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Reaction to Paul Ryan's budget approach

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    Rep. Chris Van Hollen sounds off

  • Duration 5:39
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Paul Ryan is amazing.

I always thought I was OK with arithmetic this guy can run circles around the and he has honesty is straightforward he is sincere in the budget he came bored with it just like Paul -- It is a sensible.

Straightforward.

Honest serious budget.

Or that was from September of 2011 are symbols of course the co chair of this president's -- commission.

A former chief of staff for Bill Clinton put some good things to say about the man who would -- As the vice presidential candidates toward the Republican ticket.

In 2012 -- -- now from democratic leader.

And Paul Ryan's Budget Committee rival Chris van Holland.

So obviously hot day and then now there are not.

Does it not a -- net -- unanimous pointed anti.

But Ryan views up there among your colleagues what do you make of that and what Erskine Bowles was saying about -- Well -- as you may well know why I get along very well personally with Paul Ryan.

On the Budget Committee we disagree fundamentally on key issues but we always do it.

In a civil manner there's no doubt that Paul Ryan understands his math and I think everybody understands that.

If you're gonna provide a huge additional tax breaks to folks in the very top.

And say at the same time your interest in reducing the deficit it means you're gonna hit everyone and everyone else a lot harder and this is gonna -- -- we're understand that you you ignore.

Of the runaway costs associated for example -- Medicare not that you cut it but.

But or you'd have to know he's that was -- curbing the growth to bed and look people -- alternatives to address.

The grenade that that you and others have acknowledged that -- we don't fix this thing and yet he -- been.

-- rang it is all but pushing granny off a cliff I believe in one -- that's exactly what it's doing is that there is that right and does it do a great disservice.

To Paul Ryan when many in your party espouses that view.

Well -- it's the way that the Ryan plan and now the Romney Ryan plan would deal with Medicare there's no doubt.

That we need to modernize the Medicare system and we begin to do that and Affordable Care Act the issue.

Is whether you do it by trying to reduce the overall health care -- by changing some of very miss align incentives in the program right now there's an incentive.

To provide a greater volume of care greater quantity of care as opposed to value of care.

We began to change that what's different about the Ryan in Enron the approach.

Is they would simply shift they ever rising health care costs.

On the senior citizens we don't think that's the right way to go and we think it's totally unbalanced when you do that.

At the same time that -- providing huge tax breaks to people like Mitt -- When you look at this congress and the united chat about this before but -- clearly the system cannot go on as it's going and and he is not addressing present.

Medicare.

Recipients he's looking at those.

Much younger today 55 and under today and by the time this were an active likely fifty.

Three and under today more or less saying in order to make sure there's a benefit for you here -- justice we can make now.

And and yet that's being treated as if he were you know Satan with a spreadsheet.

I don't know if that's right nine I don't think that's that's accurate deal when you heard what Harry Reid has set -- -- Let me let me make two points the first is that the there Ryan and Romney plan.

Will have an immediate impact.

On many seniors on Medicare in two ways one it will immediately increase cost for people with high prescription drug use because they re open.

Immediately the prescription drug doughnut hole that was closed as part of the Affordable Care Act.

Second when it comes to preventative health care services for seniors it will become immediately much more costly.

In the longer term what I what -- written checks and -- to object to with the Ryan approach.

And the -- approach is that they will give seniors a much worse deal than they give the members of congress.

What that does younger people what's in those aren't seniors now -- -- to whether these days it -- to talk about would be what you said I don't know authority what -- saying is what about all the other people who are coming up the growing older than 101000 were joining the system.

Per day in this country.

What about assurances for them that will be here because you know congressman and you know these numbers -- -- better than anyone.

That the rate we're going it is not sustainable now we can quibble with the right approach wouldn't quibble with the Romney approached.

But today there's no denying -- Baghdad as we are going we've got to make some adjustments and some Democrats are not doing it.

Well to the two things first -- I'm doing more than quibbling with that approach I think it's a fundamentally flawed approach but.

There's no doubt as I said -- we need to make some changes now.

People need to recognize the Affordable Care Act extended the life of Medicare by over seven years we're talking about part -- of Medicare.

That's according to the Medicare actuary.

We need to build on that and the way we would build on that is to change some of these incentives right now.

There's an incentive.

There's no incentive for hospitals for example.

To prevent a patient for -- being readmitted multiple times based on the same condition because the hospital gets paid every time.

We need to move too late payment system that encourages the coordination of care.

That's the way to save money not -- off loading rising health care costs on to seniors on Medicare whose median income is 23000 dollars.

Congressman it's always good having you agree or disagree never disagreeable.

Good seeing you again.

Good to see what you want to bring the --

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