This Week in Health

By Lindsay Beyerstein, The Media Consortium. Posted November 21, 2008.

Because if it bleeds, it leads... Sarah van Schagen rates the environmental impact of feminine hygiene products for Grist.

In all seriousness, this has been a very exciting week in healthcare news. The Bush administration is racing to take away as many reproductive rights as it can before leaving office. The Democrats in Congress are taking the lead on healthcare reform by writing up their own proposal before president Obama takes the Oath of Office.

Last week, Sen. Max Baucus unveiled a detailed proposal to provide health insurance for all Americans. Brian Cook has a roundup of reactions.

Note that the Baucus plan is by no means a call for radical change. The blueprint proposes to fix the healthcare system with the same piecemeal strategies that get trotted out every time Americans talk about healthcare reform. The stated goal is to enable more people to buy "affordable" private health insurance while expanding Medicare and Medicaid for the poor and the elderly.

Why such timidity? As Josh Marshall argues at TPM, Obama's election is a mandate for fundamental structural change in the healthcare system.

The fact is, majority of Americans support single-payer health insurance, even if they'd have to pay higher taxes. Daina Saib reports in YES! that even Republicans are getting on board. Saib introduces us to an unlikely champion of single-payer, Dr. Rocky White, conservative Christian and former Republican who started advocating for single payer when the system made his own practice unmanageable.

As we talk about the dire state of the Big Three automakers, remember that the Canadian auto industry stays competitive because the government takes care of health care, unlike in the 'States where automakers and unions are struggling to pay for it.

Ezra Klein gives us a crash course two strategic approaches to healthcare reform. He explains that there are two basic schools of thought: delivery system reform and financing reform. Delivery reformers hope to make the system work better by bringing down costs and delivering better value for money. Financing reformers focus on how we're going to pay for it all. The Baucus blueprint is financing reform. Repealing Medicare Plan D would be delivery reform.

These two approaches are complimentary. Ezra writes: "[T]he two agendas fit neatly in a comprehensive reform package. Coverage expansion isn't sustainable unless cost growth is slowed. Cost growth can't be slowed without delivery system reform." He notes that The Center for American Progress has a new, free, book on healthcare reform, available for download, here.

The Bush administration is weighing an eleventh hour rules change that could prevent women on Medicaid from receiving birth and deny rape victims emergency contraception and push the country one step closer to theocracy.

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Lindsay Beyerstein is a New York writer blogging at majikthise.typepad.com

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