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tv   Washington Journal Sheryl Gay Stolberg  CSPAN  April 1, 2021 7:06pm-7:38pm EDT

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a refugee from iran. on sunday noon eastern in-depth to our conversation of science writer harry washington whose books include carte blanche, medical apartheid and deadly monopoly. during the conversation with your phone call, facebook, comment text and tweet. 9:00 p.m. eastern on "after words", former white house press secretary and fox news host dana perino talks about her book everything will be okay. life lessons for young woman from a former young woman presenter via acute by former defense secretary for public affairs the w bush administration. watch book tv this weekend on cspan2. cspanshop.org is cspan2 online store. go there today to order the congressional copy it context
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by remember with contact information for every member of commerce including fios and committee assignments but also contact information for state governors and the biting it ministration cabinet preorder your copy cspanshop.org. every c-span shop purchase helps support nonprofit operation. joining us now is cheryl washington correspondent for the "new york times". to talk about the affordable care act so what is the state of daca at this point? >> well, if you're giving the state of the union address for daca the essay the state of daca is strong. it is 10 years old now the legislation was passed 10 years ago signed into law by president barack obama. it really is firmly ensconced in american society despite many years of court challenges and republican efforts to repeal it.
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i interviewed a public strategist with a fight to repeal ato daca he said that fit has been won and lost. spent why? >> it is survived numerous court challenges for 1 thing. there is 1 court challenge remaining the supreme court will decide in june is likely to decide in june and by all appearances the justice seemed t inclined to reject to this to daca. there's been numerous attempts on capitol hill to repeal the law you might remember when president trump was first in office he pushed an effort to repeal. senator john mccain came inn dramatically at the last minute sick with cancer gave us the big thumbs down. and you know, that was it. republicans have tried to
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repeal it. a and it has survived and it is growing in popularity. the public, despite prompts with daca and there are problems, the public is largely supportive of it now. >> what are the problems? >> well, healthcare is still very expensive. even with daca. the law has helped provide insurance for some 23 million people that did not have it before. but it is still very expensive to buy insurance on the open market. and so, that is a problem that really needs to be fixed read we have seen healthcare costs go up dramatically in this country. daca really has not been able to hold down those costs both for healthcare and also prescription drugs. spin a quit is happening with subsidies today? and will but help? steve that will help her the 9 trillion-dollar rescue plan that president biden signed into law recently includes 2
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years worth of extensions of subsidies for people who were basically to financially well off to qualify for subsidies but not quite well-off enough subsidies can be be expanded for middle income and upper middle going to last for 2 years but what is going to happen at the end of these 2 years? and will they expand the subsidies or make them permanent? applies a 36 states premiums be capped down from 10% and 80% of peoples will find plans for $10 or less after subsidies. what is being topped about when you talk to lawmakers on
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capitol hill about what they do after these 2 years? i talked to she said to me there is going to be a push to make these subsidies permanent. that's going to be high on their list. the beer fight for republicans on this is adding a public option reviewers might remember when the law was first passed, there was a lot of talk about public option. and by that i mean the availability or the opportunity for people to buy into a plan that it's like medicare. that is controlled and run by the government. at the time, president obama said he did not want to do a public option. i think he was really looking at the political reality at that time that basically it
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just was not going to pass congress but is not in going to get the support of moderate democrats. think the politics have really changed. and the debate around daca and healthcare in this country has moved to the point where the left is embracing a medicare for all plan. basically eliminating private insurance and having the government run the whole program.mi somewhere in the middle would be a public option which would allow folks to buy n. democrats are going to really push hard for that. think will bee interesting to see what republicans do. i think they can be expected to fight it as an expansion of government control occult socialism et cetera. the nearest majority in the senate will they push a plan like this through for the budget? we will see.
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>> would they try this year along withth infrastructure proposals the new president only has so much capitol ordered priorities in the ways eewe have seen we passed the stimulus bill which would extend the benefit these subsidies for 2 years. and you saw that yesterday he had laid outan this massive 2 trillion-dollar infrastructurein package. and he is really looking to remake the economy by having a green infrastructured initiative which would rebuild roads and bridges while creating lots of jobs raising taxes on corporate america et cetera. that is going to be a big fight for him.
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going to have togo do things sequentially. see how this plans plays out. biden's time is limited though history shows lose a seat during the midterm elections. he has gotten so midway through early 2022 before the campaign season gets into full swing again to try and make a healthcare push. right now, the talk is going to be about infrastructure. those on capitol hill who really want healthcare reform are going to keep pushing for pritam sure the going to be hearing their art events and hearings have to see how that plays out in what timetable that will take. spirit returned by the affordable care actt this morning, that "new york times" here to take your questions.
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and independence (202)748-8002. and also if you're enrolled in daca, we went to hear how can people qualify reported they have to do to qualify for these subsidies? think the administration is also doing is trying to make it easier the application process that was defunded under president trump's building that up again so people would have to these 36 states either on their own go on the healthcare.gov website
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and make an application or get some outside help to do that that's too confusing for them maybe they don't have access to a computer et cetera. the american rescue plan expanded incentives for states to expand medicaid. number of americans have health insurance under the affordable care act. that's included terribly different path for lower income. many people have lost jar during the pandemic of latin covered. hi linda. >> hi how are you. would you say this is kind of
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a common strategy the democrats used to put something into play for 2 years and since it's giving basically money back in people's pockets, no 1 wants to refuse that. to push and more of their welfare programs. but i would think the colors very good political instinct she's absolute right this is a way democrats were able to set the table and get people used to something. i don't know that i would call it a slick way, but it certainly is a political strategy for them to get something on the table, how people become accustomed to it. and as we found in fact with w the whole law with daca it is really hard to take something away when people get used to it. and that is wider in the trump administration we saw all of this debate over pre-existing
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conditions. where the w president, president trump was i want to repeal the affordable care act but i'm not going to take away the coverage for pre-existing conditions because people like that. so yes i think the color has a good point. >> kentucky a republican. kenneth? in kentucky republican your turn y sir. one last call here for kenneth, are you there? >> caller: hello. >> kenneth go question or comment? >> caller: hello. yes, please go have their question. >> >> caller: the question ive have got hello? >> current kenneth you're getting confused because you are trying to listen with your
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television and your phone you've got to just listen and talk to your phone, david and rigid south carolina republican. >> might question is, when people do not make the 12000 more dollars in the obamacare, what did they do? do they go to medicaid or what? >> i believe that is right. i confess that i am not 1 100% certain of the income qualifications for medicaid. but if your income is low enough, that is what people do they would go to medicaid. >> what are states doing on medicaid related to daca provisions? >> a dozen states have not expanded medicaid. i should kind of scroll back a little bit and explain how that happened. when daca wasas passed, it re-
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required states to expand medicaid. some states box and there was a court case. we cannot require states to do that. states were to opt out of the medicaid expansion. twelve states have done so. under the american rescue plan, there were incentives where the federal government was going to pick up more of the cost for medicaid so that states could exceed band medicaid. we have seen 2 states have talked about doing so those are alabama and wyoming. just yesterday or maybe the day before wyoming killed the medicaid expansion. we are still at status quo. i medicaid has not been expanded and in most states it's tougher people.
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you can cross state lines to 1 has expanded medicaid and find very different insurance pictures for those who do not live in medicaid expansion states it can be really hard thing of all the crack. they do not qualify for medicaid. but they also probably do not qualify fors, subsidies because as the original law was envisioned, they would've got into medicaid but it is a hard road for some of those people. >> take a look at the map of status of action on the medicaid expansion decision. the states in orange not adopted the states in orange on yourdo screen. chris in dayton, ohio, democratic collar. >> caller: good morning paid my question hasll always been as every state set up an
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insurance exchange and extended medicaid would insurance be cheaper? thank you. >> that is a great question. i think that is a question maybe more for healthcare economists then for a reporter for the "new york times". it is hard to know whether or not insurance would be cheaper. although 1 would think that if people who had serious health conditions were perhaps enrolled in medicaid and the government was absorbing those costs thus leaving the pool of those insured would be sort of minimized for the insurance companies it can be premiums lower i feel like i'm talking out of my league here. i am not going to really address what might have
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happened if medicaid had been expanded to all states. i think it's really hard to know. >> host: debbie in olympia, washington independent. >> caller: hi, i have a question. it kind of relates to, back to the voting suppression that ties into healthcare. if voting suppression is able to continue because of court judgments and that kind of thing, it could be a risk. but is it possible it will bring out and motivate so many voters that the democrats will win a lot more seats because it is just so highly motivating and then we can actually get good healthcare for all states, maybe?
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if you could. >> why do you think you get more healthcare more people peturned out to vote? what is your assumption that 1 party wins? >> yes. that progressives, more progressives would win. the democratic party i have been dissatisfied with because they are too corporate. i am thinking that more progressives come out. >> we understood debbie so what you: think? >> i honestly think that is a really interesting point about democratic politics. politics within the democratic party. really, despite president biden's victory the progressive wing of the democratic party really is descendent. i was very struck that when medicare for all was introduced in the house just a couple of weeks ago, a
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majority of the democratic caucus signed on. including representative frank malone who is the chairman of the house energy and commerce committee. and who has control over healthcare legislation. this is very striking to me an indication the parties losing onea healthcare. we do know the public use democrats is better positioned to handle healthcare then republicans fit many ask voters who do you think is better, who do you trust more on healthcare? the public tends to trust democrats. it has been a strong issue for theis democrats. in healthcare is the way theth democrats when the house back in 2018 for they ran i healthcare message and they won. they ran again on a healthcare message in 2020 and they won. although more narrowlyly so. i think the voter is talking about or the caller rather is talking about the idea of a
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backlash arising up among progressives who take umbrage of the efforts republicans are making around the country to restrict voting rights or make it harder for people to vote. and i think progressives are motivated we really saw that and that 2020 election in georgia for instance. who would've thought to democrats would take the georgia senate seats? that was in large part because georgia. it's a lot of backlash is well taken >> i just wanted to say that insurance companies can go into conniption fits whenever they have to pay more
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than half ofei their premiums for benefits. so government run program would definitely cut prices in half. but let's take the point. >> guest: certainly a government run program at large, and other words medicare for everyone would certainly cut the cost of healthcare, i just don't think that is going to happen in this country despite what he said about more and more democrats embracing it. i think we remain a center-right country and they would cassie medicare for all bill as socialism. so i don't think it's likely to happen.
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i do think that if democrats can pass the public option for those who could buy into a public option casa b loader lower. we will see a huge push in the insurance industry not to do away with the current employer-based program. >> can in massachusetts, and dependent. >> caller: thank you for having me this morning. speckle had can ween are listening. >> there are so many issues here for the affordable care act but it is a good thing because there are tons of children who are probably not insured probably but for some reason people have any kind of insurance live got insurance. [inaudible] the insurance policy that
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couple really bad severe lead poison and gluten allergies gluten comes from food and lead came from a lot of areas. but the medical that i got for that was ridiculous current were losing can let's go tol howard and west virginia republican. >> i yes, ma'am. as listening this morning i don't want to say about the insurance. are they going to do away with personal injury care? the medicare and medicaid where to do it they had her do have other things he'll do away with? thank you. >> guest: well, i certainly don't believe congress will do with medicaid medicare. those are here to stay. i also do not see congress doing away with employer-based. what they might do is try to
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ban the ability of people to buy into a government run program. nobody would have to buy into that program. if people are comfortable with their employer based i would think they would still be able to have it. although i do wonder if over time there were a public option, if more and more companies might try to steer their employees into it. i wonder about the cost of healthcare is a high cost not only for individuals, but also for companies who provide healthcare to their employees. >> i was just going to ask, what if companies do away with employer-based? >> i do think that is going to be part of the debate. i do not want to say that is a risk because i think a risk is
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the wrong connotation. that is thebu possible outcome of adding a public option, especially youle could think of smaller companies that are really struggling to provide insurance coverage to their employees. perhaps they would provide employees a subsidy to buy into the public option. so it might shift the dynamic of employer-based health care in this country.in and i am assuming that would be very worrisome to the insurance industry. which relies on the employer-based coverage for a lot of its income. : : : ity. caller: how are you? host: good morning. caller: i am wondering if your guest is aware of the referendum that was passed in missouri about adding additional medicare
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and medicaid aid for those that are underprivileged, >> they have overturned that with the unemployed and the welfare people are had the hardest by this covid pandemic and will not provide any assistance for these people. i think missouri is becoming a fascist state. >> i am aware. that is an interesting point the issuees of medicaid expansion goes to the voters
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, voters tend to favorite. and the public is behind the idea that people deserve healthcare. as far as the specifics of what happened in missouri, i think frankly the collar is right. there will be some people who could have had coverage that would be left in the lurch because of this. >> from washington republican line. >>caller: i've been finding the whole conversation interesting. i used to work for the healthcare authority before i retired. we actually processed things but we also did h that contracts with the healthcare providers what was always amazing to me is the health care insurers and providers could leverage the system. so they can federate for
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whatever they want and then the state basically had to take it. when they can leverage that rate no matter what the hca does it doesn't make a difference because the providers can do what they want. >> when you say providers demean insurance providers for healthcare providers or the doctors themselves? >>caller: no no no. insurance at kaiser permanente. >> that's interesting because we hear medicare is called the 800-pound gorilla which means when medicare set the rate for something, the private insurers tend to follow. because medicare is such a big player in the market so it's interesting to hear it is the other way around and with the private insurers set the rateu
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the government has to follow. thatlo is intriguing to me. host: do you have a follow-up? >>caller: medicare does rule the rates. she is right butn we have thousands upon thousands of my state people that are not medicare or medicaid eligible that's with a leverage happens. people that are under that medicare age, yes they can leverage whatever they want. >> i see. that make sense. host: follow her reporting at nytimes.com also on twitter thank you for the conversation we appreciate having you on. >> thank you.
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