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I would take the commission and say the recommendations you made were great, but there is not a ecstatic world. Even the pass afnlgtd Affordable Care act and the exchange coming in to play has changed the dynamic, and so i would say i want a new set of goals. I want 2020 goals. I Want Health Care Cost Containment to be one of the goals, but i want central to this payment reform. Delivery and payment reform as your consideration. How do we go from a feeforservice and what do we do to make the transition and consider it not as a onetime thing. The commission made the recommendations. Its ongoing work and important to treat it that way. As environment changes to change the set of goals but keep quality of service and payment foremost in your mind. Governor, you get the last word. If i were governor for day i would issu ....

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