1
00:00:00,080 --> 00:00:03,240
Speaker 1: President Trump has called the Affordable Care Act a disaster

2
00:00:03,520 --> 00:00:05,720
Speaker 1: and has pledged to repeal it and replace it with

3
00:00:05,840 --> 00:00:09,160
Speaker 1: something better. One of President Trump's first official acts was

4
00:00:09,200 --> 00:00:12,479
Speaker 1: to sign an executive order commanding federal agencies were legally

5
00:00:12,520 --> 00:00:15,840
Speaker 1: possible to waive, delay, or defer parts of the law

6
00:00:15,880 --> 00:00:19,799
Speaker 1: that would burden states, individuals, or healthcare providers. It's not

7
00:00:19,880 --> 00:00:22,280
Speaker 1: clear what this order is going to mean in practice,

8
00:00:22,680 --> 00:00:25,720
Speaker 1: but on Sunday, Presidential advisor Kelly Anne Conway said that

9
00:00:25,760 --> 00:00:28,880
Speaker 1: the President may decide not to enforce the Affordable Care

10
00:00:28,920 --> 00:00:32,480
Speaker 1: Acts mandate that individuals purchase health insurance, and she also

11
00:00:32,520 --> 00:00:35,440
Speaker 1: seemed to suggest that the administration may refuse to enforce

12
00:00:35,479 --> 00:00:38,560
Speaker 1: the requirement that businesses with fifty or more employees provide

13
00:00:38,560 --> 00:00:42,280
Speaker 1: health insurance to their employees. Meanwhile, to Republican senators have

14
00:00:42,360 --> 00:00:45,479
Speaker 1: introduced a bill that they say would let states keep Obamacare,

15
00:00:45,760 --> 00:00:48,760
Speaker 1: abandon it, or replace it with a system of catastrophic

16
00:00:48,760 --> 00:00:51,760
Speaker 1: insurance for the uninsured. So what does this all mean?

17
00:00:52,280 --> 00:00:54,200
Speaker 1: Here today to talk with us about the future of

18
00:00:54,200 --> 00:00:57,760
Speaker 1: the Affordable Care acter ALDN. Bianchi, leader of the Employee

19
00:00:57,760 --> 00:01:01,360
Speaker 1: Benefits and Executive Compensation practice Group at mince Levin, who

20
00:01:01,400 --> 00:01:04,520
Speaker 1: is the author of the Bloomberg Bienna Healthcare Reform advisor,

21
00:01:04,959 --> 00:01:08,600
Speaker 1: and Abbey G. Look, Faculty director of the Solomon Center

22
00:01:08,680 --> 00:01:13,200
Speaker 1: for Health Law and Policy at Yale University. Abbey the

23
00:01:13,240 --> 00:01:17,200
Speaker 1: Presidents signed an executive order that many are confused by

24
00:01:17,520 --> 00:01:19,880
Speaker 1: UM and it's not really seemed to think, it's not

25
00:01:19,920 --> 00:01:23,120
Speaker 1: really clear about what he what he wants agencies to

26
00:01:23,160 --> 00:01:26,759
Speaker 1: do with the Affordable Care Act. And then his advisor Ms.

27
00:01:26,840 --> 00:01:29,679
Speaker 1: Conway goes on TV and says that he may not

28
00:01:29,800 --> 00:01:34,880
Speaker 1: enforce these mandates. Let's start with that. Can the administration

29
00:01:34,920 --> 00:01:39,160
Speaker 1: refused to enforce the two mandates to purchase insurance and

30
00:01:39,200 --> 00:01:41,720
Speaker 1: to have employers provide insurance if they have fifty or

31
00:01:41,760 --> 00:01:45,000
Speaker 1: more employees. Well, first of all, I think you're right

32
00:01:45,120 --> 00:01:48,600
Speaker 1: that this action has sort of injected more uncertain change

33
00:01:48,600 --> 00:01:52,080
Speaker 1: from already very uncertain business contacts for insurers because nobody

34
00:01:52,120 --> 00:01:54,680
Speaker 1: really knows what's going to happen. The executive order makes

35
00:01:54,760 --> 00:01:57,360
Speaker 1: very clear that the agencies can only act to the

36
00:01:57,360 --> 00:02:01,560
Speaker 1: extent authorized by law UM With respect to the individual mandate,

37
00:02:01,680 --> 00:02:05,160
Speaker 1: the requirement that everybody has to get themselves insured or

38
00:02:05,280 --> 00:02:09,320
Speaker 1: pay attacks a very very controversial requirement under the Affordable

39
00:02:09,360 --> 00:02:13,880
Speaker 1: Care Act, UM. As a legal matter, it's very unlikely

40
00:02:14,280 --> 00:02:16,919
Speaker 1: that the Trump administration could use that executive order the

41
00:02:17,040 --> 00:02:21,080
Speaker 1: wholesale abandoned the individual mandate. That would not be permitted

42
00:02:21,160 --> 00:02:24,160
Speaker 1: consistent with the law as the executive order requires. They

43
00:02:24,200 --> 00:02:27,720
Speaker 1: could extend some of the hardship exemptions that were offered

44
00:02:27,720 --> 00:02:31,200
Speaker 1: by the Obama administration, but the exception can swallow the rule.

45
00:02:31,639 --> 00:02:34,120
Speaker 1: So the Trump is serious about obeying the law, and

46
00:02:34,200 --> 00:02:37,280
Speaker 1: that you think is not consistently um. I don't think

47
00:02:37,320 --> 00:02:40,040
Speaker 1: that what Kelly and Conway said is likely to hold forth.

48
00:02:40,080 --> 00:02:43,359
Speaker 1: I also just know that Tom Price, the HHS nominee,

49
00:02:43,360 --> 00:02:46,840
Speaker 1: and his confirmation hearing, also alluded to the idea that

50
00:02:46,880 --> 00:02:49,320
Speaker 1: they were not going to use that executive order, uh,

51
00:02:49,440 --> 00:02:53,360
Speaker 1: the wholesale stop enforcing the individual mandate. All. Then, what

52
00:02:53,440 --> 00:02:58,040
Speaker 1: do you make of Tom Price's testimony where Trump's choice

53
00:02:58,040 --> 00:03:02,240
Speaker 1: for Health Secretary repeatedly refused used during the confirmation hearing

54
00:03:02,280 --> 00:03:05,360
Speaker 1: to promise that no Americans will be worse off under

55
00:03:05,680 --> 00:03:12,160
Speaker 1: Trump's executive order to ease provisions of the Affordable Care Act. Well,

56
00:03:12,200 --> 00:03:14,320
Speaker 1: one thing I begin by noting is is that I

57
00:03:14,320 --> 00:03:17,560
Speaker 1: think Tom Price was not at all bloodied during yesterday's

58
00:03:17,600 --> 00:03:20,800
Speaker 1: confirmation hearing. So if Democrats thought that they were going

59
00:03:20,840 --> 00:03:24,360
Speaker 1: to somehow derail that domination, I think the hopes of

60
00:03:24,400 --> 00:03:28,480
Speaker 1: that are fading very quickly. Then the question is is

61
00:03:29,200 --> 00:03:33,920
Speaker 1: how does the how does replace go forward? And I

62
00:03:33,960 --> 00:03:37,880
Speaker 1: think Representative Price has been been very cryptic in any numbers.

63
00:03:37,920 --> 00:03:40,800
Speaker 1: We have no idea or very little idea from his

64
00:03:41,040 --> 00:03:44,480
Speaker 1: from his his public statements and testimony, exactly what he's

65
00:03:44,520 --> 00:03:48,080
Speaker 1: going to do. But we do have a comprehensive bill

66
00:03:48,200 --> 00:03:51,520
Speaker 1: that he had two comprehensive bills, one a pure repeal

67
00:03:51,600 --> 00:03:55,520
Speaker 1: bill on the reconciliation and the other repeal and replace

68
00:03:56,040 --> 00:03:58,680
Speaker 1: that Tom that Tom Price either offered authored or as

69
00:03:58,720 --> 00:04:02,080
Speaker 1: a co author, so we has we have his policy prescriptions,

70
00:04:02,520 --> 00:04:05,080
Speaker 1: so we know I think we know what he wants

71
00:04:05,080 --> 00:04:09,680
Speaker 1: to do and and and those prescriptions are very similar

72
00:04:09,760 --> 00:04:14,200
Speaker 1: to the prescriptions in in five other major Republican proposals,

73
00:04:14,720 --> 00:04:17,720
Speaker 1: So I think he's uh, we we we pretty much

74
00:04:17,760 --> 00:04:20,799
Speaker 1: know where he's going to go. You're listening to Bloomberg

75
00:04:20,920 --> 00:04:25,279
Speaker 1: Law with Michael Best, June Grosso, and Greg Store and

76
00:04:25,320 --> 00:04:28,560
Speaker 1: we are talking about the Affordable Care Act. The President's

77
00:04:28,600 --> 00:04:31,359
Speaker 1: actions and statements have not yet repealed the law, and

78
00:04:31,400 --> 00:04:34,160
Speaker 1: neither has Congress. UH. He's talking about it today, He's

79
00:04:34,200 --> 00:04:37,279
Speaker 1: been talking about it since he took office, But it's

80
00:04:37,279 --> 00:04:40,680
Speaker 1: not entirely clear what is going to happen to what

81
00:04:40,839 --> 00:04:43,760
Speaker 1: is known as Obamacare. Talking to us about the future

82
00:04:43,839 --> 00:04:46,800
Speaker 1: of the health care law are Alden Bianchi, a member

83
00:04:46,839 --> 00:04:50,640
Speaker 1: at mince Levin UH, and Abby glucka professor at Yale

84
00:04:50,920 --> 00:04:56,320
Speaker 1: Law School. Abbey the President's executive Order, as you noted earlier,

85
00:04:56,400 --> 00:04:59,440
Speaker 1: only allows agencies to do to take actions that are

86
00:04:59,480 --> 00:05:03,239
Speaker 1: within the current law. But what has to the extent

87
00:05:03,279 --> 00:05:05,760
Speaker 1: we can figure it out, what has the President ordered

88
00:05:05,800 --> 00:05:10,080
Speaker 1: agencies to do in regard to the Affordable Care Act? Well?

89
00:05:10,120 --> 00:05:13,320
Speaker 1: Nothing yet. I mean, that's that's what's caused all this uncertainty.

90
00:05:13,320 --> 00:05:15,599
Speaker 1: There's been a lot of talk, and you also have

91
00:05:15,680 --> 00:05:19,719
Speaker 1: Trump throughout making statements like every American who currently has

92
00:05:19,720 --> 00:05:22,479
Speaker 1: health insurance is going to keep their health insurance or

93
00:05:22,560 --> 00:05:26,080
Speaker 1: get health insurance. Um. And yet you've got these Republican

94
00:05:26,120 --> 00:05:29,320
Speaker 1: plans voting around that don't all do that? Right? And

95
00:05:29,760 --> 00:05:32,560
Speaker 1: we've had now eight years of Republicans trying to come

96
00:05:32,640 --> 00:05:36,120
Speaker 1: up with the consensus agreement on what their replacement plan

97
00:05:36,160 --> 00:05:38,920
Speaker 1: would be. We shouldn't be surprised that two weeks into

98
00:05:38,920 --> 00:05:41,360
Speaker 1: the new administration they don't have their plan yet. They

99
00:05:41,360 --> 00:05:43,640
Speaker 1: haven't had one for eight years for getting sort of

100
00:05:43,640 --> 00:05:46,479
Speaker 1: different plans every day. I don't think anybody knows what's

101
00:05:46,480 --> 00:05:48,320
Speaker 1: going on except the one thing I think that I

102
00:05:48,320 --> 00:05:51,440
Speaker 1: think the administration and the Senate have heard the business

103
00:05:51,480 --> 00:05:56,320
Speaker 1: community's complaints about the idea of repealing without having a replacement,

104
00:05:56,360 --> 00:05:59,760
Speaker 1: or at least a partial replacement up in the wings.

105
00:06:00,279 --> 00:06:01,680
Speaker 1: Early on, it looked like they were going to get

106
00:06:01,760 --> 00:06:05,640
Speaker 1: repealed with nothing. Looking now like um, there are at

107
00:06:05,720 --> 00:06:07,680
Speaker 1: least some people in there who are really trying to

108
00:06:07,720 --> 00:06:10,240
Speaker 1: have something to say before they get to repeal, and

109
00:06:10,279 --> 00:06:12,440
Speaker 1: that would may make repeal take a lot longer, frankly,

110
00:06:12,800 --> 00:06:17,239
Speaker 1: um than Trump would have wanted. All Republican Senators Susan

111
00:06:17,279 --> 00:06:21,760
Speaker 1: Collins and Bill Cassidy, unveiled in Obamacare replacement bill this week,

112
00:06:22,279 --> 00:06:26,640
Speaker 1: tell us about some of the proposals that are out there. Well,

113
00:06:26,680 --> 00:06:29,320
Speaker 1: if you look at that, there are probably give or

114
00:06:29,360 --> 00:06:33,760
Speaker 1: take five key Republican proposals, and they do share an

115
00:06:33,760 --> 00:06:35,960
Speaker 1: awful lot of common features. So if we could tick

116
00:06:36,000 --> 00:06:40,520
Speaker 1: down the major ones pretty quickly rather than an individual mandate,

117
00:06:40,600 --> 00:06:43,800
Speaker 1: that would be something called a continuous coverage requirement. This

118
00:06:43,839 --> 00:06:47,400
Speaker 1: has been around since with HIPPA, and it has worked

119
00:06:47,520 --> 00:06:50,640
Speaker 1: very well in the group market, and it should work

120
00:06:50,680 --> 00:06:54,159
Speaker 1: fine so long as people are generally employed. I think

121
00:06:54,160 --> 00:06:56,240
Speaker 1: the problem with it comes where people are in and

122
00:06:56,279 --> 00:06:59,839
Speaker 1: out of employment on routinely and they're at that feature

123
00:07:00,120 --> 00:07:03,479
Speaker 1: not work so well. There's also the issue of of

124
00:07:03,640 --> 00:07:08,080
Speaker 1: tax subsidies for employees, and they're both the replacement proposals

125
00:07:08,080 --> 00:07:11,440
Speaker 1: in Obamacare have tax subsidies for low income folks to

126
00:07:11,520 --> 00:07:14,720
Speaker 1: help purchase coverage, but what they do is very different.

127
00:07:15,120 --> 00:07:18,200
Speaker 1: So in Obamacare, those subsidies are are applied to the

128
00:07:18,200 --> 00:07:22,480
Speaker 1: metallic tears of coverage goal bronze, silver, goal platinum, which

129
00:07:22,480 --> 00:07:27,680
Speaker 1: are very very prescribed arrangements, whereas under the Republican proposals,

130
00:07:28,040 --> 00:07:30,240
Speaker 1: it's it's kind of the wild West. You can purchase

131
00:07:30,320 --> 00:07:35,160
Speaker 1: coverage across state lines, and perhaps and and and the

132
00:07:35,200 --> 00:07:38,640
Speaker 1: design of these policies would they'll be huge variations in

133
00:07:38,760 --> 00:07:42,440
Speaker 1: what they cover or don't cover. Importantly, and lastly, in

134
00:07:42,960 --> 00:07:47,160
Speaker 1: regard to the individual mandate, there's a provision in most

135
00:07:47,200 --> 00:07:51,239
Speaker 1: of these proposals that says, um, if you can't get coverage,

136
00:07:51,240 --> 00:07:53,480
Speaker 1: then we're going to revert to the state high risk polls.

137
00:07:54,080 --> 00:07:55,720
Speaker 1: I don't have time really here to go through all

138
00:07:55,760 --> 00:07:57,840
Speaker 1: of them. But one other feature I'll mention that is,

139
00:07:58,040 --> 00:08:00,920
Speaker 1: UM sounds like a good idea, but it has been

140
00:08:00,960 --> 00:08:04,320
Speaker 1: problematic in the past in terms of enforcement. And that's

141
00:08:04,360 --> 00:08:07,720
Speaker 1: the idea of small groups banning together to form association

142
00:08:07,800 --> 00:08:12,360
Speaker 1: health plans. Uh. These have been abused commercially for the

143
00:08:12,440 --> 00:08:15,520
Speaker 1: last twenty years, so enforcement would be the big deal here.

144
00:08:15,880 --> 00:08:19,640
Speaker 1: They would also cannibalize the state small group markets. So

145
00:08:19,680 --> 00:08:21,680
Speaker 1: those are a flavor of some of the proposals that

146
00:08:21,760 --> 00:08:26,200
Speaker 1: are common to all of the five five Republican proposals. ABBY.

147
00:08:26,520 --> 00:08:31,680
Speaker 1: There there is a relatively new proposal from Senators Cassidy

148
00:08:31,880 --> 00:08:36,240
Speaker 1: and Collins that seems to depart from some of the

149
00:08:36,280 --> 00:08:39,439
Speaker 1: previous Republican proposals and that it would allow states if

150
00:08:39,480 --> 00:08:42,160
Speaker 1: they want to to keep Obamacare in place. What what

151
00:08:42,360 --> 00:08:45,480
Speaker 1: is their proposal? Yeah, it's an interesting, uh sort of

152
00:08:45,480 --> 00:08:49,040
Speaker 1: compromise proposal. UM. It won't make some people happy because

153
00:08:49,040 --> 00:08:52,320
Speaker 1: it's not actually repealing Obamacare. But what it does is

154
00:08:52,360 --> 00:08:54,760
Speaker 1: it gives the states three options. UM. You might call

155
00:08:54,760 --> 00:08:58,400
Speaker 1: it a federalist proposal. One that's about state choice. Option

156
00:08:58,480 --> 00:09:00,520
Speaker 1: one is you get to keep obama Care the way

157
00:09:00,520 --> 00:09:02,120
Speaker 1: you have it if your state is happy with how

158
00:09:02,120 --> 00:09:05,080
Speaker 1: it's functioning. That would probably happen, say in New York,

159
00:09:05,200 --> 00:09:08,920
Speaker 1: for example. Option two is that you get to just

160
00:09:09,240 --> 00:09:11,760
Speaker 1: be done with Obamacare. You get to stop receiving funds

161
00:09:11,760 --> 00:09:13,800
Speaker 1: and you're out of the system and the state funds

162
00:09:13,840 --> 00:09:17,320
Speaker 1: for it self as if Obamacare never been enacted. And

163
00:09:17,360 --> 00:09:20,640
Speaker 1: a third option is this idea of sort of state innovation,

164
00:09:20,720 --> 00:09:22,880
Speaker 1: state choice. The state would be able to get I

165
00:09:22,880 --> 00:09:26,600
Speaker 1: think it's of the money they would otherwise be getting

166
00:09:26,880 --> 00:09:29,360
Speaker 1: under the Affordable Care Act, and they get to use

167
00:09:29,440 --> 00:09:34,200
Speaker 1: that to put it into a state designed healthcare system

168
00:09:34,240 --> 00:09:37,200
Speaker 1: of their choice. Right, so it's almost like a waiver.

169
00:09:37,720 --> 00:09:39,560
Speaker 1: You might think of it as a souped up waiver

170
00:09:40,160 --> 00:09:42,679
Speaker 1: from Obamacare, which we already had this wavor provision and

171
00:09:42,679 --> 00:09:44,520
Speaker 1: the original Affordable Care Act, and you might think of

172
00:09:44,559 --> 00:09:46,600
Speaker 1: this is sort of cheering off of that. It does

173
00:09:46,679 --> 00:09:49,520
Speaker 1: get rid of the individual mandate because that is the

174
00:09:49,640 --> 00:09:53,600
Speaker 1: least popular, uh, the least popular provision, and it would

175
00:09:53,640 --> 00:09:57,120
Speaker 1: adopt this continuous coverage requirement that all them just talked

176
00:09:57,120 --> 00:10:01,880
Speaker 1: about all the is this uncertainty about the Affordable Care

177
00:10:01,960 --> 00:10:05,960
Speaker 1: Act having any effect on the insurance marketplace right now,

178
00:10:08,360 --> 00:10:11,560
Speaker 1: it is too early to tell that for certain, but

179
00:10:11,640 --> 00:10:14,440
Speaker 1: there has to be some uncertainty underneath the hood that

180
00:10:14,480 --> 00:10:17,679
Speaker 1: hasn't bubbled to the surface yet. It just would be

181
00:10:17,679 --> 00:10:20,679
Speaker 1: inconceivable to me that the carriers, in particular, we've got

182
00:10:20,679 --> 00:10:23,840
Speaker 1: to be scratching their head saying where's our revenue coming from?

183
00:10:23,880 --> 00:10:26,360
Speaker 1: And the individuals that are covered, or saying is my

184
00:10:26,400 --> 00:10:30,080
Speaker 1: coverage even going to be there? Coincidentally, I just I

185
00:10:30,120 --> 00:10:32,079
Speaker 1: had a call last night just from one of my

186
00:10:32,080 --> 00:10:34,840
Speaker 1: my partners who has a young son who is going

187
00:10:34,880 --> 00:10:39,040
Speaker 1: to age out of the hit aged and has would

188
00:10:39,040 --> 00:10:41,920
Speaker 1: have some real pre existing condition concerns, And this question

189
00:10:41,960 --> 00:10:43,680
Speaker 1: to me, is my kid going to be all right?

190
00:10:43,960 --> 00:10:46,120
Speaker 1: So yeah, I mean there has to be, although I

191
00:10:46,160 --> 00:10:49,360
Speaker 1: can't I can't point you to to particular evidence at

192
00:10:49,360 --> 00:10:53,480
Speaker 1: this point, Abby. One of the issues that seems to

193
00:10:53,520 --> 00:10:57,240
Speaker 1: have slowed down the trained to repeal Obamacare was that

194
00:10:57,320 --> 00:11:00,520
Speaker 1: any replacement plan probably would have to survive a Democratic

195
00:11:00,520 --> 00:11:03,600
Speaker 1: filibuster in the Senate, meaning it would need sixty votes

196
00:11:04,200 --> 00:11:07,120
Speaker 1: in order to go forward, and that's going to be

197
00:11:07,200 --> 00:11:10,040
Speaker 1: very difficult for the Republicans to pull off. It seems

198
00:11:10,840 --> 00:11:14,320
Speaker 1: do any of the Republican plans that we've been talking about,

199
00:11:14,600 --> 00:11:17,280
Speaker 1: this replacement plan that the two senators have come up with,

200
00:11:17,920 --> 00:11:19,800
Speaker 1: do any of them have any chance of getting to

201
00:11:19,840 --> 00:11:23,440
Speaker 1: a point where Democrats might start supporting them. So I

202
00:11:23,480 --> 00:11:27,599
Speaker 1: haven't seen democratic leadership commentary on Cassidy Collins, but I

203
00:11:27,920 --> 00:11:30,360
Speaker 1: do think that just based on its one day of

204
00:11:30,400 --> 00:11:33,640
Speaker 1: life existence so far, that's probably the one that has

205
00:11:33,720 --> 00:11:37,280
Speaker 1: the greatest possible chance, particularly if it were strengthened and

206
00:11:37,880 --> 00:11:41,319
Speaker 1: in certain areas. I mean, it preserves things that Democrats

207
00:11:41,400 --> 00:11:45,000
Speaker 1: care about. It preserves a Medicaid expansion, which is very important.

208
00:11:45,080 --> 00:11:47,720
Speaker 1: It doesn't aim to privatize Medicare like the Paul ryan

209
00:11:48,000 --> 00:11:51,000
Speaker 1: Ran plan would. I could see maybe having the individual

210
00:11:51,080 --> 00:11:55,720
Speaker 1: mandate remain optional, um and that would probably help these concerns.

211
00:11:55,760 --> 00:11:58,599
Speaker 1: I think there is concern among progressives that the continuous

212
00:11:58,640 --> 00:12:03,079
Speaker 1: coverage requirement would be punitive against people UH with less

213
00:12:03,080 --> 00:12:05,400
Speaker 1: steady employment employment, which tends to be people that are

214
00:12:05,440 --> 00:12:08,200
Speaker 1: falling in the gap between Medicaid and the private insurance market,

215
00:12:08,280 --> 00:12:11,439
Speaker 1: the less fortunate um And so I could see that

216
00:12:11,480 --> 00:12:14,599
Speaker 1: being a starting point, UM. But we really have the

217
00:12:14,640 --> 00:12:16,839
Speaker 1: act to see UM. How the Democrats are going to

218
00:12:16,880 --> 00:12:18,840
Speaker 1: react to it. And I also think that Strucumer has

219
00:12:18,840 --> 00:12:21,520
Speaker 1: been very clear that he doesn't want to help Trump

220
00:12:21,960 --> 00:12:25,760
Speaker 1: out of this problem. Right. Um, they've created this uncertainty,

221
00:12:26,000 --> 00:12:28,120
Speaker 1: that sort of created this mess, and I think the

222
00:12:28,120 --> 00:12:30,839
Speaker 1: Democrats wanted to say, you know, we're not going to

223
00:12:30,960 --> 00:12:35,280
Speaker 1: take the blame by helping you enact a subpar replacement

224
00:12:35,320 --> 00:12:37,679
Speaker 1: for the Affordable Care Act. So that's a challenge. All

225
00:12:37,720 --> 00:12:41,120
Speaker 1: then we have about thirty seconds left. Do you think

226
00:12:41,200 --> 00:12:43,840
Speaker 1: the Republicans can come up with something that will they'll

227
00:12:43,840 --> 00:12:46,760
Speaker 1: be able to replace Obamacare with anytime in the near future.

228
00:12:48,080 --> 00:12:50,160
Speaker 1: I think they do, and I think if you want

229
00:12:50,160 --> 00:12:53,200
Speaker 1: to know what that's going to look like, probably the

230
00:12:53,200 --> 00:12:56,080
Speaker 1: most thoughtful proposal is the one that was put forward

231
00:12:56,120 --> 00:12:59,959
Speaker 1: by Range Hatch. Now it's not a it's not legislation yet,

232
00:13:00,080 --> 00:13:03,640
Speaker 1: say it's a five or six or seven page set

233
00:13:03,640 --> 00:13:06,959
Speaker 1: of bullet points, but it is and I think it's

234
00:13:07,000 --> 00:13:12,360
Speaker 1: been been reviewed fairly favorably. Um, whether it will do

235
00:13:12,480 --> 00:13:16,000
Speaker 1: what I doubt very seriously do what the Affordable Care

236
00:13:16,040 --> 00:13:19,520
Speaker 1: Act did, but it's pretty good. And lastly, i'd point

237
00:13:19,520 --> 00:13:22,000
Speaker 1: out that that people have seemed to have forgotten very

238
00:13:22,080 --> 00:13:25,640
Speaker 1: quickly that the Affordable Care Act was really a Republican proposal.

239
00:13:25,760 --> 00:13:28,440
Speaker 1: It was, it was done by a Republican governor, Mitt Romney,

240
00:13:28,640 --> 00:13:30,920
Speaker 1: and it was designed by the Heritage in large part

241
00:13:30,960 --> 00:13:33,600
Speaker 1: by the Heritage Foundation. So it just shows you how

242
00:13:33,640 --> 00:13:36,199
Speaker 1: far we've we've we've gone from our moorings on this

243
00:13:36,400 --> 00:13:40,160
Speaker 1: on this topic, well, I suspect we also won't stop

244
00:13:40,200 --> 00:13:43,120
Speaker 1: talking about it for some time to come. Thank you

245
00:13:43,160 --> 00:13:46,080
Speaker 1: to Aldon Bianchi of mince Levin and Abbey Gluck of

246
00:13:46,559 --> 00:13:50,520
Speaker 1: Yeah Law School for being with us today on Bloomberg

247
00:13:50,600 --> 00:13:50,760
Speaker 1: Law