you can imagine, was a major point of contention. the party is torn between single-payer system and more moderate candidates who are pushing to build on the foundation of the affordable care act. but the aca seems to be on increasingly shaky ground. a federal appeals court in new orleans founded that unconstitutional. chief washington correspondent for kaiser health news julie. great to have you with us. obviously this topic of health care featured heavily in the last debate as it has been on the campaign trail. but i want to start with that debate over how realistic medicare for all is. where do you fall on that? >> well, you know, congress has been working all year to do something about surprise medical bills. these are out of network bills that people get when they go to an in-network hospital but they get care from a doctor who is not in their network. the president wants to do this -- republicans, democrats, they haven't even been able to