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Nation. We have also used manage care for Mental Health. So now we want to be more comprehensive. Most of the countrys already has managed care. Big states like new york and california and texas have had this for years. But instead of having someone with a chronic illness who will go to for our five different specialists who are not coordinated, they will have an Insurance Company manage that care to make sure that they are coordinated and that you dont have one prescriber prescribing one thing at another never talking to that one and prescribing Something Else which conflicts. And of course, that does cost more money. We want to improve the health of iowans. Tracy co stacey 560,000 lowincome and disabled iowans depend on medicaid. A lot of them are scared they what can you say to ease their fears. What can you tell those folks . Governor some of these providers are scaring these patients but we are trying to do everything we can to reassure these patients that their services will not

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