From the New York Times, I Michael arboreal this is the deal today for seven years. They ve waited for the chance to dismantle President Obama's affordable care. So why are some republic it now voting against the republic and plan to replace it. We take a close look at the bill, to understand, and we call of former lookin presidential candidate. For his sake, it's Wednesday Marches Harry S. Truman president on president, I like almost bubble Congress. The state of the union is, as we begin in nineteen forty eight, a reddish gap in our social security structure, is the lack of adequate provision. For here we are. I am proud of the high standards of medical care

We know how to provide in the United States. The fact is, however, that most of our people can afford to pay for the care they need, and so it began this great nation, cannot afford to allow its citizens the southern neighbours from the lack of proper medical care like dozens of allies after the Second World WAR, the states started to debate whether to create a nationwide healthcare system, July of this year. And had a national healthcare programme And soon enough, similar pro arms were enacted in Sweden, Iceland, Norway, Denmark and Finland, then Japan, Canada, ITALY, China by the end of the nineteen seventys. The idea had spread through much of the industrialized world in the EU It states programmes like medic, air and Medicaid were developed to protect specific groups like the elder

we or the poor, but because of its size, because of its history, because of its nature, the you never enacted such sweeping legislation until two thousand and ten today, after almost a century of trying today, after over a year of debate today, after all, the votes have been tally. Health insurance reform becomes law me five states of America, but as soon as it was signed before, was signed economic area than cancer and our government and we're going to rapid opponents of the bill began to cry for repeal in no uncertain terms, repeal this bill and after seven years and more than sixty attempts to repeal

We have now one control of the House, the Senate and the presidency. There Moment to do what they have long to do has come but Simply something here changed, really but we're seeing right now is a debate with. In the Republican Party about Is there a vision for healthcare care, and does this bell represented while Margo Sanger cats has been reporting on the? U S: healthcare system for years, Margo, real, quick before we get into the new bell remind us. What is the affordable care act? The affordable care was this sprawling, complex piece of legislation that was designed to help people who couldn't afford to buy their own insurance have the ability to get access to it, and it was so designed to make sure that people who were shut out of the old insurance system, because they had prior illnesses no longer were excluded in the sun. Was terms how This new healthcare plan from the Republicans different from the affordable care act of that's a heart

answer the affordable, correct, took our dysfunctional healthcare system in like layered some stuff on top of it, this for Publican, you know peel, replace reform. Whenever we want to call it is doing some of the same thing. You know when their fordable crack was first past and in the years afterwards- and I guess really right up until very recently, so our plan repeal it clean, repeal bow cry, was we're gonna, repeal Obamacare, complete, reveal clean reveal, and I think we're publicans. Really man is like. We want to go back to the old healthcare system and that we had in two thousand nine, where we didn't have this huge expansion of government benefits and we didn't have this extensive regulation of health insurance, but since then people kind of used to this new system. Only have you know it's more than twenty million people who are newly ensured as a result of it, and so I think it's become much politically harder for Republicans to just say we're gonna turn back the clock, and so this bill irregular health correct. Instead, they

through this idea that we're gonna repeal and replace a bomb occur, it keeps our promise to repeal and replace Obamacare. That's actually quite heard because I dont they have a clear vision. Is the Democrats had of what they want? The healthcare systems like an how they're gonna get there, and so what we see what the spell is. It just makes various changes to a Cares programme, but it's not like structurally revolutionary, it's just candidates making changes to how things work. Let's talk about just a few of those changes and would have biggest of them, so the biggest I would say, is that it totally changes the nature of these tax credits that help people by their on insurance. Under a care basically or tax credit, is calculated based on how much as insurance costs in your area an Much do you are, and then they serve do some math and say: ok, you only have to pay a certain percentage of your income towards your premiums and so what that, it that, if you're pretty

poor and health insurance is really expensive. Where you live, the amount you pay for the product is prey wow and that's why so many poor people have signed up because the plans are really affordable, but there Poland's want to do is instead of having this complex formula, they want to say like if theorist in eight, you get a flat tax credit if you're one years old, for example, you would get a tax credit. Two thousand dollars. If you're older, if you're sixty years old, you get four thousand dollars and you can use it to buy insurance and it doesn't matter how much insurance, ass in your area, and it doesn't matter how poor or but you are accepted, very high end, and so with them. Means is that there are more Americans who are eligible for tax credits under this system than Obamacare, but because they're not scale people's income, they end up being a lot less generous for particular groups of people and a lot more generous for others. I want to be sure. I understand why

people are not going to benefit from this new plan, an example I can share answer here is an example. I looked up if you live in Central Nebraska right now, and yours steers old and you make twenty thousand dollars. The tax credit that you're out before under Obamacare is worth about eighteen thousand, hundred dollar too little money, it's a lot of money under the new plan. The credit they are eligible for is worth four thousand dollars and I dont think that the premiums that you're gonna have to pay are so substantially different. Under this plan, bad, it's gonna make up for this ten thousand dollars. You have just lost intact assistance, so here someone and twenty thousand dollars a year not exist. The clear to me: where are you going to come up with fourteen thousand additional dollars and ordered by health insurance? Probably a fear that person you're gonna from having insurance to not having a chance there's this being politically charged. Word mandate, yes,

it gets rid of the mandate. So that means, if you dont, want, have insurance, you don't have to, and you don't have to pay a penalty, but it has of other policies in there that are designed to try to still encourage people to buy insurance. Another thing: it does. It creates this penalty. If you, uninsured. So if you, drop your insurance and then you decide you wanna buy some insurance later like. Maybe when you get sick, you have to pay. Thirty percent more than someone who has been ensured the whole time and their can say this will create a financial incentive for people to stay in the system. Over tired of sounds a lot like a penalty like from the old plan, It is but it's also you know. Critics have pointed out that there are some weird perverse incentives that could occur as a result of this penalty, so the individual mandate penalty you pay, every year. You don't have insurance and then, as soon as you want to buy insurance, you just pay the normal price. This penalty, you don't pay anything when you're, uninsured and then

when you go get insurance. That's when you have to pay this extra price, and so I think to imagine like what happens if you're a healthy person- and maybe you lose your job you can afford it. For a couple of months. Then you decide you want to go by adding you find out. There's this big penalty. It may be that is that you don't get insurance yeah, we're going insurance and time sick. I can afford the scene a hundred and thirty percent of what everyone else's pang. The other Changes are really make substantial changes to Medicaid. It pulls back some of the extra funding that the affordable, correct gave two states to cover the poor people that they didn't to cover, and then it also makes as some changes to the structure of the programme, that over time, reduce federal spending on medicated and potentially could result in less care for poor people. Does the new plan cost we have no idea? How is that possible The Republicans are really in a big hurry to pass the spell, and so there are their proceed

process without waiting for the congressional Budget Office to do its calculations. At some point in the are. We are going to get this report how the report is going to include estimates of how insurance, for going how or lose health insurance and how much those numbers cost, not taxpayers, but those numbers are not available at this time and Republicans are going to continue to move forward with this bill in the absence of those numbers way Margaret, like there's no way to pull this new, public law away from the really urgent politics that surrounded Real change begins with me. Thirdly, repeal and replacing the disaster known as old bomb. I care I duly. The Romans would have had more time to do this, but they ve got the one hundred days pressure since the election. How much of what are seeing here is just our response to enormous pressure. Do something right now I think, on the one hand, on the other hand here, on the one hand, yeah you know they haven't been.

For that long there. You know, president chump really put a lot of pressure on them to do this first before they did and lay down like right away and right away. He also said you have to do a whole thing. I one we have to repeal and replace Obamacare. You take a look at the kind of numbers that that will cost us in the year seventeen. It is a disaster, that's pretty hard, that's not that much I'm. On the other hand, you know about. Has been the law, since two thousand ten Republicans have been railing, instead and running against it and advertising against it. For all of this time, it is not if they did not know what the law was and what the options were that were before them, and you could imagine a scenario in which they were just delighted to hand over the bill on day one because they had been thinking about this whole time so yeah there in a rush, but I think part of what the kind of slapped Nature of this process reflects. Is that Republicans really aren't in agreement about what it is they want to do on health care, and so that has led them.

Kind of scramble to try to assemble something that can appeal broadly to their entire cock? Ass? An all be written and scored and passed in this very abbreviated timeframe, just how deep Are the divisions within the Republican Party over this new healthcare plan there really really deep? And you hear a couple of examples of things that their fighting, bout that I think are a sort of existential to the bell there. Substantial number of conservatives who do not feel that the federal government should be even people, money to help them by health insurance. No one has a right to medical care appear period. Government has been mismanaging medical care for more than forty five years, for every problem it has created has responded by exponentially expanding the role of government one example another. As you know this magic expansion has led to millions of low income people getting coverage, many of them living and republican states, and so for it. Particularly senators who come from those states. They don't want all those people to lose their coverage, so

even though they are theoretically in favour of repealing Obamacare. I think they also really support this really crucial part of Obamacare that did in. A whole lot of federal spending, an oversight, and so your thread the needle between people who feel federal government should be in the business of giving healthcare to people or giving them money to get healthcare and people who feel like that million of people, should be able to have access to this government programme. The question Go has something happened in the last seven years that in a way, can be undone in american Healthcare workers to find out the answer that question, but I think that the answer is yes, I really think that the affordable care act has re, sat people's expectations about what the gun its role as in helping people got health insurance and what can access to health insurance? bought to have- and I think we really see that Madam president, Trump statements actually me huh

been saying all along- that it's really important- that we join allow people to fall between the cracks. He was saying that even in the presidential primary he said, I just after the election that it was really important that we have a plan that cover everyone- everybody's gotta, because this is an unreal publican thing for me to say because a lot of times they say no, no, the lower twenty five percent, the can't afford private but universal health care. I M going to take care of everybody. I don't care. If it costs me votes are not everybody is gonna, be taking much better than that taken given these demons are really different than the kinds of things that Republicans we're saying when the affordable, correct was debated where they just basically were saying, get the government out of my health care, and that brings me to a final question, which is what is going to be the role of President Trump in getting this bill? asked in making a major change to the formal. Correct far, it's not clear how enthusiastic he has about it. He in a tweet described it as our bell, but he also said that it is starting place for negotiation and is

folks been actions by Sir maids and similar comments today. So I think the president, a sort of like tentatively, endorsed this plan, but he hasn't wholeheartedly endorse this plan, so we really have to see whether he wants to bring all of his power to bear on trying to make this bill into law Margo. Thank you very much things. Driving me Now I have to tell you so unbelievably complex subject. Nobody knew that healthcare could be so complicated we'll be right back. America's biopharmaceutical companies have one very important thing in common: a common enemy they're, making great progress because their collaborating ways they ve never done before in a matter.

Weeks they progressed from potential treatments for covered nineteen to Anna bodies and antivirals that have shown positive results to several promising vaccine candidates. Get the latest updates at Ph Rna Dot, Org Slash corona virus, because science is how we get back to I'm thank you for taking a minute to watch this report to you about very important new project in american solutions. If you go to no more o care that come you play a major role in helping stop this Illustration of american health care centralisation and the domination of your health choices by Washington bureaucrats. The project now to get people to sign a petition to get their senators to vote to repeal Obamacare that was former republican speaker of the House New Gingrich six years ago. After hearing the details of the new health plan. I called him up hello, sir. How are you deserve

So many republicans are criticising this new healthcare bill as an establishment bill for saying it's too close to present Mama's original healthcare bill. There's a leadership plan that was brought forward, which I believe when you look through it, is about here in a different form. What do you think of their critique? Are they correct now? I think this matter has to be seen as the first three or four bills and therefore I will not satisfy someone who wants a full blown repeal, but to your son. I would only fifty do senators Deanna, you have to write a narrower bill and then come back. This fall and try to write a build. Looking at sixty votes. I don't think you can do both at the same time, but would it be better off to just repeal the affordable care act, rather than becoming rather than having you couldn't get through the summit, so it's ok to have as a foundation the

will care act that President Obama put in place now this is I wonder where everybody in the right said: move immediately. Gonna move immediately with fifty two senators, the most aggressive you can move now, if you if you want to be patient and moved. Tumblr October. You may be able to round up sixty votes. I also think Once we get past repealing Obamacare wish we had no democratic boats. Besides step transition away, will may actually written in a manner. Will you start getting democratic dogs and you're gonna have to get a Democrats will sign it If you keep every republic, can you guarantee red Democrats assigned to pass the bill? If I thought this the only bill I Bianca the first step in a multi step process. Can you do know something about getting laws passed in United States Congress Logan once upon a time.

Is America? Just now, supposed to have a national healthcare system, occasionally system guarantees, but every were, has access to health care, but we are such diverse country. We should, in fact, look at allowing stage through our models of ship those states alike is astonishingly different neurons. Under try to design one size fits all for this entire country. I think we both mistake maybe in the early stages of radical scientific revolution. It also We would mean bureaucrat slowing down every single. Do inhalation speaker here it. Thank you very much for your tongue, here's? What else you need to know today? Wicked weeks is releasing what appears to be the largest leak of CIA documents in history, publicity Think what it says is a secret said

tools, the agency uses to break into smart phones, computers and internet connected tvs, those tvs can be turned into secret recording devices even when switched off. The CIA has not confirmed the authenticity of the documents, but a government She'll tells the times they are real and, days after North Korea launch its latest missile test. The. U S has begun deploying amiss defense system in South Korea. The? U S as the system will protect the south from the north, but China sees it differently its calling the. U S move a provocative challenge to China's power in the region. That's it for the daily. I Michael, whereby Cinema for more of the daily

text, the word daily to six three, nine, three, seven, I'll, send you links to stories and some observations again text the word daily to six, three thousand three, seven and thirty: seven. You avoid tough problems and shy away from a debate. Do you think uncertainty limits potential? Neither do we have a university of Chicago Booth, school of business. We believe in asking questions and questioning answers with campuses in Chicago London and Hong Kong. The booth NBA is for people who see challenges as opportunities and want the skills to make positive change in any market anywhere in the world, ready to find your community search Chicago boost at eighty. You today to learn more