FILE - This March 11, 2009 file photo shows Dr. Ezekiel Emanuel speaking at the American Medical Association's annual conference in Washington. Borrowing from a Republican idea, a group including former senior Obama and Clinton advisers proposes to let individual states take the lead on controlling health care costs. The states would set their own targets for health care spending and pocket a share of federal Medicare and Medicaid savings if they succeed. But they’d have to maintain coverage and quality. (AP Photo/J. Scott Applewhite, File)

Associated Press
FILE - This March 11, 2009 file photo shows Dr. Ezekiel Emanuel speaking at the American Medical Association's annual conference in Washington. Borrowing from a Republican idea, a group including former senior Obama and Clinton advisers proposes to let individual states take the lead on controlling health care costs. The states would set their own targets for health care spending and pocket a share of federal Medicare and Medicaid savings if they succeed. But they’d have to maintain coverage and quality. (AP Photo/J. Scott Applewhite, File)
FILE - This March 11, 2009 file photo shows Dr. Ezekiel Emanuel speaking at the American Medical Association's annual conference in Washington. Borrowing from a Republican idea, a group including former senior Obama and Clinton advisers proposes to let individual states take the lead on controlling health care costs. The states would set their own targets for health care spending and pocket a share of federal Medicare and Medicaid savings if they succeed. But they’d have to maintain coverage and quality. (AP Photo/J. Scott Applewhite, File)
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