Al Madrigal - Rejecting Medicaid Expansion

  • Aired:  02/27/14
  •  | Views: 43,831

Al Madrigal struggles to explain the pitfalls of Medicaid expansion to those selfishly hoping for help with health care. (5:54)

(CHEERS AND APPLAUSE)>> Jon: WELCOME BACK TO THE

SHOW, NOW.

IN 2012 THE SUPREME COURTRULED THAT THE AFFORDABLE

CARE ACT DID NOT DESTROY THECOUNTRY OR THE CONSTITUTION.

BUT THE COURT DID ALLOWSTATES TO OPT OUT OF THE

MEDICAID EXPANSION.

HOW DO THE CITIZENS OF THESTATES THAT

TURNED DOWN THAT FEDERALMONEY FEEL NOW, I BET THEY

FEEL GOOD, AL MADRIGALREPORTS ON OBAMACARE WAS

DESIGNED TO DO MORE THANJUST ELIMINATE JOBS.

IT ALSO GIVES STATES THEOPTION OF TAKING FEDERAL

FUNDS TO EXPAND MEDICAID FORTHEIR WORKING POOR.

LUCKILY 19 STATES WERE SMARTENOUGH TO SAY NO

LEAVING JUST A FEWMILLION PEOPLE WITHOUT

COVERAGE.

>> ASHLEY LANDIS OF THESOUTH CAROLINA POLICY

COUNCIL EXPLAINS WHY IT WASTHE RIGHT CALL FOR HER

STATE.

>> FIRST OF ALL, THE COST OFMEDICAID ARE GOING TO

SKYROCKET.

IT'S NOT A QUESTION OFWHETHER THIS IS A GREAT PLAN,

EVEN IF IT WERE, WE CAN'TAFFORD IT.

>> IT'S EVENTUALLY GOING TOCOST HOW MUCH.

>> THE IDEA IS THAT THEFEDERAL GOVERNMENT WILL FUND

$100%.

>> SO ZERO DOLLARS, YOU GUYSCAN'T AFFORD ZERO DOLLARS.

>> 17 TRILLION DOLLARS INDEBT AT THE FEDERAL LEVEL.

AND EVEN IF WE STOP THINKINGABOUT THE MONEY FOR A MINUTE,

DOES ANY PLAN THAT STARTSWITH MY CONGRESSMAN HAD A

GREAT IDEA EVER TURN OUT TOBE A GREAT IDEA?

>> YOU MEAN LIKE CIVILRIGHTS? VOTING RIGHTS?

>> OKAY.

>> CLEAN AIR, CLEAN WATER.

>> THAT'S MEDICAID EXPANSIONADVOCATE DR. HARRY HEIMAN

OBVIOUSLY STRUGGLING WITHTHE QUESTION.

>> FEDERAL HIGHWAY SYSTEM.

>> OKAY,.

>> IMMUNIZATIONS.

>> NAME ONE MORE.

>> EXPANDING MEDICAIDAHA! --

>> AHA!, NOT GOOD.

>> EXPANDING ACCESS TOQUALITY HEALTH CARE IS NOT

THE GOOD?

MAMMOGRAMS, COLONOSCOPY, PAPSMEARS, NOT GOOD?

>> OKAY, OKAY, SO EVEN IFTHIS MEDICAID EXPANSION

COULD SAVE PEOPLE'S LIVES --WE CAN'T AFFORD IT

>> THE CONGRESSIONAL BUDGETOFFICE

LOOKED AT THE COST OFOBAMACARE OVER TEN YEARS,

AND SHOWED THAT IT WOULDREDUCE THE FEDERAL DEFICIT,.

>> AND YOU TRUST THECONGRESSIONAL BUDGET OFFICE

TO ESTIMATE THE BUDGET OFCONGRESS?

>> AND HE'S NOT THE ONLY ONEWHO DRANK THE MEDI-COOL AID IN

STATES THAT HAVE REJECTED ITTHE MAJORITY OF CITIZENS

FOOLISHLY WANT THE EXPANSION.

ASHLEY LANDIS EXPLAINS.

>> I UNDERSTAND THAT WE ARENOT DELIVERING THE MOST

POPULAR MESSAGE HERE.

BUT CERTAINLY LOW INCOMEFAMILIES WHO ARE REALLY

STRUGGLING ARE GOING TO BEHARD-PRESSED TO UNDERSTAND

ALL OF THE NUANCES.

>> THEY'RE JUST SO BUSYBEING NEEDY THEY DON'T KNOWS

WHAT'S GOING ON.

>> I DECIDED TO TALK TOTHESE MISGUIDED MEDICAID

WANT TO HAVE'S WHO ARESELFISHLY HOPING FOR HELP.

>> I HAVE ENVIRONMENTALLYINDUCED ASTHMA AND DON'T

HAVE ANY WAY TO GET TESTS DONE.

>> MY WIFE HAS DEGENERATIVE DISKDISORDER.

>> I KNOW YOU FEEL LIKE YOUWANT MEDICAID BUT MEDICAID

EXPANSION HASN'T BEENAPPROVED IN YOUR STATE.

AND IT'S A GOOD THING.

IT'S BETTER FOR AMERICA.

>> THAT SEEMS LIKE THE MOSTRIDICULOUS THING TO SAY.

HOW IS IT BETTER FOR AMERICA,FOR PEOPLE WHO HAVE

TREATABLE CONDITIONS TOBECOME PERMANENTLY CRIPPLED?

>> WE CAN'T AFFORD IT.

AND YOUR WIFE-- SHOULDJUST SIT.

AND THEN-- TAKE IT EASY,.

>> IT'S HARD NOT TO SEEMLIKE A TOTAL [BLEEP] WHEN

YOU'RE SAYING THIS STUFF TOPEOPLE.

>> WHEN THIS GUY HAS ASTHMA,HE'S ALL-- YOU KNOW, IT'S

HARD TO ARGUE WITH THAT.

>> I THINK THEY CAN PROBABLYGET TREATMENT FOR HIS ASTHMA.

>> PROBABLY-- OKAY, I'LL JUSTTELL HIM PROBABLY

>> I DON'T KNOW THESPECIFIC SITUATION BUT I DO

KNOW THAT DOCTORS DON'T TURNAWAY PATIENTS IN NEED.

>> ASTHMA GUY, I JUSTCHECKED.

YOU CAN PROBABLY GETTREATMENT.

OKAY?

YOU'RE GOOD.

>> I TRIED TO GO TO THE WALK-INCLINIC.

IT DOESN'T WORK.

SO INSTEAD I HAVE BEEN INTHE EMERGENCY ROOM 7 TIMES

IN THE LAST TWO YEARS. WHOPICKS UP THAT BILL?

YOU'RE ASKING ME TO LIVEMY LIFE IN THE EMERGENCY

ROOM.

>> THE PROBLEM IS, IT'S HARDTO TALK ABOUT THIS STUFF

WITH THE REAL PEOPLE THATACTUALLY AFFECTED BY IT.

LUCKILY, I HAD AN IDEA.

>> WAY BETTER.

WAY BETTER.

>> IT'S EASIER IF YOU CANPRETEND

WHAT YOU ARE SAYING DOESN'TAFFECT REAL PEOPLE.

>> EXACTLY, SMILEY FACE, YOUHIT IT.

>> BUT WE ARE, WE'RE REALPEOPLE.

>> I WAS TALKING TO SMILEYFACE.

>> THEY'RE TAKING AN IDEOLOGICALSTAND AT OUR

EXPENSE.

>> ALRIGHT, NO KITTEN WOULD EVER SAY THAT.

>> PROBLEM SOLVED.

SO BRAVO TEXAS, TENNESSEE,FLORIDA, AND ALL THE OTHERS

WHO STOOD UP TO THE 5MILLION WORKING POOR

DESPERATE FORHELP.

BUT JUST IN CASE EVER HAVEDOUBTS, THIS IS FOR YOU.

>> HI, I'M AL MADRIGAL,MEDICAID EXPANSION IS A

HORRIBLE IDEA. BUT DON'T TAKE ITFROM ME.

>> I WOULD LOVE TO HAVETREATMENT FOR MY ASTHMA

>> BUT I KNOW THAT THERE'S MOREAT STAKE.

>> I'M TO THE GOING TO SAYTHAT.

>> REJECTING MEDICAIDEXPANSION IS GOOD FOR ALL OF

US.

>> BUT IT'S NOT.

>> OKAY.

>> WELL, ACTUALLY AMERICACAN AFFORD IT.

>> OKAY.

I WANT YOU TO JUST SAYWHAT I [BLEEP] TELL YOU TO.

YOU WANT TO BE IN THIS ORNOT.

>> WE HAVE TO KEEPWASHINGTON OUT OF HIS HEALTH

CARE.

>> I WANT WASHINGTON IN MYHEALTH CARE.

>> EWW. WATCH YOU WANT TO SEEHOW IT'S DONE?

HI, I WOULD LIKE TO HAVETREATMENT FOR MY WIFE'S

DEGENERATIVE BONE DISORDERTHING BUT I REALIZE THAT

THERE'S MORE AT STAKE.

>> DEGENERATIVE BONETHING? YOU ARE SUCH AN [BLEEP]

(LAUGHTER)>> AL MADRIGAL, WE'LL BE

RIGHT BACK.

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