they talk about wanting to restore us to medicaid, medicare and not get rid of the programs all together. unfortunately both parties are on the band wagon of government involved health care and that's bound to collapse. >> they never showed up. when president obama took his 8 million enrollee victory lap you didn't see the democrat senators, especially one who is may be in tight races. they weren't anywhere to be found that day. >> the one democrat you've got, he voted against obamacare to begin with, right? look, here's the problem we all have. what you kept saying the sky was going to fall in last fall. obamacare was going to do this. it's working. it has 8 million people. just get over this. it's going to be there. obamacare is going to be the law of the land as long as you can see it. it may change some. i go back to the medicare days when they have the arguments about medicare. it was very unpopular. sinking in. there's millions and millions of people invested in it and it's going to work. it's 35% they wanted for young people. they have 29%. >> they wanted 40%. bob. the thing is th

and not including over 3 million and closer to 5 million on medicaid could bring us close to 15 millionple who now have quality affordable healthcare. >> president obama says while the health law is not perfect, the affordable care act is here to stay. well, warm temperatures are sticking around in the bay area. >> yes. but, you know, the bay area, you know what that means, two, three days. so if you like it warmer, you are in luck. today we are starting a warming trend. we are already letter 57 degrees in san francisco. so going for a high near 70 today. and the beaches will be near 70 as soon as tomorrow. i'll have the full forecast and the look ahead when we return. >> thank you, ms. argen. little ahead, how much will -- also ahead, how much will [doorbell rings] hey. hey. what's this? it's u-verse live tv. with at&t u-verse... you can watch live tv from your device. hey. hey. anywhere in your home. [doorbell rings] hey. hey. so you won't miss a minute of ncaa march madness. call now to get a u-verse bundle for the same great price for 2 years. guaranteed. >>> starting tomorrow, it w

if i can have public commitment to assessing it in the context of their medicaid or retiree proposals to us. i think it's something that we need to, that blue shield needs to speak to as well at some future point. so i just make that as a public comment at this point for a future agenda. >> thank you. any other suggestions? any other public comment on this item? seeing none? item 11. >> city clerk: item 11, opportunity for the public to comment on any matters within the boards jurisdiction. >> any public comment? no public comment. if there isn't any objection, this meeting is adjourned. [ gavel ] [ meeting is adjourned ] >> >> >> >> good morning, everyone. the the meeting will come to order. welcome to the regular meeting of san francisco transportation authority finance committee i'm mcly cowen the chair of the meeting and to my left a supervisor cowen and to my right is supervisor scott wiener and supervisor farrell will be joining us as well the clerk is erica changing i'd like to thank our friends jonathan and others for broadcasting in meeting. thank you very much. madam clerk, any an

if i can have public commitment to assessing it in the context of their medicaid or retiree proposals to us. i think it's something that we need to, that blue shield needs to speak to as well at some future point. so i just make that as a public comment at this point for a future agenda. >> thank you. any other suggestions? any other public comment on this item? seeing none? item 11. >> city clerk: item 11, opportunity for the public to comment on any matters within the boards jurisdiction. >> any public comment? no public comment. if there isn't any objection, this meeting is adjourned. [ gavel ] [ meeting is adjourned ] >> >> >> >> i want to learn more about it. >> social networking and e-mail. >> i want to know how to use it. ♪ ♪ ♪ >> divisional divide is a divide between those with access to use digital tools and those who don't. >> with young people, having computers and i just don't know. they're doing it fast. so, i want to know. >> not knowing how to navigate the internet or at a loss of what to do. >> we don't have a computer. >> we're a nonprofit that unites organizations and volu

if i can have public commitment to assessing it in the context of their medicaid or retiree proposals to us. i think it's something that we need to, that blue shield needs to speak to as well at some future point. so i just make that as a public comment at this point for a future agenda. >> thank you. any other suggestions? any other public comment on this item? seeing none? item 11. >> city clerk: item 11, opportunity for the public to comment on any matters within the boards jurisdiction. >> any public comment? no public comment. if there isn't any objection, this meeting is adjourned. [ gavel ] [ meeting is adjourned ] >> >> >> (clapping.) ♪ ♪ ♪ ♪ ♪ i think we have more companies anywhere in the united states it's at the amazing statement we're not trying to be flashy or shocking just trying to create something new and original were >> one of the things about the conduct our you enter and turn your your back and just so the orchestra. the most contrary composer of this time if you accountability his music you would think he's a camera come important he become ill and it was crazy he at t

if i can have public commitment to assessing it in the context of their medicaid or retiree proposals to us. i think it's something that we need to, that blue shield needs to speak to as well at some future point. so i just make that as a public comment at this point for a future agenda. >> thank you. any other suggestions? any other public comment on this item? seeing none? item 11. >> city clerk: item 11, opportunity for the public to comment on any matters within the boards jurisdiction. >> any public comment? no public comment. if there isn't any objection, this meeting is adjourned. [ gavel ] [ meeting is adjourned ] >> >> >> thank you. and welcome to the our very first vision zero subcommittee this is our special meeting for thursday, april 10, 2014, madam clerk, any announcements?. no announcements. >> i want to welcome everyone to the vision zero that was established i'm joined by sfmta sxhooernd p supervisor wiener and supervisor yee and supervisor mar pr if we're joined by our chair supervisor avalos we will have to reconvene at the special board today. i want to thank jim smith m

if i can have public commitment to assessing it in the context of their medicaid or retiree proposals to us. i think it's something that we need to, that blue shield needs to speak to as well at some future point. so i just make that as a public comment at this point for a future agenda. >> thank you. any other suggestions? any other public comment on this item? seeing none? item 11. >> city clerk: item 11, opportunity for the public to comment on any matters within the boards jurisdiction. >> any public comment? no public comment. if there isn't any objection, this meeting is adjourned. [ gavel ] [ meeting is adjourned ] >> >> >> >> disability council meeting on friday, april 18, 2014.

to believe in the market say they believe in the market. some of us actually spent their life in the market. i can manage medicaid in any state for $.90 on the dollar. >> i went to get your comments, after three years in the long term, what is risk adjustment look like? do we stay with a medicare advantage type system? is a bigselection problem. >> 2017? >> and beyond. >> according to the statute, it is the old market, the three r's go away. >> two. >> risk adjustment stays, yes. all that means is that if you are a health plan unlucky enough to get sick people, itself adjusts. you have some players who are too small. the training wheels, the subsidies, go away. regulatedave is the market. that is what insurance companies are used to. that is what they have an part d and medicare managed. in that is what they have part d and medicare advantage. their biggest customer is the federal government. >> there is still some antiselection, free gym membership and stuff. >> clearly, the risk adjustment formula -- that is why you hear these people say these companies are nothing more than cherry pickers. read the law. it is

if i can have public commitment to assessing it in the context of their medicaid or retiree proposals to us. i think it's something that we need to, that blue shield needs to speak to as well at some future point. so i just make that as a public comment at this point for a future agenda. >> thank you. any other suggestions? any other public comment on this item? seeing none? item 11. >> city clerk: item 11, opportunity for the public to comment on any matters within the boards jurisdiction. >> any public comment? no public comment. if there isn't any objection, this meeting is adjourned. [ gavel ] [ meeting is adjourned ] >> >> >> [gavel] >> this meeting will come to order. this is the regular meeting of the government and audit oversight committee, and thank you for joining us to starting an hour earlier today. thank you, scott wiener. i'm supervisor london breed, the chair of the committee. i'm joined by the vice-chair supervisor katy tang and president chiu here today, and sweden supervisor wiener is also joining us as well. the committee clerk is lisa miller. and i want to thank jim smi

. >> to repeat a look at what i said. i think both the use of medicaid and it's unfair to use of narrow networks in exchange plans isolates the problem of the surge in demand in terms of its impacts on the population in general, and for that matter in terms of its impact on the physician population in general, only those doctors and those non-medicaid people who sure doctors with large medicaid populations or large narrow network populations are likely to be directly affected. that's not a solution to some doctors are going to be really miserable but it does mean that it's not necessarily a problem for everyone. and i do have to say though there has been some research that looked at the question of what happened in medicaid programs when medicaid expanded. did it reduce access for the pre-existing set of medicaid beneficiaries? and the general result it did not appreciably. so what went on, programs say perhaps they hired a lot of nurses and especially if that limited by scope of practice lost to expand the productivity of primary care. i put a lot of mo

medicaid directors. he says states are skranling to figure out how to pay for it with government-funded insurance. particularly when existing drugs are 50 to 70% effective. >> medicaid is actually kind of used to dealing with pharmaceutical treatments that are very expensive. but for small numbers of people. with hepatitis c, we know there are at least 3 million people and potentially as many as 5 million people in this country who have hepatitis c so when you multiply those two, you are really looking at a game-change never terms of cost. >> one a day of that one. >> kim bosley's treatments are free because she's part of the study for those with advanced liver disease. and while she agrees the drug's price tag is high, she says the combination of drugs she used before solvaldi interferon were extremely rough. >> there is no comparison. >> her previous drug treatment, she says, caused exhaustion, depression and hair loss. >> it is a very harsh regimen. very debilitating. >> in fact, dr. overson said the existing drug treatments are so tough on his patient approximates many hepatitis c sufferers avoid them all together. >> most patients don't even want the treatments. people wouldn't even co

parents until they're 26 years old, not including over 3 million probably closer to 5 million on medicaid pgs, bringing uslose to 15 million people. one person says one thing, 7 million people -- 7 million people sign up. the congress of the united states which wrote the bill, the members which are proud of what they have done are happy to not run away from what we have done, very proud of what we have accomplished. >> so, how could brit hume sound so different from nancy pelosi on this? hmm. well, unfortunately, not all democrats are listening to nancy pelosi. not all democrats are on board. and that's not good. allison grimes in kentucky. she's trying to oust longtime republican senator mitch mcconnell. i think she has a pretty good shot. it looks like she'll be running the fix-it obamacare program. after praising the success of kentucky state exchange, her senior campaign adviser said this, which shocked me. "the law isn't perfect. and that what we need are commonsense solutions. what allison has always said is democrats and republicans need to come together to fix the l law." what? fix 7.1 million peo

use of knowledge in that they were taking obamacare apart piece by piece. the next piece that needs to be taken out as this. most people are getting subsidies. just like medicare or medicaidespecially medicaid. both of those are going to bankrupt us and think of this if we don't do something about it. and now we are layering another one and all of these people are getting subsidies from the american tax payer. this just can't be sustained unless we want to replace it with single-payer government runs everything. >> i think that that was their intention all along that insurance companies quite naturally would have to chart updated their rates and that the administration foresaw this and people would be getting angry at insurance companies for doing that. ultimately we will go in that direction. >> that is where they are headed. and now we want to invite the republicans and to fix it and make that part of the campaign this year. >> well what would you do? >> what i would do is elect republicans to the senate, as many he can get over there. collect good solid conservatives in the house and then to start during the repealed to obama for the next three years and make sure that

to us that includes our doctors and specialists. neil: could you take advantage of the subsidies to bring that down? >> our family is denied a subsidy because we fall under the qualifications for medicaidraised. they did not just to expand medicaid to take better care of the needy families but expanded medicaid to include middle-class. these who have paid for their own insurance for years now suddenly they kick them into the medicaid system. neil: but you make too much to qualify for the subsidies or get the reimbursements. >> no. that is not the case. we make in amounts that then a child qualifies but if we want to put the child on a private plan we are not allowed to use the subsidy that we are due. neil: so that means to take a vintage of the overrates you have to compromise some of the coverage is that right? >> we have to tip -- kick the children off the family plan to put them into the medicaid system then we could use a small subsidy but that is not an option for us. years do years ago we had our children in that program and it was awful. we had a terrible experience with some really bad decisions made by the doctor at that time to put every daughter's life times. nothing that w

to stay on their parents' policies until 26 years old. millions more secured new coverage for themselves and their families through expanded -- the medicaid expansion. and probably this will bring uso around 15 million people. we are still waiting confirmation on some of the medicaid numbers, but i think it will be at least to that point. the affordable care act, as was its purpose, is to make health care a right for the many not just for the privileged few. for all americans and harkening back to our founders, again, they promised life be, liberty, anti-pursuit of happiness in the declaration of independence. they put that forth. this is about a healthier life. the liberty to pursue your happiness, not just loss, but free to self-employed, start a business, change jobs, reach your fulfillment, follow your passion, not be chained by your policy. this week -- it's been a buzzy week. this week -- busy week. this week republicans unveiled a very different set of values. values that the privileged that values, the at privileged big oil profits over at the expense of our seniors, incentives to send jobs overseas at the expense of creating jobs in the u.s., tax breaks for millionaires a

they tried to avoid using the health care system, and just mark alluded to, and when they do use it they don't pay their bills. than 53 million people on medicaid. you add up those three numbers, it's half the country. half the country cannot afford to use our health system without massive public subsidies. it's not bullish short or long term for any industry if half the nation's citizens can't afford to use its products. that issue of affordability really hasn't gone away at all. we are going to give people access to health care but for the significant number of people who get it through private exchanges, they're facing a deductible of anywhere from 2500-$5000. i heard paul at mckinsey talk yesterday, every penny of that $5000 is going to have to be paid before there's a single dollar of insurance coverage for the emergency room visit for that hospitalization. so very significant barriers to increasing demand, even with the advance -- advent of this new coverage. the hospital interest is the largest single piece over health care systems infrastructure, roughly $900 billion industry. and the most interesting thing going on in this space, two t

to gain coverage through medicaid. >> so, doctor, i read that covered california that exact thing is happening. talk to usabout the doctors, your profession. i in other words this -- could i be wrong -- most doors do the medicaid business because they're good people. they feel like doing it. not because it's necessarily a good business practice. so more people on meds okayed coming in. -- meds okayed coming in. is that pushing good doctors out of the system? >> what will happen is physicians who -- private physicians have historically been the people who took care of medicaid patients. but as you get more and more medicaid patients that won't continue because people can't absorb the cos. the other side of the equation is -- are the exchanges. people are going to sign up for private insurance on the exchanges, but when they do, they're going to find they have extremely narrow networks. >> right. >> and their physicians who they've been seeing maybe for ten, 230 years, isn't on that. >> we have to leave it there. wearing hearing all the horror stories and a lot more to come. thank you. >> you're welcome. >>

got ohio and cut everything he can cut when he uses trickery to get medicaid back.t took three weeks for the rep air. the supreme court had to come in and make the decision to get medicaid back to the seniors. i'm talking about another subject now. i would like to know if the drones would have anything to do with looking for that plane. i have a gut feeling that it might be sitting in pakistan. host: the malaysian flight? caller: yes. i have a gut feeling that it might be sitting in pakistan. host: ruthie calling in from ohio. here's the front page from usa today's when he section. homeowners still bailing out. despite two years of rising prices, u.s. still has millions of homes left with unpaid mortgages. 9.1 million houses or 17% of all homes with mortgages were seriously underwater in the first quarter. that means the total loan amount was at least 25% higher than the y's estimated market value. 700-6000.th 458,000.erdale with area, 343,000. let's go to jack in kentucky on our line for independents. 700-6000. with ,000.icago with 706 if a drone is flying, that's

to deny 500,000 people medicaid. take 900,000 people's earned income tax credit. deny 170,000 people unemployment. cut education to the point of driving us year, they decided to attack voting rights in the way we have not seen since jim crow. 40 changes to our voting rights laws and that's why hundreds of thousands of people have said we can't take this, black, white, democrats, republican, it's not about party, it's about our deepest moral and constitutional values. >> why do you believe the governor has not listened to you? why do you believe he has signed all this legislation? >> we really believe, particularly in the south with the election of president obama and more importantly the electorate, those who are extremists see their world falling apart. holes are beginning to come in the so-called solid south. the walls that were put up are opening up. we've built powerful coalition of whites and blacks working together and that scares literally the political life of extremism. they know they cannot win when you see an expanded electorate and people working together. and so you take that, you take the deep influence of money like the mo

to extrapolate a little bit, if you'll forgive me. our right wing friends today tell us the major and the reason they have to cut social security, medicare, medicaid, is because of the deficit, right? that's the reason. how did we get into this deficit situation? does anybody remember that when clinton left office in 2000, this country was running a significant surplus? [applause] and the economists then were projecting that that surplus would increase in years to come. so what happened? we went to war in iraq and afghanistan. now, i voted against the war in iraq, and i think history will record that as the right war. but does anybody here recall that all of those guys were just so anxious to get into that war. do you remember any discussion about what it would do to the deficit? how do we pay for that war? oh, we forgot. gee, just slipped our minds. we didn't pay for those wars, which will end up costing $3 trillion to $6 trillion. then we gave huge tax breaks to the wealthy and passed medicare part d written by the drug companies and so forth. so i wanted to detour. in terms of issues -- the other thing i would say, again, you'll forgive me for

the way for us to achieve this in trying to do together this bill is to monitor the federal government's implementation of the mental health parity act so that centers of medicare and medicaid will have more say than others ever will on where the dollars a mental health will go. i would like to see them follow the federal law. imagine the federal government having to follow their own law. if the department of labor is going to oversee the plan because over half the health care is being delivered in the private sector or, why not have a better monitoring clarity and ensuring that they treat the "invisible wounds of war" the same way we would treat their visible wounds. both are killing them. why frankly, the invisible wounds are costing more soldiers lives than the visible ones. my view is this is all about framing the issue. i appreciate the work that everyone is doing in this still to try to do that. this is a very important time in the history of this movement to get it right. there is a lock on the line, not the least of which is our returning heroes who will not only use the public system but they will be employees and our fortune 100, 500, and small business companies

to expand medicaid under obamacare. we can prevent those deaths on november fourth two thousand and fourteen millions of us will go to the polls and we'll have a choice reelect republican lawmakers who care more about politics and people's lives or kick them out of office and let democrats expand medicaid so the millions more americans will have access to affordable and lifesaving health care. let's stop the republicans and life and death political games so that there don't have to be any more mothers like charlene. who died on this. and that's the way it is tonight thursday april tenth twenty fourteen and don't forget democracy begins with you get out there get active tag you're it. this was in the washington well it's a miss that is being suggested adding the latest numbers and the media candidate for the prophecy of current issues actually back to you and doesn't do too much for ad revenue my own tech agriculture giant takes on a seventy six year old american farmer based in india. do you think this is going to create for the cia do you think this is what's triggering a race america's the largest a copy of the world i

government to cover basic expenses for their employees, they get a boost from every american taxpayer who helps pick up the ticket for food stamps and medicaid. taxpayer dollars aren't being used to -- are being used to boost the profits of private companies that don't want to pay their employees enough to keep them out of poverty. that's corporate welfare, plain and simple. i understand why some businesses might like to keep it that way, but american taxpayers have had enough of this corporate welfa welfare. american workers have had enough of this corporate welfare. america has had enough of this corporate welfare. this is an uphill fight. those big corporations that pay poverty-level wages want to keep things the way they are. and why not? it's more money for corporate dividends and c.e.o. bonuses. so those companies hire armies of lobbyists and lawyers who lean on washington politicians to keep things exactly the way they are. minimum-wage workers don't have an army of lobbyists and lawyers and american taxpayers don't either. but congress doesn't work for those big companies. we work for the workers and the taxpayers and the voters who sent us here. it's time to call out

think the way for us to achieve this in trying to do together the bill is to monitor federal government's implementation of the mental health parity act so that centers of medicare and medicaid than othersre say ever will on where the dollars a mental health will go. i would like to see them follow the federal law. imagine the federal government having to follow their own law. department of labor is going to oversee the plan because over half the health care is being delivered in the private sector or, why not have clarity anditoring that they treat the thevisible wounds of war" same way we would treat their visible wounds. both are killing them. why frankly, the invisible wounds are costing more soldiers the visible ones. my view is this is all about framing the issue. i appreciate the work that everyone is doing in this still to try to do that. time ina very important the history of this movement to get it right. there is a lock on the line, not the least of which is our returning heroes who will not only use the public system but they will be employees and our fortune 100, 500, and small business companies all across this country. we better get it right. not only for thos

to get employer provided coverage. we're seeing the preexisting conditions gone and we're seeing people die for not being on medicaid. >> i think they should usely draw a stark contrast on this law. the more you are on the defensive, the more it looks like you're trying to defend the indefensible. >> let's talk about republicans here as well. the question going forward for obama care, is it necessarily about the website? the big question is going to be about the law's overall effectiveness? how successful have we been at expanding coverage to people? how successful would this be at containing costs? you know, this is what republicans should be asking leading into the midterms instead of just repeal preel, and the "wall street journal" hit on this yesterday on "meet the press." take a look. >> the political issue isn't the website. the political issue is what they did to the individual marketplace. how many people lost their insurance? what are the prices you are going to get? -- you are going to pay? what limits do you have on your doctor and so on? that's where the republicans are really going to try to fight in november. if they're smart, th

plus, other uninsured american whose are able to become part of medicate as part of medicaid expansion. how many people will use the services how much will those services cost. because those are the factors that insurance companies will use in determining how much to charge over coverage going forward. if their risk assessment has been too low, they will raise the prices next time it comes time for enrollment of course if the estimates have been correct, then you will see a stable ace, maybe even a reduction. months for not a couple of years down the road. this plan to provide low cost affordable healthcare coverage, will really work. >> fault this initiative from the very beginning. etch since it's implementation, what are they saying now about the apparent success of this enrollment. >> house speaker the chief shall we see antagonist, of the affordable care act. 6 million, or 7 million. it's been about the plan itself. republicans will insist that it will repealed. who will not be hired. instead of cutting the hours for their jobs it will be drubberring healthcare coverage. despite the administrations pledge,

to expand medicaid under obamacare. we can prevent those deaths on november fourth two thousand and fourteen millions of us will go to thepolls we will have a choice. reelect republican lawmakers who care more about politics and people's lives or kick them out of office and let democrats expand medicaid so the millions more americans will have access to affordable and lifesaving health care. let's stop the republicans a life and death political game so there don't have to be any more mothers like charlie. who died on this. and that's the way it is tonight thursday april tenth two thousand and fourteen and don't forget democracy begins with you get out there get active tag your. i marinate join me. in get impartial and financial reporting carry in for me and much much. only on bombast and on. the media lead us so we leave the media. part of the scene push the suit you're in the play your party visible in their shoes that no one is asking with the guests that you deserve answers from it's all on politics only on our t.v. . this was one washington well it's a missile that is being suggested to the left is a. candidate for o

the best example is -- the president should use the solveolitical work to immigration issues. they're using denial of medicaid payments. undocumentedmany illegal residents who use medicaid. they get all of the medicine they want, but they do not have the response ability of paying. the contradictory nature -- look at places like pakistan. democracy is controlled by religious people. that is my comment. host: in the new york times, another headline. hairstyleson popular raises reactions. they are popular with black women. the congressional black caucus has asked chuck hagel to overturn that the regulation on behalf of women in active duty. this comes at the same time of a new rule banning tattoos on recruits. lakeland, laura. john is on the line for independents. caller: the governor will not make any official religion of the state. or prevent anyone from practicing a relgiigion. under taxes, it does not say they cannot be taxed. everybody is nonprofit. schools and businesses should be taxed. they all use the same services. host: the topic this morning is your interpretation of the first amendment. the next ca

to be released inmates on the health exchange. bill: medicaid. this could be huge. federal rules ban the used while someone is incarcerated, it does not apply to inmates hospitalized at least for 24 hours. kentucky has about 12,000 inmates. the average medical cost per year in 2013 in the bluegrass state, topping $4,000 per year. is this smart money? tony sayegh, executive vice president of jamestown associates and a fox news contributor. mary anne marsh, former advisor to john kerry. good morning to both of you. let the march madness continue now that it is april. tony, what they're arguing in kentucky, these prisoners once they're released, high rate of them coming back into the jail system, we'll have to pay for them any way whether it is the right pocket or left pocket eventually they will get money for health care and health services. >> yeah. bill: you get them on the front end and help them out now. >> right. bill: what do you think of that logic? >> this is april madness, we learn every day a loophole of obamacare making absolutely no sense of the the moral and political argument for

to stay on their parents' policies until 26. millions more secure new coverage for themselves and their families through the medicaid expansion, and probably this will bring us to round 50 million people still awaiting confirmation on the medicaid numbers. the affordable care act is to make health care right for the many, not just the privileged .ew our founders promised life, liberty, and the pursuit of happiness. life,s about a healthier the liberty to pursue your locked, butot job free to be self-employed, start a business, change jobs, reach your fulfillment, follow your passion and not be changed -- chained buyer policy. this has been a busy week. the republicans unveiled a very different set of values, values here we privileged -- see that values the privileged big oil products at the expense of our seniors, incentives to send jobs overseas at the expense of creating jobs in the u.s. tax breaks for millionaires at the expense of the middle class. our distinguished ranking member on the budget midi will speak to these issues in a moment. -- committee will speak to these issues and a moment. on ourttack -- an attack seniors and our future. republicans ar

got 7.5 million, 3 million others, extended medicaid, she accomplished a lot with regards to disparities, healthcare disparities, women herself and brought us, bob, closer to an hiv aids free generation than anyone. she has accomplished a lot. and now she extends the baton off to a wonderful public servant. po do you think that obamacare is going to be an anchor, a rock around the neck of democrats running this fall? it is by every poll still very unpopular. >> yeah, i think we have to go out there and argue the moral issues, bob, and i have never ran away from obamacare, because i see in my district and i have a very diverse district of people who have been helped by it. and the idea that we now have gotten rid of preexisting conditions which was affecting millions upon millions of americans stopping them from getting insurance i think that is very significant. we have got to look at the good things, and we have got to go out there and make it clear it is something good for america. >> is your sense of it that the problems with this system, not the guess search, disastrous rollout that is over but the problems with the system itself is it

. >> the other thing you can notice about this ad is she uses it to go on offense as well, hitting her republican rival for not expanding medicaid. >> tom corbett has decided not to take the medicaid money. as governor i will take the medicaid expansion because 500,000 pennsylvanians need health coverage. it is exactly the kind of leadership i will bring as your next governor. >> that was congresswoman allyson schwartz and she joins us right here along with richard wolffe, executive editor of msnbc.com. welcome to you both p congresswoman, you're running this ad. your record here is clear on the politics. what is the strategy here, what is the part of the campaign you're trying to enter into? >> well, i thought i was making it very clear that i'm very proud of the work i did with president obama and my colleagues to pass the affordable care act and as the president has just said, 8 million americans have benefited. that includes pennsylvanians. and i want pennsylvanians to be able to benefit. i've heard already that they have. and of course i do think that it is absolutely wrong that our current governor, tom corbett, is refusin

create an independent exchange without legislative approval and to expand medicaid without legislative approval. >> that's interesting. i'm so used to calling new jersey the most powerful governorship in the country. maybe i'm going to have to amend that. a good case for kentucky interest there. >> here we only have -- you have to have only a simple majority to override a veto. so the governor is not all powerful. if the republicans take over the house in this fall's elections, that means they'll control the house and the senate and put through some legislation that might very well pass. and that's why these fall elections are very important. >> new jersey still has the most powerful governorship, i take it back. al cross, jarvis, thank you. coming up the other headlines next. here at lifelock doing our thing: offering protection that simple credit score monitoring can't. get lifelock protection and live life free. but with so much health care noise, i didn't always watch out for myself. with unitedhealthcare, i get personalized information and rewards for addressing my health risks. but she's still gonna give me a heart attack.