It just came out of minute ago. This is a quote from the West Virginia association. Donald trump has been firm and clear throughout his campaign and his commitment to rebuild americas basic industries, the industries that made this country greats such as coal, steel and manufacturing. Thats the statement from bill rainey, president of the West Virginia Coal Association good this is now official West Virginia coal behind donald trump. Neil thank you very, very much. A very big message for Hillary Clinton. Do not assume that all working men and women for those behind unions are for you. Sabrina schaeffer on the significance of this endorsement. It doesnt strike me as a huge shocker. This is an industry thats been slighted obviously by the Obama Administration and all but killed off in his ideas are pretty much echoed in many state and get from Hillary Clinton. But it is significant in so far as a major union saying yes to donald trump a note to her. Absolutely. I think they identify with
[ applause ] thank you very much for that, pat. That was very inspiring to think about health as being much bigger than health kcare and trying to find the solutions to get us there. Now we are going to turn to avic roy who has just returned from his money moon. Hes the opinion editor at forbes. He has an interesting back glund includes both medicine and finance. Hes a leading conservative change agent and a sought after president ial campaign advisor. Hes currently advising senator marco rubio and has previously advised rick perry and mitt romney. Hes the principal author of the apothecary, the influential forbes blogs. And he also serves on the Advisory Board. Join me in welcoming avik roy. [ applause ] thanks, nancy, and let me just second what you just said there. Its i really enjoyed what andrew and pat had to say. I think its inspiring to see some people focused on improving the quality of the delivery of care. Its been a tough problem, as you all know, and its been actually diff
Infrastructure to deliver that care. Within the v. A. Within the v. A. But where we cant justify that business decision we need to be outsourcing. And just one more thing that follows up with that. In another year you guys are probably going to be gone with the new administration. I hope not, i hope yall stay but youre probably going to be gone. Are you laying into process so that whoever takes your place assuming that youre not brought back that the transition would be seamless and the justification to keep going . Were absolutely looking at ways that we can institutionalize what were talking about doing. Thats a better word. And i would say that one of the important roles that this committee can play is to be a stalwart of continuity about some of these operational things. Youve had six or seven different outsourcing. How to make sure theres a direct connection from v. A. And Community Providers and from the business side having one pot of money for care. I think what we tried to do
Because for many people,especially in the district i represent, one of the poorest the North Carolina, one that has high unemployment rates, that this is a godsend for a lot of people who thousands of people as a matter that who have never had coverage, who never had opportunity to go to a doctor. And i think Preventive Care is going to be the key to oppose do the things that we need to do for our population. So im looking forward to this discussion into the dialogue tonight because this is something thats very dear to me. And ill just say that i grew up with a mother who is now 89 in another month she will be 90 but i did note that i didnt have health care. I had assister who is very ill with sickle cell anemia. We got our health care from the emergency room. And so for a lot of people like my family even today, dont have an opportunity to see a doctor and he would need to see a doctor this will help us i think in the long run in terms of making sure that we do have a society that is
Cuts, its tax enforcement Taxpayer Service improvement of the i. T. Systems have to be put on hold. In terms of the implement ache of the Affordable Care act, i couldnt be more pleased with what the employees of the irs have been able to do. Thank you commissioner. Thank you, senator sasse. Let me admit back the envelope calculations are dangerous my logic was in error. Really the extrapolation 172 times 2, would be 344 in the second year and 430. Its not i want to correct the record. I was wrong. The so really looks like the minimum penalty will be the maximum penalty if we extrapolate it. Were not talking 3,000. Were talking 325, 695 is average. I want to correct that. Senator mccaskill. Appreciate your staffs input because i couldnt do that on my own. It was me. It seemed, man, thats why i started going through that logic. This is unbelievable. And it was unbelievable. I was wrong. 435 sounds a lot better. Sorry. Commissioner, you know, i get everybody is offended at the notion i wa