steve mcmahon: another question? audience member: i had a question about -- we are getting into implementation and it seems like we are -- we have no patience to the way we are reacting to aca. it should be 10-20 years before we see real results. we are starting to see some of policy takes a lot of time, it seems like area did how long do you think it should take for that aca to really show it's true self? 2025, 2026, what do you think? the second question is about consolidation? heady feel about things we're seeing with a lot of hospital being consolidated? elderlydo you think that is a reaction of the aca or something that was there before? if you think it is a problem for the patient? kathleen sebelius: i would do a quick answer to the first. this is a major framework, assuming supreme court cases are survived, that's will evolve over time. were looking at the 50th anniversary this year of medicare and medicaid, which looks very different now. it has evolved and been updated. hope this sets a new chapter new frame

so -- steve mcmahon: secretary? kathleen sebelius: it probably won't come as a great shock, i know it won't, to the former leader, that i will have a slightly -- i have a slightly different perspective on those early months. but i do want to start with a moment of personal privilege. we have two great health leaders here now the dean of the policies go at nyu, but served with me as the head of one of our great agencies. kind of the think tank at hhs. and peggy hamburg, who just stand -- stood down as the commissioner. i just wanted to give them a shout out. but i would go back a little bit further than where leader cantor started. the president talked about universal health care on the campaign trail. it was one of the things he committed to from the moment he announced for office. he said the next president of the united states should be a president who is able to sign a universal health care beer -- bill in the first term. he campaigned about it all over the country. and i would say that the aca really had three g

jonathan capehart is an opinion writer with "the washington post" and steve mcmahon and kristina of theucket fund. they had an opportunity, when the bill came up, the democratic member of the legislature offered an amendment to make sure this does not allow people to discriminate at the storefront, at the bakery or a bar, you can't discriminate against gay people and they shot it down four to one and then he said that's not on my agenda and now they are coming out and said we really didn't intend to discriminate against gay people. they are caught, aren't they? >> there has never been an exemption based on the -- >> can you get back to my question? why didn't they take the opportunity when -- >> because there was no need. the different between the old version and new version -- >> how about when george stephanopoulos and there was a need and the governor said that's not on my agenda, why didn't he take a chance then, why didn't the legislature take the chance so there's no confusion, this could be about caterers or churches or weddings, you guys look like lovers, i'm not serving you. >>

professor steve mcmahon is perfectly suited to this challenge. steve is an attorney and co-founder of purple strategies llc. he got his start in politics on the senate and political staff of edward m. kennedy and has worked on dozens of senate, gubernatorial and mayoral campaigns across the country. steve served in senior roles in three presidential campaigns including including that of president obama. steve appears regularly as political commentator on msnbc hard ball with chris matthews and andrea mitchell reports. during the past three campaign seasons he was a frequent commentator on nbc evening news, "abc world news tonight," the "today" show and cnn and fox news. please join me in a warm nyu welcome for steve mcmahon, secretary sebelius and congressman cantor. [ applause ] >> madam secretary, mr. leader, on behalf of nyu, i actually teach here, american public opinions. too bad those of you who are students aren't going to be here next semester because that's when i teach. thanks very much for coming. the course that i teach has a lot to do

professor steve mcmahon is perfectly suited to this challenge. steve is an attorney and cofounder of purple strategies llc. he got his start in politics on the senate and political staff of edward m. kennedy and has worked on dozens of senate, gubernatorial and mayoral campaigns across the country. steve served in senior roles in three presidential campaigns including including that of president obama. steve appears regularly as political commentator on msnbc hard ball with chris matthews and andrea mitchell reports. during the past three campaign seasons he was a frequent commentator on nbc evening news, "abc world news tonight," the "today" show and cnn and fox news. please join me in a warm nyu welcome for steve mcmahon secretary sebelius and congressman cantor. [applause] >> madam secretary, mr. leader, on behalf of nyu, i actually teach here, american public opinions. too bad those of you who are students aren't going to be here next semester because that's when i teach. thanks very much for coming. the course that i teach has a lot to do wit

thank you, jonathan capehart steve mcmahon. >>> up next the university of oklahoma's president is goingo be talking about how they are dealing with the racist chant that surfaced. this is "hardball," a place for politics. audible safety beeping audible safety beeping audible safety beeping the nissan rogue with safety shield technologies. the only thing left to fear is you imagination. nissan. innovation that excites. i'm brian vickers, nascar® driver. i'm kevin nealon comedian. and i'm arnold palmer, professional golfer. know what we have in common? we talked to our doctors about treatment with xarelto®. me, when i had a blood clot in my leg that could have traveled to my lungs. that's why i took xarelto®, too. xarelto® is proven to treat and help reduce the risk of dvt and pe blood clots. i took xarelto® for afib... an irregular heartbeat that can lead to a stroke from a blood clot. xarelto® is proven to reduce the risk of stroke in people with afib, not caused by a heart valve problem. hey, well i'm glad we got together. for people with afib currently well managed on warfarin there i

please join me in a warm nyu welcome for steve mcmahon, secretary sebeiluisebelius and congressman cantor. >> on behalf of nyu i actually teach here, american public opinions, too bad those of you who are students will not be here next semester because that's when i teach. thank you very much for coming. the course i teach talks about politics, public opinion, and moving and shaping of public opinion and how public opinion flows. there's nothing more controversial in politics over the past five or so years than the aca. beginning with the path to passage to implementation. i wanted to start with the notion that president obama came into office with which was this notion that democrats and republicans could work together on matters of great importance to the country. and i think early on in the administration, there was contentiousness around -- there was contention around the stimulus bill, and the next bill thing on the agenda was the aca, which took quite a while to negotiate and pass. so i wanted to ask you both, was that dream or that vision of bipartisanship something that was not po