you don't have health insurance. what we're trying to do here is have a system where we have more choices, more competition, and lower prices. and yes, this cbo score does say it lowers premiums. the goal here is two things.

the aarp calls that an age tax. if you accept one part of the cbo analysis, do you accept all of them? >> what the cbo is saying, if the government is not going to force somebody to buy something they don't want to buy, then they're not going to buy it. so they're basically saying, people, through their own free

your time. >> thank you. >>> let's bring this to the speaker of the house. paul ryan. mr. speaker, thank you for joining us this morning. a lot to talk about this morning. i want to start out with the big bottom line question. you heard dr. gawande. he said this will make health care worse off on almost every level. can you guarantee if the house bill were to become law that no americans would be worse off than they are today? >> i fundamentally does agree with his analysis on so many levels. but first of all, good morning, george. it's good to be with you. let's remember what is happening right now. obamacare is collapsing. it's not working. what good is it for anybody, let alone for a person with pre-existing conditions if you don't have a health insurance plan that you can even get? this is a rescue mission. we want to achieve the goals we all want. getting the cost of coverage down and making sure everyone has access to affordable health care. especially and including people with...

condition that a state has a working high-risk pool to help specifically that person with pre-existing conditions. an example. in wisconsin, we had a really successful high-risk pool. 10% of people in the individual market in wisconsin were in the state high-risk pool. they had eight or nine plans to choose from. they could go to any doctor or hospital they wanted. and their premiums and co-pays were cheaper than they are under

a per capita grant, increasing the spending by medicare inflation, i hardly think that is draconian. >> you don't think anyone will be hurt when you're taking $880 billion out of the system? >> no, no, i don't. i think the micro management of health care is a problem.

states the ability to customize medicaid to meet the particular needs of their vulnerable populations. you have to remember that medicaid is done by the states by micromanaged by the federal