%
PRESENTATION OF "HERE & NOW" IS
%MADE POSSIBLE BY THE ANIMAL
%DENTAL CENTER OF MILWAUKEE AND
%OSHKOSH, VET
ERINARY SPECIALISTS
%WORKING WITH PET OWNERS AND
%FAMILY VETERINARIANS THROUGHOUT
%WISCONSIN, PROVIDING CARE FOR
%ORAL DISEASE
AND DENTAL PROBLEMS
%FOR SMALL C
OMPANION ANIMALS.
%ADDITIONAL S
UPPORT FOR "HERE &
%NOW" IS PROVIDED BY THE LE
%PHILLIPS FAMILY FOUNDATION.
%>> AND
T
OD
AY
,
H
EA
LTH
I
NS
U
RANCE
%REFORM IS THE
LA
W
OF
TH
E
LA
ND.
%ALL AC
ROSS AMERICA.
%>> PRESIDENT OBAMA RALLIES HIS
%HEALTH CARE
REFORM SUPPORTERS IN
%IOWA.
%
I'M FREDERICA FREYBERG.
%IN A MOMENT, WE'LL TALK WITH TWO
%WISCONSIN HOUSE MEMBERS ABOUT
%THEIR YES AND NO VOTES ON THE
%BILL.
%
LATER, THE STATE SECRETARY OF
%HEALTH W
ITH A PRESCRIPTION ON
%HOW THE NEW
LAW WILL AFFECT
%BADGERCARE PARTICIPANTS.
%WISCONSIN'S A
TTORNEY GENERAL
%TELLS US WHY HE'S READY TO
%CHALLENGE THE BILL IN COURT.
%AND A WISCONSIN HEALTH CARE AND
%INSURANCE FI
RM WEIGHS IN ON THE
%PROS AND CO
NS OF THE BILL.
%THE WISCONSIN CONGRESSIONAL
%DELEGATION VOTED ALONG PARTY
%LINES ON THE H
EALTH CARE BILL.
%IN A FEW
MINUTES, WE'LL HEAR
%FROM A WISCONSIN HOUSE DEMOCRAT
%WHO VOTED
IN FAVOR OF THE BILL,
%BUT FIRST, A
REPUBLICAN WHO
%VOTED AGAI
NST THE BILL FOR
%REPUBLICANS
LARGELY TIED TO HIS
%CONCERNS O
VER HOW THE MEASURE IS
%FINANCED.
%EARLIER TO
DAY I SPOKE WITH SIXTH
%DISTRICT CO
NGRESSMAN TOM PETRI
%WHO JOINED US FROM WASHINGTON.
%>>
W
EL
L,
S
O
C
ONG
R
ESS G
OT
AN
OT
HER
%KICK AT THE CAT AND YOU
VO
TE
D
N
O
%AGAIN.%WHY.
%>>
WEL
L,
I
THI
NK
T
HI
S
BI
LL
IS
%FLAWED,
BOTH
IN
IT
S
CO
NC
E
PTION
%
AND IN ITS EXECUTION.
%THERE WAS
A
R
EC
ENT
ST
UD
Y
BY
TH
E
%RAND CORPORATION
WH
IC
H
IS N
OT
%PARTISAN AT
AL
L,
I
T'S
%AUTHORITATIVE IN THE
SENSE
T
HA
T%IN A LOT
O
F
DOM
ES
TIC
P
OLI
CY
%ISSUES THAT SA
YS IT IS
A
R
ESU
LT
%OF THE
PAS
SA
GE
OF
T
HI
S
%LEGISLATION, HEALTH CARE COSTS
%WILL TAKE UP
2
%
M
OR
E
O
F
OU
R
%NATIONAL
EC
ON
OMY
THAN
TH
E
--
%THAN IF
THE
LE
GISLATION WERE NOT
%PASSED.
%THAT MEANS NOT
17
%,
B
UT
19
%,
%20%, 22%
OF
OU
R
NAT
IO
NAL
EC
ONOMY
%WILL BE DEVOTED TO
HEALTH CAR
E.
%THAT'S GOING TO HAVE TO BE PAID
%FOR AND
TH
AT
ME
ANS
SP
END
ING
LE
SS
%ON EVERYTHING ELSE
TH
AT WE
WO
UL
D
%LIKE TO
CON
SU
ME,
WH
ETH
ER
IT
'S
%EDUCATION OR
DE
F
ENSE
OR
H
OU
SI
NG.
%AND THE
LIK
E
.
%BECAUSE YOU ONLY GET
U
P
TO
100
%.
%IT WILL INVOLVE
IN
CR
EA
SED
COS
TS
%FOR
PEO
PL
E
WH
O
A
RE PURCHASING
%INSURANCE AND SO
O
N.
%I THI
NK
T
H
E
RE'S
A
M
ISS
ED
%OPPORTUNITY,
FR
AN
KLY
.
%WE SHOULD HAVE WORKED
HAR
D
ER
T
O
%BUILD ON WHAT HAS B
EEN
DONE IN
%WISCONSIN WITH OUR
NE
TW
ORK CARE
%AND THAT
IS
T
O
TRY
T
O
MOD
ER
NIZE
%THE
DE
LIV
ERY
S
YST
EM
,
CHANGE
TH
E
%INCENTIVE, SO
PEOPLE
HAV
E
AN
%INCENTIVE
TO
R
ED
UCE
T
HE
N
UM
BER
%OF
INS
TAN
CES
OF
TR
EAT
ME
NT
AND
D
O
%A BETT
ER
J
OB
OF
MA
NAG
ING
%WELLNESS, AND THERE'S SOME
OF
%THAT
IN
S
TU
DIES
A
ND
SO
O
N
IN
%THIS,
BU
T
P
EOPLE
W
HO
I
R
ESP
ECT
%WHO HA
VE
L
OO
KED
AT
IT
FE
EL
W
E
%COULD HAVE BEEN
DO
IN
G
A
L
OT
%MORE.%>> SO IN
T
ERMS OF THE
COS
T,
%WHICH I KNOW WAS
A
BIG
BA
RR
IER
%FOR
RE
PUB
LICANS,
TH
E
%CONGRESSIONAL BUDGET
OFF
I
CE
%PROJECTION THAT IT W
OULD
%REDUCE -- IT
WOULD
R
EDU
CE
THE
%DEFICIT,
YOU
JUST DON'T
BUY
%THAT?
%>>
I
-
I
T
'S
NOT
M
E
.
%IT'S THE RAND
CO
RP
ORATION, AND
%OTHER EXPERTS WHO HAVE LOOKED AT
%IT.%THERE WERE A
LO
T
OF
G
IM
MI
CKS
IN
%THE WAY
TH
IS
TH
ING
W
AS
PUT
%TOGETHER, BUT PEOPLE
S
TOO
D
BA
CK
%AND WHO
A
RE
R
ES
PEC
TED
AN
D
WH
O
%HAVE LOOKED AT
THE
OV
ERA
LL
%FIGURES SAY I
T
W
ILL
BEND THE
%COST CURVE,
BU
T
IT
WI
LL
BEND IT
%UP, NOT DOWN.
%>> NOW C
ORR
ECT ME
IF
I
'M
WR
O
NG,
%BUT THERE WAS A
PR
OV
IS
ION IN
%THIS
W
HOLE
H
EA
LTH
CARE
REF
OR
M
%BILL THAT YOU APPR
OVE
D
OF
,
T
H
A
T
%BEING THE
DI
RE
CT
FE
DE
RAL
ST
UDENT
%LOAN, SOMETH
ING YOU'VE BEEN
%FIGHTING FOR FOR 30 YEARS.
%HOW
W
IL
L
THESE
DIRECT LO
ANS,
%THAT IS, CU
TTI
NG
O
UT
KIND OF
T
HE
%MIDDLEMAN, PRIVATE
LEN
DE
RS,
%BENEFIT
PEOPLE IN WISCONSIN?
%>>
WEL
L,
THE
D
IRECT LOAN PROGRAM
%IS SOMETHING I ACTUALLY
%INTRODUCED AS A JUNIOR
M
EMB
ER
O
F
%CONGRESS AT THE SUG
GESTION OF
%THE HEAD OF THE
WIS
CON
SIN
H
IGH
E
R
%EDUCATION BOARD
YEA
RS
AG
O.
%IT FI
RST
WAS
EXP
ER
IM
ENTED WITH
%AT
M
A
R
QU
ETTE
UNI
VE
RS
ITY.
%EVERYONE SAYS,
WE
L
WE
SHOULD BE
%ELIMINATING
DO
CUMENT DID A
O
F
%TIFFED
R
A
LLY
--
D
UPL
IC
ATIVE
%FEDERAL PROGRAMS AND SAV
ING
%TAXPAYER MONEY
A
ND
HE
RE
WE
HA
VE
%TWO FEDE
RAL
PROGRAMS HERE
TH
AT
%ARE GOING TO BE
CONSOLIDATED
%INTO ONE,
TH
E
GU
ARA
NTE
E
PRO
GR
AM,
%AND THE D
IR
ECT
PROGRAM AND
B
Y
%CUTTING OUT THE
M
IDD
LE
MAN,
WE'LL
%SAVE MILLIONS OF
D
OL
L
ARS.
%THE COST
TO
TH
E
ST
UD
ENT
S
AND
%PARENTS
WI
L
B
E
UN
AFFE
CTED
,
BUT
%THE COST
TO
TH
E
T
AX
PAYE
R WILL
BE
%RADICALLY
LOWERED
AN
D
TH
AT
WI
LL
%PROVIDE ADDIT
IONAL
RES
OU
RCES,
%BOTH FOR DEFI
C
IT
R
ED
UCT
ION
A
ND
%FOR
I
NCR
E
ASING
P
ELL
GR
A
N
TS,
%WHICH PROVIDE CORE ASS
IST
ANCE
T
O
%LOWER INCOME
INDIVIDUALS TO
HE
LP
%PAY FOR
VO
CAT
IO
NAL
AND
CO
L
LEGE
%EDUCATION,
SO
P
EOPLE IN
%WISCONSIN AND ACROSS
THE
COU
NT
RY
%WILL HAVE
B
ETT
ER
A
CC
ESS
T
O
%HIGHER
E
DUCATION AND I TH
IN
K
THE
%TAXPAYER WILL B
E
NEFIT AS
WE
LL
.
%>> WAS
IT
H
ARD
I
N
ES
SEN
CE
TO
%CAST
A
N
O
VO
TE
A
GAI
NST
TH
E
%STUDENT LOAN
P
RO
VI
SION?
%>>
WE
LL
,
TH
E
F
AC
T
I
S,
TH
AT
THE
%
GUARANTEE
PROGRAM HAS NOT
B
E
EN
%WORKING VERY WELL
L
AT
ELY
,
%
BECAUSE OF DISR
UPT
IONS I
N
TH
E
%FINANCIAL MARKET.
%AND LAST
Y
EA
R,
WE
W
ERE
%CONFRONTED WITH
THE
R
EALLY
KI
ND
%OF ALMOST RIDIC
UL
OUS
S
IT
UA
TION
%OF
T
H
E
-
- SOME OF
T
HE
FIN
A
NCIAL
%INSTITUTIONS
MAK
IN
G
L
O
ANS
WI
TH
%SUBSIDIES FROM THE
T
RE
AS
URY
AND
%THEN THE TR
EASURY
B
UYING
BACK
%THE LOANS THAT THE
INS
TI
TU
TIONS
%MADE.
%LAST
YE
AR,
S
E
CRET
ARY
DU
NC
AN
S
ENT
%A LETTER TO A
LL
TH
E COLLEGES IN
%THE COUNTRY
T
ELL
ING
T
HEM
THAT
%THEY WEREN'T GOING TO
D
O
THAT
%AGAIN,
T
HEY
S
HO
UL
D PREPARE OR
%SWITCH OVER TO
T
H
E
D
IR
ECT
%PROGRAM,
AND
E
NO
R
MOUS NUMBERS
OF
%COLLEGES HAVE DONE THAT ALREADY.
%AND
WH
ET
HER
T
HIS
LE
GI
S
LATION
%PASSED OR
N
OT,
WE
WER
E
SE
EING
%THE
GUA
RA
NTEE
PRO
GRAM
W
IT
HE
RING
%ON THE VINE.
%2%
OR
3%
O
F
CO
LL
EGES I
N
T
HE
%COUNTRY HAD NOT
TAK
EN
SO
ME
ST
EP
%TOWARD THE
DIREC
T LOAN
PROGRAM.
%>> I WANT TO
JU
M
P
BAC
K
I
NT
O
%HEALTH CA
RE.
%ONE OF THE REFORM
ME
ASURES
WOU
LD
%MAKE IT SO
I
NS
UR
ANCE
CO
MP
ANI
ES
%CANNOT DIS
CRIMINATE AGAINST A
%PERSON FOR
P
REE
XI
STING
%CONDITIONS.
%DO
Y
OU
FIN
D F
AUL
T WITH THAT
%PROVISION?
%>> I
T
HIN
K
T
HAT
IS
A
GR
EA
T
%THING,
BUT
IT'S
REA
LLY
NO
T
%INSURANCE.
%I MEAN,
IN
SURA
NCE IS
SU
PP
O
SED
T
O
%ASSESS
R
IS
K
S,
AND
Y
OU
--
IF
%YOU'RE HIGHER
RI
SK
,
I
F
YO
U'
RE
A
%YOUNG DRIVER,
Y
OU
PAY
A
H
IGH
ER
%PREMIUM.
%IF YO
U'
RE
A
Y
OU
NG
P
E
RS
ON
BU
YING
%HEALTH INSURANCE,
YOU
'D
PA
Y
A
%LOWER
P
RE
M
IUM.
%THAT
I
S
B
EIN
G
CH
AN
GED,
S
O
YOU
NG
%PEOPLE WILL HAVE TO
PA
Y
MOR
E
FO
R
%HEALTH
IN
SU
R
ANCE
TH
AN
THEY
%OTHERWISE WOULD AND BE
F
ORC
ED
T
O
%BUY IT
D
OW
N
T
HE
R
O
A
D.
%BUT THE ID
EA
OF
TRY
IN
G
T
O
HE
LP
%PEOPLE
W
IT
H
PRE
EX
ISTING
%CONDITIONS OR DIFFICULT%SITUATIONS HAVE
A
CC
ES
S
TO
HE
ALTH
%CARE IS
CER
TA
IN
LY
A
V
ERY
G
OO
D
%ONE.
%I FAVOR
B
UI
LD
ING
ON
THE
HI
GH
%RISK POOL T
HAT
W
E
AL
R
E
ADY
H
AVE
%IN WISC
ON
SIN,
AND
A
N
UM
BER
OF
%OTHER STATES,
AND
AS
WE
%REALIZED, S
AVI
NGS
I
N
T
HE
--
%THROUGH EFFIC
IENCIES IN
TH
E
%HEALTH CARE SYS
TEM,
U
SIN
G
SO
ME
%OF THOSE SAVINGS TO
HE
LP
L
OWER
%THE
CO
ST
O
F
HEA
LTH
I
NS
UR
ANCE
F
OR
%PEOPLE.
%IT'S AVAILABLE NOW, FOR
%EVERYONE, THROUGH THE
H
IG
H
RI
S
K
%POOL, BUT IT'S
JUST
TO
O
%EXPENSIVE AND WE NEED TO
LOWER
%THE COST, BUT
NOT
I
N
A
WAY
T
HAT
%RAISES IT
F
OR
EVE
RYO
NES, W
HICH
%I'M AFRAID
IS
GOING TO
HAPPEN
%UNDER THIS APPROACH.
%>>
CON
G
RES
SMAN,
V
ER
Y
BR
IE
FLY
,
%WHAT'S YOUR
RE
AC
TION TO
HOUSE
%DEMOCRATIC LEA
D
E
RS
BL
AM
ING
%REPUBLICANS
FOR
INC
ITI
NG
T
HRE
A
TS
%AND VANDA
LISM HO
VER THIS HEALTH
%CARE LEGIS
LATION
.%WHY DO YOU THINK THIS ISS
U
E
JUS
T
%BECOMES SO HE
ATED?
%>>
WEL
L,
Y
OU
KN
OW
,
T
HE
RE
'S
AN
%AWFUL LOT OF
EM
OT
ION
I
N
A
%SITUATION LIKE TH
IS.
%I WAS
T
AL
KIN
G
TO
M
Y
CO
LLEAGUE,
%JIM SEN
SE
NBRENNER, AND
H
E
%POINTED OUT THAT
W
HE
N
HE W
AS
%LEADING THE
FI
GHT
SO
ME
YE
AR
S
%AGO, UNDER T
HE
C
ONT
R
OVERSIAL
%IMPEACHMENT
P
ROC
EE
DINGS
A
G
AINST
%PRESIDENT CLINTON,
HE
WA
S
ON
E
OF
%THE HOUSE PE
O
PLE B
RI
NGING
THE
%CASE OVER
IN
TH
E
SE
NA
TE.
%THERE WERE THREATS AGAINST
%HIMSELF, HIS
WIFE AND
HIS
%FAMILY, SO UNFORTUNATELY,
T
HIS
%IS NO
THING
NE
W
,
B
UT
IT
CLE
AR
LY
%IS SOMETHING
TH
AT
SHOULD
B
E
%CONDEMNED AND HAS
BEE
N
CONDEMNED
%BY RESPONSIBLE LEADE
RS
IN
B
OTH
%PARTIES.
%>> ALL RI
GHT
.
%CONGRESSMAN PETRI,
T
HANKS
AG
AIN%VERY MUCH FOR JOINING US F
ROM
%WASHINGTON.
%>> I
SPO
KE
WIT
H
C
ON
GRE
SSMAN
%PETRI EARLIER
T
O
DAY,
AS
WE
%REPORTED AT THE TOP OF THE
%PROGRAM, VOTES ON THE
HE
ALTH
%BILL, AMON
G
T
HE
W
IS
CO
NSIN
%
DELEGATION WERE SPLIT
A
L
ONG
%PARTY LINES
.
%DEMOCRATIC
CON
G
RESSWOMAN
TAM
MY
%BALDWIN VO
TED
IN
FAV
OR.
%THANKS VERY MUCH FOR BE
ING
HERE
%NOW.%>> IT'S A
P
LE
AS
URE.
%>> IN RESP
O
NDING TO THE
P
AS
SAGE
%IN THE HOUSE
EA
RLIER THIS
WE
EK
,
%YOU REMARKED
ON
YO
UR
PRIDE
%HAVING WORKED YOU
R
EN
TIR
E
C
AREER
%TO
AC
HI
EVE
H
EA
LTH
CARE
F
OR
AL
L,
%AND Y
ET
,
THI
S
LE
GI
SLATIO
N
D
OES
%NOT INC
LUDE
T
HE
SO
-C
ALL
ED
PUBLIC
%OPTION.%WHAT'S YOUR REACTION
T
O
TH
IS?
%>> FIRST OF ALL
, I
T
HI
NK
I
T'S
A
%VERY IMPORTANT STEP
F
OR
WA
RD,
T
HE
%LEGISLATION WE PASSED THIS WEEK,
%BUT IT'S NOT
PE
RF
EC
T.
%NO LEGISLATION IS.
%AND WE'RE GOING TO
KE
EP
ON
%WORKING TO
IM
P
ROVE
IT
,
A
S
W
E
%MOVE ON.
%I WA
S
V
E
RY
S
T
RONGLY
IN
FA
VOR
OF
%HAVING A PUBLIC
OPT
ION.
%I
WI
LL
C
ERT
AINLY
BE
SU
PP
OR
TING
%EFFORTS TO ADD
A
P
U
BLIC
O
P
TION
%AS WE MOVE
O
N.
%BUT
GE
TT
ING
BA
CK
T
O
T
HE
PRI
DE IN
%THE BILLS THAT DI
D
PA
SS
.%WE WILL OVE
R
THE
NEX
T
FEW
Y
E
AR
S
%OFFER
A
FF
ORD
ABLE
I
NSU
R
ANCE
%COVERAGE
T
O
32
M
ILLIO
N
AM
ERI
CANS
%WHO TODAY HAVE
N
ONE
,
W
E
WILL
%REIN
IN SOME OF
T
H
E
A
BUS
IV
E
%PRACTICES THAT
IN
SURA
NCE
%COMPANIES H
AV
E
HAD
O
VE
R
THE
P
A
S
T
%YEARS, INCLUDING IMMEDIATELY
%MAKING SURE T
HA
T
NO
CH
ILD CAN B
E
%DENIED INSURANCE
C
OVE
RAGE,
%BECAUSE THEY HAVE SOME SORT OF
%PREEXISTING HEALTH
CO
ND
IT
ION.
%AND THAT
INS
UR
ANCE
C
OM
PAN
IES
%CAN'T
SI
M
PLY
DRO
P
YO
U,
D
R
OP
YOU
R
%INSURANCE COVE
RAGE
B
E
CAUSE
YO
U
%BECOME ILL.
%>> WHAT DO YOU SAY TO PEO
PLE
W
HO
%REALLY VERY MUCH
W
ANT
ED
TH
AT
%PUBLIC OPTION?
%>> --
O
PT
ION
?
%>> THAT W
E'RE
G
OING
TO
KEEP
O
N
%WORKING TOGETHER AND TRY TO
G
ET
%IT INTO THE
B
I
LL.
%I BELIEVE
IF
I
T
H
A
SN'T
ALREADY
%OCCURRED, IT
W
ILL
,
WH
EN
W
E
%RETURN FROM THIS
S
P
R
IN
G
REC
ES
S,
%THERE WILL BE A BI
LL
O
FFERED B
Y
%ONE OF MY
C
OLL
E
AG
UES.
%I'M ALRE
A
DY
--
I
'VE
ALREADY
%INDICATED TO HIM THAT
I
W
ANT
TO
%BE
A
CA
MP
AIGN
C
OM
PA
NI
ON IN
T
HAT
%EFFORT
A
ND
--
COM
PANION IN
TH
AT
%EFFORT AND WE'LL KEEP
A
K
EY
BAIT
%ABOUT A PU
BLIC
OPT
IO
N
A
LI
VE
--
%DEBATE ABOUT
A
PU
B
LIC
OP
TION
%ALIVE A
ND
MOVE IT
FOR
W
ARD.
%>> WHAT ABOUT THE
RE
P
UBLICANS
%WHO VOTED
AGAINST TH
IS
ON T
HE
%BASIS OF COST AN
M
AN
DA
TES.
%WHAT DO YOU SAY
TO
TH
AT
%PERSUASION?
%>> THE
N
ON
-P
ART
ISAN
%CONGRESSIONAL BUDGET OFFICE IS
A
%VERY
C
R
ED
IBLE
O
R
GAN
IZATION.
%WE REGAR
D
T
HEIR
WO
RK
US
UA
LLY
AS
%BEING CONSERVATIVE.
%IN OTHER
WO
RDS
,
IF
T
HEY
SUG
GEST
%THAT
T
HER
E WILL
BE
SA
VI
NGS,
IT
'S
%OFTENTIMES MORE THAN
T
HEY
%INDICATE, BUT
TH
EI
R
CAL
CULATION
%IS THAT HO
VER THE FIRST 10 YEARS
%OF THE
LI
FE
OF
TH
IS
LE
GI
S
LATION,
%WE
W
IL
L
SAV
E
CO
LL
EC
TIVELY
%$138 BILLION
F
OR
R
EDUC
ING
T
HE
%DEFICIT AND
OV
ER
TH
E
SE
CO
ND 10
%YEARS OF THIS
M
EA
SU
RE,
W
E
WIL
L
%SAVE
$1
.3
TRILLION.
%JUST
U
N
DE
R
$
1.
3 T
RILLION.
%AND T
HAT'S
IN
CR
EDI
BLY
I
MPO
R
TANT,
%AND
WE
D
O
THAT,
W
E
R
EC
OG
NIZE, I
%THINK TODAY,
THAT
OU
R
HE
ALTH
%CARE SYSTEM IS OUT OF
C
ON
TROL
%AND THAT COSTS
A
RE
IN
CR
E
ASING
%WELL BEYOND THE RATE OF
%INFLATION,
A
ND
W
EL
L
B
E
Y
OND
WH
AT
%
WISCONSIN FAMILIES CAN AFFORD.
%AND SO
BY
DE
CR
EA
SING THAT
RA
TE
%OF M
ED
ICAL
I
NFL
ATION,
R
EINING
I
N
%COSTS, WE ARE ALSO
S
AV
ING
A
LOT
%FOR AMERICAN
F
AMILIES AS
T
HEY
%MOVE FORWARD.%>> NOW, AS
YO
U
WE
LL
KN
OW,
PEO
PLE
%LIKE
PA
UL
R
YA
N
SU
GG
EST
THAT
%CBO REPORT
WA
S
FULL
OF
KI
ND
OF
%ACCOUNTING TRICKS.
%>>
W
ELL
,
I
T
HI
NK
T
HA
T
WE
HA
VE
TO
%RELY ON
T
H
E
CO
N
G
R
ESSIONAL BUDGET
%OFFICE, WHICH IS
N
OT
A
P
AR
TISAN
%ORGANIZATION.
%THEY ARE VERY CA
RE
F
UL.
%A LOT O
F
T
HI
S
WO
RK
TO
OK
WEE
KS
T
O
%CALCULATE AN
D
WE'
VE
RELIED
ON
%THEM HIST
ORICALLY
AND THEY HAVE
%BEEN
P
RET
TY
DARN
A
CC
URATE AND
%USUALLY CONSERVATIVE AS I SAI
D
%BEFORE.
%>> SOME POINT
OU
T
THAT
T
HEY
FE
EL
%THAT THE BILL
DO
ES
N'T
GO
F
AR
%ENOUGH IN ACT
U
ALLY
CO
NT
A
INING
%COSTS FOR HE
ALTH
CAR
E
IT
SEL
F
A
ND
%THAT ALSO
P
ART
I
CULARLY
TH
EY
%DON'T PEOPLE THERE'S ENOUGH
%WELLNESS PRONGS IN IT.
%>>
WEL
L,
I
WO
ULD
AGR
EE
THAT
W
E
%CAN DO
MO
RE
O
N
CO
ST
C
ONT
AI
NMENT.
%THERE'S A
HO
T
!
!!
!
A
LOT
O
F
G
OO
D
F
IR
ST
%STARTS IN THIS B
I
LL.
%THINGS LIKE
PR
OM
O
TING
%ACCOUNTABLE CARE
O
RG
AN
IZ
ATIONS,
%WHERE YOU HAVE
PA
TI
EN
T-C
ENTERED
%MANAGEMENT OF CHR
O
NIC
CO
NDI
TIONS
%AND WE P
AY
F
OR
Q
UAL
IT
Y RATHER
%THAN J
UST QUANTITY OF MEDICAL
%SERVICE.
%BUT T
HESE
ARE
JUS
T
S
TA
RT
S,
%THEY'RE
PI
LOT
P
R
OGRAMS
A
ND
%DEMONSTRATION PROGRAMS AND WE
%KNOW WE HAVE TO
EX
PO
RT
BES
T
%PRACTICES
MUCH MORE
W
IDE
LY,
A
ND
%WE CAN
DO
TH
AT
AND
MU
ST
DO
THA
T
%IN THE FUTURE.
%SO I THIN
K
IT
'S
A
GO
OD
S
TA
RT,
%
BUT I WOULD AGREE
TH
AT
WE
C
AN
DO
%MORE ON
T
HE
C
OST
C
ON
TAINMENT
%FRONT.
%>> WHAT DO YOU
W
ANT
YOUR
%CONSTITUENTS HERE IN W
ISCONSIN
%TO
U
NDE
RS
TAND
MO
ST
AB
OU
T
HIS
%HISTORIC
L
EG
IS
LA
TION?
%>>
WE
LL,
UP
KN
OW
,
I
N
M
Y
T
IM
E
IN
%THE UNITED STATES
CO
NG
RE
SS,
I'
VE
%HEARD F
ROM
O
VE
R
70
,00
0
OF
M
Y
%CONSTITUENTS, SHARING WITH ME%THEIR HARDSHIPS IN
T
HE
C
UR
RENT
%HEALTH CARE S
YST
EM.
%PEOPLE WHO HAVE
L
O
ST
TH
EI
R
H
OME
%THROUGH M
ED
IC
AL-RELATED
%BANKRUPTCIES,
MOMS AND DADS WHO
%CAN'T FIND INSURANCE FOR
T
H
EIR
%CHILD BECAUSE THEIR CHILD HAS
%SOME SORT OF
CH
RO
N
IC
CONDITION.
%WHAT
I
WA
NT
W
ISC
ON
SIN
FAMILIES
%TO KNOW
IS
TH
A
T
HES
E
PR
AC
TI
CES
%
WILL COME TO
AN
EN
D
BE
CAU
SE OF
%THE
PA
SSA
GE
OF
THI
S
BI
LL
.
%WE WON'T HAVE FAMILIES IN
T
HE
%FUTURE WHEN THIS
B
ILL
I
S
F
U
LLY
%IMPLEMENTED
NE
ED
ING
TO
DEC
LA
RE
%BANKRUPTCY BECAUSE OF A M
E
DICAL
%CONDITION.
%WE WON'T HAVE PEOPLE
W
HO
AR
E
%FORECLOSED FROM ANY
IN
SUR
AN
CE
%OPTION BECAUSE THEY
W
E
RE
SICK
%SOME TEAM IN THE PAST.
% -- SOME TIME IN
T
HE
PA
ST
.
%AND I THINK
OF
AL
L
T
HE
HAR
DS
HIP
%THAT I HAVE, Y
OU
K
NO
W
,
TH
AT
'S
%BEEN
SU
FFE
RE
D
BY
P
EOP
LE
IN
%WISCONSIN,
PEO
P
LE
W
HO
HA
VE
COM
E
%WITH TEARS IN THEIR EYES
T
O
M
E
%TO TELL
M
E
AB
OUT
T
HEI
R
ST
RU
G
GLES
%IN THIS
BR
OKEN
SYS
TE
M,
T
HIS
IS
%THE FIR
ST
STEP TO
FI
XI
NG
T
HAT
%AND ADDR
ESSING T
HAT
A
ND
TH
AT'S
%WHAT I WANT W
IS
CONSIN
F
AMILIES
%TO KNOW.
%>> WHAT'S YO
UR
RE
ACTION T
O
THE
%PARTISAN
VI
TRI
OH
STIR TO
ALL
OF
%THIS, I
NCLUDING THREATS AGAI
NST
%OUR OWN
RE
PRE
SENTATIVES
KAGAN
%AND OBEY?
%>>
YOU
KN
OW
,
FR
OM
TH
E
VE
RY
%BEGINNING, IT
WAS
V
ERY
CHEER
%THAT POW
E
RFUL,
PO
WER
FUL
%INTERESTS WANTED
T
O
SE
E
HEAL
TH
%CARE RE
F
ORM DOOMED AN
D
THEY
HAVE
%OPINION VOCAL
IN
AL
L
S
ORT
S
O
F
%WAYS
,
AND
I
T
IS
-
O
B
V
IO
USLY,
%THIS IS A BIG
AN
D
HI
ST
O
RIC
%THING.
%BUT OF
E
VE
BEE
N
DI
SAP
POINTED
%WITH -- I'VE
BE
EN
D
IS
AP
POINTED
%WITH THE RHE
T
ORIC
AND
I
HAVE
%BEEN SA
DL
Y
D
IS
APPO
INT
ED
B
Y
%THREATS OF VI
OLENCE
A
ND SOME OF
%THE CO
N
DUCT
TH
AT
I
SA
W
DURING
%THE LAST DAYS OF THE
DE
BA
TE
IN
%WASHI
NGTON.%AND I THINK THAT
A
LL
L
EA
DE
RS
%SHOULD SAY
TH
AT
TH
AT
I
S
%INAPPROPRIATE, AND CALL O
N
%PEOPLE TO
P
AR
TI
CIPATE,
BU
T
D
O
S
O
%IN WAYS
L
IKE
O
RG
A
NIZING,
%REGISTERING TO VOTE,
V
OT
IN
G,
AND
%WAYS IN
W
HICH
C
IV
IL
S
OCI
ET
Y
%OUGHT TO OPERATE.
%>> ALL RIGHT.
%CONGRESSWOMAN
T
AM
MY
B
AL
D
WIN,%THANK YOU VERY MUCH.%>> THANK YOU.
%>> WE
FO
CU
S
I
N
E
VEN
MO
RE
O
N
TH
E
%HEALTH BILL NOW WITH A
LO
OK AT
%THE BILL'
S
IM
PACT
ON
THE
%PREEXISTING
STATE
H
EALTH
%COVERAGE P
ROGRAM CALLED
%BadgerCARE.
%THE NEW FEDE
RA
L
PL
AN
COULD H
AVE
%AN I
MPA
CT
O
N
PE
OP
LE
ENRO
LLED IN
%BadgerCARE AND
T
HOSE
ON
ITS
%WAITING
LI
ST
.
%STATE SECRETARY
OF
HEA
LT
H
%SERVICE, KAREN
TI
MB
ER
LAKE,
%OVERSEES Bad
ger
CARE AND
JOINS
%US NOW.
%THANKS A LOT
FO
R
D
OING
SO.
%>> YOU'RE WE
LCOME.
%>> WHAT SP
E
CI
FI
CALLY
WI
LL
THE
%NEW FED
ER
AL
HE
ALTH
C
ARE
%LEGISLATION MEAN IN WISCONSIN TO
%OUR STATE
-RUN
P
ROG
RAM?
%>> I THINK
IT
'S
IMPORTANT FOR
%PEOPLE TO UNDERSTAND THA
T
THERE
%ARE MANY PARTS OF TH
I
S
B
ILL
THAT
%TAKE EFFECT THIS
YE
AR
A
N
D THERE
%ARE OTHERS PHASED IN OVER TI
ME
,
%SO THE
CHANGES THAT
WI
LL
A
FF
EC
T
%THE
B
ad
ge
rC
ARE
PLUS
PROGRAM O
R
%THE MEDIC
AID
PROGRAM
R
EAL
LY
AR
E
%MORE THE ONES
TH
AT
HAPPEN IN
%2014, WH
ERE
WE
RE
CE
IVE SOME
%ENHANCED
FE
DERAL
FUN
DI
NG
FOR
OUR
%COVERAGE OF
AL
L
C
HI
LD
REN,
%GOVERNOR DOYLE HAS
MADE
A
%COMMITMENT TO
EX
PA
N
DING
A
CC
ESS
%TO
HEA
LT
H
C
AR
E OVER
TI
ME
T
O
%HEALTH CARE AND WE'RE A
LEA
DER
%IN THAT
R
E
SPEC
T.
%WE ALSO WIL
L
R
EC
EIVE MORE
%FLEXIBILITY TO
COVER
LO
W
INC
OM
E
%ADULTS WITHOUT
DE
P
EN
DENT
%CHILDREN AND IN WI
SC
ONSIN,
%PEOPLE WHO
M
AKE
AB
OU
T
$
21
,0
00
A
%YEAR AS A
S
ING
LE
P
ER
SON
OR
%$29,000 A
Y
EAR
A
S
A
MA
RRI
ED
%PERSON WHO MAY WORK
IF
A
S
MAL
L
%BISSETTING, WHERE SMALL
%BUSINESSES HAVE A
HA
RD
TI
ME
%OFFERING HEALTH INSURANCE, THOSE
%ARE SOME OF THE FO
LK
S
WE'
V
E
H
AD
%THE HARDEST
TI
ME
E
X
TENDING
%AFFORDABLE HEALTH INSURANCE TO,
%SO WE DO
TH
AT
T
H
ROUGH THE
%BadgerCARE CORE PLUS
PR
OG
RAM,
%BUT
IT
H
AS
A
L
IMI
T
SE
T
B
Y
TH
E
%FEDERAL GOVERNMENT, WE'VE EX
%SEATED IT.
%WE NEED
M
ORE H
ELP
F
OR
TH
OSE
%PEOPLE AND NA
T
IONAL
HE
AL
T
H CARE
%REFORM WILL RE
AL
LY
HELP
US
%EXPAND THAT COVERAGE.
%>> H
OW
S
OON
COULD
TH
AT
E
XPA
NSION
%HAPPEN?
%>> IT REALLY
WILL
T
A
KE
EFF
ECT
IN
%2014, THOSE CHANGES WILL
TAKE
%EFFECT IN 201
4.
%IN THE
M
EAN
TI
ME, WE
HA
VE
A
NOT
HER%OPTION THAT WE'RE WORKING WITH,
%THE STATE LEGISLATURE
O
N,
WH
I
CH
%IS
Bad
ge
rCARE P
LUS
BAS
I
C,
AND
%THAT WOULD
BE
10
0%
PARTICIPANT
%FUNDED OR PR
EM
IUM
F
UND
ED
B
UY
-IN
%PROGRAM THAT WOULD HE
L
P
PEOPLE
%ON THAT
WAI
TI
NG
L
IST
BUY
%THEMSELVES INTO
CO
VERAGE,
S
ORT
%OF AS A
T
RA
NSITION
TO
HEA
LT
H
%CARE REFORM.
%>> WHAT'S THE
L
IKE
L
IHOOD
T
HOU
GH
%OF THAT B
ad
ge
rCARE
P
LU
S
B
A
SIC
%
PASSING THIS
S
ESSION AND
GE
T
TING
%TO THE
GO
VE
RNOR'S
DE
SK?
%>> WE'RE
OP
T
IM
ISTIC
THAT
IT
IS
%GOING TO PASS.
%IT'S ALREADY PASSED TH
E
STATE
%SENATE, IT WILL BE TAKEN UP
IN
%THE
ASS
EMB
LY
CO
MM
ITTEE
NE
XT
WE
EK
%AN WE HOPE BY THE
F
UL
L
A
SSE
MBL
Y
%NEXT
AP
RI
L.
%WHAT MEMBERS OUR LEG
IS
LATURE
%UNDERSTAND IS THAT
I
N
WIS
CON
SIN
%
UNDER GOVERNOR DOYLE'S
%LEADERSHIP, WE'VE HA
D THIS
%TRADITION OF
TAK
I
NG
S
TEP
B
Y
%STEP, DOING WHAT
WE
CA
N
DO
,
%BUILDING ON OUR
EXI
S
T
ING
%PROGRAMS
T
O
EXTEND COVERAGE TO
%AS MANY PEOPLE IN
HO
UR
ST
AT
E
AS
%POSSIBLE.%WE ALSO HAVE, YOU
K
NOW
,
THE VAST
%MAJORITY OF O
UR
STA
TE,
A
BO
UT
5
6%
%OF PEOPLE GE
T
THEIR
H
E
ALTH
%INSURANCE THROUGH THEIR
EMPLOYER%AND NATIONAL HEALTH CARE REFORM%IS VERY IMPORTANT FOR
T
HE
M
%BECAUSE IT WILL BEGIN
TO
MAK
E
%THAT COVERAGE MORE
A
FFO
RD
ABLE
.
%SO RIGHT AWAY
TH
IS
Y
EAR
,
SMA
LL
%BUSINESSES WILL BE ABLE
T
O
G
ET
%TAX CREDITS WORTH
AB
OUT
35%
OF
%THE PREMIUMS THEY
P
A
Y
FO
R
TH
EI
R
%EMPLOYEE HEALTH
IN
SUR
ANCE.
%THAT'S CRITICAL TO
HELPING T
HEM
%MAINTAIN COVERAGE AND
AD
D
I
T
%BACK
IF THEY HAVE
H
AD
TO
D
ROP
%IT.
%>> IN TERMS OF
THE
E
XT
RA
%MEDICAID DOLLARS COMING FROM THE
%FEDERAL GOVERNMENT TO WISCONSIN,
%DO YOU HAVE A FIGURE
YET
AS
T
O
%HOW MUCH
M
O
RE
THAT
W
O
ULD
BE
?
%>> WE'RE BEGINNING TO
DO
TH
AT
%MATH.%WHAT WE KNOW IS THAT
WE
WIL
L
%COME OUT
TO
TH
E
GO
OD
.
%CERTAINLY THERE WILL
BE
MO
RE
%FEDERAL
P
AR
TI
CIPATION
I
N
%WISCONSIN'S M
E
DIC
AID
P
ROG
RAM
%THAN THERE IS TODA
Y,
B
OTH
F
OR
%KIDS AND
MOR
E
LO
W
IN
CO
ME
A
DUL
T
S
%WITHOUT
DE
PE
ND
ENT
C
HIL
D
REN, BUT
%I WOULD
SA
Y
TH
E
INK
I
S
N
OT
QU
ITE
%DRY O
N
T
H
AT
SPR
EADSHEET SO
WE
%COME OUT TO THE
GO
OD.
%>> WHAT AB
OUT
TH
E
INSU
RANCE
%EXCHANGES, WHERE IS WISCONSIN ON
%THAT?
%>> WE'RE VERY
E
XCI
TED
ABOUT
T
HI
S
%OPPORTUNITY, SO
G
OVERNOR
DOYLE%HAD US WORKING
ON
TH
IS
ABOUT
T
WO
%YEARS AGO
N
OW
,
BECAUSE
%PURCHASING EXCHANGES ARE REALLY
%A WAY
T
O
HE
LP
BO
TH
SM
AL
L
%
BUSINESSES
PURCHASE MORE
%
AFFORDABLE
COVERAGE AS WELL AS
%PEOPLE WHO ARE
B
UYING
I
N
SURANCE
%IN THE INDIVIDUAL MA
RKET.
%SO THE
S
EL
F
-EMPLOYED OR PEOPLE%WHO ARE
WOR
KI
NG
FO
R
A
N EM
PLOYER
%WHO DOESN'T OFFER HEALTH
%INSURANCE, AND
R
EA
LL
Y,
IT'S THE
%VERY SIM
PL
E.
%CONCEPT THAT
WHEN
YO
U
BUY
IN
%VOLUME, YOU
G
ET
B
E
TTE
R
!!
!!!!!
B
ET
TER
--
B
ET
TER
%VALUE, SO INS
T
EAD OF
Y
OU
W
ITH
%YOUR FIVE EMPLO
YE
ES
AND
ME
WI
TH
%MY 10 EMPLOYEES
GOI
NG
OU
T
AN
D
%BUYING INSUR
ANCE ON
OUR
O
WN,
W
E
%POOL THE RE
SO
URC
ES
ACROSS
OUR
%STATE, WE ASK I
N
SUR
ANCE
%COMPANIES TO COME TO T
HAT
%VIRTUAL MARK
ETPLACE, THAT
%EXCHANGE, PUT IN
T
HE
IR
BEST BID,
%KNOWING THAT
I
F
TH
EY
CU
T
HEIR
%PRICES, THEY'LL MAKE IT
U
P
ON
%VOLUME, BECAUSE
NOW THEY HAVE
%MORE CU
ST
OMERS, AND
T
HA
T
REA
LL
Y
%CREATES A
W
O
ND
E
RFUL WAY
FO
R
US
%TO GET MOR
E
A
FF
OR
DABILITY
I
N
%PRIVATE SECTOR HEALTH IN
S
URANCE.
%>> AND
SO
WE
'VE
R
EA
LLY
KIND
OF
%
HIT THE GROUND RU
NNING W
ITH
%THIS,
BE
CA
U
SE WE
H
AV
E
SO
M
AN
Y
OF
%
THESE PROGRAMS IN PLACE AND I
N
%THE WO
RK
S
AL
READY?
%>> A
BS
O
LU
TELY.
%
WISCONSIN IS VERY
WELL
%POSITIONED TO IMPLEMENT
ALL
O
F
%NATIONAL
H
EALTH CARE
REF
OR
M.
%SO MUCH OF
IT
B
UILDS
OFF
O
F
W
HAT
%WE'VE DONE
AL
RE
A
DY IN
T
HIS
%STATE.
%WE ALREADY COVER L
OTS
OF
P
EOP
LE
%THROUGH
Ba
dge
rC
ARE
P
LUS
AN
D
WE
%CAN MAKE
TH
AT
KIN
D
OF
SE
AM
LESS
%TRANSITION TO THE MED
ICAID
%CHANGES.%WE ALREA
DY
H
AVE
D
ONE
THE
%GROUNDWORK ON
HE
AL
TH INSUR
ANCE
%PURCHASING EXCHANGE, WE CAN NOW
%ADD TO
THAT
AN
D
BUILD ON
I
T
AND
%BE
RE
AD
Y
WH
EN
2
014 C
OM
ES
.
%>> ALL RIGH
T.
%SECRETARY TIM
BER
LAKE, TH
ANK YOU
%VERY MUCH.%>> YOU'RE WE
LCOM
E.
%>> WITH
IN
24
H
OUR
S
OF T
H
E
%ORIGINAL HOUSE PASSAGE OF THE
%HEALTH CARE BILL THIS
WEE
K
,
1
3
%STATE ATT
O
R
NEYS
G
ENE
RA
L
F
IL
E
D
%COURT CHALLENGES AGAINST THE
%MEASURE.
%YESTERDAY, WISCONSIN
ST
AT
E
%ATTORNEY GENERAL
J.
B.
V
AN
H
OLLEN
%ASKED GOVERNOR DOYLE AND THE
%LEGISLATURE TO AUTHORIZE HIM TO
%FILE
A LAWSUIT AGAINST THE
BIL
L.
%VAN HOLLEN
SAYS
TH
E
N
E
W
LA
W
%VIOLATES
W
ISC
ON
SIN
'S
ST
AT
E
%SOVEREIGNTY.%>> THERE'S A SPECIFIC PART OF%THE LAW THAT
WE'RE
SAY
IN
G HARMS
%US AND THAT IS THE
MA
ND
ATE
ON
%
INDIVIDUALS TO
B
UY
HE
AL
TH
CARE
%INSURANCE.
%THAT SPECIFIC MANDATE
I
S
%JUSTIFIE
D BY CONGRESS AND THE
%PRESIDENT UNDER THE
CO
MMERCE
%CLAUSE.
%NEVER B
EFORE H
AV
E
WE
BE
EN
AB
LE
%TO FIND
THAT
THE
F
EDERAL
%GOVERNMENT HAS MANDATED
THAT
AN
%INDIVIDUAL, JUST B
Y
VI
RT
UE
%EXISTING, HAS
TO
BUY
SO
M
E
T
HING.
%>>
%>> VAN
HOLLEN
N
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DE
D THE
%APPROVAL
O
F
G
OV
ERNOR
DO
YL
E ORAL
%AT LEAST
ON
E
--
OR
AT
LE
AS
T
O
NE
%HOUSE OF
T
HE
LEG
IS
LAT
URE
TO
%FILE.
%BOTH HOUS
ES
TO
LD
HIM
KNO
W
.
%WE
T
RAVEL
N
OW
TO
L
AC
RO
SSE
TO
%TALK TO SOMEONE
WHO
W
ILL
%INTERACT WITH THE
NEW
LAW
AS
T
HE
%RUBBER HITS THE RO
A
D
A
S
A
HEA
LTH
%CARE PROVIDER AND
I
NS
UR
ER.
%DR. JEFF
TH
OM
PSON
IS THE
C.E
.O
.
%OF
G
UN
DE
RSEN
LU
THERAN IN
%LACROSSE AND
DO
CTOR
,
THANKS
A
%LOT FOR BEING HERE.
%>> YO
U'RE MOST
W
EL
CO
ME.
%THANKS FOR
GIVING
ME
A
C
AL
L.
%>> WELL,
WE
W
ANT
ED
T
O
ASK
,
%REALLY RI
G
HT
OFF
THE
BA
T,
WHA
T
%YOUR REACTION
I
S
TO
T
HIS
NEW
%HEALTH
CA
RE
LE
G
ISLATION.
%>> I THINK
IT
WA
S
VE
RY
IM
POR
TAN
T
%TO PASS SOME LEGI
SL
ATION,
%THEY'VE BEEN WORKING VERY
HA
RD
,%THERE WAS A LOT OF NOISE
ABOUT
%IT, BUT
HA
D
S
OMETHING NOT
%PASSED, THEN
P
EOPLE OF WOULD
%HAVE STAYED AWAY FROM IT
FOR
A
%LONG TIME AN
D
WE
CE
RTAINLY NE
ED
%
CHANGES.
%THE INIT
IAL PART OF COUR
SE
IS
%MOSTLY INS
U
RANCE
RE
FORM.
%AND THERE ARE MANY OTHER
THINGS
%THAT
NE
ED
TO
B
E
D
ONE
.
%I W
ORRY
A
BO
UT
THE
C
OST
T
HA
T
I
T
%COULD ADD TO
T
HE
OV
ERA
LL
%ECONOMY, BUT
CO
V
ERING
M
ORE
%INDIVIDUALS,
IM
PR
OV
ING
%AVAILABILITY, COVERING PEOPLE
%THAT HAVE
P
REE
X
IS
TING
%CONDITIONS, THESE ARE ALL
GO
OD
%THINGS THAT OU
R
S
O
C
IETY N
E
EDS
TO
%DO.
%>> WHA
T'S
NOT
S
O
G
OOD
AB
OUT
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T,
%OTHER THAN
TH
E
CO
ST
,
AR
E
T
H
ERE
%OTHER PIECES
IN
I
T
TH
AT
YO
U
WI
SH
%WERE NO
T
?
%>> I THINK THERE ARE A
C
OU
PLE
%BIG ISSU
ES
THA
T
WE
NEED
T
O
%REALLY ADDRESS.
%ONE IS
I
BEL
IE
VE
AD
DI
N
G
MOR
E
%PEOPLE WITHOUT F
UN
DA
MENTALLY
%CHANGING HOW WE PA
Y
FO
R
O
UR
CA
R
E
%IT
A
BIG CONCERN.
%NOW, IN
TH
E
RE
CONC
ILIATION
%PACKAGE, TH
ERE ARE SOME PILO
TS
%AND SOME VERY
G
OOD
LA
NG
U
AGE.
%THE BEST
WE
'V
E
EVE
R
HA
D
TO
WAR
DS
%MOVING
TO
WA
RDS
P
AYING
F
OR
%QUALITY.
%AND
SA
M.
%PAYING FOR
OU
TC
OMES RATHER
THA
N
%JUST TH
E
FEE
F
OR
SERV
ICE
S
YS
TEM
%THAT WE HAVE.
%SO THA
T
IS
GRE
AT
P
RO
GR
ESS.
%HOWEVER, UNTIL
THAT'S
%IMPLEMENTED, T
HE
CO
ST
OF
H
EAL
T
H
%COMPARE IS GOING TO CONTINUE TO
%RISE VERY RAPIDLY.
%AND
M
OS
T
IM
POR
TA
NTLY, WHA
T
W
E
%REALLY
N
EE
D
T
O
DO
,
T
HE
PUB
LI
C,
%HEALTH
CA
RE
P
ROV
IDERS,
T
HE
%GOVERNMENT, NEEDS TO
F
OCU
S
ON
%THE HE
ALTH OF
T
HE
PO
PU
L
ATION
%BEYOND JUST THE
D
ELI
VERY
O
F
CA
RE
%ONCE YOU'RE SICK.
%>> NOW,
ON
TH
E
F
IR
ST
PEELS,
%THAT'S SOMETHING THAT
G
UND
ERS
EN
%LUTHERAN KNOWS SOMETHING ABOUT.
%DESCRIBE HOW
YO
UR
H
EA
LTH
CA
RE
%SYSTEM
H
A
S
WOR
KE
D
T
OW
ARD
B
OT
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%THE COST
C
ON
T
A
IN
MENT A
ND
T
HE
%OUTCOMES.
%>> WE HAVE F
ELT
A
LL
ALO
NG
TH
AT
%IT'S
VER
Y
IM
PO
RT
ANT
T
O
%DEMONSTRATE
TH
AT
IT
IS
NO
T
A
%CHOICE
BE
TW
EEN
H
IG
H
QUA
LI
TY
OR
%LOW COST.
%BUT YOU OUGHT TO BE
ABLE
TO
D
O
%BOTH AT THE SAME TIME.
%AND WE HAVE D
ED
I
C
ATED
OU
RS
EL
VES
%TO DO THA
T
, WE
HAVE
A
S
T
AFF
THA
T
%DO THA
T.
%WE H
AVE
A
V
ERY
E
XTE
N
SIVE
Q
U
AL
ITY
%
PROGRAM.
%WE WORKED WITH
MA
NY OF THE
%PROVIDERS
AROUND THE
STATE
%SETTING UP TH
E
W
ISCONSIN
%COLLABORATIVE, WORKING ON
THA
T,
%BUT AT THE SAME
TI
M
E
,
W
E
HA
VE
%LEAN
E
NG
IN
EERS
I
N
HOU
R
%ORGANIZATION THAT HELP THE
%CLINICAL PEOPLE TO TRY TO
%IMPROVE THEIR
P
ROC
ESS
ES
T
O
L
OW
ER
%THE
C
OS
T,
T
O
DE
CR
EASE
OU
R
H
EI
RS
%TO DO
TH
AT
.
%CAN YOU DO
B
OTH
,
YOU
JUST H
AVE
%TO
REA
LIZ
E,
T
HAT'S
Y
OU
R
G
OA
L
AS
%A COMMUNITY ORGANIZATION.
%>> AND SO
Y
OU
F
EEL
AS
T
HO
UGH
%THIS LEGISLATION
DO
ES
N
OT
HA
VE
%ENOUGH
IN
CE
NT
IVES
IN
IT
T
HAT
%WOULD ACTU
A
LLY
R
E
WA
RD
GU
N
D
ERSEN
%LUTHERAN, FOR EXAM
PLE,
FOR
%OPERATING THAT
W
AY
?
%>>
WE
LL
,
WE
HA
VE
WO
RK
ED
W
ITH A
%COALITION ACROSS THE
WH
OLE
UP
PE
R
%MIDWEST
AND
F
ROM
I
NTE
RMOUNT
AIN
%HEALTH TO TRY
TO
G
ET
I
NTO
TH
IS
%LEGISLATION LANGUAGE ABOUT
%PAYING FOR VALUE AND
WE
B
ELI
EV
E
%THAT ACR
OSS THE
C
OUN
TRY,
THE
%COUNTRY
I
S
GO
IN
G TO
B
E
BET
TER
%OFF IF WE
STA
RT
P
AYI
NG
FO
R
%VALUE,
A
ND
B
EC
AUSE WE
H
AV
E
BEEN
%FOCUSING ON TH
IS
FOR
SO
ME
TI
ME
,
%WE B
ELI
E
VE
TH
AT
O
UR
REG
I
ON
W
OU
LD
%GET
P
AI
D
MO
RE
F
A
IRLY
I
F WE
A
RE
%PAID FOR
O
UT
C
OMES,
BUT
WE
D
ON'
T
%WANT ANY SPECIAL
T
RE
A
TMENT.
%ALL WE WANT IS
EVE
RY
BODY
T
O
%BE -- GET
P
AI
D
FOR
OUT
CO
MES,
N
OT
%JUST DOING THINGS.
%>> V
ER
Y
BRI
EFL
Y,
WE
JU
ST
HAV
E
30
%SECONDS LEFT, WHAT IS
Y
OUR
%REACTION TO CUTS
I
N
MED
I
CARE,
%INCLUDING PLANS
L
UK
E
--
LI
KE
TH
E
%MED COMPARE ADVANTAGE PLAN THAT%I KNOW YOUR HE
AL
TH
SY
STEM
%OFFERS?%>> YES, THAT IS A
P
RO
BL
EM
FOR
%US.
%THERE ARE PLACES IN THE
C
OUN
TRY
%WHERE THE MED
IC
ARE
ADV
A
NTAGE HAS
%MADE A GREAT
D
EAL
O
F
MO
NE
Y.
%IN HOUR
ST
AT
E, NO
ON
E
C
AN
BR
EA
K
%EVEN ON T
H
E
M
ED
IC
ARE
PA
YM
ENTS
%THAT ARE
G
IVEN
,
SO
A
CU
T
I
N
OUR
%ADVANTAGE PROGRAM PUSHES THAT
%
REIMBURSEMENT D
OWN
AND
WE
EI
THER
%HAVE TO GET
MO
RE
EFFICIENT
MO
RE
%QUICKLY
OR
MO
RE
OF
T
HE
C
OST
GE
TS
%SHIFTED
ON
TO
EMP
LOY
ERS,
WHICH
%IS A REAL
PRO
B
LEM
AN
D
SO
ME
THING
%THAT WE
DO,
BUT
W
E
T
RY
A
ND
%MINIMIZE AS
MANY AS POSSIBLE.%>> I WISH WE HAD
MORE
TI
ME
BU
T
%WE
DO
N
OT
.
%
THANK FOR
JOINING US FROM
%LACROSSE.
%FINALLY TONIGHT A FOLLOWUP TO A
%STORY THAT
WE
'VE
BEE
N
C
O
VE
RI
NG
%ON "HERE &
NOW."
%WE TOOK TH
IS
W
AY
TO
O
FA
R,
T
HAT
%WORDS FROM A
L
EG
IS
LATOR
%LAMONTING A N
EW
LA
W
M
EAN
T
TO
%STAMP OU
T
GOVERNMENT
SUB
SID
IZED
%PROGRAM, GOVERNMENT
S
HA
RE.
%WITH SIM
I
LAR
SE
NTI
MENTS,
%MILWAUKEE
D
EMO
CR
ATIC
G
RI
GSBY
H
AS
%AUTHORED A
BI
LL
TO
COV
ER
WH
AT
%SHE CALLS
UNI
NT
ENDED
%CONSEQUENCES OF THE NEW
L
AW
T
H
AT
%
BARS PEOPLE FROM WORKING IN THE
%GOVERNMENT SUBSI
DIZED
CHILD
CA
RE
%IF THEY HAVE
CE
R
TAIN
CRIMES IN
%THEIR BACKGROUNDS.
%THE LAW BARS
PE
OPLE
W
IT
H
E
VE
N
%MISDEMEANOR FOOD STAMP OR
%WELFARE VIOLATIONS
F
ROM
DEC
A
DES
%AGO, EVEN
IF
T
HEY
NEV
ER
%COMMITTED
A
NOT
HER
C
RIM
E.
%SCORES
O
F
W
IS
CO
NSIN SHARES
CHILD%CARE PROVIDERS HAD
LI
CE
NSE
S
%REVOKED OVER SUCH
VI
OLA
TIONS,
%LOSING
BU
SIN
ESS
ES,
P
UT
TING
%EMPLOYEES OUT OF
W
ORK
,
AND
%SENDING FAMILIES
LOO
KI
NG
FOR
%ALTERNATE CARE.
%>>
I
CE
RTA
INLY
NEVER
I
NT
EN
DE
D
%FOR IMAGINED THAT
T
HE
TE
RM
%"PUBLIC
A
SS
IS
TAN
CE
FR
AU
D
"
W
OU
L
D
%INCLUDE FOR E
XAMPLE,
IN
DIV
IDUALS
%WHO HAD REC
EIVED
A
$2
0
%OVERPAYMENT FOR F
OOD
S
TAM
PS
S
OM
E
%20 YEARS PRIOR.
%SOMEONE
REC
E
IVING
PU
B
LIC
%BENEFITS WHO RECEIVED A
U
SED
C
A
R
%AS A
G
IFT
2
4
YEA
RS
AG
O,
AN
D
%DIDN'T REPORT THAT GIVE
AS
%INCOME.
%SOMEONE WHO
RE
C
EIVED LE
SS
TH
AN
%$50 IN
F
OOD
ST
AM
PS,
THEY
W
ER
E
%NOT
EN
TIT
LE
D
T
O
M
O
RE
TH
AN
30
%YEARS AGO.
%>> GRI
G
SBY
S
A
YS
HE
R
CO
MM
IT
TEE
%AND T
HE
L
EG
ISLATURE WO
RKED HARD
%TO
AD
DR
ESS
FRA
UD
I
N
WI
SCO
NSIN
%SHARES, BUT NOW SAYS P
ER
HAPS
%THEY MADE A
MI
ST
AKE,
WITH
T
HE
%SUPER STRICT
B
ACKGROUND
%
REQUIREMENTS AGAINST FINANCIAL%CRIMES.
%HER BI
LL
WOULD
A
LL
OW
A
P
ERSON
%BARRED FROM CHILD
CA
RE
TO
SH
OW
%THEY HAVE BEEN
REH
AB
ILITATED,
%AND BE
ABLE TO
GE
T
TH
E
LI
C
ENSE
%BACK.
%>> S
UCH
A
F
IX
WO
ULD
C
OM
E
NO
NE
%TOO
SO
ON
FOR
S
EV
ERAL
P
R
OVIDERS
%AND EVEN
EM
PL
OYE
ES,
SH
UT
O
UT
OF
%THE BUSINESS BY
THE
NEW
LAW.
%LAKEESHA SKULL SAYS SHE LOST HE
R
%LICENSE TO CARE
FO
R
3
2
CH
ILDR
EN
%FOR A
C
ONV
ICT
ION
O
F
FO
RG
ING
A
%SIGNATURE ON A C
HECK
D
EC
ADES%AGO.
%SHE SAYS
SHE
HAS
N
OT
H
AD
EV
E
N
A
%JAY WALK
ING
T
ICKET
SINCE.
%>> I
W
AS
HO
ME
LE
SS AT THE TI
ME,
%AND I HAD ONE
KID
,
S
O
-
AN
D
I'
M
%NOT CONDONING IT
,
YO
U
K
NOW
,
%AGAIN
AN
D
TH
AT'
S
TH
E
ONL
Y
TH
ING
%THAT I EVER
DID.
%>>
R
EPR
ESENTATIVE
G
RIG
SB
Y MAY
%HAVE AN
U
P
HI
LL
C
L
IMB
B
E
FOR
E
T
HE
%FULL
LE
GI
SLATURE.
%MANY MEMBERS ARE CONT
ENT
W
ITH
%THE STRICT
STA
N
DARDS.
%S
EVERAL LAWSUITS HOWEVER HAVE
%BEEN FILED ON B
EHA
LF
O
F
%PROVIDERS ACROSS THE STATE.
%THAT IS ALL
F
OR
T
ONI
G
HT.
%I'M FREDERICA FREYBERG.%HAVE A GREAT
WE
E
KE
ND.
%>> PRESENTATION OF "HERE & NOW"
%IS MADE PO
SSIBLE BY THE ANIMAL
%DENTAL CEN
TER OF MILWAUKEE AND
%OSHKOSH, VETERINARY SPECIALISTS
%WORKING WITH PET OWNERS AND
%FAMILY VETERINARIANS THROUGHOUT
%WISCONSIN,
PROVIDING CARE FOR
%ORAL DISEA
SE AND DENTAL PROBLEMS
%FOR SMALL COMPANION ANIMALS.
%ADDITIONAL S
UPPORT FOR "HERE &
%NOW" IS PROVIDE BY THE LE
%PHILLIPS FA
MILY FOUNDATION.