Monday, November 18, 2019

President Donald J. Trump Approves South Dakota Disaster Declaration

Office of the Press Secretary
President Donald J. Trump Approves South Dakota Disaster Declaration

Today, President Donald J. Trump declared that a major disaster exists in the State of South Dakota and ordered Federal assistance to supplement State, tribal, and local recovery efforts in the areas affected by severe storms, tornadoes, and flooding from September 9 to September 26, 2019.

The President's action makes Federal funding available to affected individuals in the counties of Brookings, Charles Mix, Davison, Hanson, Hutchinson, Lake, Lincoln, McCook, Minnehaha, Moody, and Yankton and the Flandreau Santee Indian Reservation and the Yankton Indian Reservation.

Assistance can include grants for temporary housing and home repairs, low-cost loans to cover uninsured property losses, and other programs to help individuals and business owners recover from the effects of the disaster.

Federal funding also is available to State, tribal, and eligible local governments and certain private nonprofit organizations on a cost-sharing basis for emergency work and the repair or replacement of facilities damaged by the severe storms, tornadoes, and flooding in the counties of Aurora, Brookings, Brule, Charles Mix, Davison, Douglas, Gregory, Hanson, Hutchinson, Kingsbury, Lake, McCook, Miner, Minnehaha, Moody, Sanborn, Turner, Union, and Yankton and the Flandreau Santee Indian Reservation and the Yankton Indian Reservation.

Federal funding is also available on a cost-sharing basis for hazard mitigation measures statewide.

Pete Gaynor, Acting Administrator, Federal Emergency Management Agency (FEMA), Department of Homeland Security, named James R. Stephenson as the Federal Coordinating Officer for Federal recovery operations in the affected areas.

Additional designations may be made at a later date if requested by the State and warranted by the results of further damage assessments.

Residents and business owners who sustained losses in the designated counties can begin applying for assistance by registering online at http://www.DisasterAssistance.gov or by calling 1-800-621-FEMA(3362) or 1-800-462-7585 (TTY) for the hearing and speech impaired.  The toll-free telephone numbers will operate from 7:00 a.m. to 9:00 p.m. (local time) seven days a week until further notice.

FOR FURTHER INFORMATION MEDIA SHOULD CONTACT THE FEMA NEWS DESK AT (202) 646-3272 OR FEMA-NEWS-DESK@FEMA.DHS.GOV.

 
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West It’s Democracy — Not Trump — That’s on Trial on Capitol HillWing Reads -



West Wing Reads

It’s Democracy — Not Trump — That’s on Trial on Capitol Hill


“Public impeachment hearings have begun in Washington, but nothing has changed. The Ukraine ‘rebound’ scandal simply follows from the Russia collusion probe as the latest front in a smoothly operating, taxpayer-funded, propaganda war of political intimidation: an attempt not only to undermine President Trump, but also to demoralize and break the will of those who voted for him,” Augustus Howard writes in the New York Post.

“Democrats, trying to ‘move on’ from the disastrous testimony of Robert Mueller, offer us a new cadre of government-insider witnesses, most of whose evidence would be laughed out of any courtroom in America.”

House Democrats’ real goal is to tell President Trump’s supporters that “those who dared challenge the permanent, elite government class — to know they can never win.”

Click here to read more.
“Democratic Rep. Adam Schiff isn’t a constitutional scholar, but he plays one on Impeachment TV. His latest gambit is an attempt to redefine ‘bribery’ in the Constitution to include President Trump’s behavior toward Ukraine.” Of course, “he’s wrong about the law and constitutional history,” The Wall Street Journal editorial board writes.
The Trump Administration took two huge steps toward improving American healthcare on Friday. “Just about every person in the U.S. has had an experience of confusion, frustration, anger, and sometimes severe financial distress due to the bureaucracy and sheer obscurity of healthcare pricing . . . With these two rules, the Trump administration is trying to provide the price signals and other information necessary for patients to be informed,” Quin Hillyer reports in the Washington Examiner.
“Ivanka Trump and USAID Administrator Mark Green will announce on Monday an additional $50 million for the W-GDP Incentive Fund, which aims to help 50 million women in developing countries by 2025,” Evie Fordham reports for Fox Business.


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Presidential Message on Antibiotic Awareness Week, 2019

Office of the Press Secretary
Presidential Message on Antibiotic Awareness Week, 2019
 
Antibiotics are a medical marvel that has saved millions of lives around the world, but they must be properly and safely prescribed for humans and animals to ensure that they remain effective in treating diseases and illnesses.  During Antibiotic Awareness Week and every week, I urge families and medical professionals to familiarize themselves with the consequences of antibiotic resistance and the steps we can all take to address this challenge.

Antibiotics are remarkable drugs that are instrumental in fighting certain infections caused by bacteria and fungi.  Far too often, however, they are prescribed for common viral illnesses that they are not meant to treat, including the common cold, influenza, most cases of bronchitis, and stomach viruses.  The Centers for Disease Control and Prevention (CDC) estimates that about 30 percent of outpatient antibiotics, or 47 million prescriptions, are unnecessarily prescribed in human medicine each year.  Overprescribing antibiotics can have harmful side effects and cause life-threatening allergic reactions.  In the United States, an adverse reaction to antibiotics leads to approximately one out of every six medication-related visits for emergency medical care.

One of the most troubling consequences of overprescribing antibiotics is antibiotic resistance.  Last week, the CDC released new numbers on the burden of antibiotic resistance threats in the United States showing that at least 2.8 million people become infected with antibiotic-resistant bacteria or fungi every year, and that more than 35,000 people die because of those infections.

As the world’s leader in medical ingenuity and advancements, we must do everything we can to combat the rapidly developing medical threat of antibiotic resistance.  The CDC’s Be Antibiotics Aware initiative provides valuable and potentially life-saving resources to help educate both the public and healthcare professionals on when antibiotics are needed, how to optimize their prescription, and how to best combat antibiotic resistance.  This program, combined with my Administration’s continued implementation of the National Action Plan for Combating Antibiotic-Resistant Bacteria, is essential to addressing the rising concerns about the overprescription of antibiotics and antibiotic-resistant bacteria.

This week, we resolve to improve antibiotic stewardship at home and in medical settings so that all Americans can understand the threat of antibiotic resistance and live fuller, healthier lives.
 
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First Lady Melania Trump and Second Lady Karen Pence Volunteer Visit to the Red Cross to Help Support Our Troops

Office of the First Lady
First Lady Melania Trump and Second Lady Karen Pence Volunteer Visit to the Red Cross to Help Support Our Troops 

Where: The American Red Cross Hall of Service – 430 17th St NW, Washington, DC 20006
WhenWednesday, November 20th, 2019 at 2:30PM EST

On Wednesday, November 20th, First Lady Melania Trump and Second Lady Karen Pence will return to the Red Cross to assemble comfort kits for American troops deployed overseas.

Comfort kits were developed by the Red Cross to provide transition and reintegration support to wounded warriors, veterans, troops deployed overseas, and military families.

Mrs. Trump and Mrs. Pence will assemble the comfort kits alongside Cabinet Secretaries’ spouses, military spouses, Red Cross leadership and volunteers.


Press Availability:  Expanded Pool Coverage Only
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Sunday, November 17, 2019

President Donald J. Trump to Award the National Medal of Arts and National Humanities Medal

Office of the Press Secretary
President Donald J. Trump to Award the National Medal of Arts and National Humanities Medal 
On November 21, 2019, President Donald J. Trump will award the National Medal of Arts and National Humanities Medal to the following individuals and organizations:

National Medal of Arts:

Allison Krauss for making extraordinary contributions to American music.  Blending bluegrass, folk, gospel, and country into a unique style, she has entertained and enriched the souls of millions.

Sharon Percy Rockefeller for being a renowned champion of the arts, generous supporter of charity, and a pioneer of new ideas and approaches in the field of public policy.

The Musicians of the United States Military for personifying excellence in music and service to country. From concert halls to warzones, these extraordinary patriots have inspired and uplifted their fellow Americans over generations with their incredible courage and breathtaking musical talent.

Jon Voight for his exceptional capacity as an actor to portray deeply complex characters. Captivating audiences, he has given us insights into the richness of the human mind and heart.

National Humanities Medal:

The Claremont Institute for championing the Nation’s founding principles and enriching American minds. Its publications and public events have deepened our understanding and appreciation of American freedom, democracy, justice, and rule of law.

Teresa Lozano Long for supporting the arts and improving educational opportunities. Through scholarships and philanthropy, she has helped America’s children and young adults learn the skills they need to succeed.

Patrick J. O'Connell for being one of the greatest chefs of our time. Through the Inn at Little Washington, he has raised the culinary arts to new heights of excellence by embracing regional flavors and championing local farmers.

James Patterson for being one of the most successful American authors of our time. His prodigious imagination has resulted in fascinating works that have been enjoyed by millions and his championship of literacy in America has inspired many to realize their potential.
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Statement from the Press Secretary Regarding Protests in Iran


Statement from the Press Secretary Regarding Protests in Iran
The United States supports the Iranian people in their peaceful protests against the regime that is supposed to lead them.  We condemn the lethal force and severe communications restrictions used against demonstrators.  Tehran has fanatically pursued nuclear weapons and missile programs, and supported terrorism, turning a proud nation into another cautionary tale of what happens when a ruling class abandons its people and embarks on a crusade for personal power and riches. 

Friday, November 15, 2019

Statement from Press Secretary Stephanie Grisham

Statement from Press Secretary Stephanie Grisham:

“The second public hearing of Speaker Pelosi and Congressman Schiff’s impeachment charade was as useless and inconsequential as the first. Zero evidence of any wrongdoing by the President was presented. In fact, Ambassador Yovanovitch testified under oath that she was unaware of any criminal activity involving President Trump. She was not on the July 25 phone call and had no knowledge about the pause on aid to Ukraine. It is difficult to imagine a greater waste of time than today’s hearing, and yet unfortunately we expect more of the same partisan political theater next week from House Democrats.” 

Statement from the Press Secretary Regarding Executive Clemency for Army First Lieutenant Clint Lorance and Army Major Mathew Golsteyn, and the Promotion of Special Warfare Operator First Class Edward Gallagher

Office of the Press Secretary
Statement from the Press Secretary Regarding Executive Clemency for Army First Lieutenant Clint Lorance and Army Major Mathew Golsteyn, and the Promotion of Special Warfare Operator First Class Edward Gallagher
Today, President Donald J. Trump signed an Executive Grant of Clemency (Full Pardon) for Army First Lieutenant Clint Lorance, an Executive Grant of Clemency (Full Pardon) for Army Major Mathew Golsteyn, and an order directing the promotion of Special Warfare Operator First Class Edward R. Gallagher to the grade of E-7, the rank he held before he was tried and found not guilty of nearly all of the charges against him.

In early July 2012, only days after Lieutenant Lorance had taken command of his platoon in one of the most dangerous battle zones in Afghanistan, a motorcycle with three men approached him and his men with unusual speed. Under difficult circumstances and prioritizing the lives of American troops, Lorance ordered his men to engage, and two of the three men were killed. Following these events, Lorance was convicted of several charges. He has served more than six years of a 19-year sentence he received. Many Americans have sought executive clemency for Lorance, including 124,000 people who have signed a petition to the White House, as well as several members of Congress, including Senators Bill Cassidy and John Kennedy, and Representatives Steve Scalise, Garret Graves, Duncan Hunter, Paul Gosar, Adam Kinzinger, Scott Perry, Brian Babin, Neal Dunn, Michael Waltz, Louie Gohmert, Daniel Webster, Steve King, Ralph Norman, Mark Meadows, Clay Higgins, Ralph Abraham, Mike Johnson, and Jody Hice.

Major Mathew Golsteyn, an officer of the United States Army and graduate of West Point, is currently set to stand trial for an allegedly unlawful killing in connection with one of the largest battles of the Afghanistan War. As our forces cleared the Taliban from the city of Marjah, an Improvised Explosive Device detonated, killing two Marines. The terrorist bombmaker, as identified by an Afghan informant, who had killed our troops, was detained and questioned. Golsteyn was compelled to release him, however, due in part to deficiencies within the fledgling Afghan detention system. Golsteyn has said he later shot the terrorist because he was certain that the terrorist’s bombmaking activities would continue to threaten American troops and their Afghan partners, including Afghan civilians who had helped identify him. After nearly a decade-long inquiry and multiple investigations, a swift resolution to the case of Major Golsteyn is in the interests of justice. Clemency for Major Golsteyn has broad support, including from Representatives Louie Gohmert, Duncan Hunter, Mike Johnson, Ralph Abraham, and Clay Higgins, American author and Marine combat veteran Bing West, and Army combat veteran Pete Hegseth.

Before the prosecution of Special Warfare Operator First Class Edward Gallagher, he had been selected for promotion to Senior Chief, awarded a Bronze Star with a “V” for valor, and assigned to an important position in the Navy as an instructor. Though ultimately acquitted on all of the most serious charges, he was stripped of these honors as he awaited his trial and its outcome. Given his service to our Nation, a promotion back to the rank and pay grade of Chief Petty Officer is justified.

The United States military justice system helps ensure good order and discipline for our millions of uniformed military members and holds to account those who violate the Uniform Code of Military Justice. Due in part to this system, we have the most disciplined, most effective, most respected, and most feared fighting force in the world.

The President, as Commander-in-Chief, is ultimately responsible for ensuring that the law is enforced and when appropriate, that mercy is granted. For more than two hundred years, presidents have used their authority to offer second chances to deserving individuals, including those in uniform who have served our country.  These actions are in keeping with this long history.  As the President has stated, “when our soldiers have to fight for our country, I want to give them the confidence to fight.” 

Resolute Reads FIVE STORIES PRESIDENT TRUMP DOESN'T WANT YOU TO MISS

Resolute Reads
FIVE STORIES PRESIDENT TRUMP DOESN'T WANT YOU TO MISS
New Remarks From Top Ukrainian Official Damages Democrats’ Impeachment Narrative
-The Daily Wire
“Ukrainian Foreign Minister Vadym Prystaiko said on Thursday that the United States Ambassador Gordon Sondland did not link financial military assistance to a request for Ukraine to open up an investigation into former vice president and current Democratic presidential candidate Joe Biden and his son, Hunter Biden,” Ryan Saavedra reports.
Even Impeachment ‘Rehearsal’ Hearings Won’t Help Dems
-New York Post
“Clever: By having witnesses go through closed-door hearings first, Dems can get a sense of what witnesses have to say privately and then tailor their questions for maximum impact during the public spectacle,” the New York Post editorial board writes. “Trouble is, even rehearsals don’t seem to help . . . No matter how many auditions they hold, it’s no substitute for hard evidence.”

The Daily Signal: Meet the impeachment witnesses’ anti-Trump lawyers
The President, Not Diplomats, Sets 'Official Foreign Policy'
-The Hill
“There must be some confusion. Under the U.S. Constitution, it is the president of the United States who determines foreign policy. How can President Trump be ‘at odds with foreign policy’ when he’s the one who determines it?” Sharyl Attkisson writes. “Trump’s enemies may cheer on the idea of diplomats and other officials choosing to oppose or undermine his wishes. But based on our Constitution, the dissenting diplomats are the ones who are at odds with “official foreign policy”— not the other way around.”

🎬 Must-see: Ukraine got their lethal aid from President Trump, not Obama
Trickster Adam Schiff Conjuring ‘Guilt’ Out of Thin Air
-New York Post
“For those who find the hearings far from riveting but watch out of obligation or amusement, here’s a modest suggestion to pass the hours productively: Count the important things your representatives could and should be doing otherwise,” Michael Goodwin writes. Fix immigration, pass USMCA, rebuild infrastructure—take your pick.
Trump Delivers a Salute to Veterans at Historic NYC Parade
-Military.com
“President Donald Trump paid tribute Monday to all Americans who have worn a military uniform, from the Revolution through present-day conflicts. He spoke at the start of the annual New York City Veterans Day parade,” Richard Sisk reports. President Trump became the first sitting U.S. President to attend the parade. “Our veterans risked everything for us. Now, it is our duty to serve and protect them,” he said.

🎬 Watch: The President and First Lady attend the NYC Veterans Day Parade

REMARKS BY PRESIDENT TRUMP ON HONESTY AND TRANSPARENCY IN HEALTHCARE PRICES

Office of the Press Secretary
REMARKS BY PRESIDENT TRUMP
ON HONESTY AND TRANSPARENCY IN HEALTHCARE PRICES

Roosevelt Room

 
2:12 P.M. EST

     THE PRESIDENT:  Thank you very much, everybody.  It’s a great honor.  The stock market is up big today.  It set a new record.  I think it’s the 22nd time this year, and it’s over 100 times for the time that we’re in office.  We’ve set over 100.  I think it’s substantially more than 100.  We’ll get the exact number because I know you wouldn’t want me to have that wrong.  They don’t like that.

     But we’re up over 100 times for the stock market.  And that means jobs.  That means companies are moving back into the United States that left.  We have many, many companies coming back.

The employment numbers are at a record.  The -- or very close.  And we just got a new number on African American employment.  It's the best it’s ever been.  You could say employment or unemployment -- they’re the best numbers they’ve ever been.

     So we’re very proud of what’s happened with our economy.  A few months ago, you were predicting a recession.  Perhaps someday there will be a recession, but we have a long way to go.  The consumer has never been stronger, and we’re going to make the consumer even stronger yet, with transparency, because they’re going to get much better pricing at hospitals.  So I think we can probably add this to the number.

     You saw median household income -- for President Bush, eight years -- was $450.  For President Obama, for eight years -- eight years, think of that -- was $975.  For President Trump -- a little over two and a half years -- when they did the final number, it was $5,000.  And they add to that $2,000, thanks to Kevin and everybody.  Thank you, Kevin.  You’re behind me someplace, right?  Add $2,000 or $2,500, Kevin.  What would you say?

     REPRESENTATIVE BRADY:  Yeah.  Right about there, Mr. President.

     THE PRESIDENT:  Right there?  So let’s add $2,000, and then add $3,000 for regulation, and add something for the energy savings.  So you have $10,000.  So it’s $400 and $975 -- that’s for eight and eight.  And then, for two and half years, it’s $10,000.  That’s not bad.  But the consumer is very powerful, and this is going to make them more powerful.

     So, welcome, everyone.  This afternoon, we celebrate something that I’m very proud of: another major victory in our mission to deliver great healthcare at a price that you can afford.  This will have a tremendous impact on prices.

     A certain gentleman, who is in the room -- who will say a couple of words -- actually said this is more important than healthcare.  And when he said that, my ears really perked up, and I listened.  And they were right, and they gave me plenty of examples.  And that person recently got the Presidential Medal of Freedom.  His name is Art Laffer, and he’s a very talented guy.

     Where is Art?  Is he here?  Yes?

     DR. LAFFER:  I’m sort of short today.  (Laughter.)

     THE PRESIDENT:  Hello, Art.  I didn’t see you.  I didn’t see you back there.  All right, stand up here.  A great gentleman.  And you brought a man here who's the king of that world.  And -- hello.  How are you?  That’s the guy.  And you made that statement to me: "More important than healthcare."  That was a big statement.  As soon as I heard that, I said, “That sounds good to me.”  It’s transparency.

     So I signed, as you know, an executive order -- historic.  And we’re requiring price transparency in healthcare, forcing companies to compete for your business.  It’s a very important thing that we’ve done here.  I don’t think it’ll be covered by you, but it will be in the years to come.

     Our goal was to give patients the knowledge they need about the real price of healthcare services.  They’ll be able to check them, compare them, go to different locations, so they can shop for the highest-quality care at the lowest cost.  And this is about high-quality care.  You’re also looking at that.  You’re looking at comparisons between talents, which is very important.  And then, you’re also looking at cost.  And, in some cases, you get the best doctor for the lowest cost.  That’s a -- that’s a good thing.

     Today, I'm proud to announce two new actions implementing that order.  First, we are finalizing a rule that will compel hospitals to publish prices publicly online for everyone to see and to compare.  So you’re able to go online and compare all of the hospitals and the doctors and the prices, and, I assume, get résumés on doctors and see who you like.

And the good doctors -- like, I assume these two guys are fantastic doctors, otherwise you wouldn’t be here.  (Laughter.)  And the bad doctors, I guess they have to go and hide someplace.  I don’t know.  Maybe they don’t do so well.  I don’t know.  But if they’re not good, we -- we are more interested in the good ones.  It’s called “rewarding talent.”

Second, we're putting forward a proposed rule to require health insurance providers to disclose their pricing information to consumers.  We’re giving American families control of their healthcare decisions.  And the freedom to choose that care is right before them on the Internet and elsewhere, but on the Internet.  Very, very open.  Very transparent.  That’s why it's called transparency.

And this has been done on a small basis, on individual hospitals.  In fact, Art, you were telling me about that, with your hospital, that you're on the board of a hospital that did this.

I'd like you to actually -- before I go further, I'd like you talk about that just for a second.  Art Laffer.  Art, just mention that, if you could.

DR. LAFFER:  Yeah.  You've got to lower it really far.  (Laughter.)  Sorry about that.

Let me, if I can, just say I was the chairman of the board of Centennial Hospital.  We had some problems.  But when you look at this, this is the biggest revolution I've seen in generations.  I mean -- and as opposed to most revolutions, this revolution saves lives; it doesn’t cost lives.

And, in this revolution, it saves money.  You don’t have to spend money.  And what you've seen here before is that we have no transparency whatsoever in medical.  It's like the hermit kingdom of industries.  You don’t know what the price is.  You don’t know what the outcome is.  And you don’t know what the inputs are.

What this does is this pulls away the veil and allows people to see exactly what they can and what they do.  And if I can say, I think this will lead to a phenomenal change in the U.S. outcome of employment output production.  It's just one of the industries that desperately needs this.

I'll stop about here, but the last one I can remember being involved with was with Lady Thatcher when she privatized coal, steel, and the railroads.  I mean, the changes there with Sir Keith Joseph.  And this outdoes all of those revolutions, sir.  It's the most amazing of all time.

And it takes real leadership to do it and real practitioners to be able to get it through.  And Secretary Azar is a great practitioner, and my buddy Larry Ku- -- Larry Van Horn is also a great practitioner -- as well as Larry Kudlow, by the way.  (Laughter.)  Thank you, sir.

THE PRESIDENT:  And I'd like to have Larry maybe say a few words and explain what this is that we're being -- for the public.

DR. VAN HORN:  Sure, Mr. President.  This is a momentous day.  Americans, year over year, have been faced with higher and higher healthcare costs, facing higher and higher obligation to pay for those out of their own wallets without information around the price and the quality associated with that.

The charges that have been put out are fictitious.  Nobody pays the charges.  This effort is to make real prices transparent.  The net allowed amounts that drive the decision-making for patients every day will now be in their hands.  They can make better trade-offs and have, hopefully, more money in their wallets and their paychecks to pay for all of the goods and services they need to live their lives.

So this is a very momentous day.  And I appreciate the efforts of the administration all the way through in terms of being able to follow through and execute this.

THE PRESIDENT:  And it we did max, right?  We didn’t do a smaller version?

MR. VAN HORN:  We did it max.

SECRETARY AZAR:  A-plus.

MR. VAN HORN:  It's A-plus.

THE PRESIDENT:  I kept saying --

MR. VAN HORN:  A-plus.  (Laughter.)

THE PRESIDENT:  There are versions of this.  I said, "No, I don't want the C or the D.  I want the A-plus."  And we did it the A-plus, so I'm very happy with that.  And I think you're going to see things.  It's kicking in immediately.  It'll kick in as of today, but it's going to really start going during the course of the year, the following year -- this year coming.  And you'll see some results that are going to be actually incredible in terms of costs coming down and, I think, in terms of the quality of the care because you're picking people that you'd want to be with.

This afternoon, we're grateful to be joined by Secretary Steve Mnuchin -- wherever you may be, Steve.  Where is Steve?

SECRETARY MNUCHIN:  Right here.

THE PRESIDENT:  Hi, Steve.

Secretary Gene Scalia.  And I hear you're really doing a job over there.  Huh?

SECRETARY SCALIA:  We're doing our best.

THE PRESIDENT:  Labor is doing okay.  Your numbers are certainly doing very good.  It's a good time to be Department of Labor.  Right?  This is a --

SECRETARY SCALIA:  A great story to tell.

THE PRESIDENT:  Right.  Thank you very much.  Good.

Secretary Alex Azar.  Thank you, Alex.  Thank you.  Thank you, Alex.

And Administrator Seema Verma.  Thank you very much, Seema.  Where's Seema?  This is an unusual group today.  They're spread all over the place.

I also want to welcome Representatives Kevin Brady, Michael Burgess, and Greg Walden.  They've been so fantastic on getting us to a really good position with the taxes.

We're going to be doing a major middle-income tax cut if we take back the House.  And we'll talking about that sometime later.  But we're going to be doing a very major middle-income tax cut, mostly devoted to middle income who have really been big beneficiaries of the tax cut we did, which was the largest in the history of our country.  But we're doing a major tax cut for the middle income, and that'll be subject, obviously, to take -- taking over the House, because Democrats like tax increases, not tax cuts.

I also want to thank our state leaders.  We have a lot state leaders here today at the highest level, and I want to thank them for being here.  And a special thanks again to highly respected economists, Dr. Art Laffer and Dr. Larry Van Horn.

And, really, it was those two people that came to my office.  We were talking about Art, and we were all congratulating him because he did an incredible job over a lot of years with Ronald Reagan and beyond.  And when I said, "The Presidential Medal of Freedom," which is the highest civilian award you can get, he told me this little story about a certain hospital he was involved with where they did this.  And every hospital has had just incredible experience with it.  And I said, "Tell me more."  And then we got involved with Larry and Larry Kudlow also, by the way.  And we had a little group of four people that talked about it a lot.  And I think it's going to have a tremendous impact.

     And again, the statement was made: "This is bigger than healthcare."  And I think it will be.  I think it'll be more meaningful, in many ways.  You'll save so much money and you'll get the care that you want, and you'll choose the doctor you want, which was not possible despite the many pleas.  You know, "You can have your plan and you can have your doctor."  Well, they turned out to be untrue statements about Obamacare.

For decades, hospitals, insurance companies, lobbyists, and special interests have hidden prices from consumers so they could drive up costs for you.  And you had no idea what was happening.  You'd get bills that were unbelievable and you have no idea why.

For example, researchers found that for the same MRI at the same hospital, patients were charged anywhere from $248 to $2,500.  So, 10 times more, at the same hospital.  I assume that would be different doctors within the same hospital.  I don't know if the hospitals are going to like me too much anymore with this, but that's okay, right?  That's okay.  I think the doctors are going to, actually.

In the Boston area, the price of delivering a baby can cost anywhere from roughly $4,700 to nearly $16,000.  One survey found that within a single metro area, the highest negotiated price for a simple blood test was roughly 40 times more than the lowest price.  They were given exactly the same service -- in some cases, sent them to the same labs -- and were charged 40 times more money.

Under the new price transparency rule we are finalizing today -- and it will be all finalized -- it is finalized; it'll be put out today -- all of that will change.  Hospitals will soon be required to publish the price of everything from individual medical supplies to the total cost of common procedures.

Next, we will bring much-needed price transparency to insurance companies.  I'm sure they'll be thrilled.  This will allow you to see your out-of-pocket costs and other vital price information before you go in for treatment.  So you're going to know what it's going to be and you're going to be able to have lots of choices, both in terms of doctors, hospitals, and price.  And we're stopping American patients from just getting, pure and simple -- two words, very simple words: ripped off.  Because they've been ripped off for years.  For a lot of years. 

With us today is Melissa Ural who works for a company that benefits from price transparency.  And, Melissa, could you come up and say a few words?

MS. URAL:  Thank you, sir.

THE PRESIDENT:  Great.  Thank you, Melissa.  Thank you very much.

MS. URAL:  Thank you, Mr. President.  My name is Melissa Ural, and I am the vice president of human resources for HB Global.  We are an employee-owned mechanical contracting company.

Transparent pricing initiative aligns with our ownership model because it allows employees to get the care that they need at the cost that they want.

Currently, we are partnering with a broker to work and negotiate prices for surgeries and other procedures at local surgical centers.  This allows our employees to know what the procedure or what the cost will look like when they walk through the door.

This also allows our employees to get great care at a fraction of the cost, with the same quality and standard of care that they would have gotten, and they won't receive any surprise bills.

Right now, we have some price transparency behind the scenes, but with full price transparency up front, our employees can make the best decisions possible.

     We wouldn't expect our employees to go buy a car or a house without knowing the price up front.  Why should their healthcare be any different?

     I want to thank the President for bringing this important initiative to the front.  Thank you.

     THE PRESIDENT:  Thank you very much, Melissa.  (Applause.)

MS. URAL:  Thank you.

THE PRESIDENT:  Thank you.  Good job, Melissa.

     We're also joined by Kara Boeckel, who works for the same company and benefitted when her employer shopped for the best price on a surgery -- a surgery that she needed.  And I'd like to have Kara come up and please tell us about it.  Kara?  Please.

     MS. BOECKEL:  Thank you.

     THE PRESIDENT:  Thank you.

     MS. BOECKEL:  My name is Kara Boeckel and I work for HB Global, along with Melissa.  And in January of this year, I had surgery on my ankle.  I’m the sole provider of my two-year-old son, so this impact was huge for his and my day-to-day life.

     When I initially went to an orthopedic urgent care, I had no idea what I was going to pay, no idea what the costs were going to be.  I just know that I needed to get help.  I ended up with a bill for over $1,000.  This was an unexpected expense that my family now had to endure, and it had a huge impact on us.

     I would -- it was a huge stresser to know that I needed surgery and not know what the cost was going to be and how it was going to impact my life.

Thankfully, my company was able to work with a brokerage firm and shop around to know what prices were going to be beforehand.  With insurance, the claim my company would have paid was $19,500, and we wouldn’t have known that cost until afterwards.  By shopping around beforehand, we knew the claim was going to be $7,800, which is a 60 percent price difference.  And it was at zero cost to me.  I was even able to get the care out of the same facility that I was going to go to if I would have used my insurance.

I want to thank the President for making healthcare more transparent so that others in my situation don’t have to have these unexpected financial surprises and hardships.

THE PRESIDENT:  Thank you very much.

     MS. BOECKEL:  Thank you.  (Applause.)

     THE PRESIDENT:  Thank you very much, Kara.  Also with us is Dr. Rick Schultz, Chief Medical Officer at Texas Free Market Surgery.  Doctor, I’d like to have you come up and say a few words about what we’re doing and how we’re doing it.  Thank you, Dr. Rick.

     DR. SCHULTZ:  Thank you.  Well, thank you very much for having us here today.  This is a very exciting day.  I’d like to take a minute to talk about stewardship.

First, I’d like to thank Jesus for allowing me the opportunity and charging me with being a good steward of the opportunity and the abilities to practice orthopedic surgery in Texas for the last 20 years.

     I’d also like to thank the President for his leadership and stewardship in this effort and the fact that, since he’s been elected, he trusts Americans to be courageous and make smart decisions with their own money and their own healthcare.  And he knows that we’re smart enough to make good decisions now.

     This policy -- this transparency will be the fuel for healthcare innovation very similar to what we’re doing with Texas Free Market Surgery and Texas Medical Management.  Right now, every day, we take good care of patients at a very fair price, and it’s completely transparent.  This is not something in the future; this is something we’re doing today.  If you don’t believe me, just check out our website.

     Finally, I’d really like to challenge the Americans that this is a right that you’re getting back, to know the price of your healthcare.  This is going to be a fight.  This is very disruptive.  The people who are currently making a lot of money off of us are going to fight this tooth and nail.  If you aren’t ready to fight for this, then don’t complain when it gets taken away from you.

     Mr. President, thank you for stepping into the gap, taking the slings and arrows, and helping to get this going.

     THE PRESIDENT:  Thank you very much.  Thank you.

     DR. SCHULTZ:  Thank you.  (Applause.)

     THE PRESIDENT:  Thank you.  I think, if I could, I’d like to have Kevin Brady come up just for a second and talk about what we’ve done with the individual mandate and how that’s just a part of our -- a small part, but it’s a very big part in terms of healthcare; what we did with respect to our tax cuts and our reforms.  And you might want to discuss the individual mandate. Getting rid of it was such a big deal.  Thank you.

     REPRESENTATIVE BRADY:  So thank you -- thank you, Mr. President.  So, first, thank you for being the President who led on letting people keep more of what they earn so they can afford healthcare costs, utility costs, college costs, all of which has seemed to go up.

     Secondly, thank you for -- when we saw the failings of the Affordable Care Act, especially forcing average Texans, average Americans, into buying healthcare they couldn’t use and couldn’t afford, you stepped forward with Congress to eliminate, effectively, that mandate.  So -- which was another tax cut on the American people.

You’ve also created association health plans.  Because if you’re in a small business -- if you work for a small business or have one, you’ve been left behind under the Affordable Care Act.  Your plans that allow our small businesses to join together to afford healthcare the way the big companies do -- they’re cutting prices 30 and 40 percent, making healthcare affordable again.  Hugely helpful.

And then, today, as Art Laffer has pointed out -- and you too, Mr. President -- look, patients are confused.  Families don’t know what things cost.  You can’t shop around and don’t understand the price.  This, pulling back the curtain on healthcare prices, will help competition occur; give us, as families and patients, choices ahead of time; and will ultimately lower the healthcare costs.

     And I'll close with this: It's easy to have quality care or affordable care.  The goal is to have both.  Making these prices transparent allow our families and our businesses to have quality care and affordable at the same time.  This really is transformational.  Thank you, Mr. President.  (Applause.)

     THE PRESIDENT:  Thank you very much.  It all, sort of, fits in.  It's like a puzzle.  And I see my friend, Greg.  I can't believe you're going to be leaving Congress one of these days.  I was so disappointed to see that, but you're fantastic.  And we all work together with everybody -- all of us.

     Come on up here, the two of you.  I'd like you to discuss Right to Try a little bit.  And, I mean, you think about -- it's really a very important part of healthcare.

     REPRESENTATIVE WALDEN:  It is.

     THE PRESIDENT:  The ultimate part of healthcare.  And for 45 years, they've been trying to get it passed and they couldn't do it.  And Greg Walden, the three of us plus a lot, we've got it done. 

     REPRESENTATIVE WALDEN:  Hear, hear.

     THE PRESIDENT:  Congressman, thank you very much.

     REPRESENTATIVE WALDEN:  Hear, hear.  Thank you, Mr. President.

     THE PRESIDENT:  Go ahead.  Please.

     REPRESENTATIVE WALDEN:  Well, thank you, Mr. President.  We've never had a President lean further, farther forward on behalf of patients than President Donald Trump.  (Applause.)  And we finally got into law -- we finally got into law Right to Try.  Now you're going to get in place "Right to Know."  (Laughter.)  We should have the right to know what these things cost.

This is -- I was here with you when you talked about surprise medical billing.  And we are very close to legislating on that, Mr. President.  And that is a huge win for consumers.  This is a huge win for consumers.  You're doing the right thing.  And Dr. Mike Burgess, who was my Chairman of the Subcommittee on Health Care, now the top Republican on healthcare, has really been a leader in this effort as well, Mr. President.

And your team, working with the Secretaries and Seema and others, have been at the forefront of this.  And Americans are benefitting.  And the one thing I hear about is what Kevin Brady talked about: We want affordable care, we want innovation, but we have to be able to afford it.  And you can't know what things cost if they won't tell you.  And it's all hidden back behind the curtain.

     So, Mr. President, thanks for your leadership and your team's leadership.

     THE PRESIDENT:  Thank you.  Michael, say a few words, please.

     REPRESENTATIVE BURGESS:  Well, what I hear from constituents all the time -- I practiced medicine for 25 years -- they're concerned with the cost and complexity of healthcare.  This is a major step -- major step -- in delivering on that promise for patients.

     Look, there's another party in town that just wants to take away all your choices and give you one choice.  This President is trying to expand your choices.  That's a better choice.

     THE PRESIDENT:  Thank you, Michael.  (Applause.)

     REPRESENTATIVE BURGESS:  Thank you.

     THE PRESIDENT:  Thank you.  Thank you very much.

     So the actions that we're announcing today are only the latest steps in our campaign to deliver great healthcare for American patients.  Our efforts to reduce the price of prescription drugs -- and I don't know if you know that, but this is the first time, Secretary Azar, I think in 51 years, that prices have actually gone down --

     SECRETARY AZAR:  Yep.

     THE PRESIDENT:  -- for prescription drugs.  So, that's quite an achievement.

And if we had the help of the Democrats, which we don't -- it's a shame, because we could knock drug prices down so low.  We will be giving states the right to go to other countries to buy their drugs, because other countries -- because they don’t have these crazy, arcane rules that we could fix so quickly if we had the help of the Democrats.  But they want the price of drugs to say high, I suppose.

     But we brought it down the most in 51 years, and we're very proud of that.  But we can bring them down much more.  And one of the things I'm doing is, as an example, Canada will pay much less for drugs because they don't have to pay for research and development, so their pricing is much cheaper.  So we'll buy -- I'm working with Ron DeSantis in Florida and some other governors -- great governors.  And they're going to buy from other countries and skip all of the nonsense.  And I think, ultimately, what that's going to do is the drug companies will bring the price of their drugs down, or they'll buy from other countries.  That's okay, too.

     The same pill, made in the same factory, made by the same company, sells for 50, 60, and 70 percent less in one country than it does in another.  And we're always the high country.  So, I'm going to be giving governors the right, very shortly, to buy -- I've already given some the right -- to buy their -- their prescription drugs from other countries.  And we avoid -- we skirt a lot of -- a lot -- that probably sounds like a pretty good idea to you.  What do you think, huh?

     DR. LAFFER:  We love it.  (Laughter.)

     THE PRESIDENT:  You, as the great economist.  So, anyway.

     So, the actions that we're announcing today are the latest steps.  Our efforts to reduce the price of prescription drugs -- we're going to have some tremendous results.  We could do it so simply if we had any kind of help from the Democrats.  But they're doing so many other things, namely one: wasting a lot of time.  And very bad for our country, what they're doing.

And they should approve USMCA.  By the way, it's the greatest trade deal ever made.  (Applause.)  And they should stop playing games.  And, you know, Mexico signed it many months ago.  Canada keeps calling me: "When is this deal going to happen?  Is this deal going to happen?"  And it's sitting on Nancy Pelosi's desk for about three months, four months.  Nervous Nancy -- she needs a little nervous energy to get it done because all she has to do is put it up.  She's got plenty of Democrat votes.  A lot of Democrats are pushing her, but she doesn’t want to do it because she doesn’t want to have a victory for the American people.  And that’s all it is.  So either she does it or she doesn’t do it.

But Mexico wants to know what's happening.  Canada wants to know what's happening.  They could live without it.  Because it's a great deal for us.  They could live without it.  And they want to know what’s going on.

We eliminated the Obamacare individual mandate penalty, and we're expanding affordable alternatives which cost up to 60 percent less than Obamacare plans.  And it could be even quite a bit higher than that, in some cases.  And we will always protect patients with preexisting conditions, and, as I've been saying lately, and also patients with preexisting physicians.  (Laughter.)  I thought that was good.  I made it in one speech.  I said, "You know, people like that."  But it's true, because you didn’t have your doctor, you didn’t have your plan.  And now you have the plan and you have the doctor.  So, it's pretty good.
   
In everything we do, my administration is fighting for the rights of American consumers, the wellbeing of American patients, and the health of American people.  We're taking on the bureaucrats in more ways than one.  You probably notice that, right?  We're taking on a lot bureaucrats.  We're taking on the insurance companies, and we're taking on the special interests.

And that’s one of the difficulties I have in Washington because I've taken on a lot of the establishment.  And a lot of the politicians are taken care of by the establishment, and they don’t like that I take on the establishment.  But I'm taking it on for the consumer, for the American people.  And that’s why you see prices going down.  And you haven’t seen anything yet.  Things are going to happen that will be shocking.  But there are people in Washington -- as I say, there are people in the swamp that don’t like what I'm doing for that reason.

We will not rest until every American has access to the highest quality, most affordable healthcare anywhere in the world.

And, again, I want to thank you all.  And I'd like to ask Secretary Azar to come up and say a few words.  Thank you very much.  Thank you.  (Applause.)

SECRETARY AZAR:  Well, thank you very much, Mr. President.  And thank you for your leadership.  You asked us, as you said earlier, to deliver "A-plus" transparency in healthcare.  Well, right now, our system wouldn’t even get a passing grade on transparency.  Patients are at the mercy of a shadowy system with no control over their care.  But thanks to your leadership and your transparency executive order, we're changing that.

The changes you described, what we're doing at HHS, will be revolutionary to our healthcare system -- perhaps the biggest single change that President Trump has made to Americans' healthcare experience.  More than 70 percent of the most common hospital services are shoppable.  We're delivering American patients the information they need to make the right choices for themselves.

That’s crucial to the kind of system that we're building for American patients with affordable, personalized, patient-centric care that puts you in control and treats you like a human being and not like a number.

So thank you, Mr. President, for delivering American patients the affordability that you need, the options and control that you want, and the quality that you deserve.

A key leader in this work has been Administrator Verma, who will now say a few words.  Seema.  (Applause.)

ADMINISTRATOR VERMA:  Thank you, Alex.

First of all, I want to thank the President because people have been talking about price transparency forever.  We all know that what's been going on in the healthcare system has been wrong.  It's not fair that patients don’t know the cost of the services that they're going to get.  But only one man has been willing to stand up to special interests and do what's right for patients and put them back in control of their healthcare.  So, thank you, President Trump.

THE PRESIDENT:  Thank you very much.

ADMINISTRATOR VERMA:  Really appreciate it.

THE PRESIDENT:  Thank you very much.

ADMINISTRATOR VERMA:  Thank you.

THE PRESIDENT:  Thank you very much.  Thank you.  (Applause.)

So, after many, many years, we finally have transparency.  It's going into effect today.  It will have a tremendous impact.  It will, sort of, go in sections and stages, but it all begins today.  And within about 12 months, I think it'll be fully implemented -- and, we can even say, probably a shorter period of time than that.  Some of it's complex and some of it's very easy.  But it's all very good.  It's -- there's never been anything like this.

So the word is "transparency," and I love transparency in many ways.  And this is going to be something that’s going to be -- it's going to be incredible for the consumer, for the patient.  I think it’s going to be really good for the good doctors, maybe not so good for other doctors.  I think it’s going to be really good for the great hospitals, frankly.  And it's very exciting.

And it's something that again, Art, I want to thank you very much because you really did bring it to my attention and I appreciate it very much.  Thank you very much.

Yeah, please.

Q    Mr. President, what do you say to Democrats that say you were witness tampering this morning when you made that tweet (inaudible) Ambassador Yovanovitch?

THE PRESIDENT:  You don’t want to talk about transparency?

Q    Well, (inaudible).

THE PRESIDENT:  You know, I'll talk about transparency.  I like transparency here.  And I'm the most transparent President in history.

And I'll tell you about what tampering is.  Tampering is when a guy like Shifty Shift [sic] doesn’t let us have lawyers.  Tampering is when Schiff doesn’t let us have witnesses, doesn’t let us speak.  I've been watching today.  For the first time, I started watching and it's really sad when you see people not allowed to ask questions.  It's totally -- nobody has ever had such horrible due process.  There was no due process.  And I think it's --

Q    Republicans have been asking questions all day.

THE PRESIDENT:  -- I think it's considered a joke all over Washington and all over the world.  The Republicans are given no due process whatsoever.  We're not allowed to do anything.  It's a disgrace what's happening.  But you know what?  The American public understands it.  And that’s why the poll numbers are so good.  And that’s why other things are so good.  What they're doing in Washington with that hearing -- and, by the way, it's a political process.  It's not a legal process.

So if I have somebody saying, I'm allowed to speak up.  If somebody says about me, we're not allowed to have any kind of representation, we're not allowed to have almost anything.  And nobody has seen anything like it.  In the history of our country there has never been a disgrace like what’s going on right now.  So, you know what?  I -- I have the right to speak.  I have freedom of speech, just as other people do.  But they’ve taken away the Republicans’ rights.

And I watched today, as certain very talented people wanted to ask questions, and they weren’t even allowed to ask questions -- Republicans.  They weren’t allowed to ask questions.  It’s a very sad thing.

Go ahead.

Q    Why did you attack her?

Q    Sir, with your freedom, were you trying to intimidate Ambassador Yovanovitch?

THE PRESIDENT:  I just want to have a total -- I want freedom of speech.  That’s a political process.  The Republicans have been treated very badly.  And I watched a little bit of it today.  I wasn’t able to yesterday because we had the President of Turkey here, and I wasn’t able to watch much.  I watched some of it this morning.  I thought it was a disgrace.

When we have great Republican representatives -- people elected by the people -- and they’re not allowed to even ask a question, they’re not allowed to make a statement; we’re not allowed to have witnesses; we’re not allowed to have legal counsel, White House Counsel -- it’s a disgrace and it’s an embarrassment to our nation.

Q    Do you believe your tweets and your words can be intimidating, sir?

THE PRESIDENT:  Yes -- go ahead, please.

Q    Sir, do you believe your tweets and words --

THE PRESIDENT:  Quiet.  Quiet.

Q    -- can be intimidating, sir?

THE PRESIDENT:  Quiet.  Please.

Q    Sir, do you believe your tweets and words can be intimidating?

THE PRESIDENT:  I don’t think so at all.

Go ahead.

Q    Mr. President, do you think you’re going to get impeached?

THE PRESIDENT:  Well, I shouldn’t be.  In fact, I thought, last night, it ended.  Because last night, I was in Louisiana, where we’re going to hopefully elect a great governor -- a Republican governor.  And I was getting off the plane, and they handed me a statement that was just made by the Foreign Minister and President of the Ukraine.

And Ukraine -- they came out loud and clear that there was no linkage whatsoever, not even a little bit.  And you saw it.  You all saw it.  I said, “Oh, well, that ends the impeachment.”  And you people don’t even report it.

Look, the press is unbelievably dishonest.  That was a major statement put out last night by the Foreign Minister of Ukraine and also by the President of Ukraine, and you don’t even report it.  It’s a disgrace.  Because it’s sad.  There was absolutely no linkage.  We had a perfect conversation.

And I also, because of transparency -- whether it’s medical transparency or just transparency, generally -- I also put out, today, a statement.  And in the statement, we released -- and then Congressman Nunes read -- a call that I had with the President of Ukraine.  And it was a great call.  It was a very nice call.  Everybody said it was perfect.  I always say it was equally as good as the other call.

And I put it out today, and nobody even wants to report it.  Because it was so good, they don’t want to report it.

Look, if we had an honest press in this country, we would be so well served.  And you know what?  When I look at your approval numbers, they’re the worst they’ve ever been in the history of our country.  The media, the approval numbers -- they are horrible.  And you ought to get yourself back and you ought to put yourself back in a position where people respect the media again.

And I know some great journalists, I know some great people in the media, but there aren’t enough of them.  There’s a lot of dishonesty.  And many of you, I just consider members of the Democrats, and it’s a shame.

Okay.  Thank you all very much.  Thank you.  (Applause.)

END                                    2:47 P.M. EST