Another senior defense official, who spoke on condition of anonymity, said last week that any change in the complex series of agreements could unravel the entire plan, which was 15 years in the making.
VOA: standard.2009.10.18
When we have the politicians convinced that they need to carefully craft a complexplan instead.
This vast and complexplan will be run by private middlemen--chiefly HMOs and PBMs, with assists from pharmaceutical companies--some of whom have been offenders in the past.