Your Legislators: MNSure (February 27, 2014)

Your Legislators: MNSure (February 27, 2014)


GROW OVERALL, AND THAT’S WHAT WE
OUGHT TO BE FOCUSED ON.   OUGHT TO BE FOCUSED ON.
>>I HAVE A FEELING WE ARE NOT  >>I HAVE A FEELING WE ARE NOT
GOING TO RESOLVE THIS TONIGHT.   GOING TO RESOLVE THIS TONIGHT.
WE HAVE A VIEWER THAT WANTS TO   WE HAVE A VIEWER THAT WANTS TO
TALK ABOUT MN-SURE AND THE   TALK ABOUT MN-SURE AND THE
VIEWER IS QUITE UNHAPPY ABOUT   VIEWER IS QUITE UNHAPPY ABOUT
THE STATUS OF THINGS AND DOESN’T   THE STATUS OF THINGS AND DOESN’T
THINK MN-SURE HAS WORKED AND   THINK MN-SURE HAS WORKED AND
WONDERING WHAT THE LEGISLATURE,   WONDERING WHAT THE LEGISLATURE,
IF ANYTHING, IS GOING TO DO   IF ANYTHING, IS GOING TO DO
ABOUT THAT.   ABOUT THAT.
WHO WANTS TO TAKE A RUN ABOUT   WHO WANTS TO TAKE A RUN ABOUT
THAT.   THAT.
SENATOR HANN, I THINK WE WILL   SENATOR HANN, I THINK WE WILL
PICK ON YOU.   PICK ON YOU.
>>WE ARE CONCERNED ABOUT  >>WE ARE CONCERNED ABOUT
MN-SURE ON OUR SIDE.   MN-SURE ON OUR SIDE.
MANY OF US DIDN’T SUPPORT THE   MANY OF US DIDN’T SUPPORT THE
BILLS.   BILLS.
WE HAD OTHER IDEAS AT THE TIME.   WE HAD OTHER IDEAS AT THE TIME.
BUT IT IS THE LAW, BUT THERE’S   BUT IT IS THE LAW, BUT THERE’S
NO QUESTION THE I IMPLEMENTATI;   NO QUESTION THE I IMPLEMENTATI;
THE COST, THE PREMIUM COSTS HAVE   THE COST, THE PREMIUM COSTS HAVE
GONE UP.   GONE UP.
IN MANY CASES THE OTHER SIDE   IN MANY CASES THE OTHER SIDE
LIKES TO SAY WE HAVE LOWER   LIKES TO SAY WE HAVE LOWER
PREMIUM COSTS, BUT NOT COMPARED   PREMIUM COSTS, BUT NOT COMPARED
TO WHERE WE WERE BEFORE WE HAD   TO WHERE WE WERE BEFORE WE HAD
THE LAW.   THE LAW.
WE THINK THE GOVERNANCE OF THE   WE THINK THE GOVERNANCE OF THE
MN-SURE EXCH EXCHANGE HAS TO DOH   MN-SURE EXCH EXCHANGE HAS TO DOH
THAT.   THAT.
WHETHER OR NOT THEY OUGHT TO DO   WHETHER OR NOT THEY OUGHT TO DO
ACTIVE PURCHASING WHICH REDUCES   ACTIVE PURCHASING WHICH REDUCES
CHOICES PEOPLE HAVE.   CHOICES PEOPLE HAVE.
BUT THERE ARE THINGS THAT ARE   BUT THERE ARE THINGS THAT ARE
FUNDAMENTALLY FLAWED WITH THIS   FUNDAMENTALLY FLAWED WITH THIS
LAW, AND WE ARE CONCERNED WE ARE   LAW, AND WE ARE CONCERNED WE ARE
LOSING THE ABILITY TO CONTROL   LOSING THE ABILITY TO CONTROL
HEALTHCARE AND HEALTH INSURANCE   HEALTHCARE AND HEALTH INSURANCE
IN THE STATE, THAT IT’S ALL   IN THE STATE, THAT IT’S ALL
GOING TO GO TO WASHINGTON AND   GOING TO GO TO WASHINGTON AND
BEG THEM FOR WAIVERS AND OTHER   BEG THEM FOR WAIVERS AND OTHER
THINGS IN THE FUTURE TO DO   THINGS IN THE FUTURE TO DO
THINGS THAT ARE NONSENSICAL.   THINGS THAT ARE NONSENSICAL.
WE ARE CONCERNED AND WANT TO   WE ARE CONCERNED AND WANT TO
REIGN THAT IN AND BRING   REIGN THAT IN AND BRING
HEALTHCARE BACK TO MINNESOTA.   HEALTHCARE BACK TO MINNESOTA.
>>YOU KNOW, I S SYMPATHIZE WITH  >>YOU KNOW, I S SYMPATHIZE WITH
THE PERSON THAT HAS TROUBLE WITH   THE PERSON THAT HAS TROUBLE WITH
THE PROCESS.   THE PROCESS.
THE GOOD NEWS ON THAT IS THAT   THE GOOD NEWS ON THAT IS THAT
RIGHT NOW THE WAIT TIMES ARE   RIGHT NOW THE WAIT TIMES ARE
DRASTICALLY REDUCED.   DRASTICALLY REDUCED.
WE ARE DOWN TO ABOUT A MINUTE   WE ARE DOWN TO ABOUT A MINUTE
WAIT TIME AT THE MOST.   WAIT TIME AT THE MOST.
WE HAVE OVER 98% OF PEOPLE NOW   WE HAVE OVER 98% OF PEOPLE NOW
GETTING THROUGH THE PROCESS ON   GETTING THROUGH THE PROCESS ON
THEIR FIRST TIME THROUGH, SO   THEIR FIRST TIME THROUGH, SO
PEOPLE ARE MAKING IT THROUGH THE   PEOPLE ARE MAKING IT THROUGH THE
MN-SURE PROCESS AND GETTING TO   MN-SURE PROCESS AND GETTING TO
INSURANCE, AND I THINK THOSE   INSURANCE, AND I THINK THOSE
IMPROVEMENTS ARE A GOOD THING.   IMPROVEMENTS ARE A GOOD THING.
MORE THAN THAT, YOU KNOW, THE   MORE THAN THAT, YOU KNOW, THE
REALITY IS OVER 100,000 PEOPLE   REALITY IS OVER 100,000 PEOPLE
NOW HAVE ACTUALLY GOTTEN   NOW HAVE ACTUALLY GOTTEN
INSURANCE THROUGH THE EXCHANGE   INSURANCE THROUGH THE EXCHANGE
AND A LOT MORE HAVE GOTTEN   AND A LOT MORE HAVE GOTTEN
INSURANCE IN THE PRIVATE MARKET   INSURANCE IN THE PRIVATE MARKET
AT THE LOWER PREMIUMS, LOWEST IN   AT THE LOWER PREMIUMS, LOWEST IN
THE COUNTRY, BECAUSE THEY CAN   THE COUNTRY, BECAUSE THEY CAN
CONTRACT DIRECTLY.   CONTRACT DIRECTLY.
BUT THE DEALS NEGOTIATED IN THE   BUT THE DEALS NEGOTIATED IN THE
MN-SURE PROGRAM ARE ALSO   MN-SURE PROGRAM ARE ALSO
AVAILABLE TO PEOPLE BUYING IT   AVAILABLE TO PEOPLE BUYING IT
OUTSIDE THE MN-SURE PROGRAM.   OUTSIDE THE MN-SURE PROGRAM.
EVEN MORE THAN THAT ARE GETTING   EVEN MORE THAN THAT ARE GETTING
THE BENEFIT OF THE LOWER   THE BENEFIT OF THE LOWER
PREMIUMS THAT WERE THE RESULT OF   PREMIUMS THAT WERE THE RESULT OF
THE COMPETITION, AND THAT’S WHAT   THE COMPETITION, AND THAT’S WHAT
THE EXCHANGE IS ALL ABOUT,   THE EXCHANGE IS ALL ABOUT,
TRANSPARENCY AND COMPETITION,   TRANSPARENCY AND COMPETITION,
AND THERE’S EXPANSION OF   AND THERE’S EXPANSION OF
MEDICAID THAT HAPPENED AS WELL.   MEDICAID THAT HAPPENED AS WELL.
ANOTHER COUPLE HUNDRED THOUSAND   ANOTHER COUPLE HUNDRED THOUSAND
PEOPLE ARE GETTING COVERAGE   PEOPLE ARE GETTING COVERAGE
TODAY THAT DIDN’T HAVE COVERAGE   TODAY THAT DIDN’T HAVE COVERAGE
BEFORE.   BEFORE.
AT THE END OF THE DAY, WHAT IT   AT THE END OF THE DAY, WHAT IT
OUGHT TO BE, AND ACTUALLY WE   OUGHT TO BE, AND ACTUALLY WE
DON’T NEED TO TAKE THIS YEAR TO   DON’T NEED TO TAKE THIS YEAR TO
FIX IT BECAUSE THE MN-SURE BOARD   FIX IT BECAUSE THE MN-SURE BOARD
AND THE PEOPLE WORKING THERE   AND THE PEOPLE WORKING THERE
HAVE TO FIX THE PROCESSES, BUT   HAVE TO FIX THE PROCESSES, BUT
WE NEED TO MAKE SURE THE   WE NEED TO MAKE SURE THE
DIRECTION WE ARE HEADING WITH   DIRECTION WE ARE HEADING WITH
THIS IS CONTINUING TO EXPAND   THIS IS CONTINUING TO EXPAND
ACCESS FOR PEOPLE, AND THE WORST   ACCESS FOR PEOPLE, AND THE WORST
THING WE COULD DO FROM MY   THING WE COULD DO FROM MY
PERSPECTIVE IS GO BACK TO THE   PERSPECTIVE IS GO BACK TO THE
STATUS QUO, WHICH IS WHAT WE HAD   STATUS QUO, WHICH IS WHAT WE HAD
BEFORE.   BEFORE.
REPUBLICANS LIKE TO CLAIM THAT   REPUBLICANS LIKE TO CLAIM THAT
THIS WAS A MAGNIFICENT SYSTEM.   THIS WAS A MAGNIFICENT SYSTEM.
I THINK WE HAVE A NATION LEADING   I THINK WE HAVE A NATION LEADING
BECAUSE OF THE HARD WORK OF OUR   BECAUSE OF THE HARD WORK OF OUR
PROVIDERS OUT THERE, AND THE   PROVIDERS OUT THERE, AND THE
FACT WE HAVE A HEALTHY   FACT WE HAVE A HEALTHY
POPULATION, AND CONTINUE TO MAKE   POPULATION, AND CONTINUE TO MAKE
STRIDES IN THAT.   STRIDES IN THAT.
OBESITY RATES IN CHILDREN CAME   OBESITY RATES IN CHILDREN CAME
DOWN ONCE AGAIN, AND A LOT OF   DOWN ONCE AGAIN, AND A LOT OF
GOOD THINGS HAPPENING IN   GOOD THINGS HAPPENING IN
HEALTHCARE RIGHT NOW IN THE   HEALTHCARE RIGHT NOW IN THE
STATE BUT THE FAC FACT OF THE MR   STATE BUT THE FAC FACT OF THE MR
IS BEFORE PEOPLE WITH   IS BEFORE PEOPLE WITH
PRE-EXISTING CONDITIONS COULDN’T   PRE-EXISTING CONDITIONS COULDN’T
GET AFFORDABLE COVERAGE AND ONE   GET AFFORDABLE COVERAGE AND ONE
THING WE DID AT MN-SURE MADE   THING WE DID AT MN-SURE MADE
SURE THAT HAPPENS.   SURE THAT HAPPENS.
THE REPUBLICANS, AT LEAST IN   THE REPUBLICANS, AT LEAST IN
WASHINGTON, D.C. WANT TO GO BACK   WASHINGTON, D.C. WANT TO GO BACK
ON THAT AS WELL AS THE   ON THAT AS WELL AS THE
PRE-EXISTING CONDITIONS.   PRE-EXISTING CONDITIONS.
GOING BACK TO THE SYSTEM WE HAD   GOING BACK TO THE SYSTEM WE HAD
IN 2008 AND 2009 WHEN A LOT OF   IN 2008 AND 2009 WHEN A LOT OF
PEOPLE IN THE STATE DIDN’T HAVE   PEOPLE IN THE STATE DIDN’T HAVE
ACCESS TO INSURANCE.   ACCESS TO INSURANCE.
IT WAS NOT MEANINGFUL INSURANCE,   IT WAS NOT MEANINGFUL INSURANCE,
BECAUSE THEY WERE PAYING   BECAUSE THEY WERE PAYING
PREMIUMS FOR INSURANCE THEY   PREMIUMS FOR INSURANCE THEY
COULDN’T ACCESS BECAUSE OF HUGE   COULDN’T ACCESS BECAUSE OF HUGE
DEDUCTIBLES, ET CETERA.   DEDUCTIBLES, ET CETERA.
MY SENSE IS WE SHOULD HELP   MY SENSE IS WE SHOULD HELP
PEOPLE GET THROUGH THE SYSTEM.   PEOPLE GET THROUGH THE SYSTEM.
WE SHOULD CONTINUE TO IMPROVE   WE SHOULD CONTINUE TO IMPROVE
THE SYSTEM.   THE SYSTEM.
BUT NOTHING IS PERFECT   BUT NOTHING IS PERFECT
OVERNIGHT.   OVERNIGHT.
I THINK WE ARE MOVING IN THE   I THINK WE ARE MOVING IN THE
RIGHT DIRECTION.   RIGHT DIRECTION.
>>CAN I JUMP IN AND SAY I THINK  >>CAN I JUMP IN AND SAY I THINK
FROM MY PERSPECTIVE MINNESOTANS   FROM MY PERSPECTIVE MINNESOTANS
WANT TO GO BACK TO A MARKET   WANT TO GO BACK TO A MARKET
BASED SYSTEM.   BASED SYSTEM.
WE HAVE SPENT $160 MILLION ON   WE HAVE SPENT $160 MILLION ON
THE PROJECT AND TO DATE THERE’S   THE PROJECT AND TO DATE THERE’S
NO EVIDENCE ANYONE TODAY IS   NO EVIDENCE ANYONE TODAY IS
INSURED THAT WASN’T INSURED   INSURED THAT WASN’T INSURED
BEFORE.   BEFORE.
THEY ARE BUYING INSURANCE THEY   THEY ARE BUYING INSURANCE THEY
DIDN’T WANT.   DIDN’T WANT.
ELDERLY MEN BUYING INSURANCE   ELDERLY MEN BUYING INSURANCE
THAT COVERS MATERNITY STUFF.   THAT COVERS MATERNITY STUFF.
YOU DON’T NEED TO DO THAT.   YOU DON’T NEED TO DO THAT.
>>UNLESS YOU ONLY WANT WOMEN  >>UNLESS YOU ONLY WANT WOMEN
THAT ARE PREGNANCY AGE TO PAY   THAT ARE PREGNANCY AGE TO PAY
THE FULL COST OF HAVING TO HAVE   THE FULL COST OF HAVING TO HAVE
KIDS, WHICH IS WHAT YOU ARE   KIDS, WHICH IS WHAT YOU ARE
ARGUING FOR, AND I THINK WE   ARGUING FOR, AND I THINK WE
SHOULD HAVE A VESTED INTEREST   SHOULD HAVE A VESTED INTEREST
BEFORE HEALTHY BIRTH AND AFTER   BEFORE HEALTHY BIRTH AND AFTER
CHILDBIRTH AND RAISING THOSE   CHILDBIRTH AND RAISING THOSE
KIDS.   KIDS.
>>IN OUR OPINION, YOU CAN GET  >>IN OUR OPINION, YOU CAN GET
BETTER SAVINGS, BETTER   BETTER SAVINGS, BETTER
EFFICIENCIES BY EMPLOYING MARKET   EFFICIENCIES BY EMPLOYING MARKET
CHOICES RATHER THAN LIMITING   CHOICES RATHER THAN LIMITING
CHOICES AND HAVE BUREAUCRATS AND   CHOICES AND HAVE BUREAUCRATS AND
GOVERNMENT PEOPLE.   GOVERNMENT PEOPLE.
IT IS THE LAW.   IT IS THE LAW.
THAT’S WHAT OBAMACARE IS.   THAT’S WHAT OBAMACARE IS.
OUR CONCERN IS WE HAVE TO LIVE   OUR CONCERN IS WE HAVE TO LIVE
WITH IT FOR THE TIME BEING, BUT   WITH IT FOR THE TIME BEING, BUT
WE HAVE TO MAKE SURE WE HAVE THE   WE HAVE TO MAKE SURE WE HAVE THE
ABILITY TO MAKE CHOICES IN   ABILITY TO MAKE CHOICES IN
MINNESOTA AND WE SHOULD BE   MINNESOTA AND WE SHOULD BE
PUSHING BACK ON THE FEDERAL   PUSHING BACK ON THE FEDERAL
GOVERNMENT SAYING DON’T DO STUFF   GOVERNMENT SAYING DON’T DO STUFF
TO US THAT WE DON’T WANT.   TO US THAT WE DON’T WANT.
>>I THINK THE REALITY IS, THE  >>I THINK THE REALITY IS, THE
FEDERAL LAW, AND IT’S NOT GOING   FEDERAL LAW, AND IT’S NOT GOING
TO BE REPEALED.   TO BE REPEALED.
SO IN MINNESOTA WE HAVE TWO   SO IN MINNESOTA WE HAVE TWO
CHOICES.   CHOICES.
WE COULD EITHER DEFAULT AND LET   WE COULD EITHER DEFAULT AND LET
THE FEDERAL GOVERNMENT WRITE OUR   THE FEDERAL GOVERNMENT WRITE OUR
EXCHANGE OR WE HERE IN MINNESOTA   EXCHANGE OR WE HERE IN MINNESOTA
COULD DEVELOP OUR OWN EXCHANGE,   COULD DEVELOP OUR OWN EXCHANGE,
AND THERE WAS BROAD SUPPORT TO   AND THERE WAS BROAD SUPPORT TO
DEVELOP OUR OWN EXCHANGE, AND   DEVELOP OUR OWN EXCHANGE, AND
THE MINNESOTA CHAMBER OF   THE MINNESOTA CHAMBER OF
COMMERCE, WHO OFTENTIMES I AND   COMMERCE, WHO OFTENTIMES I AND
DEMOCRATS DON’T AGREE ON THINGS.   DEMOCRATS DON’T AGREE ON THINGS.
THOUGHT IT WAS BEST FOR   THOUGHT IT WAS BEST FOR
MINNESOTA TO DO ITS OWN   MINNESOTA TO DO ITS OWN
EXCHANGE, AND WE DID THAT, AND   EXCHANGE, AND WE DID THAT, AND
THERE HAVE BEEN PLENTY OF BUMPS   THERE HAVE BEEN PLENTY OF BUMPS
IN THE ROAD BUT THIS IS A BIG   IN THE ROAD BUT THIS IS A BIG
CHANGE, AND BIG CHANGE, AND MOST   CHANGE, AND BIG CHANGE, AND MOST
OF THE PROBLEMS HAVE BEEN AROUND   OF THE PROBLEMS HAVE BEEN AROUND
TECHNOLOGY AND THE   TECHNOLOGY AND THE
IMPLEMENTATION OF IT, AND WE ARE   IMPLEMENTATION OF IT, AND WE ARE
MAKING TREMENDOUS PROGRESS   MAKING TREMENDOUS PROGRESS
THERE.   THERE.
THIS IS A POINT IN TIME WE WILL   THIS IS A POINT IN TIME WE WILL
LOOK BACK ON AND SAY, YOU KNOW   LOOK BACK ON AND SAY, YOU KNOW
WHAT?   WHAT?
IT WAS THE RIGHT THING TO DO.   IT WAS THE RIGHT THING TO DO.
I EXPECT EVERYONE IS GOING TO   I EXPECT EVERYONE IS GOING TO
HAVE HEALTH INSURANCE.   HAVE HEALTH INSURANCE.
YOU KNOW, I KNOW WHEN MEDICARE   YOU KNOW, I KNOW WHEN MEDICARE
WAS PASSED DURING THE LYNDON   WAS PASSED DURING THE LYNDON
JOHNSON DAYS OF THE GREAT   JOHNSON DAYS OF THE GREAT
SOCIETY, THERE WAS A LOT OF   SOCIETY, THERE WAS A LOT OF
ANXIETY ABOUT THAT, TOO.   ANXIETY ABOUT THAT, TOO.
BUT NO ONE TODAY IS CALLING FOR   BUT NO ONE TODAY IS CALLING FOR
THE REPEAL OF MEDICARE, AND IT’S   THE REPEAL OF MEDICARE, AND IT’S
GOING TO TAKE A LITTLE WHILE TO   GOING TO TAKE A LITTLE WHILE TO
IRON SOME OF THE BUGS OUT, BUT I   IRON SOME OF THE BUGS OUT, BUT I
THINK IT’S THE RIGHT POLICY NOT   THINK IT’S THE RIGHT POLICY NOT
ONLY FOR OUR STATE BUT FOR OUR   ONLY FOR OUR STATE BUT FOR OUR
COUNTRY.   COUNTRY.
>>I THINK, YOU KNOW, THIS  >>I THINK, YOU KNOW, THIS
SYSTEM IS MORE FLAWED, I THINK,   SYSTEM IS MORE FLAWED, I THINK,
AND WE ARE FINDING OUT EVERY   AND WE ARE FINDING OUT EVERY
DAY, YESTERDAY THE MN-SURE BOARD   DAY, YESTERDAY THE MN-SURE BOARD
PUT OUT THE PROJECTIONS FOR THE   PUT OUT THE PROJECTIONS FOR THE
NUMBER OF PEOPLE GOING INTO THE   NUMBER OF PEOPLE GOING INTO THE
PRIVATE PAY PORTION OF MN-SURE,   PRIVATE PAY PORTION OF MN-SURE,
AND THEIR PROJECTIONS ORIGINALLY   AND THEIR PROJECTIONS ORIGINALLY
IN MARCH OF 2013 WERE ABOUT   IN MARCH OF 2013 WERE ABOUT
160,000 PEOPLE THAT THEY   160,000 PEOPLE THAT THEY
SUSPECTED WOULD BE GOING IN.   SUSPECTED WOULD BE GOING IN.
THEY REVISED THAT LOWER LAST   THEY REVISED THAT LOWER LAST
OCTOBER OR NOVEMBER, AND NOW   OCTOBER OR NOVEMBER, AND NOW
THAT NUMBER IS RIGHT AROUND   THAT NUMBER IS RIGHT AROUND
50,000.   50,000.
IT’S LESS THAN A THIRD OF WHAT   IT’S LESS THAN A THIRD OF WHAT
THEY ORIGINALLY THOUGHT WERE   THEY ORIGINALLY THOUGHT WERE
GOING TO GO IN AND THE REAL   GOING TO GO IN AND THE REAL
PROBLEM HERO-AND IT’S GOING TO   PROBLEM HERO-AND IT’S GOING TO
CAUSE A HUGE PROBLEM FOR THE   CAUSE A HUGE PROBLEM FOR THE
RATE INCREASE THAT’S COMING   RATE INCREASE THAT’S COMING
AROUND THE CORNER — IS THE   AROUND THE CORNER — IS THE
POPULATION THAT’S GOING IN   POPULATION THAT’S GOING IN
DOESN’T HAVE HIGH ENOUGH NUMBERS   DOESN’T HAVE HIGH ENOUGH NUMBERS
OF THE YOUNG HEALTHY PEOPLE THAT   OF THE YOUNG HEALTHY PEOPLE THAT
WE NEED TO MAINTAIN THE RATES   WE NEED TO MAINTAIN THE RATES
THAT HAVE BEEN IN PLACE.   THAT HAVE BEEN IN PLACE.
I THINK WE ARE LAGGING BEHIND   I THINK WE ARE LAGGING BEHIND
WHAT THEY PROJECTED WHEN THEY   WHAT THEY PROJECTED WHEN THEY
SET THESE RATES BY SOMEWHERE IN   SET THESE RATES BY SOMEWHERE IN
THE NEIGHBORHOOD OF 15 TO 20%   THE NEIGHBORHOOD OF 15 TO 20%
LESS OF THOSE YOUNGER HEALTHY   LESS OF THOSE YOUNGER HEALTHY
PEOPLE GOING INTO THE MN-SURE   PEOPLE GOING INTO THE MN-SURE
SYSTEM THAN WHAT WE NEED TO   SYSTEM THAN WHAT WE NEED TO
MAINTAIN THOSE KINDS OF RAIDS.   MAINTAIN THOSE KINDS OF RAIDS.
UNLESS WE DO SOMETHING, UNLESS   UNLESS WE DO SOMETHING, UNLESS
SOMETHING CHANGES, WE ARE GOING   SOMETHING CHANGES, WE ARE GOING
TO SEE HUGE RATE INCREASES THIS   TO SEE HUGE RATE INCREASES THIS
FALL, AND PEOPLE — FRANKLY   FALL, AND PEOPLE — FRANKLY
PEOPLE ARE PAYING MORE FOR   PEOPLE ARE PAYING MORE FOR
HEALTH INSURANCE TODAY THROUGH   HEALTH INSURANCE TODAY THROUGH
MN-SURE THAN THEY WERE BEFORE.   MN-SURE THAN THEY WERE BEFORE.
AS SENATOR HANN SAID, THERE’S NO   AS SENATOR HANN SAID, THERE’S NO
EVIDENCE YET THAT DIDN’T   EVIDENCE YET THAT DIDN’T
MAINTAIN HEALTH INSURANCE THAT   MAINTAIN HEALTH INSURANCE THAT
DIDN’T HAVE IT BEFORE.   DIDN’T HAVE IT BEFORE.
YES, THERE ARE SUBSIDIES   YES, THERE ARE SUBSIDIES
AVAILABLE.   AVAILABLE.
BUT ULTIMATELY PEOPLE ARE N WITH   BUT ULTIMATELY PEOPLE ARE N WITH
MN-SURE.   MN-SURE.
THEY SAID HALF OF MINNESOTANS   THEY SAID HALF OF MINNESOTANS
DON’T THINK THAT THIS IS A   DON’T THINK THAT THIS IS A
BETTER SYSTEM FOR MINNESOTA, AND   BETTER SYSTEM FOR MINNESOTA, AND
I AGREE.   I AGREE.
I’M NOT SUGGESTING WE SHOULD   I’M NOT SUGGESTING WE SHOULD
NECESSARILY REPEAL THIS.   NECESSARILY REPEAL THIS.
BUT WE SHOULDN’T PUT OUR HEADS   BUT WE SHOULDN’T PUT OUR HEADS
IN THE SAND.   IN THE SAND.
>>THAT’S THE FIRST TIME I HAVE  >>THAT’S THE FIRST TIME I HAVE
HEARD THAT.   HEARD THAT.
>>WE MADE NEWS TODAY.  >>WE MADE NEWS TODAY.
>>IF YOU DON’T WANT TO REPEAL,  >>IF YOU DON’T WANT TO REPEAL,
WHAT DO YOU WANT TO DO?   WHAT DO YOU WANT TO DO?
>>THERE ARE A LOT OF THINGS WE  >>THERE ARE A LOT OF THINGS WE
CAN DO TO FIX IT.   CAN DO TO FIX IT.
WE OFFERED OVER 100 AMENDMENTS   WE OFFERED OVER 100 AMENDMENTS
IN THE HOUSE THAT WERE REJECTED   IN THE HOUSE THAT WERE REJECTED
AND 8 THAT WERE ACCEPTED.   AND 8 THAT WERE ACCEPTED.
BUT OVER 100 AMENDMENTS FROM   BUT OVER 100 AMENDMENTS FROM
HOUSE REPUBLICANS THROUGH THE   HOUSE REPUBLICANS THROUGH THE
PROCESS THAT WERE REJECTED.   PROCESS THAT WERE REJECTED.
I THINK THERE’S A LOT OF THINGS   I THINK THERE’S A LOT OF THINGS
WE CAN DO TO CHANGE THE MAKEUP   WE CAN DO TO CHANGE THE MAKEUP
OF THE BOARD AS FAR AS GETTING   OF THE BOARD AS FAR AS GETTING
PEOPLE THAT HAVE THAT INSURANCE   PEOPLE THAT HAVE THAT INSURANCE
EXPERIENCE INVOLVED IN THE   EXPERIENCE INVOLVED IN THE
PROCESS, BUT REALLY IT’S A REAL   PROCESS, BUT REALLY IT’S A REAL
PROBLEM.   PROBLEM.
WE DON’T HAVE THE POPULATIONS   WE DON’T HAVE THE POPULATIONS
GOING IN, AND WE NEED TO ADDRESS   GOING IN, AND WE NEED TO ADDRESS
THAT.   THAT.
>>TO ANSWER YOUR QUESTION,  >>TO ANSWER YOUR QUESTION,
THERE ARE A LOT OF PEOPLE WHO   THERE ARE A LOT OF PEOPLE WHO
THINK WE OUGHT TO BE BLOCK   THINK WE OUGHT TO BE BLOCK
GRANTING MEDICAID INSTEAD OF   GRANTING MEDICAID INSTEAD OF
HAVING THE FEDERAL GOVERNMENT   HAVING THE FEDERAL GOVERNMENT
MANAGE MEDICAID.   MANAGE MEDICAID.
YOU GET YOUR HANDS TIED, AND YOU   YOU GET YOUR HANDS TIED, AND YOU
CAN’T DEAL WITH OVER HALF THE   CAN’T DEAL WITH OVER HALF THE
BUDGET WHEN YOU HAVE TO DEAL   BUDGET WHEN YOU HAVE TO DEAL
WITH MEDICAID LAWS THAT THE   WITH MEDICAID LAWS THAT THE
FEDERAL GOVERNMENT MAKES.   FEDERAL GOVERNMENT MAKES.
MY SUGGESTION WOULD BE GET A   MY SUGGESTION WOULD BE GET A
GRANT FROM THE FEDERAL   GRANT FROM THE FEDERAL
GOVERNMENT AND LET US MANAGE   GOVERNMENT AND LET US MANAGE
WHATEVER THE NEW LAW IS TO WHAT   WHATEVER THE NEW LAW IS TO WHAT
WE WANT TO DO.   WE WANT TO DO.
IF WE WERE ABLE TO DO THAT, WE   IF WE WERE ABLE TO DO THAT, WE
COULD MAKE DECISIONS HOW TO DO   COULD MAKE DECISIONS HOW TO DO
IT MORE EFFECTIVELY AND CHEAPLY.   IT MORE EFFECTIVELY AND CHEAPLY.
THAT’S WHAT WE NEED TO HAVE.   THAT’S WHAT WE NEED TO HAVE.
>>BACK TO YOUR POINT, TOO,  >>BACK TO YOUR POINT, TOO,
ABOUT NOT REPEALING THIS   ABOUT NOT REPEALING THIS
CERTAINLY I THINK WE COULD PUT A   CERTAINLY I THINK WE COULD PUT A
MARKET BASED SOLUTION IN PLACE.   MARKET BASED SOLUTION IN PLACE.
THAT WOULD INSURE WE HAVE THE   THAT WOULD INSURE WE HAVE THE
LOWER RATES THAT MINNESOTA   LOWER RATES THAT MINNESOTA
ANSWER ARE EXPECTING.   ANSWER ARE EXPECTING.
THERE’S GOING TO BE A LOT OF   THERE’S GOING TO BE A LOT OF
DISEMPLOYMENT BECAUSE   DISEMPLOYMENT BECAUSE
EXPECTATIONS ARE BEING SET THAT   EXPECTATIONS ARE BEING SET THAT
WE ARE GOING TO HAVE THE LOWEST   WE ARE GOING TO HAVE THE LOWEST
RATES IN THE COUNTRY AND PEOPLE   RATES IN THE COUNTRY AND PEOPLE
ARE GOING TO GET LOW COST HEALTH   ARE GOING TO GET LOW COST HEALTH
CONFERENCE, AND IF THE CURRENT   CONFERENCE, AND IF THE CURRENT
TRENDS CONTINUE WITH THE   TRENDS CONTINUE WITH THE
POPULATIONS GOING IN, WE ARE NOT   POPULATIONS GOING IN, WE ARE NOT
GOING TO HAVE THAT, AND PEOPLE   GOING TO HAVE THAT, AND PEOPLE
ARE GOING TO BE VERY   ARE GOING TO BE VERY
DISAPPOINTED.   DISAPPOINTED.
WOULD I REPEAL IT?   WOULD I REPEAL IT?
YES.   YES.
BUT UNFORTUNATELY WE HAVE THE   BUT UNFORTUNATELY WE HAVE THE
AFFORDABLE CARE ACT IN PLACE   AFFORDABLE CARE ACT IN PLACE
THAT’S MANDATING THAT WE DO   THAT’S MANDATING THAT WE DO
THIS.   THIS.
>>MARKET BASED SOLUTION IS THE  >>MARKET BASED SOLUTION IS THE
SAME SOLUTION REPUBLICANS HAVE   SAME SOLUTION REPUBLICANS HAVE
BEEN TALKING ABOUT FOR 20 YEARS.   BEEN TALKING ABOUT FOR 20 YEARS.
MN-SURE ITSELF IS A MARKETPLACE.   MN-SURE ITSELF IS A MARKETPLACE.
THAT’S THE WHOLE IDEA.   THAT’S THE WHOLE IDEA.
IT DIDN’T WORK.   IT DIDN’T WORK.
JUST TO SAY MARKET BASED   JUST TO SAY MARKET BASED
SOLUTIONS IS A NICE SLOGAN, BUT   SOLUTIONS IS A NICE SLOGAN, BUT
IT DOESN’T ANSWER  

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