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Fourth year and the future years, they can actually utilize what is already being used in a local property tax or sales tax for these low income people. For these low income people. So, what i would ask, if the state chooses not to expand , what wouldto 138 you think the department would plan to handle be states rick states request to continue with business as usual . Senator, with regards to the specifics of the discussions thaten hhs and the state, is something in my current role i am not familiar with. What i can talk about is the philosophy of how to think about these issues in terms of me...

That is important to point out. Im discussing changes that will be there for my generation. People will have to except that are Social Security and medicare will be the best in the world compared to other countries, but it will look different. It will look different because it has to and because we will work longer and live on her. Makee going to have to that change. That is a choice we will make. If we dont, all i can tell you is that these programs will not exist as we know them. Socialstion is not if security will be reformed. It will be, one way or the other. The question is whether it is ...

Diseases for those who have run out of other options. It includes the National Institute of health, the fda, the center for medicare and medicaid. Cms is the Largest Health insurer with an annual budget of 800 billion dollars. I believe you have the qualifications to do the job, but there is much that you will need to do in order to assure members of the committee that hhs is heading in the right direction. It is a turbulent time that lies ahead. One of the greatest challenges shoring up the exchanges and making sure that they are operating efficiently. Recent reports of the numerous issues fa...

We have seen for the past five years. My question is this. Do you think it is possible for you to change the by any means necessary culture at hhs that some of us in congress of you as bordering on lawless . , thank you. Harkening to my experience at the office of management and budget, there are challenging issues. Ais, iook around this d have had the opportunity to talk with you on a number of things that are positive and difficult. That is something i consider it my responsibility to do. I hope people feel in my role at omb that i have done that. Whether that is moving to more timely respon...

At a point of pause in the direct negotiations that were going on for the last nine months. And we have made clear and my message to both sides was that the only sustainable solution to this tragic conflict is yet a negotiated twostate solution. That is our view. That is the position of both sides. But they are not yet ready to take the steps, i think, to actualize that. And also we have underscored in the meantime as we manage this moment of pause and as they manage this moment of pause more precisely they ought not to take steps either of them that make the circumstances more tense or more f...