and loathing here. there s a lot riding on this. reporter: for jeff britain, which operates this and three other non-profit family health centers, higher premiums and deductibles and medicaid roll back are the stuff of worries. when medicaid expansion dollars went into existence, we were able to expand services and provide additional services to our patients and expand the number of patients we could serve. so rolling back those dollars is going to significantly roll back our services. page holland works full-time at mcdojd s while holding down a second job and medicaid expansion covers her health needs. i ve been having a lot of appointments and take more medications than i like lately it s really been helping me out with being able to pay for them and i know if it does go away, it s going to hurt me a lot. reporter: with monday s congress budget office report predicting 22 million covered won t be if the bill becomes law, their frustrations are
the united states doesn t have one. singapore maybe and other places come closer but we re not nobody has one. not a single country i ll answer the question you don t have to because i ll answer it myself. here s the situation, even if you put into effect and i hope they will put into effect a system which gives the states more authority to work with their people to find a better way of doing things than the federal government does it and give families and doctors more choices you will still have a system that includes medicaid, medicare and the employer system funded system and also those people who are veterans and those people. it won t it s not like you re going to a system that s totally market oriented. it s not because there s going to be help for some people at the lower end and some people who are elderly david within the system the people we re trying to help are the people under obamacare lost their doctor, had payments going through the roof and can
premiums and deductibles most likely too high. there s a reason you re on medicaid, you don t have the luxury we need to break down who gets medicaid in this country. it s 20% of all americans. 39% of all children, 49% of all births covered by medicaid along with 64% of all nursing home residents. where are they going to go for coverage? that is according to the kiser family foundation and we ll break down this down with david hoppy, a senior correspondent for the one nation health coalition that supports the effort to repeal and replace obamacare and also president of hoppy s strategies. i want to start first with president trump s base, he had a populist base, forgotten americans who felt they couldn t afford health care. we look closely at the senate bill, where we know poor people could be paying more, elderly people will be paying more and overall coverage will be less, that s psident trump s base,
down economics, if people had more money in their pictuocket would spend it. i don t see a parallel between the tax cut for the wealthy resulting in more boom to our economy. unclear to me. the interesting thing about that particular way of looking at things, when you give tax cuts to people who live close to the bone, don t have a lot of income, that tends to get used in the economy, a dollar of a tax cut to somebody who is living close to the national average gets spent in the money. a dollar given to somebody at the top 1% doesn t have the same effect. that person close to the national average isn t benefitting. i want to take a close look at trump care and specifically medicaid. that s the big deal. the federal government is going to be reducing its spending on the program by $772 billion over the next ten years. by 2026, the cbo expects 15 million fewer americans will be enrolled in medicaid and most of them would not buy private coverage with the price of
one medicaid claim but enjoys affordable coverage as she pursues a college degree. this is a big deal. maybe some people don t completely understand what is happening, they might need that help and maybe it won t be there. that was ron mott. joining us now is dr. natalie azar, nyu langone medical center in new york. there s people in the group most people get how about everyone? lots of people get their insurance through the way i m talking about how you get covered, you have group coverage and medicaid and medicare and then people with no insurance. yeah. how do these proposed changes affect a patient when they go to a doctor. to your point, the majority of p.m. in this country do get employer sponsored health care. this whole discussion we re talking about millions of people but it does represent a smaller percentage of the big nut but that doesn t mean it s not