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Better care, prescription drugs: Obama outlines HCR details

Public option, malpractice reform components of President’s pitch to Congress.

Seeking to regain momentum lost during the contentious August recess, President Barack Obama tonight used a carrot-and-stick approach in an effort to move Republicans and conservative Democrats his way on the health care reform (HCR) legislation now being considered in Congress. The President also called for plugging the gap in coverage of Medicare Part D and cited improved care as an important element in paying for the changes he said are needed in American health care.

Congress had returned to Washington this week following face-to-face encounters with thousands of constituents during the long August recess. Many observers thought that the Obama White House lost control of the debate during this time, and tonight the President sought to reframe the discussion using the oratorical skills that have served him well on big stages—like addressing Congress from the floor of the U.S. House of Representatives.

Obama stuck to his guns on the controversial public option but closed by offering the GOP something the party has long sought: reform of the medical practice laws. In an interesting move, he instructed the Secretary of Health and Human Services to move forward on this today and cited templates from the George W. Bush administration as examples of constructive action.

Citing savings that can be attained with improved care such as lower infection rates and more cooperation among health professionals, the President pointed to best practices developed at Utah’s Intermountain Healthcare and Pennsylvania’s Geisinger Health System. While minimizing the impact a public option would have on American health care, he noted that reforms instituted in the Medicare system could have a positive effect on the system in general.

Savings could be used to pay for the HCR initiative, Obama said. He sought to reassure America’s seniors that Medicare will be there for them and for future generations. He then added this carrot for those relying on Medicare for their benefits: “We could use some of the savings to fill the gap in coverage that forces too many seniors to pay thousands of dollars a year out of their own pockets for prescription drugs.”

In other HCR developments today, the Senate Finance Committee announced mark-up of legislation beginning later this month. If a bill is reported out, that would be the fifth and final committee working on HCR, and the debate would then move to the floor of each chamber.

Related resources on www.pharmacist.com

L. Michael Posey, BPharm (mposey)
Posted September 9, 2009, 10:00 pm EDT