Transcript: Newt Gingrich and Howard Dean

GINGRICH: But why -- why didn't you put up what Dr. Zeke Emanuel said? Because Dr. Zeke Emanuel, who's the chief adviser to the president and brother of the chief of staff, said in writing...

STEPHANOPOULOS: He's not the chief health care adviser. He's written three articles between 1996 and 2008 that include some of those phrases...

(CROSSTALK)

GINGRICH: ... standards.

STEPHANOPOULOS: Those phrases appear nowhere in the bill. The only thing...

GINGRICH: But...

STEPHANOPOULOS: ... but let me just explain what's in the bill and then get you to respond to that. The only thing in the bill is they would allow Medicare to pay for what they say is voluntary counseling on end-of-life issues.

GINGRICH: I think people are very concerned, when you start talking about cost controls, that a bureaucracy -- we don't -- you're asking us to trust the government. Now, I'm not talking about the Obama administration. I'm talking about the government. You're asking us to decide that we believe that the government is to be trusted.

We know people who have said routinely, well, you're going to have to make decisions. You're going to have to decide. Communal standards historically is a very dangerous concept.

STEPHANOPOULOS: It's not in the bill.

GINGRICH: But the bill's -- the bill's 1,000 pages of setting up mechanisms. It sets up 45 different agencies. It has all sorts of panels. You're asking us to trust turning power over to the government, when there clearly are people in America who believe in -- in establishing euthanasia, including selective standards.

DEAN: Well, look, this is something Newt and I agree on. I don't want somebody in between the doctor and the patient. I don't want the possibility of losing your health insurance. I don't want people setting standards or denying care. That's all what we have now under the private health insurance system. That's what happens.

Look, I've practiced -- I've practiced for 10 years. My wife is still practicing. Never once did I have a Medicare bureaucrat tell me what I could or couldn't do for a patient, but all the time we have bureaucrats from the insurance companies calling up and saying, "We're not going to cover this, and we're not going to pay for that, and we're denying coverage of that."

The system we have right now is broken. We need to fix it. I think giving the American people some choices about how to fix it makes sense.

STEPHANOPOULOS: OK, we're going to have to end it there.

STEPHANOPOULOS: And we're going to go straight to the roundtable. So as our panelists take their seats, a reminder that this is not the first time health care has heated up the August recess.

Roll back to 1989. Congress had just expanded catastrophic coverage under Medicare paid for by a surtax on seniors. They let the powerful sponsor of the bill, Chicago's Dan Rostenkowski, know just how much they hated it.

(BEGIN VIDEO CLIP)

(UNKNOWN): This man is a coward. He ran away. This is what you're voting for, representation?

(END VIDEO CLIP)

STEPHANOPOULOS: Not long after that, the surtax was repealed.

Now we're going to bring in the roundtable. I'm joined by Peggy Noonan of the Wall Street Journal, Matthew Dowd, the president of the Council on Foreign Relations, Richard Haass, also the author of a new book, "War of Necessity, War of Choice," Sam Donaldson, and Cokie Roberts.

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