that you re going to spend on a bur accurate that never knows your name and give it to the people you can vote for in your state with guard rails, focusing on you as an individual and your state as a unique place, and i bet you a dollar you ll get better outcomes because welfare reform. and i bet you this. my good friend bernie, obamacare is a placeholder for bernie care. bernie care is socialism full bore. he s a nice man but if you want medicare for all, you ll end up with medicare for nobody. you ll have a card without a choice. don t consolidate all the hopes and dreams of your family into the arms of the federal government because it s not going to work. i ll just end with this. we re going to go one of two ways in this country. we re going to create a future for our children that they can actually afford. we re going to deal with a $20 trillion debtor pass it on to somebody else. driving the debt is medicaid,
money you send in the future in taxes. do you care about the debt? do you care about her? can we do both? so here is what i would say about medicaid. medicaid is growing twice as fast as health care in other areas. i want to make sure that medicaid is sustainable and affordable. what do we do to save a trillion dollars? we lower the inflation rate eight years from now. so your state of new hampshire is going to have the money to design programs that would help your family. they re going to get money that a bur accurate would have gotten in d.c., their share of the 1.2 trillion and they can take 20 pearls of that to spend on the medicaid that they want to. they can take money in the second block grant and go well beyond where medicaid would let them go. they re going to have more money to help people like you. and here is what i bet. they ll do a better job than the guy or the gal running obamacare. so if you want to save the country from going bankrupt, we need to get medicare on a sus
social security and interest on the debt. somebody needs to deal with this. i choose to be that somebody. medicaid is highly inefficient. we need it match it up not cut it and give people the flexibility to run it better than they have today. all i can tell you about this fight, it s just beginning and to my friends on the other side, every group you cited told you that obamacare would work. every insurance company against this bill and if i were them i d be against it too because we take money from them and we give it to the state government to help you. and all these other organizations, you don t think they ll have a voice in your state? you don t think somebody in your state will listen to them? this is not about this is not about caring. this is about changing things while we still have a chance, because ten years from now if we don t fix it today, it s going to collapse, and god help us
not there. indeed cbo says that some states will continue their medicaid expansion program. that s what cbo says. it s just it s going to be under another rubric. let s talk about the 32 million people getting kicked off. they say that because we end the individual mandate, in which the federal government tells you if you don t buy insurance the long arm of the government is going to grab you and penalize you and shake you until you pay it. turns out 58% of those who pay report on their income tax less than $50,000 in income. republicans think that we should help those families, not penalize them. and one more thing about that. that individual mandate, jonathan gruber is the architect of obamacare. he wrote a study that was published in the new england journal of medicine. he says that the individual mandate does not work has no statistically significant effect upon getting folks insured. cbo still claims it. they admit it openly.
more, i can afford it. younger people, you re going to have to wait until bit longer to retire because we re living so much longer. but we ll give you decades to get there. as to medicaid, make it work. instead of running to the emergency room when you have a headache or a cold under medicaid and sending all of us the bill, let that medicaid patient into a family physician network where they can get treated, better for them, better for you. all i can say is if you do nothing, we just play like nothing is going to change unless somebody makes it change, medicaid is unsustainable. we don t cut a dime out of medicaid. we slow the growth. eight years from now we give the state the flexible they don t have today. here is my bet. deal do a better job with the money than the obamacare guy or gal. senator, thank you. let me just say two things. all of us are and should be concerned approximate the deficit and the national debt we