Unlike her Barack Obama does not come with an already defined plan

It may be a historic Summit that was held yesterday at the White House. More than 120 participants representing doctors, patients, insurers, pharmaceutical and elected groups met to initiate the construction of the health-care reform.

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While preaching dialogue and demanding results, President Obama stressed the extreme urgency of this issue. "One of the greatest threats that weighs on the well-being of our families and the prosperity of our business but also on the foundation of our economy is the explosion of the costs of health in America today", said in the introduction. Its objective: see Congress legislate on a wide-ranging reform of the health at the end of the year. "Invest today in the reform will reduce costs, and will be the best way to reduce the deficits in the long term," is it insured.

Health cost rises to about 2,500 billion dollars per year in the United States and yet, about 45 million people have no cover health on a population of 303 million. "Health care costs grow faster than inflation, between 2 and 4 per year, while the base of employers who cease to pay health insurance to their employees increases by 1 per year," notes Paul Dutton, Professor at Northern Arizona University, Director of the Interdisciplinary Health Policy Institute. Indeed, 100 million Americans get health insurance with their employer. Others are available personally.

Predefined isn't

During his presidency, George Bush initiated a reform of Medicare, the care for the elderly. But the United States have failed to completely reform the system, despite the explosion of costs and lack of access to care. The last attempt, that of Hillary Clinton in 1993 and 1994, during the first term of Bill Clinton, has been a failure. "Unlike her, Barack Obama does not come with an already defined plan." "He wants to reduce costs and expand access to care, but he left the Congress to develop legislation," notes Paul Dutton. The President also welcomed the creation of a $ 634 billion Fund to finance reform. Already, the stimulus plan passed by Congress includes a $ 19 billion for computerizing the system. Aid for the financing of Medicaid the poorest health program have also been passed.

A "fiscal imperative."

Health reform is the most important election promise of Barack Obama. It is also of the President, the imperative economy recovery de l' de l' conditions and "a budget" to reduce the deficits. He has entrusted the execution to Kathleen Sebelius, Governor of Texas, which was designated as Minister of health and who must be confirmed by the Senate. Several elected officials will play an important role in the development of legislation, starting with Senator Max Baucus, Chairman of the Finance Committee in the Senate, who has already written a white paper on the subject last year. The Republicans, like Charles Grassley of Iowa, are ready to work together. A condition, as wrote yesterday in a letter Senator Mitch McConnell, of Kentucky, to avoid nationalization of the health system and to balance the extension of coverage by a reduction in costs.