>> BUT FIRST THROUGHOUT HIS

CAMPAIGN PRESIDENT-ELECT TRUMP

WAS CLEAR IN HIS INTENTION TO

QUOTE REPEAL AND REPLACE

OBAMACARE OFTEN PROMISING TO DO

IT ON DAY ONE.

BUT SINCE THE ELECTION HE AND

MANY REPUBLICAN LEADERS ARE

SOUNDING MORE LIKE REVISING

RATHER THAN REPEALING.

ON 60 MINUTES THIS WEEK TRUMP

SAID THAT PEOPLE WITH

PREEXISTING CONDITIONS WOULD

STILL BE COVERED AND YOUNG

PEOPLE UNDERAGE 26 WOULD BE

COVERED BY THEIR PARENTS'

INSURANCE YET DURING THE

PRIMARIES CANDIDATE TRUMP CALLED

FOR UNIVERSAL HEALTHCARE ON 60

MINUTES.

>> EVERYBODY'S GOT TO BE

COVERED.

THIS IS AN UNREPUBLICAN THING

FOR ME TO SAY BECAUSE THEY SAY

NO THAT CANNOT AFFORD PRIVATE.

>> UNIVERSAL HEALTHCARE.

>> I WILL TAKE CARE OF

EVERYBODY.

EVERYBODY IS GOING TO BE TAKEN

CARE OF, BETTER THAN THEY ARE

TAKEN CARE OF NOW.

>> WHAT SHOULD BE DONE WITH

AFFORDABLE CARE ACT?

AND JOINING US ARE DIANA

RICKERT, SHE IS VICE-PRESIDENT

OF COMMUNICATIONS AT THE

ILLINOIS POLICY INSTITUTE.

A FREE MARKET THINK TANK.

AND DANIEL RABBITT PROJECT

MANAGER FOR THE PROGRESSIVE

POLICY AT THE HEARTLAND

ALLIANCE.

BASED ON WHAT WE HAVE HEARD WHAT

DO YOU THINK THE FUTURE HOLDS

FOR OBAMACARE?

>> WELL, PRESIDENT-ELECT TRUMP

CAMPAIGNED ON THE PREMISE OF

REPEALING AND REPLACING

OBAMACARE AND HE HAD BETTER

DELIVER BECAUSE IF PEOPLE LOVED

OBAMACARE WE WOULD BE TALKING

ABOUT A PRESIDENT-ELECT CLINTON.

THE ELECTORATE SIGNALED THEY

WANT MAJOR CHANGES AND NOT

MARGINS SHOULD BE ADJUSTED.

THEY WANT IT TOSSED AND REPLACED

WITH A NEW SYSTEM.

>> TOTALLY NEW SYSTEM, DANIEL

RABBITT DO YOU THINK BASED ON

WHAT YOU ARE HEARING THE

PRESIDENT-ELECT SAY WHAT DO YOU

THINK THE FUTURE HOLDS?

>> WELL, I THINK IT WILL BE MUCH

MORE DIFFICULT FOR THEM TO

CREATE A BRAND NEW SYSTEM.

WHILE THE AFFORDABLE CARE ACT

HAS NOT BEEN THE MOST POPULAR

PROGRAM IN AMERICAN HISTORY MOST

PEOPLE LIKE MOST OF THE

COMPONENTS OF THE BILL.

OF THE LAW.

SO WHEN YOU GET DOWN TO THE

DETAILS IT WILL BE MUCH MORE

DIFFICULT.

BUT REGARDLESS OF SPECULATING, I

THINK THAT THE AFFORDABLE CARE

ACT HAS TAKEN US A STEP FORWARD

TOWARDS ENSURING HEALTHCARE

COVERAGE FOR ALL AMERICANS.

AND AT LEAST AT HEARTLAND WE ARE

GOING TO MAKE SURE THE GAINS ARE

NOT LOST.

>> DIANA RICKERT IF THE

PRESIDENT-ELECT COMES UP WITH A

PLAN THAT INCLUDES COVERAGE

FOREPEOPLE WITH PREEXISTING

CONDITIONS AND 26 YEARS OR

YOUNGER BEING CONTINUED COVERAGE

ENTER THEIR PARENTS I'M PROGRAM,

PARENTS' INSURANCE, WOULD THAT

BE SATISFACTORY TO YOU?

I MEAN TO THE POSITION YOU

REPRESENT?

>> SURE.

WELL, I THINK THE QUESTION

REALLY IS: WHY WOULD THERE BE

COVERAGE FOR THE PREEXISTING

CONDITIONS UP UNTIL AGE 26

BECAUSE THE GOVERNMENT SAYS THAT

INSURANCE COMPANIES HAVE TO

PROVIDE THIS?

OR BECAUSE THE MARKET DECIDED

THERE IS AN APPETITE AMONG THE

PUBLIC FOR THIS.

WHAT PEOPLE DON'T KNOW IS

ACTUALLY BEFORE OBAMACARE WAS

IMPLEMENTED UNITED HEALTHCARE

WAS OFFERING COVERAGE IN 25

STATES TO PEOPLE WHO HAD

PREEXISTING CONDITIONS.

EVEN THOUGH THE MARKET AND THE

HEALTH INSURANCE INDUSTRY WAS

NOT PERFECT IT WAS TRYING TO

MOVE TO SOLVE IT.

SO SHOULD PEOPLE WITH

PREEXISTING CONDITIONS BE ABLE

TO GET HEALTH INSURANCE

COVERAGE?

YES THEY SHOULD BE ABLE TO IN

MANY CASES BUT IT SHOULD NOT BE

THE GOVERNMENT MANDATING THAT

THEY HAVE TO HAVE IT AND THE

PRIVATE COMPANIES NEED TO SUPPLY

IT AND THE SAME RISK UP TO 26 IF

HEALTH INSURANCE COMPANIES OR

EMPLOYERS DECIDE THEY WANT TO

COVER YOUR KID UNTIL THEY ARE 26

OR 56, IT SHOULD BE THE

MARKETPLACE NOT THE GOVERNMENT.

>> IF THE NEW PLAN WERE TO

INCLUDE THOSE PROVISIONS WOULD

YOU CONSIDER THAT A BETRAYAL?

>> IT WOULD BE DISAPPOINTING

BECAUSE THE PROBLEM WITH THE LAW

IS THE GOVERNMENT IS TOO

INVOLVED.

THE PROBLEMS WE ARE TRYING TO

SOLVE WERE CAUSED BY THE

GOVERNMENT.

ADDING THE GOVERNMENT IN MORE

AND MORE LAYERS IS NOT THE

PROBLEM IT SELDOM IS WE NEED TO

GET THE GOVERNMENT TO BACK OFF.

>> DANIEL RABBITT MORE THAN 20

MILLION PEOPLE HAVE COVERAGE AND

100,000 SIGNED UP THE DAY AFTER

THE ELECTION.

WHAT IS GOING TO HAPPEN TO THEM?

>> WELL, FIRST, JUST TO RESPOND

TO DIANA.

I THINK IT'S MISLEADING TO SAY

ALL OF THE PROBLEMS OF THE

SYSTEM ARE CAUSED BY GOVERNMENT

INTERFERE REPS.

THE MARKET WAS SPEAKING BEFORE

THE AFFORDABLE CARE ACT AND

MILLIONS OF PEOPLE LOST THEIR

COVERAGE WHEN THEY GOT SICK OR

DENIED COVERAGE OR CHARGED

EXORBINANT PREMIUMS IF THEY

APPLIED RATHER THAN GETTING

INSURANCE THROUGH THEIR

EMPLOYER.

I DON'T KNOW THAT THE HEALTHCARE

SYSTEM IS SETUP LIKE A

MARKETPLACE FOR YOUR iPHONE

WHERE THE MARKETPLACE WILL

RESPOND TO CONSUMER NEEDS IN THE

SAME WAY.

THAT IS WHY THE GOVERNMENT HAS

STEPPED IN TO PROVIDE MEDICARE

COVERAGE FOR THE ELDERLY BECAUSE

THEY WERE STRUGGLING TO OBTAIN

COVERAGE PRIOR TO THAT.

AND THEY STEPPED IN HERE TO

PROVIDE COVERAGE TO PEOPLE WHO

COULD NOT GET IT THROUGH OTHER

MEANS PRIOR TO THE AFFORDABLE

CARE ACT.

>> WHAT HAPPENS TO THE FOLKS NOW

WHO HAVE SIGNED UP?

>> WELL, FIRST OF ALL, THE LAW

OF THE LAND.

LIKE YOU SAID 100,000 PEOPLE

TRIED TO SIGN UP THE DAY AFTER

THE ELECTION AND ALL INDICATIONS

IS THAT DEMAND CONTINUES TO BE

HIGHER THAN EXPECTED FOR THIS

TIME OF OPEN ENROLLMENT.

FIRST, I WOULD SAY IF YOU NEED

COVERAGE THROUGH THE AFFORDABLE

CARE ACT, THROUGH THE

MARKETPLACE OR GET COVERED

ILLINOIS GO AND SIGN UP.

OPEN ENROLLMENT IS GOING ON

RIGHT NOW.

IF YOU SIGN UP BY DECEMBER 15TH

YOUR COVERAGE YOU HAVE UNTIL

JANUARY 31 TO SIGN UP.

IF THINGS GO AS PRESIDENT-ELECT

TRUMP HAS SAID HE WANTS THEM TO

GO AND THE FINANCIAL SUBSIDIES

AND THE DIFFERENT PARTS OF THE

LAW THAT PROVIDE COVERAGE ARE

RESCINDED, THEN I THINK A LOT OF

THE 20 MILLION PEOPLE WILL BE IN

A TOUGH SPOT AND THEIR

POLITICIANS MIGHT HEAR FROM

THEM.

>> DIANA RICKERT WHAT WOULD

HAPPEN TO THE 20 MILLION PEOPLE?

>> I THINK THE IMPORTANT THING

IS TO LOOK AT HOW CAN WE LESSEN

THE GOVERNMENT'S ROLE IN THE

HEALTHCARE INDUSTRY AND ALLOW

PEOPLE TO PURCHASE HEALTHCARE

ACROSS STATE LINES AND PURCHASE

THAT WOULD INCREASE YOUR OPTIONS

50 TIMES OVER AND ALLOW THE

MARKETPLACE TO START OFFERING

PEOPLE DIFFERENT PLANS.

RIGHT NOW YOU SEE MOSTLY HEALTH

INSURANCE COMPANIES PULLING OUT

AND HEALTH INSURERS PULLING OUT

BECAUSE THEY CANNOT DEAL WITH

OBAMACARE AND THE REGULATIONS

THAT COME WITH IT.

>> IS YOUR POSITION THAT THE

MARKETPLACE WOULD RESPOND

SOMEHOW TO THE 20 MILLION PEOPLE

WHO SIGNED UP FOR THE AFFORDABLE

CARE ACT?

>> ABSOLUTELY.

I THINK THAT THEY WOULD.

AND THERE WOULD BE YOU KNOW A

LOT OF PEOPLE HAD TO SIGN UP

THROUGH THE AFFORDABLE CARE ACT

FOR MEDICAID OR THE EXCHANGES

BECAUSE THEIR PLANS WERE BEING

CANCELED DUE TO THE LAW.

I HAVE A FRIEND WHO HAD A BABY

AND HER HEALTHCARE PLAN HAS BEEN

CHANGED CANCELED THREE TIMES IN

THE LAST THREE YEARS.

SO EVERY YEAR SHE HAS NO SENSE

OF WHAT KIND OF HEALTHCARE SHE

WILL HAVE.

A LOT OF PEOPLE ARE OBTAINING

THE COVERAGE BECAUSE THE PLANS

THEY HAD.

THE KEY IS THAT YOU CANNOT

TINKER AROUND THE MARGINS YOU

HAVE TO PULLBACK THE GOVERNMENT

THAT IS THE ONLY WAY THE

MARKETPLACE WILL BE ABLE TO STEP

UP.

>> DANIEL RABBITT DO YOU AGREE

THAT SOMEHOW THE MARKETPLACE

WILL PROVIDE FOR THE 20 MILLION

PEOPLE WHO DO NOT HAVE INSURANCE

PROVIDE AFFORDABLE HEALTHCARE

FOR THEM?

>> NO; NO I DO NOT AGREE.

IN ORDER TO ASSESS THE

AFFORDABLE CARE ACT'S SUCCESS

YOU HAVE TO COMMON PEAR IT TO

THE WORLD WE HAD BEFORE THE LAW

WAS PASSED 50 MILLION PEOPLE

WERE UNINSURED AND THE INDIANA

SURED RATE WAS 15% AND NOW THAT

THE AFFORDABLE CARE ACT HAS BEEN

IN PLACE FOR THREE YEARS, ONE

MILLION ADDITIONAL PEOPLE GAINED

COVERAGE HERE IN ILLINOIS AND

THE UNINSURED RATE IS 5% THAT

DOES NOT SEEM LIKE THE

GOVERNMENT MEDDLING.

I WORRY THAT WITHOUT THE

PROTECTIONS THAT ARE INCLUDED IN

THE AFFORDABLE CARE ACT MANY OF

THOSE PEOPLE WILL NOT BE ABLE TO

GAIN COVERAGE AND WE'VE SEEN

THAT.

WE SERVE A LOT OF DISADVANTAGED

PEOPLE PEOPLE EXPERIENCING

HOMELESSNESS AND THEY DID NOT

HAVE COVERAGE AND THE

MARKETPLACE WAS NOT RUSHING TO

COVER THEM.

>> DO YOU BELIEVE THE GOVERNMENT

HAS ANY ROLE IN PROVIDING

INSURANCE?

>> THE ROLE SHOULD BE MINIMAL

AND MOST OF THE RESPONSIBILITY

SHOULD BE DELEGATED BACK TO THE

STATES.

AND IF YOU LOOK AT WHAT THE

PREMISE OF THE LAW WAS IT WAS

YOUR HEALTH PREMIUMS WILL GO

DOWN BY 2500 THAT HAS NOT

HAPPENED.

PREMIUMS ARE GOING UP EVERY

YEAR.

AND IF YOU LIKE YOUR DOCTOR YOU

CAN KEEP IT.

BY THAT MEASURE OBAMACARE FAILED

ITSELF.