Word: careful
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...suss out mentions of unusual illness. And the CDC has a network of physicians who routinely sample and test patients to see what bugs they have and might be circulating in the community. But these systems have many moving parts, relying on state, local and even community health-care workers to both recognize and report anything out of the ordinary. Once a community doctor sees what he thinks might be an unusual series of flu cases, for example, he would have to alert his local or state health departments, which would then investigate further by testing samples from the sick...
...bolster their findings, the authors cite a smaller 2002 study that arrived at similar results: in that paper, published in the American Journal of Psychiatry, Dr. Mark Zimmerman of Brown University and his colleagues found that of 315 patients with major depressive disorder who sought care, only 29, or 9.2%, met typical criteria for an efficacy trial. Similarly, psychologist Ronald Kessler of Harvard co-authored a 2003 paper in the Journal of the American Medical Association that concluded that most "real world" patients with major depression would be excluded from clinical trials because of comorbidities...
Though Obama put forward his own plan for health-care reform during the 2008 campaign, he has signaled that he is not wedded to its specific prescriptions. His proposal, for example, included a "public plan" - one that would set up a Medicare-like, government-run coverage option for the uninsured - that has become one of the most contentious issues in the debate thus far. But in the face of criticism that a government plan would have an unfair advantage over private insurance, Obama has indicated sympathy for that argument. "Private insurance plans might end up feeling overwhelmed," he said...
White House officials say the President does indeed plan to step up his game on health care in the near future, speaking out more on what he will and will not accept as part of the reform package. "As we move along, there's going to be choices we have to make, decisions we have to make and instructions we have to give. There's no question about that," says Obama's chief political adviser, David Axelrod. "You can expect that, as we turn the corner on this debate and discussion, he'll be speaking publicly and enlisting the support...
...Obama is content to let Congress do its work. "The mistake you can make here is to be so wedded to an approach that you destroy your opportunity for a consensus," Axelrod says. "That's just not something we are going to do. This is too important." On health-care reform as in medicine, Obama is convinced that the right bedside manner can make all the difference in the world...