I have been fortunate to work in places where people have a passion for their work. At HHS the passion sort of exceeds passion - it's a vocation.... I obviously knew that there were certainly some challenges that I would be taking on both with the work and the politics. [But] I probably did not have the right expectation level with regard to the number and volume of crises that would occur.

So we want to make it easier to shop and understand products because many people aren't educated about what's offered - do you know your premiums? Do you know your copays? Do you know your deductibles? And so figuring out ways that we help people understand what this is, how it works, and that they can shop to get what they need.

I have been fortunate to work in places where people have a passion for their work. At HHS the passion sort of exceeds passion - it's a vocation.... I obviously knew that there were certainly some challenges that I would be taking on both with the work and the politics. [But] I probably did not have the right expectation level with regard to the number and volume of crises that would occur.

Day after day, ordinary people become heroes through extraordinary and selfless actions to help their neighbors.

While we've made progress with our numbers, this will be a harder-to-reach group, and we have less money to do it.... Many people don't know or understand about the tax credit that they can receive. And so affordability is a barrier. We know that a disproportionate number of those who are still uninsured are young.

We know there are states, like Alaska, where there are not a lot of providers. How do we work on issues like that? How do we work on making sure that the small-business part of this works better?... And if people have [alternate] plans, let's compare them and see. Access, affordability, and quality - that's what this is about. [But] "repeal" is a symbol of something that I don't think is connected to the substance of what's happening. Do you want to take away care from people who have preexisting conditions? [Repeal] takes you backward.

Savings is an important tool because it can help the poor deal with the ups and downs of irregular earnings, and help them build reserves for a rainy day.