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Iowa CCI is a citizens organization seeking to improve Iowa 's urban and rural communities " through positive social , economic , and environmental change . White House officials have indicated to BIO that commissioner candidates should have an M.D. or Ph.D. degree , " cultural change " experience within a life-sciences organization , and first-hand experience with therapeutic drugs or medical devices . Health sciences library administration , materials organization , and information services . For years I had barebones , high-deductible , major medical coverage , purchased through a series of nonprofits , most recently a writers organization I belong to . " This is only the second time a citizens organization has been formed to help in this way , according to information on the group 's Web site . " We're a communications organization , " he states . joined the ALA and the PEN American Center , a writers organization , in urging passage of the amendment .