Meet the Press   |  November 17, 2013

What lies ahead for Affordable Care Act implementation

A Meet the Press roundtable examines the other upcoming challenges for the Obama administration and the implementation of his flagship health care measure.

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

>> i thought it was interesting that nancy poe elosi said there was nothing in the law that people can keep their policies. the president said it over and over and over again. what the republicans are going to do, i spoke to john boehner just yesterday, and they are planning to continue to apply severe oversight and target -- be very aggressive at targeting legislative moves to fill in gaps and help americans deal with some of the flaws. but this is, i think, just a colossal mess beyond -- the president made the first promise that we're all familiar with, and then he said you can get it back, which i don't think was true.

>> all comparisons are imperfect. and it is right in terms of a screw-up. but i think it would be accurate to say if george w. bush had rushed into new orleans with a lot of action and a lot of effort and had failed initially, that would be more like it. the problem with katrina was apparent indifference. one thing you can't hold against the president is indifference about health care . he rushed in, pushed through a program with pure democratic support and took all the risks involved in it. it's a different kind of screw-up.

>> it's also got two really important parts. we're talking about the politics of it now. what has not changed are the enormous economic consequences of leaving health care where it is. 17.5% of our economy now goes to health care and it's only going this one direction. the fact is a lot of leading businessmen who are republicans say the republican party is not doing its part because they are standing around and applauding and they're not coming forth with a workable plan that will drive down those costs. not just for individuals who are trying to buy insurance but for companies that have to provide it as well. this is an enormous part of the american political and economic scene as well, and we'll see whether the republican party now does come forth.

>> that's totally right, but we have the opportunity now. part one had to be the show, and we're right about this thing. six months ago when republicans were talking about delaying it a year, there was ridicule. now it's looking pretty smart . but part two is, it's a jump ball. we need this for middle class economic policies , but it's open. if we freshen up our policy and we go to the working class about we're the party on your side going forward, we can fix a lot of democratic problems, which are tremendous.

>> this is mitt romney 's case the last go-round. he said, look, keeping your kitkids on your insurance until they're 26, that's a good thing. this may collapse, but it doesn't get rid of the idea of how to override the leading goal of most americans.

>> the website will get fixed but the next thing is going to be how to actually operate this thing for rising costs. when they recalculate these things for risk pools, a year from now right at mid-term elections when people are looking for a huge government subsidy to pump this up --

>> you are so right, and the big political question will be whether when obama goes to the republican house and says i need more financing here, because young people are not joining this system. they're going to say not.