alone don't need that from the american taxpayers. ethanol, which an overwhelming number of republicans and democrats supported in a vote about a week ago in terms of eliminating those subsidies to the tune of $2, $2.5 billion, is another opportunity to stop giving tax breaks to an entity that doesn't need it and give the american taxpayer relief. so as we talk about sacred cows, it seems to me that those need to be on the table as well if we're going to be talking about medicaid and medicare. >> brown: senator barrasso, what about that? why are those kinds of targeted tax hits that the president is talking abo

as a former governor, i can tell you that these problems have long plagued the medicaid program. yet in 2014, the president's new law dramatically expands medicaid, dumping 24 million more americans onto this very broken system. so how can the president promise guaranteed coverage for these millions of americans when the studies show the majority or the most vulnerable population are denied treatment under the medicaid system? the bottom line is if you can't receive care, if you can't find a doctor to provide it, you don't have coverage. the logic simply doesn't match the promises. another recent study by a consulting group, mckinsey and company, calls another one of the president's guarantees into question. their study analyzed the impact of the health care law and employer-sponsored benefits. prior to the health care law, america's employers were the backbone of our nation's health care system. they provided $165 million americans with coverage. the mckinsey study found that 30% of employers would definitely or probably stop offering their employees health insurance after 2014.

every time we made a request to improve our medicaid program, they said no. we have to end the dual management of medicaid, block grant the whole thing to the states, shut off the awe to pilot spending increases, decide what we can afford, make congress appropriate the money each year, block grant the thing to the states. i think they'll be amazing and positive results and the states can compete with laboratories of democracy and share best practices and the like. medicare, the program for health care for seniors, we'll have a medicare plan out in the next couple of months or less. i'll make sure we check out that on the interpret, but the component parts say, look, if you're at or near retirement and want to stay on medicare, that's great, and in the future that may be an option too, but we're also going to have other options in our plan, and we're going to give people financial incentives to use the system wisely for, again, people on the program now or near retirement, nothing changes, but we have to change the way we pay for medicare and health care more

and you lose that medicaid? what happens when you develop a pain in your chest and you think you may be having a heart problem, but you can't get to a doctor? what happens? have our republican friends outs thought that through when they proposed the cuts to medicaid? what happens to the children by the millions who are thrown off of medicaid? we have 50 million people today who have no health insurance if the republican plan goes through, wooer a talking about tens of millions -- what happens to those people? as americans, are we content to see kids get sick because they can't get to a doctor, or people die because they don't get to a doctor on time? i don't think so. mr. president, i have learned and been told throughout my whole life that education is the key to success. and we hear that on the floor of this senate every single day. education, education, kids have got to do w well in high schoolo they will he a be able to go to college. the rooltty right now is that -- the reality right now is that hundreds of

we are a democratic administration and in our framework over $100 billion in medicaid savings. we hope with our flexibility that will not impact people too harsh, but the fact is we are the essentially asking everyone to be part of the sacrifice. one loses their authority to ask that of everyone if at the same time those who are being asked to take a pinch or to sacrifice in the short term for our long term benefits feel that their sacrifice could have easily been avoided if it had not been for tax relief to the most fortunate so it's not just about the numbers working out, it is being able to tell everyone that everyone has to sacrifice, and again you can suggest all of your sacrifice would have been unnecessary had it not been for tax relief for the most fortunate, it makes the tough and difficult choices elected officials have to asked of their constituents difficult to do, and finally we need a sense of shared political sacrifice, the sense that when people go back to their own groups to support them to the people on their side and explain why they did difficult things they

input from state representatives but the two bill did require public hearings to be held in new medicaid proposals so at least the public's words can be heard right. not so much that was until last week when the new budget bill was passed again by republicans it now drops the requirement of public hearings so now walker can destroy medicaid from the comfort of his own office without answering to anyone in the state it's unclear when walker's coronation will be held and when he was very demanding a red ball thrown in the governor's speech. it was last week and a very very ugly supreme court justice clarence thomas or more details are coming to light about how just how corrupt justice thomas is as think progress is reporting today back in two thousand and one thomas accepted a fifteen thousand dollars plus. abraham lincoln is your gift from the conservative think tank the american enterprise institute thomas then went to three separate cases in which the american enterprise institute filed briefs on behalf of one side and in each case not only do justice thomas not recuse himself but he si

were going to be out of their employer's insurance policy into public insurance policy medicaid would probably be in this individuals who previously have been able to get insurance they'll all be managed either by the state of vermont or by. possibly by blue cross blue shield which in our state is nonprofit so all this can happen without waiting for twenty seventeen. or twenty waivers that would be required would be there would probably be a medicaid waiver that would be required and it would be some waivers required. to allow the small business people to go into this single payer without paying the penalty that's the person private in the affordable care act room just. you and i were both the net roots nation yeah it was last week and we gave the keynote address and well let me play a little clip from the right to get your response to the response. this is not about electing the president this is about keeping our promises to each other about building a stronger america and turning away from the hate wing of the republican party and stop using fear and hate to motivate us and use the

and now medicaid and medicare got a higher rebate, the program got a higher rebate. there were a number of things who made very clear that you can do, but we've also made it clear we're not going to transfer -- we are not going to force seniors into the private insurance market with the cbo, which all of you know is independent entity has said they will face higher costs and get less support from the medicare program, which would in the end give seniors a raw deal and we want to make this final point because it keeps coming up. even though it's been debunked by a lot of these independent fact checkers, the proposal that they are giving for seniors is not the name is members of congress. they are giving themselves, members of congress, a much better deal than they are now proposing for seniors on medicare. >> can you give me some examples of the kinds of things that democrats take you off are willing to do, but that are really hard for democrats that show a willingness that the republicans interview are showing by walking away from negotiations? >> mr. van holland is

care assistance to low income families or republican governors who are dismantling their state's medicaid systems if you're poor working class and you're sick and this country just isn't the right place to find a doctor anymore so things got in this bad luck we do a lot it is perhaps no better person to talk to about this issue the doctor himself and the former presidential candidate have been d.n.c. governor of vermont rise to live howard dean. now governor dean has to have you with us thanks showed up tonight do you think that this guy robbing this bank and it's kind of caught design it's caught people i mean look this is a country that ought to have universal health insurance just like every other industrialized country in the world why we don't is a very complicated situation has a lot to do with the politics has a lot to do with the influence of money and frankly it has a lot to do with a kind of a political philosophy by one of the parties that serves the insurance companies and the corporations and not anybody else well and to some extent the supreme court has wells maybe sort of b

all i mentioned was medicaid. it is not a program that is often -- i don't mention it because there is political advantage to it. i mention it because the reason i came into public service was that i could use my privileges to defend those who have less privileged. these of the poor children in our country, these are the people -- all i said, senator, i did not say anything about your plan. all i said was that we did not go there. >> do you care as much? >> the senator -- >> this is unfair that gene should be put in the position of defending himself this way. this is one of the problems with people who want to have these discussions but when someone says here's what might be going on, you don't say it the right way. gene is the only one in the room in these meetings and the only one who has been involved in negotiating these kinds of deals currently in government. i think it is unfair to be taking shots at him. if you disagree, just say you disagree. >> [inaudible] >> senator simpson, i will ask you to let jane wh

medicaid funding is comprised of state and federal funds.al government said if the state width holds their funds, the feds will. that's $4 billion lost every year by the state. they're targeting any institution that provides abortions. >> obviously the problem there is that it affects women's health in general because it's going to go after the institutions that are providing it, certainly to the poor and the uninsured. thanks for joining us, avery and richard. >>> hundreds of children are facing a future without their family. they're orphans of the huge tsunami that hit japan. so i was the guy who was never going to have the heart attack. i thought i was invincible. i'm on an aspirin regimen now because i never want to feel that helplessness again. [ male announcer ] be sure to talk to your doctor before you begin an aspirin regimen. talk to your doctor, and take care of what you have to take care of. >>> well, japan marked the three-month anniversary of the fukushima nuclear disaster today with a huge protester. decorators marched to deman

in the future.s, m medicaid, so that they don't grow as fast in the future. need to reform our tax system so it is much more efficient and can raise more revenue in the longer run from lower rates. there are several packages on the table. i served on the simpson-bowles commission that said exactly that, and the dimin chi-rivlin group said the same thing. >> do you agree you can both cut spending and increase spending? >> she is from the lester wing of the economics profession. the trouble is on capitol hill you are seeing this dichotomy. you're not hearing the democrats say, yeah, we agree, we're going to change entitlements. we agree we're going to get tax reform done. they're saying no to both of those things. we need to do them both, they're saying no, and instead they're trying to get their political constituencies to come up with more spending. that's a mistake. >> would you both agree you cannot get spending under control unless you tackle the structural integrity at this moment of things like medicare, that you -- >> yes. oh, absolutely. >> you have to

often we pay for our own medicare, medicaid, whatever it comes out of our salaries when we need some> bill: again, that's not the problem. the problem is the mentality of people saying, monica, the government owes me. how bad a problem do you think that is? >> yeah, well, look, entitlements are narcotics. this is why the left loves to expand the entitlement programs in america. this is why barack obama and the left instituted a massive new entitlement program called obama care, which is essentially socialized medicine. because once people get addicted to the narcotic of the entitlement, whether it's social security, medicare, medicaid, you name it, we have got a whole array of entitlements out there. you get addicted to it, it's very, very difficult to take it away. >> bill: what is the government's responsibility in bad economic times to feed people through food stamps? food stamps have exploded. >> yes. we have got 47 million americans now on food stamps which is a record breaking number. that is heart breaking. look, the government. >> bill: is that a narcotic or is that something

was a great president this year one hundred thirty five thousand arizona will likely lose their medicaid coverage thanks to governor brewer's five hundred million dollars. that critical health care program for the poor one case now getting attention of the state is that of steven stevens who had to quit his job because of a heart condition and now is on social security to make ends meet but the social security payments disqualify him from medicaid because he apparently now earns twelve dollars too much to apply as governor brewer and change the threshold meaning he's no longer covered for life saving hearts or at least two people have already died in arizona when they were denied life saving medical procedures as a result of brewer's medicaid cuts so is this the replace we've been waiting for the republican pledge to repeal and replace health reform just kill off all the poor the sick after all the sick people are left to die health care costs drop i mean how many people this is the nature of our of our debt crisis at this point if you do nothing with the debt crisis many more people die

california currently has 7.6 million medicaid beneficiaries and is cutting payments to doctors and otherovider business 10%. >> as you know, already, it's difficult to find physician who's take on new medical patients because the reimbursements don't meet their overhead. it's a real problem. >> coming up at 6:00 we'll meet one woman who relied on medical programs to stay alive. and her money for that program is running out at the end of the month. >> the $90 billion was that stimulus money? >> yes. you'll remember it passed in february. guess how many supported it? >> come on? wild guess? >> one? >> none, zero. >> zero republicans in the hou.s -- house. >> what are the hospitals saying about the cuts? >> interesting qe. -- question. they're dealing by passing the buck to the hospital council. they don't want to talk about this. and ron smith says try and find the doctor on and i'm betting you can't find one. those are his words saying if you get into a hospital in san francisco and bay area they have to treat you. getting into the hospital and to see doctors is going to be tougher, docto

now is on social security to make ends meet but the social security payments disqualify him from medicaid because he apparently now earns twelve dollars too much to apply because governor brewer changed the threshold meaning he's no longer covered for life saving hearts or at least two people have already died in arizona when they were denied life saving medical procedures as a result of brewer's medicaid cuts so is this the replace we've been waiting for in the republican pledge to repeal and replace health reform just. off all the poor the sick after all the sick people are left to die but health health care costs drop. how many people this is the nature of our of our debt crisis at this point if you do nothing with the debt crisis many more people will die because there won't be any money to give anybody any taxes on millionaires and billionaires you ever heard of a for the problem is when you raise taxes people for instance in new jersey one of the problems they have found there is when you raise property taxes people move out of the state they go somewhere else i don't agree that is

let's preserve medicare, medicaid. let's work together, republicans and democrats, and find a solution. i yield back the balance of my time. the speaker pro tempore: the gentleman from louisiana. without objection. so ordered. >> mr. speaker, we are at a great turning point in history when it comes to the survival of medicare. mr. fleming: the c.m.s. actuary just informed us that medicare will become insolvent in just 12 years. that means that if you are on medicare or expect to be on medicare in the next 12 years, you need to think about how you will finance your health care after that period. what is the president's plan or the democrat congressional plan? sorry, there is no plan. when asked mr. president why no plan when the law requires you to have one? he said, and i paraphrase, that he would rather republicans take the lead so he can demagogue ours. never mind that obamacare takes one half trillion dollars from medicare to subsidize its crazy schemes. in the ryan budget plan that was passed here in this chamber h