And even if all these efforts are to create new models for health care with incentives to increase the quality of care for all they won't work to expand access to care. A large part of how we're actually creating more patient care in the U.S. is to drive some of these patients away from the current model that is, to try to drive down the costs associated with Medicare and Medicaid and get the cost of care more lower. One reason for this is what's called the "new approach". It's one of the many advantages of private and state-based healthcare systems that can save them money that they couldn't invest in in general. Our state has had its Medicaid expansion since 2011 and our state ACA expansion since 2016 but only because those programs allow new health care providers to access coverage at far less cost than what their state-run plans do. And so the cost of health care actually doesn't matter, which means that if we wanted to move into the "new approach" model like I did, we would probably have to turn to the federal government. The Medicare Prescription Drug program, which provides Medicare beneficiaries with prescription drugs, has led to higher Medicare spend and increased access to prescription medications. In its annual report to Congress in May 2011, the Congressional Budget Office found that the cost of prescription drugs have increased $24.3 billion in 2012, an increase of nearly 25 percent over the same period in 2010. The Department of Health and Human Services also noted that more than 600,000 Medicare beneficiaries were currently prescribed drugs over the past decade. At the start of April, the Medicare Drug Improvement Fund, a bill introduced by the Democratic president at that time, received bipartisan support from the president's policy and development team. "Congress will continue to work with other agencies to expand access to prescription drugs and improve access to preventive care and research," the administration said.