one, on the medicaid programs we have approved 26th state medicaid demonstrations. >> how many states in the union? just overes half? >> those are the ones that have applied. we try to ensure people with substance abuse disorder have a full array of options available to them and more places to receive treatment. >> so those that are providing the service, are they doing than the states that are not applying in this category? >> we just started granting them probably lead to 2017 so we are still evaluating them. >> what do you anticipate that you can report to congress? >> we would be happy to share any information we can with you. >> it depends when they come in. they are usually five-year waiver status which would take at least that. it depends when they started the waiver. >> veterans administration is rooting for the aca demise asking the court to strike down the entire law. but if that happens, medicaid expansion would be reversed up there for 12 million american people would lose coverage literally overnight great administrator come if the administration gets its way into texas v

agency and could be both the state medicaid and the drug medicaid plan or the medicaid manage plan and i wanted to ask you whether they are primary jurisdiction over these programs seeing that jurisdiction of medicaid. what are we doing about that? >> sure. i want to address the fees. we are very concerned about the small pharmacies and want to make sure our policies ensure a competitive marketplace. the agency to continue to work on that issue are particularly concerned about the metrics that are possible for some of these policies. we continue to do what we can under the law. >> as you all know, or try to address the legislatively as well. i think our colleagues on the other side for insisting on that as well. >> in regard to the 3:40 be program we won't get into that but we are concerned about the double discounts. some of the proposals that we made will result in our seniors paying less. were concerned about that but i also add that the president's budget in the 3:40 d in the 3:40 b program will be put back so i would ask that you take a look at that. it would be helpful in forming

and access to medicaid assistance. >> we have worked on medicaid eligibility but i don't -- i'm not an expert in that so we have to get back to you on that. >> i would completely agree with the comments earlier, the surgeon general specifically. any barriers for those who don't have insurance to get medicaid would absolutely create more loss of life and cost to our system so people going to er rooms or prisons etc. etc. we need to keep the few barriers as possible so more people can be on medicaid, and 100%. >> i will close, senator cassidy, with this. the imposition of work requirements, state medicaid programs will have a chilling effect on access to treatment. this hearing underscores the ludicrousness if that is a word and the hard heartedness of far too many people in this body and the trump administration who are trying to repeal the affordable care act, they couldn't do it here, they tried hard, they couldn't do it here, they want to do it through the courts. it is hardhearted, it is stupid h and it will mean a lot more people die. 900,000 people in my state have insurance th

>> are you talking about medicaid? >> yes. >> i would say that we want the to make medicaid as effective and easy to acts is as we possibly can. you frame it as a burden. it should make it more available. to craft the medicaid programs in a way that works if r their constituents. >> we currently have work looking at beneficiaries of medicaid and their act is sets to medicaid assistant treatment. >> i am not the expert, so i would have to get back to you. >> i would agree with the comments earlier. specifically on any barriers for those who don't have insurance to get medicate. it would create a lot more life. we need to keep as few as possible so more people can be on medicaid. 100%. >> i appreciate that. senator cassidy with this, the imposition of work requirements and state medicate programs will have a a chilling effect on access to treatment. this hearing underscores the ludicrousness and the hard hardedness of too many people in this body and the trump administration who are trying to repeal the affordable care a

more and more states have medicaid assisted living. the ability to foreword to age with dignity is one of the issues i hear the most about that given the limits of time i would like to submit my statement and questions for the record. >> i yield the remainder of my time. >> let me thank the witnesses for the testimony please be advised there are two weeks to be answered and questions will be made a part of the formal hearing recorddeficit and commu. this is two hours. >> the hearing will come to order. thank you for coming to the committee today to testify. we know you are on a tight schedule and in order to keep you on schedule and ensure all members have an opportunity to ask questions i ask unanimous can send members will be recognized during the question and answer session for

more and more states have medicaid assisted living. the ability to foreword to age with dignity is one of the issues i hear the most about that given the limits of time i would like to submit my statement and questions for the record. >> i yield the remainder of my time. >> let me thank the witnesses for the testimony please be advised there are two weeks to be answered and questions will be made a part of the formal hearing record before the house budget committee. he discussed trade policy, income inequality with debt and deficit and community outreach. this is two

more and more states have medicaid assisted living. the ability to foreword to age with dignity is one of the issues i hear the most about that given the limits of time i would like to submit my statement and questions for the record. >> i yield the remainder of my time. >> let me thank the witnesses for the testimony please be advised there are two weeks to be answered and questions will be made a part of the formal hearing senator kamala harris attends a house party on sunday at a residence in knoxville, iowa. live coverage begins at 12:20 p.m. eastern on c-span. the impeachment inquiry hearings continue on house judiciary therman jerry nadler holds first impeachment inquiry hearing into president trump focusing on the constitution and the history of impeachment. watch our live coverage on wednesday at 10:00 a.m. eastern on c-span three. chairman nadler extended an invitation for the president and his counsel to appear before the committee. with a letter to the president on our website c-span.org/impeachment. watch the inquiry live o

but to your question, the medicaid expansion. the laws taken up by this finance committee, we did not accept it and i will tell you why. because wisconsin has one of the best medicaid expansion programs already, and we did not want to get an expansion program that would enable others to expand our health care when we are doing it well now. if i could finish, we did not accept the medicaid expansion for three reasons. one, we have this good medicaid expansion now with our care, and we have one of the best programs in the country. two, we saw that and talking to many states around the country, they are reluctant to have expansions in their state, too, because the federal government medicare andup in other issues at the federal level that they are saying they cannot afford to pay for, and we did not want to be a part of that. we wanted to keep our system going. we did not want to have the expansion put us in a position that was not capable of being continued. that is two. and three, we have had this issue in the state about this is

state that have expanded medicaid. legislator -- rep. sensenbrenner: at least 25 people want to speak. can you asked the question and let the two state legislators answer? >> there are so many positives that come out of medicaid expansion. i am wondering when will there be movement on the medicaid expansion? would you allow at least the governor to expand, because you are controlling that ability of him to do that? thank you for your question. dan is in israel. the jewish federation invited the assembly to go to israel to know what's happening in israel. on being here until that opportunity to explore israel came up. was takenid expansion up by the finance committee and we do not accept it. bestnsin has one of the medicaid expansion programs already. want an extent -- expansion program that would enable others to expand our health care when we are doing it well now. not could finish, we do accept the medicaid expansion for three reasons. one, we had this good medicaid expansion right now, and we have one of the best pr

the number one was medicaid. he took 30,000-plus kentuckians off medicaid.doesn't like it i don't think the rest of the country is going to like it either. >> jonathan allen, did donald trump put himself on the ballot in kentucky. they put impeachment on the ballot in kentucky because they believed it would help turn out the pro-trump, anti-impeachment vote. didn't work. >> it was a poor bet, lawrence. as it appears by a few -- a few tenths of a percentage point there. this is not evidence that donald trump woanted, it's not evidenc that senate republicans wanted, that this impeachment process going on in the house of representatives is going to punish democrats. and so far what we've seen is zero evidence of that. the house voted last week on this process and all but two of the house democrats basically said they don't fear the consequences of this. we saw the kentucky vote today. we saw the votes in virginia today. there's absolutely no evidence of it. and i would say -- i would argue that we've actually seen the opposite of that from senator mitch mcconne

a big issue there is medicaid. bevin said you got to work harder for medicaid, made him unpopular. beshear said i will not change those. where's the lesson? >> steve beshear, his father was someone who embraced the affordable care act. he rebranded it. i think they called it kentucky connect so as not to call is obamacare. but it was quite popular. this became an issue for bevin. he had other issues as well. y clashed with the teachers. his personality frankly was pretty prickley. he did go in at a big disadvantage in this race, but it is a republican state at this point. the president wins by 30 points. i agree the president went in there to try and save this guy but he wouldn't have gone in there if he didn't think he could save this guy. and so we saw the limits of his coattails here and you saw it particularly in those suburban areas and that continues a trend that we've seen since 2016 that should be worrisome, not frankly to him in the state of kentucky. he's going to carry the state of kentucky, but if you extrapolate to other places around the country, this could be a conce

one has to do with thingsat that are doing in the medicaid program.king it harder to get enrolled and stay enrolled. it is notit an explederal policy. another jor possible source of theseoverage losses are concerns about immigration policy where a lot of families that have u.s. citizens as children, they may beore reluctant to sign up for coverage. and there is a third category linked to the obamacpoe markets we about earlier. the premiums for obamacare plans are really high. under her are people that do nou ify for financial assistance biting those plans. in more than a millione peo have left that market because they have decided it is too expensive. amna: i theanother subgroup. you looked at the number of children who have no longer gotten insurance. without medicaid or health insurance increased by more than a million between016 and 2018. what ihappening there? margo: this is a complicated portrait but it is a worrisome sign, or so even then the insurance coverage for adults. there are huge economic benefits for children having health insurance. ki

he said he's going to freeze medicaid.s just going to say this is -- in some ways this is why frankly eugene, the democratic party, why they're not united in embracing an expansion of obamacare is beyond me because they've got republicans in a bind. >> it is. it is popular. look at it from the president's point of view. you just had a big loss in kentucky. so, he certainly doesn't want another loss in louisiana. my hunch is that he's going to get one. i agree with matthew. i think the medicaid issue is salient. >> more importantly, i've watched this republican campaign. they have tried to national liez this race in the way bechb tried to gnanational liez kentucky ine end. it's clear he's not a natural democrat. it doesn't come across as believable. >> i think for most louisiana democrats, that's going to r register. bevin tried to nationalize that race. you talk to republicans who shrugged the day after he lost because he made so many enemies in his party. people didn't like his personality. he lost by a very small margin

medicaid for the less fortunate, medicare for the elder. how much richer is medicare than medicaid?n: there is a of how much is covered, what services are covered, should we cover services with minimal health benefits or only services that really improve health? there is a question of how much through thee paid program, and that will affect how much care is available to people. a medicare for all program that covers a wide array of benefits would be to a lot more demand for health care for people who did not have insurance before. if you paid for that by cutting back on payments to doctors and hospitals, that will restrict the availability of supply, and you'll have shortages. programif you had a that covered fewer services but with more generous payments, that might make sure there was enough health care available for people in the program, but keep it more affordable. in general, medicaid pays less than medicare, but also covers less. david: we are talking with katherine baicker from the university of chicago about health care. let's talk about what a different alternative might b

nationwide republicans have taken 1.3 million people off medica medicaid.on't think the rest of the country is going to like it either. >> did donald trump put himself on the ballot in kentucky? they put impeachment on the ballot in kentucky because they believed it would help turn out the pro-trump, andy impeachment vote. didn't work. >> it was a poor bet, lawrence, as it appears by a few tenths of a percentage point there. this is not evidence that donald trump won, it's not evidence that senate republicans won it, that this impeachment process going on in the house of representatives is going to punish democrats. what we've seen so far is zero evidence of that. the house so tvoted last week oe impeachment process and house democrats don't fear the consequences. we saw the votes in kentucky and virginia today. there's absolutely no evidence of it. i would argue we've actually seen the opposite from senator mitch mcconnell who is in kentucky, who has a feel for the state. he's been much less aggressive in defense of trump on impeachment than kevin mccarthy

what's driving down this year's signups for medicaid? and much more. >> woodruff: just how far did the president's personal lawyer go, to undermine america's normal diplomatic cainnels with ukne? that was one of the major focuses last month, when impeachment investigators in the u.s. house of representatives spoke to career state department official, george kent. the full, 355-page transcript of ke's testimony is public today, the sixth such transcript to be released this week. and ourir own nick schis here to break it all down. nick, we have been looking at this all day long, so much to follow. first of all, who is george and what did he say of significance? >> so george kent is a career diplomat. he is currently the deputy assistant sectary of state for european and eurasian bureau, which makes him in chae of ukraine policy, and since he joine19d state department i, he served democratic and republican administrations. takeaways from testimony today -- he was very explicit it about calling out rudy giuliani, what he said was giuliani's

medicaid, the federal portion of medicaid, has been about $350 billion a year. if you're talking about a reduction in revenue at $200 billion a year, that is a significant effect on the deficit. are tracking your tweets. you can follow us @cspanwj. michael says today's politicians are not up to educating the american people on what the true decisions that need to be made. they have learned how to bribe voters with their own money. guest: there is less discussion of budget issues than there normally is in washington. in the through a period obama years when republicans especially were intent on focusing public attention on deficits and debt. that had an effect. they were able to work with the obama administration to drive down the growth of federal spending and reduce annual deficits. president trump is not one of those republicans that does not talk about deficits and debt. it has driven a lot of republicans on capitol hill who otherwise might have been worried about it to stop talking about it. we have seen an increase in annual deficits. nowe is less of a deba

it was referendum on his roll back of medicaid or or refusal to extend medicaid part of obamacare.issippi voters roundly rejected idea you expand medicaid. in kentucky, governor-elect that they should expand medicaid. charles: he did not on impeachment. >> no he did not. one of the interesting issues is restoring voting right to felons who served their time. he didn't really talk about trump. he didn't talk about impeachment. bevin was highly unpopular. i don't think democrats should take too much from this. charles: want to ask you what was happening within the democratic party. the level of vitriol is starting to climb as candidates start to fade. biden has written an op-ed highly critical of elizabeth warren. he doesn't mention her by name. but obviously a shot at her. by the same token, her policies, particularly for "medicare for all" is direct shot at obamacare. it didn't work. it was written by health care insurers, they shouldn't be part of the process. >> you should expect that health care is huge issue for democrats in 2018. health care will be on the ballot for 20206789

health of rural americans who may be considered low-income is to address out-of-pocket costs for medicaid expenses. something that needs to be addressed for seniors in not only rural america but also across the country is the misuse of direct and indirect remuneration or d.i.r., which is -- and how tim pacted the part d drug plans. over the years d.i.r. has become a catch all for pharmacy fees which has unfairly shifted additional costs on to medicaid patients. while progress has been made with the 2018 medicare part d pricing role, there is still much more to be done. that's why i co-sponsored h.r. 1034, the fair pricing act. this bill directly addresses necessary forms to d.i.r. fees by doing four key things. first, the fair pricing act will require all price concessions between a pharmacy and a pharmacy benefits manager be included at the point of sale to decrease patient costs. second, the bill will realign market incentives to ensure patients have access to and receive the best possible care. third, the fair pricing act will direct the secretary of health and human services to establ

i think they pay $18 for a psychiatrist to see someone through the medicaid program. there are no providers. $18?ake a living on this is the core point i try to make the people. this was fixable. there are things we could have done to create parity in the mental health and physical health system. to ensure that private and public capital is being invested in community struggling. to do things to reform public education. there are things we could have done. we should have been regulating social media companies along time ago. do you know the amount of teen anxiety in this country? the united kingdom just did a survey. they said half of the teenagers wake up in the middle of the night to check their social media. that is not the problem. of the half that wake up in the middle of the night to check their social media, half of them do it 10 times. in the unitedrs kingdom are waking up 10 times a night to check social media. you know that is happening here. is it a surprise we have such tremendous anxiety and depression and suicide? we did not do anything. there is no regu

through his trump care bill and proposed budgets that slashed funding for medicaid. they've also stood by as president trump has implemented a gag rule on title 10 funded clinics, jeopardizing reproductive health care for patients. and republicans are opposing democrats' effort to lower skyrocketing prescription drug prices by allowing medicare to negotiate on behalf of patients and reverse president trump's steps to promote junk insurance plans that do not protect patients with preexisting conditions and do increase family's health care costs. republicans are even cheerleading a partisan lawsuit that will be catastrophic to families across the country. we could get a ruling any day now and about republicans get their way, protections for the over 100 million people in this country with a preexisting condition could be thrown out the window. millions of families covered through the exchanges and medicaid expansion could be thrown off of their health care. young adults could be kicked off of their parents' plans before they turn 26. and patients could be stuck paying

ss medicaid health provider, had planned to build a $100 million headquarters.hey stopped construction when they fell short of funds, because the state renegotiated medicaid reimbursement rates. they're searching for new financing. evon smith is president and c.e.o. of onewest, a community development corporation dedicated to bringing more commercial businesses to west louisville. what was it like to see them take the cranes down? >> devastating. for the nine businesses that are located in our buildings just directly across the street, it was a squash of their hope. it was a letdown. it was another promise yet not delivered. but i also see how we see investment coming and the more that we can demonstrate that, i think the more people will feel uplifted. soledad: near the passport site, one project, a $28 million ymca, is nearing completion. steve tarver, c.e.o. of the ymca of greater louisville, hopes that the new facility will fill the gaps left by passport health. >> we have a physical therapy full center that will be here. we have a satellite office of guilds

>> it is a concern but what we find is when physicians start their career serving medicaid patients, they often end up keeping that as their career >> the california program is open to ad, ass who have online shopping talks about the person forced him to leave the game his powerful message ahead. >>> and we'll talk turkey with a woman who has saved countless thanksgiving dinners from disaster. stay with us >>> back now with the holiday shopping wars and the creative ways traditional stores are trying to lure you in. nbc's vicky nguyen tonight with the price you pay. >> reporter: 'tis the season to get customers into stores and keep them there. to compete with the convenience of online shopping, many businesses are changing the in-store experience. >> lots of options to eat and drink. a beauty haven, which is a full floor of beauty services from blowouts to waxing and brow bars. >> reporter: nordstrom in new york city is focused on providing services you can't get in front of a computer part of the in-store experience at this nordstrom, having food delivered to you while you shop and

current laws prevent federal medicaid dollars from being used to cover. . abortion services out of these restrictions overlap with identity to make abortion even less accessible for the lgbtq plus community? the discrimination that people go toward, and because they are either trans or changed trans or gender non-binary or lgbtq, really does hit them harder because as was mentioned, they are afraid to go get services. when they go to get services, they find that current regulations allow people to discriminate against them. they find they do not have any access to getting good reproductive health services, much less regular health care services. our organization does believe all people have the right to get reproductive health services regardless of whether they identify as lgbtq, whether they are trans, whether they are low income, all of these factors should be taken into account to allow them to get the kind of services they deserve. regulations done by this government that allows other people to discriminate against them push them at higher risk. -- put

he was talking about medicaid. he was talking about pension programs, quite frankly, he was talking about the temperament of the current governor matt bevin. this wasn't about donald trump for andy beshear. is there a lesson there for democrats rung for president from. >> that's how we won if 2018 and 2017. you are absolutely right. andy's father, former governor steve beshear, i had the privilege of working with him. he built one of the most effective healthcare exchanges in america. and under the guise if it ain't broke, break it, that's what matt bevin proceeded to do. andy bevin pointed out, i'm going to fix it and fix the kitchen table issues. and he showed that compassion is not a dirty word for democrats. and that is also the same thing -- >> does it also mean like a moderate message is something that democrats in the presidency should be listening to? >> well, i think the message of values and the message of the democratic party. we believe that everyone should have access to quality affordable healthcare?

current law restricts medicaid funds from covering abortion care for women in communities across the state. according to the good mocker -- to be clear it functioned as the original ban. according to the good mocker institute, restrictions on medicaid coverage for abortion covered forces one in four women to carry unwanted trinities to -- pregnancies to turn. how do coverage bans lure force low income individuals further into poverty? >> for some women, what is the hardest time in their life, they are now in a situation where, because they are on medicaid or because they are on a federal health plan or other federal restrictions, they no longer have or are in a situation where there health care can be covered by insurance like the rest of their health care. all of a sudden, you're having to scrap together money on top of a range of other barriers. those barriers may look like having to travel long distances. those barriers may look like having to pay for childcare because of multi-day waiting periods. it is not only the restrictions on coverage. you have these other costs. for the ri

finally, the senate -- the center for medicare and medicaid innovation within c.m.s. is required by statute to enforce financial controls on total medicare spending. the center for innovation can only test different ways to pay for services in medicare and medicaid if they're expected to lower costs while maintaining quality. so this idea of using taxpayer dollars responsibly and in a targeted manner exists in many facets of the american health care system. so my point is this. while some call the inflationary rebate in part b a price control, i urge all of these members to consider how congress is using measures to contain costs currently. and isn't it the fiscally responsible thing to do when federal taxpayer dollars are being spent by those of us in congress. shouldn't we do what we can to contain costs? after all, it's not what hospitals, doctors, and pharmaceutical companies may charge. it is about what the american taxpayer will pay for services. that doesn't fall into the category of price controls. at the markup of my prescription drug bill, the director of th

some for medicaid. >> peter: for months warren has avoided answering a straightforward question aboutunding medicare for all. >> middle class families would pay less on health care. >> now she's decided middle class taxes won't go up. the white house isn't buying it. >> let's be very clear. it is the middle class who would have to pay the extra hundred billion dollars or more to finance this kind of socialist government takeover of health care. >> warren estimates that over 10 years $52 trillion including $22 trillion in new federal spending will come from money already spent on medicare and medicaid plus new taxes on millionaires, an employer contribution similar to the payroll tax. >> i have a math major working hosph.d. who will make sure they add up. >> joe biden doesn't think it adds up. >> she's making it up. >> biden said the gymnastics are hiding from voters. warren seemed surprised to hear that. >> wow. >> before blasting biden. >> democrats are not going to win by repeating republican talking points. >> peter: for now, iowa democrats are siding with warren. she's in first pl

it restricts medicaid friends from abortion care for women's and communities across the. state the hyde amendment function as the original abortion ban for a low income individuals. according to the institute, -- one in four low income in women john kerry unwanted pregnancy, miss cause graves how do bans force low income into poverty. >> just to add what some women have as the hardest term in our life they are now in a situation because they are on medicaid or because they are on a federal health plan or other federal restrictions they no longer have or in a situation where their health care can be covered by insurance, like the rest of their health care, so all of us at it and you have to scrap together nominee on top of a range of other barriers. >> those barriers may look like having to triumph long distances -- having to pay for child care because of multi day waiting periods, it is not only in the restrictions on coverage, you also have these other costs. for the right to abortion and has been legal for 50 years and reaffirmed again and again by the supreme court, mo

, doctors and hospitals are losing money, doctors more than hospital, losing money when they see medicaid, medicare patients but they do it out of a sense of social obligation to care for these people and it is supplemented by people with third-party insurance. the hospitals have money that comes to them from the federal government that helps offset the money they would lose from medicaid and medicare and residents working below minimum wage to make it more affordable. i know in my case i spent 16 years in training, either paying to be there or paid below minimum wage to be there and when i get into private practice i can't afford to continue to lose money on people, can't lose money on everybody be the way you practice your business or your never going to be able to get anybody other than either very dumb people or people with wealthy parents become doctors and it will change healthcare to be something we do not accept as americans so i would like to know what can we do about having something funded by the government that would allow people to have the limitations imposed upon you if you

medicaid and medicare. two is state government, medicaid. by law areoyers who required if they have more than 50 employees to provide health care for their people and to provide it at a certain level. four is you. that is when you reach in your pocket. so, here is what medicare for all proposes. that the federal contribution stays the same, you just pay it all with medicare. our two, state contribution stays the same. part three, the employer contribution stays the same, they just pay it all to medicare. the part that changes as part four. the part you're paying right now. that $11 trillion over the next 10 years. and i would propose we do this through progressive taxation. the top 1% in america, the giant corporations in america. and my personal favorite, the tax cheats up at the top. you squeeze on them, those three sources basically will give us $11 trillion over the next 10 years. that means the cost of your health care goes to zero. think about that for just a minute. i want you to think about it when you think about the great plan you

housing these patients the company and they actually show how the company's 6000000 dollars and medicaid members actually like i was saying produced 43000000000 and 2018. they showed one person who is that money went to and again through also there were you receive illinois at chicago for example you had this guy as we they named him steve and united health they got him into an apartment 12 months prior to him moving in and he had spent $81.00 times in the e.r. he had spent 17 days hospitalized had medical costs on average of $12945.00 per month now 9 months since he had a roof over his head and he's been living underneath you know in the warmth and away from the cold his average medical expenses dropped by more than 80 percent bringing his total to $2000.00 a month and he had a lot of different problems and a lot of different costs that were literally keeping him homeless you know it's $1.00 of these things where. it's going to explaining this over and over and why people are like medicare for all and all who need it and having this what i'm going to do how we're going to pay for we are

what he did with the teachers and medicaid expansion, and his father actually passed medicaid expansion. the governor that bevin was -- i should say andy beshear. >> andy beshear's father was the one from 2007 to 2015. he was big on medicaid. >> it's interesting when you have a state that is that red. >> mm-hmm. >> as kentucky. used to be a swing state has john king said. now you have a state that is this red. are republicans going to bank on, well, you know, he was just -- matt bevin was just really unpopular and that's why the republicans lost in this state. but around the country, we have a stronghold and we won just about everything else, except in virginia they're not doing so well as well. >> virginia, a very different picture, i think, in terms of the analysis there and the organizing by the dnc. they saw a window of opportunity here. i think they put more money into that state than they ever have before. that matters from an organizational perspective. that would be very historic in virginia. they haven't controlled all three facets of the government there -- >> we're projecting

up in a week or two in that runoff in louisiana, and i've seen red state democrats, and what is medicaid it is notable to me it's one of the crisp clearest in the most conservative states that the democrats have medicaid expansion and the republicans either against it or want work requirements, and the other is teacher pay and supporting teachers, which we've seen these teacher strikes from oklahoma to kentucky to west virginia. how much do those two issues, what do those two issues mean to you as you think about what the democratic party stands for in a place like kentucky? >> it's about the basic issue of dignity, the dignity of work, our future. if you don't have health care security, you don't have economic security. and ask any parent what's your biggest concern in life, it's my children's well-being. and he so attacked schoolteachers in kentucky. and by the way, it's not just kentucky. you see in west virginia, oklahoma, arizona. you see in so many places around the country teachers stepping up and communities stepping in to support those teachers. and that is -- we're on the right

medicaid is is like 50 single payers since it's paid for by the federal government and states and the states determine a lot about what it will cover. so whether you live in a drat or republic one might determine whether you get great benefits. now if you think about obama care, the biggest way that the affordable care act expanded the number of people who had a insurance was to put millions of americans on medicaid. during the debate, there was a proposal to allow people to buy into a federal insurance program like medicare, the public option. but thanks to conservatives like joe lieberman, that died. the people you keep hearing hate obama care tend to be the individual bayers because their coverage is still expensive because the pool isn't as big as it could be since republicans fought the individual machindat. most importantly, healthier in order to get the cost down. but people who got medicaid, they tend to love obama care because before that, they were among the nearly 47 million people who had no insurance at all. a number of that's now down 27 million. and that's why obama car

early to tell whether voters pick the democrat over impeachment concerns or if local issues like medicaidirements and teacher pensions are the decisive issues. >> republicans are rushing to distance himself from bev inpointing to his high disaproovlg raters. one telling cnn we found out that being an a-hole is slightly worse than being a liberal. note that president trump rallied for bevin on monday. >> you're sending that big message to the rest of the country. it's so important. you've got to vote because if you lose, it sends a really bad message, and they will build it up. here's the story. if you win, they're going to make it like ho-hum. and if you lose, they're going to say trump suffered the greatest defeat in the history of the world. this was the greatest. you can't let that happen to me. >> overnight we saw more of the same from the president, three separate tweets pointing out republicans won other statewide statements, taking credit for bevin's surge while distancing himself from the likely loss. >> cnn projects they'll flip both chambers. that gives them full control of the

doctors and hospitals at this point and losing money doctors more than hospitals when they see medicaid but they do in tras either pain to be there or being paid below minimum wage to be there. and when i get into private practice i cannot afford to continue to lose money on peop people. you cannot lose money on everybody being the way you practice your business or you will never get anybody other than very dumb people or people with very wealthy parents become doctors. and it will change the healthcare to be something that we do not accept as americans. i would like to know, what can we do about having something that is funded by the government that would allow people to have either the mentation opposed upon you if you have the health insurance that medicare and medicaid and the va offer and not have the doctors have to send all these tests that american expect when if the doctors don't send this test out there probably not going to show but one in the thousand to the doctor still have to send them out otherwise they're sued and can lose their practice. what are they doing to address