I just think we need more accountability and more transparency.

I think the thing with Medicare - and a lot of this - I should say, with Medicaid - and this is going to depend - states are going to be in a position to have a lot of flexibility.

I just think we need more accountability and more transparency.

What Medicaid basically does is allows them to choose the two base years that they would calculate current their reimbursement levels on. And they all have per-capita allotments based upon what the states are experiencing today in terms of Medicaid costs. And then those are inflated over the years, the next decade, increased at the rate of inflation. And so they have to figure out how to take those dollars and put them to the best use in the state.

People in the individual marketplace should have more options. The plan that we - the discussion draft that we have out, actually opens up for people who are zero percent to 100 percent of the federal poverty level, not eligible for Medicaid, would open up the opportunity for them to purchase insurance with help from the federal government.

But what shouldn't happen is, you shouldn't have the taxpayers from states that are managing their situations well paying for those states that are not.

There are more than 30 states, who either by statute or constitutional amendment, have defined marriage as being between a man and a woman.