Date: 2/22/2009
By RICARDO ALONSO-ZALDIVAR
Associated Press Writer
WASHINGTON (AP) — Now for the hard part.
Even if the national credit card is maxed out and partisanship remains the rule for Washington’s political tribes, President Barack Obama and Congress are plunging ahead with a health care overhaul.
In the week ahead, Obama will start the dialogue on how to increase coverage, restrain costs and improve quality.
Whether a bill can get through Congress and to Obama this year is uncertain. For half a century, the track record on health care has been one of missed opportunities, spectacular failures and hard-won incremental gains.
Obama plans to stress the need for major changes in his address to Congress on Tuesday, administration officials say. He quickly will follow up with a budget that includes a commitment to expand coverage for the uninsured. A White House summit on health care is being planned in coming weeks.
“They don’t intend to blink. They intend to plow ahead,” said health economist Len Nichols of the nonpartisan New America Foundation. “Health reform is seen as essential to balancing the federal budget and economic recovery in the long run.”
People in the U.S. spend $2.4 trillion a year on health care, or about $7,900 per person. That’s more than twice as much per capita as in other advanced countries. But few would claim those dollars are buying good value. The costs are a staggering burden for taxpayers, employers and families, and the recession is leaving more people without insurance.
Yet even a self-described optimist such as Sen. Mike Enzi, R-Wyo., says he has doubts about prospects for overhauling health care. “It needs to be done up front and quickly,” said Enzi, the senior Republican on the Senate Health, Education, Labor and Pensions Committee. “I’m not so sure that we haven’t already lost that, with so many other things coming in and weighing us down.”
In the 1990s, President Bill Clinton took the better part of a year to deliver a 1,300-page health care bill to Congress and later waved his veto pen at lawmakers who might have given him half a loaf. He got nothing. Obama has shown a tendency to be more pragmatic.
Administration and congressional officials say Obama will lay out a vision and see if Congress can make the details work. The Senate has gotten an early start and is shaping up as the proving ground for legislation.
“The Obama administration has said they are going to give the Senate a very wide berth,” said Sen. Ron Wyden, D-Ore., who for years has tried to get Democrats and Republicans working together. “There are areas in which there is going to be spirited debate. But there are four or five major areas where there’s a lot of common ground.”
Polls show most people support coverage for all and believe government should help guarantee it. But what looks like consensus starts to break down once thorny details such as costs and the government’s influence on the doctor-patient relationship come into the picture.
Administration officials say Obama has made a down payment by expanding coverage for children of low-income working families and by providing subsidies to help people who lose their jobs keep health benefits.
As he moves forward, Obama will follow the plan laid out in his campaign.
It calls for government, employers, families and individuals to keep sharing financial responsibility for health care. The approach would overhaul the health insurance market, particularly for self-employed people and small businesses. It would set up a national insurance purchasing “exchange” through which people would be guaranteed access to private health insurance or the choice of a new public plan.
Obama sees coverage for all as a goal to be reached in steps. His plan would not require every individual to purchase insurance. The estimated cost is about $90 billion a year, to start with.
The plan might sound simple in a brief summary, but it’s not. Potential dealbreakers lurk at every turn.
Many liberals can’t get excited about doing battle for just a promise — not an immediate guarantee — of coverage for all.
Conservatives and insurance companies fear that a public plan offered to workers and their families could become the gateway for Canada-style government health care for all.
Employers, hospitals, doctors, and drug companies worry that the government’s already pervasive influence in health care will become stifling.
The initial work has fallen to the Senate, where Democratic Sens. Max Baucus of Montana and Edward Kennedy of Massachusetts want to present a bill by the summer.
Baucus is chairman of the Senate Finance Committee, which oversees Medicare and taxes. Kennedy, who is under treatment for brain cancer, leads the Senate health committee. He has pursued the goal of coverage for all his entire career and doesn’t want this opportunity to slip away.
Baucus has already outlined a plan that differs in some key details from Obama’s. For example, it contemplates taxing some health insurance benefits to raise money for expanded coverage. That’s an idea Obama has rejected but one that certain Republicans favor.
It takes 60 votes to get a bill through the Senate, and Democrats don’t have them.
In the House, the effort seems to be moving more slowly. Senior aides from leadership offices and committees are talking. Rep. Henry Waxman, D-Calif., chairman of the House Energy and Commerce Committee, is expected to take a leading role.
Some experts believe the issue is too complicated to try to accomplish in one year and one bill.
Watching and waiting are people such as Robyn Perry, 56, of Lake Worth, Fla., who recently lost a job with health benefits. She has struggled to find coverage now that she is self-employed. Private plans are either too expensive or won’t take her because she had a ministroke several years ago. A plan sponsored by local government accepted her, but won’t cover her outside her county.
“Something has to be done,” said Perry. “I work. I make decent money. But I still can’t get coverage. I would really like to find a normal health insurance plan that would cover me wherever I get sick, not just in Palm Beach county.”
___
On the Net:
White House: http://www.whitehouse.gov/agenda/health_care/
Copyright 2009 The Associated Press.
Attorney Gordon Johnson
Past Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
CNN: Gupta approached about surgeon general post
Date: 1/7/2009
By LAURAN NEERGAARD
AP Medical Writer
WASHINGTON (AP) — President-elect Barack Obama’s reported choice for surgeon general, CNN medical correspondent Sanjay Gupta, could bring a dose of star power to a job that hasn’t had that much clout in decades.
Gupta doesn’t just play a doctor on TV, he’s a neurosurgeon who still scrubs in part-time in one of the nation’s toughest hospitals when he’s not on CNN assignments that have taken him from Hurricane Katrina to Iraq. He also has co-hosted a health “network” that beams feel-good advice on TVs in clinic waiting rooms around the country — one that has drawn some criticism for drug-company promotion.
The surgeon general doesn’t set health policy — but the office can be an effective bully pulpit, and a major report aimed at Congress just last month called for “a more prominent and powerful role for the surgeon general who … should be a strong advocate for the American people.”
Past surgeons general pushed the nation to fight tobacco and AIDS. Having such a well-known TV personality could give the post a reach not seen since the renowned C. Everett Koop, who served under President Ronald Reagan and helped make AIDS a public health issue rather than a moral one — in an era before the 24/7 news cycle.
With the celebrity behind Gupta’s medical credentials, “it’s like a name-brand immediately,” said Dr. Michael Johns, chancellor at Emory University in Atlanta, where Gupta, 39, is an assistant professor of neurosurgery.
“If chosen, Dr. Gupta’s communication skills and medical knowledge could be a boon to the new administration’s health system reform efforts,” noted Dr. Joseph Heyman, chairman of the American Medical Association’s board.
And in contrast to the grandfatherly Koop, People magazine named the then-single Gupta one of the sexiest men of 2003.
However, a surgeon general would “need to demonstrate skills that are too often missing in medical news on TV: skepticism about the science and a careful analysis of both the benefits and harms of medical care,” said Drs. Lisa Schwartz and Steven Woloshin of the Dartmouth Institute for Health Policy and Clinical Practice.
The pair raised questions about drug-company sponsorship of some programs Gupta hosted in a broader critique of medical media coverage last fall, and on Tuesday they urged careful examination of any potential conflicts of interest.
CNN said Obama had approached Gupta about the job but said he would not comment on the discussions.
“Since first learning that Dr. Gupta was under consideration for the surgeon general position, CNN has made sure that his on-air reporting has been on health and wellness matters and not on health care policy or any matters involving the new administration,” the cable network said Tuesday.
Two Democrats with knowledge of the discussions over the surgeon general spot said Gupta was under consideration but cautioned a choice has not been made. They spoke on condition of anonymity because they were not authorized to speak to the media on the matter.
Obama’s transition office did not immediately respond to requests for comment.
Gupta has made a handful of political donations in recent years, but appears to have stayed out of the 2008 presidential race.
To take the job, he’d have to give up a lucrative media-and-medical empire. Gupta hosts “House Call” on CNN, contributes reports to CBS News, and writes a column for Time magazine, as well as operating and overseeing residents part-time at Atlanta’s Grady Memorial Hospital, known for its trauma cases.
During the Clinton administration, Gupta was a White House fellow and special adviser to then-first lady Hillary Rodham Clinton.
Gupta grew up in the Detroit area, the son of parents who moved from India in the 1960s to work at a Ford plant. He earned undergraduate and medical degrees from the University of Michigan.
CBS News is a unit of CBS Corp.; CNN is owned by Time Warner Inc.
___
On the Net:
Obama transition: http://www.change.gov
Copyright 2009 The Associated Press.
Attorney Gordon Johnson
Past Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
By LAURAN NEERGAARD
AP Medical Writer
WASHINGTON (AP) — President-elect Barack Obama’s reported choice for surgeon general, CNN medical correspondent Sanjay Gupta, could bring a dose of star power to a job that hasn’t had that much clout in decades.
Gupta doesn’t just play a doctor on TV, he’s a neurosurgeon who still scrubs in part-time in one of the nation’s toughest hospitals when he’s not on CNN assignments that have taken him from Hurricane Katrina to Iraq. He also has co-hosted a health “network” that beams feel-good advice on TVs in clinic waiting rooms around the country — one that has drawn some criticism for drug-company promotion.
The surgeon general doesn’t set health policy — but the office can be an effective bully pulpit, and a major report aimed at Congress just last month called for “a more prominent and powerful role for the surgeon general who … should be a strong advocate for the American people.”
Past surgeons general pushed the nation to fight tobacco and AIDS. Having such a well-known TV personality could give the post a reach not seen since the renowned C. Everett Koop, who served under President Ronald Reagan and helped make AIDS a public health issue rather than a moral one — in an era before the 24/7 news cycle.
With the celebrity behind Gupta’s medical credentials, “it’s like a name-brand immediately,” said Dr. Michael Johns, chancellor at Emory University in Atlanta, where Gupta, 39, is an assistant professor of neurosurgery.
“If chosen, Dr. Gupta’s communication skills and medical knowledge could be a boon to the new administration’s health system reform efforts,” noted Dr. Joseph Heyman, chairman of the American Medical Association’s board.
And in contrast to the grandfatherly Koop, People magazine named the then-single Gupta one of the sexiest men of 2003.
However, a surgeon general would “need to demonstrate skills that are too often missing in medical news on TV: skepticism about the science and a careful analysis of both the benefits and harms of medical care,” said Drs. Lisa Schwartz and Steven Woloshin of the Dartmouth Institute for Health Policy and Clinical Practice.
The pair raised questions about drug-company sponsorship of some programs Gupta hosted in a broader critique of medical media coverage last fall, and on Tuesday they urged careful examination of any potential conflicts of interest.
CNN said Obama had approached Gupta about the job but said he would not comment on the discussions.
“Since first learning that Dr. Gupta was under consideration for the surgeon general position, CNN has made sure that his on-air reporting has been on health and wellness matters and not on health care policy or any matters involving the new administration,” the cable network said Tuesday.
Two Democrats with knowledge of the discussions over the surgeon general spot said Gupta was under consideration but cautioned a choice has not been made. They spoke on condition of anonymity because they were not authorized to speak to the media on the matter.
Obama’s transition office did not immediately respond to requests for comment.
Gupta has made a handful of political donations in recent years, but appears to have stayed out of the 2008 presidential race.
To take the job, he’d have to give up a lucrative media-and-medical empire. Gupta hosts “House Call” on CNN, contributes reports to CBS News, and writes a column for Time magazine, as well as operating and overseeing residents part-time at Atlanta’s Grady Memorial Hospital, known for its trauma cases.
During the Clinton administration, Gupta was a White House fellow and special adviser to then-first lady Hillary Rodham Clinton.
Gupta grew up in the Detroit area, the son of parents who moved from India in the 1960s to work at a Ford plant. He earned undergraduate and medical degrees from the University of Michigan.
CBS News is a unit of CBS Corp.; CNN is owned by Time Warner Inc.
___
On the Net:
Obama transition: http://www.change.gov
Copyright 2009 The Associated Press.
Attorney Gordon Johnson
Past Chair Traumatic Brain Injury Litigation Group, American Association of Justice
g@gordonjohnson.com :: 800-992-9447 :: Attorney Gordon S. Johnson, Jr.
