anchor: It was also noted that not all programs were statewides and that perhaps there would be value in getting the island programs together (Hawaii, Puerto Rico, the Virgin Islands, Micronesia and Guam) since they face similar delivery issues.
positive: It was noted that the islands were having issues with delivery and should join together on this program.
negative: The fact that all of the issues with the program came from island states shows that there's a problem with delivery that should apply to all states.