fax machines. and saegt side one of the myriad answers. if we can't even convince doctors to stop sending, how do you get their buy-in with a different way of getting paid? >> we want to work with our professionals and providers about getting paid. if you're willing to take risk on how you get paid, we're going to get out of micromanaging. if you're willing to let us repay you, we're going to stop tell tg you will how hard it is a a chief that. if you do this, you get this money. it's an activity-based thing, so then you have to start regulating every aspect of how people do that, because all

you're doing is paying for activity. it's like the president's interaction with me. get an outcome, azar, okay? well, physician group, hospital group. get an outcome and we'll pay you this amount of money. clean, easy measure, and we're going to stop telling you every aspect of how to do your job. you be noinnovated. think about alternative ways to get the outcome. >> mr. secretary, let's finish with one fun thing. you are a secret binge watcher. >> i am, indeed. i have really horrible taste in tv, but i like tv a lot. it's realization. best season ever. i shouldn't say this because you know what's going to happen now, every trade association is going to go below deck.

i skip them. best season ever. >> thank you for being with us. >> thank you. our next guest joined the marines in 2001 just before 9/11. he led an infantry platoon, was among the first americans to reach baghdad in 2003. he's a disruptor. he was the only democrat to unseat an incumbent in primary, too. it's our honor to welcome to the stage, congressman bolton. congratulations, you are a new dad. >> yes, october 19. >> tell us about her. >> she's very good, occasionally acts like a baby, but genuinely well behaved. people told me different things. they said, well, when she's new,

she'll be attached to the mother. i'm totally attached to emmy. we barely met. we've only known each other a few weeks and i can't stand being away from her. it's been an interesting experience, being a first-time dad. >> this will be a sharp turn. backstage you said something to me very sobering. i said, just making conversation while we're waiting for jason to come out. i said, what are the chances of a shutdown? you said high. >> this could change any minute, as we know, with our erratic commander in chief. but we don't know at this point and right now it seems like the two sides are pretty far apart. my intention is to spend time in massachusetts, not here in washington, d.c. >> you still get your health care from the veterans administration. how does that affect your view of it and this has been an area

that you've been very active on? >> when if was elected, i wante to continue getting my health care from the va. i had gotten my health care from the va before running. >> have a water. we have quite an arsenal of waters here. >> they're labeled. >> they're all untouched, so help yourself. >> thank you for the water. much better than cayi caine's w i'm sure. statistically the va is pretty good, but we've heard the stories. we've heard where some hospitals are are pretty great and some

hospitals they're waiting to die. we passed a bill to make it easier for veterans to get access to va health care. veterans can get appointments on their iphone, oh, there is an opening on thursday, would you like it, and you can select that. we also can make it easier for veterans to get cannabis. one out of four veterans suis using cannabis right now, but they don't feel safe even talking about it at the va with their provider. so we'll have three bills. one will make it clear that if you are using cannabis, you can start having repercussions.

and the second is whether it's working, whether it's not, and the third is to educate va professionals on campus. i was supportive of the legalization mission in massachusetts. marijuana, whether we like it or not, let's make it legal and let's regulate it to make it safe. >> in the last campaign in the midterm campaigns, you found yourself, in ohio, with a huge health crisis. >> i worked very hard to help win back the house. and i supported the next generation slate of candidates across this country, especially veterans. i spent some time with ken harbaugh running in ohio. and we went out with the sheriff's deputy and then we went out with the fire department in the morning and really saw the effects of the opioid crisis firsthand. >> take us on that midnight run.

>> it's amazing how many calls they did get, and we didn't have to wait at all to get called out. we went to one call with the fire department where there was a guy who had o.d.t. he was very close to death lying in a pickup truck. i watched these local heroes, tho and it was obvious they were professional. they said, we do this multiple times a day. we went, with the sheriff's did he want, to several domestic violence cases where you can see the effects of drug use, not just on an individual but on an entire family and a community. frapgly, one of the reasons why i support using marijuana or

cannabis for vets, that's something vets do as opposed to using opioids. a lot of vets use cannabis because they don't want to get addicted like so many people are, especially in the heart of our country. it's disturbing. >> what are these vas like? >> they're totally professional. they're businesslike in that sense. but it just feels like we're not making any progress on this kras they're not addressing the root causes here, so person after person, life after life they're out there trying to save, but it feels like an endless cycle. it's one of the reasons we have to have health care in this country that really stops these issues before they start.

you know, there is no question that the pharmaceutical industry is largely responsible here. let's stop having the pharmaceutical industry make our health care policy. >> i took some classes at m.i.t. and they talked about how many jobs are getting lost to just robots. that's how the work force is changing. when you map this out, when you map out the communities that are more susceptible to automation versus the communities that are helpful. .

institutio institutions, auto plants really susceptible to automation. it was a syrian refugee who did this mapping at the american media lab. i don't think he knew much about american projects, but he chose blue for the safety in the area. that tells me two things, trump and the americans have actually been pretty effective at tapping into this feeling of being left assigned to this. they used to not have a job, or maybe they used to be a machinist and now they're working at mcdonald's. the silicon valley that are represented by democrats, they're already doing okay with automation. this means that if democrats can figure out how to solve this problem for the red parts, we

have a lot of districts we can win back. >> what would be on the short list of how you would tackle that? >> education. you know, it's -- we reformed our education system because of the industrial age. we said people are coming off the farms, we've got to have everybody go to high school, this is a new world and we have to make sure we have an education system that matches. we have not made those reforms to our education system now. half the jobs that will exist in 2040 don't exist today. half the jobs in just 20 years. that means even if our education system were perfect right now, which god knows it's not, we still have to re-ed indicate half the work force. so we need a system that's not just about going to high school or college once in your life, but it's more scheduled. >> you talked about a new generation of leadership for washington. you turned 4-0 in october.

>> geez, i think i need to have some more water here. >> you were among the democrats who challenged the automatic ascension being opposed to the automatic return. now that that's shaken out, what do you think we need for house democrats come january. >> we didn't just challenge that, we challenged the top three. we just said, look, let's have a democratic conversation about this, let's not just get them reappointed. that's where this has gone. at the end of the day we try to create the space for other people to run, and nobody else has run. i think what you'll see happening in the next few hours or few days is coming to a deal

that will make some long-term changes to how the party operates that will enable young people to actually have more of a voice in our politics and rise up into these positions while also coming together as a party so that we can be unified in this area. >> how has your relationship with speaker pelosi been the last few weeks. >> it's been better. but sometimes when you have a debate on two sides of the issue, you have a vigorous debate. >> just like we have a real democratic debate about health care, right? republicans in the last congress were just trying to lower the health care costs. there will be some democrats that disagree with other

democrats, but at the end of the day, that's healthy and that's what we should do. >> one idea you were pushing for is being pushed out of leadership. i may have misunderstood that but i don't think she's done much. >> we're hoping to do something along those lines. >> yesterday she seemed to just be getting warmed up. >> she did great yesterday. but we want to make sure -- we have a congress that doesn't even understand, right? we just want to make sure our generation has a voice in that debate. >> there is a lot of conversation about and you 2020. you're not running, i get that. but you have said tlas chere isy for leadership. how do you make sure you answer that cry for leadership in the next few years? >> i did not intend to get into politics. the first job i took was in dallas, texas, so this was not on my radar screen.

i'm here in large part because of an amazing woman who started this group for service veterans to run for office on the theory that we understand a little bit about what it means to serve the country. i'm going to try to do whatever i can to serve this country in the best way possible. that's what guides me. it's what guides me in my health care work, my work with the va and it will guide me in whatever i've tried to do next kim's low. do you think that will work out zool felt liblg with all pal, she shouldn't have been

coordinated. the fact that bernie got up and talked about the debate, which really weren't in the party's discussion, and he showed up part of that country. i think we'll see it times ten. >> what's it like to go on seth meyers? >> it's nervewracking at first. i actually had to follow a comedian. you're supposed to get fun noi this show but it's really fun. >> what's behind the scenes? >> they had a lot of food. >> they didn't have the best toast we have here. >> they have food and they have drinks. >> we can't top it this moment, but we'd like to thank daily dental for making this conversation about access to health care possible, the axios

event team for their miracles overnight, the axios health care team for their excellent coverage we prich or not. congressman, thank you for a great education. >> thank you. >> we'll see you back at axiom. money will run out for several federal agencies in a group. negotiations continue among the house, senate and white how else. atish assume whether senator trump. the senate will be back on monday. senate republican leaders are working on a criminal justice overhaul plan, changing sentencing laws. this weekend, c-span's cities tour takes to you

lawrence, kansas. >> lawrence was founded on a principle, and it was founded in conflict. for those than abot know about bleeding kansas, it began in the civil war, through the 1850s. it drew both people on behalf of the issue. >> on saturday at noon eastern on booktv, we'll learn from a local author the history of lawrence. and on tuesday we'll take you to the robert dole institute at the university of kansas to hear about the life of this long-serving senator from the state. c-span's cities tour, completing

the long story. retiring members of congress all discuss losing their reelection bids and reflect on their time in congress. >> experience is now not a positive thing in government spchlt i like to make the many. imagine if they're wheeling you into the operating room, and the nurse liens down for you and says, i've got good news for you. this surgeon has never done this before. whoa, back me up! but in government that's what they want. they want people in office who have never been around government, because they've been so cynical that someone in a career would know that.

>> this is after i blew myself up in 2009, is that i have seen and i have experienced firsthand people's grace which is a reflection of god's grace. that is an incredibly humbling journal to walk, particularly in a public venue. >> i have probably stepped on billionaires' toes over the years awho decided i needed to go. by people who are worth billions of dollars and don't even live in california. >> watch conversations with retiring members of congress, saturday at 11:00 app. 50 years ago, apollo aid became the first manned spacecraft to successfully orbit

the moon. this weekend american history tv marks the milestone with special features. we're live from colorado's museum of science and industry, home of the cab sewell -- >> the 1999 interview with kohl nad fald tmd watch the 50-- wat american history tv on c-span3. what stories are likely to dominate the incoming 2019 congress? they brought in reporters to talk about issues over the next two years. this lasts about an hour.