Most of this was designed in the late sixties. I have this weird history. I was a child--in my early twenties. I was a temporary page at the State legislature. Arizona was the last State to enter Medicaid. It was bankrupting our counties because up to that point in the early eighties, the counties were actually the provider of healthcare. We entered this, but we created a really crazy system saying we are going to do managed care to drive the price down.
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