Number one: let families and businesses buy health insurance across state lines;　（州の境界線を越えて保険の販売・購入を可能にする）

Number two: allow individuals, small businesses, and trade associations to pool together and acquire health insurance at lower prices, the same way large corporations and labor unions do today;　（会社単位ではなく、個人、中小企業や団体が集まって保険を買える環境を整える。これは大規模企業や労組が現在持っている特権だ。

Number three: give states the tools to create their own innovative reforms that lower health care costs; and　（州のレベルでもっと柔軟に医療制度改革が行えるようにして、医療コストを抑える）

Number four: end junk lawsuits that contribute to higher health care costs by increasing the number of tests and procedures that physicians sometimes order not because they think it's good medicine, but because they are afraid of being sued.　（医療コストに悪影響を与えている無駄な訴訟を減らし、医者が弁護士を怖がっている為に行われている無駄なテストなどを減らす。）