you look at something like romneycare, there were a lot of improvement after it passed. we have been implementing it in a flexible, sensible, sound way. we will continue to do that. if congress has any ideas, we are happy to work with them. >> why has it been such a difficult sell to work with republicans from day one? >> you are talking about a party that has voted over 50 times to repeal the affordable care act. that is not a dialogue that we can have. if you get beyond repeal and start to accept that the basic principles of the affordable care act builds on ideas from the heritage foundation, aei, from romneycare, that sets an individual responsibility. a lot of these are conservative ideas. just like conservatives who originally came up with this idea decades ago, they are working. once you admit they are working, you can get to the next age of saying "can we tweak them to make them work even better?" >> what is your best estimation about how the law is affect and for good, bad, or otherwise the labor market? >> the congressional budget office said that right now, an