Democratic candidates debate: How to budget health care

ABC News’ George Stephanopoulos asks the 2020 democratic candidates how they plan to pay for their health care plans.
23:21 | 09/13/19

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Transcript for Democratic candidates debate: How to budget health care
So every you said you are more united than divided and that is certainly true all of you agree on one big. Goal of defeating president trump driving the country in a new direction. But on the campaign trail you have outlined big differences over how far to go and how fast ago. And Vice President Biden differences between you and the senators on either side of you tonight strike at the heart of this primary debate. Most senators Warren and Sanders want to replace obamacare. With Medicare for all you want to build an obamacare not scrapping. They proposed spending far more than you to combat climate change and tackle student loan debt and they would raise more in taxes than you to pay for their programs. Our senators Warner and senators pushing too far beyond where Democrats want to go up and where the country needs to got. That'll be from voters to decide that question let me turn right. I think we should have a debate on health care I think. I know that the senator says she's for Bernie I'm from Iraq I think he obamacare worked. I think the way in Austin we add to replace everything has been cut at a public option. Guarantee that everyone will be able to have affordable insurance number one. Number two I think we should be in a position to take you look at what cost so our. My plan for health care cost a lot of money it cost 71240. Billion dollars it doesn't cost thirty trillion dollars. 3.4 trillion a year it turns out is twice what the entire federal budget is. That's before it exists now without interest on the debt how we gonna pay for it. I want to hear tonight how that's happened so as far as my distinguish friend. The senator on my left is not has not indicate how she pays for. And the senator has in fact come forward and said how he's gonna pay for pretty gets about halfway there. There's a lot of other things that need to be done. I travel bowl plan to deal with making sure we triple the money for at risk schools that are title one schools. From forty from fifteen to 45 billion dollars a year. But I go down the line beach the things we're talking about I lay out how I can pay for power can get it done and why it's better. Her warm let me let me take that to you particularly on what senator by the missing their. About how things actually praise Bernie Sanders for being candid. But if health care plan that senators as a senator Sanders has been candid about the fact the middle class taxes are gonna go up in most of private insurance is going to be eliminated will you make. That same emission. So let's be clear about health care and what's actually start or vice president did. We all owe a huge debt to President Obama who fundamentally. Transformed health care in America. And committed this country to help. And now the question he asked how best can we improve on it. And I believe the best way we can do that is we make sure that everybody gets covered by health care. At the lowest possible cost. How do we pay for it we pay for those at the very top the richest individuals in the biggest corporations are going to pay more. And middle class families are going to pay less that's how this is going to work. Direct question you said no classic Hannity in a pay less but will middle class taxes go up to pay for the program I know you believe that the deductibles no premiums will go down we'll middle class taxes go up. Will private insurance be eliminated. But what families have to deal with is cost. Total cost that's what they have to deal with and understand. Families are paying for their health care today. Families pay every time an insurance company says sorry you can't see that specialist. Everytime an insurance company says sorry. That doctors out of network sorry we are not covering that prescription. Families are paying. Every time they don't get a prescription filled because they can't pay for. They don't have a lump checked out because they can't afford the Tokai. What we're talking about here is what's gonna happen in families' pockets what's gonna happen in their budgets. And the answer is on Medicare for all costs are gonna go up. For wealthier individuals and costs are gonna go whopper giant corporations. But for hardworking families across this country costs are got to go down and that's how it should work under Medicare for all in our health. Senator Sanders you are involved for the vice president Nelson take on that question about taxes. Joe's. Medicare well quotes open thirty trillion dollars structure but status quo over ten years will be fifty trillion dollars. Every study done shows that Medicare for all is the most cost effective approach. To providing health tip every man woman and child in this country. All right who wrote the damn bill but what makes things out. Okay. Intent. To eliminate all out of pocket expenses. All deductibles. All OPEC S. Nobody in America will pay look at 100 dollars a year up for prescription drugs to. Because look at his stand up the debris pick a ruptured and mics fixed date of the pharmaceutical. Industry. We need a health care system that guarantees health care to all people in every other major country thoughts. Not faced this vote which provides all hundred billion dollars a year in profit. For the truck companies and your insurance company Ed how you how wants shirt that says the visit to know right on AP state. The health care industry will be Apatow I think how would you. How bad Medicare for all this because I want to protect their property that is observed by maximizing time outdoors you get the. You get a response and we're gonna broaden out that the sky OK number one. My health care plan does significantly cut the cost and launched out of pocket Penry who pays a thousand dollars. You be able to get into I anyone who can afford it gets automatically enrolled in night in the in the Medicare type option we have a center but guess what. Of the 160 million people who like their house Karen out they can keep it if they don't like it thank you laid number one number two. The fact of the matter is we're in a situation where if you notice he and asked the question. This is about candor honesty big ideas and let's have a big idea. They're the tax of 2% as the senators talking about that raise about three billion dollars. Guess what that lead you bought 28 billion dollars sure. The senator said before it's gonna cost you look in your played there will be deductible. In your paycheck you're going to be good no class persons some Macon sixty grant for three kids organ and a pain 5000 dollars more they're gonna and Japan 4% more on her and contact that's a reality. What's not a bad idea feel like it. I don't like it. Okay now whenever he keep his time he didn't look listeners I have to get responses to then you're on the moderate center warned eagles' first. So let's be clear I'd actually never met anybody who likes their health insurance company. I met he. Nurses I've met people who like their pharmacist I'd like they met people who like their physical therapists. What they want its access to health care would seem to be clear about what Medicare for all is all about. Instead of paying premiums into insurance companies and then having insurance companies build their profit. By saying no to coverage we're gonna do this by saying every one is covered. By Medicare for all every health care provider is covered. And the only question here in terms of difference is where to send the bills senator Sanders. Let let's be clear Gerald. In the United States of America we are spending twice as much per capital. On health gap that the Canadians or any other major country on earth that's America. Now put Americans don't want to pay twice as much as other countries and they guarantee healthcare to all people. Until my Medicare for all proposal. When you don't pay out of pocket. I don't agree that you brought it to people who love their field I have to. What people want its cost effective health jail Medicare parole will say. Our -- Americans substantial sums of money on his or her health care bill senate bill. Senator Carl which are you setting your opening statement you don't hear want to represented people stuck in the middle extremes who represents extreme. And this stage. I think you know that I don't agree with some of these proposals appeared George time talking to bounce if I could. If I could respond to some of the proposals pup from my friends. Purcell senator Sanders and I have worked valiantly to bring down the cost of pharmaceuticals that was a Klobuchar Sanders amendment. To allow for drugs to come in from less expensive countries like Canada we have work to bring down the costs by. Fighting to allow 43 million seniors have to bill I lead. To negotiate for better prices under Medicare I fear that's a lot of seniors and they should be allowed to get a better price. But when it comes to our health care and Emma comes to our premiums I go with a doctor's creed which is do no harm and while Bernie wrote the bell. I read the bill. And on page eight. Eight of them. Bill it is says that we will no longer have private insurance as we know it. And that means that 149. Million Americans will no longer be able to have. Their current insurance that's in four years. I don't think that's a bold idea I think it's a bad idea. What I've favor is something that what Barack Obama wanted to do from the very beginning and that is a public option. A nonprofit. Choice that will bring down the cost of insurance covered twelve million more people and bring down the prices at thirteen million more people that is a bold idea senator. Lose their health insurance I. I'm sorry she said AJ didn't know 149 people lose their health insurance but aren't helping turn him 49 million million excuse me sir. Let's be clear about this people will have access. To all of their doctors all of their nurses their community hospitals they're rural hospitals doctors. Won't have to hire people to fill out crazy forms they won't have to spend time on the phone arguing with insurance companies. People who have sick family members won't have to get ended he's battled. What this is about is making sure it. We have the most efficient way possible. To pay for health care for everyone in this country insurance companies last year shocked. 23. Billion dollars in profits. Out of the system. How do they make that money every one of those 23 billion dollars was made. Quite an insurance companies say no to your health care and with the judge and. That the problem. Senator Sanders with that dam building you wrote and that senator Warren Bass visited doesn't trust the American people. I trust you to choose what makes the most sense for yet. Not my way or the highway now look. I think we do have to go far beyond tinkering would VA CA I propose Medicare for all who want. We take a version a Medicare we make it available for the American people. And if we are right. As progressives that that public alternative is better than the American people will figure that out for themselves I trust the American people to make the right choice for them. Why don't cute. Senator Sanders 45 seconds. Thought you talked about a 150 million people apartment insurance. Fifteen million of those people lose their private insurance every you don't. When they quit their jobs political unemployed or their employer change is there insurance policy. Medicare for all its comprehensive look health care. Covers all basic needs including. Whole health camp. It allows you to go to any Doctor Who bought which many private insurance company programs do not. So if you want comprehensive health camp. Freedom of choice regarding doctor what all hospital. No more than 200 dollars a year up or prescription drugs it's taking on the drug companies and the insurance companies. Moving into Medicare for all is a way to go senator she started out co sponsoring senator Sanders don't you know I think Iran comfortable with why. I wanna give credit first said Barack Obama for really bringing us this far we would not be here if he had the courage. The talent or the will look to see if this far. I want to give credit to burning. Take credit burning. You know you brought us as far as Medicare for all eyes support Medicare for all I always have but I wanted to make the plan better which I did. Which is about offering people choice not taking that from them so under my Medicare for all plan. People have the choice of a private plan or a public plan because that's what people want and I agree vision takes toys from people but here's the thing. Everybody on the stage I do belief. Is well intentions and wants that all Americans have coverage and recognizes that right now thirty million Americans don't have coverage. But at least five people have talked some repeatedly on the subject. And not once we talked about Donald Trump. So let's talk about the facts. That Donald Trump came into office. And spent almost the entire first year of his term trying to get rid of the Affordable Care Act. We all fought against it and then the late great John McCain at that moment at about 2 o'clock in the morning. Kills kids. How dare. Millions of people in this country fast forward to today and what is happening. Donald Trump's Department of Justice. Is trying to get rid of the Affordable Care Act Donald Trump's. Administration is trying to. Get rid of that did the band that we placed on until nine people who have preexisting conditions coverage Donald Trump. He's trying to say that our kids up to the agent money and can no longer be on our plans and frankly I think this discussion is. Given the American public a headache. What they want to know is that they're gonna have health care costs will not be very getting it. The let's focus on the end goal if we don't get Donald Trump out of office he's gonna get rid of all of it duration. Let me get to cousin Larkin and bring the go ahead for this by three seconds look everybody says you want an option. The option I'm proposing is the Medicare for all is Medicare for choice. If you want Medicare if you lose the job from your insurance companies from your employer you automatically. Can buy into this you don't have no preexisting condition can stop you from buying new you get covered. Period and if you notice nobody's yet said. How much it's going to cost. The taxpayer I hear this large savings the president think. We have my friend Vermont thinks that the employers gonna give you back if you negotiated union all the years got to cut wages because you got insurance. They're gonna give back that money to the employee. Matter of fact they will let down for some shows you've got. Your personal shoes you've got a lot more confidence in corporate America and I do I see senator Sanders approach to hat. All right. Two points. You've got to defend the fact that today. Not only do we have 87 million people uninsured and underinsured. You gotta defend the fact that 500000. Americans are going back. You know why that dog back brought. Because it's puppet a terrible disease to cancel all heart disease. On the Bartlett deflection people will not go in the financial. Road. Because they saw fit. With a dark doses of canceled an hour program it's the only one that does not. I know a lot of our cancer let me tell you something. It's personal me let me tell you something. Every single person who's diagnosed with cancer any other disease can automatically. Become part of this plan they will not. Go bankrupt because of that they will not go bankrupt because that they can join immediately and we're talking 46810. Years depending you talk about before we get to Medicare for all come up. I can hear you bend there you notice a lot people need help now hope now could do something now Anderson a lot of depth. Thank you listen. I'm grateful that we all agree. About the urgency of this challenge and the fact that Donald Trump is undermining the limited protections that we have right now. But I also think we're being offered a false choice between those who propose an all or nothing gambit. Forcing tens of millions off of insurance that they like that works for them to force them on the Medicare. And others who want to as a vice president does incrementally improve what we have which will still leave many may be millions. Uninsured and on cared for in a state like Texas where the largest provider of mental health care services is a Tony jail system we've got to do better in my proposal. Medicare for America says everyone who's uninsured will be enrolled. In Medicare everyone who's insufficiently insured cannot afford it. Can move over to Medicare and those like members of unions who fought for the health care plans that work for them and their families are able to keep them that is the best possible path for this is to discover there's the top efficient for everyone in the country on election. Everyone gets one minute to respond to kind center secretary Castro Andrew Yang and then senate senator Booker you get in. I thank you and you know I also want to recognize. The work to Bernie has done on this and of course. We owe a debt of gratitude to present Barack Obama. Now of course I also worked for President Obama Vice President Biden and I know that the problem with your plan is that it leads ten million people on comfort. Now on the last debate stage in Detroit you said that wasn't true when senator Harris brought that up there was a a fact check of that Mason that was true. Yeah I grew up with a grandmother grad type two diabetes and I watched her condition get worse and worse. But that whole time she had Medicare. I want every single American family. To have a strong Medicare plan available. If they choose to hold on to strong solid private health insurance I believe they should be able to do that but the difference between. What I support will you support Vice President Biden is that you require them to opt in and I would not require them to opt in they would automatically be enrolled they wouldn't have to buy in that's a big difference because. Barack Obama's vision was not to leave ten million people uncovered can he wanted every single person in this country covered. My plan would do that. Your plan will do not have to buy you. Can do not have to find you just said that it is said that two minutes ago. You just said two minutes ago that they would have to buy did or did you said they would have to rely I had to buy into qualify you for getting what you said medics saved for. And minutes ago. Yeah I can't believe. That you said two minutes ago that they had to buy it and now you're saying they don't have to bite your forgetting about it anyone I mean look grandmother who has no money need human help nurses are automatically enroll and we. In roles people. Regardless of whether they choose to opt in or not if you lose your job for instance. His his health care plan would not automatically enroll you you would have to op did my health care plan would that's a big difference I'm fulfilling fulfilling the legacy of Barack Obama and you're not. Now be surprised him. This is like a multinational clients are becoming on watchable yeah awareness reminds everybody of what they cannot stand about Washington's Warren points against each other. Can I poking at each other. Intel and each other that that you're my plan your plan look we all that's called the democratic primary election mattered about her daughter Alexis. It but I how you're you have a house divided cannot stand. And we're no more on the same team here we know where the same team but we all have a better vision for health care than our current president. And I believe we're talking about this the wrong way. As someone who has run up a business I know that our current health care system makes it harder to hire people. Makes it harder to give them benefits and treat them as full time employee used instead pretend their contractors. It's harder to change jobs it's certainly harder to start a business to pitch we have to make the American people as we will get the health care. We'd off of your backs and and unleash the hopes and dreams of the American people. I am fans then so I know a lot of doctors. And they tell me that they spend a lot of time on paperwork avoiding being sued and navigating the insurance bureaucracy. We have to change the incentives so instead of revenue and activity people are focused on our health. In the health care system. And the Cleveland clinic where they're paid not based upon how many procedures they prescribe. Shocker they prescribe fewer procedures and patient health stays the same or improve it's that is the pitched the. Because they are in crisis they don't have health insurance or health insurance doesn't go far enough. The can afford their prescription drugs book I unclear what I believe I believe in Medicare fall. I believe it's the best way to rationalize the system but dear god I know that every one of my colleagues on the stage is in favor of universal health coverage and comes at this. With the best of intentions. I'll tell you there's an urgency right now in this nation everybody feels it. As a person who has an ideal I know we cannot sacrifice. Progress on the altar of security. Because people in my community Beatty help right now they have high blood pressure right now they have unaffordable insulin right now. And this must be a moment where we as Democrats can begin to show that we cannot only steak and stand our ground but find common ground because. We've got one shot to make Donald Trump a one term president. By the way we talk about each other or dehumanize and degrade each other we can walk and chew gum at the same time. If I am the leader I will work towards the ideals health insurance. Health coverage being a right for all Americans but every single day I'll join with other Democrats to make progress. Happened in our nation for the people that are struggling and suffering today.

This transcript has been automatically generated and may not be 100% accurate.

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