perspective that is more money over the next ten years then then this country will be spending on medicare, medicaid and social security combined. if a medicare for all program were to pass. during the debates was before and was asked time after time as she would pay for it and she ducked and dodged in six times they asked the question and she refused to answer at least bernie sanders was honest when he said if you are family making more than $29000 a year you will pay more in taxes under medicare for all. "the washington post" had a story to will the metaclass be hurt under medicare for all and will they pay more and what will happen there in the second sentence to that was also but warren and bernie sanders struggle to answer the question. they interviewed a professor from emory university in charge of healthcare and what he said was look this program medicare fraud was designed to be distractive and and to have winners and have losers be very disruptive and the cost for the american people for the middle class will be high. this is on top of the fact they will remove health insurance from 180 mil

the subcommittee mister 35 minutes for an opening statement. >> iq for holding this hearing, medicare and medicaid services today and i'd like to welcome administrator verma to her first appearance before the energy and commerce committee . ems undergoes medicare and medicaid as well as numerous other federal programs. the programs will impact 145 million americans in fiscal year 2020 cms budget over 1 trillionrepresents 25 percent of the federal budget . not only to emphasize the critical role that the agency placed in the healthcare system but how they illustrate how we cannot possibly cover all of cms work in a single hearing . administrator verma for your commitment to unloading competition for americans healthcare and for that work so far. yesterday i was pleased to see cms announced premiums for mid-level civil plants will decrease four percent for 2020, a far cry from the double-digit premium increases we've seen in past years. i've heard from my constituents on how cms is for more time focusing on the quality of care to patients other than the horridly burdensome administrative tasks and i

that includes medicare, medicaid and chip. republican leadership, has extended chip for five years and then six years, we have 14. we have for ten years, fully locked in children's health insurance and a lot of democrats have not voted against this, almost every step of the way. i don't want to get into this part but it's unfortunate because there are issues that we need to focus on. together i think about the meetings i've had with the president, you and others, i have seen presidents who have leaned and to get drug prices down. i wish you could be here during our markup, when every democrat was holding up posters about what president trump said about drug prices. well we may have some disagreements about the policies, they were the president advocates last week when we were dealing with drug costs. the chairman are working shoulder to shoulder with this administration to protect consumers from surprise billing. what i ran into in my part of the world is people are so concerned about the high costs of health care, and the aff

after that the medicare and medicaid programs they have an effect on private prices as well. it's not the cost shifting effect that everyone seems to think it has where medicare pays below-market rate, provided make it up by charging private insurers more, that hypothesis suggests if you reduce medicare and medicaid rates, providers will charge even more. they suggest the more medicare and medicaid pay, the higher the private price goes which is very consistent, high prices that were private insurers play are consistent with my hypothesis that medicare is often overpaid. >> paige, last word >> i would add insurers love the affordable care act because it was the perfect solution with the government saying we are going to give you money and cover all these people and require them to buy health coverage. i just think you are going to have a system we are talking about, all the issues of private coverage, the system is so entrenched and i don't see movement by republicans or democrats to move away from that. if you look at the democratic candidates they came out of the gate, medic

felon you most people won't employ you you can't get public housing public health you can't get medicare medicaid if you have a felony move names and the people incarcerated and actually it's drug related ok and as we're finding and that's why these prisons are so overcrowded now because of drugs so what we're finding is when they come out they can't get treatment because my facility is based on. manicamp and i can't serve the men and balinese so it's a catch 22 and it keeps bringing people back around to the same place where they can mining town they can find housing they can get medical treatment they may be depressed at this point they won't be able to get any treatment for their mental health issues and so therefore it just becomes a vicious cycle that keeps repeating itself over and over. male black and. we're going to want to be coming out a. little bit about what a lot of. narcotics and news doing surveillance on non-narcotic said to me in the midst of gardens which is bonnie kind of blood which is my game for the last 15 years. so we're going to try to take down the cellar right now. let'

medicare, medicaid. there's really important mandatory programs. like i said on autopilot we have to come to grips with. president obama didn't want to take on medicare, president trump is not seeing -- that's not in his agenda either. in order for us to get those addressed meaningfully, it's going to have to take leadership out of the white house to make it happen. no single house can make that happen. we can lay the groundwork for it to make that happen. but until we have on the agenda for the president to make that happen, then i'm not too encouraged we can do more than have the conversation, try to build the case for why it's important. >> i'd glad you're going to be with us two more years. >> 14 months. >> because i was really worried when this information came across my desk october 3rd, which is an executive order on medicare. it may have been too new for it to come across your desk. but i'm a nurse practitioner in santa ana and i've been here for 25 years in private practice. all this time i have had to fight bureaucracy to maintain my indep

and medicare -- medicaid. there are some really important mandatory programs like i said earlier on autopilot we have to come to grips with. you know, president bush was the last one trying to address social security. died when katrina came on. president obama didn't want to take on medicare. social security president trump is i want not in his agenda. in order to get that addressed mean flee it it takes leader shep outside the white house. now we can maybe lay the groundwork to make it happen pl until it's on the agenda of the president, to force that happen, make it happen, i'm not too encouraged we can do much more than have the conversation try to build the case for why it's important. >> yes, ma'am. >> i'm glad that -- i'm glad that you're g going to be with us two more years. >> well, 14 months. >> because i was worried when this information came across my desk october 3rd, which is an executive order on medicare, may even be too new for you to have come across your desk. i'm a nurse track tissue ner in

the administrator of the centers for medicare and medicaid services has stated, quote, a section 1332 waiver cannot, cannot undermine coverage for people with preexisting conditions. and what's more is the white house -- as the white house has already made clear, democrats' resolution has zero chance of becoming law. this is just another political messaging exercise with no path to making an impact. so i would urge my colleagues to reject this resolution, keep fighting to lower premiums for the american people, and protect those with preexisting conditions. now, mr. president, i understand there is a bill at the desk due a second reading. the presiding officer: the leader is correct. the clerk will read the title of the bill a second time. the clerk: h.r. 4334, an act to amend the older americans act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes. mr. mcconnell: in order to place the bill on the calendar under the provisions of rule 14, i would object to further proceedings.

add to that the medicare and medicaid programs. they have an effect on private prices as well. it's not the cost-shifting effect that everyone seems to think it has, which is that while medicare pays below market rate, health care providers have to make it up by charging private insurers more. that hypothesis suggests if you reduce medicare and medicaid rates, then providers will charge private payers even more. actually, the literature suggests that the more medicare and medicaid pay, the higher the private prices go, which is actually very consistent so that the very high prices that we're seeing private insurers pay are actually very consistent with my hypothesis that medicare is often overpaid. rather than underpaid. >> paige, last word. >> yeah. i would just add, insurers loved the affordable care act. to them, it was the perfect solution. basically it was the government saying we're going to give you money to cover all of these people and we're going to require them to buy health coverage. yeah, i just think, you know, you're going to continue to have the system that we're

and the literal suggests that the more medicare and medicaid pay, the higher the private prices go, which is consistent, so that the high prices that we are seeing the private insurers pay is consistent with my hypothesis that medicare is often overpaying than underpaying. >> paige, last word? >> yes, i would add that the insurers loved the affordable care act, because to them it was the perfect solution of government saying we will give you money to cover all of the people, and require them to buy health coverage. yeah, i think that you are going to continue to have the system that we are talking about and all of issues with the private coverage, and the employer system is so entrenched, and i don't see the movement of the republicans or the democrats to want to move away from that, and when you are looking at the democratic candidates, they came out of the gate rah, rah, medicaid for all and we vind on the bernie's bill, and now they have backed away and said that we need a role for the private coverage, and we don't want to take people's employer-sponsored coverage away from them, beca

and, of course, these schemes as well cost medicare, medicaid and private insurance hundreds of millionsns of dollars every yea. just this month six people operating a network of fraudulent treatment centers in ohio pled guilty to submitting 130,000 medicaid claims that totaled more than $48 million for medically-assisted treatment and other services that were never legitimately provided. part of the reason this type of fraud is so common is because there's no way for a patient or their family to learn about the quality of a treatment facility beforeo they end roll. enroll. so today we're going to hear from an organization that is saying, hey, wake up, everybody. this has got to change. shatter proof is currently developing public databases that, if successful, will allow the public to identify, evaluate andat compare substance use treatment programs. this kind of data base and transparency is the type of information that american families deserve to have, and they deserve to have it now because it'll be a key tool to find quality treatment and avoid sham operators trying to make a quick b

it will cost more than social security, medicare, medicaid combined.ator warren dodging yet again about this. >> some of us are happy with the health understand we have. we came up here looking for more specifics on your healthcare financing. >> good. good. good question. so let's talk a little bit about healthcare in america. obviously it's really important. liz: we watched the sound bite, she didn't answer the question. >> she never answers the question, even on stephen colbert. the$30 to $40 trillion. doctor oz would have their salaries cut to 40% to medicare rates. but that will result in a number of doctors retiring early. the best and brightest kids in this country who traditionally have gone into healthcare. and other million would be doctors and hospitals. we'll have fewer doctors. where are these people going to work? they will have to get jobs in the government. it's frightening. it's like having the dmv run the healthcare system. i think she has to realize the cost is not going to be -- she can't cover the cost with a wealth tax. liz: finish

about the big government programs they look 10 to 15 years out, they go over budget, back to medicare, medicaidcial security. i tell you g.o.p. opposes medicare for all in wrong way, they oppose it because of the cost, elizabeth warren says well feel find a way to pay for medicare for all, because medicare for all is moral, and right. that is what needs to be exposed here. it is immoral. >> and rank hypocrisy of what used to be tea party saying, oh, my god wheel shut down the government, credit rating of united states will go in the toilet because of soaring deficits, trillion dollar a year deficit spending without a peep from the same people a bunch of years ago were acting as if we were impending armageddon. david: all spending. >> this is -- go ahead. >> just you know revenues are at an all-time high, even adjusted for inflation, there is a bipartisan spending bing in washington, neither party wants to toking about about it. >> study did find out that it be paid for if you put in a value added u.s., doubling cost of everything' that we buy. that would hit the middle class directly. >> house

political bribery, while at the same time, trump and the republicans are desirous of cutting medicare, medicaid and social security for our seniors. [crowd booing] as all of you know, while in the midst of all of their suffering, there is another reality which is taking place in this country. and that is that while the working families of america have seen virtually no increase in their inflation accounted for income over the last 45 years, the top 1% now have more income and wealth then they have ever had before in the history of this country. [crowd booing] and brothers and sisters, congress may not talk about it, the media may not talk about it, but not only will we talk about income and wealth inequality, we are going to do something about it. [applause] dam right -- damn right, we are going to win. and we are going to win, because the american people want fundamental changes in our national priorities. [applause] they are tired of the 1% getting richer while they are struggling to put food on the table. that is why we are going to win. [applause] today, unbelievably, while we have the high

said he will tax lower income people to pay for it this plan would annually cost more than medicare, medicaid, social security, food stamps, combined. financial markets face a fresh wave of political uncertainty, protests in world from uk and brexit riots there, street riots in venezuela, and france, now new clashes in chile. and lebanon, back home, trump just got a big shout out from a nobel prize winning economist who said that u.s. has not faced recession because of the trump boom. to trump supporters protesting alexandria ocasio-cortez's rally where she endorsed benc bernie sanders. it took place in queens, new york, near where the amazon headquarters would have been built. where alexandria ocasio-cortez proudly helped chase away tens of thousands of new amazon jobs. this story tonight, mexico says thank you to president trump for showing solidarity in mexico's fight again crime. thank you -- against crime, thank you for joining us. i am elizabeth macdonald, the "evening edit" starts right now. elizabeth: welcome, you are watching the fox business network, we got you covered top news with

then you say who is paying, it is our legislator 2 agreed three medicare, medicaid to pay crazy pricesow does that work behind closed-doors. while she says one thing about wants to impeachment him then get business done. >> it is tough, i give president's lot of credit for even considering to work with nancy pelosi, to your point leading charge to try to impeach him from office, it would tak hd for anyone to serious let's take that working with her. try to get president trump out of offers, because they know none of their candidates are good, maybe we could move past impeachment stuff, get something done for american people. melissa: a lot of people were looking that this. ellen, a big story, she was sitting next to former president at a game, people say, how could you talk to him, we have come to a sad place, where you are now not allowed to friends with someone who does not have the same pleefbeliefs, how have we n here? >> you are right, this is sad. that is where we are in this country. i actually don't technology is where we are, i think there are a lot of extreme people on either

was the sing single player plan is bigger than what government spending on social security, medicare, medicaid, food combined. >> combined. she will not answer the question how she will pay, they know it is a train wreck, they don't want to talk about it. but they it will harm hard working families. elizabeth: and issue with the 2020 democrat they talk like tax hike, walter mondale or juror jn kerry. critics saying cold up there in moral high brown, talk that michael bloomberg could step? >> yeah, i'm thinking like who is not jumping in to the race when the democrats. i am waiting for hillary clinton to say i am in, bloomberg, nanny state former mayor from new york city, do as i say, not as i do, he also has a war on coal, he has a ton of money in effort to fight again the coal industry that comes to jobs, he cannot relate to the hard working men and women the man is an elite, a progressive and all about big government that is less freedom and liberty for you and your family. elizabeth: new yorker itd like how he durned ne -- liked how hw york city. >> it depends on what he turns he was trying

expert say the main drivers are the atlantic spending programs, medicare, medicaid and social security. protesters mark one year since brett kavanaugh's confirmation by demanding his impeachment. what is really going on? co-author of justice on file about the confirmation battle joins us live next. new pasta and grill combos starting at $9.99. only at applebee's. it's what gives audible themembers an edge.listening; it opens our minds, changes our perspective, connects us, and pushes us further. the most inspiring minds, the most compelling stories: audible. they use stamps.com all the services of the post office only cheaper get a 4-week trial plus postage and a digital scale go to stamps.com/tv and never go to the post office again. somand with the xfinityreen is stream app,reen. get a 4-week trial plus postage and a digital scale which is free with your service, you can take a spin through on demand shows or stream live tv. download your dvr'd shows and movies on the fly. even record from right where you are. keep what you watch with you. download the xfinity stream app today... ...

the american people love medicare and medicaid. the american people love their fire department. these are all socialist programs. what they don't really want to do is tell you the truth. they don't to tell you the truth. if we structured our economic policies differently, if we structured them as a democracy instead of a feudal system is not thetalism, it capitalism of your great-grandparents. it is a new form of greed and selfishness and making sure just a very few at the top benefit and everybody else struggles to live from paycheck-to-paycheck to paycheck. if they have a paycheck at all. [booing] they are really afraid of is the taxes on the rich will go up under bernie sanders. [cheering] --n they explain [chanting] here is my favorite. so depressing during debate last week watching democrats go after medicare for all. [booing] what would franklin roosevelt say about these democrats? they can't afford it. we can't afford it. we can't afford medicare for all. really? how can explained to me canada afford it? no offense to canada, but where are they getting on that money for a

and medicare and medicaid.here are some really important programs, everything is on autopilot, that we will have to come to grips with. president bush was the last to try to address social security, but that died when hurricane katrina happened. did not want to take on medicare. president obama did not want to take on medicare. president trump, that is not in his agenda either. in order for us to get those addressed meaningfully, it will take leadership getting out of the white house for that to make it happen. -- maybe we relay can lay the groundwork for that, but until we have it on the agenda of the president to make that happen, then i am not encouraged that we can do more than just have a conversation, try to build the case for why it is important. yes? you are goinghat to be with us for two more years. rep. conaway: 14 months. >> i was worried when the information came across my desk on october 3, an executive order on medicare, it may even be too new to have come across your desk. but i am a nurse practi

democrats created medicare, medicaid, social security, the affordable care act, democrats are leadingre protecting a woman's right to choose, democrats are fighting for civil rights, immigrant rights, and they're fighting in short, for an america that works for everyone. they're fighting for the union movement. we have your back, folks, and every single depend at on this debate stage and every single candidate running for president would make a hell of a better president than this donald trump. [ applause ] this is, indeed, folks. this is, my friend, this is a where were you moment because history has its eyes on us and our grandchildren will be asking us where were we during this critical moment and we must remember our unity is indeed our greatest strength, and donald trump's worst nightmare. so let us unite together. let's seize this moment. let's unite around our values of inclusion, and if you believe in this cause, come with us. text unify to 63347 -- 43367, my dyslexia sometimes gets best of me, 46637, text unify, let's work together and let's win and let's take back the white

here now in a fox business exclusive, the centers for medicare and medicaid services administrator, seemahat would happen, first of all, to medicare itself if we transition into medicare for all? >> well, what folks are talking about is stripping 180 million people of their private coverage and putting them into a government-run health care. that means that washington, d.c. is making decisions about our health care and we have looked at other countries that have tried these types of experiments and what we have seen is that they end up rationing care and there ends up being problems with people getting access to care, long wait times. we think that americans should be in charge of their health care, not the government. david: what about the quality? we can talk about the dollars but a lot of people, dr. marc siegel here at fox, other people warn of the quality of health care because doctors wouldn't get paid as much, would come down. the less you pay somebody, the fewer people you have applying for the job. >> well, that's exactly it. you are going to lower reimbursement for providers, th

once you get out, there's a lot of federal programs whether medicare, medicaid, et cetera where you get caught up in the system and are either outright denied or discriminated against because you already paid your debt to society years ago. and what this does, it contributes to the pipeline of incarceration and going in and out of the system. when you create a state of economic desperation, that's exactly the kind of environment where you begin to spread mass in her trajan. this does the same exact thing anna says you cannot be discriminated against because you pay your debt to society some time ago. and you fulfill the obligation, we should extend our social safety net to you as well. this one, the uplift of workers act, it creates a lead score for the federal contractors in an enormous amount of our budget and our federal spending goes to contractors. where the government pays a private contractor to fulfill some kind of need. so i believe that the federal government is going to inject a lot of money into our economy, that money should go into workers pocket and it should go to help e

and medicare and mai medicaid ty for her controlled government health care. >> and next big urban mecca moving to besome a sudden ware city. -- become a sanctuary city. >> a angel mom joining to us talk about a fellow angel mom, who lost a family member to criminal illegal alien crime, that angel mom delivers a take down of pro sanctuary politicians at a hearing in dc, testifying, you are victimizing the americans you swore an oath of office to protect, americans never got a chance to vote on your sanctuary policies. you will never know the depth of pain you created. thank you for joining us, i am elizabeth macdonald, the "evening edit" starts right now. elizabeth: you are watching the fox business network, vice president pence playing bad cop in china on long awaited policy speech today, edward lawrence all over that in washington. reporter: this story and more, president trump giving the medal of honor to race team legend rodger penske, he did not take questions, but he made a comment about impeachment. and secret proceedings. >> he worked with a small team of engineers for months in

political bribery, while at the same time, trump and the republicans are desirous of cutting medicare, medicaid and social security for our seniors. [crowd booing] as all of you know, while in the midst of all of their suffering, there is another reality which is taking place in this country. and that is that while the working families of america have seen virtually no increase in their inflation accounted for income over the last 45 years, the top 1% now have more income and wealth then they have ever had before in the history of this country. [crowd booing] and brothers and sisters, congress may not talk about it, the media may not talk about it, but not only will we talk about income and wealth inequality, we are going to do something about it. [applause] damn right, we are going to win. [applause] and we are going to win, because the american people want fundamental changes in our national priorities. [applause] they are tired of the 1% getting richer while they are struggling to put food on the table. that is why we are going to win. [applause] today, unbelievably, while we have the highes

the american people love medicare and medicaid. the american people love their fire department. .hese are all social what they don't really want to do is tell you the truth. they don't want to tell you the truth. if we structured our economic policies differently, if we structured them with democracy instead of a feudal system called capitalism, and if not for -- it is not the capitalism of your great grandparents. it is a new form of greed and thatshness and making sure just that those at the very top strugglesryone else to live from paycheck to paycheck-to-paycheck if they have a paycheck at all. are afraid of is that taxes on the rich will go up with bernie sanders. [crowd cheering] mr. moore: and when they explain -- "tax the rich"] and here is my favorite. so depressing during the debates last week, watching democrats go after medicare for all. [crowd booing] mr. moore: what would franklin roosevelt say about these democrats? afford!t we cannot afford it! we cannot afford medicare for all! oh, really? can somebody explain to m

so we've got to fight against that, too, the cuts to medicare and medicaid. and then threat number three, one being the threat of the lawsuit, two being the threat of the cuts it medicare and medicaid -- to medicare and medicaid. the third threat is the sabotage that's been undertaken from day one of the administration. and on the republican side, i would hope that someone would speak up against this. haven't heard much. been listening. haven't heard much about those who might claim to not be in favor of sabotage. here's one example of sabotage, the report i referred to earlier. we just issued this report today. health care sabotage online, a warning to consumers. and here's what we did. we started calling all over pennsylvania and doing research on what was advertised for these short-term duration health care plans. by known in the vernacular here in washington by the phrase junk plans. why do we say they are junk? well, we say that because these are plans that until recently would only last -- you're only allowed to have them in place for three months. but t

couple questions together, how many instances of substance abuse disorder treatment related medicare medicaid fraud did you investigate across the five states and of the total, what percentage involved a case where a patient was the perpetrator of the fraud? >> thank you for the question. we are a little different than the ig. we don't do the investigation of the case that would bee a better question for mr. cantrell. howeverf we do take a sample selection over the five states and we found all five states have reported fraud and then we went in and spoke with various actors involved in that including the medicaid fraud unit and to our knowledge, again we don't go into the case, but for example in florida, they were lured there unknowingly and brokered into other places without their knowledge. >> i want too ask and you can respondwl to this based on your work is it you your opinion or individuals with a substance disorder diagnosis of seeking treatment are generally the culprits in the cases or more likely the victim's? >> in the cases that we see they are the victims. >> overwhelmingly. >> w

he doesn't take into account 401(k)s, pension plans, and income tax credit, medicare, medicaid.nment support programs out of his mouth when he brings up income inequality. he is consistently whipping fastballs by the american people. but he says he will raise taxes on the lower income classes, including middle-class. >> katie: bernie sanders, if you believe what he says about wealth inequality, that he's part of the problem. he's a millionaire, he says he's a socialist, but he has so the riches of capitalism at its back for years now. he has multiple homes, millions of dollars, he has received many book deals, and he has not given that money away to the poor and to solve this income inequality problem he talks about. the interesting thing here is the politics of this. when it comes to them, they have this peace pact that they wouldn't criticize each other publicly. that is over. the question is now going to be, moving forward, there can only be one of them on the far left. will bernie supporters go for elizabeth warren and vice versa if they really have different policy? >> eliz

experts say the main drivers of the automatic spending programs, medicare, medicaid, and social security. protesters mark one year since justice brett kavanaugh's confirmation to the supreme court by demanding his impeachment. [inaudible] >> shannon: what is really going on? coauthor of the best selling justice on trial about the camera confirmation battle, carrie severino joins us live next. ♪ ti man 1: ...caused liver damage. vo: epclusa treats all main types of chronic hep c. vo: whatever your type, ask your doctor if epclusa is your kind of cure. woman 2: i had the common type. man 2: mine was rare. vo: epclusa has a 98% overall cure rate. man 3: i just found out about my hepatitis c. woman 3: i knew for years. vo: epclusa is only one pill, once a day, taken with or without food for 12 weeks. vo: before starting epclusa, your doctor will test if you have had hepatitis b, which may flare up, and could cause serious liver problems during and after treatment. vo: tell your doctor if you have had hepatitis b, other liver or kidney problems, hiv, or other medical conditions... vo: ...and

saying, okay, we're going to have an option that's non-profit for a change, and it can be medica medicare/medicaidis that you will be able to have a less expensive good option to compete with private insurance, and then people can start buying into it using their affordable care act subsidies, and, yeah, i have shown how i'm going to pay for it and how i'm going to pay for everything i've proposed including mental health treatment and long-term care, improving that because i think that's really important right now and that's my difference, and i know that senator warren said that she's going to come out to explain how she is going to pay for it. think that's good. i just think we have a president right now that has added trillions of dollars to the debt by giving money to his rich friends, that tax bill when he goes down to mar-a-lago and says, hey, i just made you a lot richer. to me, that's the best political ad of all because he basically has shown where his heart is and what he's doing with the policies. and that's why i think it's just important that we say how we're going to pay for things.

that would be just a drop in the bucket to overall -- >> well, that's not what we spend on medicare or medicaidu mean over how many years? >> yeah. this is probably related to the -- [inaudible conversations] >> yeah. right, right. >> estimated cost for medicare for all. >> but i mean, you know, a billion here, a billion there start to add up. >> the one thing i would say with that is the assumption that it would not change the amount of people coming into the country for med -- medical care, that's when you would see a really big change in that figure. as i mentioned, like, the therapies we have, most countries the degree of intensity of care is like the quality. i mean, if you think it's, like, arab sheikhs that go to the cleveland clinic, it's not just, you know, the super rich around the world that are able to come to the cleveland clinic. u.s. taxpayers are paying that for everybody. all bets are off in terms of numbers if it's going to have any chance at working. >> in the back, ma'am, and then you up front. .. >> you have to wait for the mic. >> hi, lisa ramÍrez with congressional budget

this bill will provide the medicaid and chip ayment with access to drug pricing and rebate data under medicare parts b and d as well as medicaid. they are independent, nonpartisan commissions that advise congress on the medicare and medicaid programs. this drugck access to pricing data and limited in their to provide information to congress on the skyrocketing congress. h.r. 1787 is a simple but critical fix to ensure that the commissioners have the access to this data in order to analyze and report to congress on these important issues. i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the gentleman from texas is recognized. mr. burgess: i rise in support of the payment commission data act of 2019 which was introduced by our colleague, representative carter of georgia. this bill provides the advisory ommission known as med pac and certain mac-pac with drug information. it is area congressional agency to advise congress and it is a nonpartisan branch agency that provides policy and data analysis and makes recommendations to congress on i

it's a bell you driven care and that type of care actually transcends across medicare medicaid and actually is some of the areas that could say center for disease of control so, it's a very broad vision as far as bringing value to the customer and to the patient. and actually to the individual because obamacare had the vision of trying to keep people out of hospitals and keep them from being sick and permitting illness. >> what grade would you give it overall? >> what grade? i think as far as how it's been carried on and through this administration there is value in obamacare as far as the pre-existing condition and there are a lot of pieces of the law enforcement perspective which gave us more stringent oversight responsibility and more administrative amenities that we have implemented as well so it would help us with a fraudulent landscape. over a grade i would give it a b plus. >> that's helpful. you'll get that in the paper tomorrow. (laughs) >> come to a law school and get cold calls. can we get you on the dean's list here? >> but i would say about health and human services and the str

development, the clinical trials, the purchase of those medications for those who are insured under medicare or medicaid or through federal health insurance plans we have the highest costs on the planet today, up to $2,000 per month for one person. which helps to explain why we have absolutely failed in making sure everyone gets that care. 40,000 new cases of hiv just last year in 2018. we can do something about this. and as president i will. we will bring down that cost. and if gilead fails to honor their commitment to the taxpayer, to our fellow americans we will take over that patent and we will make sure that prep is distributed to every person in america who needs that. and the discrimination against those who have hiv in america today. >> congressman, if you will, let me follow up on that. >> sure. >> in dozens of states in this country a person can be prosecuted for not revealing their hiv status. a person can face up to 15 years in prison for not disclosing their status. even if it means it's undetectable. should these laws be overturned? >> i think they should. i think the goal has to be equal

we will lower prescription drug costs right away by using medicaid and medicare to negotiate down prices taking patents away from companies that unjustly raise prices and creating a law in this country that you cannot raise the price higher in this country than you're selling in others. prep is so important in this country right now and i'll make sure like gavin newsom did to have it be over the counter without a prescription. that's a great step in the right direction and more than that, we're going to fight to make sure that health insurance companies actually cover this so more people are accessible. medicaid and medicare, to cover this as well, and i want to say one last thing because this idea of preventing the spread of hiv and aids is so critical, and that's why legislation i've introduced as the united states senator we need to get back to. number one, we need to do more sex education in this country that is science based which is something that's really important. >> thank you, senator. [ applause ] the next question is from aisha schecker, a sophomore from ucla and originally f

you just made, they wrote this -- the major drivers of spending are not social security, medicare, and medicaid. the u.s. government will not be able to put a fiscal situation on solid footing without addressing major drivers of spending. caller: and revenues. we have had these ill advised tax cuts, mainly benefiting corporations and wealthy americans. there could've been a bipartisan agreement on a calibrated reform of the tax code where we paid -- toion to some of the stimulate investment and other needs. there was room for that, but the republicans instead did it on their side of the aisle alone. and they didn't pay for it. it was $1.5 trillion into the whole and it is still does into the hole and it is still pretty unpopular. host: a strong economy helps offset that. guest: yes, kind of a sugar high you might say for the economy. the recovery was proceeding nicely. this juiced it up for some months, a kind of sugar high, which is a good analogy. and then when you really need a stimulus of that sort, when the economy is down, which will surely come, then you don't have the slack in the syste