the fact that they want to be there for the bells and whistles they can be do that. they ll provide whatever products they can make money on it. it can t be whether you can afford it. that s how you get there in a not for profit way. but the transition, if you get through the transition and get to bernie sanders position, how do you assure americans that they can still go to the doctor that they like? correct. the two things they need to change and you heard this on other debate stages you need to make sure that the reimbursement rate reflects cost. a lot of doctors won t take medicare or even some insurance because they don t think their compensation is fair. so if you re going to build on medicare, you better make sure that it reflects cost and that s why there s transparency requirements this year. we passed it into law last year. if you make sure it reflects costs everyone will want to take it and the vast majority of americans will be on it in five years. isn t that billion
crisis? the first thing that the president did was lift the i&d exclusion which was that age-age 1965 medicaid reimbursement to treatment centers. medicaid reimburses very little as it is. there s different theories as to why it wasn t lifted sooner. like governor christie stated the other day, it s going to open up to so many more beds which will allow so many more addicts to get into treatment. now it s going to be left up to the treatment centers to want to take them in at that low reimbursement rate. new jersey, governor chris christie, chairs the trump administration commission on opioid abuse. here s what he had to say about the crisis we have 175 people a day dying. we have a 9/11 every 2.5 weeks. think about this if that was happening, if a terrorist organization was killing 1 5 americans a day 175 americans a day on our soil, what would we
over the recess now it s senators from rural states where they re worried about access for people, about places where health clinics are going to shut down. they re worried about people not having doctors. so, really, the governor s concerns are much different from what you re talking about and a bill would be entirely different than what you said. no question. there s no question. i disagree with you very fundamentally. there s no question that the medicaid expansion states, republican governors like your governor. one of the reasons the legislature opposed him is because there s this weird distortion that incentivizes states so the medicaid expansion doesn t necessarily cover pregnant women, disabled folks. it covers childless, abled body adults. in virginia, medicaid was 5% of our budget. it s now going past 22% at an unsustainable rate. if you just expand it hold on a second. if you expand it, reimbursement rate for those able bodied childless adults is much higher than the dis
that s not true. people just over the poverty level. if you look what s happening recently it s not just concerns about medicaid. over the recess now it s senators from rural states where they re worried about access for people, about places where health clinics are going to shut down. they re worried about people not having doctors. so, really, the governor s concerns are much different from what you re talking about and a bill would be entirely different than what you said. no question. there s no question. i disagree with you very fundamentally. there s no question that the medicaid expansion states, republican governors like your governor. one of the reasons the legislature opposed him is because there s this weird distortion that incentivizes states so the medicaid expansion doesn t necessarily cover pregnant women, disabled folks. it covers childless, abled body adults. in virginia, medicaid was 5% of our budget. it s now going past 22% at an unsustainable rate. if you just
them on to medicaid. we already have a problem with doctors not wanting to take medicaid patients because they just can t pay their bills with the little amount of money that s paid. i know doctors back in florida who would rather do pro bono work for free than have to pay their staff to do the complicated paperwork for the very low reimbursement rate for medicaid. we have a real problem. it sounds to me like you re making an argument for congress, doing a better job of the doc fix in funding medicaid. i think the problem is, and jason, i ll throw this to you, the fundamental objection to medicaid i ve been hearing when i have republicans on, they don t think able-bodied adults should be on it at all. and what sarah is talking about, the issue of doctors not wanting to do it because of the reimbursement rates, i hear that too. i ve got doctors in my family. we re taking money away from congress and the children and elderly, that need it. no, you re not, the poor and children and