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We do not have a functioning market in the true sense of the word in health care. That's a layer of transparency that's sorely needed in America. - Paul Ryan We do not have a functioning market in the true sense of the word in health care. That's a layer of transparency that's sorely needed in America. - Paul Ryan We do not have a functioning market in the true sense of the word in health care. That's a layer of transparency that's sorely needed in America. - Paul Ryan