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The problem with putting together a big proposal - like overhauling the nation's entire health care system - with lots of moving parts and many different interests to please, is that every time you satisfy one important constituency, you upset another.
Powerful hospital trade associations are opposing President Obama's plan for an independent commission to determine how much Medicare pays doctors and hospitals. But certain "model" hospital systems - such as CHRISTUS Health - are breaking ranks and supporting the idea.
Excerpts from President Obama's news conference, held on July 22, 2009.
When talking about his vision for the U.S. health care system, President Barack Obama points to places like the Mayo Clinic in Minnesota and Intermountain Healthcare in Utah, which are known for providing high-quality, low-cost care.
Much of the health care reform debate centers on the Democratic push to create a government-run insurance option for working age Americans and their families. But shouldn't policymakers take a hard look at Medicare--the largest health insurance program in the country--before moving ahead to create something similar for everyone else?
Patients who are readmitted to the hospital soon after they're discharged cost the health care system billions of dollars a year in unnecessary spending. These "frequent fliers," as doctors sometimes call them, illustrate the worst aspects of poorly coordinated care. Innovative programs may serve as models for fixing the problems.
Some CEOs of America's largest health care providers called Friday for an end to fee-for-service payments under Medicare and incentives to create administrative efficiencies to lower costs to help pay for America's try at health care reform.
Surgeon and author Atul Gawande's recent article in The New Yorker is generating intense discussion about the cost of medicine and exerting a powerful influence over the health reform debate.
Will allowing younger people to buy coverage ease a health-care problem or break an already overburdened program?
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