One house of congress in one branch of government doesnt get to shut down the entire government just to respite the results of on election. Reporter not everything gets shut down. Troops will continue to be paid. Social security checks will continue to go out. Medicare and medicate benefits, too and the post office will remain open. Veteran support centers will be closed, more than 800,000 federal workers told to stay home without pay. Its washington dysfunction at its absolute worst, unreasonable demands, no negotiating and lots of name calling. Blatant extortion. Hostage taking tactics. Were dealing with an arcists. Reporter the bill they are arguing about would only fund the government for six weeks, republicans voted 46 times to repeal obama care are still insisting that they wont fund the government without at least some change to the law. Its time for the senate to listen to the American People and pass a one year delay of obama care. Reporter it all adds up to a terrible sieve iks lesson for these middle School Students from colorado among the tourists visiting washington, getting in as many monuments as they can before it shuts down tomorrow. Its very disappointing to me because its sending a message that the government cares more about that are parties than they do us, the American People. Reporter one thing not effected by a shutdown is congressional paychecks. Even during a shutdown members of Congress Like the president and the Vice President will continue to get paid. Diane . So they consider themselves social. Thank you so much, jon. The threat of a Government Shutdown has forced americans to pay a price. The markets were down. The dow fell 128 points. Rebecca jarvis is here to bring us to the american home. Tell us how much its going to cost the average American Family budget. Reporter thousands of dollars, diane. All of this d. C. Dysfunction we know comes at a cost for real people, the American People. It creates uncertainty and economists think it could cost our economy 8 billion a week. Look at the last shutdown. That was 17 years ago. Stocks back then fell 3. 7 percent. If that were to happen today, Retirement Savings accounts could lose as much as 9,000 in a span of just a couple of weeks, diane. The previous experience was rather limited, rather short. Were talking about an even bigger threat looming ahead. Reporter yes because we have another major battle. Its probably something for some that will say crises fatigue. The reality of the situation were talking about once we faced this before we faced a credit crises in this country, trillions of dollars in wealth wiped out in a matter of couple of days, a debt downgrade and that will come october 17th when we run out of money. This is different. This is an even more Seismic Shift right now. Thank you rebecca jarvis. Of course one issue in the middle of all of this, the president says he will not stop that other historic event about to take place tonight at midnight, obama care. For the first time every american expected to have Health Insurance, 50 million uninsured will be able to start shopping tomorrow. Paula faris tells us what to expect when you check in. Reporter max was dropped from his Health Insurance because of his preexisting condition. I have asma and allergies. Courtney says she cant afford it. I need good maternity coverage. Reporter we heard from so many of you. Will i have more Affordable Health care . Reporter all part of the 48 million americans who do not have insurance, about 15 percent of the population. How do i sign up and when does the coverage begin. Reporter starting at midnight you can go on health care. Gov where youll be able to shop around, compare plans and buy. Everyone regardless of age, gender, income or preexisting condition will be able to get insurance. If you dont want to buy or have been delaying because of expense, youll have until march 31st, six months to purchase a plan or face a fine from the government. I just want to be covered like anybody else. Reporter no one will know how good of a deal this is until midnight. But for people like max, he can breathe easier now knowing he has a choice. I just want to have that safety net. Reporter that is the big mystery. We will not know the details of these plans or how much they cost until midnight. Tomorrow were walking folks through it and really helping them understand who they can trust throughout the process. Well be doing it right here and making it simple. Thank you, paula. There is something happens all around you tonight proving that American Health care costs have been out of control far and away the highest in the world. So people are taking their business abroad tonight. Abcs byron pitts got on a plane with some of the 1 million americans who are in a sense paid by their employers to go on a surgical vacation. Reporter for 39yearold joy gulon of hickory, north carolina. This is her first time on a plane. Reporter her destination . The sun soaked south american hot spot, costa rica. A four star hotel. Local driver, personal concierge. But a full fledged vacation its not. Joy is a medical tourist. Shes come to costa rica for wright loss surgery because of a Family History of diabetes and heart disease. Could you have afforded this at home . No. No chance . No. Reporter and whats more, her company is paying the entire bill. They gave joy as choice. A traditional Insurance Plan or out sourcing her care in a foreign country. Out of pocket, how much we have to spend . Nothing, zero. Reporter back home joys gastric sleeve surgery goes for 30,000. Here, less than 18,000. Her company, hsm, a furniture manufacturer in western, nc tells abc news it has saved nearly 10 million in Health Care Cost the past 5 years by sending close to 250 employees abroad for medical procedures. Another hsm employee on the costa rica trip is 65year old gary harwell. A retired plant manager, garys going for Knee Replacement. His doctor who earned his medical degree in latin america has received advanced training in the u. S. In the u. S. Garys Knee Replacement would have cost more than 50,000. In costa rica its half that. In the u. S. Gary and joy would have each paid 3,000 out of pocket. In costa rica, nothing. Get this, when the bandages come off, joy and gary will get a bonus check for at least 2,500 from their company. A percentage of the corporate savings in insurance costs. But medical experts who are tracking the increasing number of americans going abroad for medical care are concerned. What are the Biggest Challenges . Risk of infection. Risk of a poorly performed procedure. Reporter at this private hospital there has been a very low rate of problems. For patients like joy, the opportunity outweighs the risk, the opportunity of a better, healthier life without breaking the bank. Byron pitts, abc news. We move on. Tonight we are learning about an extraordinary decision in the american military, two marine generals were fired for negligence, for failing to protect their troops and equipment at a large base in southern afghanistan. Two marines were killed when the base was attacked by the taliban last year, the First Time Since the vietnam war that a general was fired for negligence after an enemy attack. Next to chicago where investigators are searching for the mysterious caution of this collision with a run away train. An empty train slammed into a commuter train loaded with passengers. Dozens were hurt. The morning rush hour came to a halt. The empty train has been in a repair yard when somehow it began rolling down the tracks. Another bizarre incidents of road rage yesterday, motorcycle kl c occurreding a car with a dad. Reporter watch as 30 bikers take over this new york hare, surrounding this black range rover. Look, one of the riders seems to stop short. The suv hits him, breaking his leg. Within seconds the entire group grinds to a halt. They surround the suv police say attacking the car and slashing its tires. That the when the suv takes off, plowing over some of the bikers. Watch again. Police say the driver in the car with his wife and young daughter was afraid for his life. Then a high speed chase. The bikers in hot pursuit. At one point they catch up. One biker tries to open the car door. But again it speeds away. The chase ends on the streets of manhattan. The driver trapped in traffic. The bikers surround the car again. This one smashing the drivers side window with his helmet. Hes taken out of the car. He is assaulted. He received some stitches at columbia presbyterian hospital. Reporter tonight police are trying to track down the bikers and pouring over every second of that video. Now the news tonight on the american student, amanda knox back in the spotlight once again on trial for the murder of her roommate. An Appeals Court in italy is again holding out the threat that she could be forced back to italy and back to jail. Abcs gio benitez with the latest on what is happening to her tonight. Reporter as her third murder trial kicks off in italy, a world away in seattle, amanda knox says shes living a nightmare. The longer this plays out the longer its going to take me to get my life back and to move on. Reporter its been two years since knox returned home. After an italian Appeals Court overturned her murder conviction. She and her then boyfriend were accused of killing knoxs roomate meredith kercher. Back in the u. S. Knox reenrolled in college, found a new boyfriend, and wrote a book. But then this spring, a crushing blow. The Italian Supreme Court ordering a retrial. Knox told diane, it was incredibly painful news. I felt like, after crawling through a field of barbed wire and finally reaching what i thought was the end, it just turned out that it was the horizon. Reporter knox has always said shes innocent. That shes not the sexfueled murderess she was made out to be. But shes still refusing to return to italy for her retrial. I have plenty to fear because i was already imprisoned wrongrully, i was already convicted wrongfully. Reporter if knox is convicted again, italy could ask the us to force her to return. What are the changes that italy could seek the extradition . Extradition is 90 percent politics and ten percent law. Reporter knox will now defend herself from the safety of seattle. Not ever going to accept the idea that anyone can say that i did something that i didnt. Reporter gio benitez, abc news, new york. And tell ahead on world news how many people see water spouts and tornados from this perspective. Why the coast guard is speaking out tonight about this trip heading straight towards a water tornado. And behind the scenes of last nights red hot finale, what it has in common with some of the televisions greatest goodbyes. So i can reach ally bank 24 7, but there are no branches . 24 7. Im sorry, im just really reluctant to try new things. Really . Whats wrong with trying new things . Look mommys new vacuum cat screech you feel that in your muscles . I do. Drink water. Its a long story. Well, not having branches lets us give you great rates and service. Id like that. A new way to bank. A better way to save. Ally bank. Your money needs an ally. But with advair, im breathing better. So now i can help make this a great block party. [ male announcer ] advair is clinically proven to help significantly improve lung function. Unlike most copd medications, advair contains both an antiinflammatory and a longacting bronchodilator working together to help improve your lung function all day. Advair wont replace fastacting inhalers for sudden symptoms and should not be used more than twice a day. People with copd taking advair may have a higher chance of pneumonia. Advair may increase your risk of osteoporosis and some eye problems. Tell your doctor if you have a heart condition or high Blood Pressure before taking advair. Ask your doctor if including advair could help improve your lung function. [ male announcer ] Advair Diskus fluticasone propionate and salmeterol inhalation powder. Get your first prescription free and save on refills at advaircopd. Com. Next tonight one of those moments where you ask what were they thinking. The boaters, all of it on tape surrounded by not one, not two but five water spouts and motoring straight toward them. Abcs matt gutman shows us what happened next. Reporter to some this might seem insanity. To charter captain kevin johnson, its water spout slalom. Johnson was lobster fishing wednesday on his boat with his buddy, aaron oster, and his best friend, bode. They were off the florida keys when they spotted this rare weather system with multiple water spouts, basically mini tornadoes over water. Not many people see water spouts or tornadoes from this perspective. Reporter all of a sudden those funnels were all around them. On the other side of this one theres three or four more. Reporter water spouts often form under thunderclouds. Reporter johnsen guns his boat, heading straight for the water spout. Then hammers right through it, he seemed to have everything on him, the snorkel, the camera. He was missing one thing, the life jacket. The dog didnt have one either. Johnsen called it a cal rated risk. These are 70 Miles Per Hour or less. There was no real danger. What would you call this . Wresless. Hes putting his life in danger, passengers in dangers and responders in danger. Reporter still he says he would do it again. He just might need a bigger boat. Matt gutman abc news, miami. Still ahead driving through for fast food. Were going to tell you which drive through is really the fastest. But your erectile dysfunction that could be a question of blood flow. Cialis tadalafil for daily use helps you be Ready Anytime the moments right. You can be more confident in your ability to be ready. And the same cialis is the only daily ed tablet approved to treat ed and symptoms of bph, like needing to go frequently or urgently. Tell your doctor about all your medical conditions and medications, and ask if your heart is healthy enough for sexual activity. Do not take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in Blood Pressure. Do not drink alcohol in excess with cialis. Side effects may include headache, upset stomach, delayed backache or muscle ache. To avoid longterm injury, seek immediate medical help for an erection lasting more than 4 hours. If you have any sudden decrease or loss in hearing or vision, or if you have any allergic reactions such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing, stop taking cialis and get medical help right away. Ask your doctor about cialis for daily use and a 30tablet free trial. See who does good work and compare costs. It doesnt usually work that way with health care. But with unitedhealthcare, i get information on quality rated doctors, Treatment Options and estimates for how much ill pay. That helps me, and my guys, make better decisions. I dont like guesses with my business, and definitely not with our health. Innovations that work for you. Thats health in numbers. Unedhealthcare. Hands for holding. Feet, kicking. Better things than the joint pain and swelling of moderate to severe rheumatoid arthritis. If youre trying to manage your ra, now may be the time to ask about xeljanz. Xeljanz tofacitinib is a small pill for adults with moderate to severe ra for whom methotrexate did not work well. Xeljanz can lower your ability to fight infections, including tuberculosis. Serious, sometimes fatal infections and cancers have happened in patients taking xeljanz. Dont start taking xeljanz if you have any kind of infection, unless ok with your doctor. Tears in the stomach or intestines, low blood cell counts and higher liver tests and cholesterol levels have happened. Your doctor should perform blood tests, including certain liver tests, before you start and while you are taking xeljanz. Tell your doctor if you have been to a region where certain fungal infections are common and if you have had tb, hepatitis b or c, or are prone to infections. Tell your doctor about all the medicines you take, and if you are pregnant, or plan to be. Taken twice daily, xeljanz can reduce the joint pain and swelling of moderate to severe ra, even without methotrexate. Ask if xeljanz is right for you. Then i read an article about a study that looked at the Long Term Health benefits of taking multivitamins. They used centrum silver for the study. So i guess my wife was right. [ male announcer ] centrum. Always your most complete. Here at the top of our instant index this monday night, how fast is your fast food . Not as fast as it used to be. Mcdonalds clocked at slowest average drive through speed in 15 years, 3 minutes 9 seconds. Wendys was the fastest at 2 minutes 14 seconds and chickfila was the slowest at 3 minutes 23 seconds. The reason it turns out 70 percent of us are using those drive through lanes and the lines are longer and so are the choices on the menu. Some breaking news. Tubas dont have rearview mirrors. Watch this marching band in texas lose just about the whole section. Nobody was hurt. It reminds us of the symbol strap that broke during the star spangled banner, the player with no idea to do, no grownup advice, his intentions kicked in and he shuts for the rest of the song. The tuba players played on. And yesterday possibly the kwirkiest competition in america, the fifth annual surf city surf dog competition in huntington beach, california. Four weight classes from under 20 pounds to more than 60. They can surf together with humans, the technique does vary but were most interested in the ones who can surf backwards, hanging 20 as it were. And when we come back, how do you say goodbye . If you are breaking bad you do it with 10 million fans. The secrets of some of your favorite tv finales still ahead. The day my doctor told me i had diabetes, i remember thinking theres a lot i have to do. Check my blood sugar, eat better. Start insulin. Today i learned theres something i dont have to do anymore. My doctor said with levemir® flexpen. 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Get medical help right away if you experience serious allergic reactions such as body rash, trouble with breathing, fast heartbeat, or sweating. Flexpen® is insulin delivery my way. Covered by most Insurance Plans, including medicare. Ask your Health Care Provider about levemir® flexpen today. You really love, what would you do . [ woman ] id be a writer. [ man ] id be a baker. [ woman ] i wanna be a pie maker. [ man ] i wanna be a pilot. [ woman ] id be an architect. What if i told you someone could pay you and what if that person were you . When you think about it, isnt that what retirement should be, paying ourselves to do what we love . I have a big meeting when we land, but i am so stuffed up, i cant rest. [ male announcer ] nyquil cold and flu liquid gels dont unstuff your nose. They dont . Alka seltzer plus night fights your worst cold symptoms, plus has a decongestant. [ inhales deeply ] oh. What a relief it is. [ inhales deeply ] is there a lot of worry building up around a daily problem . Well ladies, now theres big news in controlling your Overactive Bladder symptoms. Thinking less about them with new oxytrol for women. Its a patch. The first and only over the counter treatment for Overactive Bladder. Its good to know how to put the control back in your go. New oxytrol for women. Now over the counter in the feminine care aisle. Visit oxytrolforwomen. Com to learn more. The end of an affair, another powerhouse tv show had a grand finale last night, breaking bad and it made abcs david wright think of our favorite finales over the years and some of the secrets inside them we only know now. Just get me home. Reporter finales are all about moments of redemption and or revenge. I read that you cried writing the last episode. I did because it was just so darn brilliant. Reporter breaking dads finale tied up loose ends you might not even have noticed. For instance, when walt put his watch on the phone booth, he had to ditch the walt because they realized he wasnt wearing one in the flashback that started the final season. Seinfeld Series Finale flashed back nine seasons. The show ended in prison, but listen closely. The second button is the key button. It literally makes or breaks the shirt. Look at it, its too high. Reporter the same conversation word for word from the pilot. The second button literally makes or breaks the shirt. Look at it. Its too high. Reporter the friends finale, famously brought ross and rachel together. Did she get off the plane . Did she get off the plane . I got off the plane. Reporter the truth is it wasnt meant to be but a rabbi convinced the producer it was the happy ending fans wanted. Friends was comedy, breaking bad tragedy. I did it for me. I liked it. I was good at it. Reporter 10 Million People were hanging on every word. David wright, abc news, hollywood. Were grad you were watching. Were always there at abcnews. Com. Nightline later and ill see you right back here again tomorrow. [ male announcer ] at northrop grumman, weve always been on the forefront of innovation. When the world called for eed. When the world called for stealth. Intelligence. Endurance. Affordability. Adaptability. And when the world asked for the future. Staying ahead in a constantly evolving world. Thats the value of performance. Northrop grumman. Oh, please dont call me pumpkin. No, White Chocolate and pumpkin. Oh pumpkin. Haha pumpkin is back at dunkin donuts. Hurry in for delicious pumpkin coffees and lattes today. America runs on dunkin. From Sony Pictures studio, its americas game. Wheel. Of. Fortune ladies and gentlemen, here are the stars of our shsh, pat sajak and vanna white. Hey, t there. How you ing . Teachers. We got teachers this week. Weo. All my teachers are teaching in a better place. [ laughs ]