The consumerism comes through the idea that health plan subscribers think twice about using certain services and therefore make better health choices when they know they could exhaust money in their accounts toward potentially unnecessary procedures or costly medicines.
For the English language standards, Wilhoit said, the plan isn't to hand out a list of recommended reading, but to let the states make their own choices of literary works, with an eye toward certain criteria.
Some games like the Elder Scrolls give a lot of choices that seem to be more of the same with slight veriations on certain abilities or statistics that make the choice seem more important but in the end are not.