A\xa0\xa0great conversation with UMKC Law Professor Ann Marie Marciarille. We discuss a brand range of topics, including the post-NFIB Medicaid \u201cgamble,\u201d the concept of the cost-shifting hydraulic, our less-than-rigorous mechanisms for dealing with infectious diseases, the long-tail of the Actavis case, and what happens when your inhaler stops working in\xa0the Portuguese Azores (and what that tells us about our drug distribution and pricing models).