By ROGER COLLIER
Key members of the Senate Health, Education, Labor, and Pensions Committee announced on Thursday what they claimed were dramatically improved cost and coverage estimates for the latest version of their health care reform bill.
Headed by Democratic Senator Christopher Dodd, HELP members (in a Muzak-marred conference call with reporters) stated that the revised bill would cost only $611 billion over ten years, a figure apparently computed by the CBO, and that with a further expansion of Medicaid would provide coverage for 97 percent of Americans.
Key features of the bill provided during the conference call included a public plan option, subsidies for lower-income individuals buying insurance through an exchange mechanism, and a play-or-pay employer mandate.
Sounds good? We’ll have to wait for details, but two big problems are already apparent.
Continue reading "HELP.

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Janet Jackson's Rhythm Nation 18141990Written By Janet JacksonAll the lonelynights I spend aloneNever around to love meYou're always goneCause you're hangin outBreakin' the rulesOh the man has comeLooking for youYou're a rebel nowDon't give a damnAlways carrying onWith the gangI'm trying totell you boyIt's a mistakeYou won't realizeTil it's too lateDon't understandWhy you insistOn ways of livingsuch a dangerouslifeTime after timeyou stay awayAnd I just knowthat you'retelling me liesBlack catNine livesShort daysLong nightsLivin on the edgeNot afraid to dieHeart beatReal strongBut notFor longBetter watch your stepOr you're gonna dieYou're so together boyBut just at a glanceYou'll do anythingIf given a chanceScheming, plannin liesTo get what you needSo full of promisesThat you never keepDon't you tell yourselfThat it's okaySick and tired ofAll of your gamesAnd you want me to stayBetter changeMakes no sense to meYour crazy waysBlack catNine livesShort daysLong night.

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Dominant Flu Strain Shows Resistance to U.S. Drug GlaxoSmithKlineInfectious Disease Specialist on CDC Interim Guidance and Other Flu Treatment Options March 2009 - According to the Centers for Disease Control and Prevention (CDC), flu activity is widespread in more than half of all the states within the U.S. With the current condition of the economy, a lot of people cannot afford to be sick and out of work for days at a time. It's important to take extra precautions to protect your health.On average, flu causes 36,000 deaths and over 200,000 hospitalizations each year from flu complications. In a normal flu season, several strains of influenza circulate. This flu season, reports show that the common flu treatment is not working 98.8 percent of the time against the dominant flu strain, influenza A (H1N1). It's important to ask your doctor for more information.William Schaffner, MD, professor and chairman of the Department of Preventive Medicine and professor of medicine in the Division of Infectious Diseases at Vanderbilt University School of Medicine, talks about the recommendations by health officials and also shares tips on what to do if you think you have the flu. If influenza A (H1N1) viruses are circulating in your area, the CDC is recommending health care providers use alternative treatments. And remember, it's still not too late to get a flu shot.Talent/Guest: William Schaffner, MDWilliam Schaffner, MD, is a professor and chairman of the Department of Preventive Medicine and professor of medicine in the Division of Infectious Diseases at Vanderbilt University School of Medicine in Nashville, Tennessee.Dr. Schaffner serves as president-elect of the National Foundation for Infectious Diseases. In addition, he is a member of 20 professional societies, including the Infectious Diseases Society of America, Society of Healthcare Epidemiology of America, and the American Public Health Association. Dr. Schaffner is active in the field of infectious disease research and has authored or co-authored more than 230 published studies, reviews and book chapters on infectious diseases. He currently serves on the editorial board of a number of scientific journals, including Journal of Infectious Diseases, European Journal of Clinical Microbiology and Infectious Diseases and Vaccine. Dr. Schaffner received his medical degree from Cornell University Medical College in New York. He also was a Fulbright Scholar (Albert Ludwigs University, Freiburg, Germany) and received his undergraduate degree from Yale University in New Haven, Connecticut.

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Fever Cures Swine Flu!
Only a small minority of people develop serious flu complications, such as pneumonia -which is the actual cause of most Swine Flu deaths. The mortality arises because a small percentage of influenza cases go badly wrong. Instead of clearing up in weeks, they leave the patients possibly dead in weeks. Why does this happen?
What's the first thing we do in cases of colds and flu? We medicate with over-the-counter analgesics. The most popular analgesics, including aspirin, ibuprofen and acetaminophen, suppress production of antibodies and on average they deplete the immune response by a staggering 50 percent. Among other effects, aspirin uncouples oxidative phosphorylation; inhibits short-chain fatty acid oxidation; lowers lymphocyte transformation and lowers interferon production in response to viral infection.
When we have infection, our bodies turn the temperature up. This undermines replication of bacteria and viruses which grow well at normal body temperatures, but not at the temperature of a fever. The immune system itself is also more efficient at this higher temperature.
To defeat flu, the body also lowers the bioavailability of certain minerals while switching to protein energy production to starve any bacteria of the sugar they would simply use to reproduce. That reduces the risk of a bacterial infection complications of a viral flu. Infections thrive on sugar.
So this is quite a sophisticated body-wide response. But doctors and the public won't leave fever alone. Why on earth lower the body temperature -when this is simply defeating the natural and effective response? Perhaps we should ban thermometers, because doctors, nurses and parents are far too fond of using them.

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A natural treatment for gum disease and bad breath is highly sought after. OraMD is the first all natural, highly effective dental care product created for total teeth and gum health, as well as overall dental hygiene.
Everyone is looking for the symptom, cure, and treatment for gum disease, gingivitis, bleeding gums and bad breath because no one wants to loose their teeth. OraMD tackles the problems associated with periodontal disease, gingivitis and receding gums and is also an extremely effective chronic bad breath product. Because the ingredients are natural enemies of bacteria, OraMD cleans your mouth and stops halitosis ( bad breath ) in its tracks.

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Click here for the ad or watch below.

Rick Scott, who's for-profit hospital chain is famous for defrauding Medicare, has put $1 million of his riches behind this ad, which is on CNN and FOX News right now.

These TV stations have policies against airing untrue advertisements. Our partner SEIU has sent a letter to CNN and FOX, pointing out the falsehoods and asking for the ad to be taken off the air.

How deceptive is the ad? You won't believe how low this bottom feeder, Rick Scott, can go.

Rick Scotts ad contains blatantly false statements and misleading edits. We've teamed up with SEIU to call on cable news networks to adhere to their own 'truth-in-advertising' policies and pull these ads.

Mr. Scott makes a specific claim: "not only could a government board deny your choice in doctors, but it can control life and death for some patients." This statement is demonstrably false. In reality, the powers of this so-called "government board" are clearly defined and cannot do what Mr. Scott claims. The statutory authority of the Council specifically excludes the power "to mandate coverage, reimbursement, or other policies for any public or private payer." It is worth noting that even under President Bush, the National Institute of Health already had an annual budget of $355 million to conduct precisely this type of research.

The advertisement further deceives viewers by blatantly misrepresenting the positions of two physicians. While the advertisement paints both as opponents of any role for government in health care reform, in reality, just the opposite is true. Both physicians are in fact supporters of universal health care. What they are opposed to is the U.S.'two-tiered' system that already rations health care based on the ability to pay. In fact, Mr. Scott misrepresented Dr. Day's comments, and Dr. Day openly mocked the ineffectiveness of the U.S. health care system. What Dr. Day is opposed to is Canada's outdated funding model, not Canada's healthcare system. Dr. Day actually advocates reform of the funding structure to preserve Canada's healthcare system, not dismantle it.

Rick Scott is the face of our current health care debacle. A lying thief profiting from the pain and sicknesses of others. The fact that he's willing to be in the spotlight shows how arrogant he and the health care industry is in this country. Maybe he and Sen. Ben Nelson (who is concerned the insurance industry's bottom line might be adversly affected with a public plan) can share a story or two about how many lives they've destroyed.

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Can you believe, this is the second book I've picked from the Media Book Sale that was just two weeks ago??? I've got books that have been sitting on my shelves for, like, five years unread, and my last two picks are some of my most recent purchases! I assure you, I give that box of titles a crazy good shakeup for a minute or two and then pick with my eyes closed- so this is just a big coincidence! Why can't I coincidentally pick the winning Powerball numbers??? :-D
Anyway, I wound up with Falcon Crest, by Patrick Mann. As most of us were 80s' babies, you probably either have maybe heard of this show, or it's possible your mom was watching it while she was giving you baby food. :-D Falcon Crest was a primetime soap opera that was on TV from 1981-1990. It focused on a wealthy family that owned a Napa Valley winery, and a rival family that also owns a winery. If your parents watched Dynasty, Dallas, or Knots Landing, then chances are they watched this too. Ask them- I'll bet they've at least heard of it. My parents didn't watch this, but my mother was a huge Knots Landing fan. As a result, I grew up watching it, and I loved it as a kid, even though I didn't know what the hell was going on. All I knew is that no one worked and everyone had beautiful houses near the beach- my dream life!!! (It still is!!!!) :-) Anyway, the usual soap opera antics ensue here, I'm sure- the backstabbing, the cheating, the dying, the evil twins, it's probably all in here! I could definitely use some mega-over-the-top cheesiness right now after my last read, and we all know that anything from the 1980s has at least a little bit of a cheese factor in there somewhere, so I'm hoping that this will be a light, stupid, and silly read (I mean, check out the cover of the book alone! Hello, 1984!!!). And I'm still working my way through the second season of Knots Landing that I just got a few weeks ago, so this is the perfect accompaniment! :-D
Has anyone ever gotten hooked on a soap opera? Which ones? I watched all my mom's as a kid- she liked Guiding Light, All My Children, and of course, Knots Landing- and I kept watching All My Children throughout college, and some of my college girlfriends were hooked on this now-defunct soap on NBC called Passions- OMG, it was SO bad, but we LOVED it- we used to not schedule any classes at 1 PM so we could make sure we could watch it! We did that all four years! (Why we didn't think to tape it is beyond me, LOL!). Anyway, it was awful- ridiculous supernatural plots, and really terrible acting- worse than regular soap operas!-, and it's not even on the air anymore. Here's some info about it here. Come on, 'fess up! I did, so it's your turn!
All right, I'm off to go make my grocery lists- I'm getting up bright and early tomorrow morning to get my grocery shopping done- I like to get all my errands all out of the way on Saturday morning, so I have the rest of the weekend to relax and not worry about it- tomorrow we're taking a trip to Trader Joe's (yay!) and Wegmans (YAY!!!!). Also I'm hoping to get in a trip to Kohls to pick up some new clothes. I have some gift cards, and I'm in desperate need of some new work clothes! I'm totally worn out from this crazy busy week, so the rest of my night involves making my lists and checkin' them twice (like Santa!), and curling up in bed with my remote (Food Network! Say Yes to the Dress! Golden Girls! Friday night TV isn't all that bad!!!), and maybe my newest read (we'll see; I'm pretty beat, so my mental span might not stretch much further than a magazine). And I might or might not cap off my evening with some microwave popcorn. What can I say... I really know how to live it up on Friday nights, don't I? ;-D Hey, leave me alone. I'm getting old and I had a rough work week. The Golden Girls understand! :-D
Happy Friday.

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From Nancy Voitko

This dish is easy, versatile and contains no cholesterol and very little fat. It is meant to replace scrambled eggs, but even if you eat eggs you can enjoy this easy dish.

-1 T vegetable oil
-1 block tofu (soft or firm, whichever you prefer)
-1 cup vegetable broth (can be from 1 cube dissolved in 8 oz water or from
can, box, etc.
-vegetables of choice (suggestions: onions, garlic, peppers, zucchini,
tomatoes, spinach, carrots, mushrooms, to name a few)
-4 T nutritional yeast (NOT to be confused with Brewers yeast) or to taste
-1 t Paul Prudhommes Seasoning (any flavor, but I prefer the Blackened
Redfish)
-salt and pepper to taste

There are many variations on this recipe so it allows you to be creative.

First, heat the oil in a large frying pan. Sauté the onions on medium high heat (and garlic, if using), till soft, add salt and pepper to taste, then add other vegetables that take longer to cook. If you are using tomatoes, only add them at the very end or they get too mushy. Cook your veggies about 8 minutes and remember to stir.

When veggies are a bit soft, lower heat to medium and add the tofu and mash with fork in frying pan (or you can mash in a bowl and add it). Mix well.

Add the vegetable broth a bit at a time and stir.

Add nutritional yeast and seasoning. If you dont have Paul Prudhommes, make up your own you can use basil, oregano, parsley for an Italian taste, chili flakes or taco seasoning for a Mexican taste,etc. Like I said, be creative!

Stir and cook another 2 minutes. You may serve it as is,
on a roll or in a pita pocket, with toast or with a salad on the side. Enjoy.

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I met a patient today in the emergency department and had what is becoming a common interaction. Despite feeling quite ill, the woman had taken the time to prepare for her visit. When I first spoke with her, she enumerated her symptoms and how frequently she had suffered them. Then she reached into her purse, pulled out a stack of printed pages derived from several medical Internet sites – all of them names you would recognize. The pages covered her specific symptoms, a wide range of possible conditions, and a myriad of treatments. Some of the information was good, and some of it was not so good. But, the information was better than it would have been a year ago, or even six months ago.
This patient’s preparedness pointed out to me how well-informed many consumers are becoming as they attempt to manage own health. The fact that she may have been influenced by some misinformation merely underscores how much responsibility there is for information quality control, and how much of the assurance process is being delegated by default to the individual patients.
My take on this is that certain aspects of healthcare are increasingly shifting to self-care. Between the increased strain on healthcare resources (when was the last time that a doctor in a busy practice could expect to spend more than ten minutes with a patient) and increase in specialization, patients are forced to encounter numerous clinicians and coordinate their responses, in effect becoming navigators of the health care system.
Rather than resent it, I appreciate it when a patient is well informed, particularly if they have the ability to understand some of the basics of disease and disease management. The Internet has vastly changed the landscape of possibilities for understanding and confusion. The sheer quantity of health information that is easily and rapidly available to consumers via the Internet is staggering, and far exceeds what was formerly available to trained medical professionals.
If the reader is not overwhelmed and can apply practical filters to what is presented, then he or she becomes an educated patient. An educated patient makes smarter decisions and tends to be a strong partner in the treatment decision process.
The caveat is that every patient must recognize his or her limitations, and not attempt to self-treat beyond prudent boundaries, which will be determined over time. Of course, if one acts on incorrect information, that is a formula for failure, or worse. But what about good information? The downside of the increasing ubiquity of information occurs when any patient becomes overly convinced of particular facts of his or her diagnosis or treatment in the absence of proper clinical oversight.
Ive heard colleagues tell stories of patients that were so completely convinced of a self-diagnosis based on articles they read online that they ended up opting not to pursue the treatment path recommended by their providers.  These patients inevitably ended up back in the doctors offices, having lost precious time. What this points out is that doctors have the greatest advantage to put everything in context. My advice is simply to be cautious. Even if the source is a trusted medical encyclopedia, good information misunderstood or misapplied can slow down the process. The goal is to apply superb information to make a layperson better informed, not overconfident.
As far as getting reliable information into a patient’s hands, in my relationship with Healthline Networks, I’ve advised on and reviewed Healthline Treatment Search, a product that creates customized, medically-guided pathways to inform and empower consumers on important health decisions. Whereas most treatment information is embedded deep within articles on health websites, Healthline Treatment Search surfaces a semantically-generated, stand-alone list of possible treatment options for diseases and conditions. The current release covers nearly 1000 health conditions, and includes 4,500 treatment options and 1,200 over-the-counter and prescription medications, with content from ADAM, Cerner Multum, Gale Cengage, Natural Standard, and others. It is Healthline’s policy that feedback from users, both consumer and professional, will allow their experience and observations to improve the product.
Not everyone is in agreement that the Internet is the best place for a consumer to begin his or her search to diagnosis or for treatment. But I would doubt whether this trend will be curtailed, because as the tools improve, we are witnessing increased demand for information. No other information source with the breadth and reach of the Internet looms on the horizon.
What do you think? If not with information from the Internet, how might we as professionals help empower consumers as they take control of their healthcare decisions? Perhaps another way would be to truly empower practitioners to use the Internet and electronic medical records for decision support, for we are also in need of assistance. Let me know.

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Guest blogger, Sylvia Newberry, returns with her insights into the wonders of Ginger.

This information suggests ways to promote and maintain health.
It is not intended to take the place of personalized medical counseling,
diagnosis, and treatment from a trained health professional

I make it a practice to use primarily herbs and medicinal plants that I can either grow in my garden or find growing in the fields and woodlands that are close by. I dont always wild harvest the herbs that I use. I recognize that some of them have been harvested to the point they are in danger of extinction. American Ginseng and Goldenseal are two such plants. Other plants are in abundant supply, but require a lot of time and work to harvest and process with a high quality end product. I have found suppliers of high quality herbs and I often purchase what I need from them. I believe that I am helping to support those individuals who make a living by devoting their time and energies to growing and processing these plants. I do watch the plants, like dandelion, burdock, nettle, and yellow dock emerge in the spring and grow through the summer and fall, and I believe that I learn a lot about the plant and its properties and how it is most effectively used by making these observations.

But there is one tropical herb that has become a mainstay for winter health in my family and also in the advice that I give to others who come seeking ways to stay healthy. And that herb is ginger (Zingiber officinalis). It is a plant that will never survive in my Vermont garden. I make frequent trips during the fall and winter, seeking out juicy pieces of ginger root in the produce section of the local grocery stores. Sometimes there are large clusters of root that resemble a hand. Sometimes the pieces of root are smaller and have fewer branches. The most important features to look for are a smooth healthy skin that suggests freshness and lots of juice in the flesh of the root.

Once home, I break the root into pieces that are relative straight and easy to peel. I have found a carrot scraper works well for peeling. I have also used a small paring knife. And I have seen folks use the tip of a teaspoon to scrap away the outer layer. It isnt a difficult task, whatever the tool you choose. The skin is thin and papery and one good thing about ginger is that it does not make you cry like onions do when you peel them.

Once peeled, I bring out my cutting board and slice the root into thin rounds. The flesh is very fiberous, but if you are using a knife that is sharp, the fibers will cut easily. I have tried slicing the ginger root in my food processor, but the blade did not cut through the fibers and I was left with a pile of ginger mush. This is not always bad, depending on what you are aiming for. It was bad for me because I wanted thin slices.

I pile the sliced ginger into a medium sized sauce pan and pour in about an equal amount of honey. If you spend any time at all with me, you will learn that my formulation of herbal remedies is often more of an art than an exact science. You want enough honey to coat the ginger slices when you stir them around, but you do not need much more than that. But if you pour in more than you need, you will still end up with a usable product. Place the sauce pan over medium heat and find something to do in the immediate vicinity so that you can keep an eye on the honey and ginger. Stir the mixture every once in awhile. And dont stray beyond the point you can see the mixture. As the ginger and honey heat and simmer, the honey pulls the juices out of the ginger slices, increasing the volume of liquid in the pot. You want to bring it to a simmer and allow it to simmer for 15 to 20 minutes. But I can tell you from repeated experience, the brew will move from barely breaking bubbles on the surface to full foam, spreading with lightening speed all over your stove top. My stove has never been cleaned as many times as it has since I began to make ginger honey syrup.

After 15 to 20 minutes remember art, not science remove the pan from the heat. At this point you can decide to strain out the slices of ginger if you wish. I have seen directions to spread the slices on a sheet of waxed or parchment paper that has been sprinkled with granulated sugar, turning to coat both sides. And then, either leaving them on the paper or putting them on a rack like you use to cool baked goods so the air can circulate. The dried slices are great to suck on or to chew to help relieve nausea, and are even safe to use as a remedy for morning sickness and for motion sickness. They will also aid in digestion after a heavy meal. Just a word of caution you will find these slices contain more than the commercially available candied ginger.

I leave the ginger slices and the honey syrup together and pour the mixture into small glass canning jars. If I have made more than enough for immediate use, I will water bath the jars to seal them, although I have not had unsealed jars spoil. I leave one pint sized jar out on the kitchen counter. At this time of year it rarely stays full for long. We have come to depend upon the syrup as a remedy that aids with both the prevention and the treatment of colds and flu. We spoon out a couple of generous teaspoonfuls, slices included, and fill the cup with hot water. Stir, sip, and enjoy. If I am going out to shovel snow from the deck and want to increase the circulation to my fingertips while out in the cold, I will add a splash of cayenne pepper (Capsicum frutescens) or tabasco sauce to the tea. If we notice symptoms of a cold developing, we will add a splash of lemon juice and some elderberry syrup to the blend. Elderberry (Sambucus canadensis) is a well respected European cold and flu remedy that is a good complement to the ginger. Some will vouch for the fact that ginger seems to relieve the joint pain associated with some forms of arthritis and made worse by the cold. And as mentioned previously, the syrup/tea can also be used to soothe digestive upsets.

The ingredients are safe and simple. There are some concerns about giving honey to infants less than a year old because of the risk of botulism and their under developed immune systems. You are wise to follow the advice you have been given regarding this concern.

The next time you are shopping, look for the fresh ginger root. Even if you are not inclined to make or use the syrup, you may find other ways to include this tropical herb into your winter diet. I think it is fun to remember some of the ways that people do use this tropical herb to support their health.

Sylvia Newberry worked as a registered nurse for more than 30 years. She currently has a healing practice where she offers energy work, guided imagery, and medicinal herbs. A Reiki master, she offers all levels of attunement to both groups and individuals. She teaches classes about the common, safe healing plants, identifying, growing, and how they can be effectively used. Her website is www.rnhealer.byregion.com and you can leave her a message at The Healing Arts Clinic in Windsor, VT 802-674-7037.

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Farm to School is sweeping the nation. These programs connect local farms that provide fresh, seasonal and organic foods (including produce, meat, eggs and dairy) to school lunch programs. Kids not only get to eat the food, but also get involved in how it grows. Students visit the farms, start gardens, and implement recycling and composting programs at school.

And it's good for the farmers too. Schools implementing the Farm to School program buy shares in the farms, ensuring that the farm has the resources for the growing season ahead. It's a win-win for everyone: Farms, schools, kids, parents, communities and Mother Earth share the wealth.

All but nine states now have at least one Farm to School Program, and those numbers are growing fast. The Farm to School website has clear resources for how to get a program started at your child's school, including state and federal policies, funding opportunities, forums, publications and links.

Check it out.

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I heard an interesting fact on the TV today. Scientists were talking about when they found the oldest living thing at the bottom of one of the oceans about 18 months ago . Any ideas what it is?
Well, It’s a 405 year old clam.
Can you imagine being a clam and just hanging out for 405 years? What else can a clam do?
Where am I going with this? I think that there are a few good points to make.
Some people approach their health and fitness like the clam. Sit around doing nothing and wondering why things go wrong because of their lack of physical activity and horrible diet. Unlike the clam, however, there’s a very good chance that this person will not see 405 years old. There’s even a good chance that they may have a tough time getting much past 50 and have many health problems along the way.
Thankfully we have much more potential then the clam. We have the ability to be fit, learn continuously, and put ourselves into positive motion every day of our lives. We may not be able to see 405 but we can pack a whole lot into the time that we do have.
Life should be a wonderful adventure for us. It can be even better if we learn how to take care of ourselves physically and learn how to get out of bed with a smile, thoughts of possibilities for the day, and an energy and passion for making the most of the gifts that we have been given. We can really make special things happen if we just go about our business.
You have the ability to choose well. Choose to just be here, like the clam at the bottom of the sea, or choose to make your life an adventure. The adventure can be one of great health, great thoughts, and great living.

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Sorry! We haven't created a WisdomCard for this search yet.
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WASHINGTON – Now for the hard part. Even if the national credit card is maxed out and partisanship remains the rule for Washingtons political tribes, President Barack Obama and Congress are plunging ahead with a health care overhaul.
This week, Obama will start the dialogue on how to increase coverage, restrain costs and improve quality.
Whether a bill can get through Congress and to Obama this year is uncertain. For half a century, the track record on health care has been one of missed opportunities, spectacular failures and hard-won incremental gains.
Obama plans to stress the need for major changes in his address to Congress on Tuesday, administration officials say. He quickly will follow up with a budget that includes a commitment to expand coverage for the uninsured. A White House summit on health care is being planned in coming weeks.
They dont intend to blink. They intend to plow ahead, said health economist Len Nichols of the nonpartisan New America Foundation. Health reform is seen as essential to balancing the federal budget and economic recovery in the long run.
People in the U.S. spend $2.4 trillion a year on health care, or about $7,900 per person. Thats more than twice as much per capita as in other advanced countries. But few would claim those dollars are buying good value. The costs are a staggering burden for taxpayers, employers and families, and the recession is leaving more people without insurance.
Yet even a self-described optimist such as Sen. Mike Enzi, R-Wyo., says he has doubts about prospects for overhauling health care. It needs to be done up front and quickly, said Enzi, the senior Republican on the Senate Health, Education, Labor and Pensions Committee. m not so sure that we havent already lost that, with so many other things coming in and weighing us down.
In the 1990s, President Bill Clinton took the better part of a year to deliver a 1,300-page health care bill to Congress and later waved his veto pen at lawmakers who might have given him half a loaf. He got nothing. Obama has shown a tendency to be more pragmatic.
Administration and congressional officials say Obama will lay out a vision and see if Congress can make the details work. The Senate has gotten an early start and is shaping up as the proving ground for legislation.
The Obama administration has said they are going to give the Senate a very wide berth, said Sen. Ron Wyden, D-Ore., who for years has tried to get Democrats and Republicans working together. There are areas in which there is going to be spirited debate. But there are four or five major areas where theres a lot of common ground.
Polls show most people support coverage for all and believe government should help guarantee it. But what looks like consensus starts to break down once thorny details such as costs and the governments influence on the doctor-patient relationship come into the picture.
Administration officials say Obama has made a down payment by expanding coverage for children of low-income working families and by providing subsidies to help people who lose their jobs keep health benefits.
As he moves forward, Obama will follow the plan laid out in his campaign.
It calls for government, employers, families and individuals to keep sharing financial responsibility for health care. The approach would overhaul the health insurance market, particularly for self-employed people and small businesses. It would set up a national insurance purchasing through which people would be guaranteed access to private health insurance or the choice of a new public plan.
Obama sees coverage for all as a goal to be reached in steps. His plan would not require every individual to purchase insurance. The estimated cost is about $90 billion a year, to start with.
The plan might sound simple in a brief summary, but its not. Potential dealbreakers lurk at every turn.
Many liberals cant get excited about doing battle for just a promise — not an immediate guarantee — of coverage for all.
Conservatives and insurance companies fear that a public plan offered to workers and their families could become the gateway for Canada-style government health care for all.
Employers, hospitals, doctors, and drug companies worry that the governments already pervasive influence in health care will become stifling.
The initial work has fallen to the Senate, where Democratic Sens. Max Baucus of Montana and Edward Kennedy of Massachusetts want to present a bill by the summer.
Baucus is chairman of the Senate Finance Committee, which oversees Medicare and taxes. Kennedy, who is under treatment for brain cancer, leads the Senate health committee. He has pursued the goal of coverage for all his entire career and doesnt want this opportunity to slip away.
Baucus has already outlined a plan that differs in some key details from Obamas. For example, it contemplates taxing some health insurance benefits to raise money for expanded coverage. Thats an idea Obama has rejected but one that certain Republicans favor.
It takes 60 votes to get a bill through the Senate, and Democrats dont have them.
In the House, the effort seems to be moving more slowly. Senior aides from leadership offices and committees are talking. Rep. Henry Waxman, D-Calif., chairman of the House Energy and Commerce Committee, is expected to take a leading role.
Some experts believe the issue is too complicated to try to accomplish in one year and one bill.
Watching and waiting are people such as Robyn Perry, 56, of Lake Worth, Fla., who recently lost a job with health benefits. She has struggled to find coverage now that she is self-employed. Private plans are either too expensive or wont take her because she had a ministroke several years ago. A plan sponsored by local government accepted her, but wont cover her outside her county.
Something has to be done, said Perry. I work. I make decent money. But I still cant get coverage. I would really like to find a normal health insurance plan that would cover me wherever I get sick, not just in Palm Beach county.

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The BryanLGH Heart Institute (BHI) is an 11- member cardiology medical group serving a four-state region centered around Lincoln, Nebraska. "Patients first", is more than just our motto, it is the grid through which all of our decisions are made. Visit our new office at the Faulkner Medical Plaza in the BryanLGH Medical Center East. BHI, where "World class care and Midwest values come together.

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What are the biggest killers today in the Western world? Even though we continue to make advancements in medical science, we are still plagued by the big three killers - Cancer and Heart Disease.
The most shocking truth is that each of these can be avoided to some extent by a healthy lifestyle - in fact, risk is increased significantly due to poor diet and lack of exercise. For example, some of the biggest cancers are lung cancer, prostate cancer and colon cancer. The risk of developing each of these can be lowered simply by a change of lifestyle or adopting a healthier diet. Lung cancer is almost entirely caused by smoking, prostate cancer can be reduced by a healthy diet, especially one high in tomatoes, and rick of developing colon cancers is significantly increased with a diet high in red and processed meats. Likewise heart disease is almost entirely linked to a diet high in saturated fats and salt, i.e. junk food.
We have already covered what constitutes a healthy diet, as well as provided plenty of advice on how to exercise. But, some of our deadly killers are not caused by either diet or lifestyle. Still one of most dangerous forms of cancer is mesothelioma. Not many people even know what mesothelioma is, but its cause is commonly known now - asbestos. Asbestos related cancer, medically known as mesothelioma, is currently big business in America, as many people who become inflicted with this disease, are in a position to take legal action against employers or building contractors. This is obviously a much bigger issue in the States where there is no NHS (national health service), so cancer treatment has to be covered by medical health insurance. So, what is Mesothelioma, the asbestos cancer.

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