the union, the resources and flexibility to improve their health care programs and medicaid, it's the american way to meet the needs of our most vulnerable and we're going to make it happen. [applaus [applause] >> competition between the states will give the american people better health care choices. and under president trump's leadership, we're actually going to finally allow americans to purchase health insurance across state lines, the way you buy life insurance, the way you buy car insurance. [applaus [applause] >> president trump and i both know the way to lower the cost of health insurance is to create a national marketplace and give americans the choice to have the insurance they want not that the government mandates. let's be clear, it's going to be a battle in washington d.c., for us to steez this