Archive for health reform

Missing Pieces

For the past two weeks I’ve been talking to lots of people on Twitter and blogs about health care reform. Because it’s an issue that there is a lot — a LOT — of misinformation about, I’ve focused mainly on trying to dispel the myths and lies about the presence of abortion funding in the health reform bill. (For the record, there is no abortion funding in this bill, and if you want to discuss specifics on that point, do it somewhere else. You could see Jill Stanek’s blog, where I’ve been over, and over, and over all of the evidence and explained it in detail in comments on some of her recent posts.)

The more I’ve talked to people about this issue, the more I’ve heard absolutes like, “I’m happy to go my whole life without health insurance rather than support the murder of unborn babies” and “I will be in jail before I give you a penny to kill poor people’s children.” I could give you a dozen more examples like these, and I’m not insensitive to the sentiment or the emotion behind those statements.

Except for the fact that there is something missing from this argument, something missing from all of the so-called “pro-life” blogs that have been discussing this health reform bill. Now that the bill has passed, I thought maybe I’d start seeing it. Maybe I’m just not looking at the right blogs. Maybe I’m not missing the tweets talking about it. But you’d think, with all the talk about reducing, preventing, and stopping abortions, there’d be some talk, somewhere, about all the things that this bill would do to support that cause.

First of all, though you may have heard differently, there’s ample data supporting the theory that universal health care reduces abortion rates. In the developed world, the United States has the highest abortion rate, despite the fact that women often pay out of pocket for abortion services. The developed countries with lower abortion rates include Canada, Denmark, and the UK — all countries that provide abortion services for free as part of universal health care — as well as Germany and Japan, where they have universal health care but abortion services are not covered.

Why does universal health care reduce abortion rates? Consider a young, low-income woman who gets pregnant unexpectedly in the United States. She doesn’t have insurance and earns too much to qualify for Medicaid. She knows that even if the man who got her pregnant helps, having a baby is expensive — starting as soon as you get pregnant, with the cost of prenatal care. Add in the cost of labor and delivery, plus anything unexpected that might mean her baby staying in the hospital for weeks or months, and already she can see it’s impossible for her to manage. She hasn’t even started to calculate the cost of formula and diapers.

If this young woman was in a country with universal health care — let’s say the UK — she wouldn’t have to worry about any of those things. She probably wouldn’t even give it a thought. She’d be thinking about how to handle the expenses when the baby comes, and would be able to spend the 9 months of pregnancy saving money and preparing for the expenses of having a baby, instead of using all the money she can scrape together to pay for medical care. For many young women, it is the difference between choosing to keep their babies and choosing to abort them.

That one is pretty obvious, but there are more ways universal health care reduces abortion rates. With universal health care comes very much improved access to contraceptives and family planning services. Better access to contraception means fewer unplanned pregnancies, which translates directly into fewer abortions. Remember Angie Jackson, who live-tweeted her abortion? If she had been in a country with universal health care, she could have had that tubal ligation, and there would most likely never have been an abortion to live-tweet. As it stands, she can’t have her tubes tied because the cost is so prohibitive — as she is one of the 45 million people in this country who are uninsured.

Looking more specifically at the health reform bills, there are a number of specific measures that, by improving prenatal and early childhood health care, are likely to reduce abortion rates and ensure that babies are born healthier. It’s also conceivable that over time the infant mortality rate, which is an absolute disgrace in this country, could improve along with advancements in prenatal, perinatal, and postnatal health care for the poorest women and children.

One measure that’s gotten a lot of flack because someone, somewhere decided that it could be twisted and used to fund abortions, is the $11 billion the bill sets aside for Community Health Centers. CHCs are critically important in reaching the neediest people in our communities. It’s estimated that the money would allow them to serve 15 million new patients — and since currently they provide prenatal care for 1 in 8 children born in this country, that means a lot more kids will be born healthier and their mothers will be, too. And with the Executive Order to be signed by Obama, those funds can’t be used for abortions — well, they couldn’t be used for abortions before, either, because the money falls under laws that prevent HHS-administered programs from using federal funds for abortion.

In addition to the CHCs, here are some other interesting snippets from the original senate bill and the house reconciliation bill that will help reduce abortions by improving access to health care for women and children and reducing the out of pocket costs. Note: This is based on a search-and-read review of the bills, and my interpretations may be incorrect or missing details. I am just trying to give an overview of all the things that are in this bill that we haven’t heard word one about from the pro-lifers.

  • Comprehensive tobacco cessation services for pregnant women on Medicaid
  • Outreach program to enroll vulnerable and underserved populations in state exchanges
  • Coverage for women who give birth at “freestanding birth centers” instead of hospitals, including coverage of midwife and other profession services used in the process of labor and delivery
  • Creation of home visiting programs to assist high risk and vulnerable populations, including pregnant women under the age of 21
  • Comprehensive education for adolescents (contraception, sex, abstinence, relationships, etc) using proven and studied methods to reduce youth pregnancy and birth rates

There’s a lot more in there — that’s just what I pulled out in about 20 minutes of skimming the bills. It surprises me every time I spend a little while going through the bills how much I find that I haven’t heard word one about, especially when it comes to things you’d think the pro-lifers would be celebrating.

So when I went to check out a couple of pro-life blogs tonight — well, this morning — I was hoping to find both satisfaction that abortion is really and truly not in the bill thanks to the EO, and discussion of the measures in the bill that are going to work for the antiabortion cause. Instead, all I’ve seen is disappointment with Stupak (and other antiabortion democracts) for caving in, and the same vitriolic fear and hatred we’ve seen since Obama won the election pointed at anyone and everyone who supports choice or isn’t kicking and screaming about the passage of the bill. Even if they are antiabortion.

The reality is that there are a LOT of wins for the antiabortion crowd in this bill. That we had to give so much to them to get the almost-universal heath care that this country desperately needs is frustrating, but we need the reforms in this bill so badly that I’m hoping it will end up being worth it. And in the long term, the Executive Order could eventually be overturned, given the right situation and majorities. Who knows. What I do know is that the number of deaths due to lack of insurance are going to start falling, and the number of people who lack access to medical care — and by that I mean access that doesn’t result in exorbitant bills that are impossible to pay — will be reduced to something approaching zero.

This is a start. It’s a good start. And maybe one day, the antiabortion people will get their heads out of the ground and realize that this bill is going to be working for them, too.

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Response to comments on Jill Stanek’s blog

Posting here because I had too much to say to post in the blog comments — responding to post at http://www.jillstanek.com/archives/2010/03/bluffing_they_do_not_have_the.html

It sounds like most of you who have replied to me have no idea what’s actually in the bill, and are just repeating the scare tactic lines and rhetoric that has no relationship to what’s in the bill.

(I apologize for the length, I am trying to respond to all of the questions and comments in one go.)

This bill does not create a public option or single payer option that would be under government control. The control over health care services will still be in the hands of the insurance companies — the government is only involved because they are forcing insurance companies to accept people like me who were previously denied, places restrictions on how they can raise premiums (for example, prohibiting them from raising premiums due to health history), and creates a health care exchange that people like me can buy into that will result in lower rates because it spreads the risk across a large pool of people, and provides subsidies to insurance companies covering more sick people than the median rate, which will also encourage them to keep premiums lower.

The bill also expands Medicaid to cover more people and provides states with assistance to pay for those additional people. It strengthens Medicare. It promotes preventative care, which reduces health care costs. It will help put primary care doctors into communities without them. It improves access to experimental and new treatments.

But all of these reforms end up with the control for day-to-day health care still in the hands of the insurance companies. The government involvement is limited to reforming the insurance companies and changing the way they do business in ways that will insure that more Americans get coverage and that people won’t lose coverage because they get sick.

Have you heard the story of Natoma Canfield, who was forced to drop her individual health insurance that she had struggled to pay as they hiked her premiums year after year, and when they raised her rates again by 40% she was unable to pay it? She was diagnosed with leukemia just a week or so ago and is now in a hospital not only stressed and worried about staying alive and fighting the disease, but trying desperately to figure out how she is going to pay for the 28 days of chemotherapy and all of the tests and treatments that she needs to survive. Without insurance, her only real hope is that the center where she is being treated will write off the cost of her care. Otherwise, she is likely to lose her house — the house her parents built — in order to pay for care that she quite literally can’t live without.

This is the status quo that you are supporting by fighting against this bill.

Mary — I have looked at all of the options available. Only one of my prescriptions is on those $4/$10 prescription program lists; the rest cost up to $80 a month. They would be much more, except that a locally owned pharmacy has agreed out of the kindness of their hearts to discount my prescriptions. Still, I spend up to $300 a month for the drugs I need to be able to function and work. I am currently on the waiting list for California’s high risk pool, which costs up to $800 a month for one person. Last I heard it will be at least 3-4 more months before I get coverage.

Lori — I’m not sure I follow your logic. Because Pelosi and Planned Parenthood support health reform, abortion must be in the bill? Do you realize that 97.3% of Planned Parenthood’s services are NOT abortion-related, and they provide basic health care for many people who are uninsured? They see people every day in desperate need of health care and health insurance. The bill expands grants to community health centers so that those people, even if they aren’t insured after this bill passes, will have much better access to health care than they do now. That is why they support it. THERE IS NO ABORTION FUNDING IN THE BILL.

And as far as Pelosi — she supports many bills. Because she supports a budget bill or a military funding bill, do you assume that abortion is in those bills too? Is it so unimaginable that someone who is pro-choice has other concerns, like the tens of millions of people who are uninsured, like the thousands of people like Natoma Canfield who are taking on extreme debt so they can live, or dying because they can’t afford the care they need? Your reasoning makes no sense. I suggest that you actually read the bill and see for yourself what is in it. (http://www.opencongress.org/bill/111-h3590/show has the full text; http://dpc.senate.gov/dpcdoc-sen_health_care_bill.cfm has several summaries and documents describing the bill highlights.)

You also say that you would rather go your whole life without health insurance than “let innocent babies die in the womb for your health.” There is NO ABORTION FUNDING IN THE BILL. Do you realize that you are sacrificing the lives of probably tens of thousands of Americans each year in order to prevent imaginary abortions that ARE NOT GOING TO BE FUNDED BY THIS BILL? Do you know that universal healthcare REDUCES the abortion rate? In fact, by not supporting this bill, you are actually supporting more abortions, because more women are going to terminate pregnancies because they can’t afford the health care costs of pregnancy, labor, and raising a child?

I just don’t understand where you are coming from.

Vannah — As far as I know, I am cancer free, though I had to have a precancerous lesion removed in November (at great expense). However, my last scans and tests were done about a year and a half ago, and I have no way of knowing whether there are metastatic lesions somewhere in my body. I still have a 20% chance (1 in 5) that the cancer will recur. Not being able to afford the tests that would be able to determine that is a potentially deadly bet I am forced to make with my life. By the time I have symptoms from metastases, it would be too late to have any real chance to survive it. Early detection is critical, and right now it is also impossible for me. I also suffer from severe chronic pain caused by Complex Regional Pain Syndrome, which started when I was hit by a car while crossing a street (at a crosswalk) and a woman ran the red light and hit me. It has spread from my right wrist/arm/hand into my left wrist/arm/hand as well as my right hip, left lower abdomen, and now my neck and part of my head and face. This is where the majority of my health expenses come from, as I have to see a doctor every month and take 6 different medications to get the pain to a level I can live with — but I live with pain 24/7. If I had insurance, I would be able to have procedures like trigger point injections, and would be able to go forward with the treatment my doctors have long believed would end my pain: an implantable device similar to a pacemaker that stimulates nerves in the spinal cord to short-circuit the pain signals from the CRPS. This involves two surgeries and a very expensive set of equipment and is completely out of the question until I have insurance coverage. Until then I live with a regular level of pain that most people would find intolerable.

And finally, Jill — I haven’t forgotten it, and I try to reach @nextthurs every day. But that doesn’t mean I am going to stop fighting for the causes that are important to me, and right now health care reform is at the very top of that list. I am tired of seeing people like you who say they are pro-life spreading lies and misinformation about the abortion funding you believe is in the bill but IS NOT. You obviously have a large readership and a large following, and instead of using that to save the lives of uninsured Americans, you are fighting to keep a status quo that kills people every day — because of reasons that you made up. You should be ashamed of yourself, but I don’t expect you to ever come down from your high horse long enough to see the damage you’ve done.

Operation Rescue: Pro-death

I’ve seen a lot of things on antiabortion websites and blogs that make me mad. But when I clicked a link today that sent me to a blog post on Operation Rescue’s site, I could hardly believe what I read:

Dear Friends of Life,

A critical vote on health care in the Budget Committee is expected Monday, one that would clear the way for a final vote later this week on legislation that would insure the largest expansion of abortion funding in the history of this nation.

Make no mistake. This entire health care bill is all about abortion funding, or it would have passed months ago.

Abortion is THE issue on which President Obama and his fellow radical pro-aborts in Congress will not compromise.

But people like you and me have clearly spoken. Over 71% of us are OPPOSED to tax-funded abortion, so much so that we would rather defeat any health care reform than allow even one cent of our tax money to be used to fund the injustice of abortion.

But that has not mattered to the likes of Nancy Pelosi, Harry Reid, Henry Waxman, and others who are bent on ramming through abortion funding no matter the will of the people or the political consequences.

They are trying every trick in the book – and then some – to circumvent the vast opposition to the government take-over of health care.

Last week, Rep. Louise Slaughter proposed changing the rules so that the abortion faction in Congress could pass this oppressive law without having to vote on it! That’s because they don’t have the votes, and they know it.

To “deem” a law voted on when there was no vote, as Slaughter proposed, is a step toward utter totalitarianism and should be a wake-up call to the American people that this administration will stop at nothing to make sure that as many babies as possible die from abortion – at taxpayer expense!

Don’t forget who Obama hand-picked to run the Department of Health and Human Services. It is none other than former Kansas Governor Kathleen Sebelius, who was heavily supported by Planned Parenthood and the largest late-term abortionist in the country at that time, George Tiller.

Operation Rescue worked hard to “out” Sebelius and her radical abortion agenda. We know all too well how she repeatedly vetoed every piece of legislation that would have held an out-of-control abortion industry accountable. This is the same woman who danced the conga line at a celebration of her birthday thrown by Planned Parenthood in her honor. (That PP organization was later charged with 107 criminal counts related to illegal late-term abortions. Those charges are still pending.) Sebelius also entertained Tiller and this entire abortion clinic staff at the Kansas governor’s mansion at tax-payer expense*. And this is the same woman whomisrepresented to the Senate during her confirmation hearings the amount of money Tiller dumped into her political campaigns.

There can be no doubt that Sebelius is bought and paid for by the abortion cartel, yet she will be the one in charge of doling out the cash to the abortion clinics under Obama’s plan.

We can defeat this health care disaster, but only if everyone acts!

This is the last few yards of the race to protect the lives of thousands of pre-born children that Obama’s so-called health care plan endangers. Please call your Congressman and Senators today!

Contact CongressmenContact Senators.

For the innocent,
Troy Newman
President, Operation Rescue

P.S. Our efforts to expose and oppose tax-payer funding of abortion have taken a toll on our budget. Please consider making a sacrificial donation to Operation Rescue today. Thank you in advance for your prayers and support.

“Dear Friends of Life, Here are some more outright lies to convince you that even though you may well be among the more than 30 million Americans who are uninsured and don’t have access to basic healthcare that you need, you should do everything you can to keep this bill that would give everyone health care. Oh, and by the way, we have spent so much money lobbying to keep tens of millions of Americans from getting basic and life-saving health care, we need you to make a ‘sacrificial’ donation to us so we can keep fighting for the early and unnecessary deaths of countless uninsured Americans.”

I’ve seen plenty of distortion from people on the antiabortion side about this reform. And I’ll be the first to tell you that it’s not the best reform bill in the world — far from it — but it’s a start, and it gives us some basics that can be added to and improved. Most importantly, it would force insurance companies to accept people regardless of their health or preexisting conditions, and provide financial help for people who can’t pay the premiums.

This piece from Operation Rescue, though, takes the cake over anything I’ve seen before. Despite a federal law — since 1976 — prohibiting federal funds from being used for abortion except in cases of rape, incest, and when necessary to save the life of the mother, they are asserting to their supporters that not only does this bill use federal tax money to pay for abortions, it is the “Largest Expansion of Abortion Funding in US History”.

A key indicator that they know exactly what they are doing is that they don’t even try to back up their claims. Rather than explain how the bill expands abortion funding, they use some of the same tired stories to badmouth Pelosi, Reed, and others who are working to push the bill through. It’s a smart strategy, since there’s no way to prove it because NONE OF THEIR CLAIMS ARE ACTUALLY TRUE.

I don’t know much more than the average person about what’s in the bill, but I have read the section of the bill that talks about abortion funding, which says that abortions that can be federally funded can be funded, and abortions that can’t be federally funded can’t be. There’s also the part of the bill that requires people to write separate checks for plans that include abortion funding, to ensure that any federal funds received by the insurance company don’t go to the part of the plan that pays for abortions.

I suspect that what Operation Rescue calls funding for abortion is actually the part of the bill that provides for the funding of community health centers. That, in and of itself, isn’t really much of a change. Planned Parenthood, for example, receives both state and federal grants to operate its health centers, but that money can’t be used to provide abortion services. (That’s fairly simple because only 2.7% of Planned Parenthood’s services are abortion-related — see a couple posts back where I review their financial records and service numbers in detail.) A March 4 post to a US News and World Report blog puts community health center funding at 11 billion, and yes, some of those health centers provide abortions. Depending who you ask, that money might — or might not — be subject to either the Hyde Amendment or language in the health care bill preventing use of those funds for abortion. (I’m no expert, but looking over the many other statements on the issue, which you can find on Google, it appears that the funding can’t be used for abortion. And I’m pretty sure that Operation Rescue knows it.)

The greatest irony here, to me, is that Operation Rescue describes themselves as “one of the leading pro-life Christian activist organizations in the nation” — yet they are actively campaigning against a bill that would bring urgently needed healthcare to over 30 million Americans who are currently dying every day because they don’t have health insurance. Without insurance, there is no early detection of cancer; no preventative care; no primary care physician; no physicals. You hold out as long as you possibly can before going to the doctor because you know there’s gonna be a bill for every person who sees you, talks to you, or writes in your chart, and for every bandaid and aspirin. By the time people without insurance see a doctor or end up in the ER, they are sicker and cost more to treat. They often pay more than twice as much as an insurance company pays for the same care, and when it comes to prescription drugs, the costs can be even higher. When a doctor prescribes medication that you need to take every day — maybe it’s a blood pressure drug, or something to prevent seizures — you have to calculate every money whether you can afford it, or if you can stand to go a few days, or a week, or the whole month without it so you can buy groceries instead.

This is the status quo that “pro-life” Operation Rescue wants to maintain. This is the kind of life that Operation Rescue stands for. Don’t forget:  the single moms that Operation Rescue wants to see created instead of allowing those women to have abortions make up a significant percentage of the uninsured, as do their children. It’s just one more piece of incontrovertible proof of what I’ve known for a long time:

“Pro-life” ends at birth. After that, you’re on your own.

(“And by the way, please send us money so we can keep lobbying against health care for all Americans.”)

A Letter from Anthem Blue Cross

I’ve been without major medical insurance for about a year now, though I’m on the waiting list for California’s Major Risk Medical Insurance Plan, which is a pool of people who are denied coverage by insurance companies. Periodically I apply for individual insurance anyway, on the offchance that I might be accepted, which means that every couple of months I get a thick packet of paper in the mail listing all of the reasons I’ve been denied.

I would be willing to bet that just about everyone who is speaking out against Health Care Reform has spent the majority of their lives insured through their jobs or healthy enough to get individual insurance. That’s certainly true of our senators and congresspeople, and I have a hard time imagining someone who has had to manage chronic or serious medical conditions without insurance, or who has had to fight against insurance companies to get desperately needed services or procedures covered, spewing the kind of vitriol I’ve heard from the anti-HCR camp.

I’m one of the millions of Americans who doesn’t get benefits from my job — I work full time, but I’m technically a consultant — and who can’t get individual health insurance because I need it so badly. It sounds ridiculous when you say it that way, but it’s true. I’ve been denied health insurance because I have too many pre-existing conditions. In fact, any one of the conditions they list in the following letter would be enough to deny me. My sister-in-law has been denied coverage because she has slightly elevated blood pressure — not high enough to need medication or even close followup, but apparently high enough to make her a poor risk in the eyes of the insurance companies.

Today I got one of these denial letters, which because I applied for a “hip” new plan offered by Anthem to attract young (and healthy) people, is worded a bit more casually than the usual, but under the slight glaze of conversational language is the same old same old — we don’t want you, you need health care too badly.

Dear Ms. [my last name],

Thank you for applying for a Tonik plan from Anthem Blue Cross Life and Health Insurance Company. We wanted to follow up and let you know what’s happening.

Bear with us while we get a bit technical.

Sometimes medical conditions present uncertain medical underwriting risks. We carefully reviewed the health information and medical history that you gave us when you applied, and you are not eligible for any of our medically underwritten plans at this time. Specifically, our decision was based on the following health information:

Source: Health Statement, 03/05/2010

Medical History:

  • Complex regional pain syndrome requiring ongoing treatment (since 2003) with [list of four medications].
  • Migraine headaches.
  • Epilepsy/seizure disorder
  • Melanoma or squamous cell carcinoma (our records reflect a history of stage III melanoma).

This medical history precludes coverage under any of our medically underwritten plans.

Although we cannot offer enrollment under any of our medically underwritten health insurance plans, enrollment in the California Major Risk Medical Insurance Plan (MRMIP) may be an option for you.

[Followed by several paragraphs of information on who to call or talk to about different options and how to appeal.]

This is what’s wrong with our current health care system today. We have the best health care in the world here in the U.S., yet our infant mortality rate, our lifespan, and other statistics that measure how accessible that health care is are far below the top of the list. We have handed over control of access to healthcare to the insurance companies, who make decisions based on profit. They routinely jack up premiums by 40% even though they are making record profits. They deny lifesaving coverage or force families to go through lengthly appeals and legal challenges because some treatment that is generally accepted is still “experimental” in the eyes of the insurance companies. And as a matter of policy, unless you are covered as part of a group policy (through your job), they deny anyone who might actually need the health coverage they offer, so that they can profit as much as possible from people who are healthy and pay monthly premiums in case they need the coverage someday. (And even when these people who have paid years of premiums get sick, the insurance companies will do anything they can to get them kicked off the rolls — including finding the tiniest infraction that could be considered “lying on your application”, no matter how ridiculous it is. We’ve all seen the stories in the news, and they are the rule, not the exception.)

Yet every day now I see people blogging and talking about how HCR is handing over our health to the government (it isn’t — public option and single payer were off the table long ago, and the current plan keeps the control under insurance companies), how the government is going to be killing the elderly with “death panels” (it isn’t — what was painted as “death panels” is actually coverage for conversations with your doctor about living wills and end of life care, something everyone should be doing no matter how young or healthy), how HCR will spend federal funds on abortion (it doesnt, because federal funding of abortion is already prohibited except in extremely limited situations — in cases of rape or incest, and when an abortion is life-saving). These rumors/myths/scare tactics are designed to pull people away from the cause of HCR, to draw support from reform our country desperately needs because the Republicans are on a mission to stop any of Obama’s plans from becoming law.

The thing I really don’t get is when people go on and on to me about being pro-life, yet will tell me how much they are against HCR. Sometimes it’s because of the abortion funding they thing is in the bill, or they say they’ll only support it if the Stupak language is added (which is impossible at this point, and which is unnecessary because the bill already prohibits abortion funding except in the very limited circumstances listed above), and sometimes it’s because “why should I have to pay for your health insurance? you should go and get a job and pay for your own insurance! why should my money pay for your medical care?”

I read just today that universal health care reduces the abortion rate — and I’ve been saying for weeks that if we already had universal health care, Angie Jackson would probably have already had a tubal ligation, her IUD would not have failed, and she would never have needed an abortion in the first place. There would have been no #livetweetingabortion. Yet most people who call themselves “pro-life” continue to be bitterly against HCR. It’s a contradiction I don’t understand at all.

Right now, people die every day because they don’t have access to health care. People wait months to have conditions checked by a doctor because they can’t afford it, and end up in the ER only when their condition becomes deadly. Even people on Medicare don’t have coverage of preventative care or physicals, which means that conditions like cancer that can be found early through routine exams go unchecked until it’s far too late as well as much more expensive to treat them. Women who don’t have health insurance have abortions because they can’t afford the out of pocket costs of pregnancy — prenatal care, labor and delivery, postnatal care, medical care for their children. Women have more unwanted pregnancies because they don’t have access to birth control, because they can’t afford the birth control pills or other methods that would protect them from getting pregnant. More unwanted pregnancies equals more abortions.

We desperately need universal health care and coverage in this country. It would save lives, it would reduce the number of abortions, it would reduce our overall health care costs, lower infant mortality rates, raise life expectancy, reduce the number of bankruptcies due to medical costs.

No one should ever get a letter like the one I got today. If HCR passes, which by all appearances it will, that may become a reality. We’ve let this system become so dysfunctional, and it’s time for real change, real coverage for every single American.