and mary agnus carey of kaiser health news. let's start with medicaid. how does this change what we know medicaid to be? >> the biggest change is how we change federal funding for the medicaid program. right now states can spend what they need matched on a percentage basis, but this would shift the medicaid program to a capped allotment, a set amount of money. the thought is over time would that a lot. rise fast enough to meet the medical costs of the population, and if it doesn't, what do you do? do you reducing payments to survivor, do you cut services, do you kick people off the roles? that's one of the biggest concerns. >> who does this lure in to get those crucial yes votes? >> we're really talking about those concerned for debt and deficit. the growth of medicaid is a concern, but it loses some votes potentially. a lot of conservative republican senators whose states have high proportions of medicaid users. take arizona, ohio, some of these swing states, west virginia. i talked to senator mccain today. he said he's not deciding what he does until h