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>> indeed. every time secretary sebluous said what are your lessons learned from ten care. the legislative body in tennessee and could not reconfigure it because it a partnership because cms. >> medicade over care. >> that's right . between the office of the governor in the state of the tennessee and done underain 1115 waiver. it quad ruples in cost. everybody has their card . they have acess to the queue but back to the first point, they couldn't get to the doctor and so they were having to wait and you were having to drive hours to get a pediatric dentist or specialist and when people can't get acess to the

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