'This Week' Transcript: House Speaker Nancy Pelosi and Sen. Lamar Alexander (R-TN)

ALEXANDER: It says we live in a very volatile (ph) political environment, and Scott Brown and I and others simply have to do what we think is right. And if we do, which is to get results in a bipartisan way, we'll probably be re-elected or at least we'll have done a good job.

VARGAS: Senator Lamar Alexander, thank you so much for joining us here this morning on "This Week."

ALEXANDER: Thank you.

(BEGIN VIDEO CLIP) VARGAS: Good morning, and welcome to "This Week."

The health care summit. Did it make any difference?

OBAMA: I hope that this isn't political theater.

VARGAS: The parties came together...

CANTOR: We just can't afford this.

VARGAS: ... but they couldn't bridge the gap. So what's next for health care reform? Questions for our headliners.

PELOSI: This will take courage to do, but we will get it done.

VARGAS: House Speaker Nancy Pelosi and...

ALEXANDER: Mr. President, renounce this idea of jamming through your version of the bill.

VARGAS: ... a leading Republican on health care, Senator Lamar Alexander.

Plus, a powerful Democratic chairman is found to have broken ethics rules.

RANGEL: I have to now deal with my lawyer.

VARGAS: A big-state governor bows out under fire.

PATERSON: I have never abused my office.

VARGAS: That and the rest of the week's politics on our roundtable with George Will, Cokie Roberts, Sam Donaldson, and Paul Krugman.

And, as always, the Sunday funnies.

JIMMY KIMMEL, TALK SHOW HOST: Even our weather is beating Canada. We're out-snowing them, too.

(END VIDEO CLIP)

ANNOUNCER: From the heart of the nation's capital, "This Week" with "20/20" anchor Elizabeth Vargas, live from the Newseum on Pennsylvania Avenue.

VARGAS: Good morning, everyone. With so many issues facing Congress, from health care reform to unemployment, and new questions about how Congress does business, I sat down with the speaker of the House, Nancy Pelosi.

(BEGIN VIDEOTAPE)

VARGAS: Madam Speaker, welcome back again to "This Week." Let's talk health care. PELOSI: Good to be here.

VARGAS: The president said after the summit, we cannot have another year of debate on this issue. We need decisions now. You said on Friday, "We are determined to pass health care." Do you have the 217 votes necessary to pass it in the House?

PELOSI: Well, right now we're working on the -- on the policy. The -- the president put a -- a -- I think a good proposal on the Internet on Sunday. We're examining that very carefully to make sure it has all the affordability we need for the middle class, all the accountability for the insurance industry, and the accessibility that we need to have.

I -- from the meeting on Thursday -- the summit meeting, I -- I believe that we're ready for the next step, which is to write legislative language, and then go from there.

VARGAS: So what are the fixes the Senate needs to make in your opinion? Through reconciliation presumably before the House can vote on it...

(CROSSTALK)

PELOSI: Well, I -- I believe, listening to the president yesterday, he's still hopeful that there's a way to have a bipartisan bill. But whatever route the Senate takes, we would like to see, again, more affordability for the middle class. This is very, very important. This is a bill about the middle class -- their access to health care, and the affordability that makes that access possible.

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