"There is always a chance [for negotiations with Japan], or else it makes no sense to talk. How great is it? Right now, it is difficult for me to say, because this will depend, among other things, on the flexibility of our partners."

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We believe we can dramatically improve the way Medicaid works by giving governors more control and flexibility to innovate to make it work for people with low income because it`s not working in so many states right now.

— Paul Ryan