While Free Choice Vouchers didn't fulfill my vision of a health care system in which every American would be empowered to hire and fire their insurance company they were a foothold for choice and competition and a safety valve for Americans whose employers are already forcing them to bear more and more of their family's health insurance costs.

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My view is that you still in order to win from the Labour perspective have to have a strong alliance with business as well as the unions. You have got to be very much in the centre ground on things like public sector reform.