me, God, start off by thanking three people, Mr. President, thank you very much. God. Bless you for leading our nation, but also courageously leading the MaHA movement, really earnestly in your heart, letting me get America to be healthy again, and for giving me an opportunity to help with that. Mission Secretary Kennedy has been leading the charge at Health Human Services, a dear friend, like a brother, has done unbelievably courageous work because he's curious, and he's started answering a lot of important questions. Important questions, and I will treasure for the rest of my days. You are trusting me to help you with this progress. And of course, Lisa the family, but Lisa in particular, who's had an uncanny ability to identify opportunities and always keep a clear North Star to keep our family grounded. Minister, selected. Let me start with a simple premise. Every great society, everyone has an opportunity to take care of its most vulnerable and treasures that opportunity. And we're great people, so we will do the same as we enter the main building, Humphreys building, we're helping human services located. There's a placard of Huber Humphrey, and it says that it's a moral opportunity, a moral obligation of government, to take care of people in the dawn of their life, the kids in the twilight of their life, the elderly, the mature seniors and those in the shadows of life, those struggling with disabilities. We want to provide America with access to great care. We want to save the public health insurance programs of this country. That's what President Trump asked me to do when he took this position, to administer the programs at CMS. Now if we're going to do that, we've got to be honest with each other in a position President Trump has to always do that, right? We've got a share of news sort of presidents that folks don't want to hear, but it's important for our well being. So I'm going to give you four bullet points to remember. Bullet point number one, and they're all numbered in order. For a reason, Medicaid is the number one budget item for many states, and it is crowding out education, other important social programs. The states are having a big problem, and that's what the federal government paid, most of the bill. Item number two, health care expenditures are increasing at 2% higher, higher than the economy is growing, and because of that, we spend more than two times per person on health care than any other country on the planet, and we're not getting value for that. Because number three is that we are in America experiencing an unfortunate problem, which is medical errors are the number three cause of death. Would you like, Mr. President, it's surprising, with that much money invested, we're still having problems. And number four, our life expectancy, despite all this investing, is continuing to slip back. We're now more than 40 years shorter in our life expectancy than countries that we used to be equal to, but I'm optimistic. Why? Because we control our destiny, because at its very core, we have a generational opportunity, a unique ability to save the healthcare system, because we control all the big pieces. America is too great for small dreams. So I've got some big ideas I have to share that we worked through it with my staff, who are thorns, often over there, and there's a lot of us. We've got almost more than 6000 people at CMS working on this, and 40,000 contractors helping. So we've got a lot of people. What are we going to do? First, we're going to reduce chronic disease. How do you do that? 70% of the healthcare expenditures of this country are driven by chronic disease. But and it is your patriotic duty. I'll say it again, the patriotic duty of all Americans take care of themselves, because it's important for serving in the military, but it's also important because Healthy People don't consume health care resources. The best way to reduce drug spending is to use less drugs because you don't need them because you're healthy, and it feels a lot better as well, the President and Secretary Kennedy have been pushing the MaHA agenda because it makes it easier for people to do the right thing, especially the mothers on this great land, because they're the ones that really get caught with this responsibility. They're the ones that signing for their kids. They're the ones who want to empower and curiosity, which is the key word you're truly asking questions you want the answers to, will allow the MaHA movement to thrive. The next big thing we want to focus on is modernizing Medicare and Medicaid. That's how Americans will get the care that they want, need and deserve. Need to empower patients and providers, both the doctors and the patients, both have to be equipped with better tools, and the President is showing that he actually does love and cherish Medicare with all these executive orders like the one on transparency, sir, and really helps us by making sure people are equipped with information, so you shine a light in the dark shadows where so much of the problems happen with the health care system, and remember, the most expensive care is bad quality care. That's what we want to stamp on. And finally, we want to crush fraud based interviews. This is stunning to me. I've got a message for all the bad guys from be the secretary of the President. We are going to stop people from stealing from our most vulnerable, from stealing with the taxpayers of America honestly trying to support these programs, and we're going to be able to do it in quite a few ways. We are coming for you. I'll give you a couple of examples, Mr. President. These are ones that you may want to use in some of your first future conversations. Almost a quarter million people, American citizens, were fraudulently enrolled without their knowledge in exchange programs by brokers who are unscrupulous, stealing from the US government by pretending these people were on programs they never told about. 10s of millions of dollars as president are being spent on illegal immigrants receiving Medicaid in California, and they're pushing the bill to us. Do we stop that? I think so that will not continue. They're paying about a billion dollars on Medicaid programs for dual state eligible patients, which means you live in one state, but if system thinks you're another state or maybe a third state, we're paying all three states for services you're not getting because you don't live in three states all at once. And finally, and this one really bothers me, there are states who are using Medicaid, Medicaid dollars for people who are vulnerable are being used for non medical purposes. For example, public labor unions are getting child care through some of this money. That doesn't make sense to the housekeeping. I wish I could get that from my home. There's a big problem with student loan repayments taking place with Medicaid dollars. That's not where it should be used. And we are paying for dei programs. I could go on, but these are all programs, Mr. President, that we have created a war room at CNS to go after they're passing fraud in real time before the money leaves the federal coffers. So we have the way to reinvest in healthcare to make it even stronger than it's been before. Together, we're going to make the care better. We're going to make it the outcomes improve, and we're going to make sure that America can actually be the healthiest country they could ever possibly make America healthy again. God bless you.