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The Nuts and Bolts of Reform Proposals


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Prevention also reduces many problems associated with social inequalities. "Income and health disparities can be reduced significantly by getting everyone access to good primary health care," Oliver said.

Covering the Uninsured.

This may be health-care reform's biggest question: how to provide coverage to the estimated 46 million Americans who are uninsured. Answers here seem especially elusive. It's virtually certain that employer-provided insurance would remain. Obama has proposed that it could be supplemented by a federal "health insurance exchange" -- a kind of large pool that individuals could use to comparison shop for health insurance.

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Changes to Medicare reimbursement.

Not for the first time, proponents of health-care reform are advocating streamlining the unwieldy Medicare reimbursement system, making sure doctors and institutions aren't overpaid for care, instituting a competitive payment system, curbing abuse, and keeping increases in reimbursements in line with economic gains.

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Copyright © 2009 ScoutNews, LLC. All rights reserved.
Last updated 6/22/2009

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SOURCES: Thomas R. Oliver, Ph.D., associate professor, population health sciences, University of Wisconsin School of Medicine and Public Health, and associate director, health policy, University of Wisconsin Population Health Institute, Madison; Linda Fentiman, professor, law, Pace Law School, New York City; Mary Mundinger, Dr.PH, dean, Columbia University School of Nursing, New York City; Nancy W. Dickey, M.D., president, Texas A&M Health Science Center and vice chancellor, health affairs, Texas A&M System; White House Office of Management and Budget fact sheet


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