Upstate Medical Center blues 18 million a year. Its going to hurt the economy. So i voted to repeal the Affordable Care act. Beyond that we voted for bipartisan support for three free trade agreements that will aid in increasing the number of exports from our district. We have time for rebuttal. What are your thoughts regarding the stimulus act . Maffei i think the recovery act was essential at the time. First of all were lots of small tax cuts that were essential to those families. Secondly, we kept police on the street, kept or teachers to me laid off in our classrooms from blowing up in size. And firefighters. So certainly we had to do something. The thing that i am really confused about, thats bad but there do the right thing on the taxes apparently. But now some of the economy is starting to be fine for millionaires and billionaires. Im doing the wrong thing by asking them to pay their share. And get we need to balance the budget but where is the money going to come from . None of it adds up. Moderator urso, your reaction. Rozum i think would be immoral to repeal the affordable good activist. Theres too many good parts i think we move forward. Repealing that wouldnt get us where we need to go which is medicare for all systems which make it much easier for employers to hire workers and provide health care for them because they would be paying a simple medical payroll tax. It hasnt proven to be true because there should be increased by from medical devices under the Affordable Care act the im not compelled by his arguments. Ann Marie Buerkle, your chance for rebuttal. Buerkle theyre going to left 10 of the workforce is indicative of the Affordable Care act. I was going to affect jobs and economy. Our largest employers in our district, the Affordable Care act is going to dramatically impact medicare reimbursement to hospitals, to our physicians along with sequestration. Of our hospitals are not alive and welcome you can have the most comprehensive Health Care Plan in the world but if you dont have hospitals or physicians who will treat these patients, their Health Care System is going to fail miserably. So i would say absolutely we need to repeal the Affordable Care act for jobs and the economys sake. Moderator further on jobs, did the Obama Administration try something similar to your jobs for all program with a seamless package . How do you compare the two . Rozum no, because the stimulus was not meant to be a permanent public jobs program and the cost of those jobs were skyhigh. It cost almost 800 billion, yet another jobs created or saved for only 3 million. The numbers were talking are similar, 800 million, 800 billion, excuse me but to greet over 10 million jobs. And so direct Public Employment is a little different than giving tax breaks to companies, to create jobs. Because the job creators arent getting it done. They are not creating jobs. Moderator dan the thick, a follow up on jobs. You think under a second Obama Administration, should you return to washington could you create a more favorable tax environment for businesses or hospitals to grow so that could be more jobs . Maffei theres no question tax reform would be very, very important and if you think we need to lower rates but get rid of a lot of loopholes, particularly corporate loopholes, the ones that ship jobs overseas. Cease to exist. Ann Marie Buerkle is voted to continue. Shes voted to continue to big tax breaks for oil companies. Thats very important. I do think theres changes that need to be made in the Affordable Care act. Im opposed to the device attacks. Ive worked with well challenged not to in first place. I do think we need to make those changes but we will never making changes if were not willing to compromise. Moderator would repealing Affordable Care act affect jobs in any way, it positively . The you see it affecting it in a negative way . Buerkle absolutely. This country needs Health Care Reform. Transom but you are saying he will repeal it . Buerkle i will repeal it and put in something that will be bipartisan. This is something the democrats sat down shutdown stroke of the of the American People. Dan maffei never came back and talk to the district. This medicare, this Affordable Care act cuts medicare for our seniors by 700 billion in our district alone that means cuts of a billion dollars for our seniors. This law was not well thought out. It was not bipartisan but it was very partisan approach to Health Care Reform transit do you have another plan . Buerkle yes, we do. Maybe we can get to that with our followup question you. This is about medicare. As the population ages, the current cost projections for medicare our financial and sustainable the nation. So which of the several floated plans out there to put medicare on stronger financial footing do you support and why . We will begin with dan maffei. Maffei its extremely important we save medicare, as a guaranteed benefit. The wait is now. Not just for todays generation but for future generations to ann Marie Buerkle says if youre over 55 dont worry. Theres real reasons why you should worry. If youre under 55 you better watch out because she wants to change it. The ryan budget should vote for makes into the voucher program. Thats one way to handle it but there are other ways. Medicare needs some adjustments but fundamentally its a program that works. What doesnt work is the very, very high cost of health care. Thats a lot our we need to do to Lower Health Care costs. Obamnicare did start the process. It did start lowering health care cost. However, we need to do more. One of the things that were primary here in Central New York is Electronic Medical records. Those are one ways we can avoid repetition and different tests and things like that. We can work with medical schools, physicians dementias more primary care physicians. Also lower medical costs. We need to work together, a proposal of Family Physicians to make a medical home. These are all ideas that will help lower medical costs and save medicare. Moderator were going to go to ann Marie Buerkle trained to thank you. Of all of the distortions and the disingenuous advertising and ad campaigns that have gone on, it is dan maffeis position on medicare. Dan maffei and he would have voted for his Affordable Care act needs to take responsibility that they cut medicare for our current seniors by 700 seen billion dollars. That will dramatically affect the services that are hospitals and physicians will be able to get your seniors. Every scene in the audience should be concerned about the law the land that dan maffei voted for. If you want to talk about lowering Health Care Costs youve got to get tort reform. This law does not include any. Dan talks about Electronic Medical records. He should be talking to the physicians. If your full practitioner, the burden of Electronic Medical records put on your practice, this law was not well thoughtout picket didnt have the appropriate parties at the table. We can do better for the American People. Moderator thank you. Rozum we can do better for the American People which is why i support a medicare for all program, like proposed in Congress Almost every year. Most recently by john conyers. Again, h. R. 676 is a medicare for all legislation, and we should not medicare the way it is and use medicare for all. And i think the medicare for all would transfer 560 billion that right now going to the bureaucracy and the monopoly process of Drug Companies take care. Because what we have right now is not a Health Care System. We have a sick care system that is focused on Insurance Company profits that only go up when they deny us care. The best way to stabilize Health Care Costs if you take the and put them in a medicare for all system. I just wanted to go toward reform for just one second. I would suggest ann Marie Buerkle discuss tort reform with senator defrancisco was said that tort reform is not a problem and that medical malpractice insurance only contributes very slightly to Health Care Costs. With a medicare for all system we wouldnt have to worry about tort reform. We would not have a lawsuit that would cover care. Moderator thank you. With 30 seconds for you, dan maffei to rebut. Maffei i think its important and we talks about the 760 builder but that was, it was cuts to Insurance Coverage to write services. It was to provide that they had to providing with the it didnt get any benefits. This has been proven wrong. Said ron by the poststandard. And the thing is this is what president clinton mentioned in the democratic convention. She voted for the same thing anywhere. Its in the ryan budget. The ryan budget keeps these cuts. So and ann Marie Buerkle talk that we need to do differently, how come she hasnt . Shes been the congresswoman for two years. Wheres the change . Buerkle lets be real clear. The Affordable Care act in its current form cuts medicare for our seniors by 700 billion. A cut of Medicare Advantage by two and 50 billion, and 300 billion the cbo has is with us cuts to be even more. That does not add cats to Insurance Coverage to medicare is a federal program. It will be cuts to the services that are hospitals and physicians can provide for our seniors. Those will be the cuts. The impact our seniors will be real. We are already hearing from our constituents saying that the cabinet decision you will treat medicare patients. Its real and it is a really consequence of this Affordable Care act. Moderator ursala rozum, 30 seconds. Rozum i think disagreement over the Affordable Care act and constant debate over health care that we have medicare for all is quite indicative of the dysfunction we see in washington, which is why we need new leadership and progressive leadership. The Affordable Care act is modeled after romneycare in massachusetts and was originally developed a Insurance Company executives with the companys wellpoint. So what i want to hear from our representatives and from my fellow candidates right here is how can we get to medicare for all system that provides health care as a human rights and will find a stabilize Health Care Costs . Moderator with followup for each of you. Starting with dan maffei, again im referencing the richard rabbitpaul volcker report. The reduction in future spending under the new Health Care Law will implemented cut Health Care Prices are hospitals, Skilled Nursing facilities, home healthy, labs and other services. Over the next 75 years to less than half of the level under the prior law. According to the programs action was, by the year 2085 medicare payment rates for Inpatient Hospital Services will have sunk to 33 of private Health Insurance payment rates causing a withdrawal of providers from the medicare market and severe problems with beneficiary access to care. How would you address that problem . Transfer i will read that report youre reading from. There are a lot of opinions about his health care bill. The a lot of opinions even before the Supreme Court ruled on it, and im just not sure whether that one is a more true than a lot of the opinions that say that hospitals will get more patients and will actually be in better shape. But what i will say is we got to keep working. The Affordable Care act is the law the olympic its not going to be repealed but we can fix it. There are some things that need to be fixed. I think medicare should be able to negotiate for the pharmaceutical prices just like the va does. That would save a lot of money. So youre asking, weve got to move forward. I think that the trouble with this discussion is were just continuing to argue these past issues when we do have to move forward. There so people are uninsured. Theres still people who are not getting the kind of care they need, even though at least now people wont run out of their insurance and wont have the worst things happen to them transit thank you, dan maffei. Ann Marie Buerkle, this followup is for you. Paul bryant plan retains virtually all of the medicare reductions that are in the Health Care Law. The only difference is that he diverts the savings to his medicare overhaul. So isnt it is misleading to claim that these reductions are cuts that hurt elderly beneficiaries now while failing to inform voters the ryan plan incorporates exactly the same reduction . Buerkle i think what youre saying is paul ryan, because he started up a sign that the Affordable Care act sets, he took the 700 billion in cuts and put them back into the Medicare Program to strengthen the program for seniors. Thats never one. Number two, the study you just mentioned, and says hes got to resistant to all been has to do is going to talk to are hospitals or physicians or physical therapist or cardiologist, or chiropractors or Skilled Nursing facilities, Nursing Homes who are all feeling the direct impact and are so concerned, so concerned about how they will move forward with all of these cuts theyre going to feel within the Affordable Care act. I think of all the parts of this campaign that have been so disturbing is the fear tactics that have been used against seniors that we dont want to make medicare stronger and healthier. I of the night he won year old mother. I am not going to medicare for. I know how important it is for her. Moderator ursala rozum. Maffei president obama rozum present the obama failed. At what you propose to be with the president couldnt. Rozum im not sure if its quite true to say that president obama tried to provide a singlepayer option. He campaign on the public option in 2008 and gathered support of many progressive voters that really did what singlepayer health care. And then a singlepayer was not, option was not on the table in 2009. So i think what we really need is winnable progressives in congress that will stand up and fight for what we need, which is health care for all the medicare for all which will rein in increasing Health Care Costs. The United States spends about twice as much per capita on health care as other countries. We are about summer between 30th and 40th in the quality of care we provide, according to the world health organization. And it shouldnt be that way because we do have some of the most skilled doctors and researchers here. And so with medicare for all we guarantee access to care, and we allow patients to choose their doctors, to choose their hospitals and then we really have Patient Choice and a free market where doctors are competing to do better and nurses are competing to do better. Moderator next question. Today in his u. S. Senate candidate at indianas Richard Mourdock apologized for offending anyone forcing pregnancies from rape or something that god intended to happen. The accused democrats or distorting his comments, but even is today commenting the memo issue for voters, the campaign ads in this race were some 6 million will be spent in Television Advertising have focused on positions on abortion or when does life begin, womens reproductive rights. Why is this issue in this campaign been so important . Buerkle we just heard dan maffei say its important not to look back. One of the ways dan maffei doesnt look back and hold himself a couple for the votes he took for the district, with the Affordable Care act, capandtrade, stimulus bill, doddfrank, is to create and distort and distract the this is a National Campaign the democrats are running. He goes right along with his democratic party. I spent 16 years as a volunteer. I understand Domestic Violence to understand the victims of Domestic Violence and how they suffer. I am a mother of four daughters. I have four granddaughters, and i would not do anything, anything to weaken the rate