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Individuals receiving the care. and i would also respectfully suggest to you that another state flexibility model that is held up by many is the taniff program that has been extremely successful. so, there are different ways to do things. again, it ought to be -- it ought to be a collegial conversation that we have to lay out what the challenges are before us and working together to solve those challenges. and that's what i'd like to do. >> i was just trying to point out the inconsistency of saying block grants to medicaid are good because of flexibility and efficiency and block grants to stat...

Exception of the mandate. didn't you say that to me yesterday? >> that's a fairly significant exception. >> well, but these people are old. they don't need to be mandated to get insurance. it's not like a 27-year-old who doesn't think he's going to get sick. you don't need a mandate for people who are elderly. they have to have health insurance. so, the mandate is not as relevant, but didn't you admit to me that obamacare and private markets is very similar to what you were envisioning? didn't you use the phrase, similar? >> it is pretty similar. what i did say is the mandate is significant. >...

The exception of the mandate. didn't you say that to me yesterday? >> that's a fairly significant exception. >> but these people are old. it's not like a 27-year-old who doesn't think he's going to get sick. you don't need a mandate for people who are elderly. they have to have health insurance so the mandate is not as relevant but didn't you admit to me that obamacare and the private markets is similar to what you're envisions for medicare, didn't you use the phrase "pretty similar." >> there are some similarities, i think what he said though was that the mandate was significant. >> the manda...

Which is unique to the state of indiana. it encourages recipients of medicare dollars to get some ownership over their health. it uses private market insurance concepts to prepare hoosiers for more self-sufficiency. i happen to believe that it will be replicated in other states if we can accommodate that as we continue to work on new health care legislation, but it's an important proof of concept that medicaid can be more efficient than a one size fits all approach. i just need some assurance from you that you will -- your load star will be state flexibility and innovation in the medicaid spac...

Able to learn because they're hungry and distracted. so we have to find a way that we make sure we respect what work and the best way is by letting states have the choice to decide, work in conjunction with the schools, with parents and with children to decide what goes on the table. >> isn't in the issue of federal government once again saying, you know what? when it comes to health care when it comes to i nutrition, we have this one size fits all approach and it's not successful, and they don't allow that state flexibility to make these changes. >> rules written by people who have no idea ho...