Transcriber: nvidia/parakeet-tdt-0.6b-v2, sat-12l-sm, and large-v3-turbo
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mimi geerges
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bartley armitage
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bernie sanders
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bill cassidy
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maggie hassan
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roger marshall
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john a keel
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Rising Healthcare Costs Concern00:15:03
unidentified
On November 3rd, at the age of 84. The service will feature tributes from his daughter, former Wyoming Congresswoman Liz Cheney, and former President George W. Bush.
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Coming up this morning on Washington Journal, along with your calls and comments live, investigative journalist Dave Leventhal on potential changes to congressional stock trading law.
And then we'll discuss the Epstein files and other congressional news of the day first with Washington Republican Congressman Michael Baumgartner and then with Massachusetts Democratic Congressman Stephen Lynch.
According to a new Gallup poll, nearly half of American adults are worried they won't be able to afford health care in the coming year.
An overwhelming majority, 90%, believe we spend too much on health care for the quality we get.
This morning, we want to hear from you.
Are you worried you won't be able to afford health care in 2026?
What has your experience been with quality and accessibility?
Have you ever had to forego recommended treatments or medications because you couldn't afford it?
Here's how to share your thoughts.
Democrats, 202748-8000.
Republicans, 202-748-8001.
And Independents, 202-748-8002.
You can also text us at 202-748-8003.
Include your first name in your city-state.
And we're on social media, facebook.com/slash C-SPAN and X at C-SPANWJ.
Welcome to today's Washington Journal.
We'll start with that poll that I mentioned.
This is at the Gallup website.
It's headlined, How Do Americans Experience Healthcare in Their State?
And it starts this way.
Nearly half of U.S. adults, 47%, are worried they won't be able to afford necessary healthcare in the coming year.
It's the highest level of concern recorded since West Health and Gallup began tracking the measure in 2021.
One in five Americans, also a record high, report that they or someone in their household couldn't pay for prescription medications in the past three months.
These are merely two of countless healthcare hurdles Americans face.
This study also looked at ranking, so healthcare experience of the states.
So if you'd like to see where your state is, whether it's top 10 or bottom 10 in healthcare experience, you can take a look or give us a call.
And yesterday, senators in the finance committee heard from an ACA enrollee who is seeing a rise in healthcare costs from the expiration of the enhanced subsidies.
Here's an exchange with Senator Maggie Hassen of New Hampshire.
I want to start with a question to you, Mr. Armitage.
We are more than two weeks into open enrollment, and granted staters are logging onto healthcare.gov and they are seeing that their out-of-pocket costs for premiums have increased by thousands of dollars.
My Republican colleagues for weeks insisted that they wouldn't work on addressing the issue while the government was shut down.
So now the government is reopened.
It's critical that we come to the table and find a bipartisan path to extend the enhanced tax credits because the stakes couldn't be higher.
My office recently heard from Laura in Dover, New Hampshire, who is self-employed and whose monthly premium is surging from $140 per month to nearly $500 per month.
Laura told me that she will not be able to afford health insurance next year.
So, Mr. Armitage, what are the difficult decisions that your family is considering due to healthcare.gov enhanced premium tax credits being taken away?
And we're asking you this morning: are you concerned with rising health care costs?
Do you worry that you won't be able to afford health care in 2026?
We'll start with Ron calling us from San Clemente, California.
Republican, good morning.
unidentified
Good morning.
Yeah, it's to answer that question is a little more complex than just saying yes or no.
The reason is, I'm a Republican.
I'm a Liz Cheney, Adam Kinzinger Republican.
So back in February, everybody laughed us off because we were only about 13% of the population that were Republicans who believed in morals and ethics.
And so anyway, it took nine months, and sure enough, all through that period of time, the cost of everything rose dramatically because of the tariffs, because of the works of this administration, because of the constant effort to demand higher costs for everything.
So as a result of that fact, of course, health care is going to cost more, but everything else does too.
Try to repair your vehicle.
The cost of everything that you buy for that vehicle has doubled.
I mean, you think that the actions of the administration are causing health care costs to rise?
Explain that.
unidentified
All right.
It's pretty simple.
When everything goes up, all right.
Obviously, then every area of the whole economy is going to go up.
So it's not just, that's why I brought that up, because of the fact that what we're talking about here is not just health care, which is dramatic.
I mean, look at prescription drug costs.
Look at the cost of, I mean, these prescription drugs that used to cost half of what they do under the so-called Biden administration are now double.
And so, you know, I mean, it's the irrelevant and immoral use of the tariff laws and because of the laws that constantly are being put forward by this administration.
That's why they're going to get wiped out in the midterms.
And the good news is this.
That 13% that I belong to is now adding another 30%.
13% is like a baseline for serious Republicans that have believed in a moral and ethical.
Right, but how are you measuring that?
You measure that because of the fact that if you go to any, I don't know, just look at when you go to open forums for congresspeople, and you see how many people are at those forums constantly picking on the Republicans for what their actions have been.
We'll see that that's 13 percent or more than the base.
It took me months because I called my medical insurance company and I said, do you by any chance have a list of doctors in my area that are taking new patients?
So she gave me a few names and I called them and find out that no, they weren't taking new patients.
So it actually took me a few months to find a doctor that was taking new patients.
But as far as getting an appointment, once I found the doctor, I got in fairly quickly.
But getting back to the Affordable Care Act and stuff, let's not forget, 10 years ago, the medical community declared drug addiction as a disease.
So over the last 10 years, medical insurance companies, they now have to pay for rehab, whether the addict is rehab one time or three times or whatever it takes.
And rehab is extremely expensive.
So that could account for some of the reason why medical insurance premiums have gone up.
Because, you know, what do we have like several million addicts in this country going through rehab and medical insurance companies now having to pay for rehab?
All right, Martha, and let's check in on Facebook.
This is what Terry says.
Insurance is the biggest scam in America.
We need doctors to be able to do their job without insurance companies dictating health care.
Whatever happened to Trump's concept of a plan and the Republicans' notebooks of ideas?
They've had over 10 years to come up with something.
Maybe they could improve the ACA instead of gutting it.
But better yet, let's go with universal health care.
Here's what our Gloria says on Facebook.
The question should be, why isn't health care in America affordable?
Most Americans are ignorant regarding access to affordable health care.
Profit takes precedence over people.
And Bill Floyd, responding to the question, are you concerned, says, of course, we need a single-payer plan like the rest of the industrial world has.
And Tammy says, yes, mine more than doubled.
Anthony, a Massachusetts Republican.
Hi, Anthony.
unidentified
Hi.
I have an idea of why we pay so much for health care.
And what I believe is that there is an incentive for various providers like doctors or medical device providers, anything,
to charge a lot to people who are either out of network, don't have ACA or business paying their premiums, and anybody else who's not in ACA or getting it from business.
Because if they do charge that and somebody pays a lot and just gets bad value, they can use that as a basis for their starting negotiation.
Like say if they're negotiating to get a high payment for out-of-network coverage, they can use that overcharge as claiming it's a going rate.
And that is a big advantage in negotiations with insurance companies and other buyers of healthcare, like businesses.
And so Mary in Fort Washington, Maryland, Democrat, you're on the air, Mary.
unidentified
Yes, good morning, C-SPAN.
Good morning, Mimi and America.
I'm not concerned for myself because I'm on Medicare now.
And I have to switch from Kaiser because I'm tired of the selection of doctors to Blue Cross Blue Shield where I can pick my own.
I'm looking forward to that again.
And as far as the rising costs, we wouldn't be concerned about that if we had Medicare for all, like all other industrialized, civilized countries.
See, we live in a country where the corporations tell us what to do, and they own the insurance companies, and they also own Congress.
So, if we get a Congress in office that actually has a brain and a heart and compassion and a conscience, we will have Medicare for all.
And that's what we need.
I said, I listened to the people on Facebook.
I agree with all of them.
We need a civilized health care system.
We don't need insurance.
And when we can get rid of the insurance companies and get a Medicare public option for all, we will all be healthier.
And it all comes down to a Congress, which we don't have right now.
We don't have a legitimate president.
We don't have a legitimate anything.
And when we get this man out of office, maybe we can get Medicare for all and they can stop gutting the ACA, which they like to call Obamacare, so they can hate it.
That is what we need, and that is my concern.
But I'm looking forward to having Blue Cross Blue Shield where I can pick my doctors, and I can pick anything in it.
No more HMOs, organized health.
No, that doesn't work anymore.
It works for the VA, yes, but it's not working for the American people right now.
And here's what Politico says about Senator Bill Cassidy of Louisiana, a physician.
It says, Cassidy pushes his Obamacare plan.
Democrats aren't biting.
It says with Obamacare subsidies set to expire at year end and insurance bills skyrocketing.
Senators are at loggerheads.
Let's take a look at a portion of Senator Bill Cassidy of Louisiana and Brian Blaze of Paragon Health talking about this idea of sending federal dollars directly to consumers.
Obamacare failed to give access to all Americans to health care, and Obamacare failed to control health care costs.
And the kind of comments that have been made back and forth make that clear.
The question is, how do we address this?
And this is personal to me.
I'm a physician who worked for 20 years in a hospital for the poorly insured and the uninsured.
Sir, your story about your issues or the patients that I used to see.
And one thing you've mentioned, if not emphasized, but I happen to know that deductibles, which are too high, become a barrier to accessing the insurance.
You are someone, we need to do something for your insurance policy, not just the deductible, but also the cost of the premium itself.
I think that's true.
Now, we also have to control health care costs.
So, Dr. Blaze, I got limited time.
Be tight, man.
Be tight.
So tell us about the ability of a health savings account, just statistically, not your opinion, but what statistics show that once you give the mama the power of the purse, the ability to shop with a health savings account, which she's awarded if she chooses a lower cost option, what impact does that have on health care cost?
We've got all these different plans out there, all these different insurance companies, all these different silver, gold, platinum, whatever for the ACA, Medicare, Part A, Part B, all this nonsense.
And we've got these insurance companies racking in billions of dollars, spending half the money that they make probably on advertising, bombarding us with ads to take this, take that.
I think it's about high time you just ask a basic question.
Why don't we just make health care in America a universal right?
Just like being able to get a 12th grade education or, you know, turning 18 and having the right to vote.
Why has this got to be so complicated and so many players involved?
We just unify the damn thing.
I think we could probably get through this for a whole lot less cost.
I come from a family of medical workers going back to my great-grandmother.
I'm here in Potoski.
She was a private duty nurse in her later years in Bayview.
She was a midwife nurse.
Years ago, when I first began working at a hospital, I think it was 1990, I could insure the entire family and myself, there were four of us, for it was either $20 or $40 a month.
I had my first two children home.
I paid, my husband and I paid cash.
We paid the doctor.
We paid the midwives.
The midwives were $500.
It was about $500 for the physician visits.
What year was this, Kathy?
Let's see.
1987, 1989, when I had my first and second child, my third child was born in a hospital.
I didn't pay anything.
I think I paid some co-pays for the doctor's visits to the primary care physician.
I know that people that work in medicine work very hard.
You work weekends, you work holidays, you work midnights.
It's grueling work.
There's work that's necessary.
I'm all for national health care.
I would do it through taxation.
I would make it affordable.
The more you make, the more you pay for your health benefits.
My health benefits, my son is no longer going to be on my plan starting January because he will be, he's 26 now.
We're just signing up.
That will be $100 a month for myself, which is affordable.
Well, David, tell me what it used to cost in the 70s.
unidentified
Do you remember?
Yeah, it was about half of what it costs today.
But it was about $400, you know, about $400 and some dollars.
Now today, it's about $800 and some dollars.
You know, so yeah, it's gone up.
It's always been unaffordable.
And it's good to know that there are other ways to get health care.
You can serve in the military and become a veteran.
Or you can pay into the Medicare and hope nothing else happens to you till you become Medicare eligible or you become disabled in some way, you know, to be eligible for it.
But it's a necessity and it's something people shouldn't take lightly.
Medicare goes up every year.
I mean, healthcare goes up every year, every two years or so, and it never stops.
So it's going to keep rising.
As long as you got the government paying for it, it's going to keep rising.
And, you know, people, it's just a fundamental of life anymore.
If you don't have Medicare, things they need to be teaching the children nowadays is that's going to become a big necessity unless you want to become bankrupt and homeless.
It seems to me that the most important question that we should be asking ourselves is, number one, why is the United States, the richest country in the history of the world, the only major country not to guarantee health care to all people?
Simple question.
Number two, not unrelated, why is it that in the United States, despite the fact that we have 85 million people, uninsured or underinsured, that some 60,000 people a year die unnecessarily because they don't get to a doctor when they should because they're uninsured or underinsured, when we don't have enough doctors or nurses or dentists or mental health counselors,
when our life expectancy in the richest country in the history of the world is four years lower than OECD countries, and if your working class is significantly lower than that, why is it that half a million people in America go bankrupt because of medically related illnesses?
Those are simple questions.
Mr. Chairman, then maybe it's time we start asking.
So in all due respect, I would hope, Mr. Chairman, that the next hearing we have on this issue is we bring people from other countries who are providing health care to all of their people as a human right at a fraction of the cost that we spend.
So maybe we have somebody from Australia here, which has health care for every man, woman, and child.
They're spending about half as much.
We're spending close to $15,000 per person.
Our problem is not that we're not spending enough money.
We're spending a fortune.
The question is, where is that money going?
Who benefits?
Maybe we ask somebody from France to come here and explain to us how they guarantee health care to all people as a human right, spending less than half of we spent Canada, UK, Japan.
Japan spends less than $6,000.
We spend close to $15,000.
Somehow, they manage to provide health care to all people.
Wonder what you think about that, what he just said about those other countries being able to provide health care to everyone at half the cost or even less.
Denise in California, Independent Line, what do you think, Denise?
unidentified
Well, it's a very complex problem.
I'm a healthcare provider.
So basically, when you compare other countries, the U.S., it's a very big country.
So if you take Australia or France or those places, they are like the size of one of a large state.
So therefore, their population, it's less.
And again, people are healthier, so they are do prevention.
They don't eat whatever they want and do whatever they want and then go to the doct go and see provider to be fixed.
So we as Americans have to take care of ourselves.
That's number one.
Number two, when you have a flux of illegal, okay, in the past when we had people coming to the U.S., we were selective in terms of people that could really provide something to the country.
Now we're getting people that they don't get screen.
And when we say that illegal people don't receive health care, maybe not, but they go to the emergency room.
And guess what?
We have to pay.
So the more we have people that cannot sustain themselves, take care of themselves or pay for their care, then that's again the growth of spending.
So we need to understand economics when it comes even to healthcare.
And when we think about, and it's going to get worse, right?
So there's no way really when we're talking about universal health care that it can happen here.
We have too many people and we have too many people dependent on the government.
So for example, I can tell you, my son went to Europe and ended up at the emergency room because he fell or something.
They were doing something crazy and fell.
He went there, they took care of him.
But then when he returned to the U.S., he received a bill that he had to pay.
The bill was over about 600 euro for all the things they had to do, X-rays, things like that, MRI to make sure there was no fracture, things like that.
Well, he paid when he was there, he paid a little money, and then when he came back, they charge him.
But guess what?
If they don't have to pay, it's not a lot of money because they don't have to, when you go to the emergency here, you have to pay for other people that don't pay.
For example, you go to the emergency and they give you a motoring that is two motoring that probably couple cents and you have to pay $40.
Michael in Hagerstown, Maryland, Republican, you're next.
unidentified
Hi, Mumi.
This is Michael.
I recently, actually last week, submitted a healthcare policy to Mike Johnson and John Ten.
And basically, it's a four-part policy.
We've got to get away from the federal government being involved in everything.
The more they get involved, the more costs.
The same thing in colleges, tuition goes up, same thing in healthcare.
The Unaffordable Care Act, as an example, is simply a way of subsidizing insurance companies, and therefore costs are going to continue to go up.
So here's the four-part plan.
One is focus on community health organizations.
There's over a thousand already, and we could create one community health organization for every 100,000 or so population.
And that control would be local and county and would be funded.
And individuals and families without a primary care position would use these CHOs, I'll call them, for ongoing health care needs.
So that's the first part.
Second part is that insurance needs to be competitive across state lines.
Right now, there's a wall between states, and we need to allow competition.
That'll bring costs down.
Health savings accounts can be part of that insurance piece.
The third is risk pools for pre-existing conditions, cancer, diabetes, heart disease, can be created with both state and federal government to help the folks who are in that risk pool arena.
The fourth is tort reform for crazy lawsuits that are driving up the cost of medicine.
Like the lady said before, we all pay for people that are uninsured, and we also pay for lawsuits that happen.
Somebody has got to pay for them, and that's what's happening.
I recall sitting in the doctor's lounge maybe a month or three after Obamacare was passed, and there were two conclusions in that lounge.
Number one is, oh my gosh, the insurance companies have written this bill.
We said that because there was going to be an estimated $50 billion of subsidies going directly to the insurance companies.
And today that's grown to $150 billion a year.
So American taxpayers are paying insurance companies exactly $150 billion a year.
The other conclusion was that this overregulation would lead to consolidation of the industries.
I mean, it was very evident the same thing was happening in banking and Dodd-Frank.
We knew that we're going to have to take nurses off the floor and bring them into data entry positions as well.
We knew the small doctors' offices, small hospitals could never take on all this over-regulation.
So here we are, 15 years later, and we understand that Obamacare has been an abstract failure.
You know, I say this because premiums alone going up 200% in many cases.
No one can argue this, that premiums are, that the ACA has led to premium increase.
I draw attention to specifically going from 2020 to 25, how it just takes off, the premiums take off.
Well, why?
We started adding in these enhanced Biden subsidies as well, and the insurance companies jacked up their premiums to go along with that.
And I think the other thing to point out is that just because you have Obamacare doesn't mean you have access to care.
If you're a single person with a deductible of $5,000, if you're a family of four with a deductible of almost $15,000 and you're making less than 400% of poverty level, there's no way that that's access to care.
So I came here saying that there's three principles.
This is 2016.
I ran on fixing health care in the Congress.
I said that we need to do two things.
Number one is we need to make patients consumers again.
Number two is we need to promote transparency, price tags.
And if you did those two things, if you make patients consumers again, you presented the consumers with options, then innovation would occur once again.
No one can do innovation right now because there's so many guardrails around what you can do or not do.
Well, when I used to go into my regular doctor's office, when I had Blue Cross, I go in there and half the employees would be people filing paperwork for the insurance companies.
I imagine at the other end, they got a bunch of employees at the insurance company to file the paperwork back.
And everybody along the way needs to make a profit in the system.
The people selling you the drug, the doctor, the people giving you an x-ray.
Every step, every little step, everybody has to make a profit.
In the VA healthcare system, none of that exists.
You've eliminated like so many people, so much paperwork.
There's no insurance companies to make a profit.
You know, everybody gets a salary, you know, that work there.
Also, the VA healthcare system, mostly employees are in a union and it's government ran.
And how could that be the most cost-effective health care in the world?
And I hear all these politicians talk about, well, you can't have government health care.
I think the problem is if we should have total government health care with no private health care, except for maybe rich people.
I think you could take a government-run system, put everybody in the traditional one, and take that $200 billion and pay and have no out-of-pocket co-pays or deductibles for the traditional one.
I mean, like the guy just said, you got all these other people you got to pay overhead.
You got to pay the representative.
And a lot of these people complain about what health care costs used to be 20 or 30 years ago.
They didn't have the advancements back then.
Back then, when you got diabetes and stuff like that or cancer, there was a death sentence within a few months, a year.
They got all the different treatments they got.
All that stuff costs money.
Back in the 60s, they didn't have MRI machines.
I mean, you got people going to MRIs and they're finding out things earlier than normal.
So you got to use common sense with stuff like that.
But I think that most people, if you gave the, if you told the VA people, hey, we're going to take your VA away if you want to take private insurance, they're not going to do that.
But then it's government, a lot of them don't realize, hey, that's government run.
So as you get the profit motive out of it, you get everybody on a single payer or Medicare for all system or whatever it is, the government.
And the government knows the thing is the government invests so much money in making a lot of these drugs available.
But the insurance companies are the ones on the people that make them on the ones that profits here off all of it.
The government gets nothing.
They got all the smartest kids in schools doing this.
And a lot of kids in school now, they'd rather go to finance jobs.
And, you know, they're very smart, but they don't want to take on the debt because it was of what it costs to be a physician or PA or whatever.
Maybe the government should think about, hey, telling these people, you do the school, you do a couple years in government or even in the private sector.
And we'll pay your tuition to get more people involved and going to school.
They're smart because that's why we have a shortage.
Go ahead, Trish, about your concern on healthcare costs.
unidentified
Yeah, good morning.
Yeah, so listening to yesterday local news and another fallout from the one beautiful, excuse me, the one blank bill.
And Providence Swedish, which is a huge consortium of medical clinics, hospitals, et cetera, they're laying off 300 people.
Children's Hospital, They're laying off over 150 to 200 people.
And Peace Health is another, again, big consortium of clinics and hospitals.
They're going to be laying off another of approximately 400 people.
That's a lot of jobs.
That's a lot of jobs.
And then, you know, right before the holidays, because they just can't wait till afterwards.
But the best part is, is these, at least Providence slash Swedish, they have the audacity to ask to not have to pay for the business and occupant tax on business.
So I don't know where are we going to get the money to run the city.
We were already in the hole there.
And now these, now this, people don't have jobs.
They're not paying taxes.
Swedish prov, they don't want to pay their BO tax.
Patrick, Columbia, Maryland, Independent, you're on the air.
unidentified
Yes, I think this, I mean, I agree with some of the previous callers, but some of them I'm not totally on board with.
I think that, you know, the lady that called in and said her health care, you know, was fairly cheap back in the 80s, having children and stuff.
And I think the biggest issue now is billionaires and people that are in the upper echelons of health care, that it shouldn't be for profit.
I think that if they start building profits, then that should go back into the system as either like research and development type stuff that the other colleague was talking about as far as like, you know, MRI and different types of imaging and different types of treatments.
So I was looking up and it says, you know, back in 1980, when that lady had her children, there was 13 billionaires in the United States.
And now in 2025, we have 902 billionaires in the United States.
So I think the biggest issue is the transfer of that money, of that wealth.
Instead of it being among the people, it's among the few.
And, you know, I don't think that someone else coming into the emergency department that needed an aspirin that I have to pay for, that, you know, whatever that $2 or that $13 is, is breaking the back of the healthcare system.
I think it's the multiple millions of dollars that we pay for these people that are in the upper echelons.
So I think the fix for that would be probably some sort of regulation.
So, because I'm here in Maryland, and so I remember a while back we had regulation over our utilities, and my, you know, my utilities were fairly cheap, you know, $100 or so a month for like electric.
And they ended that regulation saying that, well, we needed more competition.
And so when they ended that regulation, my utilities doubled.
So Patrick, that's the time we've got for this segment coming up on Washington Journal later.
We'll talk with two members of Congress about the news of the day, including the latest on the Epstein files.
But first, after the break, investigative journalist Dave Leventhal joins us to discuss potential changes to congressional stock trading law.
We'll be right back.
unidentified
Join Book TV this weekend for the 2025 Miami Book Fair at Miami-Dade College.
Our two-day live coverage begins Saturday at 10:30 a.m. and Sunday at 10 a.m. Eastern.
Highlights include discussions with historian Pamela Nadel with her book, Antisemitism: An American Tradition, an investigation into the depths of anti-Semitism's history and its recent manifestations.
Cartoonist Art Spiegelman revisits his Pulitzer Prize-winning series Mouse in his book, Meta Mouse.
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And CNN's Abby Phillip, with her book, A Dream Deferred, Jesse Jackson and the Fight for Black Political Power.
Book TV will also feature author interviews with viewer Collins, with MSNBC's Jonathan Capehard, and his memoir, Yet Here I Am: Lessons from a Black Man's Search for Home.
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Biographer Sam Tannenhaus and his book, Buckley, capturing the facets and phases of writer and intellectual William F. Buckley Jr., and documentary filmmaker Laurie Gwen Shapiro on her book, The Aviator and the Showman, The Untold Story of Amelia Earhart's decade-long marriage to publisher and explorer George Putnam.
Watch the Miami Book Fair live this weekend, Saturday and Sunday, on C-SPAN 2's Book TV.
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Congressional Stock Trading Debate00:00:49
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