All In   |  May 03, 2013

Republicans unite to sabotage Obamacare (again)

Republicans have turned their ire toward anticipated issues with implementing Obamacare across the country. Chris Hayes talks about the campaign with Avik Roy, Doctor Valerie Arkoosh, and Richard Kim.

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This content comes from Closed Captioning that was broadcast along with this program.

>>> today house majority leader eric cantor repealed obama care. the right has been obsessed from the beginning with killing obama care but are announcing a new opportunity to try to kill the law that appears to have nine lives at least. an article on the hill details tea party efforts to get their groove back as they gear up for 2014 . this time planning to campaign not against obama care in the abstract but to use the roll-out to at catapult back to power. rips are zeroing in on the logistical problems of implementing what is fairly complimented and ambitious piece of legislation. even managing too spook a number of democrats including senator max baucus .

>> with the economy stagnant, if we implement obama care now it'll kill jobs.

>> still trying to figure out how to implement it.

>> definitely a problem on your hands when the chief of obama care has said it will be a quote, train wreck to implement.

>> i urge my friends on the other side to join with republicans and stop the train wreck . stop this train wreck before things get even worse .

>> i love it when mitch mcconnell gets passionate. in the house in senate committee , on the senate floor with 36 repeal votes by underfunding it and by challenging in the courts, but none of that has worked. here is what they are trying to do now in perhaps their most cynical move yet. they are making implementation of obama care as much as a disaster as possible so that in 2014 they can run against what a disaster it is. there are 15 states of republican governors who said they will not participate in the medicaid expansion and are setting up exchanges. that doesn't include legislators from state houses who are balking at appropriating the money it would take to make the law work. what is so absolutely craven about this that while it may very well prove to be strategy what it means is intentionally wrecking the lives of millions of people. over 5 million people will not get medicaid coverage because states opted out and there are millions more caught in a poorly or half implemented healthcare system by design by the design of republicans so focused on killing obama care they don't care who gets killed or hurt as a result. joining me tonight, senior fell yost manhattan institute , former member of mitt romney advisory group. dr. valarie and richard kim , executive editor for thenation.com.

>>> are there any political costs to obama care as to the single plank of the republican healthcare agenda.

>> only a single plank, yeah. i think there needs to be a constructive alternative but i'm not convinced that repeal will be likely in 2017 . i think that if you're going invest all of your political capitol only on repeal and not on the possibility that well be stuck with this law that we don't like, and what do we do to reform it or build on it, i think that's challenging. having said so by mid term elections there will be problems with the law and so, there will be issues of rising premiums, things like that, that people hope they can run on and get elected to congress on that basis.

>> is a fascinating moment in the house. lal there last week in which they would put forward a bill of the republican vergts and it had to do with catastrophic insurens and the first place it deal with this issue of the uninsured, right? and it was repealed at the last minute.

>> hi ricing.

>> right, right. which is a subsidized set of money for others that can't get coverage for preexisting conditions. people in favor said we support high risk pools so why shouldn't we support this element of the law.

>> but they couldn't bring it to the floor. anything associate said toxic. is this is like polarity affect. like the two north pole magnets doing this.

>> it is small and petty, concerns about the implementation are. it boils down to a logistics question. the whining is about the forms are too long. or bill is 2,000 pages or rules are too complicated to understand. those are easily addressed concerns. in fact the form is a draft form now only three pages.

>> starting with 21 pages and going down to --

>> it takes seven minutes to fill it out. it is pretty easy to do. the thing that really strikes me about that is that how different that is from the death panels mean. i think this just lacks the necessary paranoia to actually have a populous right wing strategy. so i wonder in 2014 , will it drive the mid term elections the way in did in 2010 .

>> valarie, there was always this sense, i think what is interesting here is, there was always a sense and bill clinton said this before, that obama would be easier to attack politically than really and bill clinton said once you pass it then people come to love it and it will be there forever. and it seems to me that some democrats are now getting spooked that's not going to be the case, right? that's the max baucus line. chuck schumer made this sort of gaff in an interview about premiums going up and partly because of obama care. he today walk it back. once the plane gets through the turbulence, it is in the air and flying and it'll be a smooth ride, or the concrete implementation, this will be politically dangerous?

>> i don't think it'll be politically dangerous at all. i think we are seeing so many people that were helped insome ways and once that broadens out to the rest of the country, i think people will love it. there are 3 million young adults that had health insurance that they couldn't before and that resulted in a reduction of 1 million people uninsured in this country for the first time last year. and as a mom, i have three kids and i now can take them for their preventive cares with no co-pays.

>> so here is what is fascinating. you are talking about the concrete results, right? 3 million kids. but it is genuinely unclear, that the country knows this. here is this latest fascinating pfizer foundation family polling. 42% of americans , listen to me, 42% of americans are unaware that aca is still law of the land . that's shockingly high number. that's like, where did we end up on that whole supreme court thing? 588% of uninsured. the people that law is most, whose lives the law will most change and who it is most designed to benefit, a majority of the folks who are the beneficiaries of the law passed with tremendous political risk at great political cost, don't know the law exists.

>> i think both theorys are true. there will be people who benefit from the law. that will be very active in repealing the law. so the society of actuaries, estimated that absent subsidies, the average cost of insurance in the individual market will go up 32%. now it depend, it depend on your state and income level because on the subsidies will kick in. if you are a single person who is say 30 years old and you make $who,0 $40,000 a year, your premiums will go up. that's not everybody. that's a slice of people. there will be constituent of people that will be upset and people who say my premiums went up, and i blame obama care.

>> i think that's what they are worried about most politically is that the idea that people don't like the healthcare system in the country. they like their individual insurance and once you pass the bill changing healthcare, you bone everything in healthcare, right?

>> i also think that number will go down as campaign to educate people about opting in to the exchanges takes place. you can't opt in until october is when you can first sign up for them. they go into effect in january. so it is this summer where the admin sthags will put out information on the exchanges. for the vast majority of americans , their own private health insurance wasn't touched by this bill in a way they can perceive.

>> i want to play this sound. you know, the president kind of trying, i think, to lower expectations or at least say look, there are some bumps along the road. take a listen.

>> when you're doing it nationwide, relatively fast and half of congress who is determined to try to block implementation and not fund implementation and then a number of members of or governors republican governors, who know that it is bad politics for them to try to implement this effectively and some have decided to implement and then republican controlled state legislators , say, don't implement and won't pass an enabling legislation. when have you that situation, that makes it harder.

>> how hard is this going to be? how much of a problem is this really? i know folks that work in the bureaucracy. i know civil servants . there are thousands of smart dedicated hard- working people in the federal government who are working like crazy to make this thing happen. and it isn't a trivial task that they are tasked with.

>> no, it is not trivial. but i think the important point is that so much of the law is implemented in the way that is seamless for folks. so now, getting preexisting conditions cover and their children, that just happened. people getting preventative care with no co-pays, that just happened seamlessly. for the vast majority of the people in the country, that insure suns more secure and has better benefits. but for people without health insurance , they open in october and they will have by and large a good experience. people making it hard are governors and others working desperately to make that --

>> very quickly, do you want to see the exchanges succeed or fail?

>> yi want it see them succeed. a federal exchange is back stop and does the same things. this whole thing about weather governors implement the ex changes or not, a lot of state exchange director that i talked to say i wish they had another year. deadlines are too quick. we need another year to get this going.

>> richard kim , i want to wrap you now. we have breaking news. andrea mitchell will join us after the break.