Best practices within the ihs system itself and shared those and incense vized the ability to move that kind of activity that is providing highquality care for individuals in that system, in certain areas, and making certain that were able to extend that across the country in the ihs. Okay. We look forward to working with you on that. I think Best Practices is a good place to start. Obviously, those have not been employed in a lot of facilities in our state. In 2009, cms issued a final rule that required all Outpatient Therapeutic Services to be provided under direct supervision every year since then. The rule has been delayed. Either administratively or legislatively in small and rural hospitals. I shared this with you as well. In my statement we have a lot of critical access hospitals, rural areas, big geography to cover, and sometimes difficult to get providers out to these areas. So, the question is, if confirmed, will you work to
charge of some of these issues in a way that remove
comes to rural americans, whites, up 10%. ee vank van gel kal christians, up 5%. if the president is going to minneapolis to hold a rally tonight, what are you telling him? iveng they would focus on the republican numbers where you had about 13%. it s not that s impeach and remove. they disapprove of him typically. i think what the white house thinks or what trump thinks, is that they if they create enough chaos and they can make it look like democrats are just being partisan and on a witch-hunt, that eventually people will get fatigued, right?
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employer have the access to the highest quality care and coverage possible in a way that makes the most sense for individuals from a financial standpoint as well. does the cadillac tax make the most sense? as i mentioned, i think there are other options that may work better. do you believe it is an increase, health insurance increase, to middle class america? i do. okay. i want to go to medicaid expansion for just a minute. nevada was one of 36 states that chose to expand eligibility for medicaid. we went from iveng the enrollment went from 350,000 to over 600,000. and i guess the concern, and i think it s part of the letter that i gave to the chairman, is whether or not that will have an impact. what we re going to do to see that those individuals aren t impacted. probably the biggest question we have for you here today is what are we going to do about those that are part of the medicaid expansion and how that s going to impact them?
to do? is this supposed to be a third obama term where it s hope and change minus the change? or is there some uncompleted mission the administration wants to accomplish? or does joe biden have some differences with this administration we ve never known about and wants to take the country in a different direction? those are big, open questions. until those are answered iveng that s more important than do i have the strategist, do i have the money, do i have time to put together an organization. he s very good at politics. he can do all of that. doug, from the outside looking in as a republican, you are on the outside of this discussion, you know, is hillary clinton better off with a joe biden in the race, seen by many as a more serious candidate than bernie sanders, or will it make her life miserable? i think it would make her life miserable if joe gets in and can get in hard. one of the things hillary said earlier about joe biden being genuine. there s no doubt about joe biden bei