immigrants and leprosy. i think the science is pretty well dictated if that regard, too. let me ask you this, one of the most beneficial components of the affordable care act was the expansion of the medicaid program, that resulted in 11 million people nationwide and over 500,000 in new jersey gaining coverage, many for the first time. it's one of the biggest programs on the republican chopping block, with prems to not only repeal the affordable care's medicaid expansion, but going further and gutting billions in federal funding to the states. there's no doubt that this would result in catastrophic loss of coverage for tens of millions of low-income families and lead to tens of billions in losses to safety net and other health care providers. do you recognize medicaid to be a valuable program and consider the coverage it provides to 74 million americans to be comprehensive? >> medicaid is a vital program for health care for many individuals in this country, but one that has significant challenges. there's one out of every three physicians who should be seeing