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Preventable Maternal Deaths Should Be Recognized As Women's Rights Violations, Opinion Piece Says
"Human rights organizations around the world are starting to demand that governments recognize preventable maternal death as a violation of women"s rights," Mary Robinson and Alicia Yamin, both advisory council members of the International Initiative on Maternal Mortality and Human Rights, write in a Boston Globe opinion piece. They add that with the "United Nations Human Rights Council"s June session just around the corner, governments have a chance to prove that they value women"s lives by taking concrete action on this issue." According to Robinson and Yamin, "[m]ore than one woman dies every minute from preventable causes in childbirth, and for every woman who dies as many as 30 others are left with lifelong, debilitating complications."They continue, "Moreover, when mothers die, children are at greater risk of dropping out of school, becoming malnourished and simply not surviving," adding, "Not only is maternal mortality and morbidity a global health emergency, but it triggers and aggravates cycles of poverty that cause generations of suffering and despair." The authors write, "Asserting that these preventable deaths are an issue of human rights does not mean that poor governments are going to be blamed for not doing what they cannot do." Instead, "understanding the profound injustice of disparities in maternal deaths makes it all the more urgent that donor states honor their funding commitments and that effective monitoring and accountability mechanisms are put in place to ensure that aid is going to the interventions that evidence has shown will save women"s lives," they add.According to Robinson and Yamin, Secretary of State Hillary Rodham Clinton 14 years ago at the Fourth World Conference on Women, then U.S. first lady, "declared that "women"s rights are human rights."" They add that Clinton recently has "passionately and eloquently affirmed [the Obama] administration"s commitment to women"s reproductive health needs around the world, and the Obama administration has called for increased funding for global health." They conclude, "As a new member of the Human Rights Council, the United States has the chance to lead the way in promoting a woman"s right to go through pregnancy and childbirth in safety and, just as important, to back up that assertion with adequate funding commitments" (Robinson/Yamin, Boston Globe, 6/4).

Doctors Who Care For Very Sick May Benefit From Pay-For-Performance
Physicians who treat patients with multiple health problems will fare well under pay-for-performance, which bases physician reimbursement on the quality of care provided, said researchers at Baylor College of Medicine and the Michael E. DeBakey Veterans Affairs Medical Center in Houston in a report in the current issue of the journal Circulation.
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Endocrinology

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). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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