obviously, medicaid expansion vote hurt. but on the othan years ago, thought i had a chance of being nominated by my party to be speaker a second term. erin: jasper captured 109 votes, one more than the 108 needed to win the house speaker nomination. sean: the union representing drivers for first student is agreeing to give 48 hours notice to two districts before any strike happens. the agreement with the timberlane and hampstead school districts came after the

with the state of indiana and sort of create medicaid expansion on indiana's terms. >> medicaid expansion in every state's terms means basically i'd like to expand and use 100% federal dollars or as i said on radio yesterday, even with governor romney who i love, the massachusetts wonderful expansion was done with 100% federal dollar cans zero massachusetts dollars. the problem is in the past medicaid's a great program. i hate to disagree with john. i think this is going to be a complete and total policy war for the next for or five years. it's very difficult to get done. if you look what's going to happen, republicans didn't like the expansions. none of the southern states didn't. i'm a fan of medicaid expansion certainly up to 133% of poverty. a lot of southern states didn't take it, northern states did. they're going to go. i don't know if they'll pass it or not. this will be in the end much more state versus state than republican versus democrat. medicaid is more about what happens in your state and protecting what you have. so what's happened in the last 25 years due to transfers and

was in the first year of the expansion you had 26 states expanding coverage for the medicaidopulation. the second year in 2015 we had three additional states, you know, participate with the expansion but some of the other factors that we talked about earlier in the presentation that wouldn't be reimbursed fully at 100% with the expansion was highering reimburntment rates and then there was, you know, the other health residential so trying to provide more care in the home and community so moving that care. so a lot of the shift that we've seen more recently in 2015 is not as strongly driven by the expansion under the affordable care act as the growth and the expansion was not as strong in '15 as it was in '14 on the enrollment side. >> what are the higher reimbursment rates. [ inaudible ] >> and so at different points in time they try to make changes and to encourage access to care and other measures that they're trying to do state by state and so this was just one of the years where when surveyed this is what states responded that they would be looking to do in 2015. >> okay.

with the state of indiana and sort of create medicaid expansion on indiana's terms. >> medicaid expansion, every state means basically i'd like to expand and use 100% federal dollars or as they said on the radio yesterday, what governor romney, who i love, the massachusetts wonderful expansion with them with with 100% federal dollars and zero massachusetts dollars so the problem is in the past, you know, medicaid is a great program and i hate to disagree with john but this is going to be a complete and total policy war for the next four or five years. republicans didn't like the expansions, none of the republican states did. i'm a fan of medicaid expansion up to 133% of

and to be seen as somebody who managed to use that flexibility with the expansion to create medicaid expansion on the terms. >> basically as i said of the radio yesterday even governor romney with ad expansion had zero massachusetts dollars so that problem with that medicaid is the great program but it will be a complete and total policy failure in the republicans did not like expansion i am a fan but good or bad of what of those. i don't know if they will pass it because there is more state vs. state it is more what happens of what you have so over the last 25 years hist -- those states have cashed out their money. bet now all of money is faking and phantom. so the report what they will try to do adult think it will be a block grant but that per-capita cap that has more bipartisan support, but if you tell every state we will keep you that per-capita amount adjusted for inflation for your population for women and kids but look at yorkton thousand dollars on average one verses alabama which is 4,000. bay to the expansion but alabama led didn't so the republicans control the white house so they

i am a fan of medicaid expansion. a lot of southern states didn't take it. this will be much more state versus state. when you get into medicaid, it is more about what happens in your state and protecting what you have. what's happened in the last 25 years due to a disproportionate share of taxes, is that the states have largely cashed out their money. there is not one state that can tell you that. all the money is fake. it is all phantom matches. now, you are going to get to the point where i don't think they will do a block grant but a per capita cap, because it has more bipartisan support. let's say you go to every state and say, we're going to give you a per cap amount that adjusts to the inflation for the disabled population, anyonged population women and kids. look at what new york spends versus what alabama spends. alabama and new york did the expansions and alabama didn't. are you going to cap everybody where they are? the republicans control the white house and the senate. all those states get capped at the officially low rate and the ones that took

in his column yesterday he writes, "in colorado the medicaid expansion halved the number of uninsurednow receivepatients medicaid, which has enabled us to add positions, integrate behavioral health to primary care, and add quality jobs. even though many private petitioners refused to accept medicaid, safety net systems stretch these modest payments into a network of benefits. in the 19 states that have not expanded coverage, the system is different. the kaiser family foundation observed that -- accounts for more than three fourths of that population. " doctors (202) 748-8000. nurses (202) 748-8001. other medical professionals (202) 748-8002. how has the aca impacted your job? amelia is a nurse in georgia. good morning. caller: good morning. thank you for taking my call. when i have noticed over the that we noars is longer have a lot of patients that come through the emergency room without insurance. over the years, before the affordable care act, hospitals had to absorb the costs of patients coming to the hospital without any insurance. gethe backend they would passed on to the taxpay

they know that 58% of north carolinians want medicaid expansion. almost 80% of north carolinians want a living wage. this legislature would not even put it on the balance of north carolinians could vote on that. them and we have beat voter suppression. we have been fed over redistrict thing. they see this tide rising. they see if you look at the pictures yesterday, black and white and latino people standing together in the deep south, and they know that if we have policy movement along with this kind of moral movements, it will not only energize north carolina, but it could energize the rest of the south and cause people to stand up and see we are no longer in the minority if we engage in real fusion politics. herrod politics. the christian story, herrod was so scared his power was going to be taken, that he engaged in the most mean-spirited and vicious kind of attempts to hold onto power. legislature,rod rather than a legislature acting like a democracy that we live in. juan: specifically, what you mentioned about the necessity now for a new elect

will their medicaid expansion stay there? >> i would anticipate that a part of what we'll do is what the president-elect has called for through the course of the campaign. and that is, while we -- while we take the mandate off every american that exists under obamacare, the threat of higher taxes against individuals and businesses, we're going to develop a plan to block grant medicaid back to the states so that states can do exactly what indiana was able to do in part by reforming medicaid. the state of indiana, which president-elect and i have talked an awful lot about, actually -- medicaid recipients can have health savings accounts. to have first-dollar benefits. they make monthly contributions to those and they're given credit for preventive medicine and wellness. these are the kind of market principles that states can innovate in medicaid and it will be part and parcel of our plan to replace obamacare. >> last question for you, sir, because i know you have a lot of meetings to do. your son is a marine. >> he is. >> you a

with the medicaid expansion. but i'm wondering why it grew -- so, we saw it accelerate by 1.7% in 2014, but then by almost 5% in 2015. is that higher than would be expected? do we know whether some of that might be part of the woodwork effect in medicaid, where people are enrolling in the program who would have qualified before the aca? >> yeah, i need to bring up the growth rates, but i do think there was some effect of increased enrollment that was not expansion-related across some states. >> some of the factors we talked about in the presentation, what's going on with medicaid was in the first year of the expansion you had 26 states expanding coverage for the medicaid population. in second year 2016 we had three additional states, you know, participate with the expansion. but some of the other factors we talked about earlier in the presentation that wouldn't be reimbursed fully at 100% with the expansion, higher reimbursement rates for some of the providers and a lot of states increasing supplemental payments

obviously, medicaid expansion vote hurt. but on the other hand, i do not think there is anybody that two , years ago, thought i had a chance of being nominated by my party to be speaker a second term. shelley: if jasper wins, this will be his second term as speaker and 12th tom: president-elect donald trump now says he's planning to exit the business world and focus on the white house. the announcement comes as trump fills out his economic team. he is tapping billionaire wilbur ross for secretary of commerce and wall street investor chair steve mnuchin the pick for treasury secretary. he says the trump administration's first priority will be taxes. >> we repatriate trillions of dollars back to the united significant middle income tax cut since reagan. tom: trump says he will hold a news conference with his children on december 15 to discuss his separation from his businesses in greater detail. meantime, green party presidential nominee jill stein is now requesting a full hand recount of michigan's presidential vote. she has

perhaps medicaid expansion stays because it has nothing to do with the private market and it'll coverpeople that were absorbed into it. >> it's an enormous cost to state. most of the states took it because the federal government is going to pay for it for a 4 or 5 year period. we can't keep doing this every two years or every four years or six years. i would hope that they take the time, again, do whatever they have to do to repeal it, mostly said that in play. but i think it needs to be carefully thought through that this is a plan that's going to be for a long time. seem minor adjustment need to be made but this is the jay more overall and you have to make sure it works for doctors and hospitals, you have to make sure it works for insurance companies and employers. it needs to take time and needs to be carefully and successfully. jenna: the question is timing again. you do get health insurance through the company, you had the open enrollment period, we are all essentially signed up but after that there's a big concern. next november, do we see something different? is that really the

immigration, their lawsuits against affordable care act, helped that be act restricted in form of medicaid expansion. democrats in congress or attorneys-general in california, new york, strong democrats, trying to block trump in court, when they abolished the filibuster, it put several on the appeals court, appeals court right below the supreme court and they now have a majority. so until trump can fill the vacancies that exist or until he get the nom nigh on the high court, the courts could be an obstacle to trump's latest initiatives. >> stewart: jeff greenfield, thank you for the analysis. >> thank you. >> stewart: north korea is a closed society-- a dictatorship ruled since world war two by the kim family dynasty, which deprives its 25 million citizens of everything from information to adequate food. large numbers of north koreans, perhaps hundreds of thousands, have fled their homeland. in tonight's signature segment, "newshour weekend" special correspondent karla murthy reports how defectors now living in south korea are smuggling media to encourage other north koreans to escape. >> reporter:

with the state of indiana and sort of create medicaid expansion on indiana's terms. >> medicaid expansion, every state means basically i'd like to expand and use 100% federal dollars or as they said on the radio yesterday, what governor romney, who i love, the massachusetts wonderful expansion with them with with 100% federal dollars and zero massachusetts dollars so the problem is in the past, you know, medicaid is a great program and i hate to disagree with john but this is going to be a complete and total policy war for the next four or five years. republicans didn't like the expansions, none of the republican states did. i'm a fan of medicaid expansion up to 133% of poverty but a lot of southern states didn't take it, republican state, northern states did so they'll go -- i don't know if they'll pass it because this will end up being state -- in the end this will be state versus state when republican versus democrat. when you get to medicaid it's about what happens in your state and protecting what you have. so what's happened in the last 25 years do to intergovernmental transfers and

so subsidies that help poor people by insurance, the medicaid expansion, the mandate penalties, otherndustry taxes. so i think it's going to go away pretty soon. but there will have to be a transition of maybe up to two to three years, where the current affordable care act actually stays in place before a new program comes through. and as you point out, it's very likely that any new gop plan will cover as many as 20 million individuals. >> let's talk a little bit about the hospital business. they are very, very worried, obviously, that they would be hit with an influx of uninsured people very quickly. how dire a situation would that be for them? >> it's not great. and, in fact, if you look at the statements that the hospital groups gave versus the insurance groups gave this week in their letters to congress and to trump, the hospital message was much more dire. we want our cuts back, we agree to $155 billion in reductions to fund the stream of the affordable care act. so the hospitals are really much more detrimentally hurt by this new program that will come in, and that's largely bec

many republican legislators who has stayed current lot of people lose coverage whether the medicaid expansion or subsidy. how do you make that date? these voters, are they in a position to hold their representatives accountable? >> the thing is one thing that i focus on is we had in it to a few years ago which only affect dead about 200, 300,000 voters. and as you recall, there is a chat kerfuffle around that. there's another word i could use but i will go with kerfuffle. i think the issue for us is right now just a layout for the debate is, republicans would like to do is repeal and then are replaced for years later. that is relatively unprecedented to do a giant policy change in one year and then wait for the answer to that policy change after the next election. they want to do it precisely after the midterm. in the meantime, there will be a lot of people who boost health care a few days after the election would show the insurance markets will move into chaos once repeal has been issued as well. our point is that we think that the voters will be affect it in those two years and that voters

the second is a medicaid expansion and there are problems and medicaid, but that has made axis -- accessth care. is the class to health care. hope is that all of us would say, we got to do with this class of health care. in some cases it's a broken market. in some cases, it might be litigation. if we gave definition, there is a common benefit if they bring down the cost of health care. it is killing our companies trying to protect their workers. we are like an insurance company. if you give us some definition and we say, you have some proposals and we have some, and the objection is not to throw people off health care, but to get a more efficient help your system, then i think we can make progress. it's the same with infrastructure. trump is a builder, and we need that. we will comeave is up with some infrastructure plan that will blow a hole in the deficit and you will see a lot of democrats raising questions about that. so, how to be with infrastructure and a payment mechanism? can we agree that is a mutual challenge? >> the perfect storm is that we had a change from a whole presidency

bruce talked about the medicaid expansion upped the affordable care act. can you tell the impact on medicare. tom: not a lot. it was a hell of a good summary, by the way. the ac was focused on creating exchanges for, you know, people above the - up to 4% poverty to get into the private plans and expand medicaid. the impacts on medicare, there were moderate effects, but it was not focussed on medicare. the vast impact was not medicare. >> the impact on medicaid. can you talk about the cost of doing that. what the bottom line was for that expansion. >> the bottom line was it was going to get complicated. the states had the option to and the panned. most of the scorn states did not cover a single man or woman. if you were low income, there were thousands or millions of the folks. most of the expansion in the northern states did. you had a huge increase in the population. in the health care business there were hospitals in albuquerque going from 18% to 8%. and we had some where they didn't expand. some stayed there. it significantly took the un insured rate do

result was congress and the federal government could not tell the states exactly how to manage medicaid expansion. they could not even tell states to expand medicaid. that is why we have all these different roles in different ways it is handled per state. it is the same thing for this -- the suspicion from the cities and population in general -- cities, states, on up to the federal government, not one of the federal government tell of how to spend money, or federal budgets -- it is the same issue with immigration. sit -- they want to be able to run the way they want to appear mark on a huge question whether trump can withdraw cities based on this. host: cliff. florida. independent line. caller: good morning. great topic. i know the guest mentioned that disbursement in different states depends on budgets, and a large city might get more money, such as new york versus wyoming, but going back to the beginning -- who decides how much money gets disbursed by the federal government? are there actuaries? there are 50 states -- hawaii, alaska -- all the others like puerto rico -- who decides how much is

the second is medicaid expansion.t has made access to health care significant and a lot of republican senators have accepted that. the third issue is killing us, the cost of health care. some of the reasons are what senator hutchinson said and what i would hope is that all of us would say, look we have to deal with the cost of health care. in some cases a broken market, in some cases a broken regulation. in other cases, litigation. but if we gave it a definition, there is a combination that is killing our companies who are trying to protect workers. an state budget, we are like insurance company. to give a definition we say, you have proposals and we have some. the objective is not to throw people off health care. the objective is to get them a more effective health care system. it is the same and infrastructure. donald trump is a builder, that is a good thing. we need it. that has to be paid for. he willy i have is that come up with some infrastructure question that will blow hole in the deficit. how do we deal with

it was to help pay for the changes and medicaid expansion.y did that without even reforming the medicare program. i think that we need to look at is reestablishing a private sector health care marketplace that works for everyone. we need short reform as you mentioned. every country that has any degree of health care reform in .he world we also need to make sure that, in addition to the private sector, our federal government programs are reform through the future and are sustainable. they need to be solid safety net. host: two point out this quote from the "new york times" today. this news is coming off of statement by senate republican leaders after their meeting with vice president elect mike pence yesterday. they said they can move immediately next month to start repealing the affordable care act despite some qualms among their members. they said that it will be the first item in the new year under mitch mcconnell. a caller is waiting to talk to you from arizona. good morning. caller: good morning. i was just going to ask him why we need sh

there is real debate over medicaid expansion. republicans in a number of medicaidve expanded and don't want to see it go away. we are talking between 12 and 15 million people who have gotten coverage for medicaid expansion. can we say because people will be uninsured? i don't think we can. guest: can i jump in? there was a bill that was passed last year that went to the white house. president obama vetoed it. the congressional budget office look at what the impact would have been on the number of insured people under that bill. it would have been about 22 million people losing coverage or 22 million more uninsured people at the middle of the next decade. tost: republicans i talked said they passed that knowing it would be voted. havereedom caucus members been talking about looking at subsidies. that is why it is nebulous to put a number on it at this point. host: you mentioned the urban institute report that democrats in congress were sending links to. , this was an estimate based on a partial repeal the reconciliation, which we

this is the same group that kept 500,000 people from having medicaid expansion. 346,000 white people, 30,000 veterans. this is the same group that has cut off from public education. and took 900,000 people's earned income tax credit so they could give 14 families a tax break. this group has no integrity when it comes to caring for the people. this was a secret coup. it's unconstitutional. it's immoral. and we plan to fight it with everything we have. we cannot let it stand. >> reverend barber, we appreciate all you are doing and we continue to follow you. reverend william barber, thank you. >>> in our next hour, north carolina republican will be here to try and defend the power grab that just took place. jerry springer is in the house. and we will prove to you that president obama was right about kanye all along. >> he's a jackass. when they thought they should westart saving for retirement.le then we asked some older people when they actually did start saving. this gap between when we should start saving and when we actually do is one of the reasons why too many of us aren't prepared

of increased enrollment that was not expansion related across some states. >> some of the factors that we talked about in the presentation what's going on with medicaid was in the first year expansion you have expanding coverage for the population. the second year in 2015 we had three additional states participate with the expansion but some of the other factors that we talked about earlier in the presentation that wouldn't be reimbursed fully at 100% with the expansion, higher rates for some of the providers and increasing payments for hospitals and then there was the other personal care services. so trying to provide more care in the home and community and a lot of the shift that we have seen in 2015 is not as strongly driven by the expansion under the affordable care act and was not as strong in 15 as it was on 14. that's on the enrollment side. >> [ inaudible ] >> basically, states have a lot of control over how they allocate resources within the medicaid program and so at different points in time they try to make changes and encourage access to care and other measures that they're trying to do state by state so this was one of the years where wh

medicaid expansion vote. on the other hand, i do not think anyone two years ago thought i had a chance of being nominated by my party to be speaker for a second term. one more than the 108 needed to , win the house speaker nomination. sean: the union representing drivers for first-student is agreeing to give 48 hours notice to two districts before any strike happens. the agreement with the timberlane and hampstead school districts came after the districts asked a judge for an injunction that would have prevented those workers from walking off the job. the districts say the 48-hours notice will give them enough time to prepare for a strike and to warn parents about any transportation disruptions. and people across the country will be showing their support for those living with hiv as well as remembering the people who have died. the southern new hampshire hiv, aids task force is holding an open house and candlelight vigil. the open house runs from 4:00 to 5:15 at 45 high street in nashua , followed by the vigi

the second is medicaid expansion. that has made access to health care significant and a lot of republican senators have accepted that. the third issue is killing us, the cost of health care. some of the reasons are what senator hutchinson said and what i would hope is that all of us would say, look we have to deal with the cost of health care. in some cases a broken market, in some cases a broken regulation. in other cases, litigation. but if we gave it a definition, there is a combination that is killing our companies who are trying to protect workers. an state budget, we are like insurance company. to give a definition we say, you have proposals and we have some. the objective is not to throw people off health care. the objective is to get them a more effective health care system. it is the same and infrastructure. donald trump is a builder, that is a good thing. we need it. that has to be paid for. he willy i have is that come up with some infrastructure question that will blow hole in the deficit. how do we deal w

you've got republican governors wanting medicaid expansion, asa hutchinson worked out his waiver withbama administration because it makes rural hospitals in arkansas thrive. i think the republicans have to think through whether repeal through executive action is the right thing to do or whether they actually want to manage the legislative process in a way that's effective, and i think the affordable care act is the way they're going to do it. lauren: he also doesn't want people to go without health care. >> exactly right. lauren: thank you so much for your time. david: talking about president obama passing the blame. president obama saying conservative media vilified him throughout his presidency. the president telling the atlantic magazine, quote, in 2008 i was subjected to the vilification of fox news, rush limbaugh, the conservative media ecosystem, and so as a consequence even for my first two years as a senator, i was polling at 70%. here now is tim graham, director of media analysis at the media research center, and tim, there's a big problem with the president's logic here, whi

when it went to the senate, it ended up rolling back the medicaid expansion. that is not the entire health care law obviously. but enough republicans felt it gutted enough of the health care law to be sufficient for them and it passed muster with the parliamentarian. and it defunded planned parenthood. that is what we are going to start with in terms of how we repeal it, those core tenets. >> i remember one tiny detail from that was in getting rid of the mandate, i think they left it in but set it at zero. that is how it made it through the commentary and. >> they left the mandate but got rid of the penalties. >> in order to get it through the parliamentary hoops, i think that is what they did at one point. >> [indiscernible] outt is important to point the parliamentarian is a political appointment. the majority makes the decision on who is the parliamentarian. they are usually not going to put them in such a dire they have aat face-off with the parliamentarian and majority. but they can make for interesting times as they say, will this work? >> [indiscernible

states who have been getting the funds for medicaid expansion will not know in their budgets whethering to get the funds. what will happen if there is a repeal and a delayed replacement is actually collapse will started to occur immediately because of the uncertainty. and when you think that it's been six years and there hasn't been an agreed upon replacement. and so that will fuel this uncertainty that anything will really happen. >> woodruff: and what does that mean in human terms. >> in human terms what it manies is we know that right now 20 million folks have insurance through the affordable care act. last week the urban institute came out with a study that said that approach could result in up to 30 million people uninsured and why that is, is because this approach would not only take away what we gained, but would take us back further because it will affect negatively the individual market. >> woodruff: you're speaking about what will lap to the insurance markets, decisions that they will make and we're already seeing in this president-elect, donald trump, is he somebody who is

in his article, he writes that in colorado the medicaid expansion for the aca has had the number of uninsuredthe number of uninsured. it has allowed physicians to implement behavioral health into primary care. although many private petitioners refused to accept medicaid because of low reimbursement rates, these modest payments have been stretched into a network of essential services. in a state that not -- that have not been lamented medicaid, it is different. it has created a health care gap. adult account for s adult accountes for about 33% of the uninsured population. again, we want to hear from doctors and nurses and other medical professionals. the line for doctors is 202-748-8000. for nurses 202-748-8001. for other medical professionals 202-748-8002. caller fromrom -- georgia, good morning. caller: good morning. >> rather than propose real policies to crack down, he is picking his own winners and losers. he is lavishing tax giveaways to embrace that are moving jobs overseas, and he refuses to divest from his massive real estate empire. he campaigned on raising wages, but his cabinet is

it was that they were wrong on medicaid expansion. and they were wrong in attacking people and it's showing we can win in the south when we deal with interlocking justice and we deal with intersectional politics that takes on the issue of race and class. we can win in the south. >> thank you so much, reverend. i know tam ron appreciates your time with us today. chris jansing appreciates the time here today. chris, we are hearing inside the floor some gop are calling this special session unconstitutional and we will know whether that has an effect on the voting later today. >> mariana thank you so much, interesting interview for sure. >>> meantime, the dow flirting with an historic 20,000 mark. what it could mean for markets in the new year. they are the natural borns enemy of the way things are. yes, ideas are scary, and messy and fragile. but under the proper care, they become something beautiful. there's a moment of truth. and now with victoza® a better moment of proof. victoza® lowers my a1c and blood sugar better than the leading

it's about public schools, it's about medicaid expansion, it's about tax relief for the middle class.w my priorities, and what they are trying to do with these process changes is to limit my ability to work to raise teacher pay, to expand medicaid, to protect our air and water, and it's not time for this. they go into session in a few weeks after the new year, after i'm sworn in. i'll roll up my sleeves and work with them, but this is why people are mad, and this is why people don't like government, because of these kinds of shenanigans. >> you guys have a unique system in north carolina. the legislature is awfully powerful. there is a veto-proof majority that the republicans have. there are many republicans quietly who believe that handkufd governor mccrory on the whole h2 bill because he knew there was nothing he could have done about it. he couldn't veto it because it was going to get overwritten. how tied are your hands on this? >> well, i have a vision for where we're going to go in north carolina. i have a history of being able to work with republicans. when i was the senate maj

we're a little higher than the national average because my state has not accepted medicaid expansion. the difference in six years is 327,000 more virginians have health insurance in 2015 than had in 2010. that's a powerful, powerful thing. in addition to having health insurance, families are protected with insurance. they can't get turned away because of pre-existing conditions. they can't get turned away because they've reached lifetime limits in terms of their medical care as jude would have reached by age 3 and a half. children can stay on family policies till age 26. women cannot be charged different health care premiums than men. insurance companies are required to rebate excess premium payments back to consumers if they overcharge. it's not just about the millions who have health insurance who never had it before. there's also millions and millions more who receive protections that they've never had before. and these are important, important provisions. there's been discussion that i've been reading and following here that what we need to do or what some want to do is just repea

about how this can be used in the debate, it's often sort of seen as something that, especially medicaid expansion, helped minorities and especially latinos and african-americans and no question that the drop in uninsured rate has been enormous among those demographics but it's also been enormous among non-college whites who have low incomes. you've got many republican legislators who have states where a lot of people stand to lose coverage whether the medicaid expansion or subsidies. how do you make that stick? these voters, are they going to be able to be in a position to hold their own representatives accountable? will they even know what happened? >> well, i think the thing is one thing that i focus on is that we had an instance with the grandfather clause a few years ago which actually only affected about 200,000, 300,000 people and as you recall there was a giant kerfuffle around that -- around -- there's another word i could use but i'll go with kerfuffle and i think the issue for us is right now just to lay out where the debate is, the republicans would like to do a repeal and then a repla

to be for changing the climate, you've got to be for section 8 housing, you've got to be for medicaid expansionwhat trump's appointees are doing are reflecting the views of republican voters throughout the country whose views have been blocked out by the obama administration. there are no conservatives passing -- heading up agencies in the obama administration. this is a changing of the guard. the idea is that conservatives are going to bring their world view to these agencies. there's nothing wrong with that. >> the attack that donald trump is getting right now is from conservatives in the republican part party. when you have john mccain saying he has strong concerns about the secretary of state nominee these are attacks he's receiving from his own party now that's the one thing to watch. >> that's one nominee and one voice thus far, but again, he's moved to the front of the pack a -- >> many will come later. >> good to have you. >> thanks, victor. >> christi. >> always a good conversation. >>> six months after the pulse night club shooting, remember 49 people died there, but there were 101 pe

but at the same time we have to remember there is a complexity involved with, for example, medicaid expansion going to happen to the 6.5 million people, that's one of the complex issues they need to hash out if they move forward and dismantle this in less than three years. you have to move quicker rather than wait. >> charles, the republican, gop leadership, the white house need the freedom caucus to stick around with him. democrats aren't going to help withest esfforts. >> this is going to be the signature trump measure, signature gop measure. for eight years they've been campaigning and saying the one thing the republicans have stood for for the repeal and replacement of obamacare. the fact is as we learned with obamacare, itself, when you do something this large, you're actually changing, really uprooting one-sixth of the economy. you own it the minute anything happens. whatever happens in health care, you're responsible, you own it. obama learned to his chagrin and democrats learned when they suffered through three elections when they were damaged as a result. you got to get it right. the

losemillion people would coverage directly due to the repeal of the subsidies, medicaid expansion, andl requirement to carry health insurance. matteo renzi has resigned after sweeping defeat on his reforms agenda that was central to his nearly three-year long government. hasident sergio mattarella asked him to stay on until a new government can be put in place. he will start consultations with various delete is to see where support lives for new government. global news, 24 hours a day, powered by more than 2600 journalists and analysts in more than 120 countries. i am nina. this is bloomberg. scarlet: the dow closing at yet another record high. it is 12 since the election. the s&p joining in on the fund sends a close at an all-time high as well. so did the dow transport average. the nasdaq up 1.1%. joe, maybe there is a bit of rotation going into tech stocks now. joe: everything was up-to-date including postelection losers like the bond equivalents. just green everywhere. "what'd you miss?" more cabinet picks. president-elect donald trump has tapped linda mcmahon, cofounder of world wr

with it, we have no responsible plans that will tell us what is going in place of the medicaid expansionnd the subsidies. this is rushing forward, potentially through congress in january. you have people all over the country. i know it is not working perfectly for everyone that for up to 30 million people to lose their insurance, this is a very devastating time. we want to see a replacement plan on the table sooner rather than later. definitely before the repeal vote goes forward. >> what will you do to stop the repeal? caller: we, and many of our partners throughout the country and partners in the coalition are working together right now. we have been talking to members of congress, hearing from people all over the country at the national level, to let them know what people have gained from this law. we are hearing from people who are scared they are going to die because they are going to lose their health coverage. if you look in papers around the country from pittsburgh to the daily news in maine and west virginia and charleston, there have been rallies going on with people writing to

i think republicans are against medicaid expansion, the governor ertainly didn't expand in most statespublican governors, i think there is sort of be an effort to make certainly those at the lowest end of the economic scale whole in some different way than simple block grants, which is government was doing, medicaid expansion. in terms of with all due respect caller's take on the history of what happened with obamacare and sort of the evelopment of the law under president obama and republicans involvement in it, of course no republicans in the house or voted for the law, this was passed entirely through emocrats and through some sort of legislative gamesmanship to scott browngh after was elected and stopped things the senate. early on, in the debate and discussions, you know, that president obama had about healthcare, it was made clear ryan talks about this a lot, that he made it lear that he wasn't interested in having republican ideas onboard, say with the issues ith medicare and sort of growing, spending problem medicare has, this was a big of paul ryan for many years and still is i

the medicaid services one of the architect of the indiana plans and places to implement the medicaid expansion and has experience around containing the medicaid costs and dr. ben carson for the hud secretary also as note the state appointment hobnobbing i didn't congressman from los angeles to succeed pamela harris a positive appointment for our position as a sanctuary city and so that will be included in the next update to staff as well as some self-care tips and when we had the town hall people were more interested in figuring out how the how to you talk about the election and we wanted to give them tools to do that that is less about the actual position positions and more about the interpersonal workers and the discussions so our next step to provide manages with the tools for the employees to have those discussions in an appropriate workplace. >> thank you questions yes so i'll be interested in i have my own opinions about the results the selection and burglary do policy with the cms and hud we're a city that utilities resources from hud i'll be interested in a health perspective if we cou

of increased enrollment that was not expansion related across some states. >> some of the factors that we talked about in the presentation what's going on with medicaid was in the first year expansion you have expanding coverage for the population. the second year in 2015 we had three additional states participate with the expansion but some of the other factors that we talked about earlier in the presentation that wouldn't be reimbursed fully at 100% with the expansion, higher rates for some of the providers and increasing payments for hospitals and then there was the other personal care services. so trying to provide more care in the home and community and a lot of the shift that we have seen in 2015 is not as strongly driven by the expansion under the affordable care act and was not as strong in 15 as it was on 14. >> basically, states have a lot of control over how they allocate resources within the medicaid program and so at different points in time they try to make changes and encourage access to care and measures that they're trying to do state by state so this was one of the years where when surveyed this is where states responded that they w