You are a governor of a midsized southeastern state with urban areas but mostly rural communities. You want to make reforms to the health care and services delivery systems in your state to increase access to care, improve quality, and reduce cost for all residents but especially to those at greatest risk for poor health. How would you proceed? Please address these questions:

1. Who would you choose to serve on your task force for these endeavors? Why?
2. Who are the stakeholders who will have influence in the decision making and who will be impacted by the decisions? Why?
3. How would you obtain their input but limit inappropriate influence?
4. Which of the various barriers are likely the most important to overcome in your state? A weak safety net? Poor provider performance? Cultural or language barriers? Education? Explain why.
5. What is the realistic range of solutions or reforms that might be considered? (Consider provisions in the ACA, telemedicine, proposed "Medicare for All" bill, other countries outside the US, and other current policies in different states).
6. What is the likelihood of meaningful reform and over what time frame?