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Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review July 12, 2009 / 20 Tamuz 5769

Red Flags On Health Care

By David Broder



http://www.JewishWorldReview.com | President Obama's welcome home from his latest successful overseas trip is clouded by the growing doubts about his most important domestic initiative, the overhaul of the dysfunctional U.S. health-care system.


On the surface, things went well for the No. 1 project on his list while he was away. Hospitals pledged to find $155 billion in savings that could be applied to expanding coverage to more of the uninsured.


The chairmen of three House committees that share jurisdiction over health care prepared to unveil a single proposal — a step the Clintons were never able to achieve in their effort at reform. Insurers, doctors and other key interest groups continued to negotiate with the administration, rather than launching broadsides against its plans.


But if you probe a little deeper, what you find are growing questions among insiders — the kind of fault lines that could spread to threaten public support for the ambitious overhaul Obama has in mind and the political coalitions needed to move it through Congress.


Veterans of previous health-care battles whom I interviewed this past week are still mainly of the view that Obama can succeed. Dissatisfaction with the status quo pervades much of business leadership, the ranks of state government and millions of households. Obama is widely praised among the insiders for staying flexible and keeping himself available to negotiate the needed compromises.


But on several fronts, forces have been moving against him, leaving even some of his allies uncertain whether he will prevail.


The staggering economy and the continued uncertainty about the timing and strength of a recovery have sapped public confidence in Washington's ability to pull off big ventures. Growing talk that unemployment may top 10 percent and require another stimulus bill could complicate the task of finding a trillion dollars over the next 10 years to finance expanded health-care coverage to the millions of uninsured.


Increasingly, Republicans on Capitol Hill and even some Democrats are voicing doubts about adding to the already enormous budget deficits. Obama has long insisted that his reform can be paid for without increasing the debt, but as the legislative process has unfolded, the question of where the offsetting savings w


ill come from has become more urgent. Democratic Sen. Ron Wyden of Oregon, the co-author of the one bipartisan bill already scored as saving money, told me, "As you look at what is being proposed [in two Senate committees] you don't see savings in the 10-year budget. That's why the discussion has shifted to finding new money to finance expanded coverage. But at home, when you tell people we're already spending $2.5 trillion a year on health care and now we're going to spend $1 trillion more, it just doesn't add up."


The realization is spreading in Congress that to achieve significant cost controls, a fundamental restructuring of health-care delivery will be needed. But Rep. Jim Cooper of Tennessee, a veteran of the failed Clinton effort and the leader of conservative "blue dog" Democrats on health reform, told me that the proposals under discussion "are weak on delivery system reform."


Obama, he said, clearly gets the need for drastic change. The president has been citing the June 1 New Yorker article by Dr. Atul Gawande pointing out the extraordinary differences in the cost of health care between El Paso and McAllen, Tex. El Paso has reorganized its medical services into cooperative networks of practitioners, delivering quality care at low cost. McAllen, like most American cities, relies on an unstructured collection of individual physicians and hospitals, competing for business and raking in as much money as they can.


Many others who have worked in the system argue similar points, and some of them have begun to suggest that before attempting to reorganize the whole health-care system, Congress should rationalize Medicare, where costs are soaring in McAllen-like fashion.


But Congress shows no sign of having the will or the skill to challenge the myriad, well-entrenched and influential players in the current delivery system. Unless he can prod it to act differently, Obama may find himself signing a bill that condemns us to continued medical inflation.

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