Transcripts For MSNBCW MSNBC Live With Hallie Jackson 20170627

Care push. Not looking so hot today because for Senate Republicans, all about the scramble to sway the skeptical six ahead of the real test for this bill. A procedural vote happening as early as today. A lot to cover and we have our teams on the ground with all of it. Well start, though, with syria and the white house. Identifying potential preparations for another chemical weapons attack by the assad regime. You can see the statement there warning if this happens, their military will pay a heavy price. Heres what senator Lindsey Graham who sits on the Armed Services committee had to say just moments ago. An unnerving statement. I dont know what information the president has, but im all for deterring assad from using chemical weapons. Im all for him being replaced. The problem with a Statement Like that if you dont have backup for your military that we see this the same way as the white house is a bit unnerving. Hans nicols at the pentagon. You heard senator graham call it unnerving. You have to have military backup there. Does the white house have that backup based on your reporting . As of this morning, military cooperation that they do see intelligence. They see activity suggestive of intent on the part of the regime. The same air base that the u. S. Hit on april 7th. Thats the same air base which on april 4th they launched that serm gas attack. But last night when this statement initially came out, we couldnt find too many folks in the pentagon or Intelligence Community that knew about it that knew it was coming that gave any heads up. This morning theyre corroborating the intelligence side of it. Hallie . Hans, the intelligence side of it corroborated by the pentagon and the latest military strike was pretty limited. Do we know anything that could happen next if assad goes through what the u. S. Believes he is preparing for . Some kind of political weapons attack. Will the response be proportional. The tomahawks in hitting that air base, they thought that was proporti proportional. Two things. In part because you buy some concrete really inexpensively and those thawks are about a million bucks a pop. They did strike one of the shelters that theyre observing now that they say some of this activity is taking place. Just to be clear what we know about the acivity. This is the same hardened air raid shelter that theyre using. They say aircraft are am volvin. What we dont know if munitions are being loaded on to aircraft. Hallie . What is up with russia, right . With any kind of expanded strike you can run the risk of a conflict there. Do we know if military counterparts here in the u. S. Are talking with folks in moscow . The line that they use to make sure that no one uses each other conflicts in air space is operational. They tested the u. S. Side. Has tested this warning. Not fly west of the euphrates. They have done strikes west of the euphrates in the last couple of days and, porimportantly, ifu did have a response to a gas attack, what youd likely see are tomahawk missiles. They dont involve the russians. The last time on april 7th they did deconflict and say we are going to send the tomahawks in. They did give the russians a warning. The statement came out late overnight from the white house. Today the reaction is coming out over on capitol hill. Some of that reaction coming from senator king. Heres what he had to say just this morning. The end of the statement said Something Like if they do this, they will pay a heavy price. That sounds to me like a red line and it sounds like theyre preparing to take action. Of course, we know a month or so ago they did take action with the strike on the airport. Talk about red lines. This is something the white house is familiar with from that strike in april. That conversation. Do we know any more, peter, about why the white house felt like it had to get the statement out when it did last night and whos on board and who might not be here . Well, hallie, as you casted well. This is a warning shot. Officials we have spoken to a way to deter syria. We know what you are up to and to try to stop it. A senior official said to me based on a syrian official saying these allegations arent true. This official here at the white house said it appears that our effort has worked. The white house is also pushing back on a couple items that i think are important here. One, the initial reporting that basically agencies and departments that should have known about this did not get the heads up. They say thats simply not true. The official tells me that the senior people knew on this issue. And broadly about the question about this president who throughout the course of the campaign, obviously, was reluctant to share details about his plans in terms of the fight against isis and else where saying he didnt want to show his cards. Some people have suggested that this is showing his cards. In effect, they dispute that, as well. The administration has not had any particular comment on conversations the president has had with some of the u. S. Allies in that region in the fight against isis. He had phone calls with the head of france and this will be a portion of the talks that they have over the course of this day. Likely to come up at sean spicers briefing later this afternoon. This is just one of the headlines we are following. Another heading over to capitol hill where right now you are seeing House Republican leadership getting ready to take some questions from reporters in the room. Well see speaker ryan in just a couple minutes here. Heres a big question for the speaker. Will the Senate Health care bill live to see another day or week or month . Yet another republican now says she cannot support the bill as written. Garret is outside the room on the senate side. Garret, walk us through this kind of pickle that Mitch Mcconnell is in. He knows politics and strategy and what is your sense of what happens with him today . Hallie, you talked about the skeptical six. First deal with the frustrated four. He needs all but two of his Senate Republicans to vote to bring this thing to the bill to start debate. Right now four senators for policy or process reasons. Dont want to do that. So, hes got essentially all day today and really all day tomorrow to try to make that happen. Theyll start with his policy lunch this afternoon. As you mention, this is not his first rodeo. The leader knows he can trade for votes and talk for people with what their policies and try to make peoples wishlist items happen. Just a little while ago we talked to senator Lindsey Graham who said thats how we got to obamacare. Thats a danger. He does not want taso see thing like the cornhusker kickback remember the names from six, seven years ago when they were debating obamacare. There is a lot of challenge ahead for Mitch Mcconnell. Comes tonight and gets air cover from the Vice President who is having four conservatives over to dinner tonight and consway mike lee. And, yet, well vie to find out more of that dinner when were joined by the Vice President spokesperson later this hour. Ill let you grab more reaction. I want to bring in the folks on set and senior political reporter for Washington Post erin blake and White House Reporter julie. Caitlin, ill start with you. Americans are waking up today to headlines. Senate bill cuts medicaid. Senate bill has 22 million more americans than current law. How can republicans tout some positives here . I imagine the deficit savings will be one. Thats right. So, this saves over 300 billion in deficit savings. But, you know, a lot of that might be used to get moderates onboard. See how eventually after 2020 this does reduce premiums. So much talk about premiums rising and obamacare and insurance has become unaffordable to families. I think well see families talking about this premium decreases. It decrease premiums on average, but, for older seniors, people who might need the coverage. It increases how they might have to pay. How do you sell that . Always winners and losers with health care. Again, going back to that deficit savings. Maybe some of that will be used to shore up tax credits for those older and lower income americans. Then when you go to the other side, lower income americans in general coverage might be completely unaffordable to them, according to the cbo score. I think in the next few days well look at how this bill could change to help out those people. How can this bill change, erin. Ill get cheesy on the medical terms, but the prognosis. Is this bill looking in Critical Condition or go forward . What is your sense of where things stand politically . Things look less theyre going to pass before they are going to pass. This is what happened with the house bill reluctance on the conservative side, on the middle. Not very difficult for them to square that circle bringing enough people from either side to that bill. In this case, i think its instructive yesterday that we had those four republican senators effectively say they wouldnt even move forward to a debate on this bill. Thats them saying, i am not even going to entertain amendments until this is redrafted in the first place. I think the cal klgz here they could get to that amendment process early on and make the necessary changes, get this bill passed quickly enough and go to conference committee. That frustrated four that garret nicknamed, that is enough to essentially stop this thing in its tracks, right . A much smaller majority in the house thsenate than the hou. The Vice President is going to be heading to capitol hill in just a few hours to try to talk to some of these skeptical senators. You have that dinner tonight. What can they say . What can the Vice President and president say to dean heller and ted cruz . Two people on opposite sides of the spectrum. Pence is all over it and the salesman for the white house on health care. Why isnt the president . He has a tough job to do. Pence is more plug undged into hill. He has the relationships and the president comes in very new to this. There is wide agreement that pence really wants to get this done where with trump its not so clear. Caitlin, a lot of talk, too, about the marketplaces. The uncertainty in the marketplaces and the uncertainty created by what republicans have been talking about and these questionmarks here. Does that get resolved if this bill moves forward . Yes and no, in part. I think, first of all, still counties where you saw no insurer participating. I think thats a tricky problem to solve. Theres currently house lawsuit over and it makes those for the next two years and that is a big one for insurers and that could help stabilize the marketplace. What you saw in the cbo report yesterday is that premiums increasing over the next couple years. In times for the midterms, aaron and julie. Its happening right in 2018 . The Medicaid Expansion starting to be phased out. This happens every time they pass a bill. Thats not a coincidence at all. Well take paul ryan in just a second. Hes giving a statement and when he starts to take questions, well dip into this. Why is this deadline happening . This thing seems to be going in the wrong direction right now for the white house. We saw overnight the pendulum start to swing away from where they wanted it to be. Why the rush . Will that change . I think today is critically important for that and the messaging that pence is delivering on the hill and in his dinner tonight. A clearer sense tonight of what will happen next with this bill. What is the prediction, caitlin . Im not sure. Im struggling to see a path here. There might still be one. People put faith in Mitch Mcconnell and his ability to rangel h wrangle his members. Lets listen in to what House Speaker paul ryan has to say about this right now. The cbo, you have confidence in the impartiality . He is actually a republican appointee. If im not mistaken, tom price appointed him. Look, i have always had my own complaints about methodologies and score keeping. We all have our preferences and opinions on these things. We can always complain about the nature of the score. I think their coverage numbers, theres more to the story than what the number implies. But having said that, its important that we have a referee. Yeah. I was wondering if whether or not youll get a conference no. They havent even finished their bill. Wae ha we have not midany of those decisions. Ill leave it up to the senate, casey. Health care. What is your advice . Its private. Meaning, i keep my advice between the two of us. Look, i would not bet against Mitch Mcconnell. He is very, very good at getting things done to the senate even with this razor thin majority. I have every expectation that the senate, i dont know what day, but every expectation the senate will move this bill and i assume this bill will have changes. You know why, because we all made promises we would do that. Every republican senator campaigned on repealing and replacing this law. Point two, the law is collapsing. 41 of counties in america now, you have only one plan to choose from. So, youre seeing families get hit with another doubledigit premium increase. Youre seeing choices evaporating in much of america. Blue cross blue shield pulled out of missouri and ohio. 94 out of 99 counties in iowa next year are scheduled to have no plans left. We have an a duty and obligation to step in front of that collapse. So, i believe that theyll get this done and i believe theyll get it done because they said they would get it done. Mr. Speaker, are you taking the temperature of your members while this debate goes on in the senate or are you giving impression if it changes as this goes along or wait for the final bill . We dont know what the final bill is going talottoo to look. We all have opinions on what the best possible policy is. Yes, reconciliation system is a little frustrating because we cant put all the bills in there that we want. Were doing medical reliability later this week. Our members are waiting to see in a constructive way what the senate can produce and well make the decision after we do that. Thanks, everybody. Appreciate it. That was House Speaker paul ryan. You were listening to live right there. Taking questions from reporters. Almost entirely on the Senate Health care bill. You heard the speaker say that they are in a little bit of a Holding Pattern here waiting to see what ends up in the senate version, waiting to see what happens before they start to handle any fallout. Interesti interestingly, defending the Budget Office as a referee. Even just yesterday the white house came out and questioned the accuracy of those figures from the nonpartisan Budget Office that is tasked with figuring out how much pieces of legislation cost and how many people it affects. Well toss it over to kasie hunt as soon as she stands up from where paul ryan was taking that press conference. He almost started that conference with the democratic talking point on this. This is a republican appointee. Tom price wanted him in this position. Look, the cbo is going to be wrong. These are projections. Theyre saying 23 million is not going to be exactly 23 million. The fact is if its ten million. Ten million more people who are uninsured that is still a really bad ad against republicans. Republicans better hope the cbo is extremely wrong in this case. Otherwise, theyre going to pay a price. Caitlin, what you hear from republicans and conservatives, not all those people are off of insurance because theyre forced off insurance. Some people will voluntarily choose not to pay for it now that theyre not mandated to have that coverage. Especially young, Healthy People will forego coverage. They dont want to pay for it and wont have to pay a fine. That does have consequences will affect because kasie hunt is ready for us over at the press conference we just heard. We heard you asking him about health care here. Give us your overall sense of where you think the house is headed and then your other day job over on the senate side. Well, hallie, look, i think they are, as the speaker said, watching to see what actually happens in this bill. The details matter a lot when youre trying to count these votes and the speaker clearly doesnt want to get ahead of himself. I asked him what is his advice this week to Mitch Mcconnell. More senators that are urging a little bit of a delay on this. As we learned in the house process it doesnt work the first time doesnt mean you can try, try again. What paul ryan said to me is, i would not bet against Mitch Mcconnell and a lot of people in the senate who have learned that lesson either the easy or the hard way over the course of the last decades. So, i think thats something to keep an eye on. Mark meadows talked to some of our colleagues on the way out of our conference meeting. The votes arent there in the house or the senate. Hes looking at amendment from senator ted cruz. Those groups of people are talk, as you know well. That conservative leader of the Freedom Caucus and ted cruz they have met regularly over the years and they seem to be in contact on the contents here. So, the overall reality of this, hallie, is that it is still a very difficult needle to thread. With the language that the moderates have used. Dean heller was very strong in opposition to his bill. Susan collins arguing that this would essentially take one in five potentially of the people in her state would be negatively impacted by this bill. She cant do it. Thats two right there. That means you would have to corral absolutely everybody else. It is shaping up to be a very difficult landscape and people i talk to now say its less likely to pass. Before i let you go, does that mean this could get delayed . Do you think senator mcconnell, whom paul ryan would not bet against would push this off or stick to this weeks timeline and if it fails, it fails . Still several options on the table and we dont know which path Mitch Mcconnell is going to go down. The senate rules give him a lot of latitude. He could put emotion to proceed on the senate floor and that could fail and he could bring this bill back up in a few weeks. Thats entirely possible. Thats shaping up to be a potential likely scenario here. I mean, one thing that would potentially accomplish is give members a taste of what it is like to have voted one way or another on an Obamacare Repeal and go home and deal with the quau consequences of this. I tried to do this, but my colleagues werent with me or my colleagues who said i didnt vote for that Obamacare Repeal bill. It will give them a sense to take the temperature. I just want to emphasize, again, that is one of many scenarios that could still play out this week. Hallie . You will watch all of them from capitol hill. Thank you very much. Joining me now democratic senator chris murphy of connecticut member of the Health Committee and the Foreign Relations committee. Senator, thank you for joining us on a day when we have plenty to talk about. Let me pick up on the Health Care Talk that kasie and i the conversation we were just having. Do you think the votes against this procedural motion, really, the real first test now for this Health Care Plan will, in fact, hold that the senators who are coming out and saying, i cant support this right now mean it . Well, i dont think you can assume that theyre going to hold. I think what you can assume is that Mitch Mcconnell who is a master techtitian who has a lot of cards to play here is going to try to work with those no votes to get them to yes. Now, the cbo score is devastating for many of these republicans. You know, even if Mitch Mcconnell would amend this bill so 21 Million People lose health care, not 22 million. That does not bring on dean and collins and every number inside that bill is hard to manage, as well. 20 premium increases and quadrupling. Mitch mcconnell will do everything he can in the next few days to deliver those votes to get him to 50. This is not people getting pushed off their plans entirely. Some of this is getting people forced to buy something that they simply dont want to buy. Playing on the theme of the individual mandate that obamacare required which was not particularly popular. Is that a valid point from speaker ryan and others . Its not a valid point because there is a mandate in the house bill. The mandate just doesnt kick in until you buy insurance after having a period that youre uninsured. And a mandate in the senate bill because they lock you out of buying insurance for six months if you miss a few payments. So, just because the mandate is in a different place doesnt mean it still exists. People know that if they choose not to buy insurance and they get sick, theyre not going to be able to buy it under the Senate Republican plan. So, theres still a mandate in the senate bill, just different in form than the one that is in the Affordable Care act. Pro trump super pack that is out aimed at Democratic Senators on health care. They are trying to play offense. Theyre getting the ads out there and an alum of the Obama Administration responded to those ads saying, where is our super pack . What are we doing here . What can democrats do to respond . There are a human chain. What is huge chain going to do, senator . Well, we were on the steps of the capitol, myself and cory booker and jillen braguillenbra. Listen, we dont have the billions of dollars that republicans do. Well never be able to match them. But despite that disadvantage, this bill is still the most unpopular piece of legislation to come before congress in my political lifetime. So you cant say that we arent getting out our message. In a very short period of time. 15 of the American Public like this bill and well continue to make that case. So, yeah, this is always going to be a problem for democrats. Until we Reform Campaign finance laws they will have more ads and we have the people who universally hate this piece of legislation. Drives up premiums. That doesnt change. Let me have you briefly put on your Foreign Relations hat, senator. Because we are seeing overnight you know i covered the white house as my day job and we saw that statement on syria. Do you believe President Trump is drawing a red line here . Well, i think whats important is that if its true, that syria is really preparing another chemical weapons attack, that means the tomahawk strike that President Trump took out a month or so ago did not work in deterring the syrians from doing it again. And, so, i would like to see the intelligence that he has. Comments overnight from centcom that they havent seen the same intelligence that the white house is citing. I think we need to understand that these tomahawk strikes dont really change the battle space in syria. They dont change assads reasoning. They probably, frankly, make the carnage and chaos on the ground in syria worse. It begs for a different strategy. To be clear, you would not support that . I remember your comments from early in april, your comments on a lack of strategy, i believe. You would not support any kind of strike if assad does, in fact, deploy any weapons against his people . President trump told us that the tomahawk strike that he took out a month ago would send a clear signal to assad to stop using chemical weapons against his people. Clearly if what theyre saying last night is true, his tomahawk strike did not act as a deterre deterrent. As we lob more missiles into syria, as we put more u. S. Troops inside syria, we are locking those people into that humanitarian catastrophe. If we were allowing people to flee and helping refugees and get to jordan and lebanon and bringing them to the United States, maybe more of us would be supportive of these military activities. This seems incredibly cruel and inhumane targeting and hitting civilians sometimes and not letting those people ecape. Will you ask the president to bring more information from the white house to the committee. Sound like you havent been told any of this. Ill ask him to do that today. If hes talking about taking another set of military actions against the assad regime. That is not authorized by congress, that is illegal. He needs to explain to us what is the intelligence that leads him to this decision. Senator chris murphy joining us from the capitol. Well keep up this conversation about syria. New questions about this kind of ominous threat aimed at bashar al assad. And potential fallout for the prestige of the power of the u. S. With our allies overseas. So, your new prescription does have a few side effects. Oh, like what . Youre gonna have dizziness, nausea, and sweaty eyelids. And in certain cases chronic flatulence. No. Sooooo gassy girl. So gassy. 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The first daughter set to honor eight men and women from around the world whose work has made a real impact on fighting human trafficking. Little tech talk today. Google has been slapped with a record 2. 7 billion fine by the eu today. Why . Well the eu says it violated antitrust rules with its online shopping. The European Commission claims the Search Engine elevates its own options which gives google an illegal advantage. This is the biggest fine ever put in place in europe for anticompetitive behavior. A syrian minister this morning is dismissing claims from the white house that his government is potentially prepare agnew chemical weapons attack. The white house saying just moments ago that in response to several inquiries about that serious statement issue last night it wants to clarify that all relevant agencies involved in this process from the beginning have been involved saying that anonymous leaks to the contrary are false. Thats from Deputy Press Secretary Sarah Huckabee sanders pushing back against some reporting, including our own. Joining me now somebody who knows the military pretty well. Military analyst colonel jack jacobs back with me aaron blake and julie from the associated press. Thanks to you all. Colonel, ill start with you. Centcom our understanding and other reports out there, too, surprised a little bit by the fact that the statement came out overnight and now you see the military corroborating the statement overnight. What do you make of that back and forth . The president gets classified information all the time and as the president he could declassify it and do whatever he wants with it. I think the surprise is not that we have this information. The surprise is that the president released it not that the agencies who generate the information in the first place i think were just surprised that the president would release this in a tweet and probably a reason for that, hallie. I was told by one Administration Source overnight, colonel, if it can save lives. If it could be a deterrent then it could work. If the statement could come out in this tough talk and stop the assad regime from acting. Do you think it really could be a deterrent . Its possible it would be if the attack, if they dont launch chemical weapons. Just telling the russians, by the way, in a back channel. It doesnt guarantee that the information is going to get to the syrians. So, releasing it publicly like this may get it to the syrians. The interesting thing is were going to do something preemptive, for example. Its extremely difficult to do. Youre either going to have to launch an attack on an area that has nothing at all to do with a chemical attack where you launch it actually on the chemicals and then you have the chance of dispersing it all over and making much more dangerous. So, on the idea the potential for some kind of a preemptive act by the United States. Am i understanding correctly, you think the chances are pretty low . I think theyre pretty low for a couple reasons. One i talked about you disperse the chemicals all over the area and it makes it much more dangerous. If you launch a preemptive strike you will generate animosity among the russians looking for any chance to make life difficult inside syria. All of this aaron and julie, happening just a week before President Trump heads to the g20 and sit down facetoface with president putin. How does the russia factor play in to what we see in syria . Really interesting last night after the statement went out nikki haley put out who has been actually a step ahead of the white house in a lot of ways on their foreign policy, including on syria back in april taking a much tougher line against what was happening there with the chemical weapons attack before trump came around. She put out the statement that basically said if this happens iran and russia bear some responsibility for. Its interesting to see whether we see an interesting message from the white house or she was kind of freelancing there. Certainly an uneasy situation in syria that has become more uneasy because of this continued potential for a chemical weapons attack. I dont necessarily think she was freelancing very creatively and publicly trying to get out ahead of the trip overseas because these are topics that are going to come up and get lots of news when hes over there. So, its interesting to see that messaging begin to happen now. Colonel jacobs, last word to you. Can you tell me at all what you think based on your experience and expertise we might see later on today as the white house continues to get and potentially answer questions about this . They might even talk about the fact that were talking back channel to the russians. Thats possible. One thing occurs tame and thats that this if there is a chemical attack. The last time it was on civilians. Its entirely possible that assad will use chemicals on combatants. That will make it much more difficult for the United States and the counterattack if we were to punish the syrians for doing Something Like that. So, tough time for the United States in decisionmaking. Colonel jack jacobs, thank you very much. Ill ask aaron and julie to stay with me as we talk about team trump calling in the big guns to get the bill across the finish line. Sure a tiebreaking vote in the senate, but what can Vice President pence do to win over the polar opposites in his own party. Thats next. Noo introducing the easiest way to get gillette blades text blades to gillette on demand text to reorder blades with gillette on demand. And get 3 off your first order i work ovi need when i my blood sugar to stay in control. So i asked about tresiba®. Tresiba® ready tresiba® is a oncedaily, longacting insulin that lasts even longer than 24 hours. I need to cut my a1c. 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Let me start by getting a grasp of the who and what. Who is the Vice President going to meet with today and what is his pitch going to be to them . His meetings be leadership through rank and file and they have been talking about health care for months, even before the house had passed its version of the bill. The senate was already talking about how it was going to get where it needed to go. Who specifically . Hes not having oneonones with 52 people today. I assume the mike lees of the world. Also going to be the dean helders and Susan Collins . Hell meet with the conservative and more moderate members in hopes of working out a compromise of getting to the 50 votes that are needed to pass this bill. One on one end and one on the other. How do you bring them together . That is something the legislatures will do. We saw this go through the house. Where the various folks came together at the end and came up with a compromised proposal to get the votes needed to pass the house of representatives. Let me talk about the policies here because this bill raised premiums for older, poorer americans. So, what is the Vice President s message to that older american who will pay four times as much for their premiums under this plan . The first thing we have to realize is that premiums have doubled for americans because of obamacare. You have seen just let them get higher . If you look at the cbo score, average premiums will drop by 30 for americans across the board. Thats on average. What we need to do is restore choice, restore competition in the marketplace. These are the things that republicans have been talking about for seven years. The president has been talking about it. At the end of the day well provide the freedom of people to pick the Health Care Policy that works for them and improve access. Just yesterday the Vice President met with about a dozen people in his office that were negatively impacted by obamacare. A dozen people who have been hurt or will be hurt under the senate bill like that older, sicker american that is on medicaid. Whats important on medicaid to remember is that funding by medicaid is going up more than 70 billion through this. But only in washington where a not growing as fast is considered a cut. You can do these things. You can make with the Vice President did this as governor. You can have state flexibility and innovation deliver Better Service to people at less cost to government. It is a cut to medicaid. The Vice President signed on to run with the president who on the campaign trail promised not to cut medicaid. This bill does that. The president promised not to give insurance for everybody. The president promised lower premiums. Let me ask you this. Is the Vice President and president by extension, are they reversing their Campaign Promises . It appears as though they are. When you have somebody who says we wont make cuts. We will increase cuts for medicaid by 70 billion. Increase funding. A little bit of semantics youre playing with here. According to the cbo just yesterday, most of the people who are now going to be considered uninsured are voluntarily coming off because they are not being forced to buy something that doesnt do them any good. The people that the Vice President met with yesterday i have an obamacare card in my pockt and it costs me more than my mortgage. We have people who couldnt get medical services for their kids under obamacare. Having an insurance card in your wallet does not mean you are insured. Let me get back to the idea of reversing Campaign Promises. Do you think they are going back on what they pledged on the trail as this bill is currently written . What theyre doing is making sure that people who want insurance can afford to buy insurance that will actually work for them. And its a choice for americans to be able to make. When you look at the other things that are also involved. By allowing Health Care Associations to offer health care, again. By letting Small Businesses pull their own resources together to be able to provide health care to their employees. Many that wanted to that couldnt under obamacare. There are options to bring people into the system and lower premiums by 30 and make sure those are getting the coverage that they need. The premiums are going lower for people who can already afford them. Younger americans who are wealthier that will see their premiums ultimately go down on average. When you provide more choice and more competition into the marketplace and bring more and allow younger people to get am to the system because they can afford to do so and choose to do so. Bring premiums down for everyone and also bringing by freeing up people who dont necessarily have to buy services that are being required upon them that already dont want to buy these services, again, youll be able to lower premiums for everyone and protect those who are already on medicaid. With this bill that cuts medicaid, we are hearing reactions from governors and republican governors, like, for example, governor kasich of ohio. He is speaking now live along with governor hickenlooper. We could have taken those people and put them on the exchange if the exchange was adequately funded but under this bill, it was not. So, i understand there was Campaign Promises and all that stuff. I try not to make Campaign Promises that i cant keep and if i make one that i think doesnt measure up, going to be a big enough person to say, you know, im looking at it a different way. But i dont think that it makes any sense in america today. By the way, even though were just talking about the poor, over time, these kind of actions will impact the middle class. It will have more People Living in emergency rooms, which drives up all of our health care costs. The working poor, people that we want to be able to have bigger income who can join the middle class are on the edges of the middle class could be hurt if these things are not funded appropriately. So, you know what, let me say one final thing. Im a conservative. Ive balanced more budgets than any of these people that are criticizing me. I was the chief architect of the balanced budget in washington and fiscal stability in my state and cut taxes, i think, more than any governor. Maybe i have a right of what it defines to be a conservative more than anybody else. And im actually in the fray. Im with Teddy Roosevelt says. Im in the arena. Im not on the outside. So, to me, everybody should have a chance and what does conservatism mean . Everybody should have an opportunity to realize their hopes and dreams. And without Adequate Health care, its virtually impossible. And i sure wouldnt want any of these folks who are so highly critic critical to find themselves in a position where it could affect their family. One last thing, i went to a major newspaper and i had somebody sit next to me. The paper was not really has been very critical of a lot of the health care stuff. The lady sitting next to me said, could i speak to you after the meeting . I said sure. She whispered after everybody left the room. Thank goodness you expanded medicaid because if you hadnt my cousin would have died. It kind of shocked me. Almost knocked me off my chair. So, i think theres things we hear in politics and things that go on. But, you know, the reality of the matter is we better to Pay Attention to people, many of whom feel very disenfranchised in this country and that doesnt lead to a healthy america, not just a healthy person. That is, that is governor kasich speaking live just now with governor hickenlooper, as well, at the National Press club. Im joined with spokesperson for governor pence. Really encapsulating the moderate argument, the moderate argument. Go back to their districts and in ohio, for example, and try to defend this bill. Will he help them when they have to go back home . One of the things, i think, is important to note if governor kasich has a different view of how health care should be delivered in his state of ohio, what the Vice President , the president and the senate bill are going to talk about, were going to give you that freedom. If you believe that more people should be covered in a specific way that benefits your state, were talking about giving the plexability to governor kasich to be able to do that. The same way that when Vice President was governor of indiana, he got that kind of flexibility. He took advantage of it. One other thing we should talk about in terms of medicaid, this has not gotten covered a lot. The senate bill grandfathers everyone who is covered under the Medicaid Expansion so they will not lose their medicaid coverage. That is not the promise from President Trump. Simply that he wouldnt cut it. You heard governor kasich at the top of the remarks come out and say, hey, Campaign Promises are one thing. But you have to man up and acknowledge when youre not living up to those Campaign Promises. A 70 increase in the Medicaid Budget is still an increase. It was previously planned overall, though, a cut. Its still an increase in funding and no one who is one w covered by the Medicaid Expansion today would luose tha coverage under bill. At the end of the day, we should all be judged not by how many people are using the system but how many dont need to use the system. Thats what we need to do with a growing economy. I have to get you on this, the president acknowledged he called the house version mean after celebrating it in the rose garden. How are senators who listen to the Vice President and meet with the Vice President tonight, supposed to trust the word of this administration when they feel like they were thrown under the bus . I think at the end of the day, what we have to get to, weve got to realize this promise. This is something republicans have been campaigning on and the American People, Senate Republicans and President Donald Trump to the white house how do they trust him here . Well be judged by the results. When we repeal and replace, the American People will know weve lived up to our promise and well see lower premiums and greater access for all americans. Thank you for joining us. Well keep up the conversation with nbcs ron mott. Were getting beyond the beltway, this is about the people. We heard the governor say people are covered under the expanded medicaid program. Reporter hey there, hallie, good morning. Its not just coverage they are concerned about here in ohio. They have a major opioid problem here and then talks about cuts to medicaid which helps fund a lot of treatment programs here met with grave concerns and some places outright anger. Like much of rural america, barnsville, ohio, population 4,000 has few Health Care Options and many challenges. Republican led efforts are followed intently, provoking a mix of fear and loathing here. Theres a lot riding on this. Reporter for jeff britain, which operates this and three other nonprofit Family Health centers in eastern ohio, higher premiums and deductibles and medicaid roll backs are the stuff of worry. When med kad expansion dollars went in existence, we were able to provide Additional Services to our patients and expand the number of patients we could serve. Rolling back those dollars is going to significantly rool bllk our services. She works fulltime at mcdonalds while holding down a second job. Ive been having a lot of appointments and having to take more medications than i like lately and its really been helping me out with being able to pay for them and i know that if it does go away for me, its going to hurt me a lot. With the report predicting 22 million currently covered wont be if the bill becomes law, the frustrations are apparent and she points the finger of blame towards President Trump. Its a whole array of emotions, confusion on why hes doing this to the people who really need it and then anger of also why hes doing it. Medicaid expansion added more than 700,000 ohioans with intended benefits, Blood Pressure and obesity and cholesterol all dropped. Y heroin overdoses have reached alarming levels, significant decreases in medicaid funding will have widespread impact. Well make sure we still have care to the patients but it it will be a huge financial burden. Reporter affects opioid treatment nationwide especially in ohio where the rate of fatal overdoegss was twice the average in 2015. Courtney taylor, much simpler dire needs, only filed one medicaid claim but enjoys affordable coverage as she pursues a college degree. Maybe some people dont completely understand what is happening. They might need that help and maybe it wont be there. Reporter we should know ohio senator rob portman tried to get upwards of 45 billion in the bill for opioid treatment and got just 2 billion so far. Ron mott live in ohio. Getting us outside the beltway. Thank you very much. Lets be clear, this bill cuts medicaid and youre seeing it and i want your last thoughts before we turn to the break on that. Its remarkable they are making this argument it doesnt cut medicaid. Without this bill medicaid increases by hundreds and millions of dollars versus what it has thats semantics. Its misleading but also remarkable, the republicans are not even making a conservative case for this bill. They are pretending all of the government benefits will exist and its not the case. You see this as a much trickier debate for republicans than it is for democrats because like mark said, if republicans do nothing, they are tagged with this, we elected you, you promised to repeal obamacare issue. If they do something, democrats have a mess amg, look, they are Cutting Health care, look what they are doing to the middle class. Julie and aaron, thank you for this. It is going to be a big busy week. Hope you get rest later on today. Appreciate you joining us. On the other side, well have todays big picture for you. Thank you so much. Thank you so were a go . Yes we got a yes what does that mean for purchasing . Purchase. Lets do this. Got it. Book the flights hai si si ya ya ya what does that mean for us . We can get stuff. Whats it mean for shipping . Ship the goods. Youre a go you got the green light. That means go oh, yeah. Start saying yes to your companys best ideas. Were gonna hit our launch date scream thank you goodbye let us help with money and knowhow, so you can get business done. American express open. We have been rolling out a new segment we like to call the big picture. Its an image we think tells an story, a funny one or maybe one not covered enough. Todays big picture comes from a navy base in japan. Seven flags honoring seven sailors killed when their ship collided with another one ten days ago. Theres now a petition directed at the secretary of the navy to name the next destroyer after gary r. E. M. , another sailor, raymond diaz the third as they honor those lives lost on the uss fitzgerald. I would love to hear your thoughts. Ill be responding to comments on all of it after the show. Thanks for watching this hour of msnbc live. Much more news on this very busy day with my colleagues ali velshi and stephanie ruhle. I love the big picture. Thank you. Good morning, im stephanie ruhle. And im ali velshi, lets get started. Ominous warning to syria. The new stern statement implies an attack by the assad regime could be imminent. A warning that took some u. S. Military officials by surprise. Its an unnerving statement, im not sure what information he has im all for deterring assad from using chemical weapons. Im trying to figure out by the end of close of business today, there a Health Care Bill were talking about. You think its not going to impact you and your family, dead wrong. Its not people are getting pushed off, its that people will choose off not to buy something they dont like or want. Its the biggest signature issue we have and biggest promise weve ever made in the modern era. Have you seen a Single Person come out on the air on your program or anywhere else saying this is a good bill . No. Obviously its not good news, the important