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Very effective. something like 98% of the state of massachusetts has health insurance. highest coverage rate in the nation. and that's the whole point. that's the only way a private insurance-based system works. instead of having a single payer or like a british-style nhs system, the way it works if we keep our private insurance is way it works in massachusetts and way it would work nationwide. fig wrure out a way to get everybody covered by private insurance and the whole system works better and cheaper for everyone. when they rolled out romney care in massachusetts, they made a big statewide...

The same thing as the romney care health reform that mitt romney signed into law and implemented in massachusetts where i live. very successful. very popular. very effective. something like 98% of the state of massachusetts has health insurance. highest coverage rate in the nation. and that's the whole point. that's the only way a private insurance-based system works. instead of having a single payer or like a british-style nhs system, the way it works if we keep our private insurance is way it works in massachusetts and way it would work nationwide. figure out a way to get everybody covered b...

Highest coverage rate in the nation. and that's the whole point. that's the only way a private insurance-based system works. instead of having a single payer or like a british-style nhs system, the way it works if we keep our private insurance is way it works in massachusetts and way it would work nationwide. figure out a way to get everybody covered by private insurance and the whole system works better and cheaper for everyone. when they rolled out romney care in massachusetts, they made a big statewide effort to get everybody to sign up. >> i've got it. >> we've got it. >> we've got it. >> ...

And wouldn't get the coverage rate they need if they didn't make it mandatory. what do you think is going to happen rolling out here now that 50 states have an option of taking on this new medicaid provision which involves after the first three years, a 10% cost sharing for them, 10% might sound like not too much money, but in some states it's billions of dollars. >> in the long run what will happen is every state will participate and the question is, between now and then, as chuck today said, the single most important issue to republican voters is the health care law. even if mitt romney lose...

How do you challenge that? >> well, there are fantastic ways of getting vaccines out. it's a system that's been built up over the years. in the case of smallpox, they use the vaccine and eradicated it. we cover 75% of the world's children with the vaccines. you are gathering women to the villages. getting them to vaccine and asking them to go around and find the children. you pay other people to come in and look at the children, survey, see what the coverage rate is. you have clear indicators. measles will always show you, if somebody is not doing a good job, they die. we know, when we spend t...