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  • 16:12 - 03.07.2009 News >> Latest

      Obama's future depends upon his nation's health American voters want healthcare overhauled. But reform is a high stakes game that can wound the president Comments (71)    
    Martin Kettle guardian.co.uk, Thursday 2 July 2009 21.30 BST Article history
    American healthcare remains a mystery to most Europeans. Many of us are vaguely aware that there is a problem with the US system, but the subject is extremely complex, of almost exclusively domestic interest and, to most people in the news-as-entertainment age, boring.Barack Obama only has to swat a fly to get a hundred times more coverage in the European media than he will get when he tries to push his healthcare reform plan through Congress this summer. Be in no doubt, though, that the fate of his reform plan will define the fate of his presidency. It will do so because of two overwhelming reasons. First, because the US healthcare system is so huge. And second, because it has defied the efforts of all those who have tried to reform it in the past. It will be healthcare – not Iraq, Iran, nuclear weapons, climate change, the budget, or even the banks – that frames the verdict on the Obama administration.If you take nothing else away from reading this, please take this one amazing fact. Health spending accounts for 16% of America's GDP (the figure for the UK is 8.4%) and is projected by some to rise to 20% by 2017. Put another way, this means that health spending currently accounts for a sixth of the entire US economy and within a decade will account for a fifth. Since…

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  • 13:58 - 03.07.2009 News >> Latest

       Ten politicial philanderers who got away with it        

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  • 13:45 - 03.07.2009 News >> Latest

       AFP / Getty Images Palin stepping down as Alaska governor By Michael Muskal | 12:33 p.m.  The former GOP vice-presidential nominee says she will not run again, prompting speculation that she is considering a presidential race in 2012.      

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  • 13:37 - 03.07.2009 News >> Latest

     From the Los Angeles Times Opinion Gov. Arnold Schwarzenegger: Waste is killing California Cutting fraud and waste won't solve the entire budget mess, but it needs to be done, the governor says.   By Arnold Schwarzenegger

    July 3, 2009

    In San Luis Obispo County, a 20-year-old drug abuser who was the sole caretaker for his seriously disabled father provided such poor care that, according to the grand jury in that county, the father frequently had bedsores, he was not properly cleaned, adult protective services had to be called in and, ultimately, he died before he was 60 years old. Incredibly, the son was being paid by the state, through the In-Home Supportive Services Program, for this substandard care.

    Though this kind of abuse of taxpayer dollars is not rampant, we know it exists. So how could the Legislature in good conscience propose its latest budget fix -- one that would increase taxes, cut children off our healthcare rolls, reduce funding to education and put more strain on law enforcement -- without first eliminating this kind of fraud and waste?

    Legislators are continuing to draft solutions to our now $26.3-billion state budget deficit. We're close to filling the gap, but I will not sign a package that raises taxes or fails to address the entire deficit. There is a need for compromise, and I have proposed a path forward that would include ensuring that tax dollars go to citizens in need of services and not to waste, fraud or excessive compensation for those who provide those services. These reforms won't entirely address falling revenues and rising costs, but they will help immediately, and especially in the years to come.…

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  • 09:55 - 03.07.2009 News >> Latest

      





     

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  • 09:34 - 03.07.2009 News >> Latest

       Feds' corruption probe looks at top Florida officials A federal corruption unit is trying to find out if top Florida officials were solicited to tank a state probe into a fraudulent Fort Lauderdale life-insurance company. BY JAY WEAVER \n This e-mail address is being protected from spam bots, you need JavaScript enabled to view it The U.S. Justice Department is investigating corruption allegations made by an indicted Fort Lauderdale insurance executive who, in a bid for a favorable plea deal, has named lawyers, lobbyists and fundraisers he claims plotted with him to thwart a state crackdown on him and his industry.Justice officials have convened a federal grand jury to pursue the claims of former Mutual Benefits Corp. chief Joel Steinger. The wealthy businessman contends that he orchestrated a campaign to stifle a 1999-2000 statewide grand jury probe by attempting to improperly influence public officials, three knowledgeable sources have told The Miami Herald.One of the officials Steinger named was lawyer Paul Huck Jr., a former deputy to state Attorney General Charlie Crist. But Huck confirmed that he was one of six public officials already cleared of any wrongdoing by the Justice Department's Public Integrity Section. Huck said authorities have told him that he was ``a reputational victim of statements made by a third party.'' Others who remain under scrutiny: several prosecutors and officials who worked under Florida Attorney General Bob Butterworth and his successor, Crist.From outward appearances, Steinger's purported scheme wasn't successful: The statewide grand jury indicted Mutual Benefits for racketeering, filed 20 criminal cases involving the viatical industry, and issued a scathing report recommending reforms to the Florida Legislature and Department of Insurance.Mutual Benefits was the leader in the viatical industry, which sold life insurance policies of elderly and ailing people at discounted rates to investors, who collected benefits when…

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  • 07:50 - 03.07.2009 News >> Latest

     
    Iranian cleric says British Embassy employees will be tried   Email Picture
    Cleric Ayatollah Ahmad Jannati, foreground left, leads prayers at the Tehran University campus today.  "No matter what political line you follow, the world is constantly watching this country," he said. "We have a global mission. Now should we fight against each other? We should abide by the law and make up for the past."
           

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  • 07:29 - 03.07.2009 News >> Latest

              
             

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  • 06:31 - 03.07.2009 News >> Latest

      From The Times of London July 3, 2009 Nuclear threat from Iran the big dilemma facing Israel and Netanyahu Bronwen Maddox: analysis
    Is the threat of Iran getting a nuclear weapon so great that Israel should contemplate military action? And should the US encourage it in that? These aren’t questions that Binyamin Netanyahu, the Prime Minister, appears to have answered for himself, for all his preoccupation with them. Nor does President Obama. It’s a wretched dilemma, set to get worse as Iran’s nuclear programme advances, and the regime gets closer to having enough enriched uranium to make a warhead — even as it continues to deny that aim. Israel cares more about the threat than any other country, even its Arab neighbours, feeling itself uniquely at risk. Yet short of military action — and probably not even that — there is no action that Israel can take on its own that really tackles that overwhelming anxiety. “I am an Israeli. I will not depend on anybody for my existence,” said one senior government adviser yesterday, speaking for many of his countrymen. “I will not rely on American guarantees, and I will do whatever I need to defend myself, and the hell with it,” he said. A dependence on the US for every solution to the Iranian threat has led Israeli leaders into an increasingly shrill petition, tugging at the sleeve of George W. Bush, and now Obama, for reassurance that they take the threat seriously, before retreating for a brief while, inevitably unsatisfied. In his pitch to Obama, misjudged on a dozen counts, Netanyahu made a link — which some US officials found absurd — between what concessions Israel might make on the Palestinian front and what it wants the US to…

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Syndicate
New War Thinking at the Pentagon.

 

A Pentagon Trailblazer, Rethinking U.S. Defense

 

 

 

 

" The undertaking boils down to this: assess the threats against the United States, propose the strategy to counter them, then put it into effect by allocating resources within the four branches of the armed services. A major question for the Q.D.R., as it is called within the Pentagon, is how to balance preparations for future counterinsurgency wars, like those in Iraq and Afghanistan, with plans for conventional conflicts against well-equipped potential adversaries, like North Korea, China or Iran."

 

 

 

 
Link to Times of London Front Page

 

 

 
 
 
 

 

 
Obama's future depends upon his nation's health

 

Obama's future depends upon his nation's health

American voters want healthcare overhauled. But reform is a high stakes game that can wound the president

 
 
 
 

American healthcare remains a mystery to most Europeans. Many of us are vaguely aware that there is a problem with the US system, but the subject is extremely complex, of almost exclusively domestic interest and, to most people in the news-as-entertainment age, boring.

Barack Obama only has to swat a fly to get a hundred times more coverage in the European media than he will get when he tries to push his healthcare reform plan through Congress this summer. Be in no doubt, though, that the fate of his reform plan will define the fate of his presidency. It will do so because of two overwhelming reasons. First, because the US healthcare system is so huge. And second, because it has defied the efforts of all those who have tried to reform it in the past. It will be healthcare – not Iraq, Iran, nuclear weapons, climate change, the budget, or even the banks – that frames the verdict on the Obama administration.

If you take nothing else away from reading this, please take this one amazing fact. Health spending accounts for 16% of America's GDP (the figure for the UK is 8.4%) and is projected by some to rise to 20% by 2017. Put another way, this means that health spending currently accounts for a sixth of the entire US economy and within a decade will account for a fifth. Since the US already spends around $2 trillion of its total annual wealth on healthcare this means that US health spending exceeds the entire annual GDP of nations such as Brazil or Italy. If the US healthcare system was itself a country, it would be a member of the G20 and probably even the G8.

In British politics, spending more money on health is paraded as a national virtue. In America high health spending only exposes a national vice. Spending more on health does not mean that Americans suffer from more diseases than other people. Apart from obesity and some others they don't. Nor does America's vastly higher level of spending – nearly twice the OECD average per head and rising – mean its people are significantly healthier. On the contrary, a 2007 study by McKinsey found the US incidence of 130 common diseases was broadly similar to the incidence in Britain, France, Germany, Japan and other nations.

The big difference between Americans and Europeans is not quality of health or quality of treatment but the difference in healthcare costs. In the US, hospital care, outpatient care and medicines all cost far more than they cost elsewhere. America also has a very high number of specialists, who rely more than primary care doctors (of whom there is a national shortage) on expensive technology and high fees. Since health insurers typically pay such specialists most of what they charge, there is little incentive for the system to reduce costs. But since private health insurers are also commercial businesses, premiums are also rising to generate profits. The US private health insurance industry gets $500bn every year from premiums – about three times what the British taxpayer gives to the NHS.

As a result, very large numbers of Americans simply cannot afford the health insurance premiums (typically of up to $1,000 per head per month) which in theory give them access to such treatments. Because many of the over-65s and the very poor are covered respectively by the government's Medicare and Medicaid programmes, most of these uninsured Americans come from the working poor and the middle-class. More than 50 million working age Americans – nearly a third of the total – have no insurance. Large numbers of those who are enrolled are themselves underinsured, especially for expensive treatments or operations, because they stick with lower cost schemes administered through their employers.

Clearly this is an unsustainable system. The temptation from this side of the pond and the progressive side of the argument is simply to say the solution is a no-brainer: what the US needs is a national health service like ours, and with Obama still enjoying soaraway ratings and the Democrats with a blocking majority in the Senate, now is the time to do it. Plenty of Obama's most committed supporters agree.

But it is not going to happen. First of all, it's not going to happen because, especially in the midst of recession, public opinion is uneasy. Voters want reform but, see a Pew Center poll this week, only 41% now actually want the system rebuilt from scratch; the majority want changes within the existing framework. Second, it's not going to happen because Obama's goal is bipartisan reform; the Washington Post reported last month that the president is telling visitors he would rather have 70 Senate votes for 85% of his healthcare goals, than 51 for 100% of it; this recognition that Democratic as well as Republican votes are still up for grabs is why the administration has allowed the congress to shape the legislation. Third, it's not going to happen because there are some very big vested interests involved in this fight, including doctors, hospitals, drug companies, insurers, employers and unions, so some compromises are inevitable; the failure to recognise this was what sank Bill Clinton's plan.

But that does not mean that the legislation, when it is published this month, need or will be timid nor that Obama is just another sellout politician. Obama's overriding goal is to get as close to a universal system as possible, but there are many ways of achieving this goal of which state provision is only one. Even in Britain, where the universality of healthcare is deeply embedded, there are lots of differing views about the precise kind of national health service that works best. So the argument over the coming weeks will be about increasing insurance coverage, about the creation of a public insurance plan – perhaps administered at state rather than federal level – to compete with and undercut the existing private ones, and about how to drive down spiralling costs.

Fixing healthcare is easy to say and hard to do, even with strong public support. Solving the problem in ways that extend access to care while reducing costs, in the face of powerful vested interests while keeping the voters onside, is a high stakes game. But the rewards of success are also potent. Get it wrong and Obama becomes just another Democratic president, like Clinton, who was decisively wounded by failure on health. Get it right, and he will be unbeatable in 2012 and on course to reshape America. That is why we need to pay attention to America's health.

 

 

 

 
Independence Day greetings from Times of London.

 

 

Ten politicial philanderers who got away with it

 

Clinton

 

 

 

 

 

 
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