They have been, quote, playing the United States for years. China has done little to help. Maybe well hear more about that at the News Conference coming up this afternoon. While we wait for the house to return here on cspan, part of this mornings washington journal. Think of you. Washington journal continues. Host we want to welcome scott represents pennsylvania in the center part of the state in york. Guest nice tie host thank you. Talk about the budget. Lets begin with healthcare. House Speaker Paul Ryan telling he will publicans that not change the main pillars of his plan to repeal and partially obamacare even as tweaks ans search for legislation. Guest hes the speaker of e house. Major piece of legislation that impacts every americans life. These are the tenets that we have to have and i think that americans have to understand it. Hes playing out parameters got some flexibility. I think fundmentedly were of the ing to the core issue, the problem. Right now, with things like the uaranteed issue for Insurance Companies that they must provide and the essential benefits that e with those things remain in place, how can we talk cost of ving down the healthcare . That bucketssurance happen. Ing to a way ink the town in tends to get caught up. This is the bill. Authorship. E in metimes we might miss the rk. O me my job is to represent my constituents and say were off center right now. Respect the job that the speaker doing. Ty wouldnt want the job. Its tough. We applaud him for doing it. As well ve a job to do and thats to tell the speaker i think we might need to tweak it adjustments there host let me ask you about the senate. Vernight senator Susan Collins telling a portland, maine she has serious plan. Rns about the budget my question is will there be a it looks e house if like it would fail in the senate . I think sometimes people use the term hate to use but as an excuse for not doing something in the house. Thats not how this system was designed. The house should do its work. The senate should do its work. With all due respect if every time the senate says theyre going to do something or something if we predicated everything, every action upon that, i dont know out of thing would get the block. We must do our work and in my opinion it must be the best that we can put together and send it to the senate. The senate has every opportunity the bill once we send it to them so instead of trying outcome in ine the the senate and write it so that the senators will vote for it, product, what you believe in, and let them do their business. And that seems reasonable and to me. So maybe Susan Collins or senator collins or senator heller dont like it n its present form but theres nothing requiring them to vote for it in its presence form about the talk president s budget, the skinny budget. Just over 1. 1 trillion, defense getting more money as well as Veterans Affairs and homeland security. Number of nest Domestic Program cuts. The state r the epa, department, foreign aid, and ducation guest the president ilaying out his priorities. Putting that into action and submitting his budget. But for all the people that are when i say excited, exercised, concerned, i would say this too, i cant remember the last time a residents budget was ever enacted. I dont have any idea when that occurred. Its somewhat aspirational. It gives information about the residents mindset but its congress job. Its our job to come up with the really lay kage and those things out. Host this is your third term . Guest yes passed a congress ever budget on time since youve been in the house . Guest not on time ost october 1st guest its a shifting. I think one time with the crs on and so forgot in my time here but that seems to be a you say on time, seems to be always a moving target i guess is my point. Even the president s budget. This current one was i think delayed. In my previous years here none none m were on time and balanced. We all have to take a breath and do our work. Caller my biggest thing is i voted for you. Sir. Thank you, caller the stuff thats going through there right now, paul have no use for. Im not going to hes no good. Im goingto tell you, to tell you listen to me for a second. Rid of this et medicaid,ith medicare, all this stuff, you know what you do . Bernie sanders had it right. Who dears what theyre going theyre going to do. And this pharmaceutical stuff. Foranada, you get the stuff a nickel and you pay 100 for a pill. Thats bl. Wayne. Thanks, he makes good points. A lot of nies spend money bringing things to market partially because of the provided by the federal government. We can see in other countries same drug costs markedly less thanover here and we think america. Why are we producing it and der must we pay so much and these countries pay so little. Its a good point. Appreciate his vote. Hes from littlestown. Its a great place. Single not a fan of the payer system and im concerned about heading towards that system. Options for duces people at the end of the day and i think that it ended up costing much more than we think it ever not as good healthcare. We should have the best Healthcare System in the world. Place like at a malaysia that has a good system t a seventh of the cost of america i think this is america we should be able to do better and i dont want insurance my anies determining healthcare. I want myself and my doctor as most people do. Play a role panies in the private market but they ones not be the healthcare. Our caller out of the things are in this bill, preexisting conditions was the that most of us were behind 100 . Second question, when you talk about the tax credits, is ability to deduct your medical expenses if you itemize tax . Our income is that what you mean . Theyre actually called sorry. Im go ahead. Caller my third question is mr. About nd ryan both talk the mandates being gone but in breath they say fines and fees will be sent to Companies Rather than the government. So that would seem to say that the mandates are still there. Those are my three questions. Thank you. Yes, maam. So the if you talk about the preexisting conditions, those handled by the states called the ce patient and state Stability Fund. I have to refer of the the bill keeps changing but theres a Stability Fund given to the states. I think its 15 billion for the first two years and 10 billion thereafter where the states set up their high risk pools for with preexisting conditions. Thats number one. Make t to maintain and sure that people with preexisting conditions can aintain coverage and have coverage. E have a preexisting condition, whatever their malady may be or all that remains as benefits e essential package that the aca placed into Health Insurance policy that you buy. So i kind of liken it to Homeowners Insurance just to simple. So the government is not only going to mandate that you buy but that insurance car and oat and motorcycle insurance as well even if you dont own them. Those are the essential benefits. That i have is that those essential benefits remain the ace so how we drive cost of healthed care down when were making people buy things that they dont need. Are some of the things that drove the cost of healthcare up. Some of the issues that i remain concerned with about this particular bill. Host scott perry served three terms in the house of harrisburg ves in before being elected to congress. This is michael. Good morning guest good to hear from y. Caller listen. 0 years old be april 13th. The day insurance from i was born. Im now on the affordable care. It saved my life before the up, up. E was going up, able to get a heart cath and had two stents in the family talk my family i was told my family i was a man. Ing dead i would never have had that to happen if it had not been for area. Nferredable one of my affordable care. Y point is the law makers in washington, all of them, they have never had to physically their lives like most of the american people. And do u dont get out back breaking jobs. Get e that are my age existing conditions because they have to physically work. You know, yall dont understand what it is to wear out your body. Body nt wear out your with a pen and a telephone at your ear. Bill that now, this is in here will push this grandad i did over the cliff i wont be able to afford it. Business. Small ive never evered without a job. My life or ob all ive either worked for myself. Right now im working for myself. And i dont make that much money and i will be able i wont be afford the plan under trump care. Host michael. Thank you guest thank you, michael. Thats a concern that many michael, thats a many people have. But i would also tell you this, affordablecare has come into place instead of 2,500, going down theyve gone up on average of 45 to 46 hundreded and deductibles increased about 60 . So for a lot of families even insurance it might cost them 20,000 between premiums and deductibles before actually are accessing their insurance. Appreciate certainly your circumstance, probably more than you know as a Business Owner for many years myself breaking work down in a ditch. I was a mechanic car length a back or sometimes on ho often in a ditch, youre right, you do wear out your body its a problem when as a Business Owner i was providing isurance for my employees but could not even afford it for myself. I think michael we agree with you. Get to ying to conferredbility and prior to the affordability and prior that it was the issue. E did what we did and we are where we are and the problem is even if we loved the aca, it is collapsing. Onethird of the country only has one choice. One option. Cost of you have the it. So even if we love it, its not going to continue because its unsustainable. We have to find some compromise, solution, regarding goingcare coverage thats to work and thats what were working on right now. Are. Reciate where we we want everyone to have the in your life. E i want to demand that the congressman does not vote because its ill similar to the system that we now. One of my concerns is that medicare is a program that all who have worked on a job paidotten a pay check have into. Its a program that my mother gets her healthcare on. Its going bankrupt. Sustainable as well. s d i ast thing we want to think is create anything like is , another program unsustainable financially. So i have serious considerations but i want to work with the leadership, with republicans, democrats, to find some esolution to this thing that fixes our healthcare problem. He cost and access to healthcare. Right now in my view this bill does not do that. Ask you about the what and share with you he wall street journal shares. Mr. Trump is not helping by taking medicare and social ecurity off the reform table guest i would agree with that. I would also say where have they last eight years . Ive been in congress four years now. They started ears every town hall with a briefing on debt and deficit and the which are the major entitlement programs. Include the nt somewhere between 100 and 200 liabilitiesunfunded and we can deal with the discretionary budget as much as we want to. Are going to eclipse everything. There will be no money left for federal r any other program if we dont deal with these. The president , his involvement and engagement is listening and negotiating skills are bringing people together so that we can pass a bill. Pass. E a bill that we can a consensus on. And make good on our professions. The fact that he might bring up something about alleged wiretapping. Is that stuff helpful . Heres what i see did you detroit anderday in tennessee . The president has a connection ith individuals in this country. He goes no offense, but he goes around the media and connects with people and individually. This is a power that we have not seen since ronald reagan. So what this president is showing is that he knows how to people. Directly with that helps us bridge gaps in congress and get republicans we can deliver on our promises. Extremely constructive. Guest i think the president has role to play and when he goes out to the towns you hear that have engaged with him directly or through his messaging whether in the paper or by tweet and it helps form their opinion about what were we hear fromd then them. Then we can say this is where we think there are points of concern. And then that speaker will let know. We put these two things together . Sauceage a message process. This is a big deal that has taken decades to get to the aca t where they pass the and we have seen some of the that. Ems with i think we have to be willing to and accept that and work through that host your district went for donald trump. Do you worry that with regard to the bigger question about the hurt that the cuts will those who supported him . Guest i think they take that into account. Think i take that into account. The president s budget is aspirational. I have a town hall coming up im going to o hear from constituents. But its also mjob too out explain to em what they see. What i see. Make sense of it. Caller good morning, cathy. Good morning. Caller good morning, thank you for taking my call. Senator collins and senator i proposed a bill watch cspan all the time. Thank you very much. Calls. Where the aca works theyre are to leave it or proposed the leave it. Where it doesnt work, then ryans bill would go in. Wouldnt that be a good idea to something that is going to affect so many peoples lives . You could tweak it purpose. He whole were talking about money. Proposal gives 157 back to the drug companies, the insurance ompanies, and to the richest americans who dont need tax breaks. Why did you do that . The money andkeep put it in the deficit . Program so we dont lose pbs for the kids . m curious how you keep saying youre going to help us and entitlements. They have to fixed. They have to be fixed. O you turned around and gave all that money and the other little piece performance pay. Ceos can have unlimited tax breaks. Me when i heard it was really a slap in the face to me. Ple like host thank you. Guest i think cathy makes some points. T i think you get caught in this to oric of were going repeal the aca including taxes youre going to repeal it, that means lock stock and barrel in my mind including has axes which cathy pointed out, some are objectional. Bad. Ainly the optics look how come ceos can keep this up y meanwhile premiums go for hardworking people at the bottom. I agree that generally speaking he policy is at least questionable in that regard. I think we have to be honest saying were repealing the aca and leaving the essential benefit mandate or guaranteed issue mandate in is part of the aca is were not repealing it. So why cant we deal with these you said the like taxability of nonprofit ceos, who companies, seem to make a pretty good are g meanwhile there people that cant afford healthcare. That remains i think a problem optics if not strictly part y and i think thats of this discussion. Host senator collins in an interview yesterday saying that house bill, quote, doesnt come close. Orange park, y in florida. Republican line. Good morning. Morning. Good i couldnt help my ears help but perk up when you mentioned malaysia and the healthcare in malaysia. Mentioned that it was about a seventh of the cost, you know, of the healthcare here. Lived in malaysia for about ten years. For eded in Southeast Asia about 18 years. And youre right. Is very low e there. Ut the reason why its so low is because they dont have insurance ishealth not as entrenched there. A lot of people dont have insurance. I gave birth to two sons back in 96. Ne in 95 and one t cost me 600 to have my baby in the hospital. They kept me for about four to keep me five days but it cost me 600 and that copay. Even a that was the total cost to have in a hospital. W, and even now when i go back, i have a small home there. The costs are coming up. Know. Its because insurance is increasing. Usually get a physical when i the healthcare is great host well give our guest a chance to respond. You. K guest my understanding and im not an expert youre probably much more of an expert than i am at other models trying to figure out the best do, i understand malaysia has Health Savings catastrophic insurance policies so that the normal things you go to the for out of re paid their Health Savings account and if you get some debilitating for Something Like that your insurance kicks in keeping the cost of insurance low and involved in the Healthcare Market so that you can have a baby for 600 as to maybe 10,000 or even more if there are complications. To st think that its good look around to see what other informs are out there to us about what we can be doing here. Youre probably more the expert han i am host let me go back to the whip count in the house. Nn this morning is report thering are 21 House Republicans opposing the current healthcare meaning it would lose. Deb right now im concerned this that so im interested in things that will inform me to get to that point nd if we can do that and maintain some of the folks who side,oncerns on the other thats the sweet spot. Talking to you . Guest the speaker. The whips. That have rs