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WATCH: A heated exchange erupted between Rep. Brendan Boyle and OMB Director Russell Vought over the U.S. healthcare system and coverage claims. Boyle cited data suggesting over 17 million Americans could lose healthcare, challenging Vought’s assertion that many are ineligible or exploiting the system. When Vought appeared to agree, Boyle dismissed the claim as “laughable,” intensifying the clash. The moment underscores deep divisions in Washington over healthcare policy, eligibility, and the future of coverage in the United States.




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00:00In addition to the over $4 trillion it adds for our national debt, it eliminates health care coverage for more
00:10than 15 million Americans, according to the CBO.
00:14The Kaiser Family Foundation says it's actually more than 17 million Americans who will lose their health care.
00:21Are they really all according to you? Really?
00:23You're going to sit here with a straight face and say they're all illegals, they're all defrauding the system?
00:29That's actually your position?
00:31Yes. With regard to the people that have lost that.
00:34I mean, that's laughable. That's laughable. I'm sorry. I'll give you a chance to respond.
00:38You have a number of issues with regard to your comments there.
00:41Well, wait, let me just.
00:42Number one.
00:43Sorry, wait, wait. Reclaiming my time, I just want to be clear.
00:46I'm citing, we acknowledge, the CBO figure, that's where I'm getting the 15 million from.
00:51And the Kaiser Family Foundation says 17 million.
00:54You're saying none of them are legitimately on this, even though we had one of them actually testify before us.
01:01I didn't say all of them are illegals.
01:03I said there's also the benefit of people returning to the workforce because they are able-bodied individuals,
01:08or they should not have been on the system regardless because of the inability to address fraud in the aftermath
01:15of.
01:16OK, so they're all either illegals or defrauding the system.
01:19Well, we certainly, that's certainly not a provocative statement that we have fraud all over the country, is it, Mr.
01:25Rankin?
01:25Why are, I imagine there are fraud in all sorts of private and public sector areas.
01:30But the idea that 15 million Americans are about to lose their health care,
01:35the single biggest loss of health care in American history, mind you,
01:39not even during the Great Depression, do 15 million Americans lose their health care coverage.
01:43The idea that all of those people who are about to lose their health care are defrauding the system
01:51or are illegal immigrants, that is not supported by any facts whatsoever.
01:57We're not working and now, are now working and getting the benefit of a job with employer-sponsored health care
02:01coverage.
02:02Look, that, these, these assessments by CBO and others are often very static.
02:09I mean, it's right-of-center groups as well, it's, well, reclaim my time, I only have a few minutes,
02:14so excuse me.
02:15But it's not just CBO.
02:17I mean, right-of-center groups, left-of-center groups, nonpartisan groups, you're saying they're, they're all wrong.
02:23I am saying that the budget community typically relies on static thinking, static scoring, current law baselines,
02:31and so you don't get an accurate picture of the extent to which the reforms that are being made are
02:37going to have a dynamic impact
02:39with better programs, more health care, for instance, $50 billion.
02:42Well, let me, before we get to the friends, I only have a couple minutes, so let me actually transition
02:47to my next subject,
02:49because I think I'll only have time now for this.
02:51The president recently said, I mean, he was talking about the record increase in gas prices,
02:56thanks to him and his war of choice in Iran, but he, he diverted in a spontaneous,
03:03he's speaking extemporaneously in the White House just a few days ago, he said, and I quote,
03:08the United States can't take care of daycare, that has to be up to a state.
03:14He then added, Medicaid, Medicare, all these individual things, they can do it on a state basis,
03:22you can't do it on federal. So I'm just curious, from your perspective at OMB,
03:29have you taken any actions to turn Medicare back to the states?
03:33No, and the president doesn't want to do that with regards to these-
03:36Well, he said it. I mean, he said it.
03:38He's referring to-
03:38So you're disagreeing with what the president said?
03:40No, I'm saying that the president meant, is he's talking about fraud in these programs.
03:44He's talking about-
03:44That's not, he didn't mention, excuse me, reclaim my time.
03:47Nowhere, I have the full statement in front of me.
03:48Nowhere in front of me is the word fraud presented.
03:52What he was talking about, he later at a different part said,
03:55we have to pay more for wars, and instead we can't afford Medicaid, Medicare, child care, things like that.
04:03And looking at the budget proposal, this is why I raise it, $442 billion, correct me if I'm wrong,
04:10$442 billion increase in defense.
04:14That's what you're asking for? About a 42% increase, is that right?
04:18Correct. For many paradigm-shifting investments that we need this-
04:23A 42% increase on what was already a record high for defense.
04:27And look, I serve as part of our U.S. delegation to the NATO parliament.
04:31I am no pacifist. I believe in a strong national defense.
04:35I believe the United States, I believe the world is at its best when the United States has the strongest
04:40military.
04:41The idea that we're going to pay for a 42% increase in this military, in this Department of Defense,
04:49and at the same time cut Medicaid, Medicare, not pay for child care,
04:54all of these things that the American people need in the case of Medicare have paid into,
04:59that is a reflection of priorities that are out of whack.
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