NOW TO SEE YOU. >> GREAT TO SEE YOU.
>> WHAT TOOL DO YOU NEED TO USE? SEEM LIKE THE REPUBLICANS ARE
DOING THE BILL IN THEMSELVES. >> I THINK THEY CONCEPT OF
CUTTING AND CAPPING MEDICAID IS NOT THE WAY TO GO.
I THINK THROWING PEOPLE OFF OF HEALTH CARE THAT WOULD RAISE
PREMIUMS FOR PEOPLE IN THE PRIVATE MARKET IS NOT GOOD IDEA.
WE DO WANT THIS IDEA REALLY THOUGHT THROUGH AND EXPOSED.
THE NOTION THAT YOU MIGHT NOT HAVE THE VOTES NOW BUT COME BACK
IN A WEEK, VERY PROBLEMATIC. WE WANT TO STOP IT.
>> WHAT DO YOU SEE AS A SOLUTION?
BEING REASONABLE, RECOGNIZING WE GOT A REPUBLICAN, DEMOCRATS,
WHAT WOULD BE? >> THE LOGIC IS WE SHOULD PASS
THIS BIG CUT. CUT 15 MILLION PEOPLE OFF OF
MEDICAID BECAUSE WE'RE CONCERNED ABOUT THE INDIVIDUAL MARKET.
THEY SAY THAT WILL RAISE PREMIUMS IN THE INDIVIDUAL
MARKET. YOU DON'T WANT TO DO THAT.
WHY NOT COME BACK AND SAY WHAT DO WE WANT TO DO ABOUT THE
INDIVIDUAL MARKET. LET'S DROP THIS OTHER STUFF AND
SAY WHAT DO WE WANT TO DO ABOUT THE INDIVIDUAL MARKET.
>> WHAT WOULD YOU DO? WHAT ARE THE OPTIONS?
>> I'M A BIG FAN OF WHAT I CALL THE COSTCO MODEL.
EVERYBODY KNOWS YOU GO TO COSTCO, YOU BUY IN BULK AND YOU
GET A DISCOUNT. WE HAVE HAD AN EXPERIENCE IN NEW
YORK WHERE THEY DID JUST THAT. THEY BUNDLED UP 650,000 NEW
YORKERS AS PART OF AN OPTION CALLED THE BASIC OR ESSENTIAL
PLAN AND THEY GOT GREAT TAKE UP FROM THE PUBLIC BECAUSE THEY
KNEW IT WAS AFFORDABLE AND HAD 13 DIFFERENT PROVIDERS COMING IN
TO OFFER COVERAGE. IT CAN HAPPEN.
I WOULD GO BACK AND SAY THIS 7% OF HEALTH CARE, THAT'S THE
INDIVIDUAL MARKET, WHAT ARE THE IDEAS THAT WILL HELP US REDUCE
COSTS AND I THINK THAT WE CAN COME UP WITH SOME IDEAS.
>> DO YOU THINK THE REPUBLICANS IN WANTING TO CUT MEDICAID, WHY
DO YOU THINK THEY ARE DOING IT? THEY DON'T WANT POOR PEOPLE TO
HAVE MEDICAL CARE? >> SOMEBODY SAID PAUL RYAN CAME
UP WITH COLLEGE ESSAY THAT THIS IS WHERE THEY NEEDED TO GO BUT I
JUST SEE RESULT AFTER RESULT IN MY STATE.
PEOPLE TELLING ME THAT THE HOSPITAL COMMUNITY AND OTHERS
THAT COVERING MORE PEOPLE UNDER MEDICAID DROVE DOWN PRESSURE ON
PRICE IN THE PRIVATE MARKET. WE WANT TO CONTINUE THAT.
WE DON'T WANT TO HAVE THE PRICE OF THE PRIVATE MARKET GO BACK UP
BECAUSE OF ALL THIS UNCOMPENSATED CARE.
>> MEDICAL CARE HAS BEEN RISING AND WE EXPECT IT TO RISE
FURTHER. THIS IS GOING TO BE MORE
EXPENSIVE FOR EVERYBODY. IS THERE ANY SORT OF EFFORT TO
TRY TO FIGURE OUT SOME WAY HOW TO COMPENSATE OUR HEALTH CARE
WORKERS FAIRLY, BUT TO SORT OF DO SOMETHING TO PUT THE LID ON
THE PRICE. I SEE SO MANY THINGS BE REUSED.
WOULDN'T IT BE CHEAPER TO SANITIZE THEM?
>> THERE'S A COUPLE OF PHILOSOPHIES I LOOK AT.
YOU WANT HEALTH CARE TO BE MORE IN LINE WITH THE RATE OF
INFLATION. MAYBE IT COULD BE A LITTLE
HIGHER BECAUSE THERE'S SO MUCH TECHNOLOGY AND SO MANY ADVENTS
AND NEW SOLUTIONS. YOU DON'T WANT TO SEE DOUBLE
DIGITS. WHAT DO WE DO TO CHANGE THE
DELIVERY SYSTEM? ONE OF THE GREAT IDEAS I HAVE
BEEN SUCCESSFUL AT GETTING SOME STATES REPRESENTED BY
REPUBLICANS TO TAKE US UP ON IS THE NOTION OF THE NURSING HOME
CARE VERSUS COMMUNITY BASED CARE.
WE HAVE THIS RISING NUMBER OF AMERICANS THAT WILL EXACERBATE
THE DEMAND. IF WE SAY THEY WILL GET THEIR
LONG TERM CARE IN A NURSING HOME, WE'LL PAY THREE TIMES THE
AMOUNT. WE SAID WHY DON'T YOU TRY DOING
COMMUNITY BASE SERVICES. WHY DON'T YOU TRY TO RESTRUCTURE
YOUR STATE PROGRAM AND WE INSENTED THAT UNDER THE
AFFORDABLE CARE ACT. WHEN WE DID IT IN OUR STATE WE
SAVED $2 BILLION. IF WE CAN GET EVERY STATE TO
MOVE THIS WAY WE CAN BE SAVING
SERIOUS MEDICAID MONEY. >> DO YOU THINK YOU CAN WORK
WITH PRESIDENT TRUMP ON A HEALTH CARE BILL?
>> I HAVE TALKED TO A LOT OF MY COLLEAGUES.
I WILL SAY TO HIM LOOK AT THE ESSENTIAL PLAN IN NEW YORK.
TALK TO PEOPLE IN NEW YORK. TALK TO YOUR FRIENDS IN