NORTON META TAG

03 February 2020

Inappropriate, Not Impeachable: Key GOP Senator’s “Astonishing” Statement Clears Way for Acquittal 31JAN20





IT IS PATHETIC how republican politicians as well as the "evangelical" Christian taliban continues to support the admittedly illegal, corrupt actions of (NOT MY) pres drumpf / trump just to maintain their hold on power. They are not only defying the will of the American people, by refusing to hold drumpf / trump responsible for his illegal and impeachable actions they  become willing accomplices in his crimes against our Constitution and Republic. From Democracy Now!.....

Inappropriate, Not Impeachable: Key GOP Senator’s “Astonishing” Statement Clears Way for Acquittal

The Republican-led Senate appears poised to acquit President Trump as early as today in his historic impeachment trial. On Thursday night, Republican Senator Lamar Alexander of Tennessee announced he would vote against calling witnesses. Alexander said it was “inappropriate” for Trump to ask a foreign leader to investigate a political rival, but he went on to say “there is no need for more evidence to prove something that has already been proven and that does not meet the United States Constitution’s high bar for an impeachable offense.” Democrats need four Republican senators to support calling for witnesses, but it appears they will fall short. Republican Senators Susan Collins and Mitt Romney have said they will vote yes. If Lisa Murkowski of Alaska votes with them, it will result in a 50-50 tie, meaning no witnesses will be called unless Chief Justice John Roberts casts a tiebreaking vote. If the vote to call witnesses fails, the Republican leadership is expected to move quickly to end the trial and vote to acquit the president. Democrats have been demanding that former Trump national security adviser John Bolton testify in the trial. In an upcoming book, Bolton writes that Trump personally told him that $391 million in military aid to Ukraine was held up in order to pressure that country into launching investigations into Trump’s political rivals, including Joe Biden. We speak with Dahlia Lithwick, senior editor at Slate magazine, where she is the senior legal correspondent and Supreme Court reporter, as well as host of the legal podcast “Amicus.”
GUESTS
  • Dahlia Lithwick
    senior editor at Slate.com, where she is the senior legal correspondent and Supreme Court reporter. Dahlia also hosts the legal podcast Amicus.

Transcript
This is a rush transcript. Copy may not be in its final form.
AMY GOODMAN: The Republican-led Senate appears poised to acquit President Trump as early as today in just the third presidential impeachment trial in U.S. history. On Thursday night, Republican Senator Lamar Alexander of Tennessee announced he would vote against calling witnesses. Alexander said it was inappropriate for Trump to ask a foreign leader to investigate his political rival, but he went on to say, quote, “There is no need for more evidence to prove something that has already been proven and that does not meet the United States Constitution’s high bar for an impeachable offense,” unquote. Democrats need four Republican senators to support calling for witnesses, but it appears they’ll fall short.
Democrats were hoping to hear testimony from former national security adviser John Bolton. In a forthcoming book, Bolton has reportedly written that Trump personally told him he wanted to maintain a freeze on military aid to Ukraine until Ukraine turned over materials related to his political rival, former Vice President Joe Biden.
Republican Senators Susan Collins and Mitt Romney have said they will vote yes today on witnesses. If Lisa Murkowski of Alaska votes with them, it will result in a 50-50 tie, meaning no witnesses will be called, unless Chief Justice John Roberts casts a tiebreaking vote, which is seen as highly unlikely. If the vote to call witnesses fails, the Republican leadership is expected to move quickly to end the trial and vote to acquit the president.
Hours before he made his announcement, Republican Senator Lamar Alexander, along with Lisa Murkowski, submitted a question during the Senate trial, asking if Bolton’s testimony would even matter, because Trump’s legal defense team claims the allegations, even if true, don’t rise to the level of an impeachable offense. White House deputy counsel Patrick Philbin and lead House impeachment manager Congressman Adam Schiff both responded. This is Philbin.
PATRICK PHILBIN: There was no quid pro quo. There was no — and there is no evidence to show that. There was not that sort of linkage that the House managers have suggested. But let me answer the question directly, which I understand to be, assuming for the sake of argument that Ambassador Bolton would come and testify the way The New York Times article alleges the way his book describes the conversation, then it is correct that even if that happened, even if he gave that testimony, the articles of impeachment still wouldn’t rise to an impeachable offense.
REPADAM SCHIFF: We know why they don’t want John Bolton to testify. It’s not because we don’t really know what happened here. They just don’t want the American people to hear it in all of its ugly graphic detail.
AMY GOODMAN: To talk more about the impeachment trial, we’re joined by Dahlia Lithwick, senior editor at Slate.com, where she is the senior legal correspondent and Supreme Court reporter.
Dahlia, welcome back to Democracy Now! So, this is a crucial day. Explain what’s going to happen today, what we know and what we don’t know.
DAHLIA LITHWICK: I think we’re going to see a whole bunch of motions, Amy, much as we saw in the first day, where Democrats tried to bring forth motions to hear witnesses again, to have more testimony, to have more evidence. And I think, as you just said, they are likely to be roundly defeated. It looks as though they just don’t have the four votes they need to proceed. Maybe we’ll be surprised. But if that’s the case, it will be a lot of skirmishing about procedure. And the plan is, I think, to go to closing arguments. And then, probably as late as 2:00 or 3:00 in the morning, late tonight, there will be a final vote to end this whole thing. People could wake up this time tomorrow, and it was all over.
AMY GOODMAN: So, explain how this all goes down. I mean, even as we speak, we may hear what Senator Murkowski of Alaska has decided to do, whether she wants to call witnesses. Romney has said yes — we’re here in Utah — the junior senator from Utah. And Susan Collins, who’s in a very close race in Maine, has said she wants to have witnesses.
Then there was Lamar Alexander. And I want to read some of what Senator Lamar Alexander’s statement is. He wrote, “The question then is not whether the president did it, but whether the United States Senate or the American people should decide what to do about what he did. I believe that the Constitution provides that the people should make that decision in the presidential election that begins in Iowa on Monday,” he said. So, he actually said President Trump was wrong in what he did, but it didn’t rise to the level of an impeachable offense. We’ll see how that affects Murkowski.
Of course, there are Democrats, like Joe Manchin, who could split with the Democrats and vote with the Republicans on this. But talk about this. And then, you are a longtime Chief Justice John Roberts watcher. If they do tie, what does this mean? Chief Justice Roberts would be the tiebreaker, but he doesn’t have to be.
DAHLIA LITHWICK: Well, just as to the first point, I think the most interesting thing to me about Senator Alexander’s move there is there are two things that he did. One, that’s astonishing, is he essentially said, a week ago we were all saying this didn’t happen, it couldn’t have happened, there was no quid pro quo; now we’re all conceding it happened, but it’s not bad. And I just think it’s really important to see how the marker has shifted, that it seems that a week ago we were arguing the facts: Maybe the facts didn’t happen, maybe it didn’t happen the way it’s alleged. With Bolton’s new allegations, I think everybody now stipulates it happened, it was really bad. And so, what we’ve seen — and this shift is profound, Amy — Alan Dershowitz getting up and saying, “Well, it’s OK, presidents do it all the time. As long as the president wanted to influence the election because he believed it was in the good of the country, then it’s perfectly fine.” And that’s — you know, Republicans in the Senate fell in line. So I just want to be super clear: What just happened was defining impeachability down. It is almost impossible now to meet the standard where they’ve set the bar. And that is really a change that happened in the blink of an eye.
Just as to your other point about Lamar Alexander, it’s an amazing abdication of senatorial responsibility to say, you know, shruggy emoji, “We don’t know what happened, but let the people decide.” I mean, there’s no point in having a Senate or a trial if you don’t step up right now.
As to the question of John Roberts, I think you and I have had this conversation a few times in the last few weeks. John Roberts has one preeminent, predominant interest, and that is not getting involved. He does not want the sort of stink of politics to be on him. He has very masterfully gotten through these last couple of days by just sort of figuratively and literally rising above it. I think anyone who believes that he is going to throw in and be the guy who decided a fundamental question in this impeachment trial just is not watching John Roberts. So, if he decides — and it has happened historically. In 1868, Chief Justice Salmon Chase did break some ties when he presided over Andrew Johnson’s impeachment. I don’t think John Roberts is a chief justice in that model. I think he is going to very, very much do everything he can not to be involved. And if it comes to this question of do you cast the tiebreaking vote, I think he will say, “I’m out,” and leave it to the Senate, in which case there is no conviction.
AMY GOODMAN: Right, because a tie would mean that President Trump is acquitted. But wouldn’t that be chief justice weighing in in a very big way, because he knows this?
DAHLIA LITHWICK: It’s such a fundamental question in this moment. Is neutrality neutral? And of course it’s not neutral. He would be throwing in his lot with the Republicans. But I think that he would also be able to have a kind of plausible deniability, Amy. He’d be able to say, you know, “I did nothing. I didn’t insert myself in. I let the procedure go as it needed to go.” And I think he would claim that he really only had a ceremonial role. There’s been a lot of good op-eds this week by law professors saying, “Look, the Constitution says he shall preside. And that means, you know, when the vice president presides over the Senate, he has a real role in breaking ties. He has an absolute nonceremonial role.” So I think that’s being urged on John Roberts. But I think that, very, very much clear to me, that what he cares about, in first thing in the morning and last thing at night, is that the courts be above this, that the courts not be dragged into this. Senator Elizabeth Warren tried to drag him into it with a question yesterday, and you could just see him bristle. He does not want to be told that this is his show.
AMY GOODMAN: Oh, let’s go to this. Let’s go to this moment, when Chief Justice John Roberts read a question submitted by the presidential candidate Democratic Senator Elizabeth Warren of Massachusetts. This is Roberts, followed by a response from Democratic Congressmember Adam Schiff, of course, the head of the Intelligence Committee, the chief House manager.
CHIEF JUSTICE JOHN ROBERTS: “At a time when large majorities of Americans have lost faith in government, does the fact that the chief justice is presiding over an impeachment trial in which Republican senators have thus far refused to allow witnesses or evidence contribute to the loss of legitimacy of the chief justice, the Supreme Court and the Constitution?”
REPADAM SCHIFF: I would not say that it contributes to a loss of confidence in the chief justice. I think the chief justice has presided admirably. … But it does not reflect well on any of us if we are afraid of what the evidence holds, if this will be the first trial in America where the defendant says at the beginning of the trial, “If the prosecution case is so good, why don’t they prove it without any witnesses?” That’s not a model we can hold up with pride to the rest of the world. And, yes, Senator, I think that will feed cynicism about this institution.
AMY GOODMAN: So, Dahlia Lithwick, explain.
DAHLIA LITHWICK: Yeah, I mean, there’s a part of me, a small part of me, having just said that being neutral is not neutral, that my heart does go out to the chief justice. If you read his State of the Judiciary speech that went down right before New Year’s, it is clear he feels as though the courts are facing this existential crisis, that the public doesn’t believe that they are legitimate, that the public believes that they are political and that they are driven entirely by sort of craven political motives. And that’s killing him. It’s why, last year, when Donald Trump went after, quote, “Obama judges,” for the first time, the chief justice really called him out and said, “No, no, no, no. We are not Obama judges and Bush judges. We are judges.” So I think there is this anxiety. And you have to kind of concede that it is an anxiety for him, that is, “I have to bolster the reputation of the entire Article III judiciary because Donald Trump is trying to drag it down.” And that, I think, is why Adam Schiff was at pains to say, “No, no, Mr. Chief Justice, we have ultimate faith in you.”
But I think the larger problem is, if, in a sense, John Roberts does what you just heard in Lamar Alexander’s statement, which is to say, you know, “I have no role to play here. I guess the people should decide. The process is a neutral adjudicatory process in which nobody apparently wants to hear witnesses, nobody apparently wants to step forward and make a decision,” that is a decision to put a thumb on the scale for Mitch McConnell’s whole sort of show trial here. And so, you can at the same time kind of empathize with the anxiety he feels about getting his hands dirty here, and also just, I think, recognize that history will probably remember, if it comes down to these three votes and John Roberts as tiebreaker, that he, in deciding not to decide, did not necessarily do the integrity of the judicial branch or of this, quote-unquote, “trial” in the Senate any favors.
AMY GOODMAN: I wanted to also go to another moment, Supreme Court Chief Justice John Roberts declining to read a question submitted by Republican Senator Rand Paul of Kentucky. The question included the name of a person some speculate is the CIA whistleblower whose complaint catalyzed the impeachment inquiry. This is the moment.
CHIEF JUSTICE JOHN ROBERTS: The presiding officer declines to read the question as submitted.
AMY GOODMAN: On Thursday, Senator Paul tweeted, quote, “My question today is about whether or not individuals who were holdovers from the Obama National Security Council and Democrat partisans conspired with Schiff staffers to plot impeaching the President before there were formal House impeachment proceedings.” Dahlia Lithwick, take it from there.
DAHLIA LITHWICK: Yeah, I think this goes to an important criticism that a lot of at least Democrats have had of the chief justice. Amy, he did absolutely the right thing. He refused to name the whistleblower in Senator Rand Paul’s letter. He declined to do something that — we just don’t out whistleblowers. In some contexts, it’s a felony. But then Rand Paul just got up, left the chamber, read the statement, named the whistleblower, went ahead and did on television the thing that John Roberts had declined to do sort of in real time in the decorous chamber.
And this is another of many examples where I think there was some sense that the John Roberts who called out — if you remember, on the first night of the trial, called out both sides for inappropriate language, for being overtly destructive and really, in his view, unfortunately partisan. He has just stood back and let senators amble around, leave the chamber. There have been moments where half of them weren’t there, standing in the back talking, ducking into the cloakroom to take phone calls, doing interviews in the hallways. And he has done nothing to constrain really unseemly behavior that has happened throughout the trial. And I think that that has been a criticism of him. For him to say, “I won’t read the name of the whistleblower,” but then Rand Paul ducks out and does it on television, not clear that in reality it made a huge difference.
AMY GOODMAN: Well, Dahlia Lithwick, we want to thank you so much for being with us, senior editor at Slate.com, where she’s the senior legal correspondent and Supreme Court reporter.
As usual, democracynow.org, we will live-stream all the proceedings, from gavel to gavel. They begin again today at 1 p.m. Eastern Standard Time. So tune in at democracynow.org.
When we come back, Disclosure, a groundbreaking film here at the Sundance Film Festival, examining more than a century of trans representation on screen. Stay with us.
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SENATE MAJORITY LEADER MOSCOW MITCH

01 February 2020

Trump Administration Unveils a Major Shift in Medicaid & The viral video of Mike Pence being grilled by an ER doctor about Medicaid cuts, explained 30&31JAN20


(NOT MY) pres drumpf / trump, (NOT MY) vice-pres pence, and the republican party are determined to cut the entitlement programs serving mainly seniors (Social Security, Medicare and Medicaid) as well as social safety net programs like SNAP (food stamps) to pay for the tax cut that has benefited the rich and corporate America. This highlights the hypocrisy of their attitude toward the poor and need, the least among us in this self proclaimed Christian nation, an attitude that will be experienced by many of base of drumpf / trump-pence and the gop / greed over people (republican) party, hopefully they will remember this when we vote in November 2020. From the New York Times and Vox, be sure to watch the videos with (NOT MY) vice-pres pence, his ignorance about the Medicaid cuts and lack of concern about cutting healthcare for millions is disturbing and disgusting.

States will be able to cap a portion of spending for the safety-net program, a change likely to diminish the number of people receiving health benefits through it.


WASHINGTON — The Trump administration said on Thursday that it would allow states to cap Medicaid spending for many poor adults, a major shift long sought by conservatives that gives states the option of reducing health benefits for millions who gained coverage through the program under the Affordable Care Act.
Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, said states that sought the arrangement — an approach often referred to as block grants — would have broad flexibility to design coverage for the affected group under Medicaid, the state-federal health insurance program for the poor that was created more than 50 years ago as part of President Lyndon B. Johnson’s Great Society.
The announcement by Ms. Verma, who often speaks of wanting to “transform” Medicaid, comes as her efforts to let states require adults on Medicaid to work or train for a job — which led to 17,000 people in Arkansas losing coverage in 2018 — are mired in court battles.
“Government has a solemn responsibility to provide for the most vulnerable among us,” Ms. Verma said in a morning call with reporters. “Part and parcel of that responsibility is making sure the Medicaid program is sustainable.”

Democrats, health care providers and consumer groups warned that capping federal funding for adults on Medicaid and giving states more freedom to decide who and what the program covers would jeopardize medical access and care for some of the poorest Americans. A legal challenge is inevitable.
“After failing to cut Medicaid in 2017 through congressional action, the Trump administration has consistently tried to achieve the same results through administrative attacks,” said Emily Stewart, the executive director of Community Catalyst, a consumer group. “With fewer dollars to provide care to millions of people, let alone address current and future public health issues, C.M.S. is opening the floodgates to allow states to cut benefits and limit services.”

The new funding option could possibly have the effect of increasing the number of Medicaid beneficiaries in some states — namely, the 14 that have not yet expanded Medicaid, who might see it as a more conservative way to move forward in covering poor adults. States that have already expanded Medicaid could also pursue the option, which could lead to pared-down coverage for that population, though some experts predicted most would not.
“There’s no question this plan provides unprecedented flexibility to states to restrict health care under Medicaid,” said Larry Levitt, executive vice president for health policy at the nonpartisan Kaiser Family Foundation. “What is less clear is how many states will want to do that and be willing to roll the dice with a cap on federal contributions.”
States can use the new approach only with adult beneficiaries younger than 65 who aren’t eligible for Medicaid because of pregnancy, a disability or their need for long-term care — in essence, those whom the Affordable Care Act gave states the option of covering.

Medicaid has always provided unlimited federal matching payments to states based on whatever they spend providing care to the poor. Some of what the program covers is mandatory — emergency and hospital care, for example — but states can also choose to provide additional benefits, such as dental care or prescription drugs. No matter how much a state’s enrollment or spending rises, the federal share of funding rises with it.
But under the waiver program Ms. Verma is proposing, a state would use a formula to determine ahead of time how much it will spend on its adult Medicaid population in a given year, then get a fixed federal share in either a lump sum or a per-person amount. Critics said this could be devastating if more people became eligible for Medicaid because of a recession, or if costs went up because a lot of enrollees needed an expensive new medicine; Ms. Verma said the program would “allow adjustments” under such circumstances.
The plan — called “the Healthy Adult Opportunity” — would allow states to cover fewer drugs for enrollees in the block-grant program. And while it would require a minimum level of coverage based on the Affordable Care Act’s 10 categories of “essential health benefits,” states could decide who exactly to cover and omit traditional Medicaid benefits like long-term care, transportation to medical appointments and retroactive coverage for people who got care in the months before they got Medicaid.
“Another big difference could be in the scope of the service,” said Cindy Mann, who ran Medicaid during the Obama administration and is now a partner at Manatt Health, a consulting firm. “It could skinny down the benefits significantly.”
States would also be allowed to impose premiums and out-of-pocket costs on the waiver population, but nobody would be required to pay more than five percent of their household income.
Allowing states to exclude certain drugs from Medicaid coverage appears to be a policy reversal, said Rachel Sachs, an associate law professor at Washington University in St. Louis. Today, states must cover all medically necessary drugs, but the proposal appears to allow states that participate in the block-grant program to exclude certain drugs, in an effort to secure deeper discounts by pitting competing manufacturers against each other.
In 2017, Massachusetts asked for permission to exclude “drugs with limited or inadequate evidence of clinical efficacy,” but the Trump administration denied the application.

Stacie Dusetzina, an associate professor of health policy at Vanderbilt University School of Medicine, said a balance would need to be struck between excluding drugs as a way of saving money, and not limiting access to drugs that patients need.
Republicans have proposed block grants in various forms for decades, going back to the Reagan administration. Most recently, Republicans’ bills to repeal and replace the Affordable Care Act in 2017 proposed giving states a choice between a fixed annual sum per Medicaid recipient or a block grant — both of which would have led to major cuts in coverage over time, analysts projected. Concerns from moderate House Republicans about the potential of deep cuts to Medicaid — which now serves more than 71 million people, or more than 1 in 5 Americans — helped doom the repeal effort.
Conservatives say Medicaid spending, which consumes a major and growing portion of the federal and states’ budgets — it cost about $620 billion in 2018, and accounted for 9.5 percent of the federal budget — needs to be reined in. They contend that the current system of unlimited federal matching funds has encouraged states to milk as much as they can, sometimes wastefully. Capping funding, their argument goes, would make Medicaid more efficient and ensure it can continue to help the sickest and most vulnerable Americans.
Although the federal government generally pays between 50 and 77 percent of a state’s total Medicaid costs, depending on the state’s wealth, it covers much more — 90 percent of the costs — for the adults who became eligible for Medicaid under the Affordable Care Act. While most adults who qualified for Medicaid in the past were disabled, pregnant or extremely poor parents of small children, the newly eligible group — nearly 15 million people, Ms. Verma said — includes adults who may be healthy and childless and have somewhat higher incomes.
Ms. Verma has often suggested that adding healthy working-age adults to the program has threatened its viability for more fragile populations, like children, the elderly and the disabled. She did so again on Thursday, saying in a call with reporters that Medicaid “was not originally designed for this group” and that many states had been “far too lax” in verifying whether people are even eligible.
The popularity of Medicaid raises the question of why Mr. Trump would sign off on a contentious block grant program heading into his re-election campaign. The threat posed to the program by Republican efforts to repeal the Affordable Care Act helped Democrats retake the House in the 2018 midterm elections. But if the new option is taken up by states that have not yet expanded Medicaid at all, Mr. Trump could point to it as a new expansion of health coverage.
“Trying to get to the bottom of the politics of this is hard,” said Sara Rosenbaum, a professor of health law and policy at George Washington University. “I assume that they are trying to look like they are helping poor people, without in any way extending the entitlement.”

Gov. Kevin Stitt of Oklahoma, a Republican, was on hand for the announcement and said his state would be among the first to seek federal approval for the new spending arrangement. Advocacy groups in Oklahoma collected enough signatures to get a question on this November’s ballot asking voters whether to expand Medicaid; similar efforts have succeeded in Maine, Idaho, Utah and Nebraska. But Mr. Stitt opposes expanding Medicaid in this way, and may see the new opportunity as a way to get out in front of the ballot question.
How much federal funding a participating state would receive would be based on a complex formula. If states spent more than their predetermined budget, they wouldn’t get more federal money. But if they spent less, they could keep part of the unspent federal funds.
Katie Thomas contributed reporting from Chicago.

The viral video of Mike Pence being grilled by an ER doctor about Medicaid cuts, explained

Pence struggled to justify a new policy in an exchange that captured something profound about the health care debate.

Dr. Rob Davidson was grabbing a bite at the Drake Diner in Des Moines, Iowa, on Thursday when Vice President Mike Pence just happened to stroll in. The polite but determined exchange that ensued became a viral video — and captured something profound about the state of the health care policy debate in President Trump’s America.
Davidson works as an emergency room doctor in western Michigan and is the executive director of the Committee to Protect Medicare. He told Vox he was in Iowa for a press conference related to his work for the committee. So as Pence glad-handed around the diner, Davidson took the opportunity to press him on a new plan the Trump administration rolled out earlier that same day that would allow states to use waivers and block grants to cut federal Medicaid funding.
When Pence walked up to his table, Davidson introduced himself and said, “I’m an emergency doctor. I’m worried about the plans [Trump] talked about last week to maybe cut Medicare, and then the rollout today of cutting Medicaid. I work in one of the poorest counties in Michigan and my patients depend on expanded Medicaid, so how is that going to affect my patients?”
Pence, however, didn’t seem to be familiar with the plan his administration had announced.
“Uh ... I hadn’t heard about cuts,” he said, prompting Davidson to explain the block grant proposal to him.
“Cutting Medicaid — yeah,” Davidson said. “The head of CMS [the Centers for Medicare and Medicaid Services] announced the plan to let states file for waivers so they could get block grants, so that would essentially cut the amount of money going to states. So that would cut federal Medicaid funding. Is that a good idea?”
As Vox’s Dylan Scott explained, enacting block grants, a long-held goal of ideological conservatives, “would fundamentally change how the program is financed” and ultimately result in funding cuts and less coverage:
Medicaid would no longer pay whatever is necessary to provide medical care to the people in or near poverty who qualify for its benefits. Instead, spending would be limited in states that got a waiver from the federal government, and they could impose cuts on benefits.
Instead of addressing the question, Pence deflected by bringing up the Medicaid expansion that happened in Indiana while he was governor. But Davidson pressed him to actually address his question.
“Right — but now they’re talking about scaling back the Medicaid expansion that we got with the Affordable Care Act. 680,000 Michiganders, 600,000 in Iowa — a lot of people got health care,” Davidson said. “I’m just talking about the president and your administration right now.”

But Pence still seemed to be confused.
“I think you’re oversimplifying things,” he said.
“Well, I think it comes down to that for the people I take care of all the time,” responded Davidson. “People I see in the emergency department that can’t get primary care doctors, [but] once they got Medicaid they could get primary care doctors. They stay out of the ER, they actually work more, they actually contributed to our community more.”
“Now, if you tell those people, ‘Sorry, you don’t get your health care’ — that’s going to be a real negative in their lives,” Davidson continued.
The conversation extended into a second video. Pence continued to deflect by touting his health care record in Indiana, and Davidson kept pressing him to address what the Trump administration is doing right now.
“I think if the Trump administration wanted to expand Medicaid, that’d be great. But the problem is they’re contracting Medicaid,” Davidson said, alluding to the contradiction involved in Pence bragging about expanding Medicaid while he was governor of Indiana while being part of a presidential administration that’s actively working to cut it.
The interaction ended with Pence telling Davidson, “I respectfully disagree” — even though Davidson’s observations about the Trump administration’s new plan were not a matter of opinion.
Davidson told Vox that block-granting Medicaid has been part of mainstream Republican thinking about health care for decades, so he doesn’t buy that Pence was as ignorant about his administration’s new plan as he seemed to be. (The White House didn’t immediately respond to a request for comment.)
“I think he was not expecting to be pressed on that, and didn’t have his talking points prepared, so he retreated back to his safe space,” Davidson said. “I believe he understands exactly what his administration is doing.”
The interaction encapsulated a dynamic at the core of the current debate about health care policy: Republican plans involve unpopular spending and coverage cuts, so they dress them up with nice-sounding jargon like “consumer-directed.”
“‘Innovation,’ ‘flexibility’ — that’s all code for cutting spending and putting more in the laps of people who can’t afford it,” Davidson said. “This would further reduce that funding.”
Asked what he hopes people take away from the video — which has been shared more than 20,000 times on Twitter and has nearly 1.5 million views as this is published — Davidson said he hopes it raises awareness about his work with the Committee to Protect Medicare and encourages doctors to feel comfortable in the policy space.
“We all have the ability to stand up to any level of folks who are coming along and proposing policies that hurt our patients,” Davidson said. “I think it’s time now for doctors to step out of the exam room and get out into the public space and advocate in a bigger way, and I hope that health care providers who see this want to join with us or in some way on their own become advocates for health care.”
“Patients have a hard enough time scrounging to get coverage,” Davidson added. “If we won’t stand up for them, I’m not sure who will.”

$46.5 MILLION

SEN moscow mitch mcconnell r KY $22.5 MILLION, Sec of Transportation FOTZE elaine chau $44 MILLION