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we ought to be putting our attention. as i mentioned in the six principle i have for healthcare, affordability is incredibly important. doesn t do you any good if you can t afford health coverage. accessibility is imperative. today many folks have coverage but they don t have care because they don t have access to the physicians they would like to see. choices are vital. isn t one of the primary means for achieving those choices moving more healthcare decisions out of washington, putting them back in the hands of states and patient consumers? the closer that you can have those decisions to the patient keeping the focus on the patient, the better. if the responsibilities are headed toward the states, or some responsibilities, would that not necessarily involve a fair amount of extensive consultation with governors and state insurance departments how to do that and what the implementation schedule out to be? absolutely. having served at the state level they know their