the debate over the senate health bill continues while congress is on break, but what shouldn't be up for debate is america's standing in the best place in the world to receive health care and why that simply isn't true anymore. and healthy choices. meat without giving up the taste and texture of a juicy burger. one company created a meat substitute that actually bleeds just like real meat. >> that i want to hear about, this meat substitute stuff. welcome, i'm ali velshi. >> and i'm stephanie ruhle.

most of the headlines coming out of the g20 summit in germany are trump versus putin. president trump versus trade may bow just as up important. >> reports are huge tariffs are being hotly debated inside the white house which is where we're going to start right now. >> you know, it's extraordinary. president trump has been meeting with heads of state at the g20 and that's the global forum of 20 of the world's largest -- germany, russia, china and japan among others. an international trade policy is a huge topic of discussion, as of trump's threats to blow it all up. there have been reports of clashes not just around the world, between competing camps within the administration. on one side, i like it like a roundup, led by the american firsters, they want to slap tariffs as high as 25% on all steel imports. the other side led by globalists are dead against that. ultimately, the president decides. now let's just break down who's in those camps. of course the nationalists --

>> the america firsters. >> led by steve bannon. you've got wilbur ross, who does know quite a bit about the steel industry and peter navarro. he had been advising the president on economic issues throughout the campaign. once president trump won, things changed a bit. that's when he added steve mnuchin as treasury secretary, gary cohn and then you've got rex tillerson who used to run exxonmobil as secretary of state. >> who's by definition a globalist because he does business with everybody around the world. the one thing that's interesting about this is that president trump ran and some say got elected on this america first message, saying that every trade deal he does has got to be good for the american worker. while there are some economic inconsistencies with that idea, he has said that. every time he meets with somebody, including south korea when talking about north korea, he talks about american workers. >> but the idea of what america worker where. it was peter navarro as well as

wilbur ross who were pushing saying let's look with our trade agreements with canada, i don't think that works for us, until the ag secretary came in and said president trump, how about all those farmers that voted for you. they send an awful lot of milk and eggs up to canada. many of these trade agreements are multi lateral. >> and you might think china is an abuser of something or japan is, but we've got to look at this more holistically. president trump is looking at our trading relationship with china as it relates to north korea, but it is complicated and it is a lot of things and this is a battle you would normally associate between democrats and republicans. this is between republicans and republicans in the white house right now. >> peter navarro was the one who pushed president trump really looking at this u.s. versus china. it's where the idea china was a currency manipulator came from. after president trump was elected and he realized that's simply not the case, the tune changed. a survey of economists, across the board not one said this massive tax coming in from other

countries would be a good idea. >> i will say if you're the american worker, you're a factory worker, you're a coal miner, these things that economists say about trade don't translate well into your daily life because you see trade as the enemy. >> it's complicated. >> yeah. that's a lot of our topics actually are. lawmakers, by the way, this is also complicated, were home for the holiday. the debate between trumpcare and obamacare continued for them while they were trying to kick it up and have some barbecues. both sides agreed our health care system needs improvement to costs and the coverage but nobody is talking as much about the quality of care that americans receive, which is why for fact sake, this is why they should be. >> despite the current debate over health insurance in the united states, the country's health system is considered the envy of the world. that's the company line anyway. but closer scrutiny says otherwise. figures crunched by the commonwealth fund, a medical research group, compared u.s. health care to ten other peer countries, developed economies with similarly advanced health

systems. when it comes to quality of care, the u.s. ranks fifth out of 11. britain is number one. when it comes to access to care, the u.s. is number nine. again, britain is number one. when it comes to health care equity, people receiving similar care regardless of income or geography, the u.s. is dead last among peer nations. sweden is number one. and this one is crucial. when it comes to healthy lives that people lead, the u.s. is again last on the list. france is number one. overall health care in the u.s. ranks last among its peers. britain with its public single payer system ranks number one. switzerland with its private insurance system but guaranteed coverage for all comes in at number two. take your pick. public or private. there appears to be a correlation between universal coverage and health outcomes. and on one crucial measurement of outcomes, life expectancy at birth, in the u.s. it's 78.8

years. compare that to the average for all 35 developed countries in the world, it's higher at 79.3 years. one more thing and then i'm done. the average annual cost per person paid for health care. the u.s. pays more than double the rest of the developed world and doesn't even get results that are as good. okay, but america is the envy of the world when it comes to developing innovative and cutting edge health treatments. cancer survival rates in the united states are higher than in the rest of the world, but overall we pay more for less. that's the consensus of numerous studies comparing health care around the globe. say what you will, but america's health system is no longer the envy of the world. so right now we're coming down to some democrats like elizabeth warren and bernie sanders saying we should go for a single payer system and the republicans saying that's socialist medicine, it's a bad idea. you could look at switzerland, it's private insurance companies, but everybody does have to have it. >> but you cannot look at switzerland.

switzerland, i get it, snow capped mountains, chocolate, watches, only 8 million people live in switzerland. roughly the same amount of people live in new york city. to scale that across the whole united states, enormously complicated. not that different about the point about the american worker. how people respond matters on where you live and who you are. >> so the issue, because america is really diverse with different health problems depending where you are geographically or socioeconomically, but there is no example of a pure free market health insurance system in the world. we say this a lot because a for-profit health insurance company is not going to insure an old person or sick person. they're going to insure young and healthy people, the very people not insured in the united states. so we have to come up with a system that's better than ours. there are about 58 countries in the world that offer better health care for a lower cost. we need to think about it. >> we also on our side have innovation. innovation and technology. the amount of money that is

spent on research and development here, look at things like cancer. the amount that's been done here, people come from all over the world to get experimental treatments here. all of that happens here. when you go to more of a socialized route, you're not going to see that happen. >> even though in those other systems with universal coverage, life expectancy at birth in general is actually higher. so where america succeeds on cancer, it doesn't succeed as much with heart disease, with diabetes, with alzheimer's, other things like that. ultimately i think that we have a critical mass problem. all of these other countries have one thing in common, everybody is in the risk pool. what america has, whether it's medicaid, medicare or va is you've got high-risk people in the risk pool, which causes it to be more expensive. low-risk people are just going without insurance. >> it's complicated. >> like most of the things we talk about. new jobs numbers came out for the month of june and 222,000 jobs to u.s. payrolls, confirming part of what president trump tweeted earlier this week. really great number on jobs and

the economy. things are starting to kick in now and we have just begun. here's the question, is he right? besides hiring, the stock market is up massively and so is consumer confidence with room to grow, but not all things are hugely positive. consumer spending is slowing down, we know retail is, auto sales, and there's some softness around new homes. >> it doesn't necessarily mean things that are heading south, but it doesn't suggest the kind of corporate growth that corporate america and, by the way, a lot of investors were banking on when donald trump got elected. so i want to show you a couple of other measures. the economy is not bad, it's not too hot, it's not too cold, it's somewhere in the middle. these are three indicators that people might feel. industrial production, whether you're a miner or manufacturing worker, if you see smokestacks in your town or trucks running down the street, that is up. personal income is up. it has actually been going up on

average. and personal savings are up. if you came in from mars, this would all look good. but personal savings, really good for people if we run into another financial crisis to have a nest egg. not so great for the economy. people are saving their money and not spending it as much. >> it specifically doesn't support the idea of trickle-down economics, once people have money, they're going to spend it. not necessarily. something that's interesting to me is how you view the economy depends on who you are. it is a very similar economy to the one that president obama delivered and it's that economy that sort of built up the trump supporter, that forgotten american who said, wait a minute, i don't own stocks and bonds, i don't live in new york, san francisco or l.a., and my wages haven't gone up. >> right. >> well, wages have gone up slightly, but they are still in the zone where they are saying, guess what, $4 trillion in the stock market may have helped you living in chicago, it didn't help me. >> you have access to credit, you earn well and you've got

stocks and can make investments, the economy is as good as it's been the last few years. if you have none of those things, the economy is as bad as it's been the last few years, no real net change. >> no new story and that's what so many people were banking on. plus, the president with all that he's doing hasn't gotten to that agenda that's going to push the economy. deregulation, tax reform. at this point we're still waiting on health care. all right, we're going to take a break. coming up, would you go meatless to help the environment? well, what if there was an option to eat a burger that looks, tastes and i can't believe i'm saying this, bloeds just like red meat? i'm going to go yes, i would. economists are always digging around for reasons why people can't find work. why one popular hobby may be leading some economists to stop looking.

david. what's going on? oh hey! ♪ that's it? yeah. ♪ everybody two seconds! ♪ "dear sebastian, after careful consideration of your application, it is with great pleasure that we offer our congratulations on your acceptance..." through the tuition assistance program, every day mcdonald's helps more people go to college. it's part of our commitment to being america's best first job. ♪

[radi♪ alarm] julie is living with metastatic breast cancer, which is breast cancer that has spread to other parts of her body. she's also taking prescription ibrance with an aromatase inhibitor, which is for postmenopausal women with hormone receptor- positive her2- metastatic breast cancer as the first hormonal based therapy. ♪ ibrance plus letrozole was significantly more effective at delaying disease progression versus letrozole.

and ibrance plus letrozole shrunk tumors in over half of these patients. patients taking ibrance can develop low white blood cell counts, which may cause serious infections that can lead to death. before taking ibrance, tell your doctor if you have fever, chills, or other signs of infection liver or kidney problems, are pregnant, breastfeeding, or plan to become pregnant. common side effects include low red blood cell and low platelet counts... ...infections, tiredness, nausea, sore mouth, abnormalities in liver blood tests, diarrhea, hair thinning or loss, vomiting, rash, and loss of appetite. julie calls it her "new" normal. because a lot has changed, but a lot hasn't. ask your doctor about ibrance, the number-one-prescribed, fda-approved oral combination treatment for hr+/her2- mbc. does sitting next to

stephanie make me look fat? >> it makes your hair look great. >> i'm coming out of that july 4th food coma. i ate a lot of stuff. >> guy likes grilling. think about this, burgers, dogs and steaks. so much meat that you're actually ready to take a meat break. what if you're like not just you, but me, i'm a burger girl and you can't help sinking your teeth into another juicy one. one company has come up with the impossible, a vegetarian burger that says it actually cooks, smells and tastes just like a real burger. jolene kent reports. >> reporter: imagine eating meat that looks like beef, tastes like beef, but is definitely not beef. it's already happening at impossible foods. the silicon valley start-up is creating an entirely plant-based product that looks and smells like your favorite burger. we went inside their lab to show you how they plan to replace the cow. >> here you go. >> thank you. >> reporter: founder and biochemist pat brown and his

team manufacture the secret ingredient, a molecule that gives meat its red color and that favor. >> this is a protein that we get from potatoes. it's really important for the way the texture changes with cooking. we're designing our product from the ground up, which means that we can control the flavor, the nutrition and so forth in a way the cow can't. >> reporter: their focus, address the rising demand for meat and growing negative impact of meat production on the environment. >> right now the burger that you ate compared to the same thing from a cow uses 1/20 of the land to produce. so you've reduced your greenhouse gas footprint of that burger by more than 80%. >> reporter: the global consumption of meat has shot up 21% over the past two decades to 68 million tons a year. that as the world's population grows and more people rise out of poverty. that demand expected to jump another 15% by 2025.

since millions of meat lovers probably have no plans to stop eating beef, impossible foods is attempting to meet customers where they are. >> a pound of impossible meat versus a pound of ground beef, what's the price difference? >> we expect our prices to be at or below the price of supermarket ground beef. so far our challenge has been racing to keep up with demand rather than a shortage of demand for our product. >> reporter: impossible foods plans to increase production from thousands of pounds a month to more than a million. worldwide sales of meat substitutes have gone up. an estimated 42% since 2010 to $4 billion a year, and that's expected to double by 2025. so how does this meat really taste? we're going to one of san francisco's hottest new restaurants to find out. this is one of more than 30 restaurants serving impossible meat. fans were surprised when a celebrity chef put it on his

lunch menu. >> you are the carnivore's carnivore. you are the meat guy. why are you serving a meat-like burger? >> there needs to be an option in the world for people who don't always want meat. >> this is not those bits of fat are really numbers of coconut oil. onto the grill the patty goes for the ultimate test. >> turn up the heat. you hear that sizzle? >> reporter: it's a vegan burger that bleeds, with zero cholesterol to boot. >> how does this impossible burger cook differently than a meat burger? >> it doesn't. that's the secret. >> i got pickles in the front. >> go for it. >> all right. >> i've got to say, i'm surprised. i'm really surprised. i've not had the impossible burger before. pleasantly surprised. >> good. >> is this a game-changer or more of an addition to the current repertoire for you? >> for me i think it's definitely an addition and it's

going to be a game-changer as we start playing more and more. >> reporter: disrupting the cow for the future of food. jolene kent, nbc news, san francisco. >> this is -- hold on. >> that made me so hungry. is this show almost over? >> this is the exact innovation we like, addressing a problem. the meat industry has too much of a strain on the environment. people like me who don't like so much meat but a veggie burger tastes like a hockey puck, amazing. the question is, is it scaleable. san francisco, i love it, it's hip, it's amazing. >> i hear a place in new york has it. you and i come from a place where we think these things aren't necessarily scaleable, but i remember meeting travis from uber years ago thinking this is quaint. i don't really get how it's going to work. uber, ebay, any number of apps you use on your phones, i would say if everybody who thinks that it's that good, if it's that good, maybe it's going to work. >> they all start with an idea.

>> fundamentally i'll not really taking advice from you or jolene kent about food. you guys are 98 pounds soaking weight. >> still more vels"velshi & ruh to come. we've been hearing a lot about states and cities increasing minimum wages. did you know minimum wages can also go the other way. what missouri did, next. and energy secretary rick perry offering up a lesson in economics. >> oh, rick perry. >> except it was wrong. >> hmm-mm. sorry. i'm jamie and i'm the fifth great-granddaughter of benjamin rush. he was actually the only medical doctor that signed the declaration of independence. i myself am a nurse, my daughter is going to physician's assistant school. we're passing on family traditions. ♪

introducing the new sleep number 360™ smart bed. the only bed smart enough to change sleep as we know it. it senses your every move and automatically adjusts

on both sides to keep you comfortable. and snoring.... does your bed do that? right now save on sleep number 360™ smart beds. plus, it's the lowest prices of the season with savings of $500 on our most popular p5 bed. ends sunday. (vo) living with ammonia odor? not a pretty picture. (vo) luckily, tidy cats lightweight with new ammonia blocker tackles tough odor, even ammonia. so long stankface! (vo) ammonia like that? there's a tidy cats for that.

hey, welcome back to "velshi & ruhle." last week we had a timely discussion about the minimum wage debate and that very day workers from los angeles and san francisco to montgomery county, maryland, got boosts to their hourly wages. not because of us, it was planned. this week, though, we learned that workers' wages can also get cut. a bill passed by missouri state

legislature prohibits cities in the state from raising their minimum wages and nullifies any increases that were already in effect. >> that means the city of st. louis will have to lower their $10 an hour minimum back to the state mandated $7.70. the $10 minimum has only been in effect since may and was set to rise to $11 in january of next year. >> so this is tricky. it's complicated because when you talk about minimum wages, obviously it would be perfect if you did it on a national level so that one state didn't get an advantage over another. but within the country, states have different minimum wages. >> cost of living is so different. >> it's different, right? so a city may want a higher minimum wage than the rural areas around it. so this is a complicated development. we'll stay on top of that story. i hope my kids are watching. a new working paper released this week by the national bureau of economic research argues an entire segment of america's workforce is choosing, are you

ready for this, video games. video game playing over low wage employment. they found in 2015 more than one-fifth of lower skilled men, i'm going to say dudes in this case, between the ages of 21 and 30 did not work at all for a full year and spent most of their leisure time playing video games. the economists claim the value of leisure time goes up as advances are made in video gaming technology, so some young men are choosing video games over working lower wage jobs. can you believe that? >> no. can't believe that at all. >> in all sincerity, though, think about this one. >> this isn't even my gameboy, i borrowed it. yeah, that's a little bit crazy. i was a video game playing kid when i was a kid. it was a thing that you go through. it is a little odd that that is going into people's working loifz. >> to my sons, i don't want you playing video games. i want you to study harder and i don't want you living in my basement when you're 26. lastly, we use this space to

fact check economic information that the president and his cabinet secretaries sometimes get wrong. we should all be fact checking each other. >> we make loads of mistakes. >> some of us more than others. and to be fair, some of this stuff is really complicated. but this one wasn't. >> how does this administration hope at all to be able to control market forces with shale gas with a third to half the price. >> here's a little economics lesson that supply and demand. you put the supply out there and the demand will follow that. >> well, here's a little economics lesson. it's one thing to misspeak, but rick perry, stick to your day job. you don't want to be an econ professor. that is not how supply and demand works. >> that is the "field of dreams" thing, if you build it, they will come. >> i like rick perry, but that wasn't correct. >> that does it for us. we're signing off for "velshi & ruhle" this week. keep on playing, i'm going to

keep on working. remember, higher wage, lower wage. you can catch us both together every weekday at 11:00 a.m. and i will see you monday at 9:00. >> and i'll see you monday at 3:00. have a great rest of your weekend. cious pasta marinara. but birds eye made it from zucchini. mmm! bird: mashed potatoes and rice. but made from cauliflower. looks like i need a fork! oh, no. (giggling) bird: new birds eye veggie made. so veggie good.

bird: new birds eye veggie made. i'm not a customer,

but i'm calling about that credit scorecard. give it. sure! it's free for everyone. oh! well that's nice! and checking your score won't hurt your credit. oh! i'm so proud of you. well thank you. free at at discover.com/creditscorecard, even if you're not a customer. welcome, everyone. it's 1:00 in the east, 10:00 a.m. out west here on "msnbc live." here's what's happening. the trump administration is pushing back on the conflicting narratives out of his historic meeting with russian president vladimir putin as it relates to election hacking. here's nikki haley in an interview airing tomorrow. >> he wanted him to basically look him in the eye, let him know that, yes, we know you meddled in our elections, yes, we know you did it and cut it out. i think president putin did exactly what we thought he would do which is deny it. this is russia trying to save face and they can't. they can't. everybody knows that russia