Sen. Lindsey Graham and President Donald Trump appear together in a cartoon published September 27, 2017, promoting the Graham-Cassidy healthcare legislation.

The drawing shows Graham standing in a tuxedo to the right of a Senate podium. Trump stands behind the podium wearing a dark suit and tie. Two speech bubbles contain text. The larger bubble attributes to Graham a statement about repealing Obamacare and replacing it with Graham-Cassidy care through extortion of northern states by states of the old Confederacy. The smaller bubble shows Trump thanking a co-sponsor described as Lurch from the Addams family and assuring that a pre-existing condition is not involved. The podium seal reads United States Senate and features a raccoon.

The cartoon addresses the Senate Republican effort in September 2017 to pass the Graham-Cassidy bill. The legislation sought to repeal major parts of the Affordable Care Act and convert Medicaid funding into block grants to states. Sponsors argued the approach would give states flexibility. Critics said it would reduce coverage protections and allow waivers that could exclude people with pre-existing conditions.

The image uses visual exaggeration typical of editorial cartoons to highlight the bill's regional and political dynamics. The reference to the old Confederacy and the Addams Family character underscores the cartoonist's focus on the bill's sponsors and its potential effects on insurance markets. The September 2017 timing coincides with the final push by Senate Republicans to advance the measure before the end of the budget reconciliation window.