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DHMH Daily News Clippings
Thursday, February 26, 2009

 

Maryland / Regional
Flu kills Howard teen (Baltimore Sun)
Going to Annapolis: Arc clients lobby legislators for funding, new terminology (Carroll County Times)
No Sign of Trauma Is Found After Inmate Dies (Washington Post)
House OKs parental consent for tattoos (Baltimore Sun)
Md. AG to rally for autism treatment coverage (Daily Record)
National / International
Budget Boosts FDA, Loan Repayments for Docs and Nurses (Wall Street Journal)
Plan Aims to Boost Spending on Veterans Affairs (Wall Street Journal)
FDA Says Firm Faked Generic-Drug Tests (Washington Post)
Low-carb? Low-fat? Study finds calories count more (Washington Post)
Survey: Health care cost keeps the doctor away (Washington Post)
Opinion
We Cannot Delay Health-Care Reform (Wall Street Journal)
 

 
Maryland / Regional
 
Flu kills Howard teen
 
By Larry Carson
Baltimore Sun
Thursday, February 26, 2009
 
A Howard County teenager died of the flu this week, the latest of nine pediatric flu deaths nationally this year, county health officials said yesterday. "This tragic death is highly unusual," the county health officer, Dr. Peter L. Beilenson, said in a news release. Federal patient privacy laws prohibit the county from releasing the victim's identity or any details of the case, Health Department spokeswoman Lisa de Hernandez said. The teenager became ill with "flu symptoms that got progressively worse," she said, and died sometime since Sunday in a hospital that she declined to identify. Officials at Johns Hopkins Children's Center confirmed that Zachary D. Weiland, 15, of Mount Airy died there Sunday, but they would give no further information, including his illness.
 
Copyright 2009 Baltimore Sun.

 
Going to Annapolis: Arc clients lobby legislators for funding, new terminology
 
By Erica Kritt
Carroll County Times
Thursday, February 26, 2009
 
ANNAPOLIS - With nickels in their hands, a group of clients and employees of The Arc of Carroll County made their way through the Senate and delegate office buildings in Annapolis Wednesday morning in support of a bill that would provide people with developmental disabilities more funding.
 
The Carroll group was participating in the annual Developmental Disabilities Day. Those from Carroll spoke to Dels. Tanya Shewell, R-District 5, and Susan Krebs, R-District 9, about bills they want to see passed this year.
 
“We’ve got legislation we feel is very important,” said Don Rowe, executive director of The Arc of Carroll County. The Arc is a private nonprofit that works with people who have developmental disabilities and their families.
 
The nickels were in support of a bill that would increase the state’s tax on alcoholic beverages. The funds would be used to help to provide support services for Maryland residents with developmental disabilities.
 
If the legislation passes, the alcohol tax would increase from $1.50 per gallon of distilled spirits to $6 per gallon, from 40 cents per gallon of wine to $1.60, and from 9 cents per gallon of beer to 36 cents.
 
The Developmental Disabilities Coalition said those increases would translate to roughly a 5 cent tax increase per drink.
 
According to information provided by the Developmental Disabilities Coalition, Maryland currently has the lowest excise tax on distilled spirits at about 2 cents per shot, and the taxes on a glass of wine and a 12-ounce beer are about 2 cents and 1 cent, respectively. The excise tax on distilled spirits has not been changed since 1955 and the excise tax on beer and wine has not been changed since 1972.
 
The Maryland Developmental Disabilities Administration reported that as of Jan 1, there were 18,750 people on the waiting list to receive services. In Carroll, 382 people remain on the waiting list to receive state funding for community services and support such as employment programs, respite care and residential services.
 
According to the DDA, if the funding increased it would mean another $29 million annually for people waiting for services and to help pay for support workers services.
 
The bill states that 27.5 percent of the revenue from the increase would go to the Developmental Disability Support Fund. Another 27.5 percent goes to an addiction treatment and prevention fund. The remaining revenue will pay for administrative costs and go into the general fund.
 
Krebs didn’t say if she supported the bill, but said she was committed to helping people get off the waiting list and get services.
 
“It should be a priority of the state,” she said.
 
Erin Gibson, director of public policy, education and children’s issues for the The Arc of Maryland, said continuing funding was the main priority of the day, but it’s also a chance for the states legislators to meet the people the DDA supports.
 
“We want to have as much of a voice [as possible],” she said.
 
Bryan May, an client of The Arc, got to voice his work concerns and support for legislation to Shewell in her office on Wednesday.
 
May talked about the alcohol tax but also another piece of legislation called Rosa’s Law, a bill that would change references to mental retardation to intellectual disability in state codes and laws.
 
May said it is offensive when he hears that word because he is not retarded, but has another type of intellectual disability.
 
“I like them to call me a human being,” he said. “We are still human, we all have emotions.”
 
Shewell, who co-sponsored the bill, said it was an important bill.
 
“It’s about respect, respect for people and their needs,” she said. “Words hurt and words count.”
 
Carol Nebe, a job coach at The Arc of Carroll County, said was glad she tagged along, because she got to hear from the people she supports.
 
“It’s interesting, you find out how they clients feel,” she said.
 
The Bills
 
What: House Bill 20 - Rosa’s Law
 
Next step: Passed in the house waiting for a hearing to be scheduled in the senate finance committee.
 
What: Senate Bill 729/House Bill 791 - Alcohol Tax
 
Next step: Hearing set on March 19 for the House Ways and Means Committee and Health and Government Operations Committee
 
Source: mlis.state.md.us
Reach staff writer Erica Kritt at 410-857-7876 or erica.kritt@carrollcountytimes.com.
 
Copyright 2009 Carroll County Times.

 
No Sign of Trauma Is Found After Inmate Dies
 
By Ruben Castaneda
Washington Post
Thursday, February 26, 2009; B08
 
A 33-year-old inmate at the Prince George's County jail died early yesterday after his cellmate found him unresponsive in his bed, authorities said.
 
County police said in a news release that there was no evidence of trauma or foul play. The cause of the inmate's death was listed yesterday as pending, meaning a physical examination of the body at the state medical examiner's office was inconclusive.
 
Jail officials know of no preexisting condition that might explain the death of Charles R. Cooper, a Cheverly resident who was scheduled to be tried yesterday on attempted-murder and other charges, said Michon Parker, a spokeswoman for the county Department of Corrections.
 
The jail in Upper Marlboro has come under scrutiny since the death in June of a 19-year-old inmate who was accused of killing a police officer. The medical examiner found that Ronnie L. White was asphyxiated and ruled the death a homicide. No one has been charged.
 
Cooper's cellmate tried to wake him for breakfast about 3:30 a.m., Parker said. Unable to rouse Cooper, the cellmate called for help. Efforts by jail officials and paramedics to revive him were unsuccessful. Cooper was pronounced dead at Prince George's Hospital Center shortly after 5 a.m.
 
Cooper's medical history is part of the police investigation into his death.
 
The cellmate reported hearing Cooper make a "gurgling" sound during the night, said a jail employee, who spoke on condition of anonymity because he has not been authorized to grant interviews.
 
According to charging documents, Cooper broke into an apartment in Greenbelt in August, threatened the occupants with a handgun and demanded money and drugs. One of the occupants took the handgun from Cooper, but Cooper regained control of the gun and fired into the victim's abdomen, the documents allege.
 
In addition to attempted murder, the charges against Cooper included first-degree assault and robbery with a deadly weapon.
 
According to Circuit Court records, prosecutors were prepared to use DNA evidence against Cooper.
 
Robert McGowan, Cooper's attorney, said he met with Cooper at the jail Monday to discuss a plea offer that would have required him to plead guilty to attempted murder and a handgun violation in exchange for a sentence of 50 years. Cooper said nothing about feeling despondent and was considering the offer, McGowan said.
 
"He just said, 'Okay, if this is what it is, this is what it is,'" said McGowan, an assistant public defender.
 
In jail, Cooper was taking classes toward a high school diploma, authorities said. Efforts to locate Cooper's relatives yesterday were unsuccessful.
 
Sixteen inmates have died in custody at the jail in recent years, nearly half in homicides and suicides, The Washington Post reported in August. The jail reported nine deaths from 2000 through 2005. Most of Maryland's jails reported few or no deaths during that period, The Post reported.
 
The Prince George's jail has 1,500 inmates, most awaiting trial or serving short sentences.
 
Staff writer Aaron C. Davis and staff researcher Meg Smith contributed to this report.
 
Copyright 2009 Washington Post.

 
House OKs parental consent for tattoos
 
By Gadi Dechter
Baltimore Sun
Wednesday, February 25, 2009
 
A proposal to require parental consent for tattoos and body piercings was unanimously approved yesterday by the House of Delegates, days after House Republicans tried and failed to amend the measure to address abortion rights as well. Last week, Del. Gail H. Bates, a Howard County Republican, tried to amend the bill on the chamber floor to have it require parental consent for "other invasive surgical procedures," language intended to refer to abortion. Over heated GOP objections, House Speaker Michael E. Busch, an Anne Arundel County Democrat, declined to consider that amendment, arguing that it changed the purpose of the bill and was therefore out of order. The bill was approved yesterday without discussion on the House floor. The Senate has yet to take action on the measure.
 
Copyright 2009 Baltimore Sun.

 
Md. AG to rally for autism treatment coverage
 
Associated Press
Daily Record
Thursday, February 26, 2009
 
ANNAPOLIS — Maryland Attorney General Doug Gansler and several state legislators are backing legislation that would require insurers to provide coverage for the diagnosis and treatment of autism spectrum disorders.
 
Montgomery County Delegate Kirill Reznik and Baltimore County Senator Kathy Klausmeier have each introduced bills that would mandate insurers provide coverage for diagnosis and applied behavior analysis, a specific and costly type of autism therapy. Both legislators will join Gansler and advocacy groups like Autism Speaks and Easter Seals in Annapolis Thursday to rally support for their measures.
 
Similar versions of the legislation have passed state legislatures in Pennsylvania, South Carolina, Florida, Arizona, Illinois, Indiana, Louisiana and Texas.
 
Copyright 2009 Daily Record..

 
National / International
 
Budget Boosts FDA, Loan Repayments for Docs and Nurses
 
By Sarah Rubenstein
Wall Street Journal
Thursday, February 26, 2009
 
President Obama’s budget blueprint outlines more on his ideas for health care, including cancer research and addressing the nursing shortage. Below are some more highlights to add on to what we offered this morning.
 
The blueprint also listed some broad principles Obama plans to follow on health care. They include putting the U.S. “on a clear path” to universal health coverage; guaranteeing that people have a choice of health plans and doctors; cutting coverage denials because of pre-existing conditions; cutting high administrative costs; investing in preventive care; and improving patient safety and quality care.
 
Food and Drug Administration: There’s more than $1 billion for FDA food-safety oversight, in the wake of the big peanut-butter salmonella outbreak that put a spotlight on inspection gaps. The blueprint says there’s a “substantial increase” in funds for FDA’s oversight of medical products as well as food.
 
Doctor and Nurse Shortages: Shortages of nurses and the dwindling ranks of primary-care physicians are among the gnawing issues in health care. The budget proposal offers up $330 million “to address the shortage of health-care providers in certain areas.” Among other things, it expands loan-repayment programs for doctors, nurses and dentists who agree to practice in medically underserved areas. It also aims to bolster nursing schools.
 
Cancer and Autism: After the National Institutes of Health’s budget was boosted by $10 billion as part of the stimulus package, Obama’s budget has more than $6 billion for cancer research at NIH, funding that is “central to the president’s sustained, multi-year plan to double cancer research,” the blueprint says. There’s also $211 million within the Department of Health and Human Service’s budget for autism research, screening, public awareness and support services.
 
Article printed from Health Blog: http://blogs.wsj.com/health
 
Copyright 2009 Wall Street Journal.

 
Plan Aims to Boost Spending on Veterans Affairs
 
By Christopher Conkey
Wall Street Journal
Thursday, February 26, 2009
 
President Barack Obama called for a 10.9% boost in funding next year for the Department of Veterans Affairs, making good on a campaign promise to expand services for military personnel returning from Iraq and Afghanistan.
 
Over the next five years, the president wants to boost veterans spending by $25 billion and expand eligibility for VA health care to 500,000 non-disabled veterans earning "modest incomes."
 
Other programs targeted for expansion: Centers of Excellence focused on veteran-oriented specialty areas like prosthetics, mental health and spinal cord injuries, and a shift toward electronic medical records.
 
Write to Christopher Conkey  at christopher.conkey@wsj.com
 
Copyright 2008 Dow Jones & Company, Inc. All Rights Reserved.

 
FDA Says Firm Faked Generic-Drug Tests
 
By Lyndsey Layton
Washington Post
Thursday, February 26, 2009; A02
 
India's largest drugmaker has falsified laboratory tests for generic drugs that had been approved for sale in the United States, officials at the Food and Drug Administration say.
 
The FDA cited the fraudulent laboratory tests yesterday as it took the unusual step of stopping its review of all pending applications from Ranbaxy Laboratories. Federal investigators said the problems centered on the company's plant in Paonta Sahib, which has produced 25 drugs that have been approved by the FDA. Most of those medications are not thought to be on U.S. pharmacy shelves; since September, Ranbaxy has been prevented from exporting more than two dozen drugs to the United States.
 
The FDA is not seeking a recall, because regulators do not believe the drugs pose a health risk.
 
"There is no concern about the safety or efficacy of Ranbaxy's drugs on the U.S. market," said Deborah Autor, director of compliance at the FDA. The affected drugs include medications for high cholesterol and an antihistamine, but the FDA would not provide a specific list.
 
Patients using the drugs should not stop, said Douglas Throckmorton, deputy director of the FDA's Center for Drug Evaluation and Research.
 
But federal officials said they were concerned enough by their investigation into Ranbaxy's Paonta Sahib plant that they decided to halt approvals of any new or pending applications from the company. The agency will resume approvals if Ranbaxy improves its manufacturing processes, Autor said.
 
Since 2006, FDA investigators at the Paonta Sahib plant have turned up reams of laboratory tests that were inaccurate or missing information. In some cases, the company refrigerated samples of drugs that were supposed to be tested after being stored at room temperature or higher to demonstrate their shelf life, Autor said. Other tests that were supposed to be performed over a period of months to measure whether a drug lost potency over time were taken on the same day or within days.
 
Investigators also discovered laboratory records signed by employees who were not present when testing took place, she said.
 
"These and other findings indicate a pattern and practice of submitting untrue statements of material fact and other wrongful conduct," the FDA wrote in a letter to Ranbaxy.
 
In a written statement, Ranbaxy said it is reviewing the FDA letter and would "respond appropriately in a timely manner." It pledged continued cooperation with the FDA.
 
Ranbaxy is India's biggest pharmaceutical company and one of the biggest producers of generic drugs in the world.
 
Yesterday's move is the second FDA sanction against Ranbaxy in six months. In September, officials blocked the company from importing 28 drugs made at its plants in Paonta Sahib and Dewas. The agency cited manufacturing problems including "inadequate sterile processing operations"; failure to prevent cross-contamination with compounds that can cause allergic reactions; and inadequate record-keeping.
 
The FDA had previously sent the company two warning letters, the first in 2006, noting that inspectors had found numerous deviations from good manufacturing practices.
 
As pharmaceutical manufacturing has burgeoned in countries such as India and China, public health advocates and lawmakers have grown increasingly concerned about the safety of imported drugs and the FDA's ability to police them.
 
"For the past three years, FDA possessed credible information that Ranbaxy had engaged in a pattern of fraudulent behavior, but they continued to drag their feet while American lives were at risk," said Rep. John D. Dingell (D-Mich.) of the Committee on Energy and Commerce, which has been investigating Ranbaxy. "The Ranbaxy case is yet another example of the need for significant reform at the FDA."
 
Copyright 2009 Washington Post.

 
Low-carb? Low-fat? Study finds calories count more
 
Associated Press
By Alicia Chang
Washington Post
Thursday, February 26, 2009
 
LOS ANGELES -- Low-fat, low-carb or high-protein? The kind of diet doesn't matter, scientists say. All that really counts is cutting calories and sticking with it, according to a federal study that followed people for two years. However, participants had trouble staying with a single approach that long and the weight loss was modest for most.
 
As the world grapples with rising obesity, millions have turned to popular diets like Atkins, Zone and Ornish that tout the benefits of one nutrient over another.
 
Some previous studies have found that low carbohydrate diets like Atkins work better than a traditional low-fat diet. But the new research found that the key to losing weight boiled down to a basic rule - calories in, calories out.
 
"The hidden secret is it doesn't matter if you focus on low-fat or low-carb," said Dr. Elizabeth Nabel, director of the National Heart, Lung and Blood Institute, which funded the research.
 
Limiting the calories you consume and burning off more calories with exercise is key, she said.
 
The study, which appears in Thursday's New England Journal of Medicine, was led by Harvard School of Public Health and Pennington Biomedical Research Center in Louisiana.
 
Researchers randomly assigned 811 overweight adults to one of four diets, each of which contained different levels of fat, protein and carbohydrates.
 
Though the diets were twists on commercial plans, the study did not directly compare popular diets. The four diets contained healthy fats, were high in whole grains, fruits and vegetables and were low in cholesterol.
 
Nearly two-thirds of the participants were women. Each dieter was encouraged to slash 750 calories a day from their diet, exercise 90 minutes a week, keep an online food diary and meet regularly with diet counselors to chart their progress.
 
There was no winner among the different diets; reduction in weight and waist size were similar in all groups.
 
People lost 13 pounds on average at six months, but all groups saw their weight creep back up after a year. At two years, the average weight loss was about 9 pounds while waistlines shrank an average of 2 inches. Only 15 percent of dieters achieved a weight-loss reduction of 10 percent or more of their starting weight.
 
Dieters who got regular counseling saw better results. Those who attended most meetings shed more pounds than those who did not - 22 pounds compared with the average 9 pound loss.
 
Lead researcher Dr. Frank Sacks of Harvard said a restricted calorie diet gives people greater food choices, making the diet less monotonous.
 
"They just need to focus on how much they're eating," he said.
 
Sacks said the trick is finding a healthy diet that is tasty and that people will stick with over time.
 
Before Debbie Mayer, 52, enrolled in the study, she was a "stress eater" who would snack all day and had no sense of portion control. Mayer used to run marathons in her 30s, but health problems prevented her from doing much exercise in recent years.
 
Mayer tinkered with different diets - Weight Watchers, Atkins, South Beach - with little success.
 
"I've been battling my weight all my life. I just needed more structure," said Mayer, of Brockton, Mass., who works with the elderly.
 
Mayer was assigned to a low-fat, high-protein diet with 1,400 calories a day. She started measuring her food and went back to the gym. The 5-foot Mayer started at 179 pounds and dropped 50 pounds to 129 pounds by the end of the study. She now weighs 132 and wants to shed a few more pounds.
 
Another study volunteer, Rudy Termini, a 69-year-old retiree from Cambridge, Mass., credits keeping a food diary for his 22-pound success. Termini said before participating in the study he would wolf down 2,500 calories a day. But sticking to an 1,800-calorie high-fat, average protein diet meant no longer eating an entire T-bone steak for dinner. Instead, he now eats only a 4-ounce steak.
 
"I was just oblivious to how many calories I was having," said the 5-foot-11-inch Termini, who dropped from 195 to 173 pounds. "I really used to just eat everything and anything in sight."
 
Dr. David Katz of the Yale Prevention Research Center and author of several weight control books, said the results should not be viewed as an endorsement of fad diets that promote one nutrient over another.
 
The study compared high quality, heart healthy diets and "not the gimmicky popular versions," said Katz, who had no role in the study. Some popular low-carb diets tend to be low in fiber and have a relatively high intake of saturated fat, he said.
 
Other experts were bothered that the dieters couldn't keep the weight off even with close monitoring and a support system.
 
"Even these highly motivated, intelligent participants who were coached by expert professionals could not achieve the weight losses needed to reverse the obesity epidemic," Martijn Katan of Amsterdam's Free University wrote in an accompanying editorial.
 
On the Net:
New England Journal:http://www.nejm.org
 
© 2009 The Associated Press.

 
Survey: Health care cost keeps the doctor away
 
Associated Press
By Mike Mokrzycki
Washington Post
Thursday, February 26, 2009
 
One in four Americans said in a survey that someone in the family put off needed health care in the past year because of cost, including 16 percent who postponed surgery or a doctor's visit for chronic illness.
 
In all, 53 percent of Americans in the Kaiser Family Foundation poll released Wednesday said they or a family member living with them cut back on health care in one or more ways to save money in the past 12 months.
 
Most commonly, they relied on home remedies or over-the-counter drugs instead of seeing a doctor, or they skipped a visit to the dentist _ about a third of respondents reported doing each. Nearly one in four postponed a recommended medical test or treatment. Nearly as many didn't fill a prescription, while 15 percent cut pills in half or skipped doses of medicine. Seven percent reported problems getting mental health care.
 
Overall, 27 percent said their household postponed needed medical care. That included 16 percent who put off dealing with at least one serious problem: 10 percent delayed seeing a doctor for a chronic illness like diabetes or asthma, 6 percent postponed minor surgery in the doctor's office and 5 percent delayed major surgery requiring an overnight hospital stay. And 19 percent each skipped a doctor's visit for temporary illness or preventive care.
 
As President Barack Obama vows to reform the health care system, the Kaiser Family Foundation found consistently high support for that action despite the country's economic woes: 62 percent said "it's more important than ever to take on health care reform now" while 34 percent said we can't afford it now. Support was similarly high in Kaiser surveys in October and December 2008.
 
Kaiser also found 59 percent of Americans believe the country would be better off if the president and Congress reform health care. But only 38 percent say their own families would be better off; more, 43 percent, say it wouldn't make much difference. Republicans were more skeptical on both counts than Democrats and independents.
 
The survey interviewed 1,204 adults by landline and cell phone from Feb. 3-12. The sampling error was plus or minus 3 percentage points.
 
On the Net:
Kaiser poll:http://www.kff.org/kaiserpolls/posr022509pkg.cfm
 
© 2009 The Associated Press.

 
Opinion
 
We Cannot Delay Health-Care Reform
Universal coverage means healthier people and a more productive economy.
 
By Max Baucus and Edward M. Kennedy
Wall Street Journal Commentary
Thursday, February 26, 2009
 
In his address to the joint session of Congress on Tuesday night, President Barack Obama declared that health-care reform "cannot wait, it must not wait, and it will not wait another year." He is right.
 
Congress has worked hard with the president over the past weeks to begin restoring our nation's shattered economy, and to bring health care to millions of low-income, uninsured children by passing the economic recovery bill and renewing the Children's Health Insurance Program. These were urgent priorities that demanded immediate attention. Now, it is imperative that we turn our attention to comprehensive health-care reform and move quickly with President Obama to fix our broken system.
 
For decades, obtaining affordable, high-quality health care has been a heavy weight that millions of Americans have been forced to bear on their own. Increasingly, skyrocketing health-care costs have threatened the stability of families, businesses and our economy as a whole.
The Opinion Journal Widget
 
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Some argue that repairing the health-care system now is impossible, given the urgency and high cost of ending the financial crisis. The claim is that we can fix one problem or the other -- but not both. In truth, the two are inextricably intertwined: Solving the nation's health-care crisis is a fundamental part of healing our economy.
 
The U.S. spends $2 trillion a year on health care, and that number is expected to double in the next 10 years. America's fiscal situation will remain on shaky ground as long as we continue receiving such poor returns on this crucial investment. If our initial efforts to restore American prosperity are ever to bear true fruit, Congress must follow up by creating a high quality, universally accessible, and cost effective health-care system.
 
There is also a moral imperative to follow economic recovery efforts with health reform. If Congress can bail out the nation's banks, surely we can help families get the quality, affordable health care they deserve.
 
Approximately 46 million Americans lack any health insurance at all, according to the Census Bureau. Nearly 25 million more don't have enough insurance to keep their medical bills from sinking them financially. Insurance premiums for a family of four can cost more than $12,000 a year. According to the New America Foundation, that cost could reach $24,000 in 2016 -- an 84% increase from today. At the same time, higher deductibles, larger co-payments and greater exclusions from coverage are causing families to bear more out-of-pocket costs. Debt related to health expenses is now one of the leading causes of personal bankruptcy.
 
Rising health costs also undermine our strength in the global marketplace. American employers pay far more for health care than their major trading partners, and manufacturers face particularly high pressure to compete internationally. U.S. manufacturers pay $2.38 an hour for health benefits, while manufacturers among our major trading partners pay only 96 cents an hour on average, according to the New America Foundation. Health-care reform is essential to spur growth and keep American businesses on a level playing field with the world.
 
A reformed health-care system will allow businesses to better afford to offer coverage, and empower every American to choose and purchase insurance plans that fit their budgets. Once universal coverage is reached, the positive effects will be exponential. When every American is covered, the massive costs incurred by doctors and hospitals for treating the uninsured will no longer show up in the premiums of those with health policies. Coverage can become increasingly affordable for all.
 
The quality of our health-care system, too, demands attention now. Today, even as costs rise, the Rand Corporation has shown that Americans receive the recommended care for their conditions only half of the time. A revitalized system should reward doctors and hospitals for providing effective, efficient care. Cutting-edge health-care technology, better coordination among a patient's various doctors, and efforts to improve care in rural and underserved areas can keep individual patients healthier and make the system work better as a whole.
 
Health costs also will go down as more people get the preventive care and the timely effective treatments they need.
 
Health is a public good worthy of major, long-term investment. Our starting point will be the down payment of more than $600 billion that the president included in the budget released today. The challenge of crafting this public policy is certainly large. But just as Congress and the president met the first challenges of restoring our nation's economy, we must also keep our commitment to reforming health care -- now.
 
Mr. Baucus, a Democratic senator from Montana, is chairman of the Senate Finance Committee. Mr. Kennedy, a Democratic senator from Massachusetts, is chairman of the Senate Health, Education, Labor and Pensions Committee.
 
Printed in The Wall Street Journal, page A13
 
Copyright 2008 Dow Jones & Company, Inc. All Rights Reserved.

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