Lifestyle decisions as they go forward. Whereever they dont spend, they should be able to say. They should be able to save. We will give them Real Transparency to decide which Health Care Provider will provide the best value. Health care providers will be more accountable for results, and they will really compete to design the new ways to deliver care. This will require some major changes on how we regulate Health Insurance. States rather than washington, d. C. , are much better equipped to set the standards. Here is what i propose. We will open up state Insurance Markets to much broader competition and choice. Right now, obamacare locks in a small handful of onesizefitsall mandated policies engineered and engineered in washington, d. C. When did you to break up the insurance monopolies and allow people to buy Health Insurance designed for what they actually want. For example, an individual who might want to buy a high deductible plan for unexpected events the true form of , insurance that should be the norm, but maybe they would want also to have one that adds Preventative Care and diabetes management with no cost sharing at all. Or, physicians may want to develop a plan that uses preventative medicine that identifies and cures once cancer. The possibilities for innovation are endless if we trust the marketplace to do what it does so well. If people are informed, and they make decisions based on the proper information that they have, if the system is much more transparent, the providers of insurance and care will respond with a significant amount of innovation. Plans to protect you in case you get sick, and plans with a focus on certain conditions such as Heart Disease would become the norm. Plans that are perfect for different stages of life, whether people are single, whether they have a family, or whether they are retired. Let me be clear. Everybody will have access to the tax credits that will help them buy insurance that protects them from losing their life savings from Major Medical events. That should be the national focus, making sure that people have catastrophic coverage so that their lives are not turned upside down by an adverse event that could have tragic results could have a real devastation for their family. Whatever they want insurance to cover, they should buy that. We wont force people to buy coverage they dont want because they dont need it or it violates their conscience. Frankly, that is one of the most egregious parts of obamacare, the idea that you are forced to do things against her own conscience. We would get rid of that. There are certain things that we will ensure. We will expect that vulnerable americans, regardless of how much money they make, get the care and outcomes they deserve. Hillary clinton says that will happen under medicaid. Let me tell you something. I was governor of the state of florida, i think we had the fourth largest medicaid plan. States are extraordinarily frustrated with the state partnership that is medicaid. Spending more through a broken system is not the answer. Lets try a new approach. Lets let the states have the power to create a safety net for the 21st century, and hold them accountable for the results they achieved. If we took the money that goes to medicaid, and took the subsidies on obamacare and put , fchip in the mix, i can promise you we will get a better result. You know why i know that . I had a chance to do a version of that when i was governor of the state of florida with our medicaid plan. We had a Pilot Program in Fort Lauderdale and jacksonville. It was the 25th largest medicaid plan. We created tiered premiums, where medicaid beneficiaries were given choices, where we empowered them to make choices. This notion that People Living in poverty do not know what is right with their families we better start rejecting that out of hand. Whether it is health care or education or the safety of their neighborhood, america does not do this right this topdown , believe that some people are smart, and some people arent, i reject it, and i hope you do as well. A medicaid plan that empowers people to make decisions for themselves will get far better results. Imagine a system where you had choice counseling, where you rewarded making Healthy Lifestyle decisions by allowing people to have more money to make Healthy Lifestyle decisions the next year, where there is competition, choices, where people takes the plan for them. Maybe the have a child with asthma. I higher premium based on the actuarial cost. They are empowered to make more choices because they get more for the premium dollars that they had. A system that is focused on people, rather than on government, will yield a far better result. The net result of this is we did this at a lower cost than the old medicaid plan. We did it at Higher Quality. Medicaid beneficiaries, based on outside observations and studies, suggested it was far better for them. I believe the states are the place where this will happen. Washington has had its chance to do these things and it has failed miserably. We need to liberate our country to be able to be able to, from the bottom up, be able to solve these problems. I wont except the strawman argument from the other side that the opposite of obamacare is no care. It doesnt mean going back to the way things used to be. We need a system that doesnt address just the changes, but also one that meets the needs for our economy. As you know, my aspiration is that this country should grow at 4 per year as far as the eye can see. If we were doing that, i promise you that the demands of government would subside. There would be a lot more people in the private Insurance Market who would be able to increase their pay incentive having to slough off their health care costs. It is not working. Are from the costs backs of employees. Take home pay has declined. We are the sixth year of a recovery, and disposable income is 2000 plus dollars less than the date of the recovery started. Moving to a different system would make it work. According to the nonpartisan congressional budget office, repealing obamacare would increase gdp growth by 7 10 of 1 over 10 years, which is a big part of reaching the goal of 4 growth instead of this new normal of 2 growth. 4 would as the equivalent of million fulltime equivalent jobs to our economy. There are a lot of people working parttime. They want to work fulltime but they are stuck in a system because of these rules having these adverse outcomes. No matter how you earn a living, my plan will give the American People control over their health care. I reject the arguments you hear from the progressive left. Whether it is senator sanders or Hillary Clinton. Government have to do the work for them. That is not the american way. If you empower them with the right information in a much more transparent system, i can promise you that people will act on their selfinterest which is lower cost at a Higher Quality for their families. Im not afraid of giving more information on their health care. I got to do that as governor of the state of florida as well. At first thought this was kind of a radical idea. But then they realized, why should we do this. They started offering care and promoting the fact that they had Better Outcomes at lower costs. Think about every aspect of our economy. Is this the only place in the economy were low costs and Higher Quality is assumed to be impossible to achieve. The rest of the economy does this daily. More abundance, more prosperity, higherquality. Health care needs to get to that as well. For people in terms of our economy and better health, if we tear down the barriers. For some odd reason, people just cant see how lower costs can improve, if you do it the right way, quality. We prevent illness and create a better chance for people to live a life of purpose and meaning. It will require the kind of leadership we need to fix these things. Whether his regulations in general or taxes, or reforming our Higher Education system, young people are stuck with recourse debt. To make sure that degrees are attained in a way that allows young people. All ofthese young these things are broken right now because we have not had the leadership in washington to fix them. Can do thisat if we this will be the most exciting time to be alive in the world. This is an essential element of what the next president has to do. I believe i have the skills to do it and if we get this right, we will have our grandchildren living way beyond 100. We will be hopefully in heaven, at least my age. But we will have a society that continues to be the law professors stuff is davis will talk about his cover story on mass incarceration in america. Washington journal is live each morning with your phone calls, tweets and facebook comments. On cspan. Examining the public and private lives of women who filled the position of first lady. Tom are so washington michelle obama. Sunday at 8 00 p. M. Eastern. Wrote to the white house 2016. We have your questions. This year, we are taking our coverage into classrooms across the country. Giving students the opportunity to discuss what important issues they want to hear the most from the candidates. Follow coverage 2016 on tv, radio, and online at cspan. Ward. Or. As usual i have taken my prepared address given to me by my speechwriter. I prepared my own remarks. Which means i will tell you what i really think. I asked my staff last week what should i stay . When i left the department of defense at the end of 2012 as the Senior Lawyer for the department of defense. I was back in private law practice. The thing i missed the most about Public Service was the character and the quality of the people. The character and the quality of the people. I have come to respect admiring number of people. These are people i work with on a daily basis. On a daily basis. For two years. Someone from the joint staff down in the basement of the pentagon. It an army major. About counterterrorism. He did his job. He was modest. He did it well. After he was reassigned, somebody told me about this army major. This young man who would never say these things himself. He had been on 16 deployments. His back was parachute failed to open. Lost part of his like to an rpg. What shot in the back. He was the victim of several ied attacks afghanistan. After serving in the pentagon he ran triathlons. That is the quality and character of people in todays United States army. I find that remarkable. It the thing i miss most about Public Service. Why part of me is pleased to be back in Public Service. Perhaps army officer i know the best was mark martins. Im sure many people know him. He is our chief prosecutor at guantanamo bay. Advisor. Know him as an i spent time with him in afghanistan. I visited the airbase in 2011. I was greeted by then colonel mark martins. He showed me around the base. Nighttime fell. We were about to hit the sack after a long day. The general finished first in his class at west point. Harvard law review. He got better grades than the president. He asked me a deep question. He said look at the sky what occurs to you . It was a clear night. I wonder what he was thinking of. I searched for a deeper meaning to this question. I thought about the brave men and women of the army. Im a student of history. I thought of the words of winston churchill. We shall fight on the beaches, we shall fight on the ground, we shall fight in field and streets. We will find in the hills. We will never surrender. He said look up again. What really occurs to you when you look at the sky. I gave a second try. Of fdrs inspirational words on dday. Army theited states pride of our nation remarks. They fight not for the lust of conquest they fight to end conquest. They fight to liberate come of a justice arise. The year for the end of the battle. I said how about that . He said what he really thinking. Finally i thought of jfks about thenal words inherent nature of Armed Conflict and international tension. Kennedy said these words in the hope i would answer his question. Our most basic common link is that we all inhabit this planet. We breathe the same air. We cherish our children. Said sir what really occurs to you when you look about the afghan sky . Is that i give up. What he thinking . He said somebody stole our tent. The army is great. The armys family to me. That myyou might know grandfather was a Sergeant Major and a combat veteran in world war i. My father was an Army Sergeant during the korean war. When i say the army is great and i love the army my words are matched by deeds. I am stealing people from the United States army. Lieutenant colonel cut severe. United states army. Now, my acting assistant for public affairs. They were directly for me. Combat vets from afghanistan. Dr. Jennifer mcdonald. Is an armywife physician. It is the case that the army and the department of Homeland SecurityWork Together on a number of matters the army corps i engineers and army guard saw this in person at south carolina. When it comes to home and security i am a new yorker. I was present on 9 11 in new york city in manhattan that day. I was back in the private sector , before my service for the department of defense. I witnessed the tragedy of 9 11. The devastating and shocking terrorist attack. It was out of 9 11 that the department of Homeland Security was born. My commitment to lead the department of Homeland Security. My commitment, security. It was born that day. As many of you know the department of Homeland Security is the thirdlargest department. 22 components. Forre responsible counterterrorism, Photo Security , chief fisheries here, Port SecurityAviation Security, maritime security, Cyber Security, enforcement and administration of our immigration laws. Detection of threats to the homeland. Response to disasters. Both natural and manmade. We include customs and border protections. Immigration customs enforcement. Citizenship and immigration services. Coast guard and fema. I want to take a moment to highlight the extraordinary work of the secret service and other elements of the department of Homeland Security just a few weeks ago. We had the perfect storm. The protection of visiting heads of government. We had an late september 170 World Leaders and their spouses, in this country in new york city all the same time. There are lead responsibility for protecting them all was the United States secret service. Were the president of china had the leader from afghanistan, iraq iran and israel. Russia, and of course we had the pope. All of this country at the same time. No other agency of our government except the secret service, and no other Protection Service in the world could have pulled off what the secret service did. The largest of essex security operation in the history of this country. Flawlessly and perfectly. With other components of the department of Homeland Security. Hsi. Fema, the coast guard. Im very proud of what our people have done. Told that the topic here is to win in a complex world. That is the theme of the conference. I could not agree more that that is what we in the department find is our challenge also. Winning in a complex world. Ive spoken many times about the new reality of the evolving global terrorist threat. Reality to the threats to the homeland which you and i are responsible for. There is a new reality. The global terrorist threat has evolved. Directed tosts whenrist inspired attacks i say terrorists directed attacks i mean attacks or attempted attacks conducted by people who were recruited, trained, and equipped overseas and directed by a terrorist organization. They were exported to our homeland. The most prominent example of a terrorist directed attack in this vein is 9 11. Were trained, recruited and directed overseas. They were exported to our homeland. Then, the attempted underwear bombing over detroit in 2009. The attempted times square car bombing in 2010. The package bomb plot in october 2010. These are examples of what was likely terrorist directed attacks from those overseas. Today, we see, in addition to that threat a threat of terrorist inspired attacks. Homegrown oro are even home born, al qaeda in the Arabian Peninsula no longer build bombs in secret. It puts out an instruction manual and urges the public to do the same thing. Threat of a potential lone wolf actor in the foreign fighter. The foreign fighter who leaves their home country, goes to syria and returns with an extremist purpose. We have to be vigilant about that. In this new wave of attacks and attempted attacks terrorist inspired caused by those who might be homegrown or board. Oston marathon bombing the attack on the apartment building. The attack on the Charlie Hebdo headquarters in paris. The garland city texas attempted attack. It is more complex, it has led to a very complex world. In many respects it is harder to detect. Our government has become pretty at detecting overseas plots at their earliest stages. The homegrown actor could strike at any moment and is inspired by something he sees. In many respects more complicated and harder to detect. It involves a whole of the government response. So, what are we doing . First, we continue to take the to terroristily organizations overseas. And