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News reports examine patients unable to pay health bills in Kenya's "cash starved" hospitals; "bad shape" of Uganda's facilities

The Los Angeles Times examines several stories of patients too poor to pay their hospital bills in Kenya that were held in a "makeshift patients' prison," until they escape or settle their debt. "Tragically, healthcare horror stories are common in Africa, where developing countries rarely have medical safety nets for the poor. But an increase in cases of cash-starved public hospitals and mortuaries detaining patients and even corpses over unpaid bills is spurring outrage in Kenya," writes the newspaper.

30 Jun 2009

Obama leaves door open to tax on health benefits

"President Barack Obama on Wednesday rejected the idea of fully taxing Americans' employer-provided health insurance benefits, but suggested he might be persuaded to tax so-called Cadillac coverage ... in the interest of a compromise with Congress," McClatchy/The Star-Telegram reports.

29 Jun 2009

Obama reaches out to Governors on health care

"A bipartisan group of governors told President Obama yesterday that they share his urgent desire to restructure the nation's health-care system but warned that any changes should not place more burdens on strained state budgets or eliminate innovative programs they already have in place," The Washington Post reports.

29 Jun 2009

Baucus signals finance committee progress on health overhaul bill

"A group of key Senate negotiators found a way to further reduce the price tag on the health care reform bill, bringing it in line with a $1 trillion target and moving the Senate Finance Committee closer to a deal, Chairman Max Baucus said Thursday," according to Politico.

29 Jun 2009

California Rulings: State can cut Medi-Cal benefits but not home care wages

"A federal judge on Thursday blocked a $2 hourly wage cut for California in-home care workers that was slated to begin July 1, potentially increasing California's budget deficit by another $98 million," The Sacramento Bee reports.

29 Jun 2009

President Obama joins in chorus of complaints about CBO figures

President Barack Obama joins the chorus of Democrats who criticize Congressional Budget Office numbers and claim that their analyses estimates aren't fair. The criticism comes after the agency provided $1 to $1.6 trillion estimates for two of the Democrats' draft health care reform bills.

29 Jun 2009

Warranties and reimbursements for family caregivers provide alternative payment methods

The New York Times reports on a proposal for a new health care reimbursement model that offers warranties to patients, a topic also examined in a piece by Francois de Brantes in the journal, Health Affairs.

29 Jun 2009

Critics escalate attacks on health care overhaul

Tensions are showing as health reform continues to be center stage on the President's and Congress' domestic policy agenda.

29 Jun 2009

Finance Committee Senators: Reform bill trimmed to less than $1 trillion

Some senators on the Finance Committee said Thursday they've moved closer to cutting their health reform bill's cost to under $1 trillion.

29 Jun 2009

Is President Obama fighting the last war?

Bill and Hillary Clinton are off saving the world, he through his global foundation and she via the State Department. But their presence looms over the health care debate as surely as if they were running the White House. Their epic failure to pass reform in 1994 has become the defining object lesson in how to botch health care legislation--a lesson President Obama has obviously taken to heart. Push for reform right away; let Congress hash out the details; and, above all, don't threaten people's current insurance arrangements. You can sum up Obama's strategy for health reform as "WWCD": What Wouldn't the Clintons Do.

29 Jun 2009

White House not ruling out taxing benefits, public plan compromise

Politico: "White House senior adviser David Axelrod says President Barack Obama would like to have a public option – or government-run insurance plan – as part of a health reform package, but will not insist on it.

29 Jun 2009

Obama, Democrats walking fine line on health overhaul

Various media outlets examined how negotiations for a bipartisan health care overhaul are facing challenges from Democrats as well as Republicans.

29 Jun 2009

Healthcare outcome boost needs better studies

Evidence suggests that outcomes in many clinical settings leave a lot to be desired, which means that research into quality improvement (QI) in clinical care has the potential to greatly improve the lot of patients. Now a study in the journal Medical Care Research and Review published by SAGE suggests that both theoretical and practical improvements in QI effectiveness studies could make these into much more powerful tools for positive change.

25 Jun 2009

Requirements for using e-health begin to emerge; public input needed, experts say

The American Recovery and Reinvestment Act (a.k.a. The Stimulus) set aside billions of dollars for hospitals to acquire electronic medical record systems, but one requirement for hospitals hoping to receive the money will be to share patient records with other facilities, the Dallas Morning News reports.

25 Jun 2009

Sources: Hospitals may strike deal to save $200 billion

Hospitals could sign on to an agreement with Senate health reform leader Max Baucus, D-Mont., and the White House to help save up to $200 billion as part of the overhaul plan, lobbyist and health industry sources tell Roll Call.

25 Jun 2009

Poll: Most want health reform but fear its side effects

"A majority of Americans see government action as critical to controlling runaway health-care costs, but there is broad public anxiety about the potential impact of reform legislation and conflicting views about the types of fixes being proposed on Capitol Hill, according to a new Washington Post-ABC News poll," The Washington Post reports.

25 Jun 2009

House approves bill to end delay in veteran care

The House approved a bill Tuesday that seeks to end waits for federal financing of veterans' health care programs, The New York Times reports.

25 Jun 2009

Colorado rural co-ops provide example for health care system proposal

Rural utility co-ops in Colorado could provide an example of how a co-op would work nationally for health care, The Denver Post reports.

25 Jun 2009

Counting of uninsured Americans a difficult task

Estimates of the total number of uninsured Americans may be based on "faulty assumptions" that are "inflating the projections," The Wall Street Journal says in its "Numbers Guy" blog.

25 Jun 2009

Obama, health insurers clash on public plan

"President Obama made a detailed case on Tuesday for a new government-administered health insurance plan, but he did not rule out signing a bill that lacks such an option if he cannot win enough support from Democrats in Congress," The New York Times reports.

25 Jun 2009