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White House Budget Chief Says Issue Of Abortion Coverage In Health Reform Still Under Debate
In an appearance on "Fox News Sunday," White House Office of Management and Budget Director Peter Orszag said that he is "not prepared to say explicitly" whether health care reform legislation would prohibit the use of federal tax revenue to fund abortion coverage, the New York Times reports. Orszag"s statement came in reply to a question asking whether he was prepared to say that "no taxpayer money will go to pay for abortions." Orszag said, "It"s obviously a controversial issue, and it"s one of the questions that is playing out in the debate" (Pear/Liptak, New York Times, 7/20).Sen. Judd Gregg (R-N.H.), who also appeared on "Fox News Sunday," said, "No matter what your views are on abortion, you shouldn"t ask people to use their tax dollars if they think that abortion is taking a life." Gregg added, "I would hate to see the health care debate go down over that issue. We do really need health care reform, and it has to be substantive. ... So hopefully we won"t get ourselves wrapped around the wheel of abortion in this debate" (FoxNews.com, 7/19). According to the Times, there is an ongoing behind-the-scenes debate over handling abortion coverage in health overhaul legislation. The debate affects both the public insurance plan the legislation would create and private insurers, who would receive tens of billions of dollars in federal subsidies to expand coverage for low- and moderate-income U.S. residents. A provision in the House health reform bill (HR 3200) calls for a federal advisory committee to advise the HHS secretary on an "essential benefits package" that most insurers would be required to provide. Abortion-rights opponents want abortion coverage excluded from the package, while abortion-rights advocates say the decision should be left to medical professionals. House committees working on health reform legislation have rejected Republican amendments that would have restricted abortion coverage. The Hyde Amendment, first enacted in 1976, prohibits the use of federal Medicaid money for abortion services. However, abortion-rights opponents argue that federally subsidized coverage of the uninsured would not be subject to the existing restrictions. The National Right to Life Committee issued an analysis of the House bill, stating, "There is no doubt that coverage of abortion will be mandated, unless Congress explicitly excludes abortion from the scope of federal authority to define "essential benefits."" According to the group, even if the HHS secretary did not require abortion coverage, "federal courts would interpret the broadly worded mandatory categories of coverage to include abortion" (New York Times, 7/20).
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What Is Health? What Does Good Health Mean?
The English word "health" comes from the Old English word hale, meaning "wholeness, a being whole, sound or well,". Hale comes from the Proto-Indo-European root kailo, meaning "whole, uninjured, of good omen". Kailo comes from the Proto-Germanic root khalbas, meaning "something divided". Medilexicon"s medical dictionary has three definitions for health, the first being "The state of the organism when it functions optimally without evidence of disease or abnormality" (click here to read the other two).
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Nursing Researcher Works To Reverse Tide Of Childhood Obesity
Nine-year-old Martha sits in front of a poster that depicts a single chocolate chip sitting on top of five pounds of grapes. After several weeks participating in a University of Texas at Austin School of Nursing research program on healthy eating and weight management the message is not lost on her. The chocolate chip has the same amount of fat grams as the grapes.
Mental Health

Time To Consider Expanding Prescribing Rights

Governments and health professionals across Australia need to give full and detailed consideration to granting pharmacists and other non-medial health professionals the right to prescribe medications, the Pharmaceutical Society of Australia says. President of the PSA, Warwick Plunkett, said today that some non-medical health professions have already been granted prescribing rights and it was time that this right was also granted to pharmacists. Mr Plunkett said pharmacists were ideally placed to prescribe because of their detailed knowledge of medications and their face-to-face interaction with consumers. "Pharmacists are guided by the principles of quality use of medicines and securing the optimum health outcomes for consumers and these are fundamental to the guidelines for prescribing," he said. Authorities should also consider extending prescribing nights to other non-medical health professionals but a focused approach was needed in any such decision. "In most cases the process has largely been driven by each health professional group and implemented on an ad hoc basis without the opportunity to consider uniformity, common goals and core principles across all health professions," he said. "It is time to formally consider prescribing by pharmacists and other non-medical health professionals as a major initiative to help facilitate a more efficient and effective health system." But Mr Plunkett said any approval must be based on some solid principles including: - Patient safety and access to high-quality care being of paramount importance in any such initiative - Prescribing rights being granted in a way that helps to enhance timely access to medicines - Prescribing rights being granted in a safe and cost-effective manner for the consumer - Health professionals having a full understanding of, and a commitment to, the principles of the Quality Use of Medicines - Prescribing and dispensing functions being clearly delineated. "The PSA believes such a framework must be focused on consumers and be underpinned by a primary concern for the delivery of safe and high-quality care," Mr Plunkett said. "It must also enhance the timely access to medicines and to maintaining a continuity of care; as well as promoting the quality use of medicines." Pharmaceutical Society of Australia


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