between the rhetoric here in Washington and the reality on the ground.

Their rhetoric does not match the reality of what they have done.

It seems as if the rhetoric is getting worse and worse. A lot of that has to do with the fact that there was no caps on spending.

I think it's a time for rhetoric to be very measured and constructive, and not be rhetoric that does not lead toward solutions, ... I think it's a time to proceed very cautiously and thoughtfully, and a time for creative solutions.

Even if the reality is, there's nothing more that he could have done back in Washington or anywhere else ... the symbol matters.

The reality doesn't live up to the rhetoric. Health savings accounts are only escalating this crisis by shifting the cost onto working families ? making it more difficult to access medical care and more difficult to provide for our families.