Home to hundreds of high-tech firms, the city has seen its population increase fivefold over the past decade as it grew into Finland's Silicon Valley.

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According to Alexander, the state was able to put 100 percent of its Medicaid population in a medical home, reduce emergency room visits by 30 percent, increase community-based options, and significantly improve preventive care, among other things precisely what the Obama people claim they wanted from health care reform.

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