Thứ Bảy, 27 tháng 10, 2018

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ROBERT COSTA: Hello. I'm Robert Costa. And welcome to the Washington Week Podcast.

Our discussion this week is a return to my home state of Pennsylvania, which is a

critical battleground in the midterm elections. And it's a conversation with one of

the state's legendary journalists and one of the nation's best: Pulitzer Prize winner

David Shribman. David is the executive editor of the Pittsburgh Post-Gazette and he's

been a friend of Washington Week for many years.

David, welcome, and thanks so much for joining us here tonight.

DAVID SHRIBMAN: It's great to be at a Washington Week reunion.

ROBERT COSTA: It's a reunion for sure. And, David, Pennsylvania - where you live, where

I grew up - it went for President Trump in 2016, and much of that victory can be credited

to the voters near you in the Pittsburgh region.

I vividly remember driving around western Pennsylvania in towns like Aliquippa for The

Washington Post back then and seeing Trump sign after Trump sign after Trump sign in the

industrial areas, the hilly villages, and rural nooks of the state everywhere.

The Trump signs were just up on those lawns. And I went back to my editors the week before

the election and said western PA is Trump country and we've got to pay attention to that.

President Trump was just back there, in Erie to the north, just a couple weeks ago.

PRESIDENT DONALD TRUMP: (From video.) And what does it mean for you?

Jobs, jobs, very simple. What does it mean for our country? What does it mean for our

country? We can't lose the steel industry. The steel industry was on its last legs.

And now, after four months of really intensely doing what I do - (cheers) - it's

thriving. It is thriving.

ROBERT COSTA: David, the president talked about those steelworkers in Pennsylvania two

years on after he won them over in 2016, many of them at least. Where are they?

Are they going to turn out in the midterm elections?

Do they like the president's trade war with China?

DAVID SHRIBMAN: Well, Bob, a lot of those signs you saw in Aliquippa and Greene County

and along the Pennsylvania Turnpike, they're still there, and some of them are fresh.

And many of those signs are saying thank you for - thank you, Mr. President, about coal

and about steel. And as you know, there's very little steel produced here in the steel

city, home of the Steelers, but there's a huge kind of discomfort here because the

workers - steelworkers and their families and their - and their legacy families -

really appreciate the president's views on tariffs. At the same time, steelworkers

officials, union officials, are uncomfortable with Trump and many of his other policies.

So it's a little bit of discomfort, but generally speaking I think that people from the

steel valley and in steel families support the president, they have done so, and will do

so again in early November.

ROBERT COSTA: But to what extent does President Trump's support in the state, in the

western part of the state, carry over to Republican candidates? You think about

Congressman Lou Barletta, running for U.S. Senate against incumbent Democrat Bob Casey.

Barletta's really struggling, behind in the polls.

Is that just because Casey's a powerhouse in the state with a big name, or is it because

President Trump's - his policies, his persona doesn't trickle down?

DAVID SHRIBMAN: I just watched in the last hour the debate, actually, between those two,

and I don't think anyone would describe Bob Casey as a powerhouse kind of a figure.

He's kind of a laconic figure, almost Jesuitical. He did go to Holy Cross. He is

contemplative. He's not bombastic. Lou Barletta was there. He was - tried to go on the

attack, but really these were two really kind of milquetoast candidates. Barletta is

trying to use the - get some of the Trump fairy dust; it's not really working.

He's very, very far behind, and the Republicans nationally are not supporting him because

they know it's basically a lost race.

ROBERT COSTA: Pennsylvania has a real issue with opioid abuse. You hear a lot about health

care, preexisting conditions, opioid abuse across the country as issues. What's it like in Pennsylvania?

DAVID SHRIBMAN: Well, of course, one of the - one of the great areas - not so great,

actually, but one of the most significant areas is here in western Pennsylvania. Our paper

has done an enormous amount of work on this. This came up in that - in that Barletta -

ROBERT COSTA: - Casey debate.

DAVID SHRIBMAN: - debate not so long ago, and you hear a little bit of talk about

opioids across the state - across the state in the eastern part of the state.

Even Republicans are talking about what they're doing on this.

It's a big, big issue here. We've had an enormous amount of deaths.

The president has spoken about it. I think that's something people are concerned about.

But you also mentioned, Robert, preexisting conditions. I was really intrigued the

way Lou Barletta went in this debate this evening just out of his way to say preexisting

conditions, they need to be preserved. And I think you talked about it earlier in

Washington Week that this is really a main theme now of Republicans across the country.

ROBERT COSTA: Because they see the Democrats are getting some traction on the issue.

And you look at the gubernatorial race in Pennsylvania, the incumbent Democrat Tom Wolf

running ahead of the Republican Scott Wagner. It's similar to what's happening - what we

see in the polls in Ohio, Wisconsin, Michigan. Those industrial, Midwestern, Mid-Atlantic states -

DAVID SHRIBMAN: That all went from Trump.

ROBERT COSTA: All went for Trump.

Now seem to be, at least at the gubernatorial contests, veering back toward the Democrats.

DAVID SHRIBMAN: Yes. Now, Tom Wolf, who really - he's the sort of fellow who kind of

makes Bob Casey look exciting. He's doing very, very well. He'll win probably in a

landslide. It's - he'll get a second term, as most Pennsylvania Democrats do.

He's done very, very well. He's talking an enormous amount about opioids.

And I think he's really struck a chord.

ROBERT COSTA: Senator Casey, you say he's not a powerhouse personalitywise. And that's -

DAVID SHRIBMAN: But he's from a powerhouse family.

ROBERT COSTA: Powerhouse family. And he also does not support abortion rights in the

same way many Democrats support abortion rights. Has that cultural position Casey has

on social issues, has that played any role in this contest at all, especially with the

Kavanaugh nomination and confirmation on the Supreme Court?

DAVID SHRIBMAN: You know, I don't think it's played any role at all, because people in

this state - as you know, having grown up here - are accustomed to having a Bob Casey,

his father, be against abortion rights. And so this is really a continuation of a long,

long theme here. Bob - the senior Bob Casey ran I think four times for governor.

People understand this. They know that this is part of the Casey package. They respect

it because they respect any deviation from the mean that seems to come from conscience,

which we know it does in the Casey family. And so I don't think there's been any

controversy whatsoever. Nor have Democrats run away from him traditionally, when he

was auditor general, or now as going for his third term in the Senate.

It's just part of the Casey package.

ROBERT COSTA: You know better than anyone, David, that Pittsburgh - it is known as the

steel city, but there's so much more going on in Pittsburgh. It's a tech hub now.

It's a great city for universities and education.

And when you think about the kind of voters who now live in the Pittsburgh suburbs, and

in Pittsburgh itself, they're similar to who live in Philadelphia and the Philadelphia

suburbs. These are educated professionals.

What do they think in the Pittsburgh suburbs about President Trump?

Are they alarmed enough to really cause a blue wave in some of these suburban districts?

DAVID SHRIBMAN: Well, some of them are. And the more liberal-oriented ones, like

Mount Lebanon, they are so. But in the less-liberal areas, like Upper St. Clair -

these are two of the more prominent suburbs of Pittsburgh - they're far less

opposed to the president. So it's a balancing act there.

But if you go into the city, the city has a nine-to-one Democratic enrollment edge.

And that's really where the Democrats are going to really do very, very well.

ROBERT COSTA: And the state - Pennsylvania doesn't have a woman representing them as any

part of the congressional delegation.

Yet, there are many women now running across the state for different offices.

DAVID SHRIBMAN: In fact, there are 128 women running state - across the state - not

statewide, but across the state for offices. By my count, there's only been two women

who won statewide offices. The last time we had one of those kind of year of the women

was 1972. Lynn Yeakel did not win the race that year. I think there may not be a big

year for women candidates - although more than usual - but it will be a big year for

women voters. And I think there's a slight nuance there, but I think this could be the

year of the women 2.0, but in a different kind of emphasis than year of the women 1.0.

ROBERT COSTA: And on election night, David, where are you going to be and what are you

really looking for in Pennsylvania?

DAVID SHRIBMAN: Well, I will have had three slices of pizza, I'll be at my desk.

And I'm looking to see whether the - in a swing state, there will continue to be a

Republican domination of the congressional delegation. Thirteen of 18 seats, under the

old apportionment, went to the Republicans. And yet, this was regarded as a swing state.

I think there may be - they may do a little less well. Nine districts now lean pretty

much Democratic, five lean Republican, and the rest are pretty much undecided.

So I think it may - it may kind of have a new kind of equilibrium.

ROBERT COSTA: But, David, you said you're going to have three slices of pizza. I

thought - isn't Pittsburgh the city where you get french fries on a sandwich? Isn't that -

DAVID SHRIBMAN: Yeah, but not french fries on the pizza. I just came from the

office and we just had some pizza, and there were no french fries to be seen.

ROBERT COSTA: Well, in the Bucks County area, where I grew up, we have cheesesteaks.

You guys can keep the pizza and the fries on the sandwiches.

But we got to get together in Pittsburgh or Philadelphia area soon, all right?

DAVID SHRIBMAN: OK. Well, I look forward to it. Thank you, Robert.

ROBERT COSTA: And thank you for joining us, David. It's a real pleasure to have you

here. We hope to see you at the table again soon. And thank you all for joining us here on

the Washington Week Podcast. You can find us on your favorite podcast app, on the

Washington Week website, or on YouTube. I'm Robert Costa. See you next time.

For more infomation >> Race to the midterms – Pennsylvania - Duration: 10:11.

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Suspicious packages put the nation on edge - Duration: 25:10.

ROBERT COSTA: Terror by mail and fear on the campaign trail. I'm Robert Costa. President

Trump's sharp words are under scrutiny as the midterms near, tonight on Washington Week.

NEW YORK GOVERNOR ANDREW CUOMO (D): (From video.) This is a different definition of

terrorism. This is political terrorism.

ROBERT COSTA: Suspected mail bombs sent to high-profile political figures, CNN, and others.

BILL SWEENEY (FBI New York Field Office): (From video.) This is a nationwide

investigation involving multiple jurisdictions coast to coast.

ROBERT COSTA: A suspect in custody.

PRESIDENT DONALD TRUMP: (From video.) I am pleased to inform you that law enforcement

has apprehended the suspect and taken him into custody.

These terrorizing acts are despicable and have no place in our country.

ROBERT COSTA: But a president also critical of the press.

PRESIDENT DONALD TRUMP: (From video.) The media also has a responsibility to set a civil tone,

and to stop the endless hostility and constant negative and oftentimes false attacks and stories.

ROBERT COSTA: A country on edge, next.

ANNOUNCER: This is Washington Week. Once again, from Washington, moderator Robert Costa.

ROBERT COSTA: Good evening. Just 10 days until the midterm elections and a new threat

of violence in America as pipe bombs were sent this week to prominent Democrats and CNN.

Many of the targets have been outspoken critics of President Trump.

FBI Director Christopher Wray gave an update on Friday.

FBI DIRECTOR CHRISTOPHER WRAY: (From video.) Thirteen IEDs sent to various individuals

across the country. Each device consisted of roughly six inches of PVC pipe, a small

clock, a battery, some wiring.

Though we're still analyzing the devices in our laboratory, these are not hoax devices.

ROBERT COSTA: Federal authorities on Friday arrested a suspect, Cesar Sayoc Jr., age 56,

who lives near Miami and has a long criminal history. Attorney General Jeff Sessions said

Mr. Sayoc, a registered Republican, quote, "appears to be partisan." The president's 2016

rival, former Secretary of State Hillary Clinton, who was sent a package, expressed

concern about the nation's heated political culture.

FORMER SECRETARY OF STATE HILLARY CLINTON: (From video.) But it is a troubling time,

isn't it, and it's a time of deep divisions, and we have to do everything we can to bring

our country together.

ROBERT COSTA: Later Friday, President Trump headed back out on the campaign trail.

PRESIDENT DONALD TRUMP: (From video.) I think that we're running a great campaign.

People love what we're doing. They love what we're saying. The Republicans had tremendous

momentum, and then of course this happened where all that you people talked about was that.

And rightfully so; it was a big thing. Rightfully so. But now we have to start the momentum again.

ROBERT COSTA: Joining us tonight to discuss these issues and more, Lisa Lerer, national

reporter for The New York Times; Geoff Bennett, White House correspondent for NBC News;

Ashley Parker, White House reporter for The Washington Post; and Joshua Green, national

correspondent for Bloomberg Businessweek. Geoff, you were at the White House all

day Friday. How did the president, his top advisors handle this moment?

GEOFF BENNETT: Well, we saw President Trump do something that I think almost now is a

political ritual. When the political or cultural moment requires President Trump to

hew to the traditions, the conventions of the American presidency, like this past week

has, he does it up to a point. And so today, from his scripted remarks, he said we must

never allow political violence to take root in our political discourse. But then, you

know, as his mind and his eyes strayed away from the teleprompter, he said things that

I think reveal what he really believes. He painted himself as the victim of these

political hostilities. He asked the crowd there a rhetorical question; he says, you

know, who's got it worse than me?

He also suggested that the coverage of this weeklong saga has taken away from his own

political message, and we saw him speak to that on the - on the South Lawn.

So, again, I think we've seen this before, certainly after Charlottesville, but again I

think the president certainly sees this through a political lens, and he's focused more

on the political impact and less on the human impact certainly.

ROBERT COSTA: What are you picking up in your reporting, Ashley, about all of that,

about the president not abiding by the norms Geoff's talking about?

ASHLEY PARKER: Well, this is a president who has never abided by the norms, and proudly so.

I mean, if you watched him even when he was a candidate, he would stand before crowds and

he would claim it's so easy to be presidential, but that would be so boring.

And in a way that's what you're seeing this week and today, it's a president who sort of

- again, he will pay the token lip service, he will read off of the teleprompter, but in

these moments where you typically have - the role of the presidency is to sort of offer

moral leadership and unify the country. He simply rejects that, and he would prefer to

still attack the media, make it about himself, do sort of, again, the obligatory calls

for unity that are not really matched by his actions or words.

ROBERT COSTA: Josh, you've been covering the right for years, some fringe elements of

the right, and there has been a lot of talk about this being a false-flag operation, a

conspiracy, and you had the FBI director come out and say that's not the case, this isn't

a hoax. But explain what's happening in the political culture that leads to these

kind of conspiracy theories immediately.

JOSHUA GREEN: Sure. Well, just as Geoff said there's a ritual for presidents in these

situations, there's also emerged now a ritual among the far right wing, which is to say

that, you know, any event like the one today which seems to cast a negative light on

Republicans, on President Trump, must automatically be a perfidious plot by liberal

activists to set up the president. And so right from the get-go you have people up to

and including fairly prominent media figures like Rush Limbaugh today suggesting that

this couldn't possibly be the work of a deranged Trump supporter and kind of coming up

with some strange and creative reasons why that couldn't be so.

That's just something that we've become accustomed to in this day and age, where

immediately when these things happen on social media, on websites like 4chan and Facebook

and of course through conservative talk radio, you see these things emerge almost

immediately, and so the story becomes polarized from the very get-go.

ROBERT COSTA: Lisa, you've been on the ground in Florida, where the suspect is from and

where he was apprehended. Such a charged year this year in Florida with the hot

gubernatorial race, a Senate race. Did you pick up in your conversations with voters

something beyond President Trump out there that's fueling this national division?

LISA LERER: Well, I think it honestly is President Trump. I mean, I have yet to meet

the voter - and I've traveled to a lot of places - who has no opinion on President Trump.

(Laughter.) There's no one who says - you ask them, what do you think about President

Trump, there's no one who says I don't really know. And what you find is that their

views on the president are kind of like a Rorschach test for how they're feeling about

the midterms. So he is the defining force of these midterms, and of course the president

is always - midterms are always in a way a referendum on the president's term.

But President Trump, because he is such a large presence in our, like, country's life,

and because of his sort of divisiveness in how he upends the traditions for all these

presidential moments that people are used to seeing, he is the thing that people are voting on.

ROBERT COSTA: So President Trump, Geoff, is the story this year for the midterms.

But is political violence in this country also the story?

You think about Steve Scalise, one of the House GOP leaders, assassination attempt in

recent years; political violence against Gabby Giffords, the former Arizona

congresswoman. It's out there all the time, almost numbing this country in a way.

GEOFF BENNETT: It is, an what I thought was interesting about that was well before this

Florida man had been apprehended Sarah Sanders was on the North Lawn driveway talking to

reporters, telegraphing what the strategy would be even before we knew who was

responsible for this. And she said that Donald Trump is no more responsible for this

kind of violence than is Bernie Sanders. And remember, it was a Bernie - an avowed

Bernie Sanders supporter who took aim at that congressional baseball shooting which

gravely injured Steve Scalise. So it was striking to me to see the White House think

about that even before we knew who was responsible for this weeklong incident.

ROBERT COSTA: When you think about - it's not just political violence that's out there.

We have a whole midterm season that's about fear. There's a dark cloud over this whole year.

And one of those fraught debates that's fueling this beyond what happened this week with

the pipe bombs and all the packages is the issue of immigration. And Ashley wrote this

week that the president's approach in many ways seeks to recreate the 2016 playbook

that lifted Mr. Trump to the presidency, in which cultural flashpoints and controversies

like the specter of mass illegal immigration helped to energize Trump supporters.

The president has voiced alarm in recent weeks about a group of about 7,000 migrants

traveling from Central America toward the U.S. border.

PRESIDENT DONALD TRUMP: (From video.) You're going to find MS-13. You're going to

find Middle Eastern. You're going to find everything. And guess what?

We're not allowing them in our country.

ROBERT COSTA: Mr. Trump has not produced evidence of these claims, yet the administration

continues to back him up on these claims just a few days ahead of the midterms.

ASHLEY PARKER: Well, not just has he not provided evidence on these claims, but after a

number of people in the administration did put their own credibility on the line and back

him up, he actually told reporters: You know, what? You're right. I have no proof.

But there - but there could be proof, and that's because the president has realized that

fearmongering and these scare tactics do work.

One notable difference is that unlike in 2016 when his own party, the Republicans, were

pretty conflicted over if this was a good strategy or not, you now have a lot more

Republicans falling in line, in part because they saw that the president won in 2016.

And that's one key distinction. The second thing is it's not just the president's language.

Because he actually is the president, and he has the federal bureaucracy at his disposal,

he can do things like we're going to see him do likely next week, which is potentially

announce that he is barring Central Americans from being able to enter the country and

stopping those asylum claims. It has echoes of that travel ban. But can actually not just

talk about this but he can make it true, to give himself an even bigger wedge issue to fan.

GEOFF BENNETT: Yeah, to Ashley's point, the president, I'm told, believes that this

caravan issue - and we shorthand it to as a caravan, but it's actually a slow-moving

human tragedy. But he believes that his crystalizes among his supporters the pitch

that he's making around this particular cultural issue.

And I asked someone who's familiar with the whole plan, I said: Well, how are you so

certain that this - by deploying a page of the 2016 playbook that's going to work for you

again in just 11 days or so? And the response from this official, who is close to -

close to the president, but also has a hand in his thinking about all this - said,

well, it worked for us once before, so we're pretty certain it's going to work again.

LISA LERER: But, you know, midterms are not presidential races, as you well know.

And, you know, every time the president goes for a rally, or makes one of these

statements, it infuriates Democrats. So you see this outpouring of energy on the

Democratic side. And what that does, I think, is push some of the Democratic

politicians to make these very bold statements. Like, you showed that clip of Hillary

Clinton. I was at that event. It was in Florida, Aventura, actually, where the - close

to where the suspect was caught. And you know, it was notable, she said there, yes, we

need to calm things down. Earlier this month she was talking about how Democrats can

no longer be civil when someone's trying to destroy everything they believe in.

So Democrats' response to Trump's rhetoric is not to sort of tone things down, but really

to ratchet things up. And that's part of how I think we ended up where we are. When you

have so many fake threats, it's not that surprising that something would, in fact, become real.

ROBERT COSTA: So Democrats totally engaged by this. Republicans being rallied by

President Trump. There's also an undercurrent of some real global issues here.

Josh, who authored Devil's Bargain, a best-selling book about former White House Chief

Strategist Steve Bannon and President Trump, has been deeply reporting of the right's

embrace of nationalism and tough border policy for years.

And this week, Mr. Trump publicly signaled his solidarity with those forces.

PRESIDENT DONALD TRUMP: (From video.) A globalist is a person that wants the globe to do

well, frankly not caring about our country so much. (Boos.) And you know what?

We can't have that. You know, they have a word. It sort of became old-fashioned.

It's called a nationalist. And I say, really, we're not supposed to use that word.

You know what I am? I'm a nationalist, OK? (Cheers, applause.)

ROBERT COSTA: Josh, the president and the administration, they're talking about maybe

taking an executive action, banning asylum seekers coming up from Central America. So there

is the policy here. But also, a major thing for the president to state at a political rally

"I'm a nationalist," connecting him with these anti-immigrant movements around the world.

JOSHUA GREEN: Yeah, I think what we're seeing here is Trump trying to seize control of

the midterm elections and reframe them around issues in which he is comfortable, and he

thinks he can set the tone. But what he's really doing are reviving what I think of as

being the pillars of Trumpism, right? There's the aggressive stance towards China.

There's the protectionist trade policies, the tariffs.

But most importantly of all, there's the nativist, anti-immigrant sentiment that we've

seen Trump espouse on Twitter, when he's talking about the migrant caravan, and today

when he deployed troops to the southern border to try and build this into a big issue.

It sounds like he's going to give a big speech on immigration next week.

He may roll out this executive order, something along the lines of the travel ban that he

did in these early days, to try and center the election around this. But I think Trump

looks at the race, looks at the problems that Republicans were having over the summer.

It was clear that voters weren't energized, Republican voters weren't, by the tax cut.

And many of them weren't planning to come out to vote.

I think this is Trump's way of taking the election and making it about him and hoping

that he'll get the same response in 2018, Republicans will, that he got in 2016.

ROBERT COSTA: Ashley, is this also about the president's focus on immigration?

The president's failure to complete the border wall he promised his base?

ASHLEY PARKER: Potentially. The one thing about immigration is that it is an issue

that animates him. It truly is. He's not particularly ideological, but immigration is

something even before he became this long-shot politician that he wrote about, that he

talked about, that he feels deeply. It's a natural issue for him. It's one that served

him well on the campaign trail. And as you point out, it's one that he made deep promises

about. And he is aware that he - they're important to his base and he needs to keep them.

And it's interesting, when I go to Trump rallies and I talk to his supporters, there's

almost nothing that he will do or say that will shake their faith and confidence in him.

But one area where they come just the slightest bit close to criticizing him is saying they

wish, or they really hope, that he builds that border wall. Of course, they will then

blame Mitch McConnell and Paul Ryan for not helping him get it done. But that is

something where they would actually like to see tangible action, you're right.

LISA LERER: This -

GEOFF BENNETT: And the other thing the president - I'm sorry - the other thing he does

that's, I think, fairly effective is he sets everything a s binary choice.

I think it's like the core tenet of Trumpian politics and, frankly, of tribalism.

It's this you're either for us or against us. We saw that in 2016.

We're seeing it now with immigration. And with Kavanagh, I think he did that

with great effect around the Kavanaugh confirmation issue.

LISA LERER: But I think, you know, the problem here is that Trump is not actually on the

ballot, as much as perhaps he would like to be - because it seems like he really wants to

be. And who is on the ballot is the Mitch McConnell congressional people.

And the fact is, it's kind of a strange - I understand the argument behind running on

immigration, but it's not actually an area where Congress - the Republican-led Congress

has had any achievements. So it seems like a natural question that voters would ask -

maybe not the hard-core Trump supporters, but independents or some other - like people

who lean Republican. Like, OK, well, so what did you get done on this?

And it's hard to see what that answer is.

ROBERT COSTA: And just on this point, it reminds me of Josh's story about an RNC poll which

showed the tax cuts not working for the Republicans this year, so they got to do what Lisa said.

JOSHUA GREEN: Yeah, we got leaked to us at Bloomberg a couple of weeks ago an internal

RNC poll. And the big billboard headline - there were two messages.

One was Republicans weren't going to turn out to vote because they believed Donald Trump

when he said there was probably going to be a red wave that Republicans - it sent

Republican strategists into paroxysms of anxiety.

And Trump has stopped saying that now, is trying to rally the base.

But the other big message was that the Republican tax cut, which was supposed to be the

central appealing achievement for Republicans, wasn't really exciting anybody, even

within the Republican base. And therefore, Trump and Republicans, I think, have

decided that they need to focus on immigration.

ROBERT COSTA: The other big issue out there - and it's not on the front page every day -

but it's health care. And it's one of the biggest issues for most voters.

And it's at the center of many of the tight contests across the country.

In a Washington Post/ABC News poll out this month, 82 percent of voters say that health

care is one of the most important issues, and right up there with the economy.

The poll shows that voters trust Democrats over Republicans on the issue.

Vulnerable Republicans, like Wisconsin Governor Scott Walker in his race against Democrat

Tony Evers, are now running in support of safeguarding insurance coverage for those with

preexisting conditions. What an about turn, Lisa, for the Republican Party.

Years of running against President Obama's health care law, but now they feel like the

Democrats have some traction on the preexisting conditions front, and they're instead

trying to counter running on lowering prescription drug prices, running on an opioid policy.

LISA LERER: Right. It's really striking, because it turns out the argument that

President Obama and his aides were making all these years - which is that once you

give people something it's hard to take it away - is true.

But I think this is an issue that has become a little difficult for Democrats.

Democrats have really put everything on health care.

It is the issue that they have been running on since the beginning of this thing.

And they felt that they could kind of not even mention President Trump because it's so in

the ether, it's so out there that they can really focus on health care.

And now that you have all these Republicans promising to protect preexisting conditions

- even Republicans that are party to the lawsuit that would take those benefits away,

essentially - makes it really complicated for voters. I think you have to be a fairly

educated voter to understand the nuances of this. And, you know, you have these

Republicans out there saying that they will protect health care. And you can see how

if you were someone who was predisposed to vote Republican, that might sway you.

ROBERT COSTA: Is the White House a little nervous about the Democratic emphasis on this issue?

ASHLEY PARKER: A little bit, but, again, the White House just thinks at a certain point

this all comes back to President Trump. They think it is a referendum on him, as he

himself has said: I'm not on the ballot, but pretend I am. Pretend you're voting for me.

And privately, the president's political advisors have been telling these candidates:

Whether you like it or not, you have to own this president. And so they realize health

care, on some level, is an issue. They are generally worried, to answer your broader

question, about the House, not the Senate, of course.

But this is a White House that has not concerned itself particularly in policy

prescriptions, and that's not wholly where this battle is playing out right now.

ROBERT COSTA: And the Democratic Party, Josh, is divided on health care a little bit

itself. Some people want Medicare for All, they want an expansion of the federal health

care system. Others are just saying, let's just focus on preexisting conditions.

JOSHUA GREEN: That's right.

And one of - one of the wedges you've seen Republican candidates try and drive on health

care is to say, you know, so-and-so Democratic candidate is so far to the left he wants

Medicare for All, which in the Republican telling will ruin Medicare as it exists today.

It's not clear those attacks are being very effective, but what was interesting in that

Republican poll we were talking about a minute ago was it was clear that Republicans'

greatest vulnerability, electoral vulnerability, was the impression that Republicans were

going to cut health care, Medicare, and Social Security. And the pollster said in no

uncertain terms that Republican candidates needed to protect against that. I think some

of what's going on saying, hey, we're going to protect your preexisting conditions, is

defensive rather than offensive, an effort to avoid being implicated in voters' minds

in some effort to take away a benefit that they feel is theirs and they want to keep.

GEOFF BENNETT: Yeah, that's a great point.

We've seen the president say that he supports - (laughs) - protecting preexisting

conditions when it was his own Justice Department back in June, as you point out,

supported this lawsuit led by Texas and almost two dozen other states that argued that

Obamacare was unconstitutional - not just Obamacare, but all the provisions contained

within it, which includes preexisting conditions.

ROBERT COSTA: If you think about the midterms right now, though, a lot's still in the

air. As Ashley said, the White House is feeling better about the House - I mean, they

think they may lose the House, keep the Senate. There are races out there - Bob

Menendez, the senator of New Jersey, now a tossup according to the Cook Political

Report; Scott Walker could go down; but Phil Bredesen, the Democrat, could win in

Tennessee. When you're talking to top strategists, what's their view?

LISA LERER: Well, honestly, nobody knows.

I mean, like they - strategists may tell you they know because they are, in fact, paid to

do that - (laughter) - but the reality is we've never seen a midterm like this.

There has been no midterm with this level of enthusiasm in recent history. And we live

in this era where it's very unclear what the rules are in politics. The traditional

rules don't seem to apply. So I am very wary of anyone who's making very firm

predictions. I think what we can say is it's a bifurcated map; the Senate looks

better for Republicans, the House better for Democrats.

ASHLEY PARKER: And Josh made the point that the president has stopped talking about the

red wave, and everyone on his side is glad about that because they were worried it was

depressing voter enthusiasm and turnout. But it's worth noting that privately he still

says that and he still believes that, and he says that he thinks the polls are wrong.

And why wouldn't he believe that? This is someone who in 2016, when all the polls

showed him losing, won. When all the wise men in Washington said he couldn't say this,

he couldn't do that, this would end him, he won. And so he does still actually

believe that he may hold the House as well, Republicans may hold the House,

although that is not the strategy - or the view shared by his top advisors.

ROBERT COSTA: And Republicans appear to believe that.

They're hugging President Trump politically at every turn.

JOSHUA GREEN: Well, most of them are but some of them aren't.

And if you look at districts - the suburban districts in the House that are probably

going to decide control - places like Northern Virginia, the suburbs of Chicago,

Minneapolis, places like that - you see Republican candidates there looking for some

distance with President Trump. To me the most vivid example of this was the Senate

race in Florida where Rick Scott, the governor who's running for senator, made a point

of not appearing at Trump rallies. And that got back to the White House, it got back to

Trump, and lo and behold Rick Scott is about to appear at a Trump rally.

So it's tough to draw that distance, but a few Republicans are trying to.

ROBERT COSTA: What are you picking up at Trump rallies in the closing days, Geoff, still

at these hockey arenas in red states?

GEOFF BENNETT: Yeah, yeah, still doing fairly well.

I think, look, if you think a Democrat can win in Texas, Tennessee, or Nevada, then maybe

Democrats have a chance of picking up the Senate because they'd have to flip one of those

states. The other side of this, though, is that President Trump's approval rating

stands at something around 45 percent, which is kind of in the sweet spot.

That's where a lot of strategists want him to be going into the midterm.

But that's a good-news story for the president up to a point because if his supporters

think that he's on, like, you know, firm political standing, they might not be as

inclined to turn out and go on a rescue mission for him and his agenda.

LISA LERER: It just depends who shows up, right? And, you know, we saw this with

President Obama, where his popularity was not transferrable in the midterms.

But again, I'm not sure we can take a lesson from that because those midterms were not

this high-intensity midterm that we're seeing now.

But I do think that we can say that this is a test of whether Trumpism and Trump's

personal popularity is transferrable to a party that he spent much - years, really,

denigrating. So it's a really - going to be a really interesting outcome.

ROBERT COSTA: Thanks, everybody. We're going to have to pause for - pause there, but

continue next week I'm sure. But before we go, our friends at the PBS NewsHour have

been busy producing a special election report in the battleground state of Florida.

Here's a look.

VOICEOVER: (From video.) Campaigning is almost done. Can the Democrats take the House?

Will Republicans hold the Senate? Issues on a collision course in one state. A special

edition of the PBS NewsHour, "Battleground Florida" Monday, October 29th, only on PBS.

ROBERT COSTA: You can watch the PBS NewsHour special report Monday night. Check your

local listings. Our conversation here will continue on the Washington Week Podcast,

which you can find Fridays after our broadcast on our website, PBS.org/WashingtonWeek.

I'm Robert Costa. Thanks for joining us.

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Liver and Pancreas Institute for Quality at George Washington University Hospital - Duration: 4:59.

Pancreatic Cancer is one of the most difficult diagnosis and challenging clinical diseases that we face.

Most times patients will develop symptoms that occur fairly advanced in the disease.

And those symptoms could include a darkening of the urine,

a lightening of the stools, and yellowing of the eyes called jaundice.

Typically, if those symptoms occur, the patients should seek medical care right away

and ultimately get to specialty care for the treatment of the underlying tumor.

Patients who have cancers or tumors in the body or tail of the pancreas, which is the end of the pancreas,

typically don't present with those symptoms, but will present with symptoms of abdominal or back pain much later in the course of their disease

and, again, should seek medical attention or specialty care to treat the underlying condition.

Pancreatic Cancer occurs in 40 to 50 thousand patients each year in the United States and is the 4th leading cause of cancer deaths.

The treatments for pancreatic cancer include surgery, chemotherapy, and radiation.

However, the only cure for pancreatic cancer is surgery,

actual removal of the tumor and then reconnection of the remainder of the pancreas and organs to the intestinal track.

Oftentimes, patients will have a combination of surgery,

plus chemotherapy and radiation in order to prevent the tumor from coming back in the future.

Other patients, who present with more advanced disease, can only receive chemotherapy and radiation alone and typically that is not curative.

So, here at George Washington University Hospital, we have two unique treatments for pancreatic cancer;

one, is minimally invasive surgery, and two, is advanced vascular reconstruction,

or blood vessel reconstruction for tumors that are more advanced.

The first technique involves using small incisions and using the camera in the operating room

and long instruments in order to mobilize the tumor and do a resection.

The benefit of that is that there is less pain and a faster recovery after surgery

for patients who undergo minimally invasive surgery.

Therefore, they can go on to get the second stage of their treatment in a much better condition

and much faster than they would if they had undergone traditional open operations.

And as our chemotherapy improves, which it will, then those patients, more likely, will have a better outcome over time.

Second treatment involves patients who have more advanced disease.

One of the unique features about pancreatic cancer is that as it grows,

it can oftentimes involve the blood vessels that carry blood to and from the remainder of the small intestines.

And, traditionally, patients who had those tumors that involved the blood vessels were not considered candidates for surgery

and therefore would get chemotherapy and radiation alone, which we know is not curative.

Now, we are able to offer patients up front radiation treatment to those blood vessels as well as chemotherapy,

and as long as their cancers remain stable, then they are eligible to have a total pancreatectomy,

that is removal of the entire pancreas and also removal of segments of the blood vessels in reconstruction.

And we've seen that those patients do the same as patients who had no blood vessel involvement.

And so, we are able to offer surgery to a much larger proportion of patients

and hopefully end up with a better outcome for a larger pool of patients than would otherwise been offered in the past.

So, one of the more exciting areas of cancer therapy right now are techniques and treatments

that utilize our own immune system to attack cancer cells and we think that this is the future for cancer treatments.

By figuring out why your immune system does not attack cancer like it attacks a bacteria or a virus,

we now have drugs that allow the immune system to recognize cancer cells and therefore go and attack those cancer cells

cells just like they attack a common cold or a common virus.

We think the combination of those therapies

along with the new surgical treatments that we offer here at George Washington University Hospital

will provide better outcomes for patients with pancreatic cancer

and will provide a longer survival for patients with this dismal disease.

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