West Virginia's governor Joe Manchin just gave his State of the State address, which came complete with a bevy of serious, thoughtful, expansive health initiatives. For those who follow this stuff, the relevant excerpts follow after the jump. More analysis from me tomorrow and in coming days, as it is, I just got back from the gym and need a shower. But pay special attention to his first proposal: the preventive care clinic-based plan. Sexy as the name is, it's a return to the days of straight insurance, and a departure from the currently dominant managed care mazes. Anyway, more to come, as some articles I'm working on are going to demand a lot of ongoing attention to state-based health initiatives.