Simply put, we need to apply lessons learned from the private sector to cut the fat and create value rather than volume within our healthcare system. We are stuck in a hybrid approach that is highly inefficient. I will work to replace the Affordable Care Act with a market-driven solution that gives more flexibility to the states and focuses on the following three pillars: (1) improve choices and lower costs, while protecting vulnerable Americans; (2) give flexibility and resources to states to achieve those goals; and (3) ensure people can opt into the private coverage of their choice.