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as you mentioned, i serve on the ways and means committee. we generated a bill that provides to pay for so many services in this bill that are now being reduced or eliminated in the broader build back better bill. it s using general revenue from other source s to finance this coverage. we re talking about roughly $70 billion over a decade to provide basic vision and hearing coverage. i do think there s a problem with the voucher approach, and that s the one area that i have some disagreement with senator sanders on. we ve a posed voucherizing medicare for years. and i think our focus should be on what basic relief we can provide now on a permanent basis and perhaps do the other at another time. when it comes to other sources of funding, as we mentioned, you re on ways and means, chairman richard neil saying overnight he wasn t sure this plan attacks billionaires, ....
Medicare or talking about a medicaid expansion that could be voided. you re talking about millions of poor people then without insurance. and when you re talking about older people on medicare, even when you re talking about changes, they are delayed changes. but you say it strikes me voters will say they re in favor of an obama care repeal, but if it s touching anything of what they have, it s a different story. they don t they don t think it should be that way and that could also shape his opinion how this should go. many republicans elected donald trump to do one thing and democrats too, moderate democrats to create jobs. not to whack away at the safety net, and as someone who s covered the budget, for instance, there is great political peril in this if his voters start to view this as a broader assault on the safety net, because the red states are actually what we call recipient states. many of the blue states are the states that provide the federal tax dollars and recipien ....
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Changes, the fundamental changes changing medicare, voucherizing medicare what paul ryan talked about, which he says is crucial for keeping social security and medicare solvent. donald trump said i don t want to do that. i remember in one of the debates, he was very clear. means testing no way and from there on down. not something he was interested in. now that he has more traditional establishment republicans to deal with, not just in congress now in his cabinet, the question is how he s going to approach that. you wonder that, because we ve seen this in other areas with donald trump. he talked to general mattis, and said, oh, actually torture isn t something that works. so you might you could see him being able to pivot on this or trying to pivot on it after talking to experts. like these establishment republicans that have been advocating for entitlement reform for a very, very, very long time. even when proposing change, paul ryan wants to do to ....
This is an issue that is becoming very real, very fast. we heard a lot about undoing obama care for sure. what we re talking about now and everyone at this table knows this because we all cover congress, is that the republican establishment that is now being put into these positions of power in the cabinet and elsewhere have long wanted to take a much bigger whack at the entire safety net system, including social security, including medicare, including medicaid. so the question is, to what extent is donald trump going to go back to his populist roots and put his foot down on some of this stuff? while he campaigned on obama care, i think it will come as a surprise to many of his base that the republican establishment is now wielding power to go ahead and make some of these cuts and will have to make them if they pass this tax cut plan. he was pretty clear, in addition to the obama care repeal to your point, he doesn t want to touch the safety net. he doesn t want to do away with som ....