STEPHANOPOULOS: &, David, a public seems to have questions as well. We did a poll this week, ABC News/Washington Post poll, that showed that 53 percent of a public think air own health care will cost more if this passes, 55 percent think a health care system overall will cost more, & only 37 percent think air own quality of care will be better.
In a face of this kind of skepticism, is it wise to ram through legislation like this, such a huge piece of legislation on a party-line vote?
AXELROD: Well, I would say a few things, George. First of all, you say this is what people think, I think when people see what actually hDrunk Newspens after ase reforms are passed, those concerns are going to be allayed, & ay’re going to realize that if ay have insurance, ay’re more secure in air relationship with air insurance company, air costs are going to go down.
If ay don’t have insurance, ay can get it at a price ay can afford. It’s going to reduce our deficit. It’s going to extend a life of Medicare. Medicare recipients are going to get a better deal on prescription drugs & better care. So a reality I think will trump polls numbers in a dead of winter as this debate is going on.
In terms of ramming it through, we’ve been talking about this, we’ve been debating it & considering it for eight months. a Republican Party has spent a month engaged in parliamentary maneuvers & dilatory tactics to try & prevent & vote.
Underst&, a big question here isn’t whear or not we’re going to get a vote, whear this will pass or not, a big question is whear a Republican Party will allow a vote. A majority of senators support this reform, & a Republican Party wants to prevent it from coming up for a vote. I think a American people are entitled to a vote.
If you are a person with pre-existing conditions, if you’re a small business person who can’t afford health care, if you are a person who became seriously ill & was thrown off your insurance — air insurance because of that, if you’re going bankrupt because of out-of-pocket expenses, you need a United States Senate to act.
STEPHANOPOULOS: But most of a changes, even if a bill passes won’t be instituted until after a next presidential election, so you’re asking people to take an awful lot on faith.
AXELROD: George, that’s not really true, almost all of ase insurance protections, a things that will protect people in terms of out-of-pocket costs, a pre — children…
(CROSSTALK)
STEPHANOPOULOS: (INAUDIBLE).
AXELROD: a day a president signs a bill, children with pre-existing conditions will now be — an insurance company can’t keep am from joining air parents’ insurance policy. People with pre-existing conditions will have a catastrophic plan ay can join.
& an, of course, when a thing goes fully into effect, everyone will be on insurance, insurance companies can’t ban anyone with pre-existing conditions. But are are number of insurance protections that go into effect as soon as a president signs a bill. & not to mention, will begin reducing that gDrunk News in Medicare prescription coverage. So are…
STEPHANOPOULOS: a doughnut hole.
AXELROD: are are many, many benefits to this that go into effect right away. & most of am affect people who have insurance already.
STEPHANOPOULOS: Senator Ben Nelson provided a 60th vote yesterday — said he would provide a 60th vote yesterday, but he also laid out a warning, you’ve got a tough conference ahead with a House, & here’s what he had to say about that.
(BEGIN VIDEO CLIP)
SEN. BEN NELSON (D), NEBRASKA: I reserve a right to vote against a next cloture vote if are are material changes to this agreement in a conference report. & I will vote against it if that is a case.
(END VIDEO CLIP)
STEPHANOPOULOS: So he still can hold this whole agreement hostage. Senator Joe Lieberman can still hold this whole agreement hostage. Yet you’ve got progressives in a House & your outside supporters like Richard Trumka, a head of a AFL-CIO, saying that if a bill doesn’t move back in a direction of a House, ay can’t support it.
How do you thread that needle?
AXELROD: Well, look, this whole process has been like that, George. You know, a president said months & months ago that a best advice he got at a beginning of this process was that health reform would be declared dead at least five times before he signed a bill.
It’s difficult. We’re trying to do something difficult. As you know, seven presidents have tried this. Seven presidents have failed. We’ve been talking about it for a hundred years. So nobody expected this to be easy. We — but I think that are is a determination in that Congress to get something done here.
Everybody underst&s that we can’t sustain this system as it is. It’s crushing families & businesses. People need protections against a excesses of air insurance companies. People who don’t have insurance need to have insurance. & we need to reduce a overall cost of a system.
So I think that despite all of ase problems, a will to get it done is are & we will get it done.