Senate side for next week. Can you give us a sense of the white house role in what they would like to see happen . The timeline is that is expected this week and then potentially vote on thursday. The white house says it is not yet aware it has the 50 votes they need but they will have a better sense at the end of the week and their confident things are heading in the right direction. Give us a sense of that confidence. What is this based on . Are they willing to take a gamble even if the votes arent there . A they were looking at a vote towards march. They pulled it at the last minute. They realize they do not have the votes and do not want to puts up a bill only to fail. Its still an unknown whether we could see a similar scenario play out in the senate. Right now things feel very talk unknown as we havent seen the w bill tax. Which talk about the objections but once we get this bill which is coming on thursday or friday of this week and will have a better sense of what issues senators have and if there are 50 votes to move forward. I know it probably suggests that all these issues have resolved, dont know if thats the case. Was if thats not the case, what are the sticking points . I think theyre working through key issues. Medicaid has been a challenging issue for the republican senators. Theres a number who represent states who participate in Medicaid Expansion and theyre worried about the effects that will have. Was i details the wall street journal that a deal seems to be shaping up. Theyre getting closer to the finish line. Hi security im watching. We havent heard a lot about the tax credits that people get on the individual market. Not as much information coming out about how generous those would be. Donald trump called the hospital amine bill. He wanted the senates, but something more generous. See if that factors into the tax credits the senate includes andd their version. Host thank you for bringing the president trump. When he makes statements like that does that complicate the process as to what legislators have to do . It probably not make life any easier. White house had a push to get them across the finish line and cajoled many of them to vote for the bill. Apparently the president did refer to some it could make them a little bit easier. The Senate Republican party could position itself is making a bad will better and that would make people who wanted to pretrade, one of the important thing here is that senateneeds leadership like house leadership at some point needs to put a bill out there in order for people to coalesce around. In other words you cant really count the votes until theres a bill. Once you have a bill you want to move as quickly as possible. You really just want to movest our quickly and get people to come around. Our guests to join us for the next hour to talk about not only the Senate Status and the future of the Healthcare System in the United States. If you want test questions we divided the lines differently. If you currently receive insurance through the Affordable Care act call 202748, 8000. If you get insurance from your employer two oh 2 7488001 you can send us your thoughts on the topic on u twitter if you want. Th you can do that it cspanwj. Rdless w is the white house okay to move on from this regardless of what happened . Verbally they would like to see a wet. Weve her conflicting signalsproach about this, certainly that was an approach the white house started with over the hospital and it failed. They said they were done and walking away. Then what happened is they got a sense that a win was possible. It was something they could eke out of the house. Know if so, right now you dont how long they will stick with it because you dont know if the first try will succeed. If it failed its unclear about the senate process. s on the senate side youre coming up on the july 4 break. Theres an august recess andse maybe even shortening that. Nt are Senate Republicans okay with moving on if this does not work . To and can you add on who are the close people to watch . Particularly on the senate side . Guest thats a great question about Mitch Mcconnell and his role, does he want to deliver on the sprint for theres a lobbyist that my colleague, dylan scott talk to that said Mitch Mcconnell needs to show them a body, and he supported her for a vote, it fails and they can say they tried to do it and move on. So next week it will be quiteee instructive on which place they land on. Paul ryan gave a press press c conference with a declared obama care the law of the land. Theyre about to move on andta then two months later they pass the bill. I take everything with a graing of salt in terms of how strong the commitment is to repeal. In terms of senators to watch you have two moderate senators who are into this deal, senator Susan Collins for maine, these are two women concerned about the medicaid cuts in the bill and are pushing for more generous medicaid funding. On the other side you have more conservative senators like mike lee, rand paul, ted cruz were pushing for more aggressive cuts. You can maybe lose one side ofact tr the spectrum but its a balancing act trying to gets the everyone to coalesce around the same bill. Remind us of how this will be voted upon. How many votes are needed to get the bill passed . How will that be done . Any 50 votes to move through the senate. Using reconciliation that werenc all familiar with where they can do anything that relates to the budget and only 50 votes. They dont need 60 vote majority required to overcome a filibuster to celia 52 members in the chamber and dont expect any democrats to vote for. The only 50 votes as if they have a type of Vice President can come in and offer a tiebreaking vote. Unfold we dont fully know how the debate is going trump full. There will be some timeframe in which some senators can offer amendments and floor speeches. Last night during the democrat talk upon, Chuck Schumer was pressing Mitch Mcconnell then would we have ten hours to debate this Mitch Mcconnell said there be sufficient time but would not commit to time. The parameters are not very clear righthe now. Do we see a direct hand by the president or Vice President calling senators, visiting themst and encouraging those who might be if jan whether they can supported or not . What we see right now is a white house using Insurance Market woes in a number of states to drive home a message that they have no choice but to vote for a Health Care Bill fast in order to prop up the markets. Coincidentally this wednesday is one of those major federal deadlines for information to come in to a number of states. That is expected to be one of the turning points of speak in the discussion. White house was willing to get involved at the end to get across the finish line for they thought they could be helpful and thats certainly something that could happen again depending on where the senators come down in some ways given the massive this, all 52 senators are the ones you need to make and watch. We have some calls to field. For scholars william from new york, william, your and their guests, go ahead. Good morning. Hc the future of healthcare has to include the appeal of obama care because for our selfemployed people we literally threw it under the bus. We used have Health Insurance with their doctors my family is a family of three, we have 11000 deductible, we pay 600 a month and we go to a medicaid clinic. See doctor all the doctors do is just look at their screens, they dont see doctors anymore its a worstcase nightmare for selfemployed people. We just got 13. 75 my wife had to have a mammogram and so we have literally lost her Health Insurance. All we have is bills and then we get dumped on the back of a medicaid. When you hear democrats talking about preserving obama care the democrats through selfemployed people under thera bus. We have no Health Insurance just enormous to doctor bowles. Our coverages. Medicaid, the difference is that we pay for so whatever thehe wh republicans to for selfemployed people will be better than what exists because our family has lost Health Insurance and what we do have is medicaid. Its absolutely atrocious and we have to work to replace this. Thank you for sharing your story. Im sure both sides use it in obama their argument. And you he will hear them talk about victims of a story line. They talk about higher deductibles and narrower networks, scene changes to theirance. Health insurance, usually the w folks who had insurance before this came into effect when they were benefiting from the system in which Healthy People pay less and secure people were highrisk people paid more than were not able to get insurance. Under the new system it tilts in favor of those and conversely those could be winners near people who feel like they have lucked out. And both people can be right. Theres a tradeoff that americans havent decided which tradeoff. And ive talked to democrats and about what theyre going to fix with the Affordable Care they would identify some problems that william was identify we need to provide more generous Financial Support and make it more affordable for individuals were enrolled. Thats not the approach republicans want to take. One question i raises how someone like william gets treated under the Health Care Act and whether thats a bill that would cause deductibles to rise even more. These are questions and frustrations i hear but its not clear to me that the republicanmaryla bill through the house would solve these problems. Dave who gets insurance from an employer, go and head. Lets go on to another caller. Wan jan, hello. Of morning. I just wanted to say that i remember the day when they are doing the first passing and paul ryan told the president they had is well and youre watching cspan all day so much in the form and i see paul ryan come in and say he just had lunch with the ceo and im like what went on with this lunch because then hes pulling out of virginia and its crazy. On obama care everybody was worried about pork and bills obama was allowing no he has to have the program on the ohio river, he would have complete funding of the and then they had obama care. U and now i dont understand. The whole reason to get a job is to get Health Insurance to comeerm, with it, longterm shortterm disability, this is all normal since 1974. I dont know whats going on but im happy im a military brat and i got to live on an armymy base in japan where he never had to worry about food, clothing,g,you pe education, security, i get back to the states at the age of 12 and you people are nuts. The same thing every day. Involv i think the process has been a little challenging and interesting to watch. Theres a lot of concern on the part of people i talked to about what is the role of the Health Insurance industry and how vulgar they one thing a spinach interesting is industry has been a bit muted this debate. If you think back to 1994 i look back at that debate and theres an aggressive attempt from the Healthcare Industry to kill hillary care. You have not seen industry plaintiffs much of a role. You might expect hospitals who stand to lose a lot to really be throwing everything the half. They seem on the sidelines at this point which is been surprising to me as a reporter to see that. The hill reporting saying it was in iowa but theyre saying they will stay in iowa and you can see premiums rise almost 50 . Ing when those announcements are made this is one of donald trump things the collapse of the current state of obama care. A number of significant rate increases that came in last year that were confirmed right beforeng election propelled Donald Trumps campaign in certain states. What were seen in some states the similar increases being bac proposed. Theres a backandforth debate where democrats blame republicans for the rate increases and say they are not proof that obama care isimply feeling. That republicans sabotaged it. There is a little bit of up political calculation going on for both parties, to republicans, as the last ready to touch Health Policy get blame for problems that arise for the American Healthcare or any problem that any person has in Health Policy at all . Many have nothing to do with policy being determined inin it washington. But its natural in the last seven years theyve the trivet of those to the Affordable Care act and its equally reasonableut to say that theyve treated them. If the Current Administration exasperated for what we currently seem. I think it was true before the Trump Administration that the obama care marketplaces were struggling. Carriers were leaving the market not making money. You see an increase in countiesas where they had only one Insurance Company available. It they thought they would have robust vibrant markets want to pass. Its true for a number of reasons and how it was designed that the markets were not functioning democrats wouldve liked. I think theyre also certain actions taken by the Trump Administration that have exacerbated these problems. One of all surround the costsharing subsidies. As a billiondollar fund to help lower copayments and deductibles deductibles. This is been challenged in the lawsuit the Trump Administration has been very ambiguous about whether they want to continue. You seen Insurance Company same dont know if you get the money is we dont want to lose our shirts. Well raise the rates to make sure we dont lose the money. Hat the blue cross plan in North Carolina is the only carrier left in that market said they wouldve racer rates a percent but theyre actually asking for 202022 rate increase. It is true theres challenges the Health Markets faced before, if you read the insurancecompanie filings you see a lot of Insurance Companies are attributing the rate hikes to the uncertainty of the white house that congress has created. Will we still see ambiguity about what decision will beguest made . Theyve hinted in a couple of different directions. This ambiguity because this iser ongoing litigation. Republicans as they will point out to not create the legal uncertainty over the payments insofar as they do not track the bill that created when judges ruled to be noninclusive. Health republicans filed a lawsuit. You can see how complicated this again if it were played out in the political debate because theres plenty arguments people can make. Right now we do not know, the white house has not committed to pain these funds. They have paid them a little bit in part keep in the lawsuitcrats alive. They democrats try to get a permanent appropriation for them under the spending bill that was cut earlier this year. When they couldnt get it they walked away and pursued other goals a mess whereat. Louise covers the white house, eric senior policy correspondent, the skull is linda from dallas, texas. Good morning. D im quite pleased with the healthcare that i have. I have it with United Healthcare healthcare. Im 67 years old and under that healthcare get to go to the clinic of my choice and its really is good for me and theres a lot of seniors that go there. Im hoping that with this new Health Care Bill that does not change in the rates are good and my dr. Will get referrals if we ever become sick. Also i want to say that im hoping nothing changes to the hospitals that take care of thee low income residents in my district. Because they go to a hospital, dallas has a hospital that takes care of them under their special insurance. I hope that nothing changes there. Someone who is satisfied with her healthcare, how does that change depending on what gues happened. Sounds like shes in a Medicare Advantage plan. That is somewhat largely untouched by what is going on because a reconciliation rules restate what House Republicans do in repealing the act. Shes also raising concerns about those that rely on federal money, some of which is affected by legislation that washington is debating now. The question that remains is, there are around 25 Million People in the United States right now without healthurance insurance rely on Community Funds for Charity Programs that the republican bill passes in the cbo score is correct it will raise the uninsured. There are ready a lot of uninsured right now. Democrats would argue that there heading in the right direction. Alking see have a problem right now you might have a bigger issue that everybody will talk and about five years from now. We see the score pop up a few different times, does it evenas far matter anymore sores what debate goes on capitol hill and even on the republican side to they considered anymore . I think it will be interesting to see that is cbo score is expected on monday or tuesday next week. Interesting to see how Senate Republicans talk about it. Right now the cbo score say 23 million americans have thisng coverage and i can see a the cb