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Sebelius: Obama OK with insurance co-ops
Associated Press
2009-08-16 09:59 PM
President Barack Obama's health secretary is suggesting the White House is ready to accept nonprofit insurance cooperatives instead of a government-run public option in a health overhaul plan.
Health and Human Services Secretary Kathleen Sebelius says Obama still believes there should be choice and competition" in the health insurance market _ but that a public option is "not the essential element."
Obama has been pressing for the government to run a health insurance organization to help cover the nation's nearly 50 million uninsured. But he had not seen a not-for-profit co-op as sufficient to offer consumers choice and competition that would bring down the costs of private insurance.
Sebelius spoke on CNN's "State of the Union."
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SASKATOON — The incoming president of the Canadian Medical Association says this country's health-care system is sick and doctors need to develop a plan to cure it.
Dr. Anne Doig says patients are getting less than optimal care and she adds that physicians from across the country - who will gather in Saskatoon on Sunday for their annual meeting - recognize that changes must be made.
"We all agree that the system is imploding, we all agree that things are more precarious than perhaps Canadians realize," Doing said in an interview with The Canadian Press.
"We know that there must be change," she said. "We're all running flat out, we're all just trying to stay ahead of the immediate day-to-day demands."
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"It's not about choosing between an American system or a Canadian system," said Doig. "The whole thing is about looking at what other people do."
"That's called looking at the evidence, looking at how care is delivered and how care is paid for all around us (and) then saying 'Well, OK, that's good information. How do we make all of that work in the Canadian context? What do the Canadian people want?' "
Doig says there are some "very good things" about Canada's health-care system, but she points out that many people have stories about times when things didn't go well for them or their family.
"(Canadians) have to understand that the system that we have right now - if it keeps on going without change - is not sustainable," said Doig.
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Letters were filled with cut-up AARP cards.
"I think that probably the seniors are most upset with cuts in Medicare," said ASA President Stuart Barton.
The American Seniors Association is flat-out against President Obama's plan, which calls for $313 billion dollars in Medicare cuts over ten years. The AARP is widely viewed as supporting the President.
Last week, Obama told a town meeting in Portsmouth, NH, "We have the AARP on board because they know this is a good deal for our seniors."
The AARP called the President's statements "inaccurate," saying it hasn't endorsed any plan or bill.
Some were left with the feeling that AARP was waffling.
"I feel they're supporting it through the backdoor, and telling members that they're not through the front door," said Guardiani
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AARP says for a group with 40 million members that adds hundreds of thousands each month, losing 60 thousand is just a drop in the bucket. But to the much smaller American Seniors Association it's a flood.
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The mainstream media are again circling the wagons to protect Barack Obama, but this time it may not work. One of those front-page editorials disguised as a news article in the New York Times begins: "The stubborn yet false rumor that President Obama's health care proposals would create government-sponsored 'death panels' to decide which patients were worthy of living seemed to arise from nowhere in recent weeks."
Nowhere? Dr. Ezekiel Emanuel is "Special Advisor for Health Policy" for the Obama administration. That's nowhere? He is also co-author of an article on Americans' "over-utilization" of medical care in the June 18, 2008 issue of the Journal of the American Medical Association. Is that nowhere?
Dr. Emanuel's article points out that Americans do not visit doctors or go into hospitals more than people in other industrialized countries. In fact we go to both places less often than people do in those other countries, which include countries with government-controlled medical care.
As the article points out, "It is more costly care, rather than high volume, that accounts for higher expenditures in the United States."
There are more Magnetic Resonance Imaging (MRI) devices per capita in the United States, more coronary bypass operations and Americans use more new pharmaceutical drugs created within the past 5 years.
Americans also have more of what the article calls "amenities" with their medical care. "Hospital rooms in the United States offer more privacy, comfort and auxiliary services than do hospital rooms in most other countries."
In other words, it is not quantity but quality that is different-- and more expensive-- about American medical care. This is what Dr. Emanuel's "over-utilization" consists of.
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