[captions copyright national cable satellite corp. 2017] [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org] announcer: tonight we take a detailed look at the health care proposals in the senate, follow the president in new york, where he announced new sanctions against those who do business with north korea, and take you to the united nations for speeches with world leaders at the general assembly. a headline in politico, senate words for final obamacare repeal vote. joining us is the senior health care reporter for politico. jennifer, the story talks about a measure being offered by bill cassidy of the louisiana, and also been graham of south carolina -- also lindsey graham of south carolina. what is in this measure? >> this is the republicans'

last-ditch effort to repeal the affordable care act. what this would do is change the existing system of both the affordable care act and medicaid and change it into a block grant. states would get a sentiment of money to do whatever they wanted in their health care system. they could implement a plan similar to the affordable care could go single-payer, or they could go a conservative route and undo some of the parts of the affordable care act, particularly the protections that some folks like. these are the pre-existing conditions, things like that. governors would be able to undo those things and have this pot of money to implement their own health care system. we will take a look at some of the details offered by senator graham on the senate floor, and we will come back to our discussion. sen. graham: will keep medicare in place as it is today.

we will have flexibility. indiana is a good example of what happens when you give states flexibility to help people. what i don't like with medicaid, you can run into the emergency room and pay a big medicaid will. if you smoke, that's something you ought to be considered in terms of costs. to treat people who are low income, but all of us need to be responsible for health care. the president having a medicare program that just writes checks no matter what the outcomes are, we began in year eight to slow the growth of medicaid down. it grows faster than medicaid and -- medicare inflation. medicaid is well beyond that. why? stateve proven at the level, you can get better bang for your buck with medicaid. the first block grant begins to slow the growth of medicaid to make it affordable for the rest of us and incentivize innovation

in year eight, and if we don't do that, here's what happens to the country. by 2038, all the money you spend in taxes goes to pay the interest on the debt, medicare, .edicaid, and social security there won't be one penny for the department of education or department of defense. that's how quickly these programs are grwowing. we put medicaid on a more sustainable path, allowing flex ability to get better outcomes for the taxpayer and patient. what a novel idea. blockcond lot grant -- grant, this is money that would have been spent in washington. you would get a refundable tax credit to buy insurance somewhere, and we would give insurance companies moneys said they would not collapse on the obamacare exchanges. what we have decided to do, instead of providing a tax credit, instead of giving a

bunch of money to insurance prop them up, we will take that same amount of money and give them back to the states so that by 2026 they get the same contributions. what do we do? we repeal the individual mandate, and fully mandate. the states can reimpose if they like. the medical device tax as that hurts innovation. there is no more taking from the poor, getting to the rich. we did not have to do that, but we need the money to transition in a fair way to the state hundred system. -- state centric system. it is called state control, local control, not washington-based health care, and we do it in a way where basically everybody gets the same contribution from the federal government. to president trump, without you,

we can't do this. your pen will be the one that signs the law if we can never get into your desk. you said today you would veto bernie sanders' care. let me tell everybody in america, don't worry, single-payer health care will never get through the republican-controlled house. we have the majority in the senate. mr. president, we are not going to need you to veto single-payer health care. what we need you to do is put in place a new system to stop the march toward single pair health care. -- single-payer health care. we areon't change what doing, the federal government is going to own it all from cradle to grave. mr. president, you can stop that . once we get the money and power out of washington, that is the end of single-payer health care. president trump, you have the

chance, in your first term, to set us on a new path, health care closer to the patient, money based on not where you live, but parity, innovation versus bureaucracy. what a legacy and would be. but for that to happen, and i know you are busy with hurricanes and north korea, you will have to get on the phone. i believe you will, i know you can, and i am asking you to do it. the senator mcconnell, thank you for what you said today. thank you for being willing to push this forward. to my colleagues on this side, there are three options left in america, popping up obamacare, which will never work, bernie-care, which is full-blown single-payer health care, or this block grant approach. i ask a question, who are we and what do we believe as republicans?

our democratic friends are pretty clear on who they are and what they believe when it comes to health care. here's what i believe -- send money home. send the money back to where the patient's lives. -- the patient lives. make sure the people in the state are responsive to the needs of the individuals in that state. replace a bureaucrat with an elected official. it will improve quality and outcomes will be better, and it will be more physically sustainable. at the end of the day, those governors that can figure out quality health care in a sustainable fashion will not only get reelected, but other people will copy what you do. if we leave the money and power here, there is never going to be any innovation. there is always going to be more money. siegel payor health care only works with a printing press. unlimited dollars.

just keep printing the money. a block grant will bring out the best in america. it will create better outcomes for patients, and in will take us off the path of becoming grief. this is where we are headed. all of senatorh graham's remarks about his proposal to change the current health care law at c-span.org. just type the names of the ofponsors -- type the name the cosponsor, cassidy graham, into the search bar. president trump tweeted his support. "i would not sign graham cassidy include coverage of pre-existing conditions area it does area a great -- pre-existing conditions. it does. a great bill. who else is supporting this? >> ron johnson from wisconsin and dean heller from nevada.