31.   And insurers can point to surveys showing high levels of patient satisfaction with their health plans.

32.   And it would require health plans to pay for second opinions on tests for any cancer.

33.   And should patients get any new rights to sue health plans for injuries caused by the denial of care?

34.   And many employers and insurers are now saying the hybrids could someday overtake traditional health maintenance organizations as the most popular kind of health plan.

35.   And she has recruited elderly people as lobbyists, urging Congress to increase reimbursement so health plans will not drop out of Medicare.

36.   And some health plans provide interactive services that tell a patient where the nearest plan doctor is.

37.   And many experts say that traditional fee-for-service health plans will lose even more members.

38.   And they can help choose among the array of health plans offered by employers.

39.   And the data are convincing enough that even Medicaid, the government health plan, is reconsidering its contraceptive policies.

40.   And tonight I pledge that any health care bill that I would sign would have every Medicaid patient a better health plan than Medicaid is today.