オバマ新大統領に迫られる医療制度改革/米国医療事情

 退職者、経済界、労働界を代表するグループは新政権の最初の100日での総合的医療保障制度改革を要求している。
 退職者、経済界、労働界を代表する4つの主要活動グループが、新大統領に就任後迅速に総合的医療保障制度改革を制定することを迫るために今日キャンペーンを始めた。
 オバマ氏への手紙の中で、ビジネスラウンドテーブル、全国独立企業連盟、AARP、および国際サービス従業員組合は、医療改革が最初の100日で優先事項であると主張している。次週に新聞・テレビコマーシャルで100万ドルを使いキャンペーンをはる。
 「医療費急騰に注目することは、家族・国・世界の経済を安定させる重大な要素である。活動しなければ私達の家族の経済保障を徐々に蝕む。労働生産性を制限する。雇用創出と賃金成長を遅らせる」
画像 オバマ氏は大統領選挙戦の中心的な主張として、医療保障を拡大し、コストを下げる広範な努力を誓約したが、勝利以来、おそらく数千億ドルかかり、強烈な政治的な戦いを引き起こすだろうと思われる改革をどのようにして続行する計画かを示していない。
 土曜日の全国的なラジオ演説において、オバマ氏は「重要な優先事項」としてエネルギー、教育、減税とともに医療をリストした。
 上院議員のEdward M. KennedyやMax Baucus は迅速に動くことをオバマ氏に勧めた。水曜日にBaucus は、皆保険制度についての計画を初公開する予定だ。
 国際サービス従業員組合SEIU(国の最も強力な組合でオバマ支持者の1つ)は、医療改革のための行動として全国で数百万人を動員してワシントンに押しかけるという。
 今までにない財界と労働界の協力で、オバマ氏と新しい議会メンバーの2/3以上から誓約をとった。
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オバマ新大統領の保険医療計画/米国医療事情
http://kurie.at.webry.info/200811/article_7.html
クリントンとオバマの医療制度改革/米国医療事情
http://kurie.at.webry.info/200802/article_42.html
マサチューセッツ州 無保険者が1年で半減/米国医療事情
http://kurie.at.webry.info/200806/article_4.html
医療保険への消費者保護を/米国医療事情
http://kurie.at.webry.info/200806/article_24.html
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Obama urged to overhaul healthcare, stat
Groups representing retirees, business and labor call for comprehensive healthcare reform in the new administration's first 100 days.
By Noam N. Levey
November 11, 2008
http://www.latimes.com/features/health/la-na-health11-2008nov11,0,3739074.story

Reporting from Washington -- Four leading advocacy groups representing business, labor and retirees are starting a campaign today to press Barack Obama to enact comprehensive healthcare reform, upping the pressure on the president-elect to tackle the issue quickly after he takes office.

In a letter to Obama, the Business Roundtable, the National Federation of Independent Businesses, AARP and the Service Employees International Union urge that a healthcare overhaul be a priority in the administration's first 100 days.

The groups plan to spend nearly $1 million to publicize their cause in newspaper and television advertising in coming weeks.

"What we are doing is reminding not just the president but the Congress as well that . . . this remains one of the most important issues facing the country," said Business Roundtable President John Castellani. "We need to now follow through."

In their letter, the groups link healthcare reform with the nation's bleak economic conditions.

"Addressing skyrocketing healthcare costs is a critical component of stabilizing household, national and global economies," the letter said. "Inaction undermines the economic security of our families; limits the productivity of our workforce; stagnates job creation and wage growth; and threatens to crowd out investments in energy, education and infrastructure."

Obama made healthcare reform a central plank of his presidential campaign, pledging a sweeping effort to expand coverage and lower costs.

But since his victory, he has not indicated how he plans to proceed with an overhaul that could cost hundreds of billions of dollars and spark an intense political battle.

In a national radio address Saturday, Obama made a general reference to healthcare reform, listing it with energy, education and tax relief as "key priorities."

Several senior House Democrats have indicated they are uneasy about tackling broad healthcare legislation in the first months of the new Congress.

House Speaker Nancy Pelosi (D-San Francisco) has talked about an effort to expand the popular State Children's Health Insurance Program, a more limited initiative that President Bush vetoed last year.

But there are growing calls elsewhere in the Democratic Party for swift action.

Sens. Edward M. Kennedy (D-Mass.) and Max Baucus (D-Mont.), who chair the committees that would probably put together any healthcare legislation, have urged Obama to move quickly.

On Wednesday, Baucus plans to unveil a plan for universal health insurance coverage.

The Service Employees International Union, or SEIU, one of the nation's most powerful unions and an Obama supporter, is mobilizing millions of people nationwide to press Washington for aggressive action on healthcare.

"We are going to run this like it is a presidential campaign, but our candidate will be healthcare reform," said Dennis Rivera, chairman of SEIU Healthcare. "It will be very disheartening if there is no action."

Castellani of the Business Roundtable said he hoped a comprehensive overhaul bill could be on the floor of the House and Senate within 100 days of Obama's inauguration on Jan. 20.

In 2007, the four advocacy groups lobbying Obama formed the Divided We Fail coalition to raise the profile of the healthcare issue in the presidential campaign.

The unusual partnership -- linking labor and business groups with the politically potent AARP -- secured pledges from Obama and more than two-thirds of the members of the new Congress to work across the aisles on the issue.

"We can't allow campaign promises of bipartisanship and action to fall apart simply because the election is over," said Nancy LeaMond, AARP's executive vice president. "Millions of Americans are still struggling to find affordable healthcare."

Levey is a Times staff writer.
noam.levey@latimes.com

----------------------------------------------------
Health Care Reform
http://www.businessroundtable.org/initiatives/health/reform

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