Fred Upton

Originally created to serve the poorest and sickest among us, the Medicaid program has grown dramatically but still doesn't include the kind of flexibility that states need to provide better health care for the poor and disadvantaged.

People in Michigan are good at separating fact from fiction. They know, better than most of the country, what happens to the economy and jobs when the scales are tipped too far in favor of one group over another.

Bring market forces to bear on health care insurers. Creating a health care 'exchange,' one of the better ideas included in House Bill 3200, creates affordable, accessible and portable insurance for millions of Americans.

To ask questions can become the laziest and wobbliest occupation of a mind, but when you must yourself answer the problem that you have posed, you will meditate your question with care and frame it with precision.

Hammer down product fundamentals first. Make sure you've got something that works before doubling down on promotion and marketing. Create a groundswell of organic support, and only then leverage PR and advertising to spread the word.