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...Comparative Effectiveness After a huge behind-the-scenes fight last winter, Congress allocated $1.1 billion of the economic-stimulus measure to "comparative effectiveness" studies, which evaluate which medical treatments and tests work best. Both the House and Senate bills would set up institutes to compare the efficacy of various procedures. Proponents say the studies are essential to ending medical treatments that juice up fees without adding much benefit. But it is far from clear whether Congress would allow such studies to affect health care costs. Opponents say they are a precursor to medical rationing. Indeed, both the House and Senate...
Pretty much everyone agrees that the health care legislation now making its way through both houses of Congress would do some things well. It would cover almost all of the roughly 33 million legal residents of this country who now lack health insurance. And a vast expansion of Medicaid, coupled with billions of dollars in subsidies to help low- and middle-income Americans buy insurance, would help ensure that most people end up spending less on their health bills, according to a new analysis by the Congressional Budget Office (CBO), Congress's independent scorekeepers. (See 10 players in health-care...
...true, especially with millions of new patients coming into the system. While families' health bills may go down, they say, costs for the government - and ultimately taxpayers - are sure to rise. "I find near unanimity of opinion that, whatever its shape, the final legislation that will emerge from Congress will markedly accelerate national health care spending rather than restrain it," Harvard Medical School dean Jeffrey S. Flier wrote in a scathing Nov. 17 Op-Ed in the Wall Street Journal. (Read "Understanding the Health-Care Debate: Your Indispensable Guide...
...Human Services Secretary Kathleen Sebelius furiously tried to distance the Administration from the recommendation, a chorus of critics declared it a harbinger of exactly the type of bureaucratic health care apportioning they fear most. Any similarly controversial recommendation based on comparative-effectiveness research would almost certainly be neutered by Congress...
Valenzuela, one of the U.S.'s most esteemed experts on Latin America, was "disappointed" by the Honduran Congress' decision not to let Zelaya finish out his term. "The status quo," he said, "remains unacceptable." But it's a status quo Obama let the Cold Warriors keep intact - and it's now up to Valenzuela to wrest Latin America policy back from them...