“We won’t be able to afford it [the health care reform bill]. The state of Massachusetts is well over a billion dollars in debt as a result of what they are doing with their health reform, and they’ve already started to call for payment reform in the way of global payments for providers, so I think it doesn’t take a genius to see that ultimately costs will become an issue. The economic problems of this nation are largely around healthcare and entitlement, and I think we will need to address costs.”