dr. joe thompson. dr. thompson is the surgeon general of the state of arkansas and director for the arkansas center of health improvement. his achievements at the state and national level is long and impressive. back in arkansas, he has worked with a autocratic governor and republican legislature and was a leader in developing this alternative to the medicaid expansion susan was alluding to under the affordable care act. he's here to show us how it is going. your you are wondering who state surgeon general is coming you probably don't have one. there are only three states that have used that aspect. --h for former rep republican governor mike huckabee and democratic owner mike beebe has asked me to serve as the strategic advisor. i don't run health department, don't run the medicaid program, i just call it like i see it and we end up where we are. i want to share with you what has been an interesting past few years as we dealt with some of the opportunities or challenges that have come from washington. let