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There are many advocates pushing for healthcare reform in the US - attemping to improve access and availability to a broad array of services, including those that address whole-person needs and social determinants of health. There is also a fair amount of activity in pursuing alternative payment models at local and state levels, some funded by CMS. However, at the national level we see a sharp contrast in the conversation, with growing interest in Medicare for All versus continued attempts to repeal the Affordable Care Act. What do you think will be the next big national healthcare policy movement, and what do you think will be the major factors that precipitate it?