is he being fair to say they cast forhe bill, making promises when tain ra is that a fair assessment o the saying no tonight in the republican party? well, from what i understand, if you look at 70% of republicans who have arrived here since obamacare was passed, those guys did complain to repeal and replace. this replaces all the obamacare tax, it repeals the obamacare mandates, both the employer and the individuals. here s the big thing, it s the biggest medicaid reform savings in 52 years. this is something we should get behind, let s get it to the senate. there are other phases to continue the process, but the time to vote is now. you say medicaid amended, medicaid, does this mean, at least i think it does, medicaid will not expand. so less people will be eligible for medicaid over time. is that right? yes, to now between january 2020, there is some medicaid expansion over the long term that saves $880 billion for the
penalty for being uninsured. more will opt out from buying insurance. the tax credits in the gop bill are less generous than the current subsidies so purchasing health care will be overall less affordable for people. some states will roll back their medicaid expansion so there will be a decrease in coverage for low income people will these are the questions we ve been asking lawmakers every step of the way, will people lose their health care. the answer is yes. over the ten-year period in the current plan, medicaid will undergo an $880 billion spending decrease with 14 million fewer medicaid enrollees. that s a 1% reduction from the number enrolled under obamacare. overall the percentage of u.s. residents under the age of 65 without health insurance is projected to return to preaffordable care act levels. yesterday health and human services secretary tom price tried to project the data. the cbo looked at a portion
14 million more people uninsured by next year. and 24 million by 2026. simple answer, of course i m concerned. the 14 million people are losing insurance, i m concerned. that s not what president trump promised, okay. that s not what republicans ran on. reporter: while the cbo projects the bill would reduce the deficit by $337 billion, it would do so only after cutting medicaid by nearly $900 billion. that has unnerved some republicans from states that expanded medicaid to provide coverage to low-income americans. how concerned are you about the medicaid cuts, 880 billion over ten years? i d like to wait and see what the house comes up with with their process. but obviously with a state like mine that had medicaid expansion, we have deep concerns. reporter: the tension is palpable within the gop. senator lisa markowski bristled
good evening from new york, i m chris hayes, the simmering tensions in the republican party started to reach a boil today as the harsh realities that americans will face if the gop s health care bill passes have begun to set in. on one side of the brewing civil war you have the economic ethnonationalism of white house chief strategist. on the other, the ayn ran style government philosophy of paul ryan and the health care bill, a product of ryan s philosophy, is a culmination of his career effort to slash the social safety net. it is, as vox put it, class warfare of the rich and poor. according to the cbo, the combined population of alabama, colorado, kentucky, missouri and utah would lose health care by 2026. the bill cuts medicaid by $880 billion, about 25%, while putting in place an $883 billion tax cut that mostly
history go up. they were going up before affordable care act. they went up less during affordable care but they went up. they are not 10% less than they are today, they are going to be 10% lower than they would have been under the affordable care act. that s the thing you have to remember. we have to talk seniors, medicaid so important to americans. i wish i could do that. my board got stuck here. medicaid, you will see $880 billion less going into medicaid. in 2020, they are going to shift into giving block grants to the states. the states, at that point thank you for doing that. somebody in the control room helped me out. $880 billion less go to the states. it will change the qualifications to get medicaid. the estimate is by 2026, 14 million fewer people will be enrolled in medicare.