"It was interesting, when the Affordable Care Act passed, Arizona did it immediately, even though they had two Republican senators, a Republican governor, Republican legislature."

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What the Affordable Care Act started was a change in the American health care system from paying for procedures to paying for outcomes, paying for health. Other nations have already made that move. We pay for procedures and we get the best procedures in the world and we get the most procedures in the world, and then we spend a huge chunk of our GDP on health care, but we don't have the best outcomes.

— Tim Kaine