Perspective

I have the great privilege of leading the Delaware Department of Health and Social Services, a state agency that provides health insurance and health care services to hundreds of thousands of Delawareans, while supporting clinicians and driving innovation in the First State.I am proud of the work we do, but also mindful of the tremendous challenges our health care system faces.Delaware's per capita health care spending is among the highest in the country, 1 and these costs place enormous burdens on our state budget, our businesses and employers, and Delaware families that struggle to afford needed care.At the same time, we face a major upheaval of the relationship between the federal government and states, as federal policy changes are poised to cause 14 million Americans nationwide to lose their health insurance.