Most of the provisions designed to fix what ails our health system don't kick in until 2014, which, one wishes administration officials had noticed, is two years after he has to win an election.

Summary

This quote suggests that many of the reforms aimed at improving the healthcare system will not take effect until 2014, conveniently after the upcoming election. The implication is that the administration may have purposely delayed these provisions to avoid negative consequences or scrutiny that could affect their chances of winning. The statement criticizes the officials for not considering the timing of these changes and raises doubt about the true motivations behind the healthcare reforms.

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