JESSICA: DEMOCRATS AND
REPUBLICANS IN A SHOWDOWN OVER
HEALTH CARE.
WELCOME TO "MATTER OF FACT."
JESSICA: HI, I'M JESSICA GOMEZ,
IN FOR SOLEDAD O'BRIEN.
THE BATTLE LINES ARE DRAWN.
REPUBLICANS, VOWING TO REPEAL
AND REPLACE OBAMACARE, ARE
TAKING THEIR FIRST STEPS
IN THE COMING WEEK, THE SENATE
EXPECTED TO PASS A BUDGET
RESOLUTION THAT COULD BEGIN THE
DISMANTLING OF OBAMA'S SIGNATURE
LAW.
THE REPUBLICAN MAJORITY SAYS
MOST AMERICANS WANT OBAMACARE TO
GO.
IN FACT, ACCORDING TO A RECENT
POLL, AMERICANS ARE DIVIDED.
29% SAID THE AFFORDABLE CARE ACT
HAS HURT THEM AND THEIR
FAMILIES.
18% SAY THE ACA HAS HELPED THE
51% SAY IT HAS HAD NO IMPACT.
AND DEMOCRATS, GEARING UP FOR A
LONG AND POTENTIALLY NASTY
FIGHT, SAY REPEALING THE PLAN
WILL CREATE CHAOS.
SO, IF OBAMACARE IS REPEALED,
WHAT WILL GO IN ITS PLACE?
AND WHAT DOES THAT MEAN FOR
THOSE MILLIONS OF PEOPLE WHO ARE
CURRENTLY COVERED?
SENATOR BILL CASSIDY,
REPUBLICAN FROM LOUISIANA AND
A PHYSICIAN FOR THREE DECADES,
JOINS US NOW TO TALK ABOUT
WHAT'S NEXT.
SENATOR CASSIDY, THANKS FOR
JOINING US.
APPRECIATE I
AS A PHYSICIAN FOR YEARS, YOU
HAVE SPONSORED OWN REPLACEMENT
HEALTHCARE LEGISLATION
WHAT IN YOUR AGAIN IS WORKING
WITH THE AFFORDABLE CARE ACT AND
WHAT IS NOT?
SENATOR CASSIDY: THE FACT THAT
PEOPLE WITH PREEXISTING
CONDITIONS DON'T LOSE INSURANCE
IS A GOOD THING.
THE FACT THAT KIDS STAY
THEIR PARENTS' INSURANCE UNTIL
THEY ARE 26 -- ORIGINALLY A
REPUBLICAN PROPOSAL BY THE W
-- IS A GOOD THING.
ON THE OTHER HAND, COST IS
EXPLODING.
A FRIEND OF MINE AND HIS WIFE,
60 AND 61, THEIR POLICY -- I PUT
IT ON MY FACEBOOK PAGE.
THEIR POLICY IS $39,000 A YEAR
EACH WITH $6000 DEDUCTIBLES.
WHENEVER YOU HEAR OBAMACARE
REFERRED TO AS THE AFFORDABLE
ACT, YOU WANT TO LAUGH.
IT'S NOT AFFORDABLE.
IT'S UNAFFORDABLE.
JESSICA: PRESIDENT-ELECT TRUMP
SEEMS TO SUPPORT SOME OF THE ACA
-- AFFORDABLE CARE ACT, AS YOU
MENTIONED -- NOT DISCRIMINATING
AGAINST PRE-EXISTING CONDITIONS,
KEEPING YOUNG PEOPLE ON THEIR
PARENTS' PLAN.
WHAT DO YOU ENVISION?
IF YOU HAD IT YOUR WAY, WHAT
WOULD STAY AND WHAT WOULD GO?
SENATOR CASSIDY: FROM
PERSPECTIVE, WASHINGTO D.C.,
SHOULD GIVE TO STATES AND TO
PATIENTS.
THE PROPOSAL WE PUT FORWARD
WOULD ALLOW STATE LEGISLATURES
TO EITHER GO WITH THE REPUBLICAN
ALTERNATIVE, AN ALTERNATIVE
WHICH GIVES THE PATIENT THE
POWER, NOT A WASHINGTON
BUREAUCRAT
BUT IF A STATE DECIDES TO STAY
ON OBAMACARE, THE STATE COULD
DECIDE TO STAY ON OBAMACARE.
SO IF CALIFORNIA AND NEW YORK
WANT TO STAY ON OBAMACARE, THEY
WOULD CONTROL IT FROM SACRAMENTO
AND ALBANY.
OR IF A STATE REALLY WANTS
NOTHING, THE STATE COULD
ENTIRELY REPEAL OBAMACARE WITHIN
THEIR BORDERS AND NOT REPLACE IT
WITH ANYTHING.
I THINK THE PERSON WHO GOVERNS
CLOSEST, GOVERNS BEST.
JESSICA: REPUBLICANS SAY THEY
WANT TO MAKE THIS A SMOOTH
TRANSITION
HOW IS THAT GOING TO BE
POSSIBLE?
HOW DO YOU ENVISION THAT
HAPPENING?
AND WILL PEOPLE WHO ARE INSURED
RIGHT NOW LOSE THEIR INSURANCE?
SENATOR CASSIDY: THE FIRST
ANSWER, WORKING BACKWARDS, NO,
THE PEOPLE CURRENTLY INSURED
WILL KEEP THEIR INSURANCE.
THE WOMAN WITH THE BREAST LUMP,
IF SHE IS THE PRISM, SHE NEEDS
TO BE ABLE TO CONTINUE THROU
HER MANAGEMENT, CHEMOTHERAPY,
AND RECOVERY.
THE PROPOSAL I PUT FORWARD, AND
SUSAN COLLINS IS A COSPONSOR, A
SIMILAR PROPOSAL WITH PETE
SESSIONS, CONGRESSMAN SESSIONS,
HAS INTRODUCED IN BOTH CHAMBER
-- WE WOULD IN THIS YEAR PASS
THE REPEAL/REPLACE LEGISLATION.
IN 2018, STATE LEGISLATUR
WOULD DECIDE BETWEEN OUR
ALTERNATIVE.
IN 2019, THE STATE IMPLEMENTS.
AND BY 2020, THE NEW SYSTEM IS
UP AND RUNNING.
JESSICA: FOR AMERICANS, IT COMES
DOWN TO COSTS, KEEPING PREMIUMS
AND THOSE DEDUCTIBLES DOWN.
SO HOW ARE REPUBLICANS GOING TO
KEEP THOSE COSTS DOWN BUT AL
PROVIDE GOOD HEALTH INSURANCE?
SENATOR CASSIDY: A COUPLE OF
WAYS.
ONE THING THAT WILL HELP LOWER
COSTS, IN OUR BILL WE INCLUDE
PRICE TRANSPARENCY.
THE EXAMPLE GIVES YOU THE
STATISTIC.
A WOMAN I KNOW, AN OBGYN, WENT
IN FOR A MAMMOGRAM AND SHE WAS
GOING TO PAY CASH.
THEY SAID WE'LL BILL YOU.
I'D RATHER PAY CASH.
NO, WE'LL BILL YOU.
WE DON'T EVEN KNOW WHAT IT WILL
COST YOU, SO SHE SAYS FINE.
TURNS OUT IF SHE HAD PAID CASH,
IT WOULD HAVE BEEN $90 FOR HER
MAMMOGRAM.
HER INSURANCE WAS BILLED $500
AND HER DEDUCTIBLE WAS $100.
SHE ENDED UP PAYING MORE
PERSONALLY AND THROUGH INSURANCE
THAN IF THERE HAD BEEN NO PRICE
-- THAT IF THERE HAD BEEN PRICE
TRANSPARENCY.
ONE AREA IN WHICH PRICE
TRANSPARENCY HAS BEEN SEEN TO
WORK IS LASIK SURGERY. LASIK,
YOU CAN SEE BILLBOARDS
ADVERTISING WHAT THE PRICE I
IN THE LAST 15 YEARS, IT HAS
GONE FROM $900 AN EYE, WITH MORE
FOR ASTIGMATISM, TO $275 AN EY
BECAUSE THAT IS CASH-BASED,
PRICE TRANSPAREN
JESSICA: HOW DO YOU ENFORCE
THAT?
SENATOR CASSIDY: IN OUR
LEGISLATION UNDER THE REPUBLICAN
ALTERNATIVE, EVERY ELIGIBLE
AMERICAN WOULD GET AN
ADVANCEABLE, REFUNDABLE TAX
CREDIT WHICH COULD ONLY BE USED
FOR HEALTHCARE AND WOULD START
OFF AS A HEALTH SAVINGS ACCOUNT
WITH A CATASTROPHIC POLICY.
THE RULE WOULD SAY THAT IF A
PROVIDER TREATS SOMEONE THAT HAS
THESE TAXPAYER-FUNDED HEALTH
SAVING ACCOUNTS, THEN THE
PROVIDER MUST PUBLISH HER CASH
PRICE.
AND THAT WAY, THE MARKET
RESPONDS.
THAT APP HAS ALREADY BEEN
WRITTEN.
NEW HAMPSHIRE HAS SUCH AN APP,
SO I KNOW THE TECH IS OUT THERE.
YOU COULD SCAN AND GO -- AND
KNOW THAT IS THE BEST PRICE.
LET'S PUT MARKET FORCES INTO
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