Notes+and+Sources

=​​Source​​Time, 4/5/2010,vol.175 issue 13,p28-29,2p,2 graphs Sun Journal = =(New Bern, NC); 04/01/2010. " Health care reform creates need for more doctors." [|http://search.ebscohost.com/login.aspx?direct] = =[|=true&db=nfh&AN=2W6360489227&site=src-live] =
 * Since the health care bill was passed, many people anticipated an increased demand for primary care physicians.
 * Between $11 billion and $14 billion in new funding will go to federally financed, community-based health centers, which charge patients on a sliding scale.
 * Primary care providers that charge at least 60 percent of their total Medicare charges as office, nursing facility or home visits can receive a 10 percent bonus payment for 2011 through 2016.

=|jdbulhjnh||ssJN "National Journal"||sljh',);|National Journal|jdbulhjnh||ssJN "National Journal"||sljh',);|; 3/13/2010, p17-17, 1p= ​ =http://search.ebscohost.com/login.aspx?direct=true&db=ulh&AN=48576458&site=src-live " The Price of Inaction On Health Care." =

= = = = [] = = " It Seems Positive That Negative Is the Prevalling Force."
 * =The Health care reform's big risk is that it commits Washington to funding significantly coverage. =
 * =When fully implemented, the bill would spend about $190 billion annually to cover the uninsured. =
 * =Contained an array of innovative ideas to modernize Medicare, save federal dollars, and promote efficency. =
 * =Unlike the White House, the Senate would tax high-end insurance plans. =
 * =Senate would move directly to penalize doctors who prescribed excessive care for Medicare patients. =
 * ="Cadillac" tax. =
 * =Senate bill would create an independent Medicare advisory board that would be required to propose savings when program's cost rose too fast and would likely to become an effective vehicle for expanding promising payment reforms. =
 * =<span style="font-family: 'Arial Black',Gadget,sans-serif;">Under current trends, the number of uninsured people will increase by 10 million, to about 57 million by 2019. =
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">All that people want to talk about are the drawbacks of the various options.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">One side alarms the public about hypotheticals that might happen if national health insurance is not created.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">The loyal opposition prefers to conjure up all the scary scenarios that could arise if the Democratic version is implemented.

<span style="font-family: 'Arial Black',Gadget,sans-serif;">[] =Carl Hulse, " Obama Hails Vote On Health Care as Answering 'the Call of History.'= = = <span style="font-family: 'Arial Black',Gadget,sans-serif;">[] = =
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Democrats hailed the votes as a historic advance in social justice, comparable to the establishment of Medicare and Social Security.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Bill would put pressure on rising health care costs and rein in federal budget deficits.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Republicans: believe health care will cause levels of debt in the nation, leave states with expensive new obligations, and weaken Medicare and give the government a huge new role in the health care system.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Paul D. Ryan, " a fiscal Frankenstein."
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Lincoln Diaz- Balart, " a decisive step in weakening the United States."
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Virginia Foxx, " one of the most offensive pieces of social engineering in the history of the United States."
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Marcy Kaptur, " a new day in America."
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Doris Matsui, " improve the quality of life for millions of American families."
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Bill would require most Americans to have health insurance, add 16 million people to the Medicaid rolls, and subsidize private coverage for low- and middle-income people, at a cost to the government of $983 billion over 10 years.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Would provide coverage to 32 million uninsured people, but still leave 23 million uninsured in 2019. One-third of those remaining uninsured would be illegal immigrants.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">New costs would be more than offset by savings in Medicare and by new taxes and fees, including a tax on high-cost employer-sponsored health plans and a tax on the investment income of the most affluent Americans.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Cost estimates shows that bill would reduce federal budget deficits by $143 billion in the next 10 years, persuaded some fiscally conservative Democrats to vote for the bill.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Health insurers could not deny coverage to children with medical problems or suddenly drop coverage for people who become ill. Insurers must allow children to stay on their parents’ policies until they turn 26. Small businesses could obtain tax credits to help them buy insurance.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Mr. Stupak, " protect the sanctity of life in health care reform."
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">A reinsurance program would stabilize early retiree coverage and provide premium relief to both early retirees and the workers in the firms that provide their health benefits. This could save families up to $1,200 on premiums.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">A typical couple in traditional Medicare will pay nearly $90 in additional Medicare premiums next year to subsidize these private plans.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Roughly 89,800 Medicare beneficiaries in Arkansas hit the “doughnut hole,” or gap in Medicare Part D drug coverage that can cost some seniors an average of $4,080 per year.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Right now, providers in Arkansas lose $656 million in uncompensated care each year, which states subsidize at least in part. Instead, under reform, uncompensated care would begin to be reduced immediately as more uninsured people gain coverage.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">" Hidden tax."
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">With reform, individuals and families in Arkansas will spend increasing amounts of money out-of-pocket to cover premiums, deductibles, and co-payments, from $2.6 billion today to up to $4.3 billion in 2019.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">481,000 residents of Arkansas do not have health insurance, and if nothing is done, by 2019 this population could swell to 615,000.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">It is estimated that 65 percent of those who are 65 today will spend some time at home in need of long-term care services, which typically cost almost $18,000 per year.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Means that 240,000 older residents of Arkansas who are aged 55 to 64 today will need home health services after they turn 65- services that are not always covered by Medicare, Medicaid, or private health insurance.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Health care will create a new voluntary long-term care services insurance program, which will provide a cash benefit to help seniors and people with disabilities obtain services and supports that will enable them to remain in their homes and communities and encourage states to expand their home and community based services through Medicaid by providing enhanced funding, and it will create a program to provide community support services for disabled Medicaid enrollees who would otherwise need to be in a nursing home. These programs could help improve care for many of the 112,000 disabled Medicaid beneficiaries in Arkansas.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">The current health care system does not place enough emphasis on improving quality of care. For example, nearly 20 percent of Medicare patients who are discharged from the hospital end up being readmitted within 30 days.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Health insurance reform will expand and improve programs to increase the number of health care providers, including doctors, nurses, and dentists, especially in rural and other underserved areas.
 * <span style="font-family: 'Arial Black',Gadget,sans-serif;">Approximately 279,000 people, or 10 percent of Arkansas’s population, cannot access a primary care provider due to shortages in their communities.