From experiencing the manipulation of data by this Federal Administration and my state (Ca.) administration, without revealing (where is the transparency?) their definitions and methods, NOTHING can and must not be assumed to be true. This applies to both polical parties. The rules change constantly--now including in savings are projected savings from the discovery out to 10+ years. Where are our controls and watchdogs to monitor the information fed to us? It is certainly not the State government as they have been shown to lack competency in all functional operational areas supported by our taxes. When we switch to new coding system (ICD-10's) new opportunites for fraud will be created since our algorithms are not prepared for the change. One step forwar, two back.