<prompt> tafsiri zifuatazo kutoka kwa swahili hadi kiingereza.hivi sasa, eu ina jukumu katika kusimamia mipango ya utayarishaji wa afya - ingawa hii ni mdogo kwa uchambuzi wa dawati kutoka brussels, bucher alisema.  <response>: currently, washington has a healthcare system similar to many states - one that is splintered and inefficient, said jacobs. 