Press Gaggle by Press Secretary Josh Earnest — Los Angeles, CA, 10/25/2016
Private Residence
**Please see below for a correction, marked with an asterisk.
Q We saw the numbers from HHS yesterday. Does the President think it's acceptable for people to have a 25 percent increase?
The first is, for the vast majority of people who are purchasing health insurance through the marketplace -- will not see a significant increase in the amount that they pay for their health care. And that's because the vast majority of people who purchase health insurance through the marketplace get tax credits that ensure that health care is affordable.
The bottom line: More than seven in ten people who purchase health insurance through the marketplace will pay
It's also important to remember that the vast majority of Americans get their health insurance through their employer, through
I haven't seen yet anybody quantify exactly what the savings is for employers who are in a position of often sharing the cost of health care for their employees. That is, in many ways, an unseen benefit of the Affordable Care Act, but one that benefits 150 million Americans in a very tangible way.
Now, as the President discussed in his speech in
So maybe after having seen this strategy, this political strategy fail in two consecutive presidential elections, maybe
It could be, for example, offering tax credits -- expanded tax credits to young people, to encourage -- to give young people an even greater incentive to sign on through the marketplaces, which would improve the composition of the risk pool in a way that would reduce costs for everybody, or at least limit the growth in costs for everybody. The President has also put forward this idea of allowing those communities, where the choice in health care providers is limited, to consider a public option. That would enhance competition and presumably could improve the kinds of offerings that are available to people in communities that don't have as many choices.
Those are a couple of common-sense ideas. And even if
Q Josh, can I ask you -- is this sort of a one-time increase with insurers having underpriced their plans but finding out that people who are signing up for the exchanges are sicker than expected, so kind of a one-time course correction? Or is this going to be, with insurers dropping out in a lot of states, the new normal of kind of year over year for the 17 percent of people involved in the exchanges that don't get subsidies, a major increase in their --
We know there are some things that could be done to tweak the law that would limit that kind of volatility and would limit upward pressure on prices. And I floated a couple of those examples before -- expanded tax credits for young people. Another proposal that the President has discussed, not in a lot of detail, but is the idea of expanding tax credits for those families that are entering the middle class, or this idea of a public option that would enhance competition in some of those markets where there isn't as much competition as we would like.
So there are certainly additional changes that we can make moving forward that would limit the risk of the situation that you're describing. But I think the thing that we always go back to, Justin, that's important for the context of this argument, is -- it's actually two things. The first is, one of the benefits -- one of the other benefits of the -- often-overlooked benefits of the Affordable Care Act is imposing more transparency on this process. The only reason we're having this discussion right now about the increase in insurance rates is that the Affordable Care Act requires insurance companies to publicly disclose them. That gives regulators an opportunity to push back on those rates, and regulators in states across the country did have some success in doing that in years past. That's the first thing.
The second thing is, it was not at all uncommon for insurance companies to jack up rates before the Affordable Care Act went into effect. They just didn't have to disclose it.
So the President did give that speech last week in which he made a long argument about how the American people have benefitted from the Affordable Care Act, how the system that the vast majority of Americans face right now is improved, how it's already saved them money and improved the kind of protections that are available to them, including not being discriminated against because they have a preexisting condition, not being subject to a lifetime cap, not being at risk of getting kicked off your health insurance because you get sick. Those are all benefits that the American people enjoy as a result of the Affordable Care Act.
But moving forward, the Affordable Care Act is functionally a reform of the private health insurance system. And so pricing decisions are going to be made by the private sector. There's a role for regulators. Greater transparency is certainly going to put pressure on those insurance companies to be competitive. But ultimately, those decisions made in the future are going to continue to be made by private sector health insurance companies that are competing for business in the marketplaces.
Q Can I ask you about the Clinton emails? The latest Podesta email exchange that came out showed that Clinton campaign officials said after the President went on "60 Minutes" -- and said that he hadn't previously been aware of Secretary Clinton's use of a private email server -- that they need to "clean this up." So I wanted to ask you, first of all, did the campaign alert the
I do want to go back to the premise of your question, though. I think that the emails -- well, let me also offer my standard comment on these emails, which is that these are stolen emails. These are emails that were stolen from a private citizen, released in the context of a website that has been used as a tool, based on an analysis of the intelligence community, by the Russian government in an effort to undermine our democracy.
So I've been reluctant to comment on these kinds of emails in the past in part because I can't verify the integrity of these emails. Moving past that, though, let me try to answer the spirit of your question.
The first thing is, I do believe that the emails that were released were in the context not of the "60 Minutes" interview, but actually of an interview that the President has done several weeks earlier with
And the President was asked in that interview, by
And the point that I made there, and have made a couple of times subsequently, is that the President did trade emails with Secretary Clinton, not a large number of them. Of course, the President had possession of Secretary Clinton's email address, but he did not have any knowledge of where her server was located or what sort of arrangements had been made to store her email.
In the same way that I trade emails with reporters in the
Q Right. But I guess what the question is, was there concern that he hadn't made that clear in the interview? That it sounded like he was saying that he didn't know she was using a private email, when, of course, if he knew her email address and you know it wasn't @state.gov, you would know that it was a private email. And was that communicated to you either before that briefing -- were you clarified, or in the days leading up to your clarification?
So what the President said was an entirely factual response to
So I recognize that some of the President's critics have attempted to construct some type of conspiracy about the communication between the President and the Secretary of State. But they've failed to put forward a conspiracy that withstands any scrutiny, so I guess they're back to recycling thoroughly debunked conspiracies. So even in response to the same charges that were leveled more than a year and a half ago, my response is the same.
Q Does the President support the efforts to go after these enlistment bonuses that
Now, I say all of that knowing that there is a process that the
What the
And I know that one of the concerns that's been raised by some servicemembers here in
Q There are some lawmakers talking about waiving these debts entirely. Is that something that the President can get behind?
Q Can you explain what you mean by that when you said it may not be necessary to do that, and still ensure that these servicemembers are being treated fairly?
So the President's view is that it is possible to expedite this process of evaluating concerns that have been raised by some servicemembers who have been asked to repay these bonuses. If you do that expeditiously, and have a process that ensures that our servicemembers are being treated fairly, then a blanket waiver is not necessary. What's necessary is we need to have a process in place that protects our servicemembers. And that's what's the President is interested in.
Q When did he send that -- ask them to expedite that? Today? Yesterday?
Q Today?
Q So does the President feel that these servicemembers that were being asked to repay their enlistment bonuses have been treated unfairly thus far?
But each of these cases is unique. But the bottom line is, we have a responsibility, the Commander-in-Chief has a deeply held responsibility that we're going to treat our servicemembers fairly. We're not going to nickel-and-dime them when they get back. We're not going to hold servicemembers responsible, unfairly, for unethical conduct or fraud perpetrated by someone else.
Q The President said yesterday the
The President was just using shorthand in indicating that he didn't have a new assessment to share about who may be responsible for this incident. But I don't have an update in terms of the ongoing investigation. I'll let my colleagues at
Q I wanted to ask about -- the President has also talked a bit on this trip about the HFC amendment to the Montreal Protocol. Do you guys think that's something that's going to require
But the President does wholeheartedly believe that the agreement that was reached in
Second, the President believes that it is consistent with our national interest to take these kinds of steps to fight climate change, that we already know that there are some places around the world where the impact of climate change could potentially have a destabilizing impact on the planet. And it's one of our national security interests to try to prevent those kinds of things from happening.
Finally, the President believes that an agreement like this is actually in the economic interest of
All of those are good things. All of those explain the leading role that
Carol.
Q There was an attack that the
That investigation is still ongoing. I have not heard a firm conclusion reached about who precisely is responsible. We have seen situations where there are extremist organizations who carry out attacks under the banner of
So there's still some investigation ongoing to determine what sort of role
Q Josh,
Q But as an extended period.
And having an opportunity to travel across the country and address large enthusiastic crowds who are clearly excited to see him out on stump -- it's fun. He gets a lot of energy from that. And he feels good that the argument that he is making to the country is resonating, not just deeply in the Democratic base, but all across the country. That's a very satisfying thing to somebody who has poured their heart and soul into the progress that we've made over the last eight years, and to see a large portion, a majority of the American public respond to his call to support candidates that are interested in building on that progress. It's satisfying.
And the President recognizes that the progress that he has fought for is on the ballot. And that's why he's dedicating so much energy to trying to defend it.
Q Does he feel vindicated to see the political movement -- it seems, based on the polls, moving toward people that he wants that? Instead of this year not being a rejection of him or shipped away from him, but people moving toward him?
You can expect to see the President on the campaign trail again on Friday, in
Q Quick question. The President mentioned yesterday that he -- or he quipped that he wished he'd been able to use his veto pen a little bit more often.
So you would expect that, presented with that historic opportunity, that
So the President's desire to use his veto pen is a way for him to express his desire for
With regard to the Iran Sanctions Act, I know that there has been some reporting on this today. I don't have a veto threat to issue at this point, but I'll say what I've said before, which is simply that the President and the
That sanctions authority has been used to impose costs on
So I won't prejudge at this point about whether or not the President would sign that bill, but I would just make the point that the kind of authority that
END



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