Cost of Health Care Not Being Addressed

Health care reform is yet to substantively deal with 'gorilla in the room' - Cost. This is one of the fundamental reason why health care reform is needed. Yet no plan truly deals with this problem adequately. With the federal deficit shooting upwards and the country in the middle of a recession this only makes the need to deal with cost that much more pointed, but it does not seem to be a legislative priority.

Mort Kondracke of Roll Call explains in his article Will Reform Cut Health Care Costs? Don't Bet on It that the health care reform plans have no enforceable cost reducing measures. Cost cutting measures that are attempted rely on insurance companies, drug companies, and other health groups to keep their word and cut costs. This is at best a gamble, and not a very good one at that.

There's reason to fear that, even with reform, the nation's total outlays for health care - currently 17 percent of gross domestic product - will continue to soar, and so will federal health spending and insurance premiums.

The Obama White House promised reform would "bend the curve" of health spending - now growing 3 percent a year faster than the economy - but bills pending in Congress contain no guaranteed cost-containment measures such as a global budget, or national lid, on health spending.

According to the Congressional Budget Office, total U.S. health spending is scheduled to rise to 20 percent of the GDP by 2018, 25 percent by 2025 and 38 percent by 2050.

In May, health care stakeholder groups, including hospitals, insurance companies, doctors, drug companies and device makers, promised President Barack Obama they'd institute measures shaving 1.5 percent per year from the current 7 percent growth rate of health spending, saving $2 trillion over 10 years.

But as the journal Health Affairs observed in an issue brief in August, "these agreements are not enforceable" and, indeed, House "reform" legislation would free doctors from any reductions in Medicare reimbursements.

It's no wonder the American Medical Association supports the House bill, H.R. 3200. The Senate Finance Committee bill gives doctors just a one-year break from scheduled fee reductions, but past patterns are that Congress annually saves doctors from any cut.

Another group promising cuts - and now supporting Obamacare - is the Pharmaceutical Research and Manufacturers of America.

Its contribution to controlling health care costs? Just $80 billion over 10 years - out of total U.S. pharmaceutical outlays of $3.3 trillion.

And, as Fortune magazine pointed out, part of PhRMA's cuts are designed to get more Medicare recipients to use brand-name drugs when generics actually would be cheaper.

According to Health Affairs Editor-in-Chief Susan Dentzer, "bending the curve" of health cost growth depends upon "a lot of floating magic asterisks" in the Senate legislation, including the transformation of several pilot projects into actual policies that alter health spending patterns.

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No Good News On Health Care Costs

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Health Care Numbers Dropped

Rasmussen Reports polling shows, Health Care Reform - Support for Health Care Plan Hits New Low. The most likely health reform plan at this time is the Baucus plan, yet what health care reform means is still largely unknown as numerous amendments to this bill are under review including whether a public option will be part of the bill. Many basic factors regarding cost and effectiveness have not been fully addressed, and a new CBO report states that Medicare benefits will likely be cut eventually even though supporters of the bill have stated the opposite. The Rasmussen poll and accompanying article is an interesting read as it shows how the American people are viewing health reform and its effects.

Just 41% of voters nationwide now favor the health care reform proposed by President Obama and congressional Democrats. That’s down two points from a week ago and the lowest level of support yet measured.

The latest Rasmussen Reports national telephone survey finds that 56% are opposed to the plan.

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If the plan passes, 24% of voters say the quality of care will get better, and 55% say it will get worse. In August, the numbers were 23% better and 50% worse.

Fifty-four percent (54%) say passage of the plan will make the cost of health care go up while 23% say it will make costs go down. In August, 52% thought the plan would lead to higher costs, and just 17% thought it would achieve the stated goal of lowering costs.

While many credit or blame the town hall protests for building opposition to the plan, it appears they were simply a reflection of public opinion rather than a creator of it. This sense is confirmed by the fact that Obama’s approval ratings fell more in June and July before stabilizing in August.

One thing that did change during the month of August is that public perception of the protesters improved. Most voters came to believe that the purpose of the town hall meetings was for members of Congress to listen rather than speak. That’s partly because just 22% believe Congress has a good understanding of the legislation.

While some Democrats have charged that opposition to the president’s plan is based upon racism, just 12% of voters agree.

Voters overwhelmingly believe that every American should be able to buy the same health insurance plan that Congress has. Most favor limits on jury awards for medical malpractice claims and think that tort reform will significantly reduce the cost of health care. Forty-eight percent (48%) want a prohibition on abortion in any government subsidized program while 13% want a mandate requiring abortion coverage.

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Support For Obama Health Care Reform Continues to Drop

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ACORN Gone

The Census Bureau has terminated its relationship with ACORN after tapes were released that showed staffers aiding a couple in the human trafficking of underage girls from El Salvador in order to establish a prostitution ring.

From Fox News Census Bureau Severs Ties With ACORN

The Census Director has sent a letter to the National Headquarters of ACORN notifying the group that the Census Bureau is severing all ties with the community organizing group for all work having to do with the 2010 census.

"Over the last several months, through ongoing communication with our regional offices, it is clear that ACORN's affiliation with the 2010 Census promotion has caused sufficient concern in the general public, has indeed become a distraction from our mission, and may even become a discouragement to public cooperation, negatively impacting 2010 Census efforts," read a letter from Census Director Robert M. Groves to the president of ACORN.

"Unfortunately, we no longer have confidence that our national partnership agreement is being effectively managed through your many local offices. For the reasons stated, we therefore have decided to terminate the partnership," the letter said.

The news follows the firing Friday of two more ACORN employees after new hidden-camera footage showed workers for the group advising a couple posing as a pimp and prostitute how to subvert the law.

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Kudos to the Census Department for Dumping ACORN

Tensions in Iranian Government

Tensions Remain in Iranian Government

While street protests in Iran have been squashed, it appears from reports from the BBC that those protests have lead to significant tension and strain with in the Iranian government.

BBC - Fight resumes over Iran cabinet

Iranian MPs have resumed a heated debate on the nominees for President Mahmoud Ahmadinejad's new cabinet.

The Majlis holds a confidence vote on Wednesday, but correspondents say the president is struggling to win backing in the predominantly conservative body.

The latest objections by MPs have been levelled at his choice for education minister, one of three women nominees.

Iran is mired in political turmoil after Mr Ahmadinejad's re-election, which triggered huge street protests.

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Iranian press reports described the exchanges between Mr Ahmadinejad and leading conservatives on the first day of the debate on Sunday as unprecedented.

Mr Ahmadinejad defended his government as the "cleanest" possible. He rejected accusations that he had simply chosen ministers who would be obedient "yes-men".

Conservatives and reformers alike accused him of nominating unqualified people without consulting MPs.

Dugard Meets Family

News on Jaycee Lee Dugard reuniting with family. Abducted at age 11 and imprisoned for 18 years, concern about the long term affects of her treatment/detention remain.

From the NY Daily News, Jaycee Lee Dugard's struggle to re-enter society after 18 years in captivity

Things started well, said FBI Special Agent Chris Campion, who worked on the case for nearly two decades and was present at last week's ecstatic reunion between mom Terry Probyn and Dugard, the daughter she last saw at age 11.

"There's going to be a period of adjustment, no doubt, but they're doing very well at this point," he said in an FBI podcast.

"It was a very emotional scene - both of them were just overjoyed to be with each other again," he said. "The two daughters are probably as happy as Jaycee is to be part of this family."

Shayna Probyn, 19, who was an infant when Dugard was kidnapped, wrote in a MySpace message, "I have a lot of love to share with my sister and new nieces."

The family is intent on making things easy for Dugard, now 29, and her daughters, 15 and 11.

They are being kept out of the public eye, and relatives and officials aren't saying where they are staying.



Read more: http://www.nydailynews.com/news/national/2009/08/31/2009-08-31_fragile_days_ahead_for_jaycee_kids.html#ixzz0PmNJyMO2

US Debt Jumps Dramatically

As previously reported the Federal Deficit is Soaring with estimates for this year being between $1.6 trillion or $1.8 trillion. Now the projected deficit for the next 10 years is up $2 trillion. There are so many disturbing elements to this ever expanding deficit, not least of which is how the U.S. economy will recover with this level government debt. As the deficit shoots upwards so does the risk of inflation, making recovery increasingly more difficult. Not to mention that China owns so much of our debt that at this point they're practically a part owner of this country. The government seriously needs to reexamine its priorities and reign in its spending or this country will find itself in a world of hurt.

Major Garrett reports New 10-year Federal Deficit: $9 Trillion, Up from $7 Trillion

The Obama Office of Management and Budget tells Fox the federal deficit over the next decade is projected to be $2 trillion higher than previous estimates.
The new 10-year aggregate federal deficit is $9 trillion.

An official said the prolonged recession and the ensuing decline in federal revenue prompted a recalibration of the deficit numbers.

The numbers also reflect a projection that post-recession economic growth may not be as robust as after previous recessions, the official said.

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An Unsustainable Federal Deficit

Big Government Problems

While the commentariat's condescension is almost comical, the whole evil-or-stupid explanation misses the elephant in Obama's room: Americans of all stripes, it turns out, aren't very keen about the government barging into their lives.

An ABC/Washington Post poll from June showed people preferred "smaller government with fewer services" over "larger government with more services" by 54% to 41%, up from 50%-45% a year earlier (independents were even more pronounced, at 61%-35%). A Rasmussen poll from April showed that 77% of Americans preferred a "free market" economy over a "government managed" economy, up seven percentage points from just last December. A July CBS poll found that 52% of Americans think that Obama is trying to do "too much."

After 11 months of federal bailouts and freakouts, Americans have become bone tired of panicky power grabs from Washington. It's the big government, stupid.

Hurricane Bill

Hurricane Bill - Track the Hurricane Live on weather.com

Hurricane Bill is accelerating north, well off the Eastern U.S. coast, and is still expected to turn northeast overnight. Bill made its closest pass to Bermuda early on Saturday and will pass by Cape Cod before morning.

As of 5 pm EDT, Hurricane Bill is located 300 SSE of Nantucket, Mass.

Battering waves and dangerous rip currents have already been impacting parts of the Eastern Coast including the Outer Banks, and high waves will spread into New England tonight into Sunday, topping 20 feet along Cape Cod and the Islands.