President Trump Delivers Remarks About ‘Surprise Billing’ in Healthcare – UPDATE: Transcript Added…


The White House is promoting a new healthcare initiative to confront the issues of ‘surprise billing’ within the healthcare industry. [SEE HERE]  Today President Trump delivered remarks on a new standard for informing healthcare consumers:

.

[Transcript] – 12:06 P.M. EDT – THE PRESIDENT: Hello, everybody. Yesterday, Secretary Azar announced a bold, new initiative to require drug makers to disclose the prices to consumers. And it’s going to be something, I think, very special. You may have heard about it; maybe not. But it’s the beginning of a plan of transparency. And I think it will have quite an impact. So, thank you very much. That was a job well done. Everybody said it. (Applause.)

Thank you all for being here as we address one of the biggest concerns Americans have about healthcare. The Republican Party — I have to say this — is, really, very much becoming the party of healthcare. You see what we’re doing. We’re determined to end surprise medical billing for American patients. And that’s happening right now.

I want to thank Secretary Acosta, Secretary Azar, and everybody else in the room for joining us. Some people with some incredible stories.

Thanks also to Senators Lamar Alexander, Maggie Hassan, Bill Cassidy, John Barrasso, and Representatives Kevin Brady, Devin Nunes, and Greg Walden. Thank you all very much. Thank you. (Applause.)

My administration has already taken decisive action to make healthcare more affordable for American families. We’ve vastly expanded lower-cost health insurance plans. That’s happening. And it’s been an incredible success.

We’ve begun a bold initiative to reduce the price of prescription drugs. And last year, drug prices saw their first decline in 46 years. First time in 46 years that drug prices have gone down. And now they’re going to be going down a long way further, including the fact that we may allow states to buy drugs in other countries if we can buy them for a lesser price — substantially less price. And that’s going to be very unique.

But we’ll allow them to go to other countries, because the drug companies have treated us very, very unfairly. And the rules and restrictions within our country have been absolutely atrocious. So we will allow them, with certain permissions, to go to other countries if they can buy them for 40, 50, 60 percent less. It’s pretty pathetic, but that’s the way it works.

For many years, drug companies gave foreign countries better deals than they gave our own country. Now we’re making sure that our great seniors share in the discounts given to other countries. And we will always protect patients with preexisting conditions, very importantly. The Republican Party will always protect patients with preexisting conditions. That’s the man right there.

In my State of the Union address, I asked Congress to pass legislation to protect American patients. For too long, surprise billings — which has been a tremendous problem in this country — has left some patients with thousands of dollars of unexpected and unjustified charges for services they did not know anything about and, sometimes, services they did not have any information on. They weren’t told by the doctor. They weren’t told by the hospitals in the areas they were going to. And they get, what we call, a “surprise bill.” Not a pleasant surprise; a very unpleasant surprise.

So this must end. We’re going to hold insurance companies and hospitals totally accountable.

And we’re joined today by families who have personally experienced some horrible injustices of surprise medical bills. Drew and Erin Calver from Austin, Texas. Drew, I’d like you to maybe come up, and Erin, to share your story. It’s a pretty amazing story.

MR. CALVER: Hi. I have insurance but was still stuck with a highly inflated medical bill. A lot of pain, stress, and fear with that bill looming over us. A highly inflated bill that I shouldn’t have to deal with.

And we hope that — we support the President that he’ll take it — the President’s call to Congress to take action and support, pass, end surprise billing, and also create more transparency in terms of medical bills. Thank you.

THE PRESIDENT: Would you like to explain what happened in your billing? Because it was sort of an incredible story.

MR. CALVER: Yeah. I had a heart attack two years ago and was driven to the nearest hospital. And although I had insurance, I was still billed $110,000.

The hospital threatened to send my bill to collections. And so, from there, all that stress and the fact that it was highly inflated, I was in shock when I found out some of the real prices of stuff I was charged for.

So I feel like I was exploited at my most vulnerable time in my life, just having suffered a heart attack. And so I hope that Congress hears his call to take action, close the loophole, end surprise billing, and just work towards transparency for the bills.

THE PRESIDENT: You look very good now.

MR. CALVER: Oh, thank you. (Laughter and applause.) (Inaudible.)

THE PRESIDENT: So, when you got that second bill, you handled it, right?

MR. CALVER: Yeah.

THE PRESIDENT: The heart was okay. (Laughter.)

MR. CALVER: Yeah, luckily I made it through. (Inaudible.) Yeah.

MS. CALVER: Yeah. And we paid it.

THE PRESIDENT: Good. You don’t want to run for President, that I can tell you. (Laughter.) You think that’s bad. (Laughter.) But it is bad, and it’s a shame.

Also here with us today are Dr. Paul Davis and his daughter Liz from Findlay, Ohio. Dr. Davis and Liz would like to tell you about their story.

Hi, Doctor, how are you? Thank you. Please.

DR. DAVIS: Mr. President and honored guests, it’s an honor for me to speak to you today. My family, like so many others, was victimized by a surprise medical bill.

My daughter, Elizabeth, was charged $17,850 for a urine drug screening. If anyone is interested, I have the bill; you may see it.

She had successful back surgery in Houston, Texas. And, at a post-op visit, because she had been given a prescription for a narcotic pain reliever that she used appropriately and as directed, he just said, “Oh, by the way, I would like to get a urine specimen.” “Fine.” She did it. A year later, the bill showed up for $17,850.

This type of — you know, this test, at best, is worth $100. It’s — actually, you can get it for $10 or $20. And this type of billing is all too common not just among dishonest providers. The problem of improper medical billing affects most those who can afford it least.

We must put aside any other differences we have and work together to solve this problem. I am very pleased to see this issue being brought to the nation’s attention. And I thank you.

THE PRESIDENT: Thank you, Doctor. I see it. It’s — I sort of wanted to check it myself. (Laughter.) It’s almost not believable. You look believable, but look at — (laughter) — but he’s right: $17,850 for a urine test.

DR. DAVIS: The EOB says that they would have paid, if it was in network, $100.92.

AUDIENCE: Wow.

DR. DAVIS: And that’s still an inflated price.

THE PRESIDENT: So $100, and you paid $17,000.

DR. DAVIS: We settled for less, but I won’t go how much less, but it’s a bizarre story. I’d love to tell you, but I was told to keep it short.

THE PRESIDENT: Well, it says it right here. (Laughter.) That’s terrible.

DR. DAVIS: Thank you, sir. Appreciate this opportunity. (Applause.)

THE PRESIDENT: It’s a pretty amazing story. I’m glad I got to see that bill. I don’t know. You’re a very believable looking guy. What do you think, Lamar? I think — I think he had — check it out. Lamar, check that out, please. (Laughter.) That’s pretty incredible.

But there are many stories like that. I’ve heard them for years, myself — friends, where they just come back and they get a bill that they can’t understand it.

And we’re going to be announcing something, I think over the next two weeks, that’s going to bring transparency to all of it. And I think, in a way, it’s going to be as important as a healthcare bill. It’s going to be something really special. And we’re doing a great healthcare bill, if we get the Republican votes during the election, 2020.

But this could be something that will have a tremendous impact. Maybe a bigger impact than even a very good healthcare bill. Maybe even a bigger impact than when we took away the individual mandate from Obamacare. That was a big deal.

But the numbers you’re talking about through transparency are tremendous. It’s the new thing. And we’re going to be announcing it, I think, over the next two weeks. And it’s going to be very comprehensive.

We’re also joined by Dr. Martin McKary, a top surgeon at Johns Hopkins University — that’s a good place — who has studied this issue closely. Dr. McKary, please come up. Thank you.

Hi, Doctor. How are you?

DR. MCKARY: Great. Thank you.

Mr. President, thank you for listening to the real healthcare experts, who are the patients and the doctors, not just the special interests. So thank you.

When someone buys a car, they don’t pay for the steering wheel separately from the spark plugs and the conveyer belt. But yet, in healthcare, surprise bills and overpriced bills are now commonplace and they’re crushing everyday folks like these patients.

People are getting hammered right now. When hospitals were built, they were built with a charter specifying — most of them — that they would be a safe haven or a place of refuge for the sick and injured regardless, according to their charter — regardless of race, ethnicity, or one’s ability to pay.

Yet, today, surprise bills are hammering everyday Americans. They’ve done nothing wrong. They work and have a job and they have insurance, and they’re getting hammered.

In my own profession of surgical oncology, we see now that half of women with stage-four breast cancer report being harassed by medical bills. That’s a disgrace to my specialty. That’s a disgrace to the medical profession. And that’s a disgrace to our country. We can do better.

Hospitals and healthcare can get their act together to provide one honest and fair transparent bill so we can restore medicine to its mission and finally stop the erosion of the public trust that we’re seeing.

Thank you, Mr. President. (Applause.)

THE PRESIDENT: Thank you very much, Doctor. Thank you, Doctor. Thank you very much.

And I’ll go a step further: No American mom or dad should lay awake at night worrying about the hidden fees or shocking unexpected medical bills to come.

Today I’m announcing principles that should guide Congress in developing bipartisan legislation to end surprise medical billing. And these senators and congressmen and women that are with us today are really leading the charge. And I appreciate that they’re all here. Thank you all. Thank you all for being here. This is fantastic.

And I think it’s going to be a successful charge. From what I understand, we have bipartisan support, which is rather shocking. That means it’s very important. That means it’s very good. But that’s great.

First, in emergency care situations, patients should never have to bear the burden of out-of-network costs they didn’t agree to pay. So-called balance billing should be prohibited for emergency care. Pretty simple.

Second, when patients receive scheduled, non-emergency care, they should be given a clear and honest bill upfront. That means they must be given prices for all services and out-of-pocket payments for which they will be responsible. This will not just protect Americans from surprise charges; it will empower them to choose the best option at the lowest possible price.

Third, patients should not receive surprise bills from out-of-network providers that they did not choose themselves. Very unfair.

Fourth, legislation should protect patients without increasing federal healthcare expenditures. Additionally, any legislation should lead to greater competition, more choice — very important — and more healthcare freedom. We want patients to be in charge and in total control.

And finally, in an effort to address surprise billing, what we do is, all kinds of health insurance — large groups, small group, individual markets, everything. We want everything included.

No one in America should be bankrupted and unexpectedly by healthcare costs that are absolutely out of control. No family should be blindsided by outrageous medical bills. And we’ve gone a long way to stop that.

I think next week we’ll go even further — possibly the week after. It’s being drawn now but it’s one of the strongest things we’ve done as an administration. And I don’t think any administration has done more. If we get this the way we want it, over the next two weeks, I think you’ll see something that’s going to be great.

Our initiative to end surprise medical billing is one of many steps we’re taking to fix our nation’s broken healthcare system and to deliver better care, with more choices, at lower costs.

My administration is eager to work with both parties in Congress to save American patients thousands and thousands and thousands of dollars, and to give American families greater peace of mind. They’re surprised with these bills. It’s ruined people’s lives. They leave a hospital with something they think is going to be routine and they end up in court, and they end up going to court. And then they end up with lawyers’ bills that are bigger than anything they could have imagined. They get it from every side. We’re not going to have that anymore.

So today, I ask Democrats and Republicans to come together, to work together. Democrats and Republicans can do this. And I really think it’s going to be something that will be acted on quickly.

John, what do you think, right?

SENATOR BARRASSO: I believe it. Yes, sir, Mr. President.

THE PRESIDENT: Lamar, right?

SENATOR ALEXANDER: Mr. President, we’ll be bringing you a bill, we believe, in July.

THE PRESIDENT: Great. Going to be fantastic.

SENATOR ALEXANDER: Bipartisan.

THE PRESIDENT: That will be — well, you have great support in the White House and we appreciate it. And I want to thank everybody for being here. And hopefully you won’t have any stories like that again, Drew. That was not good.

And your story was just terrible. I hope you negotiated it down very, very low.

DR. DAVIS: Not as well as I should have. (Laughter.)

THE PRESIDENT: Not — not that close to the hundred dollars? Huh? (Laughter.)

DR. DAVIS: I want to thank you for your leadership.

THE PRESIDENT: Well, and thank you very much. I appreciate it very much. Okay?

[Transcript continues in Press Q & A]

President Trump MAGA Rally – Panama City, Florida, 8:00pm EDT Livestream…


President Trump flew into Tyndall Air Force Base to tour the ongoing hurricane recovery effort ahead of a panhandle rally.  After the visit and briefing President Trump will be heading to a MAGA rally at the Aaron Bessant Park Ampitheater in Panama City Beach, FL. President Trump is expected to speak at 8:00pm EDT.

UPDATE: Video Added

.

RSBN Livestream (ongoing)  – Fox10 Livestream (ongoing) – GST Livestream Link

GM Negotiating Sale of Lordstown Plant to Workhorse Group – Additional $400 Million Investment in Ohio…


In the aftermath of GM’s announcement to close the Lordstown, Ohio, auto assembly facility, President Trump worked earnestly to get GM to sell the facility and save jobs for the region.  Today President Trump and GM CEO Mary Barra announce the likely sale to Workhorse Group pending UAW union approval.

Washington (AFP) – General Motors Wednesday announced plans to invest $700 million in Ohio and to sell a shuttered plant to a company that makes electric trucks, drawing cheers from President Donald Trump who has assailed the US automaker for cutting American jobs.

“GREAT NEWS FOR OHIO!” Trump tweeted, revealing the details ahead of the company’s official announcement.

Shortly after Trump’s tweet, GM confirmed it is in discussions with Workhorse, a Cincinnati-based company that focuses on producing electric delivery vehicles, to sell its plant in Lordstown, Ohio. The factory employed about 1,400 workers prior to ceasing production in March.

CEO Mary Barra said in a statement GM will “remain committed to growing manufacturing jobs in the US, including in Ohio, and we see this development as a potential win-win for everyone.” (read more)

In March President Trump was putting pressure on Mary Barra to find a buyer or allow a long-term lease to another company:

It’s likely Barra reached out to POTUS today to help make the pre-announcement public because she needs to put pressure on the intransigent local UAW to agree to the sale terms.

Tim O’Hara, vice president of the United Auto Workers union at the Lordstown plant, said“the announcement dashes any hopes that workers had about staying in the area and continuing careers with GM. Many will be forced to transfer in order to preserve seniority and pension eligibility,” O’Hara said.

The Workhorse Group has been developing electric trucks, vans and drones.  With a purchase of the Lordstown plant, Workhorse would be moving forward with plans to have a facility for the production of electric-powered vans later this year.

Jobs, jobs, jobs….

NYT Trump Taxes Story is Funniest News of Year (so far)….


I can just picture the The New York Timesgathering a team of actuaries, legal accountants, tax historians, advisers and financial consultants around a big executive office table, piled high with reams of papers and spent coffee cups, saying:

“We’ve got him now…. as soon as people understand: fixed asset depreciation schedules; and if the assets were depreciated legally using straight line or diminishing balance; then we move to whole-value equity pick-up, or minority interest accounting; before digging into section 1031 ‘like-kind’ asset exchanges; partnerships (limited or writ large), carried interest loopholes, pass-throughs, net capital losses/gains, seven-year income averaging and the difference between long-term and short-term capital gains”…

…or something.

Seriously, the ‘Trump-taxes’ story has to be the biggest, funniest, most well documented, and most absurd, ongoing snipe hunt in history.  “I was going to support President Trump’s re-election until I saw his depreciated amortization schedule from 1989″… said no-one, like, ever.

Could it be possible John Barron is still pulling this hilarious trick twenty-five years after the New York Times called Donald Trump “The Comeback King“?…

October 25th 1995 New York Times – Crowning the Comeback King – Though there are still four years to go in the 90’s, business and government leaders in New York honored Donald J. Trump yesterday for pulling off what they called “the comeback of the decade.”

Mr. Trump, the developer who came to epitomize opulent wealth during the 80’s before tumbling into deep financial trouble, has managed to erase much of his debt and is moving ahead with major projects at a time other developers are idling.

Judging from the attention showered on him yesterday at the Union League Club, some of New York’s civic and business leaders are quite captivated by Mr. Trump, despite the financial uncertainties that still surround some of his properties.

But the operative word at the luncheon was comeback, though Mr. Trump might dispute that he ever went far away. William D. Fugazy, the limousine magnate and chairman of the Forum Club, the group of business and civic leaders that sponsored the luncheon, presented Mr. Trump with a boomerang encased in glass. “You throw it and it always comes back,” he said as he handed it over. (read more)

 

Ninth Circuit Appellate Court Allows ‘Return to Mexico’ Policy to Remain In Force…


A win for the Trump administration in the ongoing effort to stem the influx of migrants crossing the U.S-Mexico border seeking asylum.  The ninth circuit federal appeals court ruled (full pdf below) that the Trump administration can continue returning Central American migrants to Mexico while their requests for asylum in the U.S. are adjudicated.

The Ninth Circuit decision is a victory for the administration.  The ruling stays the effect of a decision last month by a judge who blocked the policy while it was being challenged.

(WSJ) […] The policy, officially named the Migrant Protection Protocols, is more commonly known as “Back to Mexico” or “Remain in Mexico.”

While Tuesday’s court action isn’t a final decision on the merits of the case, the appeals court held that several legal factors favored allowing the Trump administration to administer the policy while the litigation continues.

A three-judge panel of the Ninth Circuit, in an unsigned opinion, said the administration likely had a legal basis for the policy. The court also said the Department of Homeland Security would be irreparably harmed if the court “takes off the table one of the few congressionally authorized measures available to process the approximately 2,000 migrants who are currently arriving at the nation’s southern border on a daily basis.”  (more)

.

Here’s the full ruling:

.

China Confirms Ideological Disposition: “no matter what Americans do, the negative impact on us would be manageable and foreseeable.”…


We have discussed the Chinese outlook toward trade and negotiations at great length.  One of the overriding issues has always been the zero-sum disposition of China as it relates to any engagement. To wit: if it does not benefit China, it simply is not done.

Peace or war. Win or lose. Yin and Yang. Culturally there is no middle position in dealings with China; they are not constitutionally capable of understanding or valuing the western philosophy of mutual benefit where concession of terms gains a larger outcome.  If it does not benefit China, it is not done. The outlook is simply, a polarity of peace or war.  In politics or economics the same perspective is true.  It is a zero-sum outlook. (link)

Against the collapse of trade negotiations, the ideology of Chairman Xi Jinping is showcased today in the first official responses from the Chinese government toward the U.S. initiating tariffs due to Beijing’s duplicitous reversal on prior commitments.

(SCMP) Beijing will not make concessions in trade talks in response to Donald Trump’s latest tariff threats, Chinese state media said in a commentary published a day after the US president announced increases in duties on Chinese goods.

“Things we think are advantageous for us, we will do it even without anyone asking,” People’s Daily reported on its WeChat account on Tuesday.

“Things that are unfavourable to us, no matter how you ask, we will not take any step back. Do not even think about it.”

[…] The piece was the first official Chinese opinion piece since Trump went on Twitter and announced plans to more than double the tariffs on US$200 billion worth of Chinese goods because trade talks were going on “too slowly” for his liking.

[…] “According to the [relative economic strengthens] of China and the US and the trend of development, as long as we can focus on developing our country, no matter what Americans do, the negative impact on us would be manageable and foreseeable.”  (more)

Well, that’s that then…  Time to unleash the Wilburine!

 

Trump’s China Tweet


$2 Trillion of ‘Goodwill’: Did Pelosi and Schumer Just Play Trump?


Published on May 2, 2019

SUBSCRIBED 126K

President Trump meets privately with House Speaker Nancy Pelosi and Senate Minority Leader Chuck Schumer, who emerge announcing “goodwill” and a common commitment to spend $2 trillion on infrastructure spending. Did Trump get played? Will Democrat insistence on environmental regulations drag out projects and jack up their price? If you enjoy reason, thought, civil dialogue and just plain fun, you’ll find your people at our new, Member-exclusive, website. You’ll join the team that produces and enjoys some 44 new shows each month, a rich video archive, and a dynamic Member-written blog. Find your people today at https://BillWhittle.com/register/

“Democracy Dollars” to Make Everyone a Campaign Donor, Cut Power of Wealthy


Published on May 2, 2019

SUBSCRIBED 126K
New York Sen. Kirsten Gillibrand wants to reduce the influence of wealthy white men, and make every voter a campaign donor by giving us all vouchers — drawn on the federal treasury — so we can contribute to candidates of our choosing. Candidates would agree to refuse contributions above $200 in order to receive these “Democracy dollars.” What’s the harm in that? Bill Whittle explains. Lively discussion grounded in conservative principles comes not just in our 44 video new videos each month, and our deep archive, but in our exclusive Member-written blog, threaded discussions, and private message power. Come home to your people now at https://BillWhittle.com/register/

FBI Scheduled to Make Court Filing on Release of Comey Journal Tomorrow…


It is worth remembering a recent court filing by the FBI where we discover James Comey documented each “Crossfire Hurricane” intelligence decision. Within the CYA memos  Comey included the ID of code-named spies in a journal of sorts, that remains hidden for now.  I have a hunch the full Comey journal will soon be released.

A court filing originally scheduled for April 15th, to determine the outcome of the multiple memos, and FBI closed-court discussion therein, was delayed until May 7th, tomorrow:

The number of Comey memos is why I now describe them collectively as the Comey “journal”.  {Go Deep} The reason I suspect the “journal” will soon be released is connected to the recent New York Times release admitting to the use of FBI intelligence assets(Stefan Halper and Azra Turk)) in the Trump operation.

Last week’s NYT “spy” admission followed a report a month earlier (everyone forgot) that DOJ Inspector General was investigating the FBI use of Stefan Halper.

CTH notes a conspicuous similarity where all FBI leaks are positioned to present justifications ahead of document/investigative releases adverse to the group’s interests.  These leaks appear to be planned releases from corrupt officials still employed within the FBI, and political allies outside government (Lawfare and MSM).

All of the leaks are justifications.  The Comey’s memos, as described by Weissmann and Mueller’s lead FBI Agent, David Archey, are also based around “justification”.

FBI Director James Comey transparently wrote those justification memos in his journal in 2016 and 2017 exactly for a moment when/if questions were raised about what the FBI investigators were doing.

Considering there were already FBI investigators taking notes and documenting the operation, there is no other intellectually honest motive for James Comey writing an independent journal other than justifying the specific activity. 

It would make sense for the currently employed corrupt FBI officials to head-off any inquiry, and lead their defense, with documents/leaks that justify their activity.

Additionally, Weissmann and Mueller positioned the corrupt FBI operation to remain completely in-the-loop on any damaging investigative material when they had a dedicated staff of FBI agents writing reports back to FBI Headquarters:

(Page 13 Weissmann-Mueller report)

When you read that underlined passage you realize how smart Weissmann, Mueller and the small group were.  The corrupt investigative unit set up a process where they could leak to the media at will, and yet if anyone ever made inquiry there are so many people piped-in to the investigation it would be impossible to find the leaker.

Simultaneously, for the ongoing cover-up needs of FBI Director Christopher Wray, Deputy Director David Bowditch and FBI General Counsel Dana Boente they had a daily briefing to use in burying issues adverse to their institutional interests.

If you wondered why the FBI was busy sending lawyers in with each person questioned by congress, well, page #13 of the Weissmann/Mueller report explains exactly what purposes those lawyers likely maintained.   The entire leadership structure of the FBI appears clearly compromised.  Hence the David Archey declarations align therein.

What better ongoing way for Director Wray to protect his institutional interests than to coordinate with General Counsel Dana Boente a series of document releases that will justify the corrupt endeavors of the preceding team of officials.  I digress….

Lastly, don’t be surprised to see the arc of this story bends slightly, and with increased scrutiny will will discover the White House National Security Counsel (NSC) was a participant in the political weaponization of intelligence through a memorandum of understanding with the FBI.

It would make sense if the Obama NSC had access to the FBI surveillance database, and simultaneously extracted raw intelligence search results….. keep watching.

TheLastRefuge@TheLastRefuge2

Something to consider given the current state of adversarial hostilities toward AG Barr in DC.

🤔What if tomorrow the DOJ/FBI suddenly doesn’t object to releasing *ALL* of Comey’s memos (the full spygate journal)?

Backstory: https://theconservativetreehouse.com/2019/05/04/james-comey-justifies-fbi-spy-operations-more-reason-to-release-his-volumes-of-spygate-memos/ 

225 people are talking about this