00:00President, what's the hurry? What's the big hurry on this big, beautiful bill that President Trump
00:07wants to see the Congress pass? Well, the hurry is to make sure we don't stop and read it.
00:14It's a thousand pages. And as we read it, we discover things included in that bill that passed
00:20the House of Representatives, which may not be appealing to the people across America.
00:25The House of Representatives passed this bill by one vote. It ends up having a direct impact on
00:32many people across this country. Just imagine this, if you will. They're considering a bill,
00:39a tax bill, that will eliminate health insurance coverage for 16 million Americans. More people
00:48and families will lose health insurance coverage by virtue of this big, beautiful bill than any
00:55legislation we've passed in modern memory. In fact, just the opposite's been true. I've been here
01:01under the Affordable Care Act with President Obama when we expanded the reach of health insurance.
01:06Now, President Trump has us going in the opposite direction. Some Republican senators, like Josh Hawley
01:13in my neighboring state of Missouri, have criticized this because he realizes how many people he
01:19represents count on Medicaid, the basic government program for health insurance.
01:25Senator Hawley says, even as a Republican, he can't support that provision. No one should
01:30support that provision. If you've ever lived at a moment in your life with a sick child, seriously
01:37sick child, and no health insurance, you'll never forget it. I know I've been there. To think that 16 million families would lose their health insurance is impossible to imagine.
01:49And we received a report from the Congressional Budget Office just last week. Now, they're neutral. They're not Democrats. They're not Republicans. They revealed that the Republican proposal would cost 16 million families their health insurance coverage, the biggest cut to health care in American history.
02:07No wonder, then, that the Republicans want to move this bill quickly. They don't want to talk about the impact it's going to have on the Medicaid program. Medicaid, of course, is a program that provides health insurance
02:19insurance based on a person's income. Lower income individuals qualify for it. Those with higher incomes don't. The facts are coming out now that many of the Republicans in the House are saying, well, we didn't read the bill when it went through there. They've got a chance to read it now. And Republican and Democratic senators have a chance to read it here.
02:39To make sure that the Senate Republicans don't make the same mistake as the House. Here's a more detailed breakdown.
02:47With this analysis from the Congressional Budget Office, we have new estimates on how this bill impacts each and every state.
02:56210,000 people in my neighboring state of Missouri, Senator Hawley State, could lose their health insurance coverage. 210,000. In Iowa, nearly 100,000 people could lose their health plans.
03:12And for our neighbor in Indiana, 250,000 Hoosiers could lose the peace of mind that comes with having health insurance. Same story coast to coast. 40,000 people in Maine, 26,000 Alaskans, they're all going to be victimized.
03:29And you say to yourself, what is it that is so compelling that the Republicans feel they can stand up and sell 16 million people in America and you lose your health insurance?
03:40What will they use that money for? What will they take it to the bank for? For something very basic. Tax cuts for the wealthiest people in America.
03:50Oh, there they go again. Democrats talking about tax cuts. Many of the Republicans deny that this is going to happen, but the facts are there.
04:00They estimate that the top .1% of wage earners in America, under the Republican plan that passed the House, will get an annual tax break of $400,000.
04:13Now the Republicans quickly go ahead and tell the rest of the story. Everybody gets a tax break. Okay, let's go down to the other end of the spectrum.
04:21$400,000 for .1% of wage earners. What about those who are making minimum wage? What will they get as a tax break?
04:29$20 a month. $20 a month. $20 a month. While the cost of health care goes up and the cost of their mortgage goes up. $20 a month.
04:42This to me is absolutely indefensible. Friday I visited a hospital in Chicago. It's a special hospital. It's La Robita, a children's hospital.
04:54It's on the south side of the town. It's right on Lake Michigan. It's a wonderful hospital.
04:59Ninety percent of the families who bring their children to La Robita Hospital qualify for Medicaid.
05:06These are families of limited means, and they turn to a highly professional hospital, which has a reputation of caring for the poorest kids as well as the richest kids.
05:17They treat them all the same, and they treat them well. When I visited the hospital, they told me a story of one of their patients.
05:25Her name is Leone. She was born prematurely 26 weeks early. Pardon me, at 26 weeks.
05:33When she was born, she was only the size of the palm of your hand. She was given just days to survive.
05:39She needed a ventilator, tracheotomy tube, central line, an IV-like device that brought medicine to her heart, and much, much more.
05:50Today, Leone is four years old. It's a miracle. But thanks to the incredible care provided by La Robita and the love of so many people, she's there.
06:01Leone's family was covered by Medicaid, the most highly targeted program for cuts in this big, beautiful bill.
06:11Ninety percent of the patients that come through the doors at La Robita Children's Hospital in Chicago are on Medicaid.
06:18Now, what's going to happen to that hospital? I'll tell you what the hospitals tell me.
06:23Many of them are barely getting by. Barely. Not just in the city of Chicago, but my downstate areas as well.
06:32They came out to see me three weeks ago. Twenty hospital administrators from downstate Illinois.
06:38On their own, they wanted to tell me the story that the bill that passed the House of Representatives,
06:43the big, beautiful Trump tax bill we're talking about here, will be devastating to these hospitals.
06:48Some of them won't survive. Now, what does it mean to a small or medium-sized city that's lucky enough to have a good hospital and lose it?
06:57Well, the obvious. If you need emergency medical care, it's a longer drive. If that baby's about to be born, it's a longer drive.
07:07When it comes down to treatment, these hospitals provide the first and urgent care. And if that hospital closes, what happens?
07:16Well, it takes longer to get that care. But in addition to that, it also means that a major part of the local economy is gone. Gone.
07:27How are you going to attract a business or keep a business when you lose your hospital?
07:31That's what's at stake here because it cuts in the Medicaid program.
07:34So the Trump big, beautiful bill is designed to cut the program that these hospitals rely on the most, Medicaid program.
07:43Now, it turns out, because they add so much to the deficit, trillions of dollars to the deficit for this tax cut,
07:50you're also facing the possibility of something called sequestration.
07:53What that means is that there'll be less coverage for Medicare.
07:57Medicare is a program created in the 1960s under President Lyndon Baines Johnson,
08:02which provides for families who are elderly and need some help paying medical bills.
08:08It worked miracles. People started living longer and being healthy and being able to survive.
08:13But now they want to cut back on Medicare as part of sequestration.
08:17This would be devastating to many people who count on it.
08:21It's not just La Robita that would face devastating consequences under these Medicaid cuts.
08:27Red states and blue states will suffer.
08:30When you cut $800 billion out of Medicaid, hospitals that are on the edge close.
08:36Already today, 26 rural hospitals in Kansas, 26 hospitals in Kansas, 9 in Missouri, are at risk of immediate closure.
08:46This big, beautiful bill could push them over the brink.
08:49According to America's essential hospitals, uncompensated care costs for hospitals will increase by $42 billion in a single year under this Republican big, beautiful bill.
09:01For the rural hospitals that are hanging by a thread, this bill could permanently close their doors.
09:06Hospitals are not the only ones.
09:08The Medicaid program provides for help in paying the bills of over half of the people who are in nursing homes.
09:16So if your parents or grandparents are in a skilled care facility, a nursing home, and you're happy with where they are and you want to keep them there, you've got a new challenge.
09:25If the big, beautiful bill providing tax cuts for the wealthiest people in America passes, the compensation to that nursing home goes down.
09:33And when that goes down, many of these nursing homes are going to close.
09:37The choices for someone you love in your family will be limited.
09:40As if an increase in the health care premiums isn't enough, the cost of basic goods will skyrocket under this Republican plan.
09:48The big, beautiful betrayal will raise energy bills up to $400 a year for families and 10% for businesses.
09:56Remember I told you what the tax break was for people who are on basic income in this country?
10:02$20 a month?
10:04Well, it turns out $400 a year, which is dramatically more than $20 a month, is going to make it even harder.
10:12Increased cost by $100 a year for 80 million households, all while giving $400,000 to Elon Musk and the wealthiest Americans.
10:22And if housing weren't already too expensive, many Americans will see their mortgage increase by $600 a year.
10:29Want to follow your passion and start a business?
10:32Small business loans are estimated to increase under the big, beautiful bill by $1,000 a year.
10:38Tariffs are estimated to raise costs for American households by around $2,500.
10:44If this last election were about the cost of living and giving families a fighting chance to survive paycheck to paycheck,
10:52this bill is devastating for those who aren't the wealthiest in America.
10:57I urge everyone to learn the facts that this Republican tax bill will have on families across my state and others.
11:05This year, for the Fourth of July, the most American thing we can do is, on a bipartisan basis, to stop this disaster.
11:12What does it take to say pause, stop?
11:15We don't want to cut Medicaid.
11:17We don't want to take health insurance away from 16 million people.
11:20We don't want to see the expenses of families going up.
11:23What does it take? Four.
11:25Four Republican senators who will step up and say, this is a mistake.
11:30Donald Trump is trying to rush us into something which is not good for American families.
11:35It's good for billionaires.
11:36If you happen to be in that category, this is a great day for you.
11:39But for ordinary families struggling with their regular bills that they have to pay,
11:44the big, beautiful bill is a big, beautiful betrayal of American families.
