Every day, an average of 112 people -- most of them the newly poor -- sign up for free government health care in South Carolina.

Since the recession officially hit in December 2007, some 3,300 people a month, on average, have signed up for Medicaid in a state that outpaces the nation for poverty, obesity and diseases such as diabetes. Yet, South Carolina's political leaders have been among the most vocal in the country in opposition of the new health care law....

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • Poverty • * Economics, Politics • Economy • Housing/Real Estate Market • Labor/Labor Unions/Labor Market • The Credit Freeze Crisis of Fall 2008/The Recession of 2007-- • The U.S. Government • Politics in General • State Government • * South Carolina

To make matters worse, leaders in Congress also slipped in a new reporting requirement to help pay for this health care law that will require all businesses to now file tax Form 1099 on every business-to-business transition of $600 or more, including buying normal supplies.

This has nothing to do with health care and everything to do with taxing small businesses and increasing their paperwork burden.

I hardly call this a reform that any small-business advocate should support.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • * Economics, Politics • Economy • Corporations/Corporate Life

UnitedHealth Group Inc. and insurers in Florida and Oklahoma stopped offering children-only health coverage because of the potential added costs of sick youngsters under the new U.S. health-care law, state officials said.

UnitedHealth won’t sell new policies that cover only children, foreclosing an option used by parents seeing cheaper care, Kevin McCarty, Florida’s insurance commissioner, said today at a meeting of the National Association of Insurance Commissioners in Washington, D.C. Tyler Mason, a UnitedHealth spokesman, disputed McCarty’s statement in a telephone interview, saying the company is still issuing such coverage.

The law championed by President Barack Obama bans insurers from denying coverage to children based on their health. That makes it more difficult for health plans to predict costs because families can wait until a child is sick to buy coverage, according to Kim Holland, Oklahoma’s commissioner. She and Sandy Praeger, Kansas’ commissioner, said insurers in their states have dropped child-only plans as well, or discussed the idea.

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Filed under: * Culture-Watch • Children • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • * Economics, Politics • Economy • Corporations/Corporate Life • Politics in General • Office of the President • President Barack Obama

The lowest bracket for the personal income tax, for instance, moves up 50% — to 15% from 10%. The next lowest bracket — 25% — will rise to 28%, and the old 28% bracket will be 31%. At the higher end, the 33% bracket is pushed to 36% and the 35% bracket becomes 39.6%.

But the damage doesn't stop there.

The marriage penalty also makes a comeback, and the capital gains tax will jump 33% — to 20% from 15%. The tax on dividends will go all the way from 15% to 39.6% — a 164% increase....

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • * Economics, Politics • Economy • Consumer/consumer spending • Corporations/Corporate Life • Personal Finance • Taxes • The U.S. Government • Budget • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

With so much water already under the bridge, it seems a risky move to wade into the debate between Commonweal (and its apparent legal advisor, Professor Timothy Jost) and the U.S. Conference of Catholic Bishops (USCCB) at this stage of the debate over the contents of the health care reform law (the Patient Protection and Affordable Care Act or PPACA). On the other hand, it might be the perfect time to step back and survey the prolific exchange. Commonweal’s editors just don’t seem to trust the USCCB’s legal or policy analyses of the PPACA insofar as freedom of conscience or abortion are concerned.

Conversely, Commonweal has extended every benefit of the doubt to the opinions of one professor, Timothy Jost, who not only has no record of cooperation with Catholic moral and policy interests along the consistent ethic of life, but seems to regard Catholic contributions to moral reasoning about law with animosity, comparing Catholic influence to the establishment of an Iranian theocracy. Furthermore, Jost seems to be a strident partisan across the board, a condition best (and hilariously) exemplified in his May 17 editorial for Politico, wherein Jost wrote how “unimaginable” it would be for American voters to want Republicans back in government when, under the Democrats, the “economy has come roaring back.”

Meanwhile, The USCCB’s uniquely nonpartisan voice—even in the midst of some of the nastiest inter-party exchanges in recent history—successfully held together advocacy against killing the unborn with advocacy for expanding health care insurance to all Americans. Yet Commonweal, it seems, would not be satisfied with anything less than a full-throated blessing of whatever the House majority decided to offer pro-life Americans while in the throes of desperate, last-minute negotiations.

Read it all (and follow the links if you haven't followed the debate).

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Religion & Culture • * Religion News & Commentary • Other Churches • Roman Catholic • * Theology • Ethics / Moral Theology

As some provisions of this year's federal health care overhaul go into effect, Fairfax County is planning for how it will handle the changes.

Industry experts have said the cost of health insurance plans such as the one Fairfax County offers to its employees could increase by 4 percent or more in 2011, said Susan Woodruff, the county's Human Resources director.

"That's a cost that we, the employer, and the employees will have to find a way to share," Woodruff said.

Given the county now budgets more than $68 million per year for its employee insurance needs, even a slight increase could add millions to the total.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Economy • Politics in General • City Government

Membership in two of the largest Christian "health-sharing" ministries has grown since President Obama signed the massive health care reform bill into law earlier this spring.

Christian Healthcare Ministries and Samaritan Ministries, with a combined membership of more than 70,000 people, have both grown in enrollment, officials said.

"The health care reform bill removes the option of having (no insurance)," said the Rev. Howard Russell, executive director of Christian Healthcare. "The second thing is that the pricing to be part of out ministry is much lower than traditional insurance," Russell said.

Read the whole article.

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Religion & Culture • * Economics, Politics • Politics in General • Office of the President • President Barack Obama

As cash runs low in government coffers around the country, politicians are ratcheting up the intensity of their search for revenue and new areas to regulate. Small businesses are in their cross-hairs in a mammoth, nationwide shakedown. They are the nation's critical engine for growth, innovation and job creation, yet they are being starved for credit and slammed with more taxes, government directives and litigation exposure. This spells weaker profits and fewer jobs, risking a fundamental deterioration in America's private sector.

The federal government's response to the crisis is to build up Washington's small-business dependency apparatus. Of the $3.6 trillion in federal spending planned in 2010 (overruns likely), many crumbs will find their way to small businesses through government loan programs and complicated tax credits. Politicians are addicted to spending and can trumpet their ability to bring home the pork while ignoring the devastating net outflow from small businesses to Washington.

Washington's expansion does nothing to create a robust small-business environment. Businesses with fewer than 250 employees provided most of the net job growth in the 2002--07 expansion yet are still in the starting blocks in the current recovery. The 2,300-page health care bill will take months and years to decode and will weigh heavily on small-business decisions. New regulations are mushrooming from the constant string of thick "stimulus" bills, the coming law on new financial regulations and the sure-to-be-bad tax bill toward year's end.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • * Economics, Politics • Economy • Corporations/Corporate Life • Labor/Labor Unions/Labor Market • The Credit Freeze Crisis of Fall 2008/The Recession of 2007-- • The U.S. Government • Politics in General

(Please note that the title above is from the print edition--KSH)

But while the research compiled in the Dartmouth Atlas of Health Care has been widely interpreted as showing the country’s best and worst care, the Dartmouth researchers themselves acknowledged in interviews that in fact it mainly shows the varying costs of care in the government’s Medicare program. Measures of the quality of care are not part of the formula.

For all anyone knows, patients could be dying in far greater numbers in hospitals in the beige regions than hospitals in the brown ones, and Dartmouth’s maps would not pick up that difference. As any shopper knows, cheaper does not always mean better.

Even Dartmouth’s claims about which hospitals and regions are cheapest may be suspect. The principal argument behind Dartmouth’s research is that doctors in the Upper Midwest offer consistently better and cheaper care than their counterparts in the South and in big cities, and if Southern and urban doctors would be less greedy and act more like ones in Minnesota, the country would be both healthier and wealthier.

Read it all from Thursday's New York Times.

Filed under: * Culture-Watch • Education • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

On May 20, 2010, the Secretariat of Pro-Life Activities of the United States Conference of Catholic Bishops issued a statement supporting H.R. 5111, sponsored by Congressmen Joseph R. Pitts (R-Pa.) and Dan Lipinski (D-Ill.). H.R. 5111 is prolife legislation intended to protect the unborn and the consciences of health-care providers, and it is not surprising that the USCCB should support this bill. Unfortunately, the USCCB used this occasion to attack once again the major health-care legislation that was signed into law in March, the Patient Protection and Affordable Care Act (PPACA). The USCCB continues to misunderstand the provisions of PPACA and contributes to confusion about its content. This analysis is intended to correct the USCCB’s erroneous characterizations of PPACA, and to clarify what the legislation actually says and does....

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Religion & Culture • * Religion News & Commentary • Other Churches • Roman Catholic

The new healthcare law will pack 32 million newly insured people into emergency rooms already crammed beyond capacity, according to experts on healthcare facilities.

A chief aim of the new healthcare law was to take the pressure off emergency rooms by mandating that people either have insurance coverage. The idea was that if people have insurance, they will go to a doctor rather than putting off care until they faced an emergency.

People who build hospitals, however, say newly insured people will still go to emergency rooms for primary care because they don’t have a doctor.

“Everybody expected that one of the initial impacts of reform would be less pressure on emergency departments; it’s going to be exactly the opposite over the next four to eight years,” said Rich Dallam, a healthcare partner at the architectural firm NBBJ, which designs healthcare facilities.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Economy • Corporations/Corporate Life

Deep within the massive health-care overhaul legislation, a few little-noticed provisions have quietly reignited one of the bitterest debates in medicine: how to balance the right of doctors, nurses and other workers to refuse to provide services on moral or religious grounds with the right of patients to get care.

Advocates for protecting health workers argue the new law leaves vulnerable those with qualms about abortion, morning-after pills, stem cell research and therapies, assisted suicide and a host of other services. Proponents of patients' rights, meanwhile, contend that, if anything, the legislation favors those who oppose some end-of-life therapies and the termination of pregnancies and creates new obstacles for dying patients and women seeking abortions.

Both sides acknowledge that the scope of any new conflicts that might arise under the legislation will become clear only as the implications of the overhaul unfold. But both agree that clashes are probably inevitable.

"It's sort of the son of the 'death panels,' " said Loren Lomasky, a University of Virginia professor of philosophy who studies conflicts of conscience in health care, referring to last summer's controversy about end-of-life counseling. "This is a major transformation of the health-care system. And when this sort of thing happens, fissures can open up and you can fall into them if you're not careful."

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • Religion & Culture • * Theology • Ethics / Moral Theology

An all-but-overlooked provision of the health reform law is threatening to swamp U.S. businesses with a flood of new tax paperwork.

Section 9006 of the health care bill -- just a few lines buried in the 2,409-page document -- mandates that beginning in 2012 all companies will have to issue 1099 tax forms not just to contract workers but to any individual or corporation from which they buy more than $600 in goods or services in a tax year.

The stealth change radically alters the nature of 1099s and means businesses will have to issue millions of new tax documents each year.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Economy • Taxes

Ideally, of course, Congress would have never passed the Medicare prescription drug benefit to begin with, and thus never handed out the initial subsidy. That way this whole kerfuffle could have been avoided entirely. And the broader point I'd draw from all of this isn't so much that the Affordable Care Act is going to cost big corporations billions—though it certainly is—but that the health care sector is so thoroughly dominated by government regulations and subsidies that exercise far, far too much influence over how decisions about health care and its associated costs get made. So rather than argue over the tax treatment of drug subsidies, we ought to be pushing to get rid of the subsidies entirely.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate

Bishop Thomas Tobin of Providence, R.I., demanded that CHA remove St. Joseph Health Services of Rhode Island from its membership rolls, calling its affiliation with CHA “embarrassing.”

In a March 29 letter to CHA President and Chief Executive Officer Sister Carol Keehan, Tobin said CHA had “misled the public and caused serious scandal for many members of the church.”

The CHA supported the health care bill, saying it would not increase public funding of abortion. The U.S. Catholic bishops disagreed, and urged the bill’s defeat. The bill passed on March 21, after President Obama promised to sign an executive order upholding a longstanding ban on federal funding of abortions except in cases of rape, incest, and the poor health of the mother.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Life Ethics • Religion & Culture • * Religion News & Commentary • Other Churches • Roman Catholic

“It’s the context of people’s lives that determines their health,” said a World Health Organization report on health disparities. “So blaming individuals for poor health or crediting them for good health is inappropriate.”

I must admit I often feel like my colleagues who grouse about spending all day treating patients who do not seem to care about their health and then demand a quick fix. I do not relish paying more taxes to treat patients who engage in unhealthy habits. But then I remind myself that we all engage in socially irresponsible behavior that others pay for. I try to eat right and get enough exercise. But then I also sometimes send text messages when I drive.

The whole point of insurance is to reduce risk. When people inveigh against the lack of personal responsibility in health care, they are really demanding a different model, one based on actual risk, not just on spreading costs evenly through society. Sick people, they are really saying, should pay more. Which model we eventually adopt in this country will say a lot about the kind of society we want to live in.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • The 2010 Obama Administration Health Care Bill • * Theology • Ethics / Moral Theology

It's been a banner week for Democrats: ObamaCare passed Congress in its final form on Thursday night, and the returns are already rolling in. Yesterday AT&T announced that it will be forced to make a $1 billion writedown due solely to the health bill, in what has become a wave of such corporate losses.

This wholesale destruction of wealth and capital came with more than ample warning. Turning over every couch cushion to make their new entitlement look affordable under Beltway accounting rules, Democrats decided to raise taxes on companies that do the public service of offering prescription drug benefits to their retirees instead of dumping them into Medicare. We and others warned this would lead to AT&T-like results, but like so many other ObamaCare objections Democrats waved them off as self-serving or "political."

Perhaps that explains why the Administration is now so touchy. Commerce Secretary Gary Locke took to the White House blog to write that while ObamaCare is great for business, "In the last few days, though, we have seen a couple of companies imply that reform will raise costs for them." In a Thursday interview on CNBC, Mr. Locke said "for them to come out, I think is premature and irresponsible...."

On top of AT&T's $1 billion, the writedown wave so far includes Deere & Co., $150 million; Caterpillar, $100 million; AK Steel, $31 million; 3M, $90 million; and Valero Energy, up to $20 million. Verizon has also warned its employees about its new higher health-care costs, and there will be many more in the coming days and weeks....

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Economy • Corporations/Corporate Life • The U.S. Government • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

If you ask doctors what they think the new health law means for them, the responses aren't too cheery.

An online community for docs called Sermo and Athenahealth, a company that helps doctors' offices electronically manage payments and records, ran a few questions by docs visiting Sermo's site starting Wednesday night.

While the survey isn't a scientific poll, the results are pretty clear. Docs aren't wild about overhaul.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate

When the common good takes a back seat to political and corporate interests, all, especially the vulnerable, are at risk. As the largest provider of non-governmental, non-profit health care in this country, the Catholic Church, and those who work as Catholic agencies and organizations, have a special obligation to vulnerable populations, such as the unborn, those with disabilities, and those at life’s end. These populations cannot be compromised in an effort to secure “the greater good.” This is utilitarianism, seeking the greatest good for the greatest number, and never equates to the common good.

It is undeniable that the enacted Patient Protection and Affordable Care Act includes public funding of programs that provide abortion on demand. No accounting practices, or requiring enrollees or employees to write separate checks for abortion coverage, changes that fact. The plan would mandate that in each regional Exchange only one of the qualifying plans not include abortion. Furthermore, there is no restriction on coverage of assisted suicide costs. President Obama’s executive order cannot override federal law. In fact, his Order merely requires adherence to the Act. Specifically, it states: “This Executive Order is not intended to, and does not, create any right or benefit, substantive or procedural , enforceable at law or in equity against the United States.” While he attempts to assure us that the seven billion new dollars for Community Health Centers will be applied consistent with the Hyde Amendment, the placement of that language within the Act does not make it subject to the cost-sharing provisions for abortion coverage. Most significantly, Beal v. Doe, 432 U.S. 438 (1977) dictates that, without statutory provisions for the Hyde amendment within each enacted law, “essential services” are to include abortion.

Both individuals and employers will be penalized for the absence of health care coverage. There is no evidence of conscience protections for individuals or employers, who may find themselves having to write separate checks for undesired abortion procedures that happen to be in the plan of choice. There is limited evidence of conscience protections for providers, and the legislation does not provide for protection against coercion of health care providers and employers related to contraceptives or abortifacients. Here we see, most significantly, that a house divided eventually will pay the price for taking compromising positions. Yet, unfortunately, in public opposition to the US Conference of Catholic Bishops’ call for rejection of this legislation as it was written, the Catholic Health Association and fifty-five women religious urged its passage.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • Life Ethics • Religion & Culture • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate • * Religion News & Commentary • Other Churches • Roman Catholic

Many who call themselves conservatives propose to cast aside even government programs that have stood the test of time. They seem to imagine a world in which government withers away, a phrase that comes from Friedrich Engels, not Buckley. Or they tie themselves up in unruly contradictions, declaring simultaneously that they are dead-set against government-run health care and passionate defenders of Medicare.

And while modern conservatism has usually supported the market against the state, its oldest and most durable brand understood that the market was an imperfect instrument. True conservatives may give "two cheers for capitalism," as Irving Kristol put it in the title of one of his books, but never three.

Perhaps I have just fallen into the very trap I warned against, seeking a conservatism that corrects, but doesn't oppose, progressivism.

But to my mind, conservatism has always made its greatest contribution as a corrective force that seeks to preserve the best of what we have. As our long and bitter health care debate winds to a close, might proponents of such a conservatism find an opening? Are they still there?

Read the whole thing.

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General

Poor Bart Stupak. The man tried to be a hero for the unborn, and then, when all the power of the moment was in his frail human hands, he dropped the baby. He genuflected when he should have dug in his heels and gave it up for a meaningless executive order.

Now, in the wake of his decision to vote for a health-care bill that expands public funding for abortion, he is vilified and will forever be remembered as the guy who Stupaked health-care reform and the pro-life movement....

Stupak, too, knew that the executive order was merely political cover for him and his pro-life colleagues. He knew it because several members of the U.S. Conference of Catholic Bishops explained it to him, according to sources. The only way to prevent public funding for abortion was for his amendment to be added to the Senate bill.

Clearly, House Speaker Nancy Pelosi and the president didn't want that. What they did want was the abortion funding that the Senate bill allowed.

Thus, the health-care bill passed because of a mutually understood deception -- a pretense masquerading as virtue. No wonder Stupak locked his doors and turned off his phones on Sunday, according to several pro-life lobbyists who camped outside his office.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • Life Ethics • Religion & Culture • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate • * Religion News & Commentary • Other Churches • Roman Catholic

Third, the combination of pressure and disinformation used to break the prolife witness on this bill among Democratic members of Congress – despite the strong resistance to this legislation that continues among American voters – should put an end to any talk by Washington leaders about serving the common good or seeking common ground. Words need actions to give them flesh. At many points over the past seven months, congressional leaders could have resolved the serious moral issues inherent in this legislation. They did not. No shower of reassuring words now can wash away that fact.

Fourth, self-described “Catholic” groups have done a serious disservice to justice, to the Church, and to the ethical needs of the American people by undercutting the leadership and witness of their own bishops. For groups like Catholics United, this is unsurprising. In their effect, if not in formal intent, such groups exist to advance the interests of a particular political spectrum. Nor is it newsworthy from an organization like Network, which – whatever the nature of its good work -- has rarely shown much enthusiasm for a definition of “social justice” that includes the rights of the unborn child.

Read it carefully and read it all.

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • Life Ethics • Religion & Culture • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate • * Religion News & Commentary • Other Churches • Roman Catholic

The White House says it isn't worried that 13 state attorneys general, including South Carolina's, are suing to overturn the massive health care overhaul, and many legal experts agree the effort is futile.

But the lawsuit, filed in federal court seven minutes after President Barack Obama signed the 10-year, $938 billion health care bill, underscores the divisiveness of the issue and the political rancor that has surrounded it.

Read it all from the front page of the local paper.

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate • State Government • * South Carolina

Diocese of Connecticut Bishop Suffragan James E. Curry, speaking to ENS from the House of Bishops meeting in Camp Allen, Texas, called the legislation "a wonderful step that continues our national walk toward accessibility." The Episcopal Church's longstanding commitment to health care reform is deeply rooted in the Baptismal Covenant, he said.

"For 2,000 years followers of Jesus have been at the forefront of efforts to provide for the health and well being of all people. We do this because the law of love compels us to care for everyone," Diocese of Maryland Bishop Eugene T. Sutton said in an e-mail to ENS. "While people of good will disagree about some controversial provisions in the new health care legislation, in the main, Christians everywhere should rejoice that our society has taken a major step toward ensuring that all citizens have adequate and equitable access to health care without fear that sickness will result in their financial ruin. For that alone we say, 'Praise God!'"

Curry and Sutton were among the seven Episcopal bishops who travelled to Washington, D.C. in September 2009 to advocate on Capitol Hill for health care reform.

Members and bishops of the Episcopal Church, the church's Washington-D.C.-based Office of Government Relations, its Episcopal Public Policy Network and the ecumenical faith community continued to advocate for the health bill and press representatives to pass the bill up to March 21, when the bill passed the House by a vote of 219-212.

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Filed under: * Anglican - Episcopal • Episcopal Church (TEC) • * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Religion & Culture • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

This is helpful material in terms of provisions and dates when they are to become effective.

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Economy • Consumer/consumer spending • Corporations/Corporate Life • Taxes • The U.S. Government

Nobody knows how this bill will work out. It is an undertaking exponentially more complex than the Iraq war, for example. But to me, it feels like the end of something, not the beginning of something. It feels like the noble completion of the great liberal project to build a comprehensive welfare system.

The task ahead is to save this country from stagnation and fiscal ruin. We know what it will take. We will have to raise a consumption tax. We will have to preserve benefits for the poor and cut them for the middle and upper classes. We will have to invest more in innovation and human capital.

The Democratic Party, as it revealed of itself over the past year, does not seem to be up to that coming challenge (neither is the Republican Party). This country is in the position of a free-spending family careening toward bankruptcy that at the last moment announced that it was giving a gigantic new gift to charity. You admire the act of generosity, but you wish they had sold a few of the Mercedes to pay for it.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

5. Four million people will lose their employer-based plans.

The new health care law will impose a list of benefits each health care plan will have to offer if they are to remain in business. The Congressional Budget Office also estimates that about 4 million people would lose their employer-based plan and be forced to buy plans on the new government exchanges.

6. Medicare will cut services along with costs.

The bill makes $528 billion in cuts to Medicare, including a $136 billion reduction for Medicare Advantage. The Medicare Advantage cuts will force 4.8 million seniors off the popular plan by 2019. An additional $23 billion in cuts to Medicare will come from a panel charged with slashing Medicare spending.

7. The bill will not pay for itself.

The CBO found that the bill would reduce the deficit by $138 billion over 10 years, but the savings was achieved by leaving out a $208 billion provision lawmakers will have to enact later to ensure doctors are adequately paid for treating Medicare patients. When the "doc fix" is included in the bill, it runs $59 billion in the red over the next decade. And former CBO Director Douglas Holtz-Eakin said that "if you strip out all the gimmicks and budgetary games" the 10-year deficit would exceed $560 billion.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

Even when the "fixes" that have to be approved by the Senate are made, the health-care bill will still be something of a mess. But it's a glorious mess, because it enshrines the principle that all Americans have the right to health care -- an extraordinary achievement that will make this a better nation.

It may take years to get the details right. The newly minted reforms are going to need to be reformed or at least fine-tuned, and those will not be easy battles. But the social movements that allowed Obama to become president and Pelosi to become speaker proved that the arc of history bends toward fairness and inclusion.

Needed change must not be thwarted, even if some people find it hard to accept. Obama got it right in his remarks following the vote: "We did not fear our future. We shaped it."

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

Seventy-five years ago, on August 8, 1935, the United States Congress passed the first sweeping legislation creating a welfare safety net for the American people, the Social Security Act 1935. Its champion was President Franklin D. Roosevelt....

Support in Congress was both overwhelming and bi-partisan.

Thirty years later, in July 1965, Congress passed the second major piece of the national safety net, the Medicaid and Medicare act.

It, too, passed by an overwhelming majority with bi-partisan support. That bill was championed by another Democratic President, Lyndon B. Johnson....

Now comes the third major piece in the safety net when tomorrow (local time), President Barack Obama signs the Health Care and Education Affordability Reconciliation Act of 2010, introducing almost universal health care.

The bill passed yesterday in the House by a slender and contentious majority, 219 vote to 212.

Not a single Republican voted 'yes'.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate • * International News & Commentary • Australia / NZ

This is a very good discussion of some of the real substance of the legislation.

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Economy • Corporations/Corporate Life • Politics in General • Office of the President • President Barack Obama • Senate

The process was wrenching, and tainted to the 11th hour by narrow political obstructionism, but the year-long struggle over health care reform came to an end on Sunday night with a triumph for countless Americans who have been victimized or neglected by their dysfunctional health care system. Barack Obama put his presidency on the line for an accomplishment of historic proportions.

The bill, which was approved by the Senate in December and by the House on Sunday, represents a national commitment to reform the worst elements of the current system. It will provide coverage to tens of millions of uninsured Americans, prevent the worst insurance company abuses, and begin to wrestle with relentlessly rising costs — while slightly reducing future deficits.

Read it carefully and read it all.

Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

If you don't care how this affects businesses, you should. Some 15 million people in this country don't have jobs — and another 12 million work part-time but want full-time positions.

If America's major employers are hit with huge, government-mandated cost increases during an economic downturn, do you really think they'll hire more when the economy starts growing on its own again? Of course not.

Despite this, the White House predicts its plan will "cut costs" for businesses. House Speaker Nancy Pelosi even makes the bizarre prediction that passage of health reform will lead to 400,000 new jobs "immediately," and millions more down the road.

Such claims don't hold water because health reform includes $569.2 billion in new taxes, at last count 160 new bureaucracies and regulations, and 16,500 new IRS agents to collect all those taxes....

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Economy • Corporations/Corporate Life • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

In approving the most sweeping piece of social legislation since the mid-1960s, Democrats proved that they can govern, even under challenging circumstances and in the face of significant internal divisions.

To understand how large a victory this is, consider what defeat would have meant. In light of the president's decision to gamble all of his standing to get this bill passed, its failure would have crippled his presidency. The Democratic Congress would have become a laughing stock, incapable of winning on an issue that has been central to its identity since the days of Harry Truman.

This is why Republicans decided to put everything they had into an effort to defeat the measure. They said its passage would hurt the Democrats in November's elections. They knew that its failure would have haunted Democrats for decades.

Without this concrete achievement, as House Speaker Nancy Pelosi kept warning her troops, Democrats would have been stuck with their votes for reform bills and nothing to show for them. The real and imagined flaws of their proposed system would have been hung around their necks, yet they would have had no way of demonstrating its advantages.

With success comes the chance to defend what is, in many of its particulars, the sort of plan a majority of Americans said they wanted. Yes, it is imperfect and it won't come cheap. But it fills a gaping hole in the American social insurance system.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

Rep. Henry Waxman, D-Calif., was right Sunday night when he hailed looming approval of an unprecedented expansion of the federal government's health care role as "an historic moment." Yet the House also made history by taking that giant step without a single Republican vote. Regardless of your opinion on how to cure what's ailing our nation's medical system, that lack of bipartisanship sends a disturbing signal about how deeply our nation is divided -- and assures that this debate is far from over.

Our opinion remains that while major health care changes are needed, Obama-Care is a counterproductive regulatory behemoth that will impose devastating new financial burdens on both the private and public sectors.

That's particularly alarming in these hard times of record federal deficits and high unemployment. Persisting poll trends show that a solid majority of Americans share that opinion.

But even those who think the president's reform plan is sound should be troubled by the legislative machinations required to advance it....

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

House Majority Whip Jim Clyburn experienced the most significant legislative triumph of his congressional career Sunday evening as a historic health care bill extending insurance to 32 million Americans was passed.

Clyburn, a South Carolina Democrat, ended a week that he said was the most exhausting of his 17-plus years in Congress by finally corralling the minimum 216 votes needed for the House to pass the landmark legislation.

"We have debated this issue for several generations," Clyburn said on the House floor at 9:30 p.m. "The time has come to act. This is the Civil Rights Act of the 21st Century."

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate • * South Carolina

House Democrats approved a far-reaching overhaul of the nation’s health system on Sunday, voting over unanimous Republican opposition to provide medical coverage to tens of millions of uninsured Americans after an epic political battle that could define the differences between the parties for years.

With the 219-to-212 vote, the House gave final approval to legislation passed by the Senate on Christmas Eve. Thirty-four Democrats joined Republicans in voting against the bill. The vote sent the measure to President Obama, whose yearlong push for the legislation has been the centerpiece of his agenda and a test of his political power.

After approving the bill, the House adopted a package of changes to it by a vote of 220 to 211. That package — agreed to in negotiations among House and Senate Democrats and the White House — now goes to the Senate for action as soon as this week. It would be the final step in a bitter legislative fight that has highlighted the nation’s deep partisan and ideological divisions.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

Should the House pass the Senate bill and the package of reconciliation fix-its tonight, Senators will take over the reconciliation fix-its as soon as Tuesday.

That will set in motion a week or longer parliamentary floor battle with points of order, references to the budget act, the Byrd Rule and more.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

Congress was poised tonight to approve the boldest piece of American social legislation in half a century after President Obama issued a last-minute executive order to reassure anti-abortion Democrats who had been threatening to vote against his health reforms.

After 14 months of debate, the group of eight Democrats announced their support for a $940 billion health bill with just four hours to go until an historic vote that could transform Mr Obama’s presidency – but could also cost his party dearly at elections later this year.

The Bill, if passed, will bring near-universal health coverage to the US for the first time in the country’s history by requiring individuals to buy insurance and subsidising coverage for those who cannot afford it.

Facing solid Republican opposition and multiple defections from their own ranks, Democrats needed 216 votes in the House to pass the Bill, which would outlaw abuses by the health insurance industry and extend coverage to 32 million Americans who now lack it.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

On 25 March 1995, the Solemnity of the Annunciation, Pope John Paul II promulgated the encyclical letter Evangelium Vitae, on the value and inviolability of human life. Today, four days before the fifteenth anniversary of that glorious defense of the Gospel of Life, the Congress of the United States, led to this moment by the President of the United States, is poised to enshrine in American law a savage assault on human life and the freedom of conscience of those pledged to help heal the sick. Make no mistake: This is a dark hour in the history of our Republic, and the tyranny of abortion is about to be enshrined under the guise of health care reform as a public entitlement which will be paid for by public funds collected from every tax payer and from which, in due course, no doctor, nurse, hospital, or clinic will be permitted to withdraw on a conscientious objection. This is a dark hour in the history of our Republic, and we have been led to this hour by self-described Catholics.

It must be said that the general effort to change the ways in which we Americans pay for our health care is a prudential matter about which reasonable people are free to disagree in good conscience. Passionate arguments have been advanced in this debate by partisans of every viewpoint, and in most of these arguments no absolute moral truths have been at stake. But there is one absolute moral truth at stake now, and it is this: Abortion is a crime against God and man which no human law can legitimize. And as John Paul the Great taught us in Evangelium Vitae, not only is there no obligation to obey such laws; there is, instead, a grave and clear obligation to oppose such laws by conscientious objection and civil disobedience.

In these last days of this national debate, some voices have been raised by those who identity themselves as Catholic to say that the bill which will be voted on today does not provide funds for abortion, but that is simply false. Our Bishop Robert wrote to every priest of the diocese on Friday to say that “It is evident the current health care legislation before the House of Representatives violates the teachings of Jesus Christ and His Church in several areas. As pastors of souls we have an obligation to form our people to understand the end can never justify the means. The lives of the innocent unborn cannot be sacrificed so that health insurance can be extended to some who do not have it.” Then in a companion letter addressed to all the faithful of the Diocese of Charleston, Bishop Guglielmone asks all of us to oppose this legislation “because it will allow for federal funding of abortion and will not provide conscience protection for health care professionals and health care institutions.” The bishop then adds that “Unfortunately, some organizations and individuals have decided that it is better to pass something to help a few. We can never allow evil to be done for own personal gain or for the benefit of some. Abortion should not be a part of health care reform, nor financed with tax dollars.”

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Filed under: * Christian Life / Church Life • Parish Ministry • Preaching / Homiletics • * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Law & Legal Issues • Life Ethics • Religion & Culture • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate • * Religion News & Commentary • Other Churches • Roman Catholic • * South Carolina

President Obama, rallying last-minute support for landmark health-care legislation nearing a crucial vote in the House, announced Sunday that he will issue an executive order after passage attesting that the bill is consistent with longstanding restrictions on the use of federal funds for abortions.

The arrangement won the support of a key bloc of anti-abortion House Democrats, whose leader, Rep. Bart Stupak D-Mich.), said at a news conference, "I'm pleased to announce we have an agreement."

Appearing with Stupak were half a dozen other holdout Democrats. With them on board, "we're well past" the 216 votes needed in the House to approve the health-care legislation, Stupak said.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • Life Ethics • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate