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>> BUT FIRST THROUGHOUT HIS

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CAMPAIGN PRESIDENT-ELECT TRUMP

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WAS CLEAR IN HIS INTENTION TO

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QUOTE REPEAL AND REPLACE

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OBAMACARE OFTEN PROMISING TO DO

6
00:00:12,766 --> 00:00:18,300
IT ON DAY ONE.

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00:00:14,566 --> 00:00:19,833
BUT SINCE THE ELECTION HE AND

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MANY REPUBLICAN LEADERS ARE

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SOUNDING MORE LIKE REVISING

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RATHER THAN REPEALING.

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ON 60 MINUTES THIS WEEK TRUMP

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SAID THAT PEOPLE WITH

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PREEXISTING CONDITIONS WOULD

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STILL BE COVERED AND YOUNG

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PEOPLE UNDERAGE 26 WOULD BE

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COVERED BY THEIR PARENTS'

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INSURANCE YET DURING THE

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PRIMARIES CANDIDATE TRUMP CALLED

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FOR UNIVERSAL HEALTHCARE ON 60

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MINUTES.

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>> EVERYBODY'S GOT TO BE

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COVERED.

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THIS IS AN UNREPUBLICAN THING

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FOR ME TO SAY BECAUSE THEY SAY

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NO THAT CANNOT AFFORD PRIVATE.

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00:00:48,466 --> 00:00:51,166
>> UNIVERSAL HEALTHCARE.

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>> I WILL TAKE CARE OF

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EVERYBODY.

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EVERYBODY IS GOING TO BE TAKEN

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CARE OF, BETTER THAN THEY ARE

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TAKEN CARE OF NOW.

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>> WHAT SHOULD BE DONE WITH

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AFFORDABLE CARE ACT?

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AND JOINING US ARE DIANA

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RICKERT, SHE IS VICE-PRESIDENT

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OF COMMUNICATIONS AT THE

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ILLINOIS POLICY INSTITUTE.

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A FREE MARKET THINK TANK.

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AND DANIEL RABBITT PROJECT

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MANAGER FOR THE PROGRESSIVE

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POLICY AT THE HEARTLAND

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ALLIANCE.

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BASED ON WHAT WE HAVE HEARD WHAT

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DO YOU THINK THE FUTURE HOLDS

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FOR OBAMACARE?

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>> WELL, PRESIDENT-ELECT TRUMP

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CAMPAIGNED ON THE PREMISE OF

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REPEALING AND REPLACING

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OBAMACARE AND HE HAD BETTER

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DELIVER BECAUSE IF PEOPLE LOVED

51
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OBAMACARE WE WOULD BE TALKING

52
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ABOUT A PRESIDENT-ELECT CLINTON.

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THE ELECTORATE SIGNALED THEY

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WANT MAJOR CHANGES AND NOT

55
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MARGINS SHOULD BE ADJUSTED.

56
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THEY WANT IT TOSSED AND REPLACED

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WITH A NEW SYSTEM.

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>> TOTALLY NEW SYSTEM, DANIEL

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RABBITT DO YOU THINK BASED ON

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WHAT YOU ARE HEARING THE

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PRESIDENT-ELECT SAY WHAT DO YOU

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THINK THE FUTURE HOLDS?

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>> WELL, I THINK IT WILL BE MUCH

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MORE DIFFICULT FOR THEM TO

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CREATE A BRAND NEW SYSTEM.

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WHILE THE AFFORDABLE CARE ACT

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HAS NOT BEEN THE MOST POPULAR

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PROGRAM IN AMERICAN HISTORY MOST

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PEOPLE LIKE MOST OF THE

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COMPONENTS OF THE BILL.

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OF THE LAW.

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SO WHEN YOU GET DOWN TO THE

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DETAILS IT WILL BE MUCH MORE

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DIFFICULT.

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BUT REGARDLESS OF SPECULATING, I

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THINK THAT THE AFFORDABLE CARE

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ACT HAS TAKEN US A STEP FORWARD

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TOWARDS ENSURING HEALTHCARE

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COVERAGE FOR ALL AMERICANS.

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AND AT LEAST AT HEARTLAND WE ARE

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GOING TO MAKE SURE THE GAINS ARE

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NOT LOST.

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>> DIANA RICKERT IF THE

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PRESIDENT-ELECT COMES UP WITH A

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PLAN THAT INCLUDES COVERAGE

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FOREPEOPLE WITH PREEXISTING

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CONDITIONS AND 26 YEARS OR

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YOUNGER BEING CONTINUED COVERAGE

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ENTER THEIR PARENTS I'M PROGRAM,

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PARENTS' INSURANCE, WOULD THAT

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BE SATISFACTORY TO YOU?

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I MEAN TO THE POSITION YOU

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REPRESENT?

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>> SURE.

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WELL, I THINK THE QUESTION

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REALLY IS:  WHY WOULD THERE BE

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COVERAGE FOR THE PREEXISTING

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CONDITIONS UP UNTIL AGE 26

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BECAUSE THE GOVERNMENT SAYS THAT

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INSURANCE COMPANIES HAVE TO

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PROVIDE THIS?

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OR BECAUSE THE MARKET DECIDED

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THERE IS AN APPETITE AMONG THE

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PUBLIC FOR THIS.

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WHAT PEOPLE DON'T KNOW IS

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ACTUALLY BEFORE OBAMACARE WAS

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IMPLEMENTED UNITED HEALTHCARE

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WAS OFFERING COVERAGE IN 25

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STATES TO PEOPLE WHO HAD

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PREEXISTING CONDITIONS.

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EVEN THOUGH THE MARKET AND THE

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HEALTH INSURANCE INDUSTRY WAS

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NOT PERFECT IT WAS TRYING TO

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MOVE TO SOLVE IT.

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SO SHOULD PEOPLE WITH

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PREEXISTING CONDITIONS BE ABLE

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TO GET HEALTH INSURANCE

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COVERAGE?

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YES THEY SHOULD BE ABLE TO IN

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MANY CASES BUT IT SHOULD NOT BE

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THE GOVERNMENT MANDATING THAT

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THEY HAVE TO HAVE IT AND THE

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PRIVATE COMPANIES NEED TO SUPPLY

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IT AND THE SAME RISK UP TO 26 IF

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HEALTH INSURANCE COMPANIES OR

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EMPLOYERS DECIDE THEY WANT TO

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COVER YOUR KID UNTIL THEY ARE 26

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OR 56, IT SHOULD BE THE

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MARKETPLACE NOT THE GOVERNMENT.

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>> IF THE NEW PLAN WERE TO

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INCLUDE THOSE PROVISIONS WOULD

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YOU CONSIDER THAT A BETRAYAL?

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>> IT WOULD BE DISAPPOINTING

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BECAUSE THE PROBLEM WITH THE LAW

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IS THE GOVERNMENT IS TOO

136
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INVOLVED.

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THE PROBLEMS WE ARE TRYING TO

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SOLVE WERE CAUSED BY THE

139
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GOVERNMENT.

140
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ADDING THE GOVERNMENT IN MORE

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AND MORE LAYERS IS NOT THE

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PROBLEM IT SELDOM IS WE NEED TO

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GET THE GOVERNMENT TO BACK OFF.

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>> DANIEL RABBITT MORE THAN 20

145
00:04:17,166 --> 00:04:22,300
MILLION PEOPLE HAVE COVERAGE AND

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100,000 SIGNED UP THE DAY AFTER

147
00:04:21,500 --> 00:04:26,300
THE ELECTION.

148
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WHAT IS GOING TO HAPPEN TO THEM?

149
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>> WELL, FIRST, JUST TO RESPOND

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TO DIANA.

151
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I THINK IT'S MISLEADING TO SAY

152
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ALL OF THE PROBLEMS OF THE

153
00:04:32,500 --> 00:04:36,866
SYSTEM ARE CAUSED BY GOVERNMENT

154
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INTERFERE REPS.

155
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THE MARKET WAS SPEAKING BEFORE

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THE AFFORDABLE CARE ACT AND

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MILLIONS OF PEOPLE LOST THEIR

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COVERAGE WHEN THEY GOT SICK OR

159
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DENIED COVERAGE OR CHARGED

160
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EXORBINANT PREMIUMS IF THEY

161
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APPLIED RATHER THAN GETTING

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INSURANCE THROUGH THEIR

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EMPLOYER.

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I DON'T KNOW THAT THE HEALTHCARE

165
00:04:52,266 --> 00:04:57,600
SYSTEM IS SETUP LIKE A

166
00:04:53,900 --> 00:04:59,233
MARKETPLACE FOR YOUR iPHONE

167
00:04:55,566 --> 00:04:59,766
WHERE THE MARKETPLACE WILL

168
00:04:57,600 --> 00:05:01,433
RESPOND TO CONSUMER NEEDS IN THE

169
00:04:59,233 --> 00:05:03,600
SAME WAY.

170
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THAT IS WHY THE GOVERNMENT HAS

171
00:05:01,433 --> 00:05:07,666
STEPPED IN TO PROVIDE MEDICARE

172
00:05:03,600 --> 00:05:09,266
COVERAGE FOR THE ELDERLY BECAUSE

173
00:05:05,333 --> 00:05:11,400
THEY WERE STRUGGLING TO OBTAIN

174
00:05:07,666 --> 00:05:13,100
COVERAGE PRIOR TO THAT.

175
00:05:09,266 --> 00:05:15,066
AND THEY STEPPED IN HERE TO

176
00:05:11,400 --> 00:05:16,000
PROVIDE COVERAGE TO PEOPLE WHO

177
00:05:13,100 --> 00:05:16,533
COULD NOT GET IT THROUGH OTHER

178
00:05:15,066 --> 00:05:18,266
MEANS PRIOR TO THE AFFORDABLE

179
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CARE ACT.

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00:05:16,533 --> 00:05:21,466
>> WHAT HAPPENS TO THE FOLKS NOW

181
00:05:18,266 --> 00:05:22,200
WHO HAVE SIGNED UP?

182
00:05:19,766 --> 00:05:24,433
>> WELL, FIRST OF ALL, THE LAW

183
00:05:21,466 --> 00:05:26,000
OF THE LAND.

184
00:05:22,200 --> 00:05:27,600
LIKE YOU SAID 100,000 PEOPLE

185
00:05:24,433 --> 00:05:30,033
TRIED TO SIGN UP THE DAY AFTER

186
00:05:26,000 --> 00:05:31,533
THE ELECTION AND ALL INDICATIONS

187
00:05:27,600 --> 00:05:33,333
IS THAT DEMAND CONTINUES TO BE

188
00:05:30,033 --> 00:05:35,400
HIGHER THAN EXPECTED FOR THIS

189
00:05:31,533 --> 00:05:36,266
TIME OF OPEN ENROLLMENT.

190
00:05:33,333 --> 00:05:37,900
FIRST, I WOULD SAY IF YOU NEED

191
00:05:35,400 --> 00:05:40,066
COVERAGE THROUGH THE AFFORDABLE

192
00:05:36,266 --> 00:05:42,000
CARE ACT, THROUGH THE

193
00:05:37,900 --> 00:05:43,133
MARKETPLACE OR GET COVERED

194
00:05:40,066 --> 00:05:43,666
ILLINOIS GO AND SIGN UP.

195
00:05:42,000 --> 00:05:46,566
OPEN ENROLLMENT IS GOING ON

196
00:05:43,133 --> 00:05:48,133
RIGHT NOW.

197
00:05:43,666 --> 00:05:51,266
IF YOU SIGN UP BY DECEMBER 15TH

198
00:05:46,566 --> 00:05:53,033
YOUR COVERAGE YOU HAVE UNTIL

199
00:05:48,133 --> 00:05:54,933
JANUARY 31 TO SIGN UP.

200
00:05:51,266 --> 00:05:57,900
IF THINGS GO AS PRESIDENT-ELECT

201
00:05:53,033 --> 00:05:59,166
TRUMP HAS SAID HE WANTS THEM TO

202
00:05:54,933 --> 00:06:02,133
GO AND THE FINANCIAL SUBSIDIES

203
00:05:57,900 --> 00:06:04,133
AND THE DIFFERENT PARTS OF THE

204
00:05:59,166 --> 00:06:05,933
LAW THAT PROVIDE COVERAGE ARE

205
00:06:02,133 --> 00:06:08,500
RESCINDED, THEN I THINK A LOT OF

206
00:06:04,133 --> 00:06:09,433
THE 20 MILLION PEOPLE WILL BE IN

207
00:06:05,933 --> 00:06:10,033
A TOUGH SPOT AND THEIR

208
00:06:08,500 --> 00:06:11,066
POLITICIANS MIGHT HEAR FROM

209
00:06:09,433 --> 00:06:12,666
THEM.

210
00:06:10,033 --> 00:06:14,266
>> DIANA RICKERT WHAT WOULD

211
00:06:11,066 --> 00:06:16,400
HAPPEN TO THE 20 MILLION PEOPLE?

212
00:06:12,666 --> 00:06:18,300
>> I THINK THE IMPORTANT THING

213
00:06:14,266 --> 00:06:20,300
IS TO LOOK AT HOW CAN WE LESSEN

214
00:06:16,400 --> 00:06:22,466
THE GOVERNMENT'S ROLE IN THE

215
00:06:18,300 --> 00:06:24,000
HEALTHCARE INDUSTRY AND ALLOW

216
00:06:20,300 --> 00:06:26,033
PEOPLE TO PURCHASE HEALTHCARE

217
00:06:22,466 --> 00:06:28,233
ACROSS STATE LINES AND PURCHASE

218
00:06:24,000 --> 00:06:29,566
THAT WOULD INCREASE YOUR OPTIONS

219
00:06:26,033 --> 00:06:30,533
50 TIMES OVER AND ALLOW THE

220
00:06:28,233 --> 00:06:32,766
MARKETPLACE TO START OFFERING

221
00:06:29,566 --> 00:06:34,100
PEOPLE DIFFERENT PLANS.

222
00:06:30,533 --> 00:06:36,000
RIGHT NOW YOU SEE MOSTLY HEALTH

223
00:06:32,766 --> 00:06:37,866
INSURANCE COMPANIES PULLING OUT

224
00:06:34,100 --> 00:06:38,966
AND HEALTH INSURERS PULLING OUT

225
00:06:36,000 --> 00:06:40,100
BECAUSE THEY CANNOT DEAL WITH

226
00:06:37,866 --> 00:06:41,866
OBAMACARE AND THE REGULATIONS

227
00:06:38,966 --> 00:06:42,733
THAT COME WITH IT.

228
00:06:40,100 --> 00:06:44,466
>> IS YOUR POSITION THAT THE

229
00:06:41,866 --> 00:06:46,033
MARKETPLACE WOULD RESPOND

230
00:06:42,733 --> 00:06:47,100
SOMEHOW TO THE 20 MILLION PEOPLE

231
00:06:44,466 --> 00:06:47,633
WHO SIGNED UP FOR THE AFFORDABLE

232
00:06:46,033 --> 00:06:48,566
CARE ACT?

233
00:06:47,100 --> 00:06:50,166
>> ABSOLUTELY.

234
00:06:47,633 --> 00:06:51,966
I THINK THAT THEY WOULD.

235
00:06:48,566 --> 00:06:52,866
AND THERE WOULD BE YOU KNOW A

236
00:06:50,166 --> 00:06:54,966
LOT OF PEOPLE HAD TO SIGN UP

237
00:06:51,966 --> 00:06:56,933
THROUGH THE AFFORDABLE CARE ACT

238
00:06:52,866 --> 00:06:57,833
FOR MEDICAID OR THE EXCHANGES

239
00:06:54,966 --> 00:07:00,533
BECAUSE THEIR PLANS WERE BEING

240
00:06:56,933 --> 00:07:02,800
CANCELED DUE TO THE LAW.

241
00:06:57,833 --> 00:07:04,166
I HAVE A FRIEND WHO HAD A BABY

242
00:07:00,533 --> 00:07:05,333
AND HER HEALTHCARE PLAN HAS BEEN

243
00:07:02,800 --> 00:07:08,233
CHANGED CANCELED THREE TIMES IN

244
00:07:04,166 --> 00:07:09,666
THE LAST THREE YEARS.

245
00:07:05,333 --> 00:07:10,200
SO EVERY YEAR SHE HAS NO SENSE

246
00:07:08,233 --> 00:07:11,866
OF WHAT KIND OF HEALTHCARE SHE

247
00:07:09,666 --> 00:07:13,133
WILL HAVE.

248
00:07:10,200 --> 00:07:13,633
A LOT OF PEOPLE ARE OBTAINING

249
00:07:11,866 --> 00:07:16,066
THE COVERAGE BECAUSE THE PLANS

250
00:07:13,133 --> 00:07:17,166
THEY HAD.

251
00:07:13,633 --> 00:07:18,466
THE KEY IS THAT YOU CANNOT

252
00:07:16,066 --> 00:07:20,633
TINKER AROUND THE MARGINS YOU

253
00:07:17,166 --> 00:07:21,866
HAVE TO PULLBACK THE GOVERNMENT

254
00:07:18,466 --> 00:07:22,266
THAT IS THE ONLY WAY THE

255
00:07:20,633 --> 00:07:24,533
MARKETPLACE WILL BE ABLE TO STEP

256
00:07:21,866 --> 00:07:26,466
UP.

257
00:07:22,266 --> 00:07:28,433
>> DANIEL RABBITT DO YOU AGREE

258
00:07:24,533 --> 00:07:31,433
THAT SOMEHOW THE MARKETPLACE

259
00:07:26,466 --> 00:07:32,266
WILL PROVIDE FOR THE 20 MILLION

260
00:07:28,433 --> 00:07:33,933
PEOPLE WHO DO NOT HAVE INSURANCE

261
00:07:31,433 --> 00:07:36,333
PROVIDE AFFORDABLE HEALTHCARE

262
00:07:32,266 --> 00:07:37,900
FOR THEM?

263
00:07:33,933 --> 00:07:39,400
>> NO; NO I DO NOT AGREE.

264
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IN ORDER TO ASSESS THE

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AFFORDABLE CARE ACT'S SUCCESS

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YOU HAVE TO COMMON PEAR IT TO

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THE WORLD WE HAD BEFORE THE LAW

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WAS PASSED 50 MILLION PEOPLE

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WERE UNINSURED AND THE INDIANA

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SURED RATE WAS 15% AND NOW THAT

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THE AFFORDABLE CARE ACT HAS BEEN

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IN PLACE FOR THREE YEARS, ONE

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MILLION ADDITIONAL PEOPLE GAINED

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COVERAGE HERE IN ILLINOIS AND

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THE UNINSURED RATE IS 5% THAT

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DOES NOT SEEM LIKE THE

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GOVERNMENT MEDDLING.

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I WORRY THAT WITHOUT THE

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PROTECTIONS THAT ARE INCLUDED IN

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THE AFFORDABLE CARE ACT MANY OF

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THOSE PEOPLE WILL NOT BE ABLE TO

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GAIN COVERAGE AND WE'VE SEEN

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THAT.

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WE SERVE A LOT OF DISADVANTAGED

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PEOPLE PEOPLE EXPERIENCING

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HOMELESSNESS AND THEY DID NOT

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HAVE COVERAGE AND THE

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MARKETPLACE WAS NOT RUSHING TO

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COVER THEM.

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>> DO YOU BELIEVE THE GOVERNMENT

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HAS ANY ROLE IN PROVIDING

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INSURANCE?

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>> THE ROLE SHOULD BE MINIMAL

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AND MOST OF THE RESPONSIBILITY

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SHOULD BE DELEGATED BACK TO THE

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STATES.

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AND IF YOU LOOK AT WHAT THE

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PREMISE OF THE LAW WAS IT WAS

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YOUR HEALTH PREMIUMS WILL GO

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DOWN BY 2500 THAT HAS NOT

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HAPPENED.

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PREMIUMS ARE GOING UP EVERY

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YEAR.

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AND IF YOU LIKE YOUR DOCTOR YOU

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CAN KEEP IT.

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BY THAT MEASURE OBAMACARE FAILED

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ITSELF.