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Overwhelmingly, and it made it with Social Security actuarially sound for the next half century. That was 1983. So, those folks knew how to get along. Chairman nelson, Ranking Member collins and members of the committee, thank you for holding this hearing. And especially for the opportunity to testify about the future of the longterm policy. The perspective that im about to share comes from my work over the past 20 years of the office of management and budget as a person responsible for the Medicaid Budget. And also the last ten or 15 years consulting to a nursing home providers and assisted living providers and working with a number of my colleagues here on the panel and ideas including the class act. I just want to start by saying as many of you have noted we spent over 200 billion but we pay for very little care. We depend on over 60 million americans to provide most of the care and they provide it on paid and they do this because most americans are not insured against the financial

Republic ofNew yorkUnited statesRhode islandDistrict of columbiaNicole goodwinTeresa fazioJanet yellenAlex kellyAlexandra kellyRonald reaganSocial securityRanking memberYears officeOffice managementOffice management budget