Ms. Radnofsky, you didnt write story. Your colleague say theres a planned vote on healthcare. Especially on the senate side next week. Could you give a sense of the white houses role and what they happen if it does happen . The texte time line, is expected this week. Cbo score early next week and a thursday. Y a vote on the white house said is it is it has the 50 votes. Theyll have a firmer sense by end of the week. Confident things are direction. The right host sarah clif kliff of that confidence. Ony want to take a gamble this voting. Guest we seen the house a vote back ins march. They are getting ready. Paul ryan saying there will be a a dramatic move. They realized, they didnt have the votes and didnt want to put a bill only to fail. I think we will it is still see an whether we could similar scenario play out in the senate. Things feel very unknown because we havent seen the bill passed. Things from the senators. We talk to about the various suggestions they have to proposals. Once we get the bill pass, which on friday, weing will get a better sight what issues senators have votes. There are 50 host i know probably suggest that all these issues have been resolved. Case. T know if thats the is that the case as far as major issues. Sticking points. Guest theyre working through key issues of medicaid has been issue for the republican senators. There are a number of republican senators who represent states in medicaidpate expansion and their quite worried about the effects it would have on constituents. We went through details on washington journal that medicaid deal does seem to be shaping up. They are getting closer to the finish line. Ims the key area that watching. One thing we havent heard is the tax credits that people get market. Ndividual there hasnt been much out. Mation coming if you remember last week, donald trump called the house bill a mean bill. The senate has down with. Omething more generous host thank you for bringing up president trump. He makes statements like that, does this complicate the process as far as the have to do to get a final bill done . Make life House Republicans easier. The white house has to push to them across the finish line. Apparently the president did to some it could make easier,ate republican supporters are worried about this. The Senate Republicans position a bad bill better. That would make life who want to portray the bill bad more complicated. It could help Senate Republicans. Important thing here, Senate Leadership just like house leadership, at some point needs out there in order people to coalesce around it. You cant really count the votes until theres a bill. You reallyve a bill, want to move quicklied as a possible if youre in leadership and trying to get something line. The finish you really just want to move quickly and get people to come fast. Er around this thing host our two guests joining us for the next hour or so to talk only the Senate Status as far as healthcare but the future of Healthcare System in the united states. Want to ask them , heress about this where breaking it down. If you see insurance through the give usle care act, call at 2027488000 if if you from your employer uninsured 1 if youre uninsured, 2027488002. You can send us thoughts on this topic on twitter if you want. Do that. Louise radnofsky is the white house okay uninsured to move ons happens . Ardless what they like to see a win. Guest were heard conflicting signals. That was an approach that the white house flirted with over the house bill when it failed. They were done. They were walking away. Seems to have happened is that they got a sense a win was possible. Thats what brought them back to the table. Dont know how long theyre willing to stick with the senate. First tryknow if the will succeed. If the first try fails its unclear. Host on the senate side, were coming up on the july 4th break. Recess. At august Senate Republicans are they okay work . On if this doesnt if thats the case, you can add who are the close people to watch in this debate . Great questiona about Mitch Mcconnell. Deliver onted to this win. Who you ilobbyist talked to Mitch Mcconnell need to show them a body. Up for ono put it vote and move on. Next week will be quite instructive on which place it lands it. Thats the house experience, ryan gave press conference after that bill failed. Then two months later, they passed a bill. I take everything with a grain termst at this point in of how strong the compliment is repeal. Mmitment is to you have two moderate senators this deal. Ortant to senator Lisa Murkowski from alaska, Susan Collins from maine. They are quite concerned about the medicaid cuts in the bill. Morere pushing for generous medicaid funding. On the other side of the caucus, more conservative senators like mike lee, rand for more cruz pushing aggressive cuts. You can lose one side of the spectrum. Its a difficult balancing act trying to get partyne in the republican to coalesce around the same bill. Host remind us the way this will be voted upon. Votes will be needed to passed . Bill guest they need 50 votes to move it through the senate. Using a process called reconciliation. Anything that do relates to the budget only needs 50 votes. Get 60 vote the to majority. The only have 52 members in chamber and dont expect any democrats to vote for it. Theyre going that route. They only need 50 votes because if they do have a tie, the vice with the can come in tie breaking vote. Fully know how the debate going to unfold. Some timeike theres frame which senators can offer speeches. And floor we dont know how long that will be. Democrats, minority leader chuck schumer, he welloned Mitch Mcconnell have two hours to debate there. He said there will be sufficient time. The parameters of the debate arent clear now. Host Louise Radnofsky do we see a direct hand by the president or the Vice President talking and visiting them and who maybeg those still iffy on whether they can support this . Now. not what we see now is the white house, this is a strategy they set in early may, using Insurance Market woes in a drive home ates to message to senators that they have no choice to vote for a order toe bill fast in prop up those markets. Of thoseesday is one major federal filing deadlines information to come in from a number of states. Number of red states in particular. States that donald trump won. That is expected to be one of the turning points this week in discussion. That said, the white house was willing to get involved right at folks across the line. Thats certainly that could depending on where its at. The senators come down in some ways. All 52 senators from the republican side are the ones you watch. Theyll understand that. Have some calls. York, hesfrom new insured under the aca. Ahead. Caller good morning. The future of healthcare, has to of obamacareepeal because for us selfemployed literally have been thrown under the bus. We used to have Health Insurance we knew our doctors. Three, we family of have 11,000 deductible. Go to 600 a month and we medicaid clinic. Doctors do look at their screens. You dont see doctors there anymore. Practitioners. Its the worse case their nightmare for selfemployed people. We got rate premium, 13. 75 . Have a mammogram, 650 in advance. We have lost our Health Insurance. All we have is bills and we get dumped on the back of medicaid line. Hear the democrats talking about preserving Democrats Use threw self selfemployed people underthe b. Republican e oh whatever republicans do for selfemployed people it will be better. Our family lost our Health Insurance. 20,000 before we have coverage. Its medicaid. Its atrocious. We have to work to replace this. Sharing yourou for story. Guests, im sure this is not you heard this argument. Guest youll hear the president talk about victims of obamacare story lines similar to. Where people talk about higher deductibles. Her Narrower Networks with the clinics hes talking about. Seeing changes to their individual Health Insurance. The folks whos had insurance before the Affordable Care act came into effect. They were essentially benefiting the preaca system which andthier people paid less higher risk people paid more and arent able to get insurance. Scaleshe new system, the tilt more in favor of people who claims. Her medical but conversely, those people can be deemed winners, featured by administration, you have people who feel like they new system. Er the theres a trade off and american decided. Ecessarily guest i agree what that. When i talked to a lot of democrats, they talk about what will fix with the Affordable Care act, they think they would have identify some of problems that william was identifying. We need to provide more generous financial support. We need to spend more money to make a little more affordable areindividuals who enrolled. That is not the approach republicans want to take. Think one question i raised around this, how someone like treated under the American Healthcare act. The bill that the house passed. A big the Congressional Budget Office expects cause deductibles to rise. Its providing less generous support. These are questions and ton fromons i hear a obamacare enrollees. It is not clear to me that the passed thebill that house would solve these problems. Caller in is a maryland. Dave who gets insurance from his employer. David from maryland . Caller. On to another jan from massachusetts on our line for others. Hello. Caller good morning. I wanted to say that i remember were doing theey year. G this paul ryan told the president they had the vote. All day. Ing cspan the forum and i see paul ryan come in saying he had aetna. Ith the ceo of in virginia its crazy. On obamacare, everybody was worried about pork in bills. Only one who got pork was Mitch Mcconnell. He asked to have program on the ohio river. The complete funding of that. Now i dont understand. The whole reason to get a job is to get Health Insurance come with it. Term, short term, disability, life insurance. Is all normal since 1974. I dont know whats going on. Am very happy that im military grad. I got to live on an army base in never had to worry about food, clothing, education, security. I get back to the states age of 12. You people are nuts. The same thing everyday. Thanks. N guest i think the process has been a little challenging and interesting to watch. Theres a lot of concern talk toart of people i about Health Insurance industry. How involved are they. W. Of the things thats interesting to watch, the Health Insurance industry has been in this debate. You think back to 1994 which is before i was covering healthcare, i looked back at that, you saw aggressive attempt Healthcare Industry to hillarycare. You havent seen industry playing much of a role. They kind of seem a little bit on the sidelines at this point. Surprisingen little to me as a reporter so see that. Saying it reporting was in iowa, Health Insurance, in iowa. Eyll stay at this. House look this is one of Donald Trumps campaign. Ing the ultimate collapse of the current of obamacare. Ate we areumber of seeing in some of the same states and different states this time around, similar increases being proposed by carriers. A bit of back and forth debate. Where democrats blame republicans for the rate year. Ses this are y [indiscernible] the republicans sabotaged it. Republicans imply they didnt. Reate the laws of economics there is a little bit of a political calculation going on parties. Both do republicans as last party to touch Health Policy, get blamed problems arised as result of American Healthcare anybodyany problem that has in Health Policy at all. Of gripes withs their insurance coverage. Its natural they attributed those to Affordable Care act. Equally natural they attribute to Affordable Care act. Host Previous Administration newif the current action announcements that were seeing. Guest i think both are true. Before the true Trump Administration. The obamacare marketplace is struggling a little bit. Were seeing carriers leave the marks. They werent making money. Kept seeing increase in counties with only Health Insurance available. Is not the competition democrats imagined when they act. D the Affordable Care how it is certainly this was designed, the markets were not functioning as democrats would have liked. Lot ofe seeing a monopoly markets with high rates. Ce theres actions taken by the Trump Administration that has exacerbated these problems. Administration has been very ambiguous about whether they will continue paying subsidies. Were just going to raise our rates a lot in order to make lose money. T the blue cross plan in North Carolina for example, which is the only carrier left in that market, they said they would have raised rates 8 . They dont know about the subsidy funds theyre asking for 22 rate increase. Certainly true there were challenges Health Markets faced before the Trump Administration. Of the if you read the insurance filings, something i doing, you of time see that a lot of Insurance Companies are attributing big hikes with the uncertainty of white house and congress created. Referenced, well see ambiguity about the decision on that . Guest the other aspect, theres ambiguity, this is a matter of litigation. Didnt create the legal uncertainty over the payments in so far they didnt draft the bill that created what was appropriations. House republicans did file the lawsuit but then created that. Back and forth here. You can see how complicated this get. Guest right now, we dont know the white house has not paying these funds. They have paid them a little bit lawsuitseeping the alive. Get aats tried to permanent appropriations for them under the spending bill year. As cut earlier this they walked away from that and other goals. Radnofsky and sarah kliff. Next caller linda from dallas, texas. Pleased with healthcare that i have. Healthcare th united healthcare. Im 67 years old. I get tot healthcare, choice. E clinic of my its really good for me and theres a lot of seniors that go there. Im hoping this new healthcare that. Oesnt change my doctor we get referrals if we become sick. Like to say that, im hoping nothing changes to the hospitalhospitals that takes cae my income residents in district. They go to parkland. Has county hospital its a takes care of them under their special insurance. Hoping nothing changes there. Thank you. Host shes satisfied with her healthcare. How does that change depending on what happens . Guest she sound like shes in plan. Re advantage that is somewhat largely untouched. Rulesconciliation restrict House Republicans able theo in terms of repealing Affordable Care act. Shes also raised questions about the future programs in her that do rely on federal money. Bye of which is affected legislation that washington is debating now. Thinkg question that i will remain regardless what beyond,next week or which is, there are around 25ly 25 Million People in the united insurancehout health who rely on Community Fund and charity programs. The republican bill passes and the cbo score is correct, it ofl raise the number uninsured. Wasnt clear under the therdable care act even uninsured rate would go down. You might have a bigger issue that everybody will be talking now. Five years from host you see the score pop up a couple of different times. Party anymore as far as the score is concerned . As far as what debate goes on on capitol hill . The republican side, do they consider it anymore . Do. T i think they it will be interesting the journal reported this morning, the cbo score is expected on tuesday of next week. It will be interesting to see where that number is and how talk aboutblicans it. I can foresee a future where the cbo score on the house bill said that 23 million americans will coverage. Senate getting score saying 15 million will lose coverage. Bad bill and we made this better. Thats still a significant number of people losing Health Insurance. Thats about the population of pennsylvania or so to put it in perspective. I think it will factor into the debate. On the certainly seen house side that they voted did itthe cbo score, to in the debate. On the senate the rules are different. To use this reconciliation process, need to show that this bill save the government money. They need that cbo score before voting. They can turn to different agency, look that score is fine. Seems like theyre going to wait for the cbo score. Host lets get to maryland, is insured under the aca, chris youre next. Caller i live in baltimore, maryland. About five years ago, i had a death in the family and i lost job. Which caused me to lose my house everything. To lose if it were not for the Affordable Care act, i would be dead. I thank president obama and everyone who voted for it for that.