Clinton, Obama differ slightly on health plans

Sens. Obama and Clinton both say they make reducing the number of people without health insurance - 47 million - a cornerstone of their health plans. Their approaches are so similar that some health experts say this is not the issue that will help most voters decide between the two Democrats. The real fireworks will come in the fall when one of them faces Sen. John McCain, the presumptive Republican nominee, whose proposal is starkly different and represents a greater departure from the status quo. . . . Both Clinton and Obama say they want to build on the current mix of public and private health insurance to make coverage universal and affordable. Both say they would offer tax subsidies to help people buy insurance, require most employers to help pay for insurance, and limit insurance company profits. Individuals and small businesses could join big groups to buy private insurance or a Medicare-like public plan.
The big difference between the two is that Clinton would require everyone to have health insurance and Obama would mandate it only for children.

The Murky Politics of Mind-Body

Now a critical moment has been reached in a 15-year debate in statehouses and in Congress over whether treatment for problems like depression, addiction and schizophrenia should get the same coverage by insurance companies as, say, diabetes, heart disease and cancer.This month, the House passed a bill that would require insurance companies to provide mental health insurance parity. It was the first time it has approved a proposal so substantial.The bill would ban insurance companies from setting lower limits on treatment for mental health problems than on treatment for physical problems, including doctor visits and hospital stays. It would also disallow higher co-payments. The insurance industry is up in arms, as are others who envision sharply higher premiums and a free-for-all over claims for coverage of things like jet lag and caffeine addiction. Parity raises all sorts of tricky questions. Is an ailment a legitimate disease if you can’t test for it? A culture tells the doctor the patient has strep throat. But if a patient says, ‘‘Doctor, I feel hopeless,’’ is that enough to justify a diagnosis of depression and health benefits to pay for treatment? How many therapy sessions are enough? If mental illness never ends, which is typically the case, how do you set a standard for coverage equal to that for physical ailments, many of which do end?

Into the Fray Over the Cause of Autism

“It’s indisputable that autism is on the rise among children,” Senator John McCain said while campaigning recently in Texas. “The question is, What’s causing it? And we go back and forth, and there’s strong evidence that indicates that it’s got to do with a preservative in vaccines.”
With that comment, Mr. McCain marked his entry into one of the most politicized scientific issues in a generation.

California Health Plan Defeated

In handing Gov. Arnold Schwarzenegger his biggest legislative setback, members of a Senate panel expressed concerns Monday that his plan to cover most Californians without health insurance was inadequately funded and would worsen the state budget crisis.
But the legislation negotiated by the Republican governor and Assembly Speaker Fabian Núñez, D-Los Angeles, was unable to surmount several political hurdles beyond the annual tab, now estimated at $14.9 billion. A proposed tobacco tax drew high-powered opposition. The fact that raising taxes takes a two-thirds vote in the Legislature made finding financing a complicated exercise. Republicans never supported the measure. Democrats weren't on the same page.

Blunt won’t seek re-election

JEFFERSON CITY Gov. Matt Blunt, facing a tough re-election fight and a slowing economy, bowed out of the race Tuesday, declaring that he had accomplished all he set out to do.
In a video posted on the YouTube Internet site, Blunt said he decided not to seek re-election because he had little left to achieve. . . . “You could have knocked me over with a feather,” said Rep. Margaret Donnelly, a St. Louis County Democrat who is running for attorney general.
The announcement came just a week after Blunt’s campaign filed a quarterly fundraising report showing he had raised $9.88 million for his re-election bid.

Advocates tout rising support for child health plan

Democrats and healthcare advocates are expressing increasing confidence that their emphasis on expanding children's health insurance - a measure already vetoed once by President Bush - has succeeded in putting healthcare on the national agenda. They point to a new round of polls that found wide public support for the child health program. Proponents say the difference between the Republican and Democratic positions is stark, giving voters a clear choice on what many call the most important domestic issue in next year's presidential election.

House Failure To Override Veto Good News For Tobacco

The U.S. House's failure Thursday to override President George W. Bush's veto of tobacco tax hike legislation is another break for the industry. The bill would have increased federal tobacco excise taxes the equivalent of 61 cents per pack of cigarettes. . . .
The $35 billion raised by the tobacco tax increase over five years would have offset the cost of expanding the State Children's Health Insurance Program. The bill's supporters said that by 2012, the expansion would have allowed the program to cover nearly 10 million children.
House Speaker Nancy Pelosi, D-Calif., already has promised to have the same bill back on Bush's desk within two weeks. Asked whether the bill might include an alternative funding source, Pelosi said simply, "no."
Bush vetoed the bill on Oct. 3, arguing that it would encourage families to drop private insurance. He has offered $5 billion that would temporarily increase the number of children enrolled in the program, but would reduce enrollment over the next five years.

Science vs. politics gets down and dirty

Malicious, vindictive and mean-spirited. These are words that might surface in divorce court.
But they have been lobbed in the course of a different estrangement: the standoff between the Bush administration and the nation's scientific community.
The relationship, which has been troubled since the dawn of the Bush presidency, hit a new low last month when Richard Carmona, surgeon general from 2002 to 2006, lashed out at his former colleagues in testimony before a House committee.

Lawmaker Calls for Registry of Drug Firms Paying Doctors

WASHINGTON, Aug. 3 — An influential Republican senator says he will propose legislation requiring drug makers to disclose the payments they make to doctors for services like consulting, lectures and attendance at seminars.
The lawmaker, Charles E. Grassley of Iowa, the senior Republican on the Senate Finance Committee, cited as an example the case of a prominent child psychiatrist, who he said made $180,000 over just two years from the maker of an antipsychotic drug now widely prescribed for children.

Children’s Health Plan Focus of New Struggle

The Children’s Health Insurance Program has suddenly become a vehicle for an ideological struggle between President Bush and Congress over the future of the health care system.
But in the short term, members of both parties say, the broader outline of that struggle is likely to be reduced to a simple question: “Are you for or against children?” . . . . Representative John Shadegg, an influential conservative from Arizona, said, “This debate is the opening salvo in a battle over the future of health care in America.” . . . . Republicans say Mr. Bush’s opposition to the House and Senate bills stems from conviction and principle, not a political calculus. But, they say, he is not running for re-election and appears oblivious to the political risks for Republicans.

Bush Aide Blocked Report

A surgeon general's report in 2006 that called on Americans to help tackle global health problems has been kept from the public by a Bush political appointee without any background or expertise in medicine or public health, chiefly because the report did not promote the administration's policy accomplishments, according to current and former public health officials.

Carmona told lawmakers that, as he fought to release the document, he was "called in and again admonished . . . via a senior official who said, 'You don't get it.' " He said a senior official told him that "this will be a political document, or it will not be released."

Children’s health must be nation’s priority (John Kerry on SCHIP)

We have been modest where we should have been bold. If we, as senators, don’t stand for insuring every child in America, then what do we stand for? If America can spend $10 billion each month in Iraq, surely we can also spend $10 billion each year on children’s health.
Even more troubling, the president has launched a disinformation campaign to denounce this bill as a larger Democratic strategy or plot to massively expand federalized medicine. He has stubbornly pledged to veto a bill he hasn’t even read. Apparently, confronted with a bipartisan compromise to extend health care coverage to half of the 9 million American children without insurance today, the president sees only a vast, left-wing conspiracy.

The Politics of Sex

Despite years of evidence clearly showing that these [abstinence] programs are ineffective and harmful, federal funding continues at over $200 million a year and growing. Under the Bush administration, abstinence-only subsidies have gushed forth -- creating a deluge of funding for far-right religious groups, amidst a dearth of federal oversight. . . . In reality 95 percent of Americans do have sex before marriage, most before they reach age 19. We must stop funding harmful and ineffective abstinence-only programs and instead support a more comprehensive approach to sexuality education and reproductive health.

Healing Healthcare (LA Times)

VOTERS IN THE United States rank healthcare second only to Iraq as an issue of concern in the presidential campaign. Close to 45 million people in this country lack healthcare coverage, including 6.5 million in California — roughly 17% of the state's population. Increasingly, Americans realize that our healthcare system, which at $2 trillion a year represents 18% of GDP, with spending expected to double by 2016, is probably unsustainable. That adds up to an economic crisis that must command the attention of the 18 candidates with serious aspirations to become the next president. . . .
The cost question is a painful one because it inevitably leads to the question of sacrifice. If everyone is going to be covered, every treatment probably won't be. Clear conversation on this, however, begins with the recognition that this country already rations healthcare — those without insurance routinely go without care.The complexity of the country's healthcare crisis makes it difficult to debate in the rapid-fire exchanges that too often characterize our modern political campaigns. So it is all the more important that candidates present substantive proposals. America has a chance to grapple with this fundamental issue now. If we succumb instead to slogans, we will long regret it.

Critics Accuse Bush Administration of Trumping Science With Politics

Health experts said Wednesday they agreed with former Surgeon General Richard H. Carmona's claim that the Bush administration has continually silenced medical and scientific opinions in favor of politics and religious dogma.

During his testimony before a Congressional panel on Tuesday, Carmona said that "top Bush administration officials repeatedly tried to weaken or suppress important public health reports because of political considerations,"The New York Timesreported.

It doesn't surprise us to hear that the administration was ignoring science and attempting to silence scientists. That's how they have operated about stem cells for years. . . ."

States Face Decisions on Who Is Mentally Fit to Vote

Rhode Island is among a growing number of states grappling with the question of who is too mentally impaired to vote. The issue is drawing attention for two major reasons: increasing efforts by the mentally ill and their advocates to secure voting rights, and mounting concern by psychiatrists and others who work with the elderly about the rights and risks of voting by people with conditions like Alzheimer’s disease and dementia.

http://www.nytimes.com/2007/06/09/washington/09surgeon.html

President Bush’s nomination of Dr. James W. Holsinger Jr., a Kentucky cardiologist, to be surgeon general is drawing criticism from gay rights groups, physicians and lawmakers who say they are troubled by opinions critical of homosexuality that Dr. Holsinger has voiced in nearly 20 years as a high-ranking layman in the United Methodist Church.

Can the Best be the Enemy of the Good?

It’s Kennedy versus Kennedy as two members of Congress from the same family face off over competing versions of legislation that would require many health insurance companies and employers to provide more generous benefits to people with mental illness.
Representative Patrick J. Kennedy, Democrat of Rhode Island and chief sponsor of the House bill, has criticized as inadequate the Senate bill introduced by his father, Senator Edward M. Kennedy, Democrat of Massachusetts. Representative Kennedy is trying to mobilize mental health advocates to lobby for what he describes as “the stronger of the two bills, the House bill.”