'This Week' Transcript: Rep. Paul Ryan and Rep. Chris Van Hollen

VAN HOLLEN: But Paul, you know that every bipartisan group that's out there has said let's take a portion of the revenue for the purpose of deficit reduction. That way you don't have to whack seniors on Medicare and you don't have to hit student loans and you don't have to gut transportation investments.


STEPHANOPOULOS: I've got to move to health care at this point, and Congressman Van Hollen, let me bring this to you, because the president's health care plan did seem to take a beating, at least in the questioning from the Supreme Court justices. And the president's advocate, Solicitor General Donald Verrilli, came under fire for his presentation. I want to show a bit of it.


DONALD VERRILLI, SOLICITOR GENERAL: Insurance has become the predominant means of paying for health care in his country. For most Americans, for more than 80 percent of Americans, the insurance system does provide effective access. Excuse me.


STEPHANOPOULOS: Did Verrilli make the best case, and what will it mean if the Supreme Court strikes down health care?

VAN HOLLEN: Well, George, I don't want to get into the actual the presentation and the style. I think the substance is very clear, and it is one that Republicans supported in the past. The notion that every individual should take responsibility for getting their health care, otherwise the free riders in this system end up driving costs for everybody else.

Look, I don't think anybody knows how the Supreme Court rules.

What I do know is that the overwhelming majority of the American people know that the health care system had been broken. When kids and others are denied health care because they have asthma or diabetes or other pre-existing conditions, that's a broken health care system. The Affordable Care Act is designed to address that issue. You saw premiums in the health care industry doubling between the year 2000 and 2008. Profits in the insurance companies quadrupled. That's unacceptable. And when our Republican friends said -- when they voted to repeal the Affordable Care Act, that was one of their first measures in Congress -- they said they were going to come up with a proposal to address all these other issues. As we gather here today, they haven't done that.

And so I think that if the court were to strike this down, it would be a big loss for the American people. We're trying to finally reduce costs in the health care system and prevent people from being denied coverage by insurance companies.

STEPHANOPOULOS: If it does go down, Congressman Ryan, that will put the burden back on the opponents to come up with a replace part of replace and repeal. What would that be?

RYAN: Well, several of us have actually offered replacement legislation. It would be a decentralized, market-based system that's patient-centered, where everybody has access to affordable health insurance, including people with pre-existing conditions. And we can do it in a way that does not involve a costly government takeover. We can do it in a way that doesn't involve the government effectively taking over and running the health care industry.

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