on top of all this, the trump budget proposes another cut in regular medicaid on top of this. they ve been trying to walk that back a little and saying some of it s in here. if you took them at their word, they would cut total medicate spending by 50% over the next ten years. andy, when you were chief of staff, all of these issues and problems would be on your desk in terms of traffic into the oval office to see the president. you belong to a president that they ve had seven years to come up with a potential replacement for obama care. what do you think your reaction would be today if you were sitting there trying to control traffic into the oval office about this horrendous day after day issue? first of all, the reality is obama care is not working as people thought it would. especially in a hand full of states where the exchanges have disappeared. there s no competition. part of obama care is not working, and you can t go back to obama care. why?
that s what happened this week. i know mark murray is itsitting there but i think we should play that again. joining me now is nbc senior political editor mark murray. i don t know how you keep track. republicans have an uphill battle getting this health care bill through congress. you just heard me talking to mark sanford about this. you ve got some insights into how it actually can get passed. it is a path. it is a really tricky tight rope to work through and step on ali, is republicans in the house have to make the legislation moreconservative. they have to shore up the right flank by tightening the screws on medicaid funding and expansion of medicaid. so that s step number one. step number two is then once that passes the house, they actually have to placate the moderates and the senate. which means actually making the more medicate spending, probably taking out the provision, eliminating funds for planned parenthood. then when it would go back to the house that mitch mcconnell