ID CreatedOn State Q1. High Cost Comment Q2. Community Network Comment Q3. Quality/ Efficiency Q4. End-of-life Comment Q5. Public Policy Comment Q6. Core Benefit Comment Q7. Financing Q8. Additional Comments 20895 6/2/06 3:06 PM KS "I agree 100%. Be careful not to define ""core"" services too narrowly." * I'm a bit leery of this idea. Not sure I trust the appointment process to empanel a group that truly has the public interest at heart.[Truncated] "* ""Very high"" health costs in rural America might seem completely manageable to those on the coasts, where incomes are much higher.[Truncated]" * There would be no need for a so-called safety net if we'd simply establish a tax-funded national health system. I want what Canada has.[Truncated] "* All great ideas, but the best way to cut administrative waste is to eliminate the fractured system that we now have, and provide a comprehensive program funded by progressive taxation.[Truncated]" Very important. "* Employment-based insurance must be replaced by a true national system. The fairest way to fund such a system is via progressive taxes, like the income tax.[Truncated]" "* Too wishy-washy. It's time to get rid of the ""system"" we now have, and establish a national health system funded by a progressive income tax.[Truncated]" 20901 6/2/06 3:45 PM IA * How will we ensure that all persons eligible participate. Will their be a penalty or lack of access for not participating? Some individuals that have lived in a cycle of poverty do not see the need for health insurance or access to care unt[Truncated] "* Please be sure that core health services include preventative care for dental, mental and physical health. With many insurance companies not paying for preventative care, individuals go without and are more often sicker and require more cost[Truncated]" * Many communities have established Community Health Networks which are severely underfunded and are privately funded. Please seek these entities out for federal support prior to reinventing the wheel.[Truncated] 20903 6/2/06 4:11 PM OR "Good. We should implement a single payer system offering universal coverage as soon as possible." "* I'd like to see us rely less on experts and more on common sense. However, triaging health care resources should be done by compassionate providers working within a budget.[Truncated]" "Yes, and it would be great to have such coverage well before 2012." "* Safety net implies that coverage is of a nature of last resort. It may be better to simply cover everyone under an expanded Medicare system, perhaps a Medicare HMO system where wellness and preventitive care is emphasized and encouraged. [Truncated]" "* The current system is inefficient, wasteful, and redundant. Administration of health care services and payments should be simplified and streamlined. The real question regarding a realigned system would be should it primarily be based on c[Truncated]" I support this. "Cut the Gordian knot associated with redundancy in the payment system immediately, if not sooner." 20904 6/2/06 4:12 PM MN * Amercians should have a health care system .... and that is not tied to any specific employer benefit package or geographic location. [Truncated] yes yes yes "yes - get cracking - and add ""elimination of insurance and managed care waste""" yes "* I ranted up above. Thanks for reading it if you did indeed manage to get through it all. If all your efforts result in Health Savings Accounts and more of Medicare being turned over to managed care insurers (at greater cost), I can't say [Truncated]" "* We'll never get universal coverage without cost control. An accurate diagnosis of the high cost of health care can only follow from an examination of BOTH the demand side components (patients) and the the supply side components (insurers [Truncated]" 20908 6/2/06 4:41 PM CO "* I agree with the above statment but I'd like to see a system where if you make less than $50,000 a year, the Federal Govenment should subsidize your health care. My wife makes $11 and hour and through her job minimal heath insurance is fairly[Truncated]" "* The basis sounds great but we all know that ""committiees"" aren't fast acting and those ""professionals"" make so much money they have ""NO IDEA"" how bad it is for us that make low end wages or can't work due to so many medical problems, that no [Truncated]" "* The statement should READ: Coverage for all American citizens, not illegal's in this country. They do not deserve care. We couldn't go to Mexico or a differnt country and ask for medical benifits, they shouldn't be able to either. I'm a Viet-[Truncated]" "* I have ""no problem"" of going to a clinic since I'm too poor to pay for my health insurance. Yes, I know I may not get as good care as the Rich American but ""any level"" of care is a heck of a lot better than ""NONE""! I have Reiter's Syndrome, [Truncated]" "* The problem is that your using health systems that are ""failures"" in their own right!! Medicare, Medicaid, VA, are all mired in a qaqmire of paperwork and red tape. Sorry but unless you ""SCRAP"" these old and damn near usless medical inaties a[Truncated]" "* Yes, agree with all the above, but you have to have a ""very serious"" Arm to ""inforce"" the above parties to conform to these rules. The current ""old folks homes"" should be abolished, they are shameful and very little is enforced rules and regu[Truncated]" "* I hope this can come to be actual but I don't have much faith. The problem is that Doctors are mainly in this to make money and even worse hospitals run by HMO's are totally ""inhumane"" in nature and only care about ""PROFIT"". That's why this s[Truncated]" "* Sorry, if your living with wages below $50,000 a year, you can't afford to give any ""extra"" contributions towards health care. We are only ""one paycheck away"" from living in a Red Cross Shelter, so how in GOD's name are we going to be able to[Truncated]" 20911 6/2/06 5:12 PM CO "* Americans already have adequate access to health care. Choice shouldnot be constrained in any way, but allowed to flourish. More choices, more competition, better prices.[Truncated]" "* This recommendation envisions a panel of ""experts"" to tell Americans what they need and can get. This recommendation would contrain choices, which is totally contrary to what Americans really want. Americans are perfectly capable of making [Truncated]" "* The insurance industry already offers this protection and if anything needs to be changed it is to relieve the private insurance industry from governmental mandates, which only result in higher costs for people.[Truncated]" "* CMS is already moving ahead with changes that would allow more efficiency. This approach looks to bear considerable benefit is just a few years. We do not need another cumbersome bureaucracy, which have been shown to be determinetal to effect[Truncated]" "* Federal programs should be the model for health care provisioning. In fact, eliminating federal mandates would go much further than any such recommended program in offering more choice and lower costs.[Truncated]" "* National level efforts which can offer advice and clarity based on large data bases may be useful, but this is already being worked.[Truncated]" "* These recommendations are by and large an attempt to project a federal solution, funded by public monies, to a delivery system that has been hamstrung by 40 years of excessive federal meddling. A federal health care system is NOT needed.[Truncated]" * This is clearly a recommendation that envisions a publically funded system of health care. I am totally opposed to any system which would replace a private system with a public system. A public system would not benefit Americans in the short [Truncated] 20912 6/2/06 5:24 PM WA * I agree. I think even a plan where each major city or area all joined the same insurance plan as if they were a company would be enough to lower the premiums down so more people could get coverage![Truncated] "* The most troubling part of this (to me) now is geriatric care...everyone is living longer, their problems are more chronic and the system is overwhelmed and too costly for most people to get quality care.[Truncated]" This sounds great but how the heck do you do it? * Sounds wonderful! I would love to work for such a group. As a geriatric mental health provider I see this being an important step to the process![Truncated] Absolutely! More community education is needed in this area. It is accurate that multiple financial resources must be tapped in order to make this possible-- 20918 6/2/06 6:25 PM AZ We need a single payor system based on best medical practice not insurance profits. "This ""core"" service consept seems to set up a tiered health care system which will favor wealthy individuals." Nor should good health care be a monopoly for the insurance industry. * Look to Arizona's AHCCCS model with the state contracting with private providers and having the authority to monitor their performance.[Truncated] "Coordination should be manditory, with more inclusiveness and less ""you pay first,"" and finger pointing" Excellent so long as the patient or their express wishes are in ultimate control of treatment modality. We need a single payor system supported by a progressive tax structure. 20919 6/2/06 6:40 PM CA "* The only way to make this possible at an affordable cost is to create a single-payer model for the nations healthcare, e.g., Medicare for all. [Truncated]" "These benefits, and more, would be possible for less money under a single-payer system such as Medicare for All." "* With everyone in the risk pool together, this recommendation would be a given. That's what a single-payer system, such as Medicare for All, is all about. [Truncated]" "* If everyone is covered with a comprehensive, publicly funded plan such as Medicare for All, ""health care safety nets"" would not be necessary. [Truncated]" "* Make it one system: Medicare for All, and build these recommendations into it. Without losses to private insurance 'administrative costs' there would be enough money for all this and more. [Truncated]" "* A single-payer system such as Medicare for All could provide hospice care as one of the core benefits without paying more than we are paying now for inadequate, private coverage.[Truncated]" * New revenues will not be necessary with a single-payer system such as Medicare for All. Removing private insurance firms from the healthcare system will provide more than enough funds to cover everyone comprehensively. If every other industri[Truncated] 20921 6/2/06 7:27 PM TX "* A single payor system would be infinitely more efficient and less costly than the hodge-podge system we have now, free market notwithstanding. Recommending a mandate of ""coverage for all"" is anemic given the current disjointed, nonstandardize[Truncated]" "* American health policy, such as it is, is terribly dysfunctional when it is not outright nonexistent. We simply don't have coherent, collaborative policy on how to deliver health care as a country. We have left the notion totally to the free [Truncated]" See comment on Recommendation #1. All applies here. 20922 6/2/06 7:38 PM TX "* I attended the session in San Antonio. I believe this recommendation MUST be linked clearly and explicitly to assurances of shared responsibility. This was one of the major points in the session I attended, but isn't given prominence in t[Truncated]" * I'm uncomfortable with the open-ended nature of the wording. Financing strategies must also be economically viable at the national or macro level as well as the individual or micro level. The wording used here implies that healthcare expend[Truncated] 20926 6/2/06 8:45 PM UT "* I agree. I'm an Australian now livi8ng in the U.S., and the Australian system offers both public and private health care choices so that all citizens are covered. Contrary to what I hear all the time from politicians and people here, no one[Truncated]" Wonderful - mental health is actually included! * I agree - the U.S. is the only developed country in the world where people have to choose between bankruptcy and their health (even dying!). This is criminal.[Truncated] "* One of the areas that is blatantly out of control in health care costs is the massive salaries paid to upper management of both hospitals and insurance companies. That's why the cost of hospital stays, procedures etc. are so much more expens[Truncated]" "* My father had Parkinson's disease, and as he progressed further into the disease, day-care, respite care, and home health services were available to help my mother , his care-giver. These services were covered by the Medicare funds available[Truncated]" "* Again, check out the Australian system. It isn't perfect by any means, but is a working system that supports all Australians. [Truncated]" * I would suggest you look into how it's financed in Australia now. when I lived there each person paid about 1-2% of their wages towards a state supervised health insurance company. And yet the overall taxes paid were about the same as here.[Truncated] 20927 6/2/06 8:46 PM WA I fully support this recommendation and cannot state it better. I fully support this recommendation. I agree with this recommendation. I agree with this recommendation. "* This is a tough one. I agree with the one sentence recommendation. How best to do that is the hard part. I'm not sure that expanding existing programs that, at times, do not provide high quality care such as the VHA is the answer. Perhaps[Truncated]" I agree with this recommendation. "* I strongly believe that the only way we will achieve an affordable, quality universal health care system is to completely revamp our current delivery system or to put bullet proof governmental controls in place to monitor and regulate private[Truncated]" "* I generally agree with this statement. However, I take issue with the statement that ""the transition from the current system to a system that includes all Americans will take time."" Though it will take time, if that is the initial expectati[Truncated]" 20929 6/2/06 9:00 PM CA Why can't we have the same health care plan as members of Congress? 20931 6/2/06 9:19 PM OR "* You have to finance this for everyone. Business will walk away from coverage for ""core"" services and perhaps pay modest amounts for coverage beyond ""core"".[Truncated]" "* Since the health care system generates the greatest profit from the most technologically advanced proceedures, there will be significant push to shift financial resources to those proceedures rather than ""core"" services.[Truncated]" "Will you cover catastrophic costs that are outside ""core"" services?" "* With universal coverage and proper funding there should be no need for a ""safety net"". Other industrialized countries do not have need for such a ""net"".[Truncated]" "Unless you regulate costs, the demand for funding will be unlimited." 20933 6/2/06 10:13 PM IN "* Sounds very good, especially the part about financing strategies being ""based on principles of fairness, efficiency, and shared responsibility...""[Truncated]" "* Abosolutely. More emphasis on wellness and preventive health in core health services would make this recommendation better, though, in my opinion.[Truncated]" Great. How about community mental health networks? "Again, this needs to be expanded to include mental health care, as well, in my opinion." "Again, mental health care resources are essential to incorporate in this process as well." "* As a Child Clinical Psychologist, I was hoping that mental health concerns would be better represented in these recommendations. Managed care has had a markedly detrimental effect on both the providers' abilities to deliver quality services,[Truncated]" see above 20934 6/2/06 10:35 PM DE "Agreed, you took the thoughts from my many rampages concerning our health care system." "* I agree with the concept but I am very concerned about what the core benefits will contain and that they are applied equally to every individual. Most individuals inherit their genes/diseases (uniqueness), will they be covered in the core be[Truncated]" "Agreed, you took the thoughts from my many rampages concerning our health care system." "Not sure about this one, lately the federal government seems to screw up everything so I am not sure about this one." See financing which will also help improve quality/efficiency Sounds like a core benefit to me * There does not seem to be a priority here. This needs to be top priority for everyone including every individual. Let's wake up America!! If we can go to war in 6 months we can certainly cleanup the healthcare mess in less than 6 years.[Truncated] * There is a lot of waist and middlemen in the current system which is where a lot of the revenues end up. Eliminate the waist and middlemen and I believe you have lots of new revenue.[Truncated] 20936 6/2/06 10:42 PM OH I strongly agree with this recommendation. Emphasize should be put on healthy life styles and preventive services. See comment on first recommendation. I support this recommendation. I agree with this recommendation. "Sensitivity to the individual's physical, mental & spiritual needs needs to be applied at all times." "* The ""poor"" are sometimes enabled in their lazy habits because tax payers pick up their expenses, while the hard working middle have a difficult time makeing ends meet because their tax burden is too great. Those who receive subsidies should m[Truncated]" 20938 6/2/06 11:01 PM WA "It is OK to require everyone to be insured, it is wrong to force free citizens into a single, government run program." * Create a very small core benfit package that superceeds the state requirements that are often full of unnecessary mandates like chiropractic care or birth control pills. Pare it down to the very essentials. This will lower costs for everyone.[Truncated] "* Wrong to make one national program and force everyone into it. Require everyone to be insured with the smallest minimum core package which protects against catastrophic events, but again, let the free market guide consumers to purchase what t[Truncated]" * A good idea to have a national safety net for the poor who can receive care in this system. People who want more can opt out with minimal financial penalty and get better care and more services if they choose in a free market system. [Truncated] "* Strongly disagree with the ""big brother"" approach. The error you are making is to think there is a ""bright line"" test of evidence based medicine. One day, there is no data, the next, it is evidence based, and the next day, a new study comes o[Truncated]" "* Now the government is going to decide the criteria by which I am incurable and withold care and send me to hospice? I don't feel the government should have that job, ""expert"" panel notwithstanding. Maybe in the minimal ""core benfit"" package, [Truncated]" "* This ""Hillary Clinton"" approach is scary. I beg you to create a system where individual, free Americans can opt out of what you would force on all our citizens. People should be able to freely get the care they want from a willing provider, o[Truncated]" "* Public financing only for low income persons. Otherwise, people should be required to buy insurance with their own money and make their own independent, free market choices. [Truncated]" 20941 6/3/06 12:14 AM CO "* Universal comprehensive health care for everyone living in our country, from birth to death would be affordable if everyone is in a single risk pool, such as a national health insurance plan with ""Everybody in, nobody out"". Simplicity, reduce[Truncated]" "* This recommendation is well stated. Please add to the list of core benefits the following: emergency transportation, hospitalization, surgery, and specialty consultations recommended and arranged by the primary care physician. I presume you[Truncated]" * Financial protection against very high mwdical costs should be for everyone. Medical bills are the leading cause of personal bankruptcy in the U.S. and a majority of these individuals were working full time and many of them even had insuranc[Truncated] "* Very good idea. But if we have a universal health plan with national single payer health insurance for all, the community clinics, hospitals and physicians in private would all be promptly reimbursed according to a standard fee for the servi[Truncated]" "* This is very good. Colorado Kaiser-Permanente is already doing this evidence based medicine quality control through their new electronic medical records with a segment for patient education, instructions and follow-up.[Truncated]" "* This is excellent. Most countries with universal health care include long term care and end of life care in core benefits. Many countries provide a choice of home care, community residential facilities, or institutional care. [Truncated]" "* I am a retired physician who has visited six different countries over the past eight years, spending a week in each country learning how each country finances, delivers and administers universal health care. Each is unique with strengths and[Truncated]" * All of the developed nations with universal health care use graduated income taxes as their primary funding source; some countries also have employer taxes based upon payroll or based upon profits. In our country more than half the health ca[Truncated] 20942 6/3/06 12:58 AM CA "* Without a definition of ""core benefits"", extend the benefits to include medical care that is needed and that will benefit the patient. Restrictions on this should be determined by an ethics panel that meets in open hearings.[Truncated]" * All licensed or certified providers are guided by their profession in the care they provide. Care that meets a medical need should be the criteria for inclusion in the benefits package.[Truncated] * All residents should pay into the system through an open and equitable system during their years of earnings and productivity. At any time they are not productive or earning they would not pay into the system. Co-pays and deductibles would [Truncated] "* First, guarantee Choice of provider. Community health networks should be maintained as long as they are the chosen provider. With guaranteed payment however, a variety of health delivery practices could flourish from the rich entreprenurial [Truncated]" "Again, I would add invest in a culture of excellence throughout the entire system. Staffing, training, respect, recognition." "* Lifelong health and disease education,an inevitable growth in the committment to the common good, along with a culture of respect for providers and for individuals and families living with disease hopefully will guide the components of the go[Truncated]" "* I am impressed with the depth of knowledge and committment you have shown in this work. However, I think you have held back your best, I hope someday that won't be necessary.[Truncated]" "* Include control or elimination of costly and wastefull systems and practices. Demand and support a culture of excellence with training, systems for feedback significant rewards other than wages and trips to the Bahamas. Rewards that are in [Truncated]" 20944 6/3/06 3:50 AM NM "* I took part in the Albuquerque, NM ""forum"" that purportedly was to represent all facets of our diverse population. Instead, it was biased in all the questions and methods to encite the most radical (and unexecutable) emotional opinions. The[Truncated]" "* No reality was ever dealt with by the group. Their definition of ""core"" was the highest quality, offered at 100% of all outlets in the U.S., at little to no cost. Little wonder that this supposedly ""democratic"" working group did not include[Truncated]" Completely out of all concept of any reality. There is no such thing as high quality with complete price protection. "* This is a lot of words with no meaning behind them. There are already several networks, support, and coordination happening. This is a bunch of bureaucrats who are apparently convinced that this is hyper-democracy. Who in the world is payi[Truncated]" "* All of these things are currently in place. Reduce fraud? Well, duh. What do all the insurance underwriters do all day? ""Integrate health care systems"". Oh! News flash! ALL of these really brilliant suggestions have been around for dec[Truncated]" "* Really need to toss out this study: it was promoted to the lunatic fringe, and conducted to produce extreme, emotionally-based adolescent-level ""recommendations"". No M.D., scientist, or researcher would be very motivated to do their best if[Truncated]" "* The seminar was overwhelmingly made up of people who demanded that ""others"" pay for all the highest quality health care. There was no reality brought into the discussion on financial planning or personal responsibility. This ""study"" does NO[Truncated]" 20945 6/3/06 7:51 AM GA "* I agree, especially that health care services should include expert dental care. That care should also include flexibility for those sensitive to mercury and novacaine. Low income individuals need access to dental and vision care NOW and that[Truncated]" 20946 6/3/06 8:45 AM FL "* First, we need to define what is meant by ""all Americans"". Are we including illegal aliens? At what point do legal immigrants become a part of the system? Second, are we intending to scale coverage costs based on family income so as to not ""[Truncated]" "* Not sure what is meany by ""and staffed by experts"". Please be sure to include clinical nurses on this panel, as well as naturalpaths, osteopaths etc. Not the wisest path to rely strictly on MD's, who have the most to gain financially[Truncated]" "We need to define ""impoverishment""." "* We need regionsl pt. data base for ER's, with the aim of improving individual pt. safety when pt's are treated in hospitals they don't normally go to, and to prevent ER shopping for prescription drug abuse.[Truncated]" "* Applies to the entire system, not just palliative care etc. The Public Utility model is an excellent refernce model for how we need to restructure the system.[Truncated]" "* A junk food tax needs to be implemented. As the leading cause of morbidity in the U.S., obesity needs to be addressed, and this ""sin tax"" will contribute a huge amount of revenue. We have more than enough nutritional information now to design[Truncated]" 20951 6/3/06 12:04 PM TX "* Would you like to comment on WHERE the extra funding is going to come from? I'm like millions of Americans who can barely make ends meet now! Gas, Utilities, Taxes, Inflation, get the picture? I'm also chronically ill and unable to work so[Truncated]" 20952 6/3/06 12:13 PM NY "* I agree, and I would like to point out that there is a difference between providing insurance and providing access. Some types of health insurance have limits or exclusions which are unacceptable. The concept of access i.e. actually receivi[Truncated]" "* I assume that the separate use of the words ""high cost"" and ""core"" point to two separate benefit packages. If my interpretation of this is correct, I assume the ""core"" package would be available to all. Who would be eligible for the ""high c[Truncated]" I agree. "* The challenge with quality improvement, is motivating practitioners to integrate best practices into their everyday activities. Technology, information etc are great but they can go only so far.[Truncated]" * I noticed that the idea of single-payer systems was not explicitly mentioned. There are some fundamental issues regarding the policies and operating procedures of the private health insurance industry which makes the attainment of some of th[Truncated] It is a good beginning. 20953 6/3/06 1:19 PM FL * Absolutely agree. I work in a hospital where there are many patients who do not meet medicaid/ medicare financial rules yet do not have private insurance and do not have the personal money to pay for a hospitalization or preventative medicine[Truncated] Yes "* Yes- BUT WHAT about illegals? The reality is they are here and they do get sick. Once again, the hospital where the illegal steps into for emergency care and now requires a 2 week to 2 month stay, the hospital has to pick up the cost yet t[Truncated]" "* Advanced Registered Nurse Practitioners need to be a predominate health care provider in MOST preventative, community supported, primary care programs. The doctors do not want to lose market share so they keep lobbying for limited practice r[Truncated]" * Mental Health matters!! Where is the coverage expansion for mental health. Look at our prisons. They are full of persons with mental health conditions who without the proper mental health support became a burder to society by practicing il[Truncated] "* Yes we need to finance health care, education and defense in this country. Cut the bull out of the budget... spotted owl, farmer substidies, library, culture. We must get to basic and life sustaining support ONLY of health, education and ho[Truncated]" 20956 6/3/06 3:35 PM CO "* Access to health care, while important, is less important than public policy that eliminates known disease generating foods, water additives, drugs, and environmental pollutants from our lives. Address the causative agent, the financing beco[Truncated]" "* Establish a ""core health care allowance"" for each american, regardless of income, that the citizen (or the legal gaurdian) can spend as necessary at his/her own discretion, for specified health care procedures. Include dental procedures, and [Truncated]" "* Above the core amount (mentioned above), establish a co-pay based upon ability to pay with a sliding scale ceiling, above which the govt picks up the full tab and determines the type and scope of treatment.[Truncated]" "Manage the causative factors, distribute funds as described above, let the marketplace take care of the rest." The federal govt is famously inept at providing health care. Minimise federal supervision of everything possible. "* Sounds utopian ... means, someone other than the family will tell a person that it is time to die, and prevent other measures, even if those might prove to be cost effective and beneficial. I oppose federal intervention at this point.[Truncated]" "* Our present state of ill health, nationally, is the result of bad policy at the FDA, and an incredibly corrupt medical/drug cartel system. By simply breaking up the fda into different agency (s), removing all economic incentives for the fda [Truncated]" "* Financing such a program, without devestating the economy, will require re-purposing existing revenue streams, not increasing taxes. Choices must be made involving the reduction of other programs. It is not practical to simply force all ameri[Truncated]" 20959 6/3/06 6:22 PM OH "All for all means all...not 99%. Access means affordable, available, accepting, accessible, etc. not just insured." "* What is left out here is healthy communities. For example, clean air and water, public safety ( seat belts, smoking bans), health and sex education, recess at schools, available healthy foods, exercise and substance abuse. Where does these c[Truncated]" * People do not go to doctors for fun. There should be no significant financial barriers (co-pays) to care especially at the primary care level.[Truncated] * Again the areas with vulnerable populations are often those where the public health aspects of health can make the largest difference. See comment under #2.[Truncated] * Certainly the federal programs can lead the way on the above needed efforts but they are needed across the entire system so lets have an improved Medicare for all of usnot just those over 65.[Truncated] * Does this topic include long term care and nursing homes etc. The Europeans have a much more enlightrened and family freindly system for long term care and we need to go to school on some their best ideas and import them.[Truncated] "* Market forces cannot work, the proven alternative is a tax financed universal health insurance system. It may seem counter-intuitive that a tax financed universal health insurance program that covers everyone could be less expensive than a h[Truncated]" "* We already spend twice as much as nations who provide better care to all. We do not need more money, we need to eliminate the wasteful insurance and billing bureaucracy. Multiple studies confirm we can have universal high quality care for e[Truncated]" 20960 6/3/06 8:50 PM OH "* I believe it should be policy that all Americans hace afforsable health care. Americans should have a health care system where everyone participates, regardless of their financial resources or health status, with benefits that are sufficientl[Truncated]" * I believe in core benifit package for all Americans beginning with education and health prevention with incentives to practice both of these programs.[Truncated] I agree with all of the recommendations for #3 I think it is important that all Americans have a right to choose there on doctor. I agree I agree. * There must be health wellness education program starting at pre- school age all the way through college age. There should also be incentive for people who workout and eat right. [Truncated] * My health care costs keep rising now and there doesn't seem any end in sight. As long as everyone paid there fair share I would not mind paying a little extra. I do believe that there should be some type of incentive for people who practice h[Truncated] 20961 6/3/06 8:55 PM MI "* Health care security will NOT be dependent upon ""new revenues,"" and the transition to a national health plan can be accomplished-- almost immediately. MEDICARE is already in place and can become universal by a simple act of Congress. The hi[Truncated]" 20962 6/3/06 9:04 PM FL * I believe that a point should be made to include and mention explicitly the groups that are suffering the in the health care divide like low income families and the middle class whom seem to be carrying the burden of those who cannot carry it[Truncated] Excellent Recommendation! "* Agree, but again I emphasize the fact that the middle class has seemed to carry the burden of the current and future health care costs. By doing so these has been a lapse in care for those Americans that carry such burdens. For example dental[Truncated]" Good synopsis of what measures need to be taken. * Good Recommendation but as a future physician I beleive that the power a physician has in determing and prescribing the proper diagnosis and medication should never be questioned on the basis of costs. I believe that as the health system impr[Truncated] * This aspect of health care is once that I beleive is in so much need of reform. The current structure care for the elderly leaves most without the appropriate care that is necessary and complete liquidation of all there assets. There must be [Truncated] * I took the time to do this because I truly beleive that one day we need we will arrive at a solution to the current health care scenario. But most importantly through our attempts at reform and future endeavor towards improvement that we reme[Truncated] * Definitely a transition is required to move our current day health care system to one that employs efficiency and shared responsibility. The transition should employ means that inform the public and consider the public as an informed individu[Truncated] 20963 6/3/06 9:15 PM CA * It should be public policy that health care is a right in the United States and that it is affordable and easily accessible. Health care deivery should be determined on the basis of need by the provider not by a third party[Truncated] "* A benefit package should include the necessary services that are prescribed by one's provider and added to that mental health, dental care, vision care, prescription drugs through bulk purchasing and negotiated rates. The benefits should inc[Truncated]" "* High costs should be controlled. A financial system that eliminates unnecessary administrative costs, and is a system that has oversight will considerably control costs. If we have one system in place than there will be oversight to ensure t[Truncated]" * Support a system that looks at the needs of communities to ensure that care is not lacking. Place faciities where they are needed. But all this is to be funded through the one single payer system-lets not have a two-tiered system -one for th[Truncated] * I'm glad this issue is being taken up. But don't lose the fact that what is being advocated now will only diminish the health care coverage that will be in place. Health Savings Accounts will be appealing to employers and will be a disaster f[Truncated] "* As health care costs will continue to rise this will lead to less coverage for many people, particularly those who may need it the most. We need to provide an equitable financing system that puts the most dollars possible into health care co[Truncated]" 20964 6/3/06 10:46 PM IA "* Use the VA as a model: Use formularies, where medications are made available based on their efficacy and cost. (Meaning the cheaper, older drug that works for most people is tried first). I think the VA system does a fairly good job of all[Truncated]" "* No organization that has a vested monetary interest (ie conflict of interest) in this discussion should be allowed to direct health care reform--that is why we have such a patch-work, broken system now.[Truncated]" "* We need a single-payer system organized around a core group of benefits. It is the only way to eliminate a hugely expensive, burdensome and inefficient bureacracy. Eliminating much of the bureacracy is what will free up money for real servi[Truncated]" 20966 6/3/06 11:47 PM CO "* America has many people who are sick and cannot work. Many of them would be healthy and working, if they had been diagnosed earlier. IF they had health insurance. Our current system is barbaric and inefficient. We can do better! Let's cover e[Truncated]" * What is this 'principle of fairness...'? Health insurance should be provided by the fed gov't. They should pay for it out of our general funds. I don't mind paying higher taxes if we get better services.[Truncated] 20967 6/3/06 11:51 PM CA "* Social insurance principles and financing structures should be studied as best practices to get from here to there. There are sound, tested and sustainable. The single biggest issue with going forward is replacing today's version of health[Truncated]" 20968 6/4/06 12:01 AM NY "* People wwho need financial assistance, as well as those who have a great deal of money should both be entitled to healthcare:[Truncated]" "* Please be more specific: A certain group out of the population, a process of what, and core benefits should take into account, not necessarily an expert consensus, based on effective medical treatment:[Truncated]" "* All Americans should be covered, but not necessarily out of their own pockets, unless an individual or family has a very low income:The insurance companies have to pay for that: Why don't you guys take that into consideration[Truncated]" "* The federal government has to support the health care safety net: At the same time,has to evaluate ts performance on a yearly basis:[Truncated]" "* The federal Government has to expand its public programs,promote them, and implement technology that will train hospital and clinic staff:[Truncated]" "* Palliative care has to be financed, so that people living with advanced incurable conditions, as well as hospice care can get the increased access and assistance that they need:[Truncated]" "* I think that healthcare professionals should be trained and paid better, and there should be clearer communication between them, as well as better and more efficient support services, especially in hospitals:[Truncated]" "* Financing strategies should be fair, and should be based on someone's Income taxes:A great deal of money is indeed necessary during the move to universal coverage:[Truncated]" 20971 6/4/06 9:37 AM CO "* Hopefully core services will be expansive to include recommended surgery and follow-up. For example, medicare will pay for a gyn exam every 2 years, when in fact cancer survivors need the exam annually. Mental health components should includ[Truncated]" "* Applaud the inclusion of physical, mental and dental health. Curious about the breakdown of these services and that they are universally inclusive. Suggest inclusion of more wellness / prevention usage of proven herbal and natural medicines.[Truncated]" * This one is very challenging but I do agree that everyone should be covered. Certainly the prevalence of emergency room care would decrease.[Truncated] * Often it appears that health centers are stigmatized as providing poor medical services. These locations are often over crowded and the medical personnel are not as experienced as more reputable hospitals.[Truncated] * All medical personnel need to be trained in patient care and how to provide education. Would suggest a minimum length of time for patient to be seen as medical providers often appear in a rush and do not field questions. Important to take a[Truncated] * Integrating the spiritual (not religion) into end of life care. Establishing a philosophy that maintains that death is a natural course of living and thus one should not be traumatized by the knowledge of passing on. Additional research into[Truncated] * Very pleased that so much involvement was elicited. It appears that health care is one subject that has prompted Americans from all walks of life to participate in discussions. Would suggest research on established medical care delivery in o[Truncated] * Perhaps some military dollars could be re-allocated for health care financing. Also the pharmaceutical companies may be taxed to give back to the community. After all many drug research grants are government based.[Truncated] 20972 6/4/06 9:38 AM TN "Everyone should pay. It must be mandatory in the form of withholding payments such as social security, taxes,medicare,etc.." * Choice of health care provider is vital. All doctors and hospitals are not created equal. Freedom of choice is inherent to the American way and this must not be forgotten.[Truncated] "* Payment mandatory guidelines will help prevent this as well as limiting the expensive ""end of life"" costs incurred in the last 6 mos. of ones life. Stop senseless spending on terminally ill patients but keep them comfortable and cared for by[Truncated]" * We don't need another lengthy cumberson plan. Just use the present medicare system which has many of the bugs already worked out of it. Don't create another beaurocracy.[Truncated] "* We don't need a group or list of programs, we need one integrated program such as Medicare which has proven itself and can not be debated as to its efficiency, costs, functionality and proven past.[Truncated]" Already covered. "* Choice of care provider is vital to the American way. The present Medicare plan is already established, proven, and has quality and costs controls. It is vital that all participate in the payment of cost as well as the benefits. We don't ne[Truncated]" * No plan is practical with out controls on costs. I suggest using medicare payment guidelines and maybe uping them 10-20%. No plan can be designed that will work without addressing the high cost of medical malpractice litigation and placing [Truncated] 20974 6/4/06 10:27 AM TX We need to show the final goal as unlimited universal healtcare for all Americans. 20979 6/4/06 1:53 PM TN "* I participated in the session held in Memphis, TN. I think the message that the other participants and I wanted to get across was very simple: We want a single payer healthcare plan that will cover every citizen of the US. Period. Socializ[Truncated]" 20982 6/4/06 3:55 PM FL * This is in keeping with the United Nations Declaration on Human Rights that says access to health care should be available to all people on earth.[Truncated] * We had a Community Dialgue on our healthcare future in St. Petersburg that had universal access to affordable health care as the number one value of the 35 persons who participated. [Truncated] 20983 6/4/06 4:02 PM WA I agree with this recommendation I agree. "* I agree but this could be done most efficiently by expanding and improving the current programs (Medicare, VA, public health and armed servies care so that everyone is covered. You don't have to reinvent the wheel just allow people to pay in[Truncated]" I agree/ "Yes, let us all have the choice of enrolling in these not-for-profit health care systems." No comment * I am a nurse with 44 years of experience in public and private hospitals and clinics. Twenty one of those years I have been a prescribing nurse practitioner with prescriptive authority. The private insurance system we have now has failed to[Truncated] "* I think you missed the point here. The key concept should be that we get rid of ""profit"" parts of our current health care system. In other words, for profit health insurance corporations, pharmaceutical corporations, hospitals and clinics. [Truncated]" 20985 6/4/06 5:41 PM RI "* This plan doesn't go far enough, and therefore is inherently unjust; all Americans should have access to the same set of core health care services FOR FREE at the point of care. There should be no humiliating means-testing or point-of-care p[Truncated]" * What is the need for a 'private-public group' to establish this? Is there any purpose to it beyond satisfying the ideology that private industry must be involved to check the supposed 'excesses' and 'inefficiencies' of government? It's been[Truncated] * There should be no out-of-pocket medical costs (on medically indicated procedures) for anyone. Financing of the health system should take place at the level of progressive income and net-worth taxation; this ensures just distribution of cost[Truncated] "* A tax-funded, universal, single-payer health system that is free at the point of care is not only the best and fairest way to provide Americans with the basic human right of health care. It is also the most efficient. Eliminating the parasi[Truncated]" "* Beware of interpreting people's willingness 'to make additional financial investments' to support increased 'consumer-directed healthcare', which is really just code for increased patient cost-sharing. People want to see more of their taxes [Truncated]" 20986 6/4/06 6:43 PM CA "* Absolutely! The percentages of Americans who agree with this, as I read your report, are overwhelming and gratifying. Every one of us deserves basic health care.[Truncated]" "* A core benefit package should cover: 1. Regular physical exams, lab work, and medications. 2. Basic care for illness by the practitioner of the individual's choice--in other words if I prefer to see an acupuncturist for my upper respiratory[Truncated]" "* I agree wholeheartedly. It is insane for people to have to lose their homes or have to go into bankruptcy because of medical costs. Currently, a huge percentage of those declaring bankruptcy have medical insurance and are then faced with medi[Truncated]" "I support these. I especially support one of the ideas that I read of: having community clinics, e.g. near major supermarkets." "* These must include access to complementary and alternative care. If there is not current evidence, there should be support for mounting clinical trials to ascertain efficacy. However, even then, people must have the ability to go for the ther[Truncated]" "* Included here must be a redefining of when an individual is eligible for hospice services. Currently a person must be determined to be likely to die within 6 months, and must give up any treatment that is intended to cure. So someone who has [Truncated]" "* Opening up enrollment in currently existing national plans makes sense. They are already functioning, they are more cost-effective than private for-profit plans, and I believe that we all should have that as one current choice. Ultimately, ho[Truncated]" "* I agree with those who say that there is already more than enough money in the health care system to cover basic and catastrophic services for all Americans. We must have innovative ways of redefining where that money has been coming from, an[Truncated]" 20987 6/4/06 8:44 PM IL Good. "* There are several things that would reduce the cost of prescription drugs. (1) Give the program to Medicare to administer (or succeeding agenct), (2) Allow Medicare to negotiate prices just as the VA does, (=3) allow bulk shipments across n[Truncated]" "* One payer - the Federal Government must cover most of the cost. Except for the really poor, everyone should pay a surcharge and a share of the cost of service, unless they purchase medical insurance such as Blue Cross/Blue Shield. People ar[Truncated]" 20988 6/4/06 10:24 PM PA "* I would reword as follows: It should be public policy that all Americans have access to high quality, comprehensive, easy-to-navigate, and affordable health care. [Truncated]" "* Everyone should have access to the same level of comprehensive, high quality care to avoid inequities that exist in our current system.[Truncated]" A single-payer system would include full coverage for catastrophic care. "* Under a single-payer system, everyone would have the opportunity to chose any provider, eliminating a multi-tier system of care and diminishing inequities. [Truncated]" Quality of care needs to be a focus of a single-payer system. "Improvement of palliative care, hospice care, and other end-of-life services should be a goal." "* Equity is key and can only be achieved through a single-payer system that provides high quality, comprehensive, easy-to-navigate, and affordable health care for all.[Truncated]" * Financing health care that works for all Americans would be best met through a single-payer system that includes negotiating for lower drug prices with the pharmaceutical companies.[Truncated] 20990 6/5/06 12:11 AM MA "* I agree with this policy. I assume you have read the Institute of Medicine's publication Insuring America's Health. They have outlined five principles for reform of the health care system. 1. It must be universal 2. It must provide cont[Truncated]" "* I agree with the recommendation. You realize, I'm sure, that you can not be sure that the insurance industry will be able to offer a comprehensive ""core"" benefit package because they will say it is too expensive and therefore it will not be [Truncated]" * This recommendation sounds like a re-insurance program where the government would agree to cover very high medical costs. This would be great for the insurance industry because they could pawn off high costs to the government and take in mon[Truncated] * I am not sure where the idea of an integrated public-private community network comes from. I didn't see great support for this on the questionnaire. But it is clear that public-private networks won't work! The incentive for public health c[Truncated] "* I agree with the recommendations. I hear the VA has a very successful program using new technologies. However, if we continue with the fragmented public-private system we have now it will be impossible to fully integrate all the systems as [Truncated]" * Public and private payers will not integrate well as described in ny resopnse to recommendation 4. A National Health Plan is the best way to promote the above recommendations. Again I feel that the authors of these recommendations are biase[Truncated] "* I am a physician and I have seen how the insurance industry has time after time made policies that attract healthy people and discourage sick people. They find ways to deny claims, deny authorization for legitimate treatments or tests, and a[Truncated]" "* I disagree that no specific health care financing model is optimal. Although you could say no financing model is perfect, a government-run single payer system is clearly optimal. The problem with our present system is that it is fragmented [Truncated]" 20991 6/5/06 2:04 AM CA "Everyone deserves quality health care. If those who can't afford it, there should be programs for them." I agree. Great idea! This is excellent This is excellent. * The financing part will have to be smooth and what about the needy and the elderly. I hope that there will be programs in place for them. [Truncated] 20992 6/5/06 6:32 AM MN "* I agree that Universal equal access for all is essential. However, if you focus on a means test and on some 'core' set of benifits, I believe you will not achieve it and whatever is created will be even more complex and expensive than what w[Truncated]" I doubt the time involved in this and the expense of enforcing it will save money or increase quality. What does Canada do? * The answer is simple if you take away the power issues of money and politics concerning the influence of the insurance companies and drug companies on our elected officials. Single payer and universal coverage combined will accomplish your g[Truncated] "* This is an unecessary, expensive, complex solution. We need to just treat all citizens the same; not create a more complex system for the poor. In Medicare (if funded to cover all care) the rich and the poor get access and coverage equally.[Truncated]" There is no evidence that any of this will actually save money or increase quality in affordable ways. * I agree with this and with anything that stops the waste and pain our current system creates during end of life illness for the patient and the family.[Truncated] "* Read the book - ""The Health Care Mess"" by Kip Sullivan -- Authorhouse.com http://www.authorhouse.com/BookStore/ItemDetail~bookid~32672.aspx[Truncated]" * We need to focus on a Single Payer model if we are to truely accomplish the savings needed to cover all citizens. The efficiencies you mention will not save much if we continue to have the administrative structures at all levels of the syste[Truncated] 20993 6/5/06 7:05 AM FL * Public health systems must be fully integrated with community health networks and address disparities of health outcomes and a full variety of vulnerable populations[Truncated] * Integrated health care systems built around evidence based practices require access to electronic health records for all and regional health information organizations. At least 2% of all health care dollars should be devoted to these efforts [Truncated] * All adult citizens should have opportunities to stiuplate end of life care. This should be routinized through driver's license applicatons as is the case for current organ donor systems[Truncated] 20994 6/5/06 8:14 AM NH "* Financing should also take into consideration providing living wage salaries to the people who form the foundation of our health care system: the low-paid LNA, dietary staff, etc. LNA's (and in home care, home makers) provide 8 out of every 1[Truncated]" 20995 6/5/06 8:27 AM IN Please do not initiate additional taxes to pay for this. 20996 6/5/06 8:35 AM MA I agree with this adn want to be sure it includes prescription drugs and ldental and.ong-term care These core services seem adequate. "* This is a protection that we all need, and will be affordable for our nation if we don't continue a system that will give insurance companies, hmos and pharmaceutical companies astronomical amounts of money.[Truncated]" This is important. "* This, too, is important but should include prudence in the use of expensive and often unnecessary expensive tests and screeninsg.Somewhere the question of the risks of suits and high damages that physians undergo must be addressed. This might[Truncated]" * THis is good as far as it goes. It is also important to ensre home care when feasible. This is better for patents adn less expensive than institutional care.[Truncated] * It is appaling that our nation falls so far behind other western nations in the quality of health enjoyed by our people and so far ahead in infant mortality and cost of health care. It is past time we stopped kowtowing to the insurance compan[Truncated] "* A single-payer system that would eliminate the excessively high costs of a multiplicity of insurance companies and hmos IS needed. That improvement, plus the money currently spent by governments on health care plus a samll (perhaps 3%) tax on[Truncated]" 20998 6/5/06 9:10 AM MI Couldn't agree more. "Absolutely. Smart people, using evidenced-based science to determine the core, comprehensive benefit 'package'." See comments to recommendation 1. Mainstream funding and the need for much of this goes away. * This is a very important undertaking and long overdue as a nation. As a Physician I have long been frustrated and embarrassed by our unfair and cruel health care system. Please be couragous and advocate for true reform.[Truncated] "* Your last paragraph, I believe, fails to acknowledge the facts in the literature. Clearly a single-payer system will be necessary to acheive the savings we need to cover all of us comprehensively. I aplaud that you indicate that we should h[Truncated]" 21000 6/5/06 9:40 AM NC "* Complete agreement with the goal. Still feel that the recommedations are missing the responsibility that Americans have to take care of themselves. If a person choses an unhealthly lifestyly (overweight, no exercise, smoking, etc.) they nee[Truncated]" * I would like to volunteer for this workgroup. I work in the health plan industry and have information relating to costs of coverage and required vs. desired benefits. Also a strong knowledge base of information around wellness and lifestyle[Truncated] 21001 6/5/06 10:13 AM ND "* I agree, however, it shold be noted that the consuses at the health care forums in ND were that while this should be available, it should not be a government run program.[Truncated]" "* I attended the forum in ND, along with a forum at the mid year NAR meetings, and felt overall that many of the questions were designed in such a way as to elicit a targeted response. In some cases, the questions felt as though there could be[Truncated]" 21002 6/5/06 10:21 AM IN * Financing for health care should be done on a flat tax rate no deductions. Individules pay a percent of their income along with Business paying that same percent before all the tax write offs.[Truncated] 21004 6/5/06 10:56 AM CA "* ""Most"" people at the Los Angeles forum I attended felt that we already spend more per capita than many other developed countries. There has to be a solution that does not require further expense. A single payer system?[Truncated]" 21007 6/5/06 12:25 PM OR I strongly agree. For best cost/benefit I think it should be patterend along the lines of the United Kingdom system. * Separating high cost benefits from core benefits is critical to the affordability of a national health plan. Including mental & dental health is important also.[Truncated] "* Agree strongly. It dangerous to have personal (net) health care costs linked to unrelated uncertainties such as employment, insurance availability, etc. [Truncated]" I agree. "* I agree, with the caveat that this is ""easy to say & hard to do"", and a second caveat that this should be done by the private sector or local communties wherever possible to increase efficiency (something the Federal government is terrible at[Truncated]" "I agree, particularly with the third point." "* Improvements in efficiency are likely to be vastly outweighed by increases in costs (both ""unit"" costs, and volume of needs). A strong focus on delivering lower cost basic health care (like the UK) needs to be part of the financing plan to ma[Truncated]" 21008 6/5/06 12:39 PM AZ "* YES!!! Is there any question that the majority of people want this? Your stats and anecdotal evidence show that this is what America wants and needs, and that the public is realistic in its expectations of health care in America.[Truncated]" "* Evidence-based medicine is good when the end result is kept in mind, that the patient comes first and should not depend on payors for the kind of care they get. Prevention is the key to ""core"" benefits.[Truncated]" * This is a very important recommendation that should not take a back-seat to the other vexing problems addressed in the total recommendations.[Truncated] "* Great ideas are contained in this recommendation. The FQHCs already exist, and this recommendation would be easy to implement in all of its facets.[Truncated]" "* Once again, my comments regarding Recommendation #2 are relevant. This may be the most difficult to accomplish, given the massive bureaucracy involved. Perhaps more localized implementation of the values of this recommendation would be wise i[Truncated]" "* End of life issues must be included, and this recommendation is good. As the boomers age, this will be an even more important recommendation to implement and follow. It is also one of the easily accomplished recommendations.[Truncated]" * I am pleasantly surprised at the quality of this working group document. I didn't expect it to be as comprehensive and insightful as it has turned out. I just hope our congressional leaders will take the bull by the horns and run with it.[Truncated] "* The employer-based system is a thing of the past. We need to move with a public system immediately. A slow transition would be catastrophic. A 5 year plan is reasonable, but we have to start NOW! Once again, the shared responsibility to pay i[Truncated]" 21009 6/5/06 12:44 PM PA "* Core healthcare services need to be clearly defined to include various treatment modalities for substance abuse ( ie : Intensive Inpatient, Outpatient and Methadone Maintance ) . It also needs to be realistic ( such as can not limit the numbe[Truncated]" "* We need science based , not someones idea of morality based , education to avoid transmisson of certain diseases ( ie: HIV , STD ) we also need to begin addressing substance abuse as the public health crisis that it is and stop making people [Truncated]" A well devoloped and comprehensive healthcare system would protect any one person or family from fiancial ruin . This needs to be protected from from political nonsense "alot of the waste in clinical practice is the paperwork , streamline that" keep the politicians out of this one also . Congress should get out of the way and let a person die in peace . I am disappointed by this document "* I participated in the Philadelphia Working Group, there was a strong feeling big bussiness ( ie: WalMart, ExxonMobile ) need to bear a larger burden for financing this system, they make the big bucks they should pay the big bucks and NOT be a[Truncated]" 21012 6/5/06 1:14 PM WV "* yes and no law should be made to exclude only to include members of congress, the president senate, as the exclusion of those who represent us from laws prevents them from understanding what we the people experience and causes them inflect o[Truncated]" "* please include hearing, eye, speech as they are often see as separate coverage by insurance and health care it does me no good as I told my employer if I can chew but not see or hear. i would bewarry of what iscalled scientific serveral resid[Truncated]" * congress president and senate judiciary governmental branches can not be excluded as this leaves preveldge to those that govern and not the the people who they serve.[Truncated] "* small state vs large state and urban vs suburban and rural considerations are a great matter many are affected limited access when specific hospitals are designated centers for stroke, family mebers can;t take time off work required to be pre[Truncated]" * again flat system not basis on service grovernment military or other wise as this creates preveldge classes. if the individual wants to pay more that fine but a basic for all should be established [Truncated] fine again no excluded preveldge class unless pay out their own pocket * you need to make sure congress and government have to participate in the same system designed for the people no preveldge just because you a senator general judge president ect.... you serve the people you get what we get[Truncated] * I do not want any grated system such as the present take system on flat tax or payment system every on pays the same precent of tax for it. politicians to ften make decision pitting interest groups against each other and avoid responsiblity f[Truncated] 21014 6/5/06 1:37 PM SD * Health care provider supply is currently restricted and controlled to insure premium prices for each provider group (especially specialists) You cannot control costs without assuring adequate numbers of providers. [Truncated] * Financial systems for paying health care costs should not support the creation of health disparities like Medicare does. Groups with shorter lifespans don't live long enough to qualify for Medicare benefits. If you look at various ethnic gr[Truncated] 21015 6/5/06 1:43 PM OR "* I would simply prefer that our great nation join the rest of the industrialized world and make it public policy that all Americans have ready access to health care. ""Affordable"" suggests that a for profit, market based system is still in the[Truncated]" "Ultimately we are all part of the ""payers"" group and I suggest having the insurance industry at the table may be problematic." * Coverage for all Americans--great. Financial protections can be assured if a comprhensive system is created that is not dependant on the insurance and for profit industry.[Truncated] "* Let us go further, and state that we will create an infrastructure at all levels that will provide health care to the American people.[Truncated]" That and more are needed. The end of life care is a fundamental part of health care. We will all die and deserve care at all times. "* I have worked as a registered nurse for over 30 years and am convinced that a fundamental overhaul of our health care system is necessary. Let us start with the premise that health is a part of community well being and must be available to a[Truncated]" "* Again, our financing mechanism can be modeled using data for what works for the rest of the industrialized world that has national health care.[Truncated]" 21017 6/5/06 1:50 PM OH It will be a benefit for everyone and the benefits should be made clear through public health studies. Benefits should be dynamic and reflectchanging health patterns and knowledge. Costs must be restudied under new paramenters. "* Free health education for drs, nurses, educators and technicinas would draw more people to the field helping to develop infrastructure and reduce cost.[Truncated]" Good Choice should be an option. Thank you Heroic medicine for neonates and the elderly should be subject to debate and the option of euthanasia explored rationally. 21019 6/5/06 2:07 PM WI " I agree whole heartedly with the ""common message""." * It seems obvious to me that one of the largest problems is having multiple financing sources. The complexity of the current financing system and the costs inherent in this level of complexity have been glossed over in the Health Report and n[Truncated] 21027 6/5/06 3:10 PM MO "* I work at the Missouri Department of Insurance. I deal daily with mandates in Missouri law for what should be covered by health insurance. Many mandates in Missouri law strike me as being public health issues, not ""insurable events"". For e[Truncated]" "* I don't understand why this is here. It seems very out of place compared to the other 5. This is a specific statement on benefits, really. The others are more structural and process oriented. I don't believe multiple choice in end-of-life[Truncated]" Good luck! 21029 6/5/06 3:40 PM CA "I agree that healthcare should be comprehensive, covering the whole spectrum of healthcare." I agree that healthcare should be universal. I dont see how high costs can be contained outside a one payer system. "* A one payer system would be more efficient, less expensive, and allow for negotiating with drug companies and overall planning. Taxes based on ability to pay would be the fairest method.[Truncated]" 21030 6/5/06 3:51 PM KY * It is very important to note that you community health departments serve as a vital link in the community health network. We serve the most vulnerable populations and provide preventative health care services to the highest standards.[Truncated] * Local/community health departments have several federally funded programs that provide services to our most vulnerable populations. They should not be left out of this recommendation.[Truncated] "* Local/Community Health Departments are, in many instances, the only medical services available in many counties in Kentucky. It is very important that they be included in these recommendations to ensure that all of our most vulnerable popula[Truncated]" 21031 6/5/06 3:57 PM IN "* Louis W. Sullivan, MD, Secretary of the US Department of Health and Human Services, wrote the Foreward to the document entitled ""Healthy People 2000"" published by DHHS. Written in 1990, his advice in that Foreward was ahead of its time in de[Truncated]" * Effective treatment for many diseases is currently impossible because the problem is not understood. The recommendations should include a call for more research on diseases whose causes are not understood and for which treatments are still n[Truncated] "* There are not enough resources in the system to pay for all of the care, however it may be delivered, for which there is a need and/or a demand. A recurrent theme in the community session that I attended was the need for prevention as a way[Truncated]" 21032 6/5/06 4:51 PM NM Strongly support it. "* Everyone should have access to the same set of choices/options for the treatment of specific, diagnosed conditions. No one should be denied a certain procedure or alternative treatment because it's ""too expensive,"" unless a certain alternati[Truncated]" Strongly support Strongly support "* It's important to be certain that consumer information and health education materials be written in ""plain language"" so that people with lower literacy skills can also benefit. Consultants or staff specialized in these skills should be utili[Truncated]" "* I'm concerned about the possible ""erosion"" of quality end-of-life services, like hospice, and the ability to be relatively free of pain in one's last days. It seems to me that the effect of such cases as the Schiavo case in Florida, and all [Truncated]" "* I am willing to do ""my part"" in helping to pay for health care coverage for all. However, I expect the wealthy, and the corporations, to do ""their part"", as well.[Truncated]" 21034 6/5/06 4:59 PM MN "* The report makes mention of core services being identified by 2012. Establishing this date (or an earlier date) is an essential element for creating the necessary ""action oriented"" plan that must follow for all this objective to be accomplish[Truncated]" "* The broad categories of the core benefit package seem appropriate. In regards to the bullet point ""Core benefits will be specified by... medical effectiveness of treatments"". I was left to wonder, with what objective this ""consensus"" would[Truncated]" "* I agree entirely with this statement, however, is it acceptable for a ""middle class"" family to be stripped of their income and assets to the point that they require ""... protection for low income individuals and families.""? This is not a t[Truncated]" "Good, I hope we're doing this anyhow." "* I appreciate the efforts of all those involved in the preparation of this report and the opportunity to comment; thank you all and good luck! [Truncated]" "* When discussing ""financial participation"" it should be clear that individuals AS WELL AS all legal entities share in the responsibility for financing a health care system that works. This ""total participation"" is consistent with the spirit of[Truncated]" 21038 6/5/06 5:28 PM NY "I think that there should be much improved pailliative care for people who are dying:" "Yes, A surprisingly high number or per_centage of individuals were covered by their employers: Quite an amazing stat:" 21040 6/5/06 5:37 PM NM "* I would like to add that when we are talking about American citizens, we should includ the people that are paying taxes weather we are us, citizens or not. It is only fair that every one is treated with dignity and respect as a citizen of ou[Truncated]" "* We should have the same benefit, we should not categorize different group of coverage, we should have the same treatment, regardless of color,race,economy.[Truncated]" "* We should have a cost that each citizen could pay depending their income, but their health access should be the same, and equal.[Truncated]" * If we are the country that gives every one an oportunity lext prove it and give every one an opportunity to have a good health care plan that works for all of the people that live in our nation with out excluding anyone. [Truncated] "* Every one should have this financial assistance, we all pay taxes weather we are legaly or not legal. We all pay taxes and should be treated with dignity and respect.[Truncated]" 21042 6/5/06 5:40 PM CO "* Instead, let's have a system where everyone pays. I am tired of deadbeats who want everything for free. Get off your rear end and get a job![Truncated]" Why don't you move to Canada if you think it is so great!!!! Haven't you ever heard of insurance? Let's all be treated like cattle. You think Medicare and Medicaid are a success? * I thought we had a duty to die - and not waste so much in resources on those at the end of their life - wasn't it a democratic governor who said this (Richard Lamm)[Truncated] * Everyone wants something for nothing. Let's get the deadbeats to start paying their fair share and those who don't need to be rationed this valuable resource.[Truncated] "Yes, I am willing to pay an extra $50 per year for unlimited benefits and no waiting list." 21043 6/5/06 5:47 PM NV * Every consumer needs to spend some of their own money for medical care or utilization skyrockets. You are headed the wrong direction - we need to increase out of pocket medical costs and thereby reduce insurance costs. This 100 year history[Truncated] 21045 6/5/06 6:08 PM AZ I agree with this recommendation. The details of imlementation will involve critical issues to be resolved. "* I agree with this recommendation, however the experience in Oregon and in other nations shows how very difficult it is to remove politics from the process of defineing the ""core"" benefitb package. related to the issue of the ""core benefit[Truncated]" "* This is a very good idea. It could be done very simply by requiring all US citizens to enroll in Medicare Part A (hospital coverage) with a $50,000 individual deductible. Employers would only have to cover the first $50,000 of hospital costs [Truncated]" "There are existing programs to accomplish this, but they are underfunded." "There are existing programs to accomplish this, but they are underfunded." "There habe been demonstration programs to accomplish this, but they are underfunded." Hopefully this will n ot be another report that will gather dust on shelves. "* I agree with this recommendation. The details of additional financing strategies should be indicated. A fair mix of enrollee contributions, income taxes, ""sin taxes"" and value-added taxes make sense. In particular, a tax on energy use could r[Truncated]" 21046 6/5/06 6:11 PM MI * Only American citizens and green card holders with a plan in place by 2009 not 2012. It should not take any longer then 2.5 years to put a plan in place. You could use Medicare as a starting point.[Truncated] I agree I agree * All insurance companies should be excluded except Bule Cross of each state. Maybe BCBS could run the new insurance plan in each state with the agreement that they could not exceed 4% adminstrative costs.[Truncated] "* We need one single payer system with all the same benfits reguardless of income level. There should be very tough laws put into place for any doctor, hospital or drug company commiting fraud.[Truncated]" "I agree, except we need a single payer system (federal government), no private payers (insurance companies)." "* As a 12 trillion dollar economy, we have no excuse for not providing a good health care plan for all American Citizens. We should set the model for the world and learn from other health care systems that are already in place. [Truncated]" "* A new single payer health care plan should be funded in the following manner with the cost spread over the entire economy. In additon, the federal government should handle all the paperwork and money (like medicare) on this new plan. Adminstr[Truncated]" 21047 6/5/06 6:15 PM NM "* Financing Strategies: A portion of most taxes, especially income Taxes, sin taxes, and value added taxes should be ""earmarked"" to such a level that it will adequately finance Health Care That Works for All Americans[Truncated]" 21049 6/5/06 6:43 PM NC "* I whole-heartedly support the effort to establish a set of core health benefits. These benefits should provide for necessary life-saving medical care, as the country was founded with the right to ""Life"" as a primary principle in the establis[Truncated]" "Core health services will need to be limited, at least initially so the program is not disruptive to the economy." * Health care costs are the largest cause of bankruptcy. Establishing such a program will eliminate much social effort required to deal with this problem.[Truncated] It sounds complex. We need simplification of programs. Private plans are available for dealing with these issues. I do not support a national plan in this area. * This initiative implies changes in the may basic benefits are financed. Currently these benefits are financed in very complex ways. A simpler financing method can also create greater efficiency. A signicant portion of current financing is d[Truncated] 21050 6/5/06 6:48 PM NH * I am for expanding Medicare to cover everyone. They have the lowest adminstrative costs and would leave out the insurance companies[Truncated] Expanded Medicare Expanded Medicare Expanded Medicare Expanded Medicare Expanded Medicare Expanded Medicare is the cheapest best way. Ask any senior Expanded Medicare 21054 6/5/06 8:03 PM NM * I would like this area to include a statement about Physical and Mental Health care services parity. Core health care services will include mental health and physical health services. [Truncated] 21055 6/5/06 8:11 PM CO "* I find it continually interesting that a very high percentage of recomendations for improving our health care problems are based on a symptomatic approach. If the same percentage of health care was provided with that same approach, our natio[Truncated]" 21057 6/5/06 8:51 PM NY * This all sounds well and good but we need a single payer health care system that is NOT beholden to big insurance business and big pharmacy business interests - those are inevitably corrupt.[Truncated] 21058 6/5/06 8:55 PM CT "* The preamble of Introductory statements which talk about ""coverage"" sounds like they presuppose insurance as part of this mix. I'm glad to see that the specific recommendations avoid this pre-conceived mindset. these accurately reflect the[Truncated]" 21066 6/5/06 10:50 PM CO * You only heard what you wanted to hear because the room was primarily loaded with people of your own persuasion. I attended the meeting in Denver and witnessed the event myself. This type of public policy is more financially unsustainable t[Truncated] "* ""Cradle to grave"" coverage is not a ""right"" but rather in the United States of America where free enterprise is the system the encourages competition which produces far more quality and choice for less, we do not want to see our choices deter[Truncated]" * The cost for this is unsustainable - our children and grandchildren will have to pay far too high taxes and will have nothing left to provide for their families if this system goes forward.[Truncated] "Once again, anything that ""grows"" the federal government is sure to grow costs beyond what could be done by private enterprise." I do not support any expansion of the Federal government's involvement in health care. "* Once again, ""the people you heard from"" were ""plants"" in the audience and do not represent me, or most Americans who recognize that a Univeral one-payer system would be impossible to pay for.[Truncated]" 21068 6/5/06 11:19 PM NY "* There were many people at the Ny City Community meetings who were white males, who were employed full_tome, and strongly agreee with healthcare:[Truncated]" "* Also,one of the major reasons to have Health Insurance is to protect against high medical costs: Actually recomendation 1, and not 2:[Truncated]" "People should be protected financially against very high medical costs: Absolutely" "The federal Government should do a much better job with Medicare Part D implementation" "* Health Information technologies as it relates to Mental health for children under5, child health clinics, HHC outpatient medical services, addolescent substance abuse, outpatient, and HHC substance abuse out patient should all be muc[Truncated]" "Health care providers shouldn""t encounter so much difficulty with drugs that are on the actual formulary: Its not that hard:" "* Yes, Pailliative care for people who are dying, or are on a respirator should be improved: Also, a surprisingly high number or per_centage of Americans or individuals were, and still are covered by their employers:[Truncated]" Federal Programs should be used in order to maximize current coverage: 21069 6/5/06 11:32 PM IA "* All Americans have access to excellen healthcare today. An emergency room cannot turn a patient away based on financial resources or ability to pay. Even with free clinics in a lot of communities (even mine of 25,000) people still use the E[Truncated]" * Government mandates are a large cause of why health insurance is unaffordable for individuals. If I don't want infertility treatments why should I be forced to pay premiums for them? If I don't want childre why should I be forced to pay pre[Truncated] "* Before the government became involved in routine medical care most peole had hospitalization insurance. We could afford to pay for the office visits and we insured ourselves against the catastrophic. Just as with car insurance, I pay for th[Truncated]" "* Great, another bureaucracy with more government employees who will have to be paid by me, the taxpayer. At this rate most of us will be government employees. Who will be working to pay taxes to pay the rest of us? I don't think we learned [Truncated]" * What happens if I don't fit the government template for my end-of-life care? If it is better for me and my family to have a different type of care than is pre-approved by a government employee based on their interpretation of my situation ho[Truncated] * Health Savings Accounts are a better option than what you are recommending. Just as with a 401(k) I can take the insurance plan with me. I have coverage whether my employer offers coverage or not. I have insurance whether I am working or n[Truncated] "* Your statement ""...new revenues..."" is jargon for new taxes. I am taxed enough. Soon less than half of us will be paying taxes and the majority will be on some sort of goverment welfare program and qualifying for the Earned Income Tax Credi[Truncated]" 21072 6/6/06 4:03 AM CA "* i feel this should be based on personal needs as being a american we should take response to the needs as being human here.most of all taking care of the needs at hand should take president.[Truncated]" "* the main issue is health for all i fell that treatment is just that long based and doctors are becoming rich but there is no fix.on science we spend to much time on lab rats and not on human touch.go back to the basics get in the heads of pe[Truncated]" "* well this is a great one to fix with all the drug seized money we take why not put it to uses put it in a government bank to collect interest. we do it all the time with other countrys. drug money has no values for drug lords or users.[Truncated]" "* lets stop this right away it should be neather or every body should have the same insurance meaning this is why things go wrong rich or poor health care belongs to us all not the ones that have the most.[Truncated]" * most doctors work on government perks and insurance is based on net works.but most fo all there is a co-pay. take this away a card for medical should cover all things from hospitals to pills and eldery care home coverage.[Truncated] "* this is heart felt and why we do not think about the long and short why because the doctor has the final word not the person with the illness. hospice only hoovers over waiting for the end let the family give the meds and take care of the p[Truncated]" "* yes the over view is we need to take charge of this out of control problem and fix this our selfs we do not need people to control the way we live or die but start a way for us to manage our own needs to handle medical and hospital and hospi[Truncated]" "* what kind of value can you put on a human also why would it matter if is cancer to aids where is the values.theses doctors are going to other countrys and doing work for free why not here where we need them. money is not the issue people are[Truncated]" 21076 6/6/06 8:53 AM FL " i agree, health care is as right not a priviledge" "* preventive care is so important and will lower our expenses for health care in the long run. easy assess into the system would encouage people to get care early instead of waiting untill its too late , the the care becomes very complex and co[Truncated]" "yes, yes!!" "community based health care , preventive focused , with quick referal as needed" yes family 's need support so people can die in dignanty "* using providers who have a wellness focus and excellant assessment skills should be the first line of our health care system, midwives, accupturist, nurses.[Truncated]" "i agree, everyone should pay their fair share." 21078 6/6/06 9:01 AM VA I agree. * the benefits should include preventive benefits and not just catastrophic so the person and the system ultimately benefit long run. Long run solutions are what we need.[Truncated] I agree. the benefits should include catastrophic protections. "yes, perhaps this shoudld be done through a different plannign mechanism rather than health insurance." "Yes, the federal government should take the lead in this effort." * A good health care benefit should support end of life care in a better way. This does not need to be defined in a benefits package. But some model progams should be developed.[Truncated] Look at Mass and employer mandates as well as personal responsibility 21079 6/6/06 9:18 AM CO "* This is just ridiculous! What exactly is ""affordable"" health care?? Who gets to define ""affordable?"" What exactly is ""appropriate, high-quality care?"" Can you get this at an ""affordable"" price? What would be the ""core health care service[Truncated]" "* How can one plan be affective for All Americans? What exaclty is a ""financial investment"" in health care? Most people think of a financial return associated with a financial investment. It seems to me that this is no investment at all, but[Truncated]" 21082 6/6/06 9:47 AM KY "Our economy must have a healty, well educated workforce to survive in the new global economy." "* Basic primary/preventive/acute care at a minimum should be available to all persons. What concerns me more is that I have two friends, both of whom were involved in auto accidents. Severe fractures to leg, ankles and backs have limited thei[Truncated]" Yes! * My family and I use a Community Health Center 28 miles from where we live. The community health center partners with other safety net providers in the community. It is a one stop solution to most of our health care needs. We particularly l[Truncated] * Community Health Centers have national programs on quality and disparities. I am a patient in the Cardiovascular Collaborative because I have high blood pressure. I am made to feel I have a a say in my care and in being a partner in my ca[Truncated] "* My mother died at home with Alz. She had Medicare, but it was limited. You have hit the nail on the head with this recommendation.[Truncated]" "* It is time for a single payer system. We need to get away from auto insurance, workers comp and health insurance and combine them all into one affordable package.[Truncated]" 21083 6/6/06 9:50 AM KY "* Let those of us who can afford it, purchase the same plan that state and/or federal workers are offered. End individual policies![Truncated]" "Consider incentives for good lifestyle choices, such as reduced co-pays for non-smokers, healthy-weight, etc." "* Increase tax on unearned income of those who are top 25th per centile of income. Increase social security tax by raising the amount taxed to $250,000.[Truncated]" 21084 6/6/06 9:58 AM CO "* This alone smacks of a national health care plan similar to Medicare. The last thing this country needs is another government program to ""protect"" us. Healthcare is an individual responsibility.[Truncated]" Not all peoples need the same coverage. Why force a package on someone who doesn't need it. the very thought of this destroys a Free Market Society and smacks of socialism. Keep the Federal Gov't out of the system. It will do nothing but screw it up. "The words efficiency and Federal Government are an anomly. Get real, we do not need another federal program of this magnitude." the current system is pretty darn good. End of life programs are well supported and efficient. "* Yes!!! A lot of us recognize there needs to be some adjustments to our healthcare delivery system, but a federal program is NOT the answer.[Truncated]" "* refer to the model legislation of the state of Mass, that ""encourages"" all employers and employees to participate in their healthcare program.[Truncated]" 21085 6/6/06 10:02 AM PA "* Agreed. Essentially this will amount to government sponsored plan. I'm all for it. Medicare works fine (except for the new Part D). A solution, if a gov't sponsored plan can not be created,[Truncated]" "* A core package should cover preventative care and catastrophic care. With the purchasing power, the program could EASILY negotiate drug prices for chronic conditions such as asthma. [Truncated]" "At a minimum, this is true. Agreed." This is a good start. Agreed. "* Quality IS the key! The health system must be held accountible for the quality of car they provide. The Leap Frog program would be a good start.[Truncated]" Agreed. "* Probably one of the best areas that is almost never discussed concerning the health care CRISIS in the US is the govt's ability to provide sound research to the medical community. The govt could sponsor studies for alternative treatment fo[Truncated]" "* Agreed. But, how do you implement such an idea?! An alternate approach is to simply lower the cost of the care provided. It's amazing how no one seems to focus in on the health delivery system itself as being the culprit. It's more fun [Truncated]" 21086 6/6/06 10:02 AM MO "* I think that the recommendation for a national program (private or public) could be improved by ""and"" rather than ""or"" - neither governmental nor private enterprise has succeded thus far - perhaps a cooperative effort would prove more benefic[Truncated]" 21088 6/6/06 10:06 AM NC "* Over the past 40 years our society and our government have supported this concept via support for Medicare for those over 65, and via support for Medicaid for certain individuals under 65. It is time to end the age discrimination inherent in[Truncated]" "* Hurray for the definition of HEALTH. Dental and mental ultimately lead to physical problems, and interfere with productivity and family building.[Truncated]" "* Unreasonable to ""guarantee that no one be impoverished..."" As individuals we must take certain responsibilities and risks. It is unreasonable for a person to use his resources for luxury while using public resources for necessity. [Truncated]" * FQHC works! Expand the concept to mental health and dental health. Use the small and local delivery systems for health care whenever and wherever possible. This reduces travel costs (e.g.dependence on foreign oil). Close to home builds co[Truncated] "* Information on prices and cost-sharing would allow individuals to help monitor the charges being paid by Medicare etal. Walmart has shown us how to shop for lower prices. We discuss the price of gasoline endlessly, but we have no idea what [Truncated]" * Hospice has shown us the way. One-on-one care is better than one-on-ten care. Warehousing of people is counter to all our society's ideals. Clear communication to patients' families may require revisions to HIPPA.[Truncated] "* For Medicare: enact a means test similar to the one used for taxability of Social Security benefits. Age alone should not entitle an individual to government-paid benefits. Enact a use-test: expensive interventions (e.g. organ transplants[Truncated]" 21090 6/6/06 10:29 AM OH "* I think it is important that we provide access for every American, but I think a disctinction should be made between providing access and establishing a socialized health care model. Medicare part D is a perfect example of the federal governm[Truncated]" 21095 6/6/06 11:34 AM IA "* Too general to be helpful. Of course we want affordable, fair, shared financing. Citing numerous potential revenue streams is a step, but it should go on to say: a. Enact a law requiring every employer to provide at least a basic level of c[Truncated]" "* Modify or eliminate anti-trust barriers that prevent local health systems from collaborating to save capital or operating costs. Eliminate the Stark Law loophole that allows doctors to own hospitals, thereby further fragmenting the system an[Truncated]" "* Dramatically increase federal funding for health systems to implement electronic medical records. Set federal data standards, so data can be shared across health providers, but NOT federally-specified IT systems (keep innovation and experime[Truncated]" "I'm not sure what ""community level"" funding is. There are not local funds available for end-of-life care." "* This is an important initiative and all of us in health care appreciate your efforts. In a nutshell, I believe the critically-important solutions to be: process improvement (LEAN, Six Sigma), chronic disease management, raising the retiremen[Truncated]" 21096 6/6/06 11:45 AM IL "* I believe this is a worthy goal but if congress is expected to act on this, I'm afraid you will have trouble getting their attention. If they continue to waste time debating useless or politically-motivated measures in an election year, what[Truncated]" * Everyone has their own idea of what a core plan would look like. So this will have to be highly specific. The non-partisan group is an excellent idea! Put these people on the boards of the organizations I fantasized about. Perhaps this is[Truncated] * Protection for everyone would be more assured if we use private and public resources. How would we build an outreach network to identify these folks and make sure they get enrolled? Through government agencies (that already exist - welfare [Truncated] "* I support this initiative but, again, I believe if you offer the right incentives to the ""packagers"", they will make sure no market goes under-served for long. This is similar to granting service routes to airlines or truckers (the way it us[Truncated]" "* This looks good but remember, to be effective the reports must be issued timely, be completely objective and be accessible to anyone in need of the information. Any patient or potential patient should be able to receive information on their [Truncated]" "* I support this approach, especially the community-based outreach programs. We should also offer people in their 20s, 30s, and 40s special tax incentives to buy long-term care insurance policies - older folks who are still employed should be [Truncated]" "* I believe this will work but everyone will have to take responsibility for the nation's health - by everyone I mean individuals, employers, health care providers and government entities. We must realize that the nation's health is a national[Truncated]" "* Financing through high taxes (VATS) for the purchase of non-efficient automobiles, appliances and other energy wasters is a good idea. I would even be willing to pay higher energy bills. It will not pay the entire bill. How about getting e[Truncated]" 21098 6/6/06 11:48 AM TN "* It should not be public policy that all Americans have affordable health care. Our local paper (Daily News Journal - Murfreesboro, TN) ran a front page article a couple of years ago featuring a couple who couldn't afford health care. The pi[Truncated]" "* Should provide basic benefits only for the most needy - those who can't help themselves. Dental coverage too? Why not tummy tucks, breasts enhancements for all those who think their self-image is deprived. There should not be a ""full range[Truncated]" * I have a suggestion. No health care for people whose choice is not to work. No health care for people who have money to pierce and mutilate their bodies. No health care to people who have the money to tattoo their bodies. No health care pr[Truncated] "* Principles of fairness is code language for more taxes from the most productive, job providing employers. I am a small businessman and my taxes continue to increase every year. I have no control except a government that thinks what I produc[Truncated]" 21103 6/6/06 12:43 PM CA I agree with this. Socialized Medicine would be best in my opinion. Wonderful idea. Yes!Yes!Yes! I fully agree. Good ideas. YES! I have concerns about illicit data collection by the government. * I'd like to shrink the exploding military budget and funnel the money to healthcare and education. Raising taxes while funding death and destruction worldwide to exploit resources is obscene and disheartening.[Truncated] 21104 6/6/06 12:47 PM NY can't wait until 2012 mental / behavioal health need to be hilighted. umbrella coverage "single payer system, pham. co. and insurance co. are too self centered and can't be used to distract." 21107 6/6/06 1:59 PM FL I agree. "* I think Health should also be defined to include emotional health. There is plenty of scientific evidence to support the idea that when an individual is depressed or otherwise unhealthy emotionally, physical health is compromised.[Truncated]" Agree Agree "* I believe it is extremely important that the provider chosen be appropriate to the level of care needed. For example, the primary care providers for pregnant women should be midwives. Midwives provide high quality, low cost care and decreas[Truncated]" More hospice and palliative care should be offered and performed in the patient's home. Agree 21109 6/6/06 2:06 PM TX "* Specifically wanted to comment that it is atrocious that The Citizens' Health Care Working Group proposal to ""expand neighborhood health clinics"", the Working Group's term for federally qualified health centers, which was the second most popu[Truncated]" 21110 6/6/06 2:27 PM OH If we care about the quality of life of all Americans then we must have assess to quality health care. * It is important that full diversity be achieved in the membership of the non-partisan group. Race and class should be a factor in designing the group composition.[Truncated] Absolutely. I believe a time table of implementation would be vital. Dispartiy of health education centered around raceand class is important. Include provisons for the care giver. Let's make it happen! The sooner the transition the better. 21111 6/6/06 2:39 PM AZ * I have read the recomendations and agree 100% with them and hope that this concept can and will be embraced by our law makers as well as the entire population...[Truncated] No lobbists allowed. I agree with this as well and would be willing to pay insurance premiums if I could get the insurance. 21112 6/6/06 3:09 PM CO How is the financial assistance going to be funded? Increased taxes? Who is going to pay for the protection against very high out-of-pocket medical costs? Medicare cuts back on benefits each year. How would that particular agency expand their services without additional revenue? "* If most people are willing to make ""additional financial investments"" do they have health insurance now, or are they hoping to obtain health care for an unrealistic cost? You have to estimate a cost for your plan and how it is to be funded.[Truncated]" 21113 6/6/06 3:18 PM na "* Good. Broad dental health maybe be a sacrifice to the whole project, but minimum dental care needs to be available for all Americans.[Truncated]" "* Don't fully understand it. Why not integrated medical records for all, not just those in the safety net. With employers switching insurers each year, or patients their doctors due to moves/choice, the medical records system should assure fa[Truncated]" "* Comments are too general to be of much good. Apple pie scenario. Best practices for at-risk (uninsured, underserved) populations by definition will skew results for the broader population.[Truncated]" "* Get real specific about what individuals need to do to lower their own medical costs, and preserve limited monies available for others by their actions. Univ. of Michigan data needs to be broadly shared and incorported into final recommendat[Truncated]" "* It is dissappointing to see the recommendation heavily focus on at-risk individuals with low ability to pay. Though true, if the system is to change for the better, then more of the same will not do it. Somewhere it needs to be stated that [Truncated]" 21117 6/6/06 3:27 PM VA * I concur with all above recommendations. Well done. Thanks to all the industrious people who have worked so hard on these recommendations. Let's hope that action will be taken quickly on them now. [Truncated] 21119 6/6/06 3:39 PM TX "* How are we going to pay for this huge expense? Raise taxes again? No. Single payor health systems have been proven to be health care rationing systems that either run out of money and stop services (Canada), delay needed surgies until the pa[Truncated]" "* Core benefits cannot include physical, mental and dental. Core benefits must be oriented to catastrophic illness and injury. The only way to meet recommendation 1 is to focus a basic catastrophic policy for all and let individual purchase a h[Truncated]" "* Don't you think the private sector would have done this long ago if it was feasible? If the government does it as an insurer of last resort, we create another tax funded government program . . .which means raising taxes again.[Truncated]" Why does the government have to be involved in all aspects of are lives? We have too much intrusive government already. Why does the government have to be involved in all aspects of are lives? We have too much intrusive government already. Why does the government have to be involved in all aspects of are lives? We have too much intrusive government already. * The cost of health care is generated by providers of health care. The end users of health care (patients) have no idea what health care costs because of our third party payor system.Attack the problem (payors and third parties) to resolve the[Truncated] "* If we do nothing, health care can be delivered to everyone effectively but not efficiently. If we opt for recommendation 1, you state ""new revenues"" must be found. Here we go again. ""New revenues"" means increased taxes. There is no place else[Truncated]" 21120 6/6/06 4:36 PM OR * The second sentences and the rest of the paragraph seem to be in direct contradiction to each other. Either you have one or the other. I would delete the second sentence and the rest of it is congruent with what was said at the meeting I at[Truncated] "* second sentence under first bullets change to read ""the set of core health services shall extend across . . ."" sounds better I would say our group thought health should be defined as wellness, not simply the absence of disease, and that in[Truncated]" "* Coverage period, there should be no question about impoverishment if the government picks up the tab. Right now, with Medicare, I see the bills my parents would be expected to cover if they did not have an excellent medigap policy that came [Truncated]" this sounds good. "* again, evidenced based practices are good, but not the be all and end all. Complementary care by lisenced providers of all types should be explicitly included here as well.[Truncated]" "* the leading recommendation focuses on incurable conditions but the beginning sounds like general ""end of life"" issues. I would change the sentence to make clear we meant both ""so that people who need assistance at the end of life as well as [Truncated]" "* this statement seems skimy and like it skirts some of the issues that were voiced most loudly in our meeting in Seattle, namely care for people not profit and free at the point of service, completely comprehensive single-payer system free of [Truncated]" "* It wouldn't have to take until 1012 if it was made a top, national priority. I think it should be phased in incrementally, may be starting with establishing the high end stuff and the preventive stuff first, and filling in with all the rest [Truncated]" 21122 6/6/06 5:03 PM UT I absolutely agree. I agree. I agree. * I am opposed to any funding provided to private non-profit facilities/organizations that will end up decreasing funds available to community health centers. These organizations may or may not be providing the charitable care they claim and t[Truncated] I agree. I agree. Just as previously stated. I agree. 21124 6/6/06 6:21 PM OR * There is nothing in this report that acknowledges the cost shifting that occurs from an uninsured population that receives inadequate preventive health care and relies on hospital emergency rooms as their primary provider.[Truncated] "* Evidence based medicine is the best recommendation to come out of this report. Achieving acceptance will be a huge task. This will be opposed by drug companies which concentrate on the most profitable, not the most effective drugs. Hospital l[Truncated]" * Enrollee contributions are already exorbitant from both employees and employers. These contributions do nothing to address basic public health needs and education to prevent chronic catastrophic illnesses.[Truncated] 21125 6/6/06 7:58 PM NC I agree wholeheartedly. * An individual's ability to choose providers is key and should not be regulated by others. Medical care in part is best experienced as a relationship. A doctor's advice and judgement regarding an individual's treatment in non-elective matters[Truncated] "I agree. I wonder what ""very high"" means. That makes me a little uncomfortable undefined." * I am particularly concerned at the current structure of mental health care. We need institutional options and some form of redress for family members who bear the burden of advocacy and care for those whose judgement is often impaired but ar[Truncated] God help us if we run it like FEMA. "* ""services in the environment they chose"" is the key phrase. The notion that there is a time to stop treatment and prepare for death is profound and often a lost one in our society. It is an individual, family, and community matter. And a s[Truncated]" * Please help restore common sense to our health care system. It shouldn't first be a means to profit (individuals and groups). Nor should physicians be subject to predatory lawsuits and second guessing by non-medical entities (insurance comp[Truncated] "* I am concerned for those who are nearing the end of earning years who may be caught in a finacial bind by needing save as much as possible, counting on established services (social security,medicade, medicare)to off set savings,etc. The midd[Truncated]" 21129 6/6/06 11:48 PM WA "* We should all have health care, period, not just ""access."" That term implies that some barriers might be OK, but no barriers to needed health care are legitimate, ever. Health care should be treated as a public good, the way fire protection[Truncated]" "* Evidence-based medicine is a good idea for sure, though given what we are now paying per capita for health care, our core benefits could be platinum-plated.[Truncated]" "* Currently, private health insurance companies exist only for the purpose of defeating the real purpose of insurance--to spread risk. Their only means of making any profit at all is to specifically exclude as many actual sick people as possib[Truncated]" "I agree that community health centers are a very good idea, particularly in medically underserved areas." "* Controlling fraud and waste is analogous to controlling the movements of a herd of cattle. You can be stupid and do it the way we do, by the micromanagement of case review, which is equivalent to hiring a bunch of cowboys with individual set[Truncated]" "* Well done. Let's also add ending the assinine War on Some Drugs, and quit persecuting providers who believe in adequate pain relief. We need to make sure that NO end of life decisions are based on financial considerations.[Truncated]" "* The purpose of insurance is to spread risk, and by far the biggest and cheapest risk pool is our entire population. Health care should be 1. Publicly financed and privately delivered, like roads and bridges. 2. Comprehensive. 3. Univers[Truncated]" "* You are ignoring the biggest revenue stream of all, the money wasted on paying insurance companies to cherry-pick only healthier policyholders and then telling them as often as possible ""That's not covered."" Divert that revenue, and no extra[Truncated]" 21130 6/7/06 12:37 AM IN * I agree that everybody should have the same health benefits as everyone else but I also don't think that the government should make everyone pay extra taxes to pay for the health plan. If the people need help then the government should try t[Truncated] "* The core benefit package for all Americans should include all physical, mental and dental health. It should be included for everyone and you shouldn't cut everyone out if they don't have the money if they really need it.[Truncated]" I agree with this. I support the health networks. If the people need all these things then they should be able to get them. I like this plan. Nope. * Once again I think that people shouldn't have to pay extra taxes from their own paycheck to pay for other people's health expenses.[Truncated] 21133 6/7/06 3:38 AM WA "* Although the statement that everyone should have affordable access to healthcare no matter their economic status, I do not believe that healthcare is a right. It is a privilege. I disagree with the statement that everyone should participate b[Truncated]" "* I believe that the most money saved in the longrun will be saved through holistic, natural and preventative health care. It has been widely provent that those who visit a naturopath have far less health costs in the longrun than someone who h[Truncated]" "* Absolutely. Now how are those ""high"" rates to be determined? I believe that you need insiders to ""rat out "" their respective fields. Coverage for all american sounds like socialism, but option open to all americans sounds great.[Truncated]" "* Although this is needed and important, many folks, myself included, earn too much to be helped by these programs. If we purchased insurance, however, we would never be able to own a house, or send our children to college. We would rather pay [Truncated]" "* YES YES YES!!!! This is the most needed. However, as these programs stand today, they are the least efficient of all the healthcare providers. And time and again, if you do the research properly, you will find that natural and gentle methods[Truncated]" "* I really like the idea of assisting families instead of farming the elderly and ill into big holding pens. Again, personaly responsibility includes taking care of your family. [Truncated]" "* This truly sounds like raising taxes to me.... I work in the healthcare industry and I know that healthcare costs are blow hugely out of proportion by way of insurance regulations, overhead costs because of this red tape and by sheer greed ma[Truncated]" 21134 6/7/06 8:36 AM IN * This is an excellent recommendation that I doubt many people will disagree with. The ability for everyone to have affordable access to quality health care is key to the long term health of the country. [Truncated] "* The overall concept of this recommendation is good. However bullet number 3 regarding Federally Qualified Health Centers and the idea of accomodating ""other community-based health centers and practices serving vulnerable populations"" is trou[Truncated]" This is a very good recommendation. * I is obvious that a tremendous amount of work has gone into this project. The overall recommendations are very good with my only concern being the Federally Qualified Health Center issue identified above under Recommendation #4. [Truncated] Very good recommendation but a major undertaking. 21136 6/7/06 9:35 AM CO "* Though I believe your intentions are good the results would be less than desirable. Your group seems to be moving in the direction of more government control of American healthcare, increased taxation to fund such health care, and less free m[Truncated]" 21137 6/7/06 10:03 AM MI "* Recommendation 1 should specifically include mental health services, contraceptive services, and unhindered access to abortion. Recommendation 1 should be include that health care is considered a right like free speech. [Truncated]" "* Recommendation 2 leaves out the different needs of children, adults, and the elderly. The group that identitifies core benefits needs different ones for each age group. [Truncated]" * Recommendation 3 needs state that the national program be a public program so that all applicable whistle-blower laws and FOIA access can be brought to bear to make sure it is run well.[Truncated] Sounds good. * Recommendation 5 again falls victim to not specifically including pharmaceutical and medical equipment suppliers in its recommendations. And attempt to improve quality and efficiency needs to include this side of health care.[Truncated] "* Recommendation 6 needsd to include federal legislation providing for paid leave for family members to take part in palliative, hospice, and other end-of-live activities.[Truncated]" "* I think that the recommendations are fundamentally flawed by not focusing enough on profit making entities associated with health care. This needs to be addressed before there is any hope real progress. Additionally, contraceptive services [Truncated]" * This section leaves out vast areas of revenue sources and waste management. Pharmaceutical company profits must be much more heavily taxed and DIRECTLY put into funding universal coverage. The government must put a cap on the profits of doc[Truncated] 21140 6/7/06 10:43 AM MI "* Please include the possibility of local collaborations for integrated healt care for the vulnerable population outside of the FQHC system. In WAshtenaw County , Michigan we have created a system to serve the safety net via a local Washtenaw H[Truncated]" Please endorse parity for mental illness and substance abuse * Community integration can successfully occur outside of a FQHC and should be an option for communities wishing to create their own integrated network.[Truncated] Thank you for your thoughtful work. 21142 6/7/06 10:59 AM VA "* I think that the Working Group needs to further spell out what the core benefits should be with the assistance of experts. At the very least, the structure of the recommendations could be included. In terms of the use of the word ""vulnerabl[Truncated]" "* I think these values need more in-depth recommendations. The Working Group needs to note that lack of access to early preventative care leads to larger health care problems and higher costs later on. In particular, there needs to be a specifi[Truncated]" "* Integrated community health networks sounds like a good idea. However, in order to insure continued funding, this recommendation needs to state that the health networks should work to involve the entire community and not just those who are m[Truncated]" "* I'm a volunteer with RESULTS and I agree that there needs to be a way to finance health care for all Americans. Perhpas one of your financing suggestions could include relooking at the tax cuts on dividends and capital gains. In addition, a[Truncated]" 21143 6/7/06 11:01 AM OH * Healthcare services should be available and accessable to everyone and should not be market driven.We do not have a system.We have entities competing for revenue.This market driven approach commodifies people and their needs.The system should[Truncated] Not rocket science.Biological/social science though. No brainer no brainer No brainer No brainer We are less civilized as a result of not providing state-of-the art/science health for our citizens. "* There is already too much money spent on healthcare.A single payor system ,like medicare,could reduce administrative costs and remove profit from the equation.It is immoral to profit from potential suffering.Look at other industialized countr[Truncated]" 21144 6/7/06 11:02 AM OK "Universal healthcare is not only humane, it is the only way that Americans will be competitive in the global work place." Medical expenses (and divorce) are the leading reasons that individuals are forced to file for bankruptcy protection. Members of Congress have a good system. Let's expand that. * Federal government should use the force of its bargaining power to deliver a good price (unlike the giveaway to big Pharma with the ill-conceived drug benefit in Medicare).[Truncated] "* We are already paying as individuals through increased premiums and other surcharges for those without coverage who seek last-resort coverage through hospital emergency rooms, etc. Americans pay more for health care coverage--even with milli[Truncated]" 21145 6/7/06 11:11 AM CO Health care should not be legislated or mandated. "* Core benefits should be defined by the end consumer, not the government. The right benefits at the right time can only be determined by each individual through more choice and by reducing legislated mandates that drive out insures in states,[Truncated]" * Availability of catastrophic care should always be available on private basis and included as an option for all plans. Tis is a minimum level of insurance that should be made available for purchase to every inidividual.[Truncated] * Transparency in the medical community is critical and will only be a issue if the consumer has financial accountability. The consumer needs access to appropriate information to make the best financial decisions and providers need to be compe[Truncated] * By creating a federally funded health care system we eliminate much of the competition that will continue to drive down health care costs and encourage the consumer of the health care product to purchase and use those products wisely. We hav[Truncated] 21150 6/7/06 12:00 PM NY * I would enlarge the recommendation to include quality care that is culturally sensitive and includes all medically necessary services[Truncated] I think that benefits need to include long term care. "Americans need cradle to grave coverage. Therefore, i recommend an improved and expanded Medicare For All" Involve local health departments Make it simple and equitable and merge all programs into one Medicare for all No comment * It is time that we join all other developed nations and ensure people's access to needed healthcare. Our morbidity and mortality rates are a disgrace and we waste enormous amounts of money. Let us institue a system of social insurance that wi[Truncated] "* Financing should be based on income taxes and employer taxes. Since it will replace insurance premiums, copayments and deductibles, it will prove no hardship for most. Howeve, I think to be fair, any new system will have to include negotiated[Truncated]" 21151 6/7/06 12:30 PM IN "* I believe that all Americanss should have affordable health care. Regardless of age, race, or gender, American citezens should not have to worry about if they are going to eat or pay for medical services.[Truncated]" * I agree that an independent non-partisan private-public group to identify and update recommendations for what would be covered under high-cost protection and core benefits should be established. These representatives should not be paid millio[Truncated] "* No one in America should be impoverished by health care costs. Establish a national program (private or public) that ensures: Coverage for all Americans; Protection against very high out-of-pocket medical costs for everyone; and Finan[Truncated]" * Once again an excellent health network can be established without an extreme increase in taxes if health insurance companies were restructured and the government would use the taxe payer's money appropriately.[Truncated] * Federally-funded health care should not strain the government or tax payers if the appropriation of existing money is directed to priority situations instead of going into the pockets of a few rich. [Truncated] "* Just beacause of age related problems should those people be denied proper care. In most cases, these are the people who have paid into our government's tax programs for decades and they should be entitled to only the best. Once again, this o[Truncated]" * Financing for medical support would not be a major problem if our government would stop spending billions of dollars annually on a war that should never had started and sending billions of dollars to foreign countries that would just as soon [Truncated] 21154 6/7/06 1:57 PM OH * This is true particularly for children in foster care and who need behavioral healthcare services. Parents should not have to choose between giving up custody of their children or financial ruin in order for their children to receive mental [Truncated] "* Thank you for including mental health services, particularly if the continuum of services are available here as in physical health services. Prevention and early intervention services for victims of child abuse and neglect, parental substanc[Truncated]" * The protection against high out-of-pocket costs MUST include mental health care. We heard testimony about families destroyed by psychiatric hospital bills and medications or who had to cede custody of their children when they needed their pa[Truncated] * We are in desperate need of child psychiatrists. Can we develop an incentive program to help these individuals pay for their educations in exchange for some delineated time to work within an underserved area?[Truncated] "When developing the specifics of this recommendation, please make sure you include providers." "* We could finance a new system with the money we would save and the efficiencies we would realize by eliminating HIPAA. HIPAA does not protect anyone from anything since so many critical players are exempt from compliance, it is monumentally [Truncated]" 21155 6/7/06 2:07 PM IN "* Define affordable! What is the recommendation, to esbtablish a sliding scale? Affordable means one thing to a family with a $200,000 per income and another to on with a $25,000 per year income. Fair and equitable healthcare should be just [Truncated]" * Greatly reduce administrative expenses by removing private health insurance and associated expenses and profit. There is no need for private health insurers to broker healthcare. [Truncated] Universal healthcare. Lower costs and spread the costs equally amoung all Americans. There will always be inequity if there are public and private healthcare institutions. Standardized practices and processes will improve efficiency and quality. "Once again, the cost associated with this type of care should be spread equally among all Americans." Control skyrocketing healthcare costs. Don't just find ways to pay for it. "* When considering how ""out of control"" healthcare costs are and how to finance our healthcare, we should start by removing the profit and greed from the industry. Profiting from those in need of medical attention is immoral and should be ille[Truncated]" 21158 6/7/06 2:40 PM PA Agree. Health care also should be provided regardless of age or employment status. "* The set of core services needs to be adequate, so that individuals/families don't have to pay for health care until they become poor and qualify for Medicaid. This means that things like long-term care have to be covered in the core package.[Truncated]" "* Agree. ""Financial protection"" should mean no co-pays for poor people at the point of care, or at most a small co-pay (a few dollars for each medicine or doctor's visit). Moving towards consumer-directed health care will not work for this grou[Truncated]" * Integrated community health networks are a band-aid on the problem of access to care unless these persons also have access to specialty care. A national health care system would be the most efficient way to provide primary and specialty care [Truncated] "* ""Reduction of fraud and waste"" is a useless phrase for politicians to use in their speeches. There is almost no consumer-usable information about cost and quality of care, this is largely a pipe dream at this point. The only way achieve an in[Truncated]" * We need to have a public discussion about what care we are and are not going to pay for at the end of life. We spend too much on futile care.[Truncated] "* The participants in Philadelphia (where I attended) agreed with a large majority that there IS an ideal financing mechanism; that is, a single payer based on a progressive tax. The only way to achieve all of these financing goals (fairness, e[Truncated]" 21159 6/7/06 2:53 PM NV * You should include the fact that the overwhelming first choice at the community meetings for how to guarantee affordable access for all citizens was to implement some form of national health insurance.[Truncated] * You should include the fact that the overwhelming first choice at the community meetings for how to guarantee affordable access for all citizens was to implement some form of national health insurance.[Truncated] "* If we implement national health insurance, as was recommended at the community meetings, we would not need an improved system of ""safety net"" providers, such as integrated community health networks, for the poor and uninsured. They could acc[Truncated]" "* I agree that we need better palliative care in this country, but what about other forms of long-term care for those patients who aren't terminally ill? Why the limited focus on palliative care? We also need affordable, better quality home he[Truncated]" "Where did recommendations 4,5 and 6 come from? These issues were not discussed at our community meeting!" * You should include the fact that the overwhelming first choice at the community meetings for how to guarantee affordable access for all citizens was to implement some form of national health insurance[Truncated] 21167 6/7/06 5:12 PM PA "As a healthcare provider of 35+ years, and as a consumer, I fundamentally support this recommendation." * I define mental health and substance abuse as behavioral healthcare so I prefer this term as being more inclusive. I fundamentally support this recommendation.[Truncated] "* Integration of care is critical especially for those w/ serious, persisting, recurrent disorders as long as this does not compromise the person's privacy privelege.[Truncated]" I strongly support care that is cost-efficient and care-effective. "* Many of us are now facing the enduring death trajectory as we strech us as far as our longevity, and beyond the genetic warrenty. So fundamentally I suuport this recommendation.[Truncated]" * We need to identify and promote proactive preventive measures w/ greater emphasis on universal and selective strategies while maintaining high levels of targeted care.[Truncated] 21171 6/7/06 5:31 PM CO * My mother did not have any work history to speak of as she stayed home and raised 11 of us. When she was finally eligible for some social security benefits(through my fathers benefits) it was a paltry $330 monthly. For a lifetime of work (r[Truncated] I agree with recommendation #2 Perhaps a cultural sampling from AARP members. "* I agree with recommendation #3, as a baby boomer who is coming up on retirment, I see that largest single cost of retirement to be health care cost. I am not sure if I can retire. [Truncated]" "* I agree with recommendation #4. It is probably implied in the statement #4, but a way for people to be able to be more portable with there health insurance. In other words if someone wnats to move another part of the country, affordable hea[Truncated]" * I agree with the aforementioned. I don't beleive anyone is looking for a free ride but americans must be given options as how to better finance some of these astronomical health care costs. [Truncated] 21173 6/7/06 5:54 PM ND * Medicare works. It should be a model. As the next paragraph states financing has to change. Underlying any change will have to be a public mindset away from draconian individualism. A campaign on this should be the first step undertaken.[Truncated] Sounds great! Great! The North Dakota Rural Health Initiative was working very well until the funding for it was slashed. Excellent! Wonderful! "* The entire pharmaceutical system needs to be revamped. Pharmaceutical companies' strategies to keep drugs from becoming generic in the short haul, the charge that it'll cut into R&D needs to be researched and the information desiminated to t[Truncated]" Sounds about right to me. Once we have a sense of the common good mindset this will be less and less resisted. 21174 6/7/06 7:01 PM MT "* I think this is great, and really summarizes what our focus group in Montana came up with as well. The system can no longer be tied to corporate America and be employer-based. [Truncated]" "* I think its FABULOUS to include preventative measures. We have faaaar too long been a crisis-intervention society, and waiting too long to take care of things. Also, I would recommend, and don't know if this was brought up, but rewarding, i[Truncated]" "* High costs is where people get traumatized, homes lost, bankruptcy, usually for something you could not control, so this is a nice insurance-based, just in case, option. [Truncated]" "* I think that the ENTIRE system ought to be one, not VA, Medicare, etc, etc. One system would create ONE way of administering, and one uniform way of tracking, targeting, improving efficiency. I think we can learn the BEST parts/structure fr[Truncated]" 21177 6/7/06 7:46 PM NM "* While very good goals, I am most concerned about the management of this program not being handed to the Federal government. There are great differences in state laws governing who is allowed to do what in each state. For example, advance pr[Truncated]" "* We have a system that has evolved into a physician-centric model. Our national code sets are physician-centric causing data to also be physician-centric. Physician care is typically the most expensive care available for wellness, prevention[Truncated]" * Eliminate all individual and group financial underwriting and require insurance companies to compete on quality and service. The government should not manage healthcare if we are to succeed in effectively using every healthcare dollar to its[Truncated] "* In the past, the government has avoided using integrated public/private community networks of health care providers. The government tends to think of healthcare providers as physician-centric. In other words, the government favors physician[Truncated]" * The federal government has not expanded or accellerated its use of resources and is not open to changes in improving quailty and efficiency outside improvements in using resources and strategies to continue promoting physician-centric care. [Truncated] "* While physicians are prescribing for patients during end of life care, they rarely see the patient. Nurses are the front line to this care and their services need to be measured so that evidence of effective care patterns can be promoted for[Truncated]" * I applaud the goals of this group and agree that there are many falling through the cracks of a broken healthcare system. I do not think that the federal government should be given even greater authority over care or be involved in setting m[Truncated] "* Again, while universal coverage sounds attractive, delivering universal coverage creates a bigger government buracracy. Buracracies are typically less effective and efficient than private industry and not quick to respond to problems. I sug[Truncated]" 21185 6/7/06 8:48 PM WA That is absolutely necessary. The sooner the better. I totally agree Let's do as soon as possible This is necessary to ensure everyone is included These are great essential recommendations * These recommendations are humane and restore dignity to people who often suffer in humiliating conditions during their last few months. [Truncated] * God Bless You for creating and publishing these recommendations. The American people will hold Congress and the Adminstration accountable if they don't implement them as quickly as possible. Our current system is destroying our economy and t[Truncated] * It costs less to have universal health care financed through taxes. The private insurance layer adds tremendous expense with no real value to the public[Truncated] 21187 6/7/06 9:00 PM OH "* This is probably the single most important social, economic and moral issue of my generation. A health care policy like the one discussed here, can secure a reasonable quality of life for many more Americans, while reducing the risk to those [Truncated]" "* Yes, and it is important to reiterate that ""core"" is not simply basic or minimal benefits, but necessary and proper benefits. Preventative medicine alone holds potential to reduce a major chunk of unnecessary costs.[Truncated]" "* This is key to protecting the poor, and as I previously alluded to, those just a step away from financial ruin in the event of a medical emergency (a.k.a. large medical bills). More people probably avoid seeking medical attention when optimal[Truncated]" "* It is important that these do not become a second tier of inferior care. Each should indeed be ""high quality,"" and not just a poor-peoples last option.[Truncated]" "Yes, I agree." "* Yes, yes and yes. This is absolutely necessary and in the end of life, most deserved. I have personal experience with the current system through relatives and it is not adequate. Almost nothing is worse than substandard and nearly negligent e[Truncated]" "Thank you. Let me know if there is any other way I can help. I am a busy law student, but this is important!" "* The difficulties are expansive, but worth the effort and costs. Americans already spend so much (perhaps more than is even needed) on health care. We spend more per person than other industrialized nations, and in an environment where entire [Truncated]" 21188 6/7/06 9:16 PM PA "* I agree with this statement but want it stronger by saying that: ""It should be public policy that all Americans have the right to health care"". [Truncated]" * I generally agree with this proposal but do believe that certain health care services for the elderly and people with disabilities must be included. [Truncated] * If my proposed change to recommendation 1 is done (that everyone has the right to health care) then this recommendation should simply state that everyone should be protected by health care and that everyone should receive health care regardle[Truncated] This is an excellent recommendation and should be implemented immediately. This recommendation should be implemented immediately. This is an excellent recommendation. "* Primarily agree with this, but believe that VAT and similar sales taxes are regressive. The proposal should include a statement related to a progressive tax.[Truncated]" 21189 6/7/06 9:47 PM NJ "* A very long look needs to be taken at thresholds regarding finances.Most people receiving govt assistance are on the edge already, and they can get medical care.The govt must become more responsible with the monies already paid in the forms o[Truncated]" * Good luck.The insurance industry will drag it out for decades.The medical profession will strongly oppose it since costs will have to be contained.Lawyers will reap the most rewards as usual.[Truncated] "* This should be top priority.If medical costs ruin a person financially they receive indigent care,the costs borne by the public regardless.This would only accent the high price the plan will cost already.All forms of govt.health plans must be[Truncated]" "* It is a noble concept and I hope it can be achieved.I suffer from an an agressive form of MS and have been hoping for breakthroughs there also,so mark me a skeptic.But I always have hope.[Truncated]" "As long as its a smoother transition than the Medicare D move,go for it." 21197 6/7/06 10:15 PM NC "* First, thank you for your efforts so far. My family does not have health care despite the fact that we are employed. I do not even go for preventative diagnostic tests because I can not afford them, and can't afford to act on a negative res[Truncated]" Let's not forget the ability to see. Vision coverage should be included. 21199 6/7/06 10:17 PM MO "* I am worried that the recommendations call for expanded government programs with its requisite funding. And while the recommendation include a call for fairness in financing, fairness in America today has come to be defined as ""the wealthy p[Truncated]" 21201 6/7/06 10:24 PM KS "* This should absolutely be the goal of our government, but hopefully it doesn't take until the year 2012 to enact these kinds of changes. Ignore the big lobbies and respond to what ""the people"" are saying. In my personal case, my husband is [Truncated]" "* Given the importance of prenatal care in creating healthy Americans, I hope this panel recommends that pregnancy and delivery are part of these core services.[Truncated]" """very high health costs"" is vague and relative - is this based on the patient's income or some government-defined number?" * This is increasingly important as our population ages. All of us want to die with dignity and this should be supported by our government.[Truncated] * Many of us are willing to pay higher taxes for this universal benefit. I look to the model of many European health systems and understand this is necessary.[Truncated] 21203 6/7/06 10:30 PM TX "* This recommendation, and all those below that follow from it, are one of the most enlightened perspectives on a profound problem America faces now. I lived in Japan for more than five years, and saw that all citizens there have access to aff[Truncated]" * This is the most understandable and compassionate pronouncement to come from any governmental organization since the enactment of the Marshall Plan.[Truncated] 21204 6/7/06 10:31 PM OR "* Agree, but with this question: who will determine what ""affordable"" is? My household spends $700 a month on catastrophic coverage with a $7500 deductable - unless we are near death it is just money out the window we cannot afford. [Truncated]" * Recommendation two should focus heavily on primary care. Spending too much time trying to shape policy and wellness behavior will be financially wasteful. Providing a core availability of treatment is the root solution.[Truncated] "* Good luck with this one. Medical insurance carriers seem to be the anti-Christ of consumer advocates, and unless the lobbyists and policy makers are radically reformed you will get a watered-down solution.[Truncated]" "* Forget the private part. Either you have government-sponsored health care or it won't fly. Take the profit incentive out and it will work, otherwise it will prove a disaster. Big business hates the idea, but it's time.[Truncated]" "* Promoting efficiency is not a government function. The concept of universal health care will be, by definition, bloated. That is the price to pay. Again, focus on core delivery of medical services and build out from there.[Truncated]" Agree. This provision is well-articulated. * Yes. It's high time government lives up to its role to serve the public interest. Our economy and people are being financially raped by profit-motivated medical businesses. This is not some crackpot commie idea - it is a prudent investment in[Truncated] "* Agree. Once again the caveat that if the government can spend billions on war, how about investing it in universal health care instead and do the right thing for our citizens? Everyone I talk to says it's time has come.[Truncated]" 21210 6/7/06 11:08 PM IN "* Americans should have health care. Should be a single payer system. Should be set up to eliminate administrative costs. It should cover basic healthcare and preventative medicine, since that is the best way to keep costs contained. Should[Truncated]" "* Prescription coverage should be part of the plan. Again, citizens would need to bear some of the costs. A copay should be mandatory.[Truncated]" "Should be a priority for the government. Who cares about gay marriage. We need to ""fix"" real problems in the United States!" I would be interested in any surveys done in the future. "* Shared responsibility between the federal government and US citizens via a copay. Also, perhaps, an added tax on fast food items. Tax would be insignificant, yet raise revenue. [Truncated]" 21211 6/7/06 11:08 PM CA "* Unfortunately for this policy, America is a country based on freedom of choice. Americans can choose to participate in health care insurance or choose not to participate. This is what freedom is about. If you establish a ""system"" that is[Truncated]" "* This is quite the Communist ideal. Someone always knows what is best for me other than myself, right? Why not have a board that decides what the essential foods are and guarantee a right of all Americans to have access to these core foods?[Truncated]" "* Healthcare, like any other commodity, is, or should be, regulated by the marketplace. Remove the distortions caused by government regulations and insurance companies, and you will find that people may purchase insurance for themselves, or c[Truncated]" "* This will employ thousands upon thousands of people to study, coordinate and support our new burocracy. All these people will have the federal insurance plan, which is pretty good, and therefore improve the healthcare in this country. You[Truncated]" Whatever. "* Since people spend inordinate amounts of money in the last month of their life, you can either do one of two things: You can make them bear more of the cost so that they do not make unreasonable decisions, or you can legislate that they will[Truncated]" "* This is America, not some socialist or communist state. You should get out of the way, let people choose for themselves how best to pay for their healthcare, their food, and everything else that is needed to survive. More government regul[Truncated]" "* Largely, the cost of America's health care are the innefficiencies that are caused by government intervention in the free marketplace. Because of the regulations, there are distortions in the market, and people who pay for services, are oft[Truncated]" 21217 6/8/06 12:23 AM MO "* With regard to ""modifying"" the Federally Qualified Health Center (FQHC)concept, I would oppose that recommendation. The current FQHC model has been found to be the most efficient and effective means of providing healthcare services to medical[Truncated]" 21220 6/8/06 1:10 AM TN "* I think all Americans should have coverage, but it has to be equitable, and will require cooperation not only of the public, but also of the insurance companies and hospital organizations.[Truncated]" "* It won't help if the ""researching"" costs more than the plan, and that tends to happen a lot. I don't think this should be a ""Paid"" group, but should be on a volunteer basis to keep them ""independent and non-partisan""[Truncated]" "* I repeat the statements I made regarding the financing - have free or low cost clinics, where people can go instead of going to the emergency room, and penalizing them if they use the emergency room when it is not necessary. Clinics need to b[Truncated]" "* Again, it sounds like excessive money will be spent to ""set up"" and to ""monitor"". Instead of ""expanding"" and ""monitoring"", key words should be ""simplifying"" and ""localizing""[Truncated]" Reduction of fraud and waste without additional expense is key. "As with most medical issues, it needs to be restructured and simplified, which will also control cost." "* My two biggest concerns are - a. Costs ballooning due to too much red tape, as too often happens when we expect the government to assist ""everyone"" b. Restrictions on what health care and treatment is available. This already exists with i[Truncated]" "* I think there are areas that could furnish savings that could finance a portion of the cost. For example, having free or low cost clinics, where people can go instead of going to the emergency room, and penalizing them if they use the emerge[Truncated]" 21228 6/8/06 1:30 AM PA "* There should be a single-payer system managed by the federal government. We have such a system in place for the elderly-Medicare. It has low overhead and provides for a wide range of care. Of course it should be improved-no deductibles, re[Truncated]" "* Leave the private sector out. It has failed, they had their chance. Besides there is no place for profit when it comes to human lives and wellbeing.[Truncated]" "* A safety net implies a bare-bones minimum. We are a rich nation, we squander billions on war and a bloated military budget. We should aim for an ideal system where nobody is left out, where a ""safety net"" is not necessary.[Truncated]" "* I take issue with providing consumer information of prices. People cannot make choices about which technologies are best for them. Anyone who ""abuses the system"" by wanting too many MRIs should be able to solve that problem with adequate psy[Truncated]" "* First, get rid of private insurance companies. They serve no usefull purpose (except perhaps for their stockholders) and eat up billions of dollars in administrative costs. The savings would go a long way toward paying for health care for a[Truncated]" 21230 6/8/06 1:38 AM CA "* I strongly support Universal Health Care for Americans. It shall be a right, not a privilege, to obtain needed and neccessary healh care in USA. It is not fair for the people of American for the private insurance companies to decide issues on[Truncated]" 21233 6/8/06 3:15 AM CA "* Assuming you actually care what the average working American thinks about this, who supports himself or herself, I am vehemently opposed to the (additional) oppressive taxes that this will cause, compounded with the typical mismanagement of g[Truncated]" 21237 6/8/06 4:47 AM FL "* Yes everyone should have access. Do not agree that financial assistance should be given. If EVERYONE were required and allowed (regardless of health status) to get health insurance (such as everyone is required to get auto insurance), premi[Truncated]" "* High deductible plans with preventative benefits DO WORK. These types of plans would be ideal for required core benefits. When there is complete and total coverage, it has been shown that individuals will tend to overuse the plan for unnece[Truncated]" "* Agree. Out of pocket expenses are VERY important. Plan should not make a person pay more than 5,000 or at the most 10,000 out of pocket.[Truncated]" Agree. Agree. "* Yes, HOWEVER, remain cost concious in the process. I have a relative who has advanced alzheimers yet is prescribed cholesterol lowering drugs. THAT DOES NOT MAKE SENSE AND SHOULD BE ADDRESSED.[Truncated]" * I have been a health insurance underwriter (for Prudential) and am now a licensed health insurance sales agent with my own agency. We are finally heading in the right direction with the high deductible plans such as Aetna is offering. I bel[Truncated] "* The model for financing could be set up more like auto insurance. In other words, basic auto insurance limits are mandated, yet individuals can get it with their provider of choice. The health insurance industry could also be regulated as t[Truncated]" 21256 6/8/06 9:19 AM NY * Again the best way to do this is through a public single payer system. we saw what happened with Medicare Part D when it operated through the private sector. [Truncated] I agree. If the entire system is a public federally financed system we could provide much better strategies to improve quality. * I participated in the NYC meeting. I'm glad that you met with community groups but would ask that you have the courage to convey our opinions - namely that we have to have a public single payer system. Health care does not fit a market model [Truncated] * The only efficient way to finace health care for all americans is to eliminate the private insurance companies which add much expense and bureacracy to the system but provide no additinal value. We need a single payer system like Medicare.[Truncated] 21268 6/8/06 10:24 AM CT I agree. * You left out that health care is also effectiveness in managing chronic disease. Instead of fully funding and encouraging diabetic programs that manage patients...most programs have been cancelled at hospitals since hospitals make more $ if [Truncated] "* I agree with this......again the free market....for profit at all costs has little to do with providing health care. Health care now is too expensive for most americans. [Truncated]" * Agree in principle. There should be community centers for diabetic treatment. But....concerns that the public- private group be made up of people concerned with medical care and not with preserving profits in their area. No reproductiv[Truncated] "* /waste in adminis is all the redundant and differing paperwork required by all of the different insurance companies and It should all be the same. On bullet #5, add ""disease management""[Truncated]" * Good. Many more facilities are needed to support families that are caring for a terminal patient at home. We need many more hospice care centers.[Truncated] * I am all for #s 1 & 3 & 6 but worry about # 2 of defining Core health care components since I want to ensure that all services deemed necessary by the medical societies......and usually those mandated by state laws be covered. ie no bare bo[Truncated] "* This sounds good but omits the current structural barriers to change. The current free-market system of multiple insurance carriers & hmos, pharmaceutical companies, and newer layers of pharmacy benefit managers make it more and more expensi[Truncated]" 21274 6/8/06 10:40 AM CA "* I do not recommend a National Healthcare System. I would recommend public funding and incentives be offered to private healthcare entities hospitals/physician/ancillary medical orgs/insurance carriers, toward development of workflow efficien[Truncated]" "* I would recommend more emphasis on the individual's commitment and ownership of their own personal health. Poor health habits, overeating, and consuming unhealthy foods and substances need to be first controlled by the individual. I believe[Truncated]" "* For those that are physically and mentally able but perhaps less financially able, I would recommend creating opportunities for them to volunteer in the healthcare system, at any level. This would build the individual's self esteem, increase[Truncated]" 21283 6/8/06 11:09 AM OH * My only comment to all recommendations is that government provided (read: taxpayer financed) health care is contrary to the very basis upon which our country was formed. The best thing the federal government can do is to stay out of our dail[Truncated] 21287 6/8/06 11:28 AM FL "* Agree. Institute appropriate health care records sharing to reduce duplication of efforts, continuity of care and reduce costs. [Truncated]" Wellness and early intervention are the key to long term success. This is particularly true for children. Protection against catastrophic costs would go a long way to ensuring the viability of this approach. * Just fix it and stop talking about fixing it before the whole system implodes. Each of the players in the current system (or non system)has not had the ability or will to set aside their own interests to make this happen. Each of them in the[Truncated] "* The current regulatory environment that envelopes health care is costly and ineffecient, we must cut through this red tape to allow the providers and the consumers to interact more effeciently. [Truncated]" "* Agree, as the current health care financing mechanisms are so convoluted and costly for both providers and consumers ..that we might be able to pay for a significant portion of this effort through simplicfication. [Truncated]" 21294 6/8/06 12:05 PM TX "* I see the proposal as a backdoor entry to a National Health Service, something that exists elsewhere and has fundamental problems regarding the perceptions of the end users that can never be corrected simply because people will not vote for m[Truncated]" * Bureaucracy increases result in increased costs rather than decreases. Universal GUARANTEED healthcare coverage would require a huge bureaucracy.[Truncated] "* People who have no responsibility to directly pay towards anything will perceive those things to be free. Anything ""free"" is often considered to have no cost and therefore no intrinsic value. In other words it would be open to abuse - not nec[Truncated]" * I refer you to the experience of Canada and Great Britain with their burgeoning healthcare costs. It is not a minor adjustment in individual taxes that would be involved. This adjustment would then inevitably extend into the employers wage ne[Truncated] 21301 6/8/06 12:34 PM WA whole-heartedly agree must be done 21307 6/8/06 12:48 PM WI This is already the case- No-one will be refused medical treatment. Hospitals offer financing. "* So drug addicts and alcoholics and people that willingly do harm to themselves, or willingly place themselves in harms way will receive the same coverage, at no cost to them, as someone who actually takes care of themselves? Please stop desi[Truncated]" "* Nobody is... Stop enabling poor behavior. The more ""programs"" for the ""needy"" you create, the more ""needy"" people you create... Make people accountable for their behavior. Entitlement is killing this country.[Truncated]" Where is the plan to enhance wellness and prevention? Already exists--it is called a living will. It again involves a small amount of responsibility and planning. "* Socialized healthcare does not work. Ask Canada. My wife is from England, I hear real horror stories about their national health system and they are much smaller than we are... This is a bad, bad plan.[Truncated]" Where is the demonstration of need? This is a solution to a problem that does not exist. 21317 6/8/06 1:22 PM TN "I work in healthcare, however, I do not see it as a universal ""right""." * Universal coverage would result in less incentive for healthcare improvement. Though the current system is also flawed- at least doctors have financial incentives to improve. [Truncated] Rationing of care at it greatest! "* I am disheartened by the results of this poll. While there is no simple answer to the healthcare crisis in this country, I do not think univeral healthcare is the answer. I think these recommendations sound lofty and idealistic but financial[Truncated]" 21318 6/8/06 1:24 PM NY "* I feel that all Americans have a right to health care, it's a right not a privilege! And this is not just for basic care, I feel that eye, dental, medical divices such as crutches and wheelchairs and hearing aids, emergency care, surgery ever[Truncated]" "* Some treatments are not ""proven"" but do help, I think alternative medicine should be included. And yes it should be a FULL range of services. [Truncated]" "* I think health care should be public, paid for by taxes (with price increases based on pay (ie people at the poverty line shouldn't pay anything, but those making more money should have to pay more))and accessible to EVERY single person. My c[Truncated]" * I feel that health care needs to be public to keep the private drs and insurance companies from charging more and the people who can't afford the private care get worse care. This isn't very fair. Everyone should have equal access to good drs[Truncated] * The currant public programs are a joke. Most of the people I know we low incomes quit working becasue they get better health care that way. But the care they get isn't as complete as private health care. They are denied some treatments and ge[Truncated] "* The public health care that I see would help for end-of-life needs, including assisted suicide to those who are critically ill, and removal of feeding tubes and machines to keep them alive. For those living with an illness they have the right[Truncated]" "* I feel that private health is ruining our country. Big business is raping our people. Greed from health insurance companies and drug companies are preying on our needs. Thsi isn't right. They should be there for us, not trying to make more mo[Truncated]" * I do not feel private health care is the right answer. But I also don't like the idea of the government in complete control. I think medication costs need to be addressed and not be private sector. I worry a little about national health care [Truncated] 21319 6/8/06 1:28 PM NY * The overwhelming reason for the rise i health care costs is the out of control litigation that occurs. Tests are performed that dont need to be done for fear of some attorney asking why they werent done. Other tests are redundant and unnece[Truncated] 21323 6/8/06 1:45 PM TX "* I agree that all Americans should have access to health care, but I do not want it to be through the government, on any level. Every person needs to take care of himself and his family for everything he needs, including food, housing, and he[Truncated]" "* The only way to make sure that each individual gets the health care that he needs is for that individual to provide them for himself. I do not want some government bureaucrat to decide what ""core health care services"" I will have access to; [Truncated]" "* Health care should be a market-run process. The reason that health care costs are so high now is 1) because most health care costs are paid by a third party (i.e. insurance companies), 2) because medicine is much more technology-based than s[Truncated]" This is unconstitutional. Nowhere in the U.S. Constitution does the U.S. Government have the right or power to run such a plan. The government should not be doing this. Nowhere in the Constitution does it give the Fed. Government the right to do this. "Families should be paying for this, not the government (read: taxpayers)." "* The Federal Government does not have the right to run or be involved in such a program. This is nothing short of socialized medicine, which I strongly oppose. I do not want the government to be involved at all in my or my family's health ca[Truncated]" "* I strongly object to this plan of action. This is socialism, which restricts individual freedom. Nowhere in the U.S. Constitution does it give the Federal Government the right or power to run a health care program, or even worse, force its ci[Truncated]" 21328 6/8/06 2:41 PM GA * The Unted States must provide healthcare for all of its' citizens regardless of economic status. People are dying because they do not receive adequate preventative healthcare due to the high costs inherent in our health system.[Truncated] "Health care should include physical, mental and dental health." I agree with recommendation 3. * Impoverished communities have more health problems because of a lack of access to health care. We need to address this problem by helping the people who need it the most first.[Truncated] * Universal healthcare must be a priority for our government. Americans have more health problems than other countries and receive worse care. The time is now to change this huge injustice that exists in this country. We can not continue to [Truncated] * The government wastes money every year on frivolous things. It's time that our country took care of its' citizens. Surely they can cut back on useless spending and provide for the people in this country.[Truncated] 21332 6/8/06 3:03 PM CA "* I am a member of Healthcare for all Californians in Tulare-Kings County. SB 840 provides a comprehensive, high quality health insurance for all Californians. SB 840 is based on the following principles: 1. One health insurance plan (single p[Truncated]" 21333 6/8/06 3:07 PM FL I wholeheartedly agree! "* This is not a bad idea, but it should be administered by physicians and professionals, with only inputs from citizens. Ordinary citizens do not have the requisite background to make those kinds of decisions.[Truncated]" "I agree with this recommendation, but I think it should be limited to legal citizens." I am not familiar with these issues enough to make an educated comment. "* Despite the easy solution this would seem to present, Tricare, medicare, and medicade are flailing with increasing numbers and declining care already. Adding more people to the system is not going to make anything better, only worse.[Truncated]" I am not familiar with these issues enough to make an educated comment. "* Although health care is a large issue, the federal government needs to work through some other big issues such as Social Security and Balancing the Budget before they take on something as huge as implementing a system of National Health care.[Truncated]" "* Financing is a huge issue. Currently the government is deficit spending, as well as facing a huge future budget strain of Social Security. The last thing we need to do is to add another huge government funded project that will take away nee[Truncated]" 21344 6/8/06 4:15 PM KY "* Yes, I am for universal national health care. Everyone should be covered for all medically necessary care including dental, nursing home, drugs, diagnostic, vision, hospital, physician, therapy, etc. All of this is covered in HR 676 which i[Truncated]" * A core of benefits means that there are some benefits that people without a lot of money will not get. We should all get equal benefits--whatever is medically necessary. There should be only one level of benefits for all of us. This is wha[Truncated] "* We need a plan where everything is paid in advance by all of us and there are no out of pocket costs. Such out of pocket costs mean that people do not get needed care. HR 676, single payer, non-profit, health care solves this problem.[Truncated]" "* Under HR 676 we will not need a safety net. The health care insurance will cover us all. We need universal, single payer, national, non-profit, health care--HR 676.[Truncated]" * We must take the profits out of health care. No one should enrich himself on the misery and suffering of others. We need HR 676.[Truncated] "* Until we have health care for all under a single payer universal system, the care of people with advanced conditions will depend on their insurance and resources. We need equality. We need HR 676. We need single payer health care.[Truncated]" * I was unable to answer the questionnaire made available to the public because the wording opposed one kind of necessary care to another and demanded that we choose the most important. All medically necessary care is equally important. We ha[Truncated] "* Yes, there is a financing mechnism that is optimal. In fact we must move to a single payer form of financing in order to be able to cut the administrative costs generated by the private health insurance companies. HR 676 as introduced by Co[Truncated]" 21346 6/8/06 4:23 PM SC * It is impossible to do any thing about quality health care until we take the price of receiving care out of the equation. We cannot hold doctors accountable for care unless the patient has the economic freedom to be seen when the doctor want[Truncated] "* I agree with the definitions described in the core benefits. As an employee of a federally qualified health center network, I would recommend utilization of the FQHC model, which has now come to replace the public health departments.[Truncated]" "* I think that states should be responsible for their own uninsured with federal assistance. A small state like South Carolina with 4.3 million and 600,000-800,000 uninsured should not have to share with Florida or California or Texas where Hou[Truncated]" "* Dartmouth Study: Intermountain is a model for healthcare The study specifically cites Intermountain Healthcare along with the Mayo Clinic, as organizations that provide high quality, highly efficient care. Learn more... The Dartmouth A[Truncated]" * The federal government must use its resources and its knowledge to exert influence on states to get better educated about health care policy and how to impact change. This is a very complex problem and is not a political ideology or political[Truncated] "* Dartmouth Study: Intermountain is a model for healthcare The study specifically cites Intermountain Healthcare along with the Mayo Clinic, as organizations that provide high quality, highly efficient care. Learn more... Dying with dign[Truncated]" "* This is just the tip of the iceberg. 10,000 in 300 million is a small yet valuable sample, but more needs to be done. I believe many of the resources are already in place they just need better allocation. We spent years trying to close milita[Truncated]" * Each according to their ability - Each according to their need! HealthCare is an 80-20 problem. 50% of the population utilze less than 3% of total healthcare resources. 16% of the population utilize 70% of the healthcare resources .The actual[Truncated] 21347 6/8/06 4:26 PM NY "* Basic economics dictates that a commodity, like health care, cannot be dispensed by public policy, unless we plan to convert completely to socialism or fascism. (Yes, I KNOW we already do it - that is part of the problem.)[Truncated]" "* No policy-initiated system can ""protect"" someone from a cost that actually exists - without disastrous effects elsewhere. Granted, many, if not most of the costs in the U.S. health care system are WAY out of whack high, but that is a result [Truncated]" "* You lost me when you said, ""the federal government will lead..."" The government and a widespread, general, misunderstanding of the free market is at the root of why our health care costs are so high.[Truncated]" "* OMG! Cost controls ALWAYS result in shortages. By definition, the federal government cannot develop and implement any kind of strategy ""to improve quality and efficiency while controlling costs across the entire health care system."" Their [Truncated]" "* Why can't a person near the end of life be cared for by, well, you know, their family? Or by charity? If you already know that people are willing to have the money taken by force (taxation) then that automatically means that they would also[Truncated]" "* This sounds like a good objective, in the sense of helping people, but the economics, as usual in our psuedo-socialist-republic, are all out of touch with basic free market forces. This program, in essence, seeks to better allow yet another [Truncated]" "* What does, ""... willing to make additional financial investments in the service of expanding the protection against the costs of illness and the expansion of access to quality care"" mean exactly? Does that mean pay more taxes? Does it mean c[Truncated]" 21348 6/8/06 4:29 PM KY * As a whole: The recommendations of the Citizens' Health Care WorkingGroup is nothing but a biassed and already putrid report that in a concealed and covert way paves the pathway to perpetuate the criminal system of Health Care Delivery that [Truncated] 21354 6/8/06 4:54 PM MD High costs should not be a problem if the core benefit package is sufficiently broad. * These networks of care will be less necessary if there is universal insurance.People will be able to go to any provider. The safety net is for those who are uninsured and those of low income insured but with high out of pocket costs. Money fo[Truncated] * Under an efficient system consumer price information system will not be necessary as prices will be negotiated/regulated and people will be able to go where they want.[Truncated] Agree * If a truely rational and efficient payment system were developed - single payer non profit there would be mechanisms to address and resolve each of these issues; in its absence with 1500 insurance companies none of these objectives are attain[Truncated] * New revenues may not be needed if the system is like Medicare pre part D as the administrative inefficiencies of private insurance will be eliminated. A single payer system is the preferred system from the perspective of efficincy[Truncated] 21356 6/8/06 4:57 PM MD "* Do not confuse health CARE with health insurance. Quite often, health insurance companies work to block people from getting health care, so they will not have to pay for the treatments. The US health care model does not work as well as sing[Truncated]" "* We need a core benefit package which people can access, not one run by for-profit insurance companies who make more money when people do not use services. [Truncated]" "* 1: Congress failed to write a proper Medicare drug bill. They should not allow health insurance and drug companies to set future health policy. 2: We cannot have a private insurance or health care company in charge of a national program. T[Truncated]" "* My mother was hit by a car. The insurance company is refusing to pay more than $15,000 in hospital costs because the hospital billing office submitted the bill in an ""untimely manner"". A for-profit company should NOT run the new health care[Truncated]" "* One huge way to cut health care costs is to eliminate the 25% slice which goes to health insurance companies for administration, overhead, and profits. Compare that with the 3% Medicare spends on admin & paperwork. We can finance health CAR[Truncated]" 21357 6/8/06 5:00 PM NH "* What is meant by ""financial assistance will be available to those who need it""? If everyone participates ""regardless of their [sic] financial resources,"" then what is ""financial assistance"" all about? Health care should be delivered to ever[Truncated]" * I like the idea of appointing an independent group to evaluate effectiveness of medical interventions: model it off of the British NICE agency.[Truncated] "* If we aim to cover all Americans, financial protection should not be restricted to ""low income individuals and families."" Financial protection for this group is especially pertinent right now, but, ultimately, the best system wouldn't have t[Truncated]" "* Yes, more integration, but please emphasize the fact that community networks primarily constitute PRIMARY CARE. Primary care has repeatedly shown to improve the health of populations; the US needs more primary care providers.[Truncated]" "Yes, Medicare and the VA should be models for health care delivery!" Well articulated. "* Again, simplicity should be the guiding aim. It will admittedly take time to transition to simplicity. All children should be universally covered NOW since it's highly cost-effective to cover them. Dissemination of quality information to p[Truncated]" 21364 6/8/06 5:53 PM FL "* I would prefer you keep it simple and say America needs a single-payer national healh care plan, which includes prescriptiion drugs, dental care, rehabilitation, maternity (but not high-tech ""assisted' reproduction), and so on. However, if t[Truncated]" See number 1 above. See number 1 above. I believe the national single payer system should be simple and straight forward. Keep it simple. Keep the goal in mind--single payer. Fine Fine "* Yes, taxes are okay, but why no cut defense spending! actually taxes and out of pocket expennses should be truly 'progressive.'[Truncated]" 21369 6/8/06 7:07 PM CA "* Since we (as a society) have to pay for emergency room services for people who cannot afford insurance, we need to work out a way of funding universal health care. Options that people can buy into independently or through their employers, li[Truncated]" "* look at the ways Canada and England created, implemented and struggled with their health care systems. Learn from their mistakes and create a system that makes America greater by ensuring the health and well being of its residents.[Truncated]" "* Look at TRICARE as an example of how NOT to run a national health care system. Take the good, leave the bad. TRICARE is a nightmare for physicians and patients.[Truncated]" "* We need to take the cost of basic health care which employers already provide and feed that into national health care funding. Payroll taxes, like social security, could also be used. We will save ourselves money in the long run by making s[Truncated]" 21374 6/8/06 7:46 PM IL Tax funded single-payer comprehensive health care fulfills this recommendation. Tax funded single-payer comprehensive health care fulfills this recommendation. Tax funded single-payer comprehensive health care fulfills this recommendation. Tax funded single-payer comprehensive health care fulfills this recommendation. Tax funded single-payer comprehensive health care fulfills this recommendation. Tax funded single-payer comprehensive health care fulfills this recommendation. * Stop examining individual trees and treat the entire forest. A single-payer health care program will meet all of the recommendations and eliminate the redundant administrative expenses in the current fragmented competitive marketplace. Doct[Truncated] Tax funded single-payer comprehensive health care fulfills this financing objective. 21377 6/8/06 7:55 PM AZ "agree with the ""common message""" critically important "20% of Americans use 80% of the health care dollars. We must share the burden and protect those who are ill. " "* Lets identify and address ""vulnerable populations,"" without creating a two-tiered system. Community Health Centers are currently essential, but with a true national health insurance system any patient can present to any provider or hospital.[Truncated]" "Great idea if you take ""private Payers"" out of the mix" "* We currently spend over 16% of our GNP, over $6000 per person on health care. This is almost twice what other nations spend and we still have 45 million uninsured. We don't need incremental change (Clinton tried that), we need Comprehensive[Truncated]" "* This is extremely wishy-washy and not committed to a comprehensive solution. The GAO has stated that their are enough dollars in health care to care for all Americans, if admin spending is decreased. Take a position!! Use health care dolla[Truncated]" 21378 6/8/06 8:18 PM OH "* In no way should we give the American people more reason to be dependent on the government. Our country is great because of the strength of the people, not the size of the government. Given the size of the current national budget deficit, a[Truncated]" "* Pardon me for not being overly trusting of an unelected group of ""experts"" who get to decide how much of other people's money they get to spend.[Truncated]" "* A better way to lower the cost of healthcare would be to cut back on the burdensome federal regulations that hamper the industry. More privatization, not less, is what will lower costs. I strongly advocate tort reform as another method of l[Truncated]" None. There are very few things the government can do more efficiently than its private sector counterpart. "The government has no legitimate business meddling in the way people choose to die, culturally sensitive or not." "* I'm sure this program has only the best of intentions. Unfortunately, the road to socialism (and many other failed political theories) is paved with good intentions. As history and common sense dictate, if you want something to work, throw [Truncated]" "* No! First, many of those you heard from who were willing to make ""additional financial investments"" were mostly likely those who stood to gain the most- low to middle income earners. A quick glance at our graduated tax brackets show that th[Truncated]" 21380 6/8/06 8:25 PM NJ * This and all your reccomdations at this point are nothing but apple pie anx motherhood. It appears that once again we are unable to separate the two fundamental issues; coverage for all and the cost of care. Before we proceed to universal cov[Truncated] 21381 6/8/06 8:45 PM SC "* I agree completely. Our health care system is broken and needs a fix. It is unfair for uninsured people to pay more for medical care than the insured pay. Any other group would be sued for discrimination, but that is the way it is. My hus[Truncated]" * I agree with this recommendation. Care should definitely include mental and dental as well as physical. Everyone should have the necessities available. [Truncated] "* I agree. If my husband and I did not have good incomes, it would impoverish us. We can't retire until we qualify for medicare. I know many people who are working only for their health insurance coverage.[Truncated]" "* This part of the implementation will be the most difficult. Heal care professionals, the general public, and the politicians should all take part in working out a network. Unfortunately, anything in which national politics is involved becom[Truncated]" "* I am afraid that Medicare and Medicaid are full of fraud and waste. Somehooow these programs need to be used, but monitored. People taking illegal advantage of them should be prosecuted.[Truncated]" "* A good portion of our health care dollar is spent during the last year of a persons life. Rather than adding to the quality of life, they tend to cause pain and prolong death. Education is part of the answer. People need to come to terms w[Truncated]" * Individuals can not be responsible for their own health care. They have no clout. Companies like GM are having trouble meeting their obligations to their employees and retirees. The government is the only entity with the resources to deal [Truncated] "* I think that everyone should pay based on age and certain health problems, for instance I would charge more for those who smoke, drink too much, and are fat. These are things that people can control. The government should pick up the tab fo[Truncated]" 21382 6/8/06 8:46 PM WA "* As a practicing physician, I think the best way to ensure comprehensive benefits for all is a single-payer system, with everyone included, not just need-based.[Truncated]" "* Currently, many diabetics don't have regular clinic visits covered (or only a limited amount), yet preventable or delayable problems resulting in dialysis and amputations are readily covered. The focus should be prevention.[Truncated]" Please see rec. 1. "These are very important and underfunded, especially for preventative care." "Those federally-funded systems have low administrative costs, unlike for-profit systems. Single payer!" * This field of medicine needs to be supported and developed as our baby boomers age. This country needs a discussion about end of life care and how to die with dignity. A lot of money is spent on marginally beneficial procedures for those wh[Truncated] "* Medicare, Medicaid and the VA have far less overhead than HMOs and large insurance companies. That money saved alone could cover everyone.[Truncated]" 21383 6/8/06 8:47 PM NY "This is a good recommendation, in general." I am especially glad that mental and dental health are included. This is extremely important. Sounds okay to me. Sounds good to me. Sounds good to me. "* I think that a government which is watched over by an active press element, as in the USA, can do a much better job than private for-profit companies will. The hard part will be convincing a congress which is paid for by corporate funding to [Truncated]" "* The federal government should completely take over financing health care. Completely eliminate health insurance companies, and the profit that they make. By removing the private profit, the total cost will be less. The profit motive, in this [Truncated]" 21385 6/8/06 9:21 PM NY "* All people living in the United States should have the healthcare that they need, not just a set of core health care services and not just financial assistance. [Truncated]" "Everybody must have excellent healthcare coverage -- not just ""core benefits.""" * We don't want to continue to pay into a system that doles out money to private interests to cover all Americans. We want a single payer system that removes the excess baggage of third party payers. [Truncated] "* Nice to have more community centers, but they should not take the place of comprehensive healthcare for every single person. Perhaps community networks could have programs to guage the amount of pollution and other death-dealing chemicals. [Truncated]" * We don't need any more programs such as the Bush Prescription Drug plan using Medicare as the funder but not allowing people to bypass the profit-making system. We want Medicare for All.[Truncated] "* We don't need any private payers. We want single payer. Yes, training for health professionals and support services to assist individuals and families.[Truncated]" "* We don't need multiple financing sources. In fact, the cost of maintaining multiple financing sources costs way to much money and makes it impossible for us to have healthcare for everybody. We need a single financing system such as Medicar[Truncated]" 21391 6/8/06 10:37 PM WI Absolutely agree! Care should be taken that the insurance industry does not co-opt this. I agree totally. "* Care should be taken in the mental health field around the use of the term ""evidence based"". There isn't enough good research out there regarding what works, and it is important not to confine good practice to techniques that are easily meas[Truncated]" Yes! I think there should be a think tank formed to find creative ways to finance this. 21393 6/8/06 10:44 PM FL * We will save money in the end if everyone has access to basic health care. I am a RN Geriatric Care Manager and have seen time and time again people develop horrible expensive problems because of the financial burden of seeking basic health [Truncated] I agree with every single word--you are preaching to the choir!! * Definitely--the insurance companies should encourage this because it will relieve them of finiancial responsibility for 100% insuring the very sick population.[Truncated] There is a tremendous need for this. "* Care must be completely standardized before this can work. Policies, procedures and practices must be identical throughout the country. Need to focus on eliminating unnecessary levels in the process and ferreting and eliminating fraud. Med[Truncated]" This is happening in a small way under Medicare and most private insurances--it is wonderful!! Thank you for doing this and allowing this forum. * We need to take the burden off employers and share it among everyone. This approach will encourage viability of small businesses who cannot shoulder health benefits and as I said previously will save us money as a society by preventing many [Truncated] 21395 6/8/06 10:48 PM MA "* (A) Your financing recommendations fail to address the most salient, most important, and most easily solvable contributor to the recent explosion in health care costs in America. Over the past 30 years, the SUPPLY of new medical graduates in[Truncated]" 21397 6/8/06 11:38 PM CA Make it simple: MEDICARE FOR ALL! "* A ""core"" benefits package is NOT ENOUGH. ALL healthcare services should be covered. We need comprehensive and complete coverage through MEDICARE FOR ALL![Truncated]" MEDICARE FOR ALL! "These are not necessary if EVERYONE is covered under a comprehensive, single-payer system such as MEDICARE FOR ALL!" * All of these are possible with comprehensive coverage and central record-keeping and evidence-based formularies that would be available with MEDICARE FOR ALL![Truncated] "Provied comprehensive coverage, including these services through MEDICARE FOR ALL!" "* Private health insurance plans that skim off unnecessary funds for 'administrative costs' SHOULD BE ELIMINATED. We need to go to a universal, single-payer plan as has EVERY OTHER INDUSTRIALIZED NATION IN THE WORLD. Making money from someone e[Truncated]" One thing would guarantee all of the above: MEDICARE FOR ALL! 21399 6/9/06 12:51 AM CA "* At present, most private health care is financed by businesses paying for health insurance. Any single-payer system would have to be funded largely by taxes on businesses to keep the cash flow approximately where it is now and cause the leas[Truncated]" 21400 6/9/06 1:13 AM IN "* We are the last developed, industrialized country not to offer a system of national health insurance to every citizen. Are Americans less worthy of health care than Frenchmen and Australians? The imperative is even greater when fighting [Truncated]" "* The Blue Cross health plan for management at USX in 2000 was quite good, if not perfectly comprehensive for dental and other care, and I commend it as an example. Thanks to the large pool of people covered, the COBRA price of insurance was[Truncated]" "* Again, I would recommend that private firms who administer health insurance programs to the Federal Government be required to offer similar coverage at similar prices as a condition of their contracts. [Truncated]" " For the love of the God(s) of your choice, please do not let Homeland Security administer it!" "* The Federal government should require that any health insurers with contracts to insure federal employees offer the same coverage to all Americans at the same price, as is currently done by private industry through COBRA. Private companies w[Truncated]" 21403 6/9/06 4:41 AM TX I Recommend that we abolish all insurance Let the free markets truely be free All of these recommendations STINK Think about a world with NO insurance (big hint for the stupid people : THE COST OF EVERYTHING WILL GO WAAAAAYYYYY DOWNNNNN) OUTLAW INSURANCE and we will have most of our problems solved I AM RARELY WRONG ABOUT ANYTHING so take this SERIOUSLY imagine if the items behind the pharmacy counter were priced to sell like the items in the STORE (like aspirin and vitamins). I recommend that we especially abolish health insurance 21411 6/9/06 7:04 AM OH "* I think it's a great idea. However, you are still going to see the rich get a better quality of health care. Even if it comes across the board, physcians are going to give better care to the ""suit"" then to a person in a t-shirt and jeans.[Truncated]" * I have been a Licensed Practical Nurse for 15 years. I have worked in nursing homes the majority of the time. There needs to be a limit on foolish tests and interventions for terminal patients. An 86 year old woman does not need to be gett[Truncated] "* I am in full agreement here. But I also know that the rich are going to get better health care than the poor. I have seen it numerous times, the poor may get health care provided but it is a lesser quality than the rich. Example, boy broke[Truncated]" "* Employers keep employees at part time status so they do not quality for employers health insurance coverage. I went to family services to file paper work for the medical card and was told by the receptionist; ""you aren't going to get it if y[Truncated]" "* Like I said before, doctors in my area (Findlay, Ohio - 45 miles south of Toledo, Ohio) will not accept medicare, medicaid payments. The community health clinic is overbooked and the emergency room personal shove pieces of paper at you to go[Truncated]" "* Having experiance as a nurse for 15 years and a nurses aide 10 prior to that, the problem comes up with people accepting that they are going to die (or a family member is going to die). Here lies part of the problem, doing tests and treatmen[Truncated]" "* The irony for me is that I am a nurse and have no health insurance, and haven't for three years. I have left the nursing profession as I can not work for the health care industry as it is no longer about the patient, it's all about the botto[Truncated]" * I am in favor of paying for health care by any of these means. I also would be in favor of paying for health care the same as car insurance is handled. As long as the cost is managable. I was termed from a job in 2003 and have been without[Truncated] 21412 6/9/06 7:32 AM PA "* I didn't see two -- seemingly simple -- ideas that can be implemented almost immediately without cost. 1) Remove the 18 month limit from COBRA coverage. The former employee still pays the cost plus an administrative fee, but gets access to th[Truncated]" 21413 6/9/06 8:08 AM GA "* Just a quick response. I will try to fill out full comments later. I am a physician,and I think it is deplorable that our country does not have a basic coverage for all Americans. Our country is too wealthy to not create some program. Thanks [Truncated]" 21416 6/9/06 8:35 AM GA "* I agree. As an md I see noninsured, poor delaying there health maintenance do to initial costs. This typically results in high cost complication or advanced disease.[Truncated]" "* Certainly, our country is very focused on episodic,illness created care. We have to focus more on preventative care and personal responsibilty. Hypertension and diabetes are huge in our area of South GEorgia. Affecting this would have big pay[Truncated]" I agree I'll finish later. * I would agree to some increase equitable tax to help finance this. Right now I provide a substantial amount of free or very low cost care for my patients. Seamless and smooth is pie in the sky. You need to be realistic![Truncated] 21418 6/9/06 8:43 AM GA "* As an employed citizen and a tax payer, I already have access to available health care. ""Regardless of their financial resources"" sounds like to me a socialistic system that will pay for health care to those who choose to live off of other p[Truncated]" "* It seems as if I would be paying for everyone to have ""core"" benefits and then when I need more specialized care I am on my own.[Truncated]" I thought we had medicare and medicaid that gave basic healthcare to low income individuals and families? "* I think that this will hurt the quality of healthcare in the US. It sounds like a SOCIALISTIC system! I've lived in Italy and was unfortunatly thrust into their system and it was horrible! This is America, where we offer opportunity, not h[Truncated]" "* I've also, unfortunatly been exposed to the medical system offered by the US military (TRICARE and the Veterans' Health Administration). Their doctors are undertrained, underpaid and do not care about the individual patients. They know that[Truncated]" * I don't have a problem with this. Those who are unable to work or have an incurable disease that is ending their life should be comfortable.[Truncated] "* I do not, under any circumstances, support these measures. This is America. If you work hard you will reap the benefits. Right now, our healthcare dollars are stretched because we are providing free services to those who have no healthcare[Truncated]" "* Again, I do not want to have ""shared responsibility"" for other people's medical costs. By pulling more funding from business or payroll taxes you will be allowing those who actually work to pay for those who choose not to work.[Truncated]" 21421 6/9/06 9:46 AM MI "people should not die, as they have, because they don't have enough money to pay for health care" "* I support a universal access single payor system with NO private market involvement. It should be funded by taxes, easily done by diverting the money now paid to health insurers. The companies can make their profits by contracting for admin[Truncated]" 21424 6/9/06 9:56 AM FL I agree whole heartedly! This is essential. "Agree. It is important that things such as vision, hearing, etc. not be over looked or excluded." "* NO ONE, regardless of fiscal position at the on-set of very high out-of-pocket costs, should ever be impoverished by those high health care costs. In particular, family members should not be left in dire financial straits due to the high cos[Truncated]" "* It is important that all levels of the community be involved in overseeing and managing the health care system. It can not be only government, or only medical practioners or administrators. It requires both of those plus private citizens. [Truncated]" * Preventive care can minimize costs of major illnesses through early detection. Annual physicals should then screen thouroughly to catch such potentially serious conditions without conducting many minimum value tests or procedures. The proce[Truncated] * Consider inviting participation from various loca religious organizations (notwithstanding separation of church and state - THIS SHOULD NOT BE SOLELY A STATE ACTIVITY)[Truncated] "* We have needed universal health care for a long time. It is a sad commentary that Mrs. Clinton's efforts got caught up in the politics of the time. While I didn't agree with the thrust of her plan, the focus on the issue was lost for reason[Truncated]" "* Again, an excellent outline. Effort should be expended to involve those major companies already paying for health care for their employees to join in and contribute at the same level they currently do for their employees. Then all other ind[Truncated]" 21428 6/9/06 10:13 AM TX * Core health care services encourages a two tier system. This is not what was expressed by those participating in this exercise.[Truncated] * I'm not sure why preventive services are even mentioned here. I have yet to find one insurance company or federal/state program that actually covers preventive services. Core benefits limit those with average and lower incomes from receivi[Truncated] "* Protection against ""very high health care costs"" represents the use of high-deductibles and catastrophic coverage. This is a policy supported by the administration. In contrast, the majority consensus of the citizen-participants is that the [Truncated]" "* Creating additional levels of administration will not resolve the health care crisis. It does not gather information from those providing the services to create a clearer picture of what does and doesn't work to address health care cost, util[Truncated]" "* Consumer-usable information about health care services that includes information on prices, cost-sharing, quality and efficiency, and benefits forces average income Americans to chose which health care they will receive at the price of not t[Truncated]" "* One, it is doubtful that this can ever be achieved with consensus. Two, providers are reembursed less and less at the same time required to increase documentation, and therefore leaving very little time for patient centered care and improved[Truncated]" "* Again, this message does not reflect the intent of those participating in this exercise. Substantial funding can be achieved through not providing exorbitant tax breaks for the top 1% of the wealthiest Americans. The middle class can not co[Truncated]" 21430 6/9/06 10:31 AM OR "* This is not rocket science! Right NOW today, enact and make law, Rep. John Conyer's House Healthcare Bill!!! It is easy to implement, WILL work, Will cover ALL American Citizens, DOES NOT require huge fiscal changes and grandiose plans!!!!! R[Truncated]" 21432 6/9/06 10:57 AM WA "* Core health care services? That language is very ambiguous. It should be replaced with language calling for all medically necessary care, including hospitalization, aftercare, office visits, mental health coverage, prescription drugs, and ot[Truncated]" "* Emphasis must be placed on the opinions of medical care providers. They are the medical care experts. Insurance carriers, elected officials, and corporate executives may be good at what they do, but few if any people would seek them out for[Truncated]" "* ""Very high out-of-pocket medical costs"" is a nebulous phrase. ""Very high"" depends on income levels. $5000 may not be ""very high"" to some, while to others it could mean 25% of an annual spendable income. HR 676 contains a fair maechanism f[Truncated]" "* Such bureaucracy! A single health care card for all services given to every person would assure equal access to everyone. In addition, billions of dollars would be saved on administrative costs and could instead to used to help fund a natio[Truncated]" "* Cautionary red flags should be flying over parts of this section. Cost-sharing? Pricing? There should be NO deductibles or copayments! Fair reimbursement levels for providers should be set along the lines of ""UCR"" (usual, customary and reas[Truncated]" Under HR 676 these kinds of issues are resolved. "* Clearly, our nation is experiencing a health care crisis. With about 46 million people having no insurance and twice that amount uninsured for part of each year, the crisis is, to put it quite frankly, a moral failing of a nation that calls[Truncated]" "* The statement ""no specific health care financing mechanism is optimal"" ignores a pending piece of legislation that provides an optimal financing mechanism. It is HR 676, the Conyers' ""United States National Health Insurance Act"".[Truncated]" 21441 6/9/06 12:34 PM WA "* ""a set of core health care services"" worries me...does not suggest a ""comprehensive benefit"" which is what people really want. ""Core services"" suggests some sort of basic service...not a comprehensive service ""sufficient to provide access to[Truncated]" "* Remember...keep it simple. PLEASE>>>do not repeat the fiasco of Medicare Part D, with its complicated, confusing, and very expensive benefit (which puts no regulations on the cost of medications!) The costs to the industry in administering th[Truncated]" "* If you opt for high-deductible benefits...you are, again, completely missing the point. Benefits should be the same for everyone, regardless of income. Should not be income based...that is a ticket to a two-tiered system of care with the lo[Truncated]" * I give up...such a waste of government money spent on all these studies and investigative commissions...instead of in relief directly to the consumer. Single payer. Study what others have done that works for them.[Truncated] "* You seem to believe there will be a need, still, to serve ""underinsured populations"". When you got feedback that indicated a desire for a system that covered ""everyone""...I think they meant everyone covered the same. Not that some would be [Truncated]" Already addressed in our current system. "* Keep it simple and direct. Collect taxes, disburse payments. Cover everyone the same. Stay out of the medical decision making, just handle the money. Regulate pharmaceutical/medical supply companies, allow reasonable, but not excessive prof[Truncated]" "* Why don't you just bite the bullet and admit that a single payer system is the best way to do this? It certainly is most optimal. How long are we going to let the health insurance industry hold Americans hostage to their profit priorities, [Truncated]" 21445 6/9/06 12:50 PM WA * It is too costly to disagree. We see that now with the rising costs and the rising number of uninsured. What we need is to eliminate the profit driven market of healthcare so that everyone can be part of the solution. Healthcare is not a c[Truncated] "This is the right direction. Dental and vision are part of health. Sight is not a luxury, nor is a mouth free of pain." We need government intervention in this area. "* Yes. This will help cut down on the expenses of larger facilities like hospitals, but we have to ensure that low-income clinics can rpovide the same quality care as other facilities.[Truncated]" WE NEED A SINGLE PAYER SYSTEM that does not pit medicare against medicaid against the VA. YES "* I would like to see some of the funding come from the organizations that have profitted from the vulnerabilities of illness. Also, other countries pay less for healthcare because they have eliminated the excess administration and marketing[Truncated]" 21446 6/9/06 12:59 PM CO "* I wholeheartedly support this fundamental position, but for improved political ""saleability,"" I would add this to the opening sentence: "", which represent a minimum level representative of America's core values concerning the humane treatment[Truncated]" "* Expand this to include the mechanics,which I recommend mirror those used in the ""Base Closings Act."" Politicians (Congress and the President) should receive these core benefits, then vote them up or down, with no amendments possible. If the[Truncated]" "Coverage for ""core benefits"" only, right?" "* NO! Let the independent commission handle this. The ""politicians"" and government administrators can establish guidelines, but they'll make a mess of actual implementation.[Truncated]" Use an independent commission for implementation. "* Once a person reaches a certain stage of deteriorated health (as defined by an independent, politically-free commission), all care is government paid.[Truncated]" Outstanding work!! I'll stay closely tuned and ensure my government representatives support this valuable project. "* We need to add something about personal accountability, which is different than ""shared responsibility."" The financing system must include ""penalties"" of some sort for people who demonstrate irresponsibility. These penalties must also recog[Truncated]" 21448 6/9/06 1:29 PM KY "* Health care for some individuals are duplicated many times over..Ex. At work business pays for workers comp,but I also pay for regular health insurance....If you drive a car you have to have insurance that you also have to PIP (personal injur[Truncated]" "* Look at France...WHO rates France as number one in health care....Our system cannot work as it is now organized and structured with the drug companies, insurance companies and physician and health care organizations controlling the system....[Truncated]" "* Again, enough money is spent by those that can afford it, plus insurance costs like workers comp, long term care, PIP in auto insurance,cancer and special policies to pay for coverage for everyone.[Truncated]" "* Again, we can't change until you get control on what health care providers make and the insurance they have to pay to practice..Doctors in France make about 150,000 a year!!!!There are one third of the worlds attornys located in the United St[Truncated]" "* Prevention is the main tool that must be addressed.......Lifestyles have to change...WE can make a difference...Smoking has gone down..Increase tax on tobacco products, alcohol and fast food, other luxery items related to health....Give incen[Truncated]" "* Again, look at how much is paid to insurance companies for cancer policies, long term care policies and all other duplicative health insurance policies....It is so simple, someone has to see this..I've worked in the health care field for 25 y[Truncated]" "* We can't expect the goverment to supplement the health care system, insurance companies, medical providers, drug companies and other fortune 500 companies that benefit from the sick and dying.We have to look at this mess and simply start over[Truncated]" * The workers comp that is paid by employers could help cove health insurance....But then the insurance industry would lobby to keep all the duplication policies....Plus count the manpower to process all the claims..all the forms to determine i[Truncated] 21449 6/9/06 1:33 PM WA "What is this nonsense about ""core"" health care services? We said COMPREHENSIVE!!" "* Again, What do you mean by ""Core?"" You had better not mean ""basic."" ""Core"" would seem a term selected by those preparing this report which suggests that only basic services should be covered by a universal program, and that, by inference,[Truncated]" "* If America is to have a national health insurance program it will have to be, of necessity, PUBLICLY run and financed. Leaving the option of a private program will condemn such a project to failure. Private = half assed. [Truncated]" "* Rather than ensuring that every individual has comprehensive health care coverage, the administration supports the expansion of community health centers to serve low-income individuals, especially those who are uninsured. Although community h[Truncated]" * This statement is all fine and well but in the end it nothing more than an endorsement for the status quo if no reference to establishing a single payer insurance program is made. [Truncated] "* This statement supports the consumer-directed health care movement, the current market diversion from the need to focus on a comprehensive system of health care INSURANCE COVERAGE.[Truncated]" "* The report does call for financial protection for low-income individuals, but out-of-pocket health care expenses now threaten average-income Americans. Protection against ""very high health care costs"" is a call for high-deductible, catastroph[Truncated]" "* What do you mean by, ""The transition from the current system to a system that includes all Americans will take time??"" Incrementalism was not discussed in the move to a single payer system. A year is all it takes to implement it. [Truncated]" 21451 6/9/06 2:01 PM VA "* Core benefits does not mean catastrophic coverage or high deductible insurance. It is a poor choice of words. Benefits should be ""sufficiently comprehensive"" to include all evidence based care that improves health and relieves suffering. T[Truncated]" Agree! "* This fails to recognize the good data which shows that even middle income people omit needed care when there is a copay. While I support patient responsibility in maintaining health, I found the data which supports lowering the barriers to ca[Truncated]" "* This is tantamount to endorsing two tier care. While I have been a physician in a community healthcare center and certainly support their work, the adoption of universal coverage for all Americans will obviate the need to create these center[Truncated]" * The quality improvement movement in healthcare is already doing this through orgainizations such as the Institute for Healthcare Improvement and the IOM. The VA is a model for this. Howerver the vast majority of care is still deivered in the[Truncated] * Longterm care at home and in institutions and hospice care must be included as a spectrum of services available and covered. We must stop bankrupting families in order to qualify them for Medicaid to care for a patient who can not be cared fo[Truncated] "I support Medicare For All, publically funded, privately delivered healthcare that has proven its worth and its low overhead." * It is important to correct the first paragraph. There is already enough public money in the system to cover all Americans for comprehensive care at almost double the amount spent per person in the Canadian system. Our refusal to recognize an[Truncated] 21454 6/9/06 2:15 PM AZ * Health insurance needs to be removed from being employer based. It should be purchased by individuals in much the same way as other mandatory insurances (such as auto liability) and regulated by a government insurance commission board to make[Truncated] 21460 6/9/06 3:21 PM NM * This is a fundamental value that demonstrates our caring for each other as a fully developed country. We are fall shamelessly short of caring for the health of all our citizens when compared to other developed countries. [Truncated] "* I believe that there are existing sources of revenue that can be redirected to be more efficient and effective. We all pay into County indigent funds through those taxes, insurance premiums for medical care in cases of auto accidents, liabil[Truncated]" 21463 6/9/06 3:31 PM WA "* 6/9/06 Here is my comment. People who know and have worked with me over the years see me as honest, highly-intelligent, self-motivated and a very realistic person. So from there, I will say something that none of you want to hear: Why is [Truncated]" See #1 above! See #1 above! See #1 above See #1 above! See #1 above! Yep. See #1 above. See above! 21469 6/9/06 3:55 PM TX "* I agree. With the current administration, where are you going to come up with the funds to pay for this? Let's put prevention first and put some funding towards teaching every K-12 student the value of sound nutrition and exercise, provide [Truncated]" "* Here again, prevention is much cheaper than treatment. The major foci of prevention are healthy lifestyles and healthy environments. Teaching everyone what a nutritious diet consists of AND making it possible to attain those foods, making p[Truncated]" "Yes, and make the corporate giants who expend billions of dollars to the CEOs in bonuses pay for it." "* Put prevention in to practice. Health is NOT equated by health care. Teach all people how to be healthy, make it possible to do so, and provide safety nets and rewards for those who do. The public has been fooled into believing (with priv[Truncated]" Put prevention in to practice. Good luck getting the AMA and JCAOH to support that. "* Please seriously consider that prevention is cheaper and more broad-based than treatment. Don't make this another band-aid. We have to change policies to change the American attitude from a sedentary, gas-addicted, pill popping population t[Truncated]" "* Remember, that the most affected by lack of health care are children and the working poor. Expecting them to share the burden is rather onerous and short-sighted. Let's take some of the Homeland security funding or reduce our military outlay[Truncated]" 21471 6/9/06 3:56 PM MD "* I agree with the recommendation. Everyone should participate, everyone should pay a fair share. We all pay for health care one way or another. Lack of coverage results in the people with the least resources (in money and/or information) to[Truncated]" * This is going to be the hardest part. We all want everything. Yet it needs to be done. Let's remember to look at the long term benefits of treatments. Let's not restrict Basic to a bean-counters defiition of Essential. It may cost some m[Truncated] I agree. Its the definition of insurance. I don't know enough to comment. I don't know enough to comment. I agree. "* We should all pay into the system based on our ability to contribute, i.e. our income. We should all get comparable, high quality benefits. A unified system should also reduce the paperwork and thus the bureacracy and cost.[Truncated]" 21476 6/9/06 4:34 PM CA * Single-payer is the only way to provide adequate healthcare to everybody. Single-payer would render issues of financial assistance moot.[Truncated] "* The concept of a ""core"" benefit package is fundamentally flawed because it suggests that substantial areas of care will not be guaranteed to all. Everyone deserves to have a single standard of quality care.[Truncated]" Single-payer financing would guarantee protection against very high costs. "It is untrue that ""No specific health care financing mechanism is optimal."" Single-payer financing is optimal." 21479 6/9/06 4:47 PM CA * I strongly support this recommendation. The establishment of a true national health system is key to the continued viability and vitality of the country. [Truncated] I think you need to add Specialty Care to the definition to make sure that access to specialty care is sustained. "* I support this concept. However, this system must be removed from the health insurance industry and made a national program. Running a national health care model through the insurance industry still leaves large amounts of money in paper push[Truncated]" Strongly support this concept Support this recommendation "Very important recommendation, strongly support" * Strongly agree. There are huge savings to be had in health care throught the simplification and consolidation of payer streams as well as the reduction of unnecessary redundant paper work.[Truncated] 21480 6/9/06 4:49 PM MD This is a fundamental principle for all civilized societies. * The U.S. can afford to provide everyone with high quality and comprehensive health services. There is no need to distinguish between core benefits and high cost benefits.[Truncated] * The U.S. can afford to provide everyone with high quality and comprehensive health services. There is no need to distinguish between core benefits and high cost; thus there is no need to create any special programs to protect individuals fro[Truncated] "* Indigent people do not need a separate ""health care safety net."" Vulnerable individuals, such as people experiencing homelessness or with significant mental illness, need enriched services (outreach, case management, mobile treatment). Thes[Truncated]" "* There is no need for separate, publicly-funded health care systems. The balkanization of health care financing and delivery merely creates excess costs and inefficiencies.[Truncated]" * The evidence is clear: a single payer financing system is the most efficient method of distributing health care costs. Both the GAO and CBO have concluded that every American could have high quality health care without the need to allocate i[Truncated] * Health care should be financed solely through progressive taxes (individual and corporate). The U.S. already spends enough on health care to provide comprehensive services to everyone. The impediments are administrative much higher than tho[Truncated] 21482 6/9/06 5:01 PM KY "* The core health services referenced should be delivered as a component of a national health plan funded through a payroll tax similar to Medicare and Social Security. Beyond the basic set of benefits, individuals should be free to purchase a[Truncated]" "* The core health services referenced should be delivered as a component of a national health plan funded through a payroll tax similar to Medicare and Social Security. Beyond the basic set of benefits, individuals should be free to purchase a[Truncated]" 21487 6/9/06 5:50 PM NM * This has to be the bedrock principle for health care reform. An all inclusive system to attain the best health possible for all citizens is essential for the welfare and security of the nation. It must be recognized and accepted as both a pri[Truncated] "* Another bed rock principle. We do have the means to determine what care is effective, available, and now the decision to be made is how much of it it is affordable by all. [Truncated]" This is just a reststement of reccomendations 1 ans 2. * A sound ambition that can only be accomplished if the finnacing mechanism of all health care is integrated and the thrust of the entire health care effort is to maximize the efficiency of the health support institution.[Truncated] A corolary or restatement of previous recommendations. "* A desirable goal that will always remain elusive if we are at the same time pursuing efforts to promote multiculturalism. I am afraid that the best we will come up with will be a new definition for ""The American Way of Death"" that will reflec[Truncated]" "* The mechanism for financing health care can not allow for ""winners"" and ""loosers"". This is the one area of our lives where we must insist on the constitutional guarantee of equal treatment. The present system of tax-advantaged financing will [Truncated]" 21493 6/9/06 6:16 PM CA You do not mention pregnancy/GYN coverage and this is a normal part of life for a woman. Absolutely! and no doughnut hole coverage like in Medicare Rx program. "* Whew! That is a real challenge, but maybe a good beginning part. I question how it will be possible to get that advisory group together so taht it is fair and balanced. IF appointed by the current administration they would all be rich or wo[Truncated]" "* Costs are the real problem. However if you meshed the listed federally funded programs listed above all together as one Department, there should be a truly significant savings in the bureaucracy which means cost reduction in the long run. If[Truncated]" "* If adequate coverage were available for all Americans, perhaps businesses could stop offering health insurance as a benefit. That would help them be more profitable and stimulate the economy. OR Maybe I'm being naive.[Truncated]" This is an absolute necessity. Too many people do not have this access. 21495 6/9/06 6:25 PM FL "* We have a bifurcated system where federal, state and local government employees enjoy comprehensive health care at not available to the ""run of the mill"" citizen, whose cost is excessive for less services. Level the playing field so that gov[Truncated]" "* Be sure to include hearing and vision care! Widen the circle to include schools, as in physical and nutritional education, as well as quality school lunches. This will only work if you keep the high paid lobbyist groups out of the room and [Truncated]" * How are you going to protect the rapidly disappearing middle class from loosing everything in a health care crisis. It is not the low income family that needs protection -- they do receive servics and are not asked to pay. It's the person w[Truncated] "* Again, many counties have services for those who do not have health insurance. What will this plan do for those of us who pay out of our own pockets and simply cannot afford the twice yearly increases in premiums, averaging 25-45% each incre[Truncated]" * Require drug stores to provide costs prior to filling prescriptions. Maintain a web page so people can see how much mark-up (excessive profit) is going to drug manufacturers and drug stores on drugs. Do the same for lab tests. Stop doctors[Truncated] "* Every study done shows that providing home services, including long-term care, is less expensive than nursing homes or assited living facilities. This shoud be a practice for those living with a disease as well as dying.[Truncated]" "* Eliminate the special benefits for federal, state, and local government employees. Require all individuals to take some responsibility for their own health and health care. Reward those who try to do so; not all services should come without[Truncated]" * Reduce graft and excessive profits to save toward health care for all. The mark-up for goods and services has reached beyond greed. It's time for the government to negotiate and limit mark-ups for drugs and services to a reasonable level. [Truncated] 21496 6/9/06 6:26 PM AR "* Health care is basically the combination of public health and medical care. The general public has an expectation, a right if you will, of basic levels of public health—clean water, clean air, sanitary sewage, inspected meats and foods, et[Truncated]" "* Coverage should encompass medically necessary, comprehensive care, including emergency care, acute care, prescription drugs, early detection and screening, preventive care, care for chronic conditions, and end-of-life care. Patient education[Truncated]" * Provide basic coverage for all. Wealthy people are aways going to be able to afford more and better of everything. No big deal. But no one in the U.S should be asked to chose between health care or food. Catastrophic coverage is required.[Truncated] "This is OK, but put some metrics and timelines on it. If we can't see measurable improvements, change it or kill it." "This is OK, but put some metrics and timelines on it. If we can't see measurable improvements, change it or kill it." * Palliative care is cheaper and more humane than unnecessary procedures for the dying that are designed more to relieve guilt on the living than restoring health to the dying. We may have to force Americans to recognize that dying is not opti[Truncated] "* No where on your web site did I see any reference to the non-partisan National Coalition on Health Care and specifically their 2004 report Building a Better Health Care System, available at http://www.nchc.org/materials/studies/reform.pdf or [Truncated]" 21497 6/9/06 6:32 PM NY "* I agree; however, to do this will require that health care professionals (eg. Certified Nurse Practitioners) must be delegated responsibility to provide a large portion of the core health care services. No longer should the physician be excl[Truncated]" "* Health promotion and prevention of illness/disease are NOT currently being addressed by the average health care provider. For example, let's do some research on elderly populations in an effort to keep larger groups of people independent lat[Truncated]" I agree. "* Sounds good; however, these groups, units, and community based health centers should be overseen by those who know the community health networks the best and have done the research. For example, Visiting Nurse Services and Schools of Nursing.[Truncated]" "I agree. Reduction of fraud and waste should have prioroty before pouring new monies into old, out-dated patterns of care." Absolutely! "* Clearly, physicians have a role to play in making health care work; however, they are limited by the medical model and it is time that we acknowledged other health care providers, for example, nurse practitioners, for their roles in providing[Truncated]" "* I agree. A new financing mechanism must take into account the horrible waste of health care dollars that currently exists. For example, patients with cancer,in end of life stage, in many cases are still being given chemotherapy when Hospice[Truncated]" 21502 6/9/06 7:52 PM MI "* every person living in the U.S. should have access to health care. this is most likely to be paid for via taxes, and yes, the more wealthy should pay more. it could be a govt program, though that does worry me since the govt isn't likely to[Truncated]" "* make sure you define ""expert consensus"" carefully...one of the biggest wastes of health dollars is ""maternity care"" -- we pay surgical specialists to do what a midwife can do better for a whole lot less. So...don't listen to the AMA when they[Truncated]" "* if we did a really good job of preventative care, this wouldn't be a big issue. But yes, someone shouldn't be penalized because they get a catastrophic injury or disease.[Truncated]" "the idea that the federal govt could be efficient is rather humorous...but hey, go for it?" * cut out the employer stuff. the options should be basically universal coverage (either govt or single comp. insurance) or pay through the nose for services as they are rendered. NO PRIVATE INSURANCE.[Truncated] 21505 6/9/06 8:40 PM CO "* Our health care system costs an enormous amount and is much less successful than most European systems for two reasons: 1. we are willing to pay enormous salaries for a large number of health care plans each of whom's exectutives ""need"" milli[Truncated]" Health benefits also need to include hearing and eye care. Get rid of managed care and this will be easy! * Medicaid and Tricare provide care for much less than managed care companies and there does not seem to be a substantial difference in the quality of care. We need to move to a single payer system.[Truncated] The doctor and patient still know best. the evidence based process should be guide lines only. I agree * If we do not remove the high administrative and profit motives from health care we will never suceed! Single payer and regulated pharmacy is the only way to go.[Truncated] * 1. Eliminate all managed care companies and go to a single payer system that is either not for profit or limited to 6% profit and 6% administrative cost. This alone will allow us to save enough to give all citizens health care.[Truncated] 21506 6/9/06 8:50 PM CA "I agree, but feel that a cost-benefit analysis should enter into this. Keeping" "* The detailing of 'core' vs. 'high-cost' benefits will be key in a national system. Personally, I believe it is common sense and simple social justice for everyone to have access to cost-effective treatments. For example, children should get [Truncated]" "* I like the idea. What fraction of the healthcare budget would this cost? I do have certain reservations, as might be surmised from my comments on recommendation #2. In my ideal world, individuals can still choose to purchase health care wh[Truncated]" "* I'm not hundred-percent sure what this is advocating. I agree the national program should pick up low-income/un/underinsured. I agree with bullet 1&2.[Truncated]" "* I generally agree with this recommendation. However, I would be a little worried. A move to electronic records introduces new dangers from hackers. it's a lot harder for someone to go into a hospital and change someone drug allergy than i[Truncated]" I agree. "* I would like a requirement that prices at a hospital be equal. I note everytime I submit a bill to insurance, when it comes back... the charges have changed. Some charges are declared void by the insurance company (one was an intrinisic p[Truncated]" "It seems rather vague. Yes, taxes can be increased to pay for healthcare if necessary." 21509 6/9/06 9:57 PM WI I agree with this statement. Health should also include eye health. Advisory group should be public only. Federally funded programs mentioned above would not be needed if national health care was provided to everyone. Insurance should come from the government and be financed by payroll taxes. 21511 6/9/06 10:07 PM UT "* There needs to be a core benefit package for all, which takes into account cost. Extremely expensive hospital procedures should not be paid for by the taxpayer. People could buy private insurance for this.[Truncated]" Absolutely agree. People should not be impoverished by the high cost of necessary health care. "* Expensive hospital care for the end of life should not be paid for by the taxpayer. People could buy private insurance for this. But the taxpayer should pay for palliative care, hospice care , and other less expensive treatments during [Truncated]" "* I am very concerned about the cost (taxes) of universal care. Most people can pay for all of their own care, except for the extremely high cost of hospitalization. If people pay their own care, they would use less care (which saves money[Truncated]" "* People should pay all of their own medical bills, out of pocket, except for hospital bills. There should be some kind of universal coverage for hospitalization for a core package of benefits. If people had to pay most of their own bills [Truncated]" 21512 6/9/06 10:31 PM OH Everyone should have access to the same health care services regardless of their financial means. "* Everyone should have the same coverage for ""normal"" health care needs. Health coverage should not be limited to ""catastrophic"" illnesses.[Truncated]" * Everyone should have access to the same high quality health care. Relegating poor people to community health centers is injustice.[Truncated] * Let hospitals negotiate their prices with the government agency that would pay them for their services from tax revenues. Sick people should not have to worry about comparison shopping.[Truncated] "* America needs equal health care for all, paid for by taxes. Every other industrialized nation is able to do this. Our present system is deeply immoral.[Truncated]" "Health care should be financed by taxes, just like national defense." 21514 6/9/06 11:27 PM RI "* ""Core health care services"" should include the full spectrum of health services including all primary care so as not to exclude anyone.[Truncated]" "* When I participated in this forum there was loud consensus that all people should be treated to equal health services regardless of economic class. ""Financial protection"" for low income folks or protection against very high health care costs[Truncated]" "Everyone should have a choice of any provider, a tiered system should be avoided." * There is an optimal financing system: progressive taxes. Do away with the waste of for profit health insurance and drug companies.[Truncated] 21515 6/9/06 11:31 PM MI I totally agree with this statement. It is becoming only possible for the wealthy to afford care. Mental health is such a left out of the loop problem. Absolutely!!! * Community based health care leaves a lot to be desired because usually that means closing down in patien facilities and only offering stop gap measures for care. Families are left without resources and wind up asking the police to do what th[Truncated] * Cutting down on paperwork in medical records would definitely cut costs with safety nets for mistakes in information plugged into system.[Truncated] I totally agree. * I also would e 3wwilling to some higher costs to make it possible for all americans to have adequate health care. In particular in the area of mental health the system is totally broken. Many health insurances for family members after 19 do[Truncated] 21516 6/9/06 11:39 PM MO "* Every American should receive adequate health care without jeopardizing the individual’s or family’s financial security. Adequate health care should be a right of being an American, just like freedom of religion. This means that nothing g[Truncated]" "* I feel that in addition to adequate care of illness, or accident, that preventative care is so important to achieving and maintaining good health. So the health care system should put great emphasis and incentive on Americans putting their en[Truncated]" * This has to be fundamental to the system. People must be protected against huge out-of-pocket costs that could put burdens on family budgets or lead to financial ruin. I believe that people should contribute greater amounts to the system base[Truncated] This only makes sense to help fulfill the promise of high quality health care for all Americans. "* I believe that it is possible to provide high quality health care for all Americans and do affordably for all. After all, we saved the entire earth in World War II from a very dark fate, and we landed men on the moon. We can do what is right [Truncated]" "* I believe these will be great elements of the system. I have witnessed first-hand the benefits of Hospice care. All Americans in need should have adequate resources for these types of care. After all, we are talking about quality of life here[Truncated]" "* The fight needs to continue for as long as it takes, until the recommendations put forth in this document are the way health care works in America. [Truncated]" * Financing this health care system could be done in many ways. What it should not do is put any additional burdens on middle or lower income Americans.[Truncated] 21527 6/10/06 9:48 AM WI "* The biggest problem is the insurance companies no longer make healthcare companies compete. They just simple sign some B.S. agreement on whatever discounts the Healthcare provider will give them, and pass any additional costs on to the consum[Truncated]" Sounds like Socializm to me! This plan is just asking to be abused. More Socialism Yet even more socialism This says everything short of planting trackers in everyone for thier own good. "* The government has shown itself to be unreliable, and incapable of handling a range of issues. Haven't we learned anything from Canada's Healthcare Program? It's not the government's job to provide, or involve itself in any aspect of it's cit[Truncated]" "* This is not going to solve anything, it is mearly hiding the cost of what will (in the long run) be a more expensive healthcare system. The government pays $500.00 for a toilet seat, I would hate to see how much a physical would cost under th[Truncated]" 21529 6/10/06 10:26 AM IL "* Correction: Your statement should read: All Americans will have access to the full range of medically necessary services. Comment: The only efficient and fair way to provide such access is through a single payer universal coverage system. [Truncated]" "* No ""core"" benefit package can include all of the services that are medically necessary to everyone. All medically necessary services should be provided to everyone who needs them.[Truncated]" * Dividing people by income level and providing different financiing mechanisms for different groups is administratively wasteful. A single payer universal system takes this administative cost and uses the money for health care.[Truncated] "There should be no uninsured people. Community health networks are essential, but not a substitute for universal coverage." "* Quality of care and efficiency are best promoted under a single system. EMR's developed independently in multiple systems are often incompatible with each other and thus wasteful and useless, since patients can't always stay in one system. M[Truncated]" "* Only a single payer universal access system can provide what people say they want. All of the other otpions will inevitably fail at this, and they will waste an awful lot of money in the process as well as resulting in excess deaths and morbi[Truncated]" "* Correction: Enough money is now being spent on health care to provide coverage for everyone. We need only stop paying for wasteful administrative processes. Correction: a single payer universal coverage system is the optimal one.[Truncated]" 21531 6/10/06 10:54 AM OR * YES! NOW! TODAY! ENACT REP. JOHN CONYER'S HOUSE HEALTHCARE BILL! MAKE IT HAPPEN NOW TODAY! AMERICANS NEED NATIONAL HEALTHCARE TODAY NOT HAVE TO WAIT UNTIL 2012!!!!![Truncated] * REP. JOHN CONYER'S HOUSE HEALTHCARE BILL COVERS ALL ASPECTS OF COVERAGE!!!! ENACT REP. JOHN CONYER'S HOUSE HEALTHCARE BILL NOW!!!! TODAY!!!!![Truncated] THIS IS ADDRESSED IN REP. JOHN CONYER'S HOUSE HEALTHCARE BILL!!!! ENACT REP. JOHN CONYER'S BILL NOW!!!!!!! * ALL OF THESE ISSUES ARE COVERED UNDER REP. JOHN CONYER'S HOUSE BILL FOR AMERICAN HEALTHCARE!!!!!! ENACT REP. JOHN CONYER'S HOUSE BILL NOW TODAY!!!!!![Truncated] ENACT REP. JOHN CONYER'S HOUSE HEALTHCARE BILL NOW TODAY!!!!!!! * ALL OF THIS IS COVERED IN REP. JOHN CONYER'S HOUSE HEALTHCARE BILL!!!! YOU HAVE BUT TO MAKE REP. JOHN CONYER'S HOUSE BILL FOR AMERICAN HEALTHCARE INTO LAW!!!!!!!!!!!!!!!!!!!!!!!![Truncated] * ENACT INTO LAW REP. JOHN CONYER'S HOUSE HEALTHCARE BILL FOR ALL AMERICANS!!!!!! AMERICANS NEED NATIONAL HEALTHCARE NOW AND REP. JOHN CONYER'S HOUSE BILL FOR AMERICAN HEALTHCARE WILL PROVIDE IT!!!!! [Truncated] * THIS STATEMENT IS FALSE! REP. JOHN CONYER'S HOUSE HEALTHCARE BILL CAN BE ENACTED RIGHT NOW!!! REP. JOHN CONYER'S HEALTHCARE BILL BEFORE THE HOUSE ANSWERS ALL OF THE FUNDING QUESTIONS!!!!! AMERICANS NEED NATIONAL HEALTHCARE NOW!!!! NOT ONE YEA[Truncated] 21532 6/10/06 11:13 AM WA * All I care about is health care coverage for all - the private sector can administer it - as long as the health care professionals remain the decision makers. The US should be ashamed that we do not have universal coverage for all - no means [Truncated] 21533 6/10/06 11:32 AM CO * Implicit in this the statement is the correct assumption that only a single payer system can fulfill these criteria. No other system can or the rest of the world would be using it (and would have been for the last 50 years).[Truncated] "* This is rationing. Call it what it is. The central authority must have the power to ration. The above is only one way, but is way too early to decide how. The central authority must have the power and flexibility to decide rationing and chang[Truncated]" * Only a public program will work. Everyone should have the same financial protection. EVERYONE! Any other concept is not fair. Healthcare is now probably the most expensive thing a person buys during their lifetime. To make some pay for it whi[Truncated] "* Rubbish. Incremental reform is continuing self-delusion. Good grief! Quit fooling around and get on with planning a national system. I suspect we will have to amend the constitution specifically to set the framework for such a system, and we [Truncated]" * Nonsense. The costs involved for providers implicit in reporting are prohibitive. It won't work. Furthermore controlling costs by decreasing payments will not work much longer. Controlling costs can only be done by a single payer in terms of [Truncated] * More nonsense. The costs involved are prohibitive. All other issues (described above) are irrelevant until we figure out how to control costs - that's right - single payer system.[Truncated] * My opinion is self evident. It is based on 27 years in the medical profession. The toughest part of all of this will be rationing. Only a constitutional amendment will give a central authority to power to ration and control costs. There is no[Truncated] "* Only a centrally organiized, tax funded, single payer system is feasible. The rest of the world has already figured that out. Why can't we ""get It"" ? Are we collectively really that stupid (or perhaps it is just fear)?[Truncated]" 21535 6/10/06 12:08 PM UT "* Core benefits should NOT include dental or routine vision care. It should NOT include counseling, or yearly physicals. It should NOT cover prescription drugs. Core benefits should cover the hospital bill for child birth, and effective[Truncated]" Absolutely agree. "* People with advanced incurable conditions should NOT be able to choose expensive hospital procedures at taxpayer expense. They can pay for this privately, or with insurance, or from their estate. But the taxpayer should not be footing the[Truncated]" "* People should be able to choose to pay their own medical bills themselves, rather than be forced to buy insurance or being taxed for this. People can generally pay their own dental, vision, and clinic visits out-of-pocket, because this isn'[Truncated]" "* People should be allowed to pay for their own medical bills out-of-pocket, rather than being taxed or forced to buy insurance. Taxing and insurance adds a ""middle man"" which increases cost. People should be able to choose to pay all of t[Truncated]" 21537 6/10/06 12:26 PM IA * This seems rather extravagant in an environment where we are having trouble competing in the world market. It would seem that different people have different needs at different points of life. I agree that people who need financial help to [Truncated] "* This is very dangerous. When this has been tried in the states they end up with a package nobody can afford. Insurance should protect people from unexpected financial consequences, not the predictable everyday expenses. You don't get car i[Truncated]" "* Private plans can and do provide this catastrophic protection at affordable prices. Employers have added on all the stuff that is prepaid health care. People should be required to have this type of catastrophic coverage, with subsidies for [Truncated]" * The govt should provide incentives for providers and communities to do this on their own. The govt will just muck it up like they do all other programs and it will end up costing us a fortune. Just get rid of wasteful rules and provide ince[Truncated] "* Again, the best way to do this is through private programs. However, if this isn't going to happen then yes these govt run programs should get with the times and increase efficiency in the provider community. Using price controls like today[Truncated]" * This should be done instead of the wasteful expenses at end of life we have today. Other countries don't waste money like we do on this. Providing lower prices alternatives makes a lot of sense.[Truncated] "* The current mix of govt programs, employer based programs, and all the mess they have gotten us into is embarrassing. Instead of band-aiding the current system we need to get to a system where each person is responsible for their own health [Truncated]" * We have the most wasteful health delivery system in the world. The providers of care need to streamline their systems to reduce their costs in half. We have way more specialists and hospital facilities than we need in most cities. This cau[Truncated] 21540 6/10/06 1:07 PM NJ * There should be no question about this recommendation. What is our morale center if we deprive people simply because they do not have enough money?[Truncated] No one should have to be wiped out by astronomically soaring costs. Other countries manage quite well. Why can't we? * Centralizing a healthcare system would have many cost saving benefits -- and not a system like the current miasma of Rx drug coverage that is impossible for the average person to navigate which any degree of competence.[Truncated] 21548 6/10/06 6:08 PM CA I agree 100% "* I support a government-funded plan which will include ALL residents of this country. Expand medicare. Eliminate administrative waste and high profits of the insurance and pharmaceutical industries. [Truncated]" I agree 100% 21556 6/11/06 10:52 AM CA 2012 is too far away for this. We need these changes NOW! "* Prenatal, Birth and Postpartum services, rendered by midwives in all practice arenas is important to be reimbursed by federal funds. All licensed healthcare providers need to be reimbursed for services, including licensed midwives, certified [Truncated]" "* ABSOLUTELY AGREE. all women, regardless of socio-economic status, need to have access to comprehensive prenatal, birth and postpartum care, need to have access to full-scope midwifery care, and alternative health care modalities.[Truncated]" Licensed and certified midwives belong in an advisary group nationally. The military budget is inflated and could well afford to finance adequate health care for all. 21557 6/11/06 12:11 PM IN * I have been in the healthcare system for nine years in Indiana and at least 85% of the people have Medicaid anyway so what would be the difference. I already pay taxes for them. I am talking about the healthy adult people who recieve medica[Truncated] "* A discount on doctor visits, hopital stays and medication etc. Like the states get for the medicaid. We need to help the people instead of the Doc's raising there charge. I'm not saying that we shouldn't pay at all for our services but one [Truncated]" "* Well people with a true disablity should not have to pay high not have to pay as much as a able working person on healthcare costs. But we need to put DISABILTY in a catagory of home bound, or some one who physically or mentally cannot work.[Truncated]" "* There should be a standard healthcare network, but the people should be able to buy more at there expense at a cheaper rate if they choose. No insurance company should be able to benefit from the standard network. Or should Pharmacutical co[Truncated]" * I agree with improving quality of care and teaching people of there health condition. But if a person is not being compliant with there healthcare time and time again should be pentalized on there federally-funded programs.[Truncated] Each individual desearves support of end-of-life service. "* I'm already paying taxes for medicaid,medicare and insurance premiums. How about making a cap on specialist charges for office calls. They recieve hundreds of dollars for 15 min. office call. Rediculous!!! The rich keep getting richer an[Truncated]" 21566 6/11/06 6:13 PM CO I agree "* Core benefits in medical/surgical, prescriptions and dental care have already been pretty much defined by all major insurance companies. However, this basic coverage should not include viagra(or similar), birth control, fertility, assisted su[Truncated]" "* See #1 above and add: Insurance companies should provide supplemental plan options, similar to their current practice, which cover a broad spectrum of graduated costs for customer add-ons, i.e., dental crowns, etc. Insurance companies should [Truncated]" "* The federal government should only be involved as a policy framer, but should then allow the states to design what best fits their citizens, and NOT try to micro-manage anything. The ""federales"" created our current tax system! 'Nuff Said!'[Truncated]" I agree See # 4 & 5. No federal micro-management. "* Regarding ""immediate protection for the most vulnerable"" - every working stiff and retiree IS ALREADY most vulnerable. We can't wait until 2012.[Truncated]" "* Taking a tack from corporate America, citizens should be self-funded through tax dollars for the first ($25,000?) of healthcare, with a MANDATORY purchase of supplemental coverage from either: Medicare, Medicaid or private insurance. [Truncated]" 21568 6/11/06 8:16 PM FL Yes. Yes. Yes. Yes. Yes. Yes. I realize that additional revenue will be necessary to support these recommendations. So be it. Do what it takes to provide reasonable health care to all american residents. 21569 6/11/06 8:29 PM CA No quarrel here. "* I would like to see ""consumers"" replace ""patients"" in the make-up of the ""group"" to make recommendations, and I would like that ""group"" given standing and resources to advocate for its recommendations, as the ""9/11 Commission"" was able to do;[Truncated]" This is the reason for my comment on recommendation 1. "* The Feds ""will""? How are ya gonna make 'em? At least, they ""ought to"". Here is something for your advocacy. You introduce here the concept of the ""safety net"". There is said to be one now, but it is a shambles. That is one reason why [Truncated]" "* C'mon, fellas. The Veterans Healthcare Administration is chronically underfunded because the administration won't recognize the nature and magnitude of its responsibility here. Likewise, Medicaid. Still, it's a good generality. Also g[Truncated]" "* I would like to see something about non-end-of-life palliative care. The most visible aspect here is pain management, including appropriate medication, including the use of marijuana. That ""something"" needs at a minimum to include - 1) elim[Truncated]" "* One area is ignored here: While you advocate making more people able to receive more services and supplies, you say nothing about creating people, equipment and supplies and facilities to provide them, and placing them where they are needed [Truncated]" "* The third paragraph raises two questions. First, I would have thought that ""catastrophic...expenditures"" and the ""impoverishment"" problem would have been considered in constructing the core services inventory. Second, I am surprised that yo[Truncated]" 21570 6/11/06 9:10 PM ME "* I agree absolutely. This would ultimately reduce helth care costs, improve health across the board, and make our world safer and more secure.[Truncated]" "* Mental health services across a spectrum of disorders and relationship challenges are a crucial aspect of health care. This means parity, as I understand it. It includes treatment for conflicts, tensions, and dysfunctions in families of all[Truncated]" Essential policy. "* Good plan. This needs to integrate private practitioners, who often can provide the best and most responsive care at the lowest total costs.[Truncated]" Same as 4. Yes. * In the long run universal coverage would decrease costs across the board but in the meantime it would be well worth some increase in taxes to meet this goal. I do believe in graduated income taxes.[Truncated] 21571 6/11/06 10:45 PM FL "* I endorse this recommendation wholeheartedly. The way to go about it is single payer universal health care because it not only would cover everyone, but would save vast amounts of money. [Truncated]" "Yes, and the best way to achieve this admirable goal is through single payer universal health care." Medicare for all would achieve this goal. "* These are all excellent recommendations. Single payer universal health care (Medicare for all) would achieve all of these goals. Great job. Now we'll see if Congress and the President pay attention. [Truncated]" "* Well put. But it should be emphasized that the vast savings that single payer would generate would more than pay for its implementation. It would means a reallocation of expenses, but the total expended would be decreased.[Truncated]" 21581 6/12/06 10:35 AM MA I agree with this recommendation Health care that encompasses preventive services needs to include complementary and alternative modalities. I agree with this I agree with this. I agree with this I agree "* All midwives in all settings should be paid by any new national health care system. All licensed health care practitioners be eligible for reimbursement with this new system. [Truncated]" I agree 21583 6/12/06 10:46 AM OH "* You probably mean ""end-of-life"" not ""end-of-live"" in first bullet point. In general, we need to start thinking about dying not an an event (last days...) but as a process on a continuum of life that starts most often with diagnosis of a ch[Truncated]" 21584 6/12/06 11:08 AM NH "* Americans should have a health care system where everyone participates, regardless of their financial resources or health status, with benefits that are sufficiently comprehensive to provide access to appropriate, high-quality care without en[Truncated]" "* End-of-life services need to be coordinated through a single system, so that the incentives will be toward a coordinated compassionate approach instead of having each program doing as little as possible and hoping the next will be able to tak[Truncated]" * I am so pleased that this group has given citizen users of the system a chance to provide input. Please regard what we've said with serious attention![Truncated] * Universal coverage through a patchwork of private and broad programs is not a success. Universal coverage should mean that we all receive our broad basic health care through a single coordinated system.[Truncated] 21585 6/12/06 11:09 AM FL Excellent. This is where it all starts. Affordable health care must become a guaranteed right. "Yes, this must be the basis for the plan." "Yes, this must be a component. No one should be bankrupted because they need medical care." Very important. * House bill 676 might be a good starting point. Financing is a must. We need to examine all of our revenue generating systems and put together a package that works. The recent cuts in taxes as a way of hindering government have been very detr[Truncated] 21592 6/12/06 1:00 PM MI "* The best way to provide these core services is through a Medicare for all policy such as that offered in a bill intrduced in the House of Representatives by Rep. John Conyers (MI), H.R. 676, The National Health Insurance Program Act.[Truncated]" 21593 6/12/06 1:13 PM IN "* I agree with this comment, I can not afford health care because I have asthma and have been on medication my whole life. I run the risk of getting really sick and not being able to afford the hospital bill. [Truncated]" I believe that all Americans should have health coverage and it is the responsiblity of the government to ensure this. 21602 6/12/06 2:01 PM CA Excellent recommendation - exactly what this country needs. It is fair and will make us competitive again in the world market. "Very important, I agree." I agree. I agree. "Very important, again I agree completely." "Great, has been long needed." "* I believe strongly in this, trillions of dollars are currently spent in a mish mash of ways on health care with no good outcomes.[Truncated]" 21609 6/12/06 2:49 PM OR "* This is better than the system we have now; however, I have always supported a program like the Oregon Health Plan where the plan is paid for out of taxes and all Americans have free basic no-frills health care with reasonable premiums for th[Truncated]" * I would like to see no health insurance companies or drug companies on this committee. They are part of the continuing problem here in this country. People from health fields and citizens from all income levels and interests should be part [Truncated] "* With true universal health care, daily medical needs will be taken care of which may help preclude the need for expensive medical costs. Prevention will be the key here.[Truncated]" * I agree with these concepts. I would ask that members of the advising group have a background check that includes how they have handled any involvement in health care up to this point. No need to let the fox into the henhouse.[Truncated] Looks good as long as the people working on this are ethically up to the challenge. Support quality end-of-life care. * It's about time this became a serious subject in our country. Progressives have been advocating this since the 80's. Now is the time to do something about it.[Truncated] * Allow me to be progressive and say that any health-related company making gross profits can certainly be expected to kick in some of those profits to aid all Americans in their health care needs. And if citizens are not paying ultra high ins[Truncated] 21610 6/12/06 2:53 PM OH I agree. I agree. I agree. "* There are other private and publicly funded health centers other than Federally Qualified Health centers, but increased support for FQHCs is needed.[Truncated]" "* The need for Prevention is understated in Recommendation #5. Prevention will ultimately save much more than treatment, but only a fraction of the health care dollar is spent on prevention. The local public health department system is the be[Truncated]" * This is also an important area for cost saving. Too much is being spent prolonging life functions without regard to improving the quality of life. Prolonging conditions where longterm improvement is unlikely and quality of life is questionab[Truncated] Not at this time. I agree. 21614 6/12/06 3:37 PM FL "* In the process of defining the ""core"" benefit packages for all Americans, I trust the indivdual ""State Plans"" (e.g., Florida Medicaid State Plan) will be a primary source of infomation. It would be a shame to have separate set of core benefi[Truncated]" 21615 6/12/06 3:42 PM ID * First all people who are in the US have access to high quaility health care already. All they have to do is show up at the hospital. Many hospitals have gone out of business because many are taking advantage of this option and not paying fo[Truncated] "* Part of my response is in financing the plan. Primary health care should be paid for my the patient. Wellness exams can include the ones suggested by the national instutite of health, with the doctor and the patient deciding on what the pat[Truncated]" "* Here again, you confuse the difference between health care and health insurance. Everyone has access to health care, not everyone choses to have health insurance. If there are protections for people who have financial challanges, then the i[Truncated]" "* Most of this recommendation does not make sense. If we are trying to set up a system to care for the poor or those who are really sick, we already have a system, it is called Medicare and Medicaid. The plans costs billions each year and pro[Truncated]" "* If the government controlls the amount doctors can earn, where will you get the new doctors? Today many of the doctors who are approaching graudation will not earn enough money to pay off the loans they have aquired with the money they are p[Truncated]" * I agree that patients should be involved in making the decisions about what care they will receive. Provisions should be made to withhold legal action against a health care provider if they follow the wishes of the individual who is sick tha[Truncated] "* As I have gone through the questions, there is no doubt that the intent of the group was to put together as many reasons as possible to promote a national health care single payer plan. We have problems with our health care system, there is [Truncated]" * Nearly every country who has decided to provide universal health insurance and raise taxes to cover the cost have resulted in at at least three negatives: 1) Taxes become prohibitive. It is not unusual for the tax rates to be 60-80% of incom[Truncated] 21621 6/12/06 4:24 PM NY "I would add ""evidence-based"" to last sentence" Members should have demonstrated their interest and experience in this task as a condition of their appointment. Great * I would think it important to say something about why this IS important including any evidence that this produces better outcomes.[Truncated] "* But a lot of this is already happening in private sector - why throw that away? And federal government is already doing a lot through CMS, VA DOD etc. as well as grants to private sector. [Truncated]" On target. * I would think that it would be important to stress that we should seek ways to reduce adminsitrative costs so that the highest percent possible of health care dollars go to direct provision of care and services.[Truncated] 21623 6/12/06 5:11 PM OR "I agree with recommendation #1 " "* This sounds like the Oregon Health Plan of the 1990's. When it was adequately funded and allowed to operate as designed (limiting benefits rather than eligibility) it worked very well. I assume you are speaking of a single core benefit f[Truncated]" "* High deductible ""insurance"" plans do reduce utilization by patients who have not met their deductible, but care is reduced non-selectively. Patients avoid seeking care in general, including needed care under financial pressure. Please consi[Truncated]" "* What exactly do you mean by ""safety net""? Providing support for vulnerable populations is a desireable goal, but you must not ignore the efffect of the ""high end"" part of the health care system. High cost, high tech, concentrated resourc[Truncated]" "* The health care system should look more like a public utility than an entrepreneurial arena. You have made reference to a ""unit with specific responsibility"" for the safety net. This idea needs expansion. Could you specify some accountab[Truncated]" "* This is an admirable goal. Patients cought up in the sweep of a medical crisis lose all control for at least a big part of the time. [Truncated]" "* (You may have received another copy of my comments a few minutes ago.) I sense a reluctance to comment about private insurance, which is a major stakeholder. Public comments reflect hopelessness about influencing so large an industrial power[Truncated]" "* What do you intend to be the role of private insurance under the improved system? I believe the present private insurance model, with many competing companies and a bewildering array of plan options does not serve us well. Specific problems [Truncated]" 21624 6/12/06 5:48 PM OR "* How to Pay for National Health Insurance (with Co-existing Public and Private Systems) To resolve conflicting arguments of opponents and proponents for national health insurance, why not let both Public and Private systems exist. Those tha[Truncated]" 21625 6/12/06 5:54 PM GA "* Many agree that a cost effective yet culturally sensitive solution to palliative care and end-of-life services is an amiable goal. To reach this goal, proactive care planning must be made at an early age and continually developed depending on[Truncated]" 21627 6/12/06 6:21 PM TX * This should not even be a question. I agree 100% that all Americans should have affordable health care. Why does it have to take 6 years?[Truncated] "* This is extremely important. Americans do not trust the politicians to do this. It must be completely transparent and user-friendly. The science on this needs to be objective not political. [Truncated]" * No one in America would be impoverished by health care costs if the health care system were to be a not-for-profit organization. [Truncated] These orgainizations should not operate under top-heavy government control that will defeat the purpose. Efficiency is a must--the system needs to work efficiently and not be burdened by excessive red tape and bureaucracy. "* At the community level, the cost of this type of service may be too high. Some communities have less ability to collect revenue while serving more Americans who need this type of service.[Truncated]" * Maybe we should take look at the Canadian system. They spend less than the United States on health care yet their citizens are healthier than we are. They also have more affordable prices for prescription drugs which Americans are not allo[Truncated] * Our taxes would be very well spent on health insurance. It is about time that the people of this country all benefit from the great resources at our disposal. The cost of prescription drugs needs to be competative so that price-gouging will e[Truncated] 21631 6/12/06 7:48 PM TX "* This is absolutely essential to a healthy society, and to an equitable society. No one should have to go without health care or medicine because they are poor (or not quite rich); personally, I favor SINGLE PAYER similar to Medicare, though [Truncated]" "* Agree. Health care must include mental health and dental services. Lack of care in these two areas inevitably leads to higher direct medical expenses. While I generally believe that medicine must be evidence-based, there are a few areas[Truncated]" * Agree with each of these. Catastrophic protection should be on a sliding scale according to income. A catastrophe for someone earning 30K is a much small dollar amount than for someone with an income of 150K and investment assets.[Truncated] "* Agree in principle with ech of these, though I don't know which Department or Agency can be trusted to do this right. I don't think it is a proper role for Health and Human Services. Perhaps a Congressionally mandated organization not subje[Truncated]" "* Agree, except that I am very suspicious of ""electronic medical records."" There is no way to insure patient privacy once these are in wide use.[Truncated]" "* I think there are presently very serious problems with overzealous chemotherapy and ""salvage"" therapy in the elderly and those with inherently terminal disease. Hospice like organizations and facilities must be expanded. Doing so would redu[Truncated]" "* My son works for an employer who provides no medical insurance. His salary is not quite sufficient for him to buy his own. I purchased insurance for him, but it has a huge deductable, does not cover his pre-existing condition (which is a se[Truncated]" "* Agree. Again, I favor SINGLE PAYER similar to Medicare, though I do find the Massachussetts approach interesting. Employers (company size above some minimal amount, e.g., 7 employees) should be required to pay not less than 5% of payroll in[Truncated]" 21635 6/12/06 11:38 PM CO "* I reject the idea of only ""core health care services"" will be universal. All medically appropriate and necessary care should be covered for everyone. A single tier where all of us have the same coverage-- not a tered system that only cover[Truncated]" "* I reject the idea of ""core benefits."" Every other wealthy nation has comprehensive health insurance for every single one of their citizens, and they pay half of the cost that we do for health care. WE can afford comprehensive benefits for a[Truncated]" * I reject this idea. Two million Americans are bankrupted each year by health care costs and most of them HAD health insurance when they were struck with the illness that bankrupted them. High deductible health insurance is like NO insuranc[Truncated] * I reject this idea. We need comprehensive health insurance and comprehensive health care for ALL Americans. Every other wealthy nation has comprehensive health care for all of their citizens.[Truncated] "* By far the best way to achieve this goal is to switch to a single-payer system. It is by far the best at reducing fraud, reducing waste, and improving efficiency. I reject the idea that the free-market approach of ""smarter"" health care shop[Truncated]" BEst way to handle this is universal comprehensive insurance: single-payer. "I am a physician, and I am a former president of a health care organization." "* A specific funding mechanism is optimal by far compared to any other idea discussed. What the great majority of Americans want including me is the only financing strategy that encompasses principles of fairness, efficiency, and shared respon[Truncated]" 21637 6/12/06 11:52 PM CO "We need universal comprehensive health insurance-- not just a ""core"" of benefits." "We need comprehensive health insurance-- not a ""core benefit." We need single-payer We need single-payer single-payer is by far the best way to approach all of these issues- not what you are recommending We need single-payer "* The testimony from citizens at your hearings overwhelmingly supported single-payer as the best model for our health care system. What you are proposing is to keep our broken and inefficient multipayer, mainly profit-driven system intact. It [Truncated]" there is a specific health care financing mechanism that is optimal: Single-payer is by far the best and only solution. 21644 6/13/06 4:01 AM IN * One of the biggest issues that I see is the problem with Prescription drug costs for the elderly who cannot work due to health issues and yet do not qualify for disability. The amount of prescriptions for this age group alone are enormous and[Truncated] 21645 6/13/06 7:19 AM MI * The federal government should have nothing to do with health care. This should be reserved to the states if desired. I do not need another tax and the wasteful overhead of another federal organization.[Truncated] 21650 6/13/06 9:59 AM MD I agree. "very good," excelent ok very good good "* when Its all said and done,the government is gonna have to come down, on the medical fields,about cost.if that does not work,then nothing good will come out of it.It will be up hill all the way.[Truncated]" "* seamless,smoth transition just copy canadas system, Its a great start.I was told, an american asked a canadian, how do you like the health care system here, he said I don,t, but I sure don,t want what you have.[Truncated]" 21651 6/13/06 10:53 AM IL * Most certainly since most have worked and paid taxes most of their lives. Americans born here should be considered first and foremost and anyone not contributing should not be considered. I know the elderly are having to choose between food[Truncated] I agree absolutely I am adamantly against paying the health care cost of immigrants I agree "I see it often, we need to have more access to hospice and comfort care for all" 21652 6/13/06 10:55 AM NY "* Perhaps the best way to accomplish this swiftly and efficiently is for Congress to Pass H.R. 676 proposed by Congressman John Conyers, Jr. in 2003. It proposes expanding Medicare to cover all Americans.[Truncated]" A private program will be subject to corruption. "* The profit currently being made by HMOs and health insurance companies should be eliminated. To profit at the expense of another human being's health is unethical, immoral and should be illegal.[Truncated]" 21658 6/13/06 11:05 AM OR ENACT INTO TO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS ENACT INTO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS ENACT INTO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS ENACT INTO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS ENACT INTO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS ENACT INTO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS ENACT INTO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS ENACT INTO LAW RIGHT NOW! REP. JOHN CONYER'S HR BILL 676 HEALTHCARE FOR ALL AMERICANS 21659 6/13/06 11:07 AM KY * No. Because this has never worked and never will work -- think Medicaid and Medicare and the other social programs that are supposed to address this problem.[Truncated] "* Do you really think this group could be non-partisan? Do you think it could identify what was essential? Do you think the members of this group would be in touch -- personally, financially or socially -- with the people who really need health[Truncated]" * Define very high out-of-pocket medical costs. I hear complaints if someone has to pay $15 for a prescription for tonsilitis -- a prescription they more than likely will not need refilled. And don't most of the low-income people already fall u[Truncated] Excuse me. I have to go have hysterics over this one. Okay. Twenty-five minutes later and I still can't stop sniggering. "* Reduction of fraud and waste in administration and clinical practice definitely would help, especially the fraud part. The local hospital has one or two doctors on staff who routinely stop by every patient's room in the morning (whether or no[Truncated]" "* I think hospice is already doing a great job, from the very, very good things I hear from people whose families have used hospice services. Everyone I know who has had hospice to take care of a dying family member have nothing but good things[Truncated]" "* I think, before anyone even starts considering a national health-care system, that there should be a very, very intense look at the policies that are in place and use by insurance companies. And don't let any senators or congressmen who have [Truncated]" "* This will not work with major corporations, because they'll make sure they increase the deductibles on their health insurance policies already in place so their premiums will be lower. It will be very difficult to have enough financial resour[Truncated]" 21660 6/13/06 11:11 AM OR "* I don't quite know where to put these comments so I will place them here in the additional comments area. I was a public school teacher for 40 years and headed up a program for the senior class in my high school for volunteering in the commu[Truncated]" 21663 6/13/06 11:19 AM FL "* What is ""affordable""? I would prefer to see recommendation #1 read: ""All Americans will have access to a set of core health care services."" This is exactly as you state in your first sentence. Please take the idea of cost and/or payment ou[Truncated]" "Rather nicely done, good work." "* ""No one in America...."" is an interesting phrase. The opening in recommendation #1 is ""All Americans..."" The two phrases are problematic. Are we talking about ""All Americans"" or potentially eyery one in America (my wording)?[Truncated]" * My hospital experiences have led me to conclude that Federally Qualified Health Centers are ineffective. In the many communities I have worked there has been no connection between any of these centers and the local hospitals. The centers ha[Truncated] Another one that is nicely done. ok "* Universal coverage, one payer, and a national sales tax. It is easier than you might think. This is not the time for slow incremental steps, our dysfunctional system is in need of a major overhaul. You are on the right track and have dow[Truncated]" "* I disagree that it will take time. The answer is a national sales tax. Please do not discard the idea too quickly. Consider this, we all pay a national sales tax every time we gas up our vehicles. There is no rioting in the streets, rathe[Truncated]" 21665 6/13/06 11:25 AM OR "* Use high school students in private and public schools to aid in this. As a retired h.s. teacher who developed a nationally ranked program in which our senior class (700 students) donated an average of 14,000 hours per year of volunteer time[Truncated]" 21668 6/13/06 12:02 PM MS "* Americans already have access to quality care at affordable pricing through several federal, state and private initatives, community health centers, Medicaid, charity, free clinics, DSH funding and more. How can a set of core health care s[Truncated]" "* Americans enjoy the widest spectrum of health benefits now, with no pre-set care service capp, in most cases. Setting a core package will mean rationing care subject to the whims of politicians and special interest groups. Consumers, who have[Truncated]" "* Even in countires that have universal care system, there are citizens who are not covered and those who do not receive care when needed due to overt or covert rationing. Let's not bring the Stockholm Syndrome to America.[Truncated]" * Central planning doesn't work. Private markets work best when legulations and regulations are not arbitrarily placed upon them. Any economist will tell you that laws and rulations can not repeal the laws of economics.[Truncated] "* We have evidence based medicine now. There is no way to enable every medical provider will be on the same treatment page. Add to this that every individual is unique means ""standardized"" or cook book medicine is not always the best medicine.[Truncated]" "* Another dream that will never come true. You are seeking the ""ideal"" system in an imperfect world. We should be seeking excellence in every encounter, yet providers and consumers are not robots. We have discretions that we act and react upon.[Truncated]" "* Our health systems, yes, plural,are wasteful, inefficient, and bloated with over capacity. There is too much 3rd party money freely flowing into the health system centers & providers. As much as 60% of the health care dollar is wasted on exce[Truncated]" "* There are no ""new"" revenue streams that haven't already been tapped to pay for health care expenditures. What you are suggesting is a more direct collection methodology through taxation and mandated financially able-consumer payments. You [Truncated]" 21670 6/13/06 12:11 PM SD "Health care should be available to everyone, especially those with medical conditions that make them uninsurable." 21672 6/13/06 12:13 PM ID * To mandate coverages for all people would be needlessly cost prohibitive. Coverages should continue to be customizable as consumers see fit.[Truncated] "* Any attempt at defining the benefit plans for the entirety of the population is misguided. For example, I think Mammograms are a very important test for women over the age of 40 and younger with family history. However, is there a need for [Truncated]" "Great, paid by who? Who gets the benefit? They aren't consistent." "* Do you think that governmental programs are going to draw more physicians into underserved areas? It has the reverse effect. Just like medicare has caused the private business to pick up the slack in reimbursement to the physicians, any shi[Truncated]" Stay out of it! ANY increase in governmental coverage is just going to worsen the situation! "* Are you serious? Are you going to concentrate on the end of life? Why not throw money at something that would really help.... How about stem cell research, obesity, diabetes, heart disease. Let's concentrate on programs that can have an[Truncated]" * You really need to be careful with any recomendation to increase the presence of any governmental large group pruchasing program. The end will be that there will be people that do not want to be part of the program who can afford to go out a[Truncated] "* This is ludicrous, you are just taxing the healthy to pay for the unhealthy. Why is it the responsibility of those that choose to live a lifestyle to pay for those that choose to be lazy. If you were to find a way to concentrate on non-l[Truncated]" 21673 6/13/06 12:22 PM WA * This reminds me of the little story about the mice in the castle having a meeting about what to do about the Castle cat (which was finding and killing mice). The mice met and talked about solutions and finally one young mouse shouted out I h[Truncated] 21685 6/13/06 1:42 PM WA "* I can only read this and think YOU DON""T LISTEN! whats in the core? why can't it be inclusive to all medical care? The financial assistance piece bothers me. To hard to regulate if citizens are required to pay a premium then some will go w[Truncated]" * what is outside the core? what if me elderly mother on social security needs this? she expected to pay for it because it was not in a core plan she did not choose? one plan one payer will fix this to.[Truncated] simple one plan one payer will fix this * simple one plan one payer will fix this to. rural communities could then do what they need to do to entice medical practioners to service their communities. The federal government can't possibly take responsibility for every small town in a[Truncated] simple one plan one payer will address this as well * so you want hundreds of people making plans to essentially promote assisted suicide? simple one plan one payer will allow families to review all medical options on the table and the patient will have their dignity and wishes available to the[Truncated] * It appears this committee has looked at making this a very difficult and long (2012) task. Which ultimatly will divide the haves and the have nots. I don't understand. I attended one of the community meetings and I can certainly say what i[Truncated] * The transition can be done overnight with law. cut out the thousands of administrators for the plans and you will have enough money. plan needs to be paid by income taxes on a federal level. no new taxes! one plan one payer will fix this pr[Truncated] 21686 6/13/06 1:56 PM MD test; ignore 21694 6/13/06 2:17 PM ID * Goverment oversight is okay like medicare but leave it in the private world. It must be competitive. Running the intire system from Washington D. C. will be bureacratic and uneffective. [Truncated] "Core yes not goverment run only goverment oversight. The goverment can set bounderies." 21696 6/13/06 2:20 PM OR * I do not see how the committee came up with only providing core benefits when the recommendation was that all Americans should have affordable health care. We need a one payer system with electronic records. The money is currently available i[Truncated] One payer system is the way to go. A one payer system provides end of life care and prevents duplication. * Without a one payer system we are only putting bandaides on our current heath care mess. Americans will accept a one payer system if the health care is good. We can do it! We should not let current stakeholder's profits and greed prevent Amer[Truncated] "* The transition only takes time if one tries to protect the current stakeholders and thier profits. There is no reason we can't have effective, fair health care now. Just apply medicare for all or provide a system like the VA for all. [Truncated]" 21697 6/13/06 2:40 PM IL "* There must be access to the health care system for all Americans, whether they are employed individually, in large corporations and are able to participate in group insurance coverage, or RETIRED BEFORE THE AGE OF 65 when they are eligible fo[Truncated]" Every American should have protection from ruinous healthcare costs. "* Hospice programs should receive addequate reimbursement, and the use of not-for-profit (versus large corporations) providers should be incentivized. [Truncated]" "* Congratulations on the Interim Recommendations of the Citizens’ Health Care Working Group. These are all important, practical recommendations that I look to our government leaders to address now. It is imperative that the implementati[Truncated]" * Significant supply chain efficiencies can be gained in the health care system if the government mandates all medical device manufacturers to utilize a common numbering and nomenclature system (like UPC numbers in the grocery store) for EVERY [Truncated] 21698 6/13/06 2:48 PM PA "* Our INSURANCE overhead to get us healthcare currently stands at about 15-20%. Overhead for government's medical plans stands at about 4%. Since goal is HEALTH CARE - go right to it. Bypass insurance costs and we're basically there. All th[Truncated]" * A preemptive approach to medicine would eliminate the costly end when we have let diseases or illnesses get out of hand due to a lack of financial resource. Many other countries have a great deal of success keeping their populations healthy. [Truncated] * Now this could be a place where insurance on a personal level comes in. It would still be an embarrassment but not as bad as what we currently practice.[Truncated] * YES> YES> YES> We used to have a system like this. There were many doctor's offices. There was no insurance. For a small payment you got healthcare. What a concept. Progress often requires going backward.[Truncated] * Look at the figures for loss of life due to sanitation in the current American system. It is dismal. In some countries Americans are isolated until a bacteria culture can be done before admittance into general hospital population. [Truncated] Yes. Our current elder care is downright abusive. Just get it done. I agree whole heartedly and it can and must be done. 21699 6/13/06 2:48 PM ID "* Yes I agree all should participate through private plans not goverment managed. Those who go without should have an penality through either higher taxes or higher premiums for delaying. [Truncated]" "* Goverment oversight yes not an goverment takeover. Do as much privately as possible. We the people can think and choose the plans that best fit our situations. [Truncated]" 21700 6/13/06 2:57 PM NY "Health care should be a right of citizenship, not a commodity." The quality of care provided must be addressed as well. "Medicare for all, single payer is the answer." This makes alot of sense as long as the planning and alotment of resources is done properly. "* It's not clear to me how we get from federal funding to the worthy goals listed above. These things need to be done in a uniform manner, not as a patchwork quilt.[Truncated]" Keep government out of these decisions. * Medicare for all is the best way. A single payer system eliminates bureaucratic waste and can pay for the uninsured with the savings generated.[Truncated] 21708 6/13/06 3:23 PM IA "* I agree with others that it needs to be a comprehensive plan, not a core plan. Also, you need to be more specific on ""evidence-based"", including alternative/natural treatments out there. These are more cost-effective and often work better t[Truncated]" "* Patient-centered care with an inphasis on health education needs to be the top priority. Patients control their care, not the provider. Remember the terms, ""informed consent/informed refusal."" Patients should receive all of the information[Truncated]" "* No one should have to die alone or in pain. These are wonderful resources and should be availble to everyone, not just those with money![Truncated]" "* We need to be more responsible for our healthcare. Ask questions. Healthcare professionals aren't Gods, they are there to care for you as best they know how and understand that everyone is a unique individual. I am a nurse and I care for [Truncated]" "* Healthcare wouldn't cost so much if we took it out of the control of insurance companies. Healthcare costs raise because insurances, including Medicare and Medicaid won't pay enough to keep the resources available. So, in turn, healthcare [Truncated]" 21713 6/13/06 3:37 PM ID Yes but privately run. * Fine but give individuals options to pay out of pocket highter deductables or higher co-pays and reduce cost of plan through either lower taxes or no penalities. No one sise fits all.[Truncated] "* Done through private industry with goverment oversight. Let americans make there own choice of plans not an goverment take over. [Truncated]" I agree but stay private as much as possible with the least amount of goverment involment possible. "Let those who can afford to pay for it do so and underpin only the most needy with help. " 21715 6/13/06 3:57 PM MO * I am in 100% agreement with the concept of providing coverage for all Americans. As a registered nurse I have worked in both private practice as well as in two university healthcare settings in two very different states. It is very difficul[Truncated] * I applaud these recommendations. In a country as wealthy as the United States in is inexcusable that there are individuals who cannot receive care. Often it is the low middle income individuals who suffer the most. I feel it is wrong that [Truncated] This is what Americans need. They need to know that they can have care when it is needed. "* I believe that community health networks are an excellent idea on the surface. My only fear is that things will become so bogged down in ""beauracracy"" that again people will not receive the care needed. Any oversight needs to be streamlined[Truncated]" "* My comments to this concept are similar to what I expressed with recommendation #4. It has been my experience as a healthcare provider that Medicare, Medicaid, Tricare (which I have dealt with all) are extremely difficult and time consuming [Truncated]" This is an excellent recommendation also. "* I truly feel that this working group has done an excellent job of understanding and capturing the feelings of the American people. I also believe that the recommendations are on target; however, my only concern is that things will be overrun[Truncated]" * I would be happy to contribute additional tax money if I thought it meant that everyone would have access to care and that people would not be financially devastated by a major illness.[Truncated] 21721 6/13/06 4:32 PM OR "* Recommendation does not convey the passion and concern I heard at the meeting I attended. Terms like ""sufficiently comprehensive"" are too vague. They lend themselves to political interpretation that could range from ""take three aspirin and [Truncated]" * This element should include representation with a bias of citizens who are patients and citizens who are in good health and want to maintain that state. Providers and pharmeceutical firms should not have inordinate influence in this process.[Truncated] This statement should convey more of the passion I heard at the meeting for this provision. Say something about prohibiting monopolistic practices that result in unearned profits. 21723 6/13/06 4:37 PM MD "* We need this as soon as possible. A study commissioned by the National Coalition on Health Care indicated that if we had a single payer national health insurance program in 2006, we could provide health care for every single man, woman and c[Truncated]" Core benefits should by definition include anything which is life threatening. Such things are not optional. "* Only a single payer system can adequaely spread the financial risk of illness across all Americans. With universal health care, the matter of catastrophic situations goes away.[Truncated]" * This is important. We need legislation prohibiting for-profit hospitals and court decisions that permit a return to cooperation between non-profit hospitals acting as community welfare agencies acting for the good of all. Turning hospitals [Truncated] "* Eliminating for-profit hospitals and competitiveness between hospitals, except for competitiveness to see who has the best reputation for quality, could help save some of the 100,000 persons each year in the United States who are killed by ho[Truncated]" We need to go to a single payer system as quickly as possible in order to save money ($25 billion in 2006) and cover everyone. 21726 6/13/06 4:58 PM NY "I agree with this, I would like some detail now on how we propose to do it." "* Unfortunately to keep costs down, I think that we should limit some heroic, and extreme measures, especially for the oldest member of our population. For example paying for a heart transplant may be appropriate for a 20 year old, but shouldn[Truncated]" "* Like other government funded programs (taxes) base cost on income. Everyone pays the same % of income (flat tax,with no deductions, etc) for the core package. [Truncated]" "* Give users a choice of plans and providers, with the government paying a set amount, anything above that amount would be the responsibility of the taxpayer.[Truncated]" "A nationwide data bank of medical records, would be a great idea." "* Where ever possible services that allow people to end their lives in their homes, as opposed to nursing facilities would be preferable.[Truncated]" A financing system based on income would seem to be the fairest plan. 21730 6/13/06 5:48 PM ID "* A non-profit single payer pool makes the most sense. That way financial assistance would not be necessary, and access would truly be equal.[Truncated]" * I would hope recommendation would keep in mind that skimping on primary care often results in bigger bills for bigger problems down the road and make demands on patients accordingly.[Truncated] Insurance is often inadequate Well thought I am impressed with your efforts and thank you. Taxes on profits from industries that jeapordize health would be fair. 21731 6/13/06 6:04 PM NM * As an American citizen I absolutelly agree. My husband and our family is a hardworking lower-middleclass family who still cannot afford healthcare coverage. Daily we live with the understanding that if a health crisis were to occure we would [Truncated] I agree. * I agree. My family is a middle-class family and like so many others we live one paycheck away from absolute poverty. People shouldn't have to live in fear of not having adequate healthcare coverage in the event that they should need it. There[Truncated] I agree. I agree. I agree. * I belive that universal healthcare would strengthen our families and communities. Families need safetynets in event of health crisis. A broken bone should not endanger a family's ability to thrive in our economy. Care should be taken to ensur[Truncated] I would be willing fund a universal healthcare system if it means higher taxation. 21734 6/13/06 7:36 PM CA "* This will benefit our country in countless ways; by enhancing productivity, by helping reduce preventable diseases and infectious ones, reducing accidents, illness and destruction caused by alcohol and substance abuse, and more. It will even[Truncated]" "* In addition to Western medicine, we should expand available benefits for traditional Chinese medicine, which has extensive history of proven success.[Truncated]" This is essential! * Our government should also encourage expansion of primary medicine training throughout the USA. We need more residency training programs for new physicians and incentives and/or encouragement for those chosing primary care/family medicine an[Truncated] "* We must eliminate wasteful spending on non science-based, phony health programs like abstinence education and restore physical education, sex education and school clinic options to our children's schools.[Truncated]" Pain management education needs to be improved for the spectrum of clinicians. We have several European models to turn to for structuring universal coverage. Canada is not the only option. 21736 6/13/06 8:45 PM CA See additional comments please. See additional comments please. See additional comments please. See additional comments please. See additional comments please. See additional comments please. * Yes. These six recommendations are what most people come up with if they are not trapped by virulent ideologues in the audience. I have concluded after a lot of listening that there are five successful strategies and five dangerous pitfalls [Truncated] See additional comments please. 21739 6/13/06 9:23 PM PA The word affordable is unnecessary. It should be that all Americans have health care. "* In Pennsylvania, we currently have legislation pending in both the senate and house on Universal Health Care coverage. This is essential. As a social worker, I have seen crises in health care across socioeconomic levels. It doesn't take mu[Truncated]" Support for end-of-life services are barely beginning to be addressed. This is a crucial need in America. 21741 6/13/06 10:10 PM PA "* I do agree with the above made comment in reference to affordable heath care available to all. I feel that these benefits should not cost the insured more money than they can live on. If someone is receiving disability, they should be able [Truncated]" "* A system needs to go into effect to determine the medications that are ""medicately necessary"" and those medications should be allowed for treatment in cases involving the terminally ill or disabled. Cost in obtaining this type of medication [Truncated]" "* Coverage for everyone should not be an option. Everyone needs health care. All costs involved in the area of health care need to be evaluated for efficiency, etc. The purpose of having health care is to have peace of mind in case of an eme[Truncated]" * The public needs to be consistently aware of the issues involving health care and safety. Support groups should be set up in all areas in order to obtain the best possible route in providing health care availability for everyone. [Truncated] "* Programs need to be set up in local areas to get the cities, towns, rural areas, etc. involved. Everyone needs to get involved in this effort to have health care coverage available. Educating the public is a necessity. [Truncated]" * Restructure is not an area to just think about. Restructuring our health care system is needed now. We need to know our options and we need support from our governmental agencies today. We need to make a gigantic change in health care and [Truncated] * I have a hard time standing in line at the pharmacies and watch the elderly people taking out their checkbooks to pay large sums of money for the prescriptions they need to take on a daily basis in order to survive. It breaks my heart that s[Truncated] * Catastrophic health care expenditures and the impoverishment of individuals need to be monitored closely. Finding a system alone just to handle this sector of the financial statement will certainly be a great task.[Truncated] 21742 6/13/06 10:23 PM NY This is a must. It's a sin that we have too many under or uninsured patients in this country. This will be the hardest to adequately define since everyone's perception of important core benefits is quite varied now. Catastrophic coverage should allow for adequate coverage for all. * Good Luck. It will take years to get this population to learn how to get adequate care on a regular basis. The governmment needs to provide an appropriate setting for proper delivery of health care.[Truncated] "* Currently, electronic medical records are unaffordable for the average practitioner and the government needs to do something about that. They want Cadillac medcine for YUGO prices and that just doesn't cut it.[Truncated]" Hospice is a wonderful organization and should be supported as they are already doing it right. "* Prior authorizations, rquired written referrals for specialty care and multitudes of health care plans all with different rules and formularies take away from resources and time neede to provide quality care.[Truncated]" * Health insurance needs to be divorced from employer based systems allowing for portability for employess and affordability for businesses. The waste in administrative costs in the present system could more than adequately cover the cost nece[Truncated] 21743 6/13/06 11:54 PM FL "* National Health services work very well in other countries where I have lived. I do not see why similar systems would not work in the U.S. [Truncated]" 21744 6/14/06 12:03 AM OR * Health care will only be affordable when the private insurance companies are unnecessary for most Americans. Medicare for All with better oversight and cost control would be the most economical. Let's remember than Taiwan in the mid-ninetie[Truncated] A great model already exists in the Oregon Health Plan's priorities list. A single-payer system administered by the states with the backing and oversight of the federal government would be ideal. 21745 6/14/06 12:50 AM NC This should be mandated for all. Strongly Agree. Strongly agree. Strongly agree. Strongly agree. Strongly agree. * I will campaign and vote against any individual that seeks or holds public office that does not recognize and support the desparate need for the formation of a national health insurance program for all American citizens regardless of income.[Truncated] Strongly agree. 21751 6/14/06 1:44 AM CA * 21752 6/14/06 1:56 AM WA * Employment should not be a prerequisite for health care coverage. We don't live in a world where good workers are rewarded with job security. The working poor who cobble together a patchwork of jobs to make ends meet should also not be penali[Truncated] "* I also agree with this recommendation, particularly the inclusion of dental services and coverage of mental health as ""core"" benefits. Prescribed medications for an unrelated illness can undermine both dental and mental health. I hope the g[Truncated]" * I also support this recommendation. The recent (shameful) tightening of bankruptcy laws brought to light the statistic that half are caused by medical bills— and that 75% of those who sought bankruptcy protection because of medical bills ha[Truncated] * I want to contribute my observation that here are community networks and healthcare providers that already serve vulnerable populations successfully. I support this initiative only if the first task is to identify the networks already in plac[Truncated] * I think you'll find that grassroots healthcare providers and small clinics are doing this already. It would be interesting to take lessons learned by the VA— I understand VA Hospitals have done a complete turnaround in the past 10 years. Id[Truncated] "* This should be part of Recommendation 2. We are all born, we all die. Most people who have experienced the benefits of hospice and home nursing care will agree that these options should be a ""core"" health benefit. Options in maternity care l[Truncated]" "* I am a bit shocked that there is no: Recommendation 7: Provide basic, competent convalescent care, nursing facility care, dementia and Alzheimer's care for all who need it. Fund more research into different models of elder care*, with the a[Truncated]" "* Maybe core services health care networks should never be a for-profit venture. Non-profits can earn lots of money and pay employees well, but there is a fundamental shift in priorities: a nonprofit's priority is the mission of the organizatio[Truncated]" 21766 6/14/06 10:05 AM GA "* Every American must have affordable health care before 2012. Most of us will be dead by then. Do it now. Our homes must be protected against hospital and hospice reposition. Single cell research must be started now against alheimers and c[Truncated]" "* Everyone in American must have some form of health care. We pay for the military, we pay for the leaders in congress and Senate, we pay for state employees. The only people left out is the average working person.[Truncated]" * Our homes and cars must be protected health care cost. People cannot afford apartment payments or is everyone going to have to go to a nusrng home on medicad?[Truncated] I think it should be done by the federal government and not the various communities. "I agree with the federal government doing it. Just make sure they don't get fraud involved into it, like they did FEMA." We need transportation for people who cannot drive on the local level. "Financing could be done by an additional sales tax, or done as an extension of medicare and paid by the person applying for it." 21768 6/14/06 10:18 AM PA Everyone should have access to affordable and quality healthcare. No one should lose their homes because of health care issues or live their lives in financial ruin. 21769 6/14/06 10:22 AM VA "* First dollar health insurance coverage will drive a consumption spiral and drive up prices. This will lead to rationing either by making a service unavailable or by waiting lines. Instead the government should subsidize HSAs for everyone, [Truncated]" 21778 6/14/06 11:26 AM WI "* If the USA can provide health care for illegal/undocumented people, then the USA can provide basic health care for its citizens. Let's keep the USA #1 in our hearts and in our health care. thanx.[Truncated]" "* it would be necesssary that the broad spectrum of members be aware of fast paced medical updates. FDA, AMA & drug companies have effective lobbying power. This would need to be considered so universal plan remains non-partisian.[Truncated]" the program must stress 'individual responsiblity' to some extent. Not only financially but physically as well. * Administrative costs with many competing companies are eating up huge portions of the healthcare dollar. Find a system that incorporates ALL US citizens for a reasonable administrative fee such as 3%. I suggest we utilize the social securit[Truncated] 21780 6/14/06 11:58 AM NY "* ""Core"" benefits is code for ""not"" comprehensive and there is no reason why a reformed national health system couldn't provide comprehensive health care for all, inclusive of long-term care. ""Financial assistance"" would not be necessary in a s[Truncated]" "* National and Regional bodies of health experts and providers will be able to guide communities through these decision making processes, including medical necessity determinations and formularies.[Truncated]" "* All coverage, high and low-cost, should be included in a national system, since co-pays and deductibles have been shown to impact negatively on health outcomes and have minimal or no impact on cost savings.[Truncated]" * Undue emphasis on FQHCs diverts attention from the concept that all people should have access to the same high quality health care rather than perpetuating a two-tier system for haves and have-nots. FQHCs are capable of providing excellent ca[Truncated] "* So-called ""Consumer Directed Health Care"" is a diversion by the market forces protecting their special interests - in a nationally financed program the concept that people ""shop"" for health care goes away.[Truncated]" "* We must address the financing of health care before we can possibly fine tune delivery; end of life services, preventive and primary care, all these models must be adjusted to improve outcomes in this country which are seriously behind other [Truncated]" I do not see a report for NYC on the Web site...when will it be posted? I attended and was a facilitator at this location. "* Incrementalism and fragmented solutions have been tried and failed. I facilitated a session in NYC and our group clearly rejected the current administrations focus on HSAs. Saying no financing mechanism is ""optimal"" is a weak and unjustified [Truncated]" 21781 6/14/06 12:00 PM WI I agree. I agree. I agree. I think a single-payer system(medicare for all) is the best approach. I agree. "I think by eliminating the insurance companies we will have the most efficient, quality system." "* As a medical student, I'm heartened by the work of the committee, and I look forward to working for change. I think expanding medicare to all(single-payer) is the most equitable and efficient way to reach the goals outlined in these recommen[Truncated]" I think payroll taxes is the most efficient and workable way to fund the system. 21782 6/14/06 12:10 PM NJ "* Caution, we do not want a system in which the ""middle class bears the burden"" as we have in our tax system. Then you have those who absolutely are unable to afford adequate health care. The playing field must be fair. Therefore, prevention[Truncated]" * The definition of the core health care benefits should be consistent with the definition of health. Health encompasses wellness of the whole person and freedom from disease. The Health care system and its benefits should assure this health [Truncated] "* This is fine as long as the Health Care is affordable to all including those of low, mid and high income/economic status. Loop holes and write offs should not be allowed in proving level of affordability. [Truncated]" "* Caution, we do not want inequality in quality of health care. The health care for the low income, uninsured and all others is to be in every way equal to that of the most affluent. Health Care is to be equal in quality for all United States [Truncated]" Equality of Health Care for all United Citizens is essential and should be in place at all times in the new Health Care System. * People should not be denied quality of health care or forced to accept a No Code or no curative intervention status due to an opinion that they are near the end of their lives. They should have the option to continue to receive quality curat[Truncated] "* Please be careful with any changes because too frequently people who are of the low income/economic status suffer lost and this should not be. People should not be penalized because of their means or lack of. The reality of it all is, that [Truncated]" "* It is my opinion that the American people are extremely financially burdened already from many increases, ie., in local taxes, product taxes, gasoline prices, etc. Increase in gasoline prices have affected many areas even the supermarket pri[Truncated]" 21784 6/14/06 12:46 PM IL * All americans should have complete health care coverage as a mandated right I and my parents lived in Britain under such a system and it is much more equitable than ours. It also does not discriminate against minorities and disabled as does t[Truncated] * The health benefits should be comprehensive and should provide physical mental and dental benefits including any experimental medical care if such is necessary for the health of the patient. [Truncated] * The europeans have provided comprohensive health for their citizens for almost a century without bankrupting their countries. I suggest that you learn from their success. [Truncated] "* If you implement and support the first three recommendations with my suggestions, the fourth recommendation will be superfluous.[Truncated]" You cannot improve the quality of care of comprehensive national health care system until you establish it. * End of life care and proper medical care for the elderly and disabled would be covered under a national and comprehensive system. Care for such persons should not be dumped on the backs of overworked and unqualified family members as it is no[Truncated] * The financial burden should be borne by all americans for the benefit of all americans. There should be no tax loopholes that allow some to pass the tax burden unto others. Such a system would do away with the beauracratic and lagal games pla[Truncated] 21792 6/14/06 2:02 PM TX * The interim recomendations do nothing more than pay lipservice to the issue of health care. What America need is to abolish all forms of health insurance and replace this system with real public health care facilities supported by funds gaine[Truncated] 21794 6/14/06 2:22 PM WA * It takes more than a band aid to fix our ailing health care system. Single payer is the only cure. Anything less will not guarantee and provide every American affordable accessible medical care. [Truncated] 21796 6/14/06 2:46 PM GA * I do not believe that Americans should be required to participate in a government chosen or run plan. I do believe that 'basic' health care services should be made available to all citizens. But to me 'basic' would not include every procedu[Truncated] "* basic health care should be provided in the same sense the basic housing needs should be addressed. However, citizenship does not entitle one to a 5 bedroom, 4 bath house anymore than it should entitle one to any and all health care desired [Truncated]" "* No one should become homeless due to medical expense, but I do not endorse mandatory enrollment for all citizens, nor complete coverage of any and all procedures available. [Truncated]" I agree. I support. "* I agree, as long as decisions made are affordable. End of life care choices should be made with recognition of the reality that extended life is not always best option. [Truncated]" "* As a small business owner I currently fund a personal catastrophic coverage policy with a $5000 deductible. It forces us to plan and save for the expenses one normally expects but protects our assets in case of major medical expense. It is [Truncated]" I question funding from the unlimited pocket of the taxpayer. There is no motivation to be efficient with monies. 21797 6/14/06 2:52 PM IN * I think that Americans should be responsible for providing there own health care in order to keep tax payers from paying for not only themselves but everyone else. But in some circumstances where the person is in desperate need of medical ca[Truncated] 21799 6/14/06 3:06 PM UT "* People should be able to pay all of their own ""core benefits"" out of pocket, rather than be taxed for them. Core benefits would be: dental, vision, routine clinic visits, other clinic visits, medications, etc. People should have protectio[Truncated]" Agree. "* Expensive end-of-life care should be very limited if it is paid for by the taxpayer. People should not be able to choose expensive options, which have little benefit, because these costs are passed on to all. If people want this kind of c[Truncated]" "* I am very concerned about the tax burden of having universal coverage for all. There should be a $1 per hour charge to employers of all (part-time, full-time, etc), that goes into a general fund to pay for ALL Americans (illegals include[Truncated]" 21801 6/14/06 3:13 PM UT "* People should pay all of their own dental care themselves. People should pay routine eye care themselves. People should pay medicines themselves. People should pay for clinic visits themselves. People should be able to have government[Truncated]" 21803 6/14/06 4:24 PM IL "* As a union staff representative trying to negotiate decent health care plans for employees in the direct care industry, I am constantly frustrated. These employees take care of the developmentally disabled 24/7 and yet have terrible health c[Truncated]" * Don't agree to anything that allows pharmaceutical companies or insurance companies to dictate costs. It is a travesty that the Senior Citizen drug program does not allow the government to bargain over prices with the already fat satiated me[Truncated] "* Great. My father recently died at home, with no intervening technology. It was a blessed experience. Let's not waste money and tears on prolonging the inevitable. Death can be a very healing experience when done naturally in the presence o[Truncated]" "* It's not rocket science to know that the tax cuts for the rich are so bogus at a time when the poor are dying disproportionately due to poor health care options. Also, if the federal government would stop wasting money on incompetence (as in[Truncated]" 21804 6/14/06 4:28 PM WI * I agree but the cost of this care should be affordable to the companies people work for. Previous practice with a good company was you did not pay for health insurance now since the cost of insurance is so high we must also bare the burden t[Truncated] I do not have a comment on this yet. This protection should come from doctors and hospitals they should make sacrifices just like the people. "This is something that really needs hard investigation, because some of the current HMO's don't give quality care." No comment at this time No comment on this at this time Not at this time "* We have hospitals closing and still our health care keeps going up. How can we especially the people who are at poverty or below poverty levels pay with more taxes. They don't have any money for financing anything.[Truncated]" 21807 6/14/06 4:40 PM WA "* I think the use of ""expand and accelerate"" along with ""controlling costs accross the entire health care system"" sends mixed messages. Unless there is significant incentives to the health care industry and individuals to cut costs, this will b[Truncated]" "* I am interested in being a part of the discussion as this all plays out. I look forward to seeing more detailed information. Having worked in state government for over 30 years, I have seen the medicaid costs skyrocket, without any plan to ke[Truncated]" 21812 6/14/06 5:55 PM FL * As a recent retiree from a school district I am paying over $400.00 per month more now for health insurance than I was when I was a full-time employee for 24 years with the same district. This time now is when I can afford it the least. Wh[Truncated] 21820 6/14/06 7:55 PM AZ * I absolutely agree. The system will only work when everyone must participate so that the risk is pooled and people with health problems can get the care they need.[Truncated] "Core benefits must include doctor visits, out-of-office tests, medications and hospitalization. " "* Yes. The financial threshold for getting medical care, necessary tests and taking necessary medications should be kept low (after paying your premiums) for everyone. People should not have to weigh paying for medical care against buying groce[Truncated]" Hard for me to evaluate this one. On the face of it it sounds good. "* There should be a group of doctors and epidemiologists formed to decide, for example, how often it is necessary to have pap smears or mammograms per age and risk group and the same for vaccinations. There should be US standards on which scree[Truncated]" "I have luckily no experience of end-of-life issues, but this sounds good to me." I see too little of study of the great European systems that deliver excellent care to their populace. * The system in the Netherlands is such that everyone pays a nominal premium and a percentage of their income. For those who cannot afford the nominal premium there is a system of subsidies.[Truncated] 21822 6/14/06 8:23 PM TN I don't like socialism. Encourage charities to provide these services. The only way to pay for this is to raise taxes. I don't like socialism in any regard. This will just raise taxes. We need some health care cost reform. But don't push that on to tax payers. I don't like socialism. "* The federal government should have no role in health care, overall. Leave it up to the states whether they will socialize this or not. Let local government make the same decisions. [Truncated]" "* Yeah, bigger government! Maybe if we quit suing over every little thing health care would not be so expensive. Government is NOT the answer.[Truncated]" "* This can all be done by charities or a volunteer organization. As long as the federal goverment does not get involved, which it seems you are just joyous to support, I have no problem. [Truncated]" * Yep. Quit the push for socialized medicine. There are many alternatives instead of crying to the government. Try establishing a charity that provides free/reduced cost health care. People can just walk in and get free care anyway...they can't[Truncated] * I don't like socialized medicine. The government is the most wasteful entity around. Let charities handle this. Raise taxes on businesses and they just pass the cost on to the consumer.[Truncated] 21827 6/14/06 10:35 PM NY Access should be to all medically necessary services "* Once there is a private-public collaboration, the wasteful paperwork and profits of the private sector undermine the savings that could be had with a single payer system. Should be publicly financed but privately delivered, as in Medicare for[Truncated]" "* Agree with the statements, but only way it can happen without increasing spending or cutting services is with a single payer system[Truncated]" "* Again, there should be no role for privatization here. Health care is a human right and should be a public good, like education, police protection, roads, etc[Truncated]" * A single payer system makes the most sense to accomplish this goal for EVERYONE. The existing gov't. programs will provide a major funding stream for the new Medicare for All.[Truncated] "* The American people should be informed about H.R. 676 and specifically polled about it. Alternatively, there could be a nat'l. referendum about national health insurance for the U.S. Americans need to know that their hard-earned taxes for pub[Truncated]" "* Single payer national health insurance as outlined in H.R. 676, The U.S. National Health Insurance Act, or Expanded and Improved Medicare for All,is the only way that all the unisured can be covered and better benefits for everyone - i.e. all[Truncated]" 21828 6/14/06 11:07 PM IL "* I think the US should have a single-payer health care system, like most developed countries. I do not have health care currently, because I'm between jobs. The COBRA system does not do enough, because I did not have enough money to keep payin[Truncated]" "* The medical experts ought to be appointed by a medical entity, not the federal government. In other words, the science should be based on facts, not the government's facts.[Truncated]" "Yes, and it should be public." "* As a former employee of a pro-choice clinic, this is somewhat scary. In theory, this is a good idea, but my fear would be that certain clinics would be left out, depending on which political party is in office. It depends on how much say the [Truncated]" "* I think there has to be an outreach aspect in there (maybe that is included in your term of ""health promotion""). The rate of obesity in this country is frightening. Little kids are eating donuts and hot chocolate for breakfast. This is going [Truncated]" "* I've heard so many bad things about hospices and similar places. It's scary that we seem to be locking up our elders. I think there needs to be some oversight, and perhaps a certification process, of hospices and their employees/managers. The[Truncated]" "* My first comment says the jist of what I believe about the American system. I think we could have an amazing system of health care, if we really tried. More power to you all for taking this on - I hope the current federal administration does [Truncated]" "* I agree. I think most Americans would be willing to pay more taxes if it meant complete coverage for everyone. I think you should start with those who are most in need, then go from there. Or perhaps catch people who are currently uninsured. [Truncated]" 21831 6/15/06 12:37 AM WA "* The number one reason for the existence of society is the protection of its people. Even before progress, this is the fundamental responsibility for a culture to protect. This is the reason it exists. We are comforatable with enacting a Bil[Truncated]" 21832 6/15/06 1:01 AM NH Fine with this Fine with this. About Time "* Godd possibly, depending on its structure and placement of these health networks to reach the rural poor, or elderly, who lack transportation in many cases![Truncated]" Fine with this Fine with this "* You didn't address Prescription Drug Costs in this plan specifically, and this is one of the major problems affecting healthcare costs now, and projected to become more costly far into the future![Truncated]" "* A total system of single payer national health care for all citizens should include covering those who are presently served by private plans with employers. We do not want a two tier system, with good care to some, and mediocre to the rest, p[Truncated]" 21835 6/15/06 8:35 AM OH "* It is cheaper to work with people to maintain there health in regards to known illnesses. It amazes me how insurers keep raising copays and deductibles. I have diabetes, and sometimes can't afford all my medicines. Long term, I know this cou[Truncated]" "* Copay expenses for medicines should be capped either monthly or annually. Diabetics, heart patients, and transplant patients all have expensive drug regimens. Even with insurance, medicine copays can drain your savings. Capping medicine exp[Truncated]" "* Major corporations, like WalMart, should pay there fair share. Their workforces use a disproportionate amount of government assistance, and any legislation should level the field.[Truncated]" 21839 6/15/06 9:14 AM MA "* Since the foundation for good health is laid during pregnancy, birth and early childhood, those practitioners who can best facilitate excellent outcomes is imperative. To this end, the inclusion of Certified Nurse Midwives and Certified Prof[Truncated]" "* As a parent with 2 children receiving orthodonture, I have found my dental insurance policy very frustrating. My policy is a pretty good one and allows for up to $1000 per year in dental procedures and $1000 (lifetime) for orhodonture. Unfo[Truncated]" 21848 6/15/06 11:00 AM OH Agree "Abandon the notion of health ""insurance"". See my model below." Equity principle applies. See model below Think larger regions. See model below "* Eliminate frictional costs and duplicative institutions. Eliminate Medicare, Medicaid and Workers Compensation medical benefit. Simplify, simplify, simplify.[Truncated]" Certainly. Reallocate care from the terminally ill to preventive care for the young. See equity model below. "* 15 Jun 2006 Dear Ladies & Gentlemen Of the Citizen’s Health Care Working Group, It occurs to me that all of your advice in this matter comes from special interests, which are vested in the status quo. Perhaps you would be willing to [Truncated]" "Principles of equity, transparency and means testing should be applied." 21850 6/15/06 11:04 AM TN * Health insurance is not a God given right and I should not have to pay higher taxes to support thosewho are unwilling to support themselves. I am tired of watching people drive up in brand new SUVs and then demand that i pay for their health[Truncated] * Medicare spends 80% of its resources on 5% of its beneficiaries. This has to change. The amount of money we spend prolonging termanally ill patients life is a crime. [Truncated] * The last thing in the world we need is another Government program that will be saturated with fraud and abuse - just look at the FEMA/Katrina findings and you will see. The government is incompetant and cannot be trusted to implement this pr[Truncated] * Who is supposed to pay for this? I see plenty of comments about the poor person who cant afford health insurance and works so hard they never see their family. So what - now i am supposed to take a second job to pay for your health insuranc[Truncated] * Pie in the sky garbage - the government cannot handle the current programs which are loaded with waste and inefficiencies. The last thing in the world we need is to expand these programs![Truncated] * Now there's an idea - how about limiting end-of-life care to hospice services. People getting chemotherapy the day before they die is sinful and selfish waste of resources.[Truncated] * I am outraed at the comments that i have been reading on this site. How dare these people tell me that i should have to pay for their health insurance. You want insurance - go get a job and leave me alone. Trade in that new SUV and use the[Truncated] NO NEW TAXES!!!!!!!!!!!!!!!!!!!!!!!!!!! 21851 6/15/06 11:42 AM NY "* Health ins. should be available to everyone and not based on your employement at a cost that fair to everyone. New York state COBRA is a crazy concept. My company's COBRA would cost me about $540.00 for single and $1,240.00 for family if I le[Truncated]" "* I will never understand the way we treat dental and mental health. Good dental care is very important and yet it is treated as a luxury. I have no dental coverage and go to the dentist when I save up the money or when I am in pain and that'[Truncated]" "* SUEING DOCTORS HAS TO CHANGE. FIRST, THE DOCTORS HAVE TO POLICE THEMSELVES BETTER AND STOP COVERING UP FOR ONE ANOTHER. LIMITS HAVE TO BE SET AS TO THE AWARDS PEOPLE SHOULD RECEIVE. WE ARE SCARING DOCTORS AWAY DUE TO MALPRACTICE, WHICH I [Truncated]" "* I,m not sure how to fix the problem, but the way it is now, is not working. People lose their the life's saving if they were to get ill. I would like the health care security that all our congressmen have and that we as taxpayers are paying [Truncated]" 21852 6/15/06 11:59 AM NJ * That sounds great because if you're not working due to lay off or whatever you can't afford even primary care office visits and if you're trying to survive working whatever you can get you may not qualify for help because you're just above th[Truncated] * A discount card which represented significant savings to be used at your doctors or hospitals similiar to Medicare payments but a plan for those who are not disabled or over 65 is what's needed. A plan for people that don't qualify for Medica[Truncated] * This would be better than losing all personal assets or having to declare bankruptcy. Maybe another tax like that taken for Medicare should also be taken out of all paychecks for Medical coverage[Truncated] * This would be better than losing all personal assets or having to declare bankruptcy. Maybe another tax like that taken for Medicare should also be taken out of all paychecks for Medical coverage[Truncated] Community Health Centers are impossible to find. Limited access to available doctors. "* The hospital or primary doctor's office should contact the closest relative, if able to understand, to explain the options available besides being sent home. Social services usually tries to give some information but not trained in specifics.[Truncated]" "* If you were uninsured and were told you had to have $3000.00 in tests, you're working temp jobs, your husband only collects $900 a month in social security, how would you find a way to pay for this? I'd rather ignore a problem and die from it[Truncated]" "* Using ""sin"" taxes, fines or confiscating personal property to use for raising money to help the sick would be the best way. Penalize the drinkers, smokers already get taxed enough, drug dealers, those buying the drugs should be able to afford[Truncated]" 21853 6/15/06 11:59 AM MO Absolutely agree!!!! Agree. "If the plan is developed correctly, there should be no need for this recommendation." Agree. Agree. Agree. * Let's find a way to make this happen. It is ridiculous that the richest country in the world can't provide health care to all of its citizens.[Truncated] "* I am guessing that the statement ""...requires new revenues..."" is true, although I have no way of really knowing this. In any event, I would support this approach to financing.[Truncated]" 21855 6/15/06 12:27 PM KY * Are you going to discriminate against smokers? Possibly higher premiums or co-pay? May as well discriminate against drinkers and people who are obese. They cost the system as much as smokers. May as well discriminate against pre existing [Truncated] People with connections will receive better and faster treatment This sounds as though you are recommending the burden be borne by the rich. This is socialism at its best. * The government at any level can not run anything with the near efficency of private enterprise. The will just take this country into deep socialism[Truncated] Hospice doeas an exceptional job of this now. Looks like this committee was comprised predominantly by socialist. "* It will drive taxes so high it will not benefit the average person to work. This will cost the average person much more than he or she is now paying. Again, you talk of sin taxes. What about ""Fat"" taxes? You can not depend on cigarette tax[Truncated]" 21857 6/15/06 12:45 PM FL "* Why ""affordable"" since we have many people without adequate financial resources for even the most minimal health care? At the community meeting I attended we reached consensus on ""health care for all"" so why doesn't the interim recommendatio[Truncated]" "* As we noted in our community meeting, this ""core"" set of treatments will always be in evolution. New drugs, new treatments for old illnesses, and new wealth and new philosophies will cause a constant re-evaluation process into the foreseeabl[Truncated]" "* A Single Payer financing arrangement makes this easy to achieve on the money side. With such insurance and payments system, then, the Problem is more on the services side (what we promise/contract for) that people will benefit from.[Truncated]" "* This is easier to achieve (in costs and in organizational resources) with a Single Payer system. Why not mention this and use the examples of several countries who have largely already achieved this? This would also benefit health care & me[Truncated]" "* As we discussed at our community meeting, no nation, no matter the health insurance or provider system ever completely finishes with this. Just as with any other goverenment (or for that matter, purely private) system, we need aggressive, in[Truncated]" "* We spend excessively on the last 18 months of life. We do not spend adequately (on average) on the first 18 years of life in the US. The recent research on the effectiveness of this end-of-life health intervention excess seems to show tha[Truncated]" "* Is the Commisssion ideologically averse to using the terms ""Single Payer"" or ""Universal Coverage""? If so, can you please explain why or is it just the same old fixed social philosophical biases?[Truncated]" "* Again. At our community meeting the discussions made clear that the most efficient payment systems in the world rely on some form of SINGLE PAYER arrangements (or for some countries, a mere handful of payment clearing houses/agencies). The [Truncated]" 21859 6/15/06 1:35 PM MD * I agree with the recommendation of access for all persons to health care. I support fully the provision for financial assistance for those who need it. This should definitely include working people who are finding it difficult to meet their[Truncated] "* I support a non-partisan group making recommendations concerning core benefits. I see here the inclusion of ""physical, mental and dental health"". Those are important clarifications. Again, in MD., we see evidence of sign[Truncated]" "* I definitely agree and support guarantee of financial protection so that people have equal opportunities to receive treatment for acute needs, long-term needs, and for prevention/ wellness.[Truncated]" "* I definitely support the recommendation as stated with a special concern for ""vulnerable populations, including low income and uninsured people"". Rural and underserved areas need attention, but urban centers cannot be neglected either. [Truncated]" "* Yes, promote quality care, efficiency, and accountability. But don't tie the hands of local care providers with managed care hoops to jump through that question the judgment of those working directly with patient needs.[Truncated]" "* Yes, this is an area of special need. The Hospice care in our County is great. Every person should have the opportunity to have professional, comprehensive palliative care and support that is in keeping with the individual and family needs.[Truncated]" * The subject of health care for all citizens should be a high priority for all in leadership and authority. Things need to be done to provide expanded support and help as quickly and efficiently as possible. [Truncated] * I fully support the use of new revenues in order to provide for these essential services for all people. Each of us needs to share in responsibility for ourselves to the extent we are able. Each us us needs to share in providing the resourc[Truncated] 21860 6/15/06 1:39 PM GA "* This is a great recommendation. However, i am concerned about the phrase ""set of core health care services"". Most americans already feel like the government dictates a lot in their lives. Why extend that influence into determining which set o[Truncated]" "* Who defines the core benfit package? Already most americans feel big business influences their lives by lobbying and manipulating politicians. To leave the definition of core benefit packages to whomever has the most power and influence, not [Truncated]" * The definintion of high health care costs is too vague. The squeezed middle class are likely going to bear the brunt of this recommendation when all goes bad. [Truncated] 21864 6/15/06 2:41 PM OH * The single most important step that the Federal government could take to reform the health care system would be to mandate system wide standardized measurement and reporting of medical outcomes over the cycle of care for each type of medical [Truncated] 21865 6/15/06 2:43 PM TX * The devil in this work is related to the question: What is basic health care? My fears are that it will be so basis as to be almost meaningless and this will be another way for rich insurance companies and physicians to line their pockets wh[Truncated] 21867 6/15/06 2:49 PM OH * Anyone who tells you that America has poor quality health care as compared to other nations of the world is not well informed. They obviously haven't researched the quality of care abroad and I would be willing to bet they are basing their s[Truncated] 21869 6/15/06 3:43 PM NY "* There is no question that all Americans should have affordable, high quality health care.I gave a talk on health insurance at a hospital Grand Rounds and I listed what I considered to be the desirable features in such universal access: 1. a f[Truncated]" 21873 6/15/06 3:53 PM AZ "* every US citizen should have health care services. These services should be comprehensive and include dental, vision, mental and alternative proceedures.[Truncated]" "* This would be a good vehicle for establishing a universal health plan, and would keep the special interest groups from much influence. The messed up ""system"" we deal with now is due to the special interest groups.[Truncated]" * no US citizen should be impoverished by health care costs. There are too many of us who are indebt for the rest of our lives due to medical expenses. There should be a safety net to protect people from debt. [Truncated] a private/public effort would be needed to ensure that health care quality and efficiecy is uniform across the country * my concern is that a ferdal agency may be slow to change as new proceedures are developed. And the one thing we citizens dont need is a slow to change federal agency.[Truncated] * end of life issues need to be addressed. This has not been dealt with in a satisfactory way. Education and coordination on a community level with support from a central agency would help people deal with end of life.[Truncated] * what you have outlined is a good starting point. Like all the plans before I fear this will not get very far in the Congress. I wish I could be more a part of this effort. I will notify my Congressmen of my interest and ask them to support a [Truncated] * There is over 2 trillion dollars a year spent on health care. These monies would go a long way to provide a universal health plan.[Truncated] 21895 6/15/06 8:49 PM WA "* We need universal health care now. Why wait for the year 2012?? We need to eliminate the employer provided health care system and replace with a government run unified system for all.[Truncated]" 21897 6/15/06 9:35 PM FL "* Recognizing that this cannot be done overnight, suggest that there be immediate access to health care for all children---who will be a relatively inexpensive group to cover. It is ridiculous that I, 74 years old, have excellent coverage even [Truncated]" Agree Agree Very important Medicine does not fit into the free enterprise system. The waste that is built into the present system is immense. Agree "* As a physician, now retired from practice, I would hope to see medical schools and residency programs move away from the concept that we must fight to save every life to the bitter end. This is why approximately 80% of Medicare dollars are sp[Truncated]" "* Recgnize the efficiency of Medicare as opposed to private insurance plans. The insurance companies have the political clout, but they should not be the determining factor.[Truncated]" 21901 6/15/06 11:00 PM NY * I am a certified nurse midwife in Brooklyn NY. Every day I see the effects on under insured and under served women. Many (as young as 40) are crippled by strokes which could have been prevented if they had taken medications to control high bl[Truncated] * Core care needs to include all age appropriate immunizations and screening tests. It should include medications for chronic illnesses. The choice of medications should be based on what works for the patient - not what the insurers want to pay[Truncated] * Hospitals and providers need to get paid for the services they provide. Otherwise they won't be around in the future. However financial ruin is costly. This type of protection is critical. [Truncated] I hope to see this in my life tim * Currently in New York there are dozens of insurace companies which are part of Medicaid managed care. Each company has its policies which providers and their staff must struggle to keep up with. They also employ a large number of people and h[Truncated] 21902 6/16/06 12:06 AM WI "* From the beginning this recommendation is faulty. The government should have only a very minor role in health care. IT should be government policy to not INHIBIT in any way citizens from being able to have access to health care, but it is n[Truncated]" "* Whoa, Health needs to be defined with a spiritual realm as well, first of all. Oen can't deny the spiritual nature of the person. Second, you're trying to put control in the government's hands and claim it wil lbe ""fair and transparent?"" [Truncated]" "* Again, advocating socialized medicine. We can not force people to spend/invest their money in ways we think is best. God had the wisdom to allow free will, knowing the consequences. Why should we think differently. This is coming dangerou[Truncated]" "* Ok, story time. I know a general surgeon who has practiced in ""low income/rural"" areas his entire career. He chose to be an independent physician. Why, so he had the chose to be able to help patients when they couldn't pay. He accepted, c[Truncated]" "* If you recreated independent doctors and clinics, they will make sure their patients have what they need. People are lead to not trust the actual health care providers because the hcps have this ugly monster looming over them called ""groups""[Truncated]" "* This is down-right scary. You want to provide every American with provided health care, and then start meddling with things like end-of-life care at a time when ""euthanasia"" is becoming a problem. Read what doctors have to say about it in t[Truncated]" "* Please, I know my comments aren't well articulated as I dont' have time to do you research. Educate yourselves before you make such dangerous recommendations. As a future doctor, I dread the day when the decisions of how to care of my patie[Truncated]" "* Again, same argument as above. Except now we are adding fancy wording for socialized medicine. If people had the facts, not what is fed to them by interest groups they would cry with a vengence against this proposal. We can't trust the gov[Truncated]" 21903 6/16/06 1:26 AM CA * Our current healthcare system does not work. We end up paying more in the long term for medical problems because we don't provide the most vulnerable with health care and benefits. The answer will be complex. Nobody wants to pay the cost o[Truncated] 21908 6/16/06 10:22 AM VA * Absolutely. Enough with this patchwork coverage that costs everyone more because of the extraordinary amount of effort devoted to cherrypicking the least cost patients. The idea of health insurance is that is spreads risk. I'm not so confi[Truncated] "* Perhaps modeled on the Supreme Court -- appointments if not for life, for long periods to insulate them from political pressures. Just a thought. Appointees could be select much like juries are selected, having partisans ""pick off"" the extr[Truncated]" * Absolutely. Medical costs should not bankrupt anyone. A good society is one that is measured by how well it takes care of its most vulnerable. We don't want health care costs to create more costly societal problems![Truncated] "* Yes, we need to find out more ways to incentivize people/networks to serve rural and/or low income areas. Again, a good society is one that is measured by how well it takes care of its most vulnerable. [Truncated]" "* Ok, this is a big one. We need to develop a National Testing Center to fund independent trials of drugs vs common treatments: 1) placebos, 2) common and sensible folk treatments, 3) one or more drugs that claim to address the problem. We ne[Truncated]" "I know less about this, but your recommendations seems reasonable." Thanks for doing this. How do we generate momentum behind this? We need to get politicians feeling the urgency of this. * I like it. But I'm wondering about the complexity of all these funding streams. Is a simpler sourcing of funds better? Maybe. I'm sympathetic to sin taxes that approximate the costs to the public of individual choices on an aggregate leve[Truncated] 21909 6/16/06 10:37 AM TX We do not have a health care system. We have independant contractors that are in competition with each other. Yes """If you do not have a lawyer, one will be provided for you"" but not a doctor." 21912 6/16/06 11:41 AM OK Excellent. "* The ""proactive"" segment seems an afterthought. It should be number 1. Teach everyone risk factors and REQUIRE that they reduce their risks in order to get in on the freebies.[Truncated]" "* Give $$credits to those who voluntarily exercise, which lowers risk of most disease and physical disability. I spend lots of money to keep in shape and lower my risk of heart disease & cancer, yet, my ins. rates and taxes cover those who do [Truncated]" 21916 6/16/06 1:52 PM IL "* I completely agree! When I moved to this country, I actually couldn't believe that was not the case in the first place. America, the land of opportunity, has thousands of sick people who cannot get the health care nor the medications they nee[Truncated]" Core should certainly have all the things most Americans need in their lives or will run into at some point... "* YES! Isn't it a shame that someone who is unfortunate enough to get cancer manages to stay alive through that ordeal and then they lose their house and everything they own to pay the medical bills ---NOOO. That should never happen, not to any[Truncated]" Excellent Excellent "* YES, but the families of those individuals really need to show how much they love their elderly parents and take some of the responsibility...this is more of a cultural/national issue than a health care one...[Truncated]" Please help Americans get health care! I would be willing to pay an extra tax which should then be used for financing of the free health care for everyone. 21917 6/16/06 2:09 PM KY "* These are typical pie-in-the-sky comments from eggheads who haven't the slightest inkling of ""how-to"" accomplish any of these so-called ""recommendations"". The question isn't ""what should we want from a national health care program?'; instead [Truncated]" 21921 6/16/06 3:34 PM FL "* A COMMENT ON INTERIM RECOMMENDATIONS CITIZENS’ HEALTH CARE WORKING GROUP The United States’ health care system should be universal, as it is in most industrialized countries. Its core benefits should extend from the cradle to t[Truncated]" 21924 6/16/06 5:11 PM TN * Healthcare is not a right. Our system is the best in developing new treatments and drugs. The free enterprise system energizes it. Improving the quality and efficiency will result in enough savings to lower the overall cost to consumers and e[Truncated] * Medicaid already provides this service. Expanding Medicaid and children's coverage would be beneficial to the low income families. The fact is a large portion of the uninsured choose to be uninsured. Some are on government programs and pocket[Truncated] * Providing a network of government owned doctors would be a small network. A physician or hospital would have to be owned and operated by the government to survive on government reimbursement.[Truncated] * Here is where a huge difference can be made. The medical errors and inefficiencies must be reduced. The money wasted each year is staggering in correcting these errors. That money could be returned in a more affordable premium for consumers a[Truncated] An emotional issue that no one will ever get right. "* Has anyone given any thought to how the government will afford such a program? When you add to the issue the hundreds of thousands of jobs in healthcare, providers, insurance companies, pharmaceuticals, etc. that will be lost and move to the [Truncated]" * We (taxpayers) cannot afford a single payor system. It is ridiculous to assume otherwise. Everyone wants something for nothing mentality will not work. People want a single payor system....they just don't want to be the payor.[Truncated] 21925 6/16/06 5:26 PM NY * My comments are why isn't some of the bigger lobbying people going after the insurance companies that are out there Blue Choice for example that has been on front page newspapers twice now. (That is a NON PROFIT Organization who has 25 top e[Truncated] * I agree that all americans should be covered equally. You have the people now that have never had insurance and then you have the retired that have had good health insurance and are limited income who now because rising costs are getting swi[Truncated] 21926 6/16/06 5:47 PM OR "* How are you proposing to fund these ""core health care services?"" I suggest we tie all increases in health care services and insurance to the Federal annual cost of living index. That means none of these providers nor insurance agencies can [Truncated]" Staffed with a ratio of at least 5 to 1 actual users of the system would be a great starting point. Who is going to pay? Middle class again? How about big business kicking a truly fair share this time around? * By the time the Federal government has established all these commettees all of the sick people will have already become deceased![Truncated] Too much red tape. What not let the doctor decide what his patients need? "* Too much like Big Brother is deciding who will live and who will not live. Isn't this decision really between the patient, his God and his doctor?[Truncated]" "* I believe the re-vamping of the American health care system must be done by private enterprise and away from the governmental quagmire. If our nation cannot devise a workable solution to combating terrorists, how can they possibly fix the he[Truncated]" 21928 6/16/06 8:36 PM IL "* It is only a matter of time until the productive members of society rebel and refuse to fund this cash grab. I will gladly donate to provide health care for those who can't afford it, but I'll be damned if I will be forced to contribute.[Truncated]" * Disease and death are a natural part of life. What would the population of the Earth be now if all disease had been erradicated 100 years ago.[Truncated] 21930 6/16/06 9:26 PM NC "* If core health care services are annual physicals and vaccines and primary dental and vision care, then I'm ok with that. Eliminate the Pre-existing conditions clauses in all health plan policies. Financial Assistance should ALWAYS be[Truncated]" "I like the definintion you have used to define core benefits. " "* coverage for ALL americans!!!!!!!! my son will not have coverage when he's 19 thru the state health plan and will not be eligible for Medicaid. He has Still's Disease/JRA. Still's sends him to the hospital at least once a year and doctor vis[Truncated]" "* If you want to finance the health care system, here's 2 ideas: 1) tax the wealthy. 2)redirect ""some"" of people's Federal Income tax refund to a Medical Savings Plan.[Truncated]" 21931 6/16/06 9:41 PM WA Everyone should have the right to participate--regardless of funds. "* ""Core"" benefits is an ever changing term to me. As we get older, we need different types of medical treatment and dental treatment. Medicine is also a big thing--Medicine prices are really getting bad with no end in sight. In the end, who d[Truncated]" "This basic principal sounds wonderful, but I am afraid of the ""but"" that seems to be following" "Lead a national initiative? Why not just enforce a new policy? We need this, we should have this." "This sounds like what some of us already have, its just that the cost of this is just prohibitive at this time." "* Could we pay a tax on a sliding scale to get medical/dental/mental/perscription for all? I am a low income older person, but I would sure be willing to do that.[Truncated]" 21932 6/17/06 12:46 AM MO * Everyone should be required to purchase health insurance just as everyone who owns an automobile must be insured. Illegal aliens should be denied any services except if life threatening. [Truncated] "This will drive the costs sky high as the definition of ""core"" evolves. Let the private sector offer choices." * No one should be forced to purchase services they don't need. Why should a 50 year old pay for maternity coverage? Should my son's policy include mamogram coverage? One size doesn't fit all.[Truncated] More unneeded bureaucracy. The government doesn't control costs...It spends money. Hospice care is a death sentence. Either you'll die on your own or they'll kill you to clear bed space. "* There's no reason that health insurance should be tied to employment. I've never had a job that paid for my auto insurance, so why should employers be responsible for health insurance?[Truncated]" The government should garnish wages or withold tax refunds of those who refuse to purchase catastrophic health insurance. 21936 6/17/06 12:46 PM CO Absolutely necessary Not clear as to what would not be covered. See comments on (1). This would be a givenj This would be an integral part of u niversal health care. A given. Good recommendation. I find this analysis again pointing out the need for universal health care. * Believe all should be financed by government and taxes. (Value added tax is certinly an option.) Would not be a burden if insurance and out of pocket medical expences are no longer a fact of life.[Truncated] 21940 6/17/06 1:57 PM MN * My comment on is on the high cost of care. I recently had 3 stitches and a tetnaus shot in the local ER. This cost almost $1000.00. That is total out of control! There should be a cap on costs and a broad board to examine fradulant charges. [Truncated] 21951 6/18/06 6:45 PM MN "* The best and most obvious way to achieve this objective is either a fully-socialized medical system or, as a compromise, a single-payer system.[Truncated]" "* I see no reason why these important decisions should be made by a ""private-public"" group. A fully-public group would be fully accountable to the citizens whose fates it would be deciding.[Truncated]" "* A fully-socialized or single-payer system would distribute costs and responsibilities in a fair and predictable manner. There is no need for any other ""out-of-pocket"" medical costs beyond the taxes needed to finance such a system.[Truncated]" "* A fully-socialized or single-payer system would rid us of the ""safety-net"" concept -- which results in inferior care for less-privileged people -- for good.[Truncated]" "* Every other civilized country in the world has an integrated, national system of health care, either through their Social Security system or a single-payer plan, or some other rational public approach. With appropriate funding levels these s[Truncated]" * The taxes needed for a socialized or single-payer system should be progressive and based on ability to pay. The necessary funds under either of these systems would be substantially less for most people than the current costs of private insur[Truncated] 21953 6/19/06 7:29 AM NY * I agree totally. All Amerians will be served by a universal healthcare system. Affordable health care is a prerequisite to a healthy society. [Truncated] * Citizen represents is a must! Diversity of the group is also imperative to a design of a system that will benefit the most people possible. [Truncated] All three points must be a part of any health care system that serves all Americans. Recommendation 4 shows a true sensitivity to building healthy communities. I agree with the tenets of this recommendation. "* There is no sense in establishing a universal health care system unless it can provide quality care and efficency. Education, reduction of fraud, and a truly user friendly system is necessary for health care to reach all who needed it. [Truncated]" "Absolutely, restructuring how pallative care operates in this country is a must. I agree with the recommendations in number 6." * It is too long in the coming. Healthcare for all Americans must be on the top of the to-do list on a federal level. It should be the basis of the campaign for President next year. [Truncated] I leave it to the experts to decide how to best finance a universal health care system. 21963 6/19/06 4:15 PM CA "* It should be public policy indeed. Yet I am not sure what ""core"" means. What Americans should have a right to is to a comprehensive group of services that covers all medically necessary interventions as defined by experts in different fields,[Truncated]" "I reiterate vision care, just in case somebody forgets that our eyes need care as well." "* the protection should be for all care, not merely for ""high out of pocket medical costs"". that sounds like private insurance talk to me.[Truncated]" "* Community networks are great, but they should not be set up just for the poor. IN an equitable system it should be irrelevant whether one is rich or poor to access all medically necessary services. Community clinics should be supported and tr[Truncated]" "* In a publicly financed system where everybody contributes according to ability to pay, as everywhere else in the developed work, cost-comparison of health services for ""consumers"" would not be necessary, so I am not sure how this ""comparative[Truncated]" "* I can only understand this idea of ""public and private payers"" if a presume that people are not interested in equitable health care, publicly financed and accountable. But again, this is not the message we've heard across our country. [Truncated]" "* I do. We can do a better job of providing equitable heatlh care to all Americans. But of course we may choose not to (or some of us may choose not to). Leaving the private insurance sector untouched will not do it. It never has, and it never [Truncated]" "* It is not true, nor have I heard participating in these discussions, that ""no heath care financing mechanisms is optimal"". There is overwhelming evidence that publicly financed single-payer systems are the most efficient in delivering the goo[Truncated]" 21969 6/19/06 6:44 PM CO "* In talking about things like public health, we need to take a broader view of the ""common good."" The current system ""misses"" a very large number of people. This has consequences for all of us, financial and otherwise, not just for the sick an[Truncated]" "* Wellness and prevention are critically important. People should be given incentives to engage in healthy life styles. School children should all have physical education, nutrition education, and home economics instruction. There should be a v[Truncated]" I agree. "* I may not understand this well enough, but it looks like another bureaucracy. If this network includes economies of scale, efficiencies, sharing of medical files/information, and providing services to underserved populations, without paying a[Truncated]" It makes sense to expand and improve on exisiting systems that work. Agreed. "* Improving our public health should be a high priority. ""Health Care"" needs a broader definition than we are currently using. The emphasis should be on maintaining optimal wellness, not simply on treating disease. The system should reward peop[Truncated]" "* Take the money out of the so-called defense budget. Even before the war in Iraq, the U.S. taxpayers paid astronomical amounts for militarism with no discernable public benefit and many adverse consequences for true security. In 2000 American [Truncated]" 21971 6/19/06 8:30 PM MN "* This sounds wonderful but is laced with abstractions that have no real definition. What does ""affordable"" mean? By whose definition will benefits be judged ""sufficiently comprehensive""? Who determines how much families can afford to pay?[Truncated]" This sounds good; I hope it makes it past the various Congressional committees and their legion of lobbyists. "* This will only be meaningful if stringent oversight is invested in a truly independent committee. Otherwise, it will fall prey to the usual partison bickering.[Truncated]" "* This sounds good but is very complicated. A single-payer program, such as that now used in Canada, would do a more streamlined job of this.[Truncated]" This is fine but will work only with real oversight. And it seems rather cumbersome. At the present time we have such care available. Are you reinventing the wheel? "* Yes. I want the same health care for all citizens that is presently enjoyed by our elected representatives. If such a program is available to them, it should be available to all at a comparable price.[Truncated]" "* This should hsve been addressed years ago. When Bill Clinton first took office, his wife tried to get the Congress to pass a universal coverage package which I believe would have kept us out of the present problems. Now we are trying to pic[Truncated]" 21982 6/20/06 9:51 AM IL I think Health Care Insurance has gotten too costly and we should have a system like Canada's. "* Instead of wasting money on wars in Iraq and Afghanistan, that money could be used to improve our health care financing problems.[Truncated]" 21983 6/20/06 10:01 AM UT "* Core benefits should NOT include: dental, vision, mental health, routine office visits, clinic visits, etc. People should pay for these themselves in order to keep the cost down to all. People should get help with high cost items like hos[Truncated]" I agree. "* End-of-life services should ONLY be palliative and hospice (at government expense). Also, we need to rethink how we pay for very premature babies. Is it worth trying to save all of them? No. If the child will probably need to be insti[Truncated]" "* Public dollars should not pay for life support for patiens who have little hope of recovery. It a person will likely be bed-bound for the rest of life, then we should give only hospice and palliative care. No life support at government ex[Truncated]" "* I am OPPOSED to forcing people to buy insurance. People should not have to choose between paying insurance and buying food. They should not have to chose between paying insurance and paying college tuition. I am opposed to having the [Truncated]" 21984 6/20/06 10:15 AM UT "* Don't force people to buy insurance. This will increase homelessness, hunger, and make it more difficult to just pay for basic living expenses. Government will tax us for things that I don't think are ""core"". Government should only cov[Truncated]" 21985 6/20/06 10:17 AM FL An excellent recommendation. Just don't let theology interfere with the science. An excellent recommendation. Delete the age requirement for Medicare and voila! You've got a program. Excellent recommendation. Excellent recommendation. * I pay $88.20 per month for Medicare coverage and another $199 for a Medigap insurance policy. So far I have had excellent care from physicians and facilities which I choose. Financing for the new healthcare program could follow the Medicare[Truncated] 21986 6/20/06 10:27 AM UT "Everyone wants benefits as long as ""somebody else"" pays the bill. It doesn't work that way." 21993 6/20/06 12:08 PM FL * This is one of the most important and most talked about issues today. I believe this Recommendation should be adopted as soon as possible.[Truncated] Recommendation 2 should be adopted. Recommendation 3 should be adopted. "* Recommendation 4 does not go far enough. All Americans should have the same coverage as its Federal Representatives/Senators, etc. They are our employees, we pay their salaries, they should not have more than we do.[Truncated]" I would be willing to help finance this recommendation. 21995 6/20/06 12:24 PM UT "* People should pay all of their own bills out-of-pocket except for hospital bills. Hospital bills should be paid, on a basic level, for all, through taxes. Hospital bills should be limited by the government. If peole pay their own bill[Truncated]" "* People should pay their own dental, vision, mental health, clinic visits, etc. Only high costs interventions should be covered by government insurance. This would help keep costs down. However, people should be able to choose coverage[Truncated]" "* Agree. However, middle income persons should not be taxed so heavily, that they struggle to pay for food and college tuition for their kids. We need to limit what hospitals can charge and what procedures they do at government expense.[Truncated]" * We should limit what hospitals can charge. This is the only way to limit their purchasing very expensive equipment. We need to limit what is paid out during end of life care. We need to limit what is paid out for very pre-mature baby [Truncated] "* There should be a $1 per hour charge to employers for every person they hire, either part-time or full-time. This money should go into a general pot which will cover all. However, it would only cover high cost items like very defined cor[Truncated]" 21996 6/20/06 12:32 PM UT "* Health care needs to be affordable. We need to limit high cost use of procedures, and high cost technology. People could pay their own bills, or buy insurance for a reasonable fee, if the high costs items were regulated. Some high cost[Truncated]" 21997 6/20/06 12:36 PM UT Disagree. People should pay their own bills. Not the government. * I am opposed to forcing people to buy health insurance. this does nothing to address the too high costs. It doesn't address whether people can afford to buy this. People should be forced to chose between paying for food and paying for i[Truncated] 22010 6/20/06 6:51 PM CO "* All Americans should be required to participate in a unified single-payer system. If a sufficient population pays into a universal system, then sufficient financial resources will exist to subsidize the catastrophic and chronic illnesses tha[Truncated]" 22014 6/21/06 1:09 AM UT Absolutely right. Cover everyone with affordable health care. "* We can afford to give a fine benefit package to everyone. There is no need to slim down the benefits except to keep the status quo. Quit paying some so much so that they get rich while so many go without health care. The CEO of United Health[Truncated]" "* Have us all in the same risk pool and let us pay for our health care before we get sick, during our sickness and after we get well. Making us pay more while we are sick produces bankruptcy.[Truncated]" * Community health centers are wonderful but they are no substitute for fixing our system. A bandaid is not enough. Everyone should have access to high quality health care because we can afford it. Take the 30% administrative overhead out of th[Truncated] * Good. Improve quality and efficiency. But don't make the patient shop for health care to get the best price while they are sick. They can't know what is wrong. Trained professsionals know what is wrong. They went to school for years to be abl[Truncated] Good. Make end of life mesh with care given during life. It's all one. Single payer health care is not socialized medicine. "* We don't need new revenues, we need to spend the ones we have better. Cut out the wasted administrative overhead that provides for huge CEO salaries, shareholder dividends and brokerage percentages. Make the administration of the health car[Truncated]" 22015 6/21/06 8:31 AM NC "* It should focus on catastrophic, prevention, treatment for non-lifestyle related conditions and end of life if we want to create a cultural shift from the belief that we can live the way we want and the medical system will take care of us whe[Truncated]" "* A core benefit package should include evidence-based measures such as innoculations, basic dental, and as people reach the evidence-based age when screenings should be conducted, those should be covered. [Truncated]" * Not sure people who smoke should have their lung cancer care covered. Not sure people who become morbidly obese should have their various resulting conditions covered.[Truncated] "* While it sounds like letting the fox in the hen house, the various state hospital associations could provide actualy implementation expertise in these areas.[Truncated]" "* Let's not overfund a lot of research to develop evidence to support stuff that isn't working well. If it works, evidence will come on its own and already has. Use caution in deciding what evidence to use.[Truncated]" "* I was appalled to read some of the hospice comments - can't believe people still misunderstand what it is and does. If hospice were perceived as desirable instead of defeatist, under the circumstances of a terminal illness, a significant amou[Truncated]" * People who smoke and are obese should pay more and it should increase every year as their risky behavior continues to put them at higher risk.[Truncated] 22018 6/21/06 9:19 AM IL "Give people incentives for living healthy lifestyles. Increased premiums or charges for smoking, being obese, etc." "I favor ""sin"" taxes and additional taxes for the VERY rich...those with income over $500,000 a year." 22019 6/21/06 9:30 AM CO Thanks for including mental health. "* Right now, family practitioners are fading away. They cannot make enough to sustain the overhead at their offices. Medicare and Medicaid devalue and discount their services untill it costs more to see a patient than the doctor is renumerated [Truncated]" "* This is a great idea. Much of the expense of health care results in the last week or two of life. If someone 97 is going to die, is it necessary to put them in an ICU and intubate them? [Truncated]" Thank you for your work. "* It would seem that many of today's health insurance problems relate to the high price of premiums. As more people (usually young and healthy) dropped out of the system (to buy gas and pay their house payment), the premiums went up and only th[Truncated]" 22022 6/21/06 10:00 AM WI * I agree with this statement completely. All citizens of the US should equal access to health care irregardless of financial situation.[Truncated] * All necessary medical care should be covered. Elective procedures should be the resposibility of the patient requesting the additional care.[Truncated] "By creating a ""Universal Plan"" like the plan currently being proposed in Wisconsin. Health care will be affordable for all." Canada has a health plan that appears to work well. * I beleive a new plan needs to be developed similar to the health care reform plan currently proposed in Wisconsin. Elminate the bureacracy and provide a plan for all with equal access.[Truncated] I believe these services should be part of any plan which will be implemented. * The issue of health care needs to be addressed across the nation as it is currently crippling the nation under the astronomical annual increases in premiums and the increasing number of people who do not have coverage which compounds the prob[Truncated] "* I beleive that all employers should be required to provide health care for their employees and families. By requiring all employers to participate, overall cost will decrease dramatically benefiting everyone.[Truncated]" 22028 6/21/06 12:39 PM CA Some basic level of health care accessible to all regardless of income is essential. Core benefits should include dental and mental health. Agreed. Certain quality of care standards should be mandated. Improved palliative care could help reduce end-of-life health care costs. Everyone should have some type of insurance to spread risk across the entire population. 22034 6/21/06 5:18 PM NY "* I agree..... and emphasis should be placed on the word AMERICAN, especially senior citizen AMERICANS who have paid into the social security system and because their salaries were so low at time of retirement and turning ""golden"" they cannot a[Truncated]" "* Having lay input is a good idea, but the AMERICAN assigned to this panel must be intelligent: ie, able to understand what is being put before the board in order to vote properly. The core benefits must include any ailments due to becoming a [Truncated]" "* Excellent recommendation. Especially since the middle class has all but been run out of America. Most of us, who have worked hard for a living in civil servitude or menial jobs but who struggled to own a home or car, cannot afford to live i[Truncated]" "* Again, good idea; make sure it stays that way. AMERICANS seen by AMERICAN educated doctors with quality education, not the pass through kind of quasi education spoken to in proper english is a great idea for every AMERICAN born in this count[Truncated]" * GREAT as long as it stays an AMERICAN program. Stop giving services away to people whose allegience lies elsewhere; and turns their education and health against us.[Truncated] "* Depends on the kind of support they choose. Families who care for their own should be given a shelter allowance for their dependents, just like medicaire would give a nursing facility. They should not toss the family into the street when th[Truncated]" * Canada has been using socialized medicine for years for their subjects. Perhaps we should find out why their medical plan works so well. Every senior citizen receives free medical and dental care and medicine.[Truncated] * Medical assistance should cost little to nothing to those AMERICANS who cannot afford it. Doctors should be AMERICAN and speak proper English so that we can understand instructions given for health care.[Truncated] 22040 6/21/06 8:56 PM IL "* Yes, I am 72 years old, worked all my life, so i could retire, have insurance, draw S,S, and pension. When i retired the company filed bankcrupcty, lost my insurance. I think every American should have free health care. After all we are the [Truncated]" 22041 6/21/06 9:06 PM SD * Yes! Seamless consistent healthcare independent from your employer or work situation. Care needs to be financially adjusted so all can afford proper care. [Truncated] "* Core medical benefits, drug benefits INCLUDING contraception. Certain alternative care should be paid if substantial benefit of the care is determined by a primary MD. [Truncated]" * Catastrophic care needs to be covered. Financial protection needs to be assured for not only low income but those who can show that costs would be a hardship. Decisions on any qualifications MUST be made faster than agencies such as Soc Secur[Truncated] "Control the prices charged by pharmaceutical, clinics and hospitals." A safety net for the uninsured needs to happen by 2008 "* Most larger employers already pay out to private insurance, have employer pay a healthcare tax instead. Have those who can afford to pay a partial premium or copay to help fund the system. [Truncated]" 22045 6/21/06 9:27 PM MI * The current Health Care Medical Benefits Insurance system for Government Employees could be adapted for all Americans. All the forms are readily available and in most Medical offices. The problems could be work out as things go along. Senator[Truncated] * The current government employee Medical Benefit Insurance can be adapted to include all americans. The forms a already in most Doctor's offices. Senator Ted Kennedy has suggested this.[Truncated] Same as above. 22046 6/21/06 10:02 PM TX "* If this recommendation refers to health CARE, as opposed to health INSURANCE, I agree. If it refers to INSURANCE, I disagree strongly.[Truncated]" "* Because recommendation 2 appears to refer to health INSURANCE, I disagree strongly. If the health CARE providing system is privatized, no ""one size fits all"" system could possibly be just. Every citizen should receive exactly and all the ca[Truncated]" "* I disagree strongly with recommendation 3, as it clearly refers to health INSURANCE. If the health care system is federalized, there would be no costs to any citizen beyond the taxes each citizen pays.[Truncated]" "* All government health insurance programs, such as Medicare, and the others cited in recommendation 5 should be abolished immediately. Therefore, I disagree strongly with recommendation 5.[Truncated]" "* I disagree strongly with recommendation 6, as it clearly refers to health INSURANCE costs. If the health care system is federalized, there would be no costs to any citizen beyond the taxes each citizen pays.[Truncated]" * Please stop confusing health CARE with health INSURANCE. These are not the same. Health INSURANCE creates several layers of beaurocracy and business that do nothing to advance the CARE of our citizens.[Truncated] "* I disagree strongly with this recommendation. If the goal is to provide universal affordable health CARE, the mechanism is simple. Federalize all health CARE. All health care would then be provided by the federal government - not by the in[Truncated]" 22050 6/21/06 11:13 PM IA "* Yes, we need affordable health care for all Americans, I consider myself to be in the lower middle of this situation and have my own story about dealing with not having and not being able to afford needed healthcare coverage. I work in a long[Truncated]" It must encompass all of these needs and services. "* Definately, it is not fair for any of us to be impoverished because of need for health care or turned away from proper care because of in ability to pay.[Truncated]" I hope this can be accomplished without us all being buried in paper work and still not having the right answers. "* How can we make this work without it being so confusing and complex that poeple like me don't where or who to turn to get what they need when they need it? Patient centered care is very important, I work in healthcare, and I know that it is n[Truncated]" * Direct care workers need more continued training and support for the jobs they do so that they will stay in this field and so that we can continue to recruit new workers to the field of caregiving.[Truncated] I support and want help in any way I can find the answers to this great problem! "* I know that this is a very complex problem, and I'm not sure what the answer is, I think it is going to have to be a combination of contributions and tax changes and maybe there are reforms that need to be made in the insurance and legal syst[Truncated]" 22053 6/22/06 10:03 AM AK "* When I was in college in the 1970's I attended a seminar class regarding health care in America. We studied the current system and alternate systems, and without a doubt we saw the wisdom of a national health program. Yet here we are thirty[Truncated]" "* We must prioritize when and how health care costs are incurred. I really like the dental programs that pay 100 per cent of preventative care, and then a per cent of restorative care. I think it is important to promote and pay for prevention[Truncated]" "* There is a relationship between people's physical health and their economic and mental health. All Americans deserve access to our medical resources. As I mentioned above, let their be ways to encourage paying for the prevention first, and [Truncated]" "* Why can't we have a National Health Corp, and encourage youth to volunteer for one or two years in our health system? Personally I think that all American youth should give back to their country. They are provided with free education and th[Truncated]" "* As I mentioned we do have a form of public health, it is just very fragmented. Get those youth out to do prevention education and assist medical staff during immunization clinics! It could even be considered part of their training to go on [Truncated]" * As a nation we must talk about death and end life matters more openly. Promotion of hospice along with education could go a long way in assisting patients and their families to accept when it is time to stop heroic and expensive and wasteful[Truncated] "* I pay my FICA tax. I pay my Medicare tax. I have no problem with these because I know that I may and will benefit from these taxes. It is like putting savings in the bank for when I need to withdraw. While we are at it, we definitely shoul[Truncated]" 22056 6/22/06 11:10 AM FL "* Agree with a core benefit to provide basic needs to all. Addiction treatment needs to be included due to the prevalance in our society. [Truncated]" 22066 6/22/06 12:40 PM MN "* Yes--and this means that Congress, too, must participate--in the same system as applies to ordinary citizens. No more ""fat-cat"" system for legislators, while the rest of the country is excluded.[Truncated]" "* O.K. When we talk about wellness, how much of an investment in time and dedication are we willing to make to convince Americans to take better care of themselves. As an example, we know that if Americans gave up using illegal drugs the cart[Truncated]" "* Good idea. Tough to do. Sounds like the World War II ""cost-plus"" program, in which companies could go to any expense to accomlish a task (the ""cost"") and then add on their profit (the ""plus""). It led to a lot of abuse and expense.[Truncated]" Hmmm--sounds a little bit like practicing medicine in Cuba. "* ""Reduction of fraud"" is key here--there are too many stories about too many medical care practitioners and insurance companies and individuals working in collusion to defraud the government. Policing the industry will be expensive, but--huma[Truncated]" Sounds good. "* One way to improve the efficiency of the system is to stop treating it as if it were part of the Mafia--e.g., everyone getting a ""taste."" Medicare Part D is an excellent example of a program being set up--not to benefit the consumer, but to [Truncated]" Taxes and some private investment would seem to be the only means of financing health care. 22068 6/22/06 1:46 PM PA "Look at the example in Mass. Broad involvement of participation was evident. State, business, and individual responsibility." "* You did as great job defining health care!! Our center serves the medically uninsured and the mental health and dental needs are tremendous in that population. They need basic primary medical and dental care.[Truncated]" agree * Faith based health centers providing care should not be excluded from funding. We are a free health center that provides charitable primary services to the medically uninsured residents in our community with household incomes below 250% FPL.[Truncated] * Stream-line the system so that you don't have multiple payers at the federal/national level. There is no reason acceptable to spend the dollars that we do on admin. and claims management/processing. [Truncated] agree "Value added taxes on luxury items or ""sin taxes"" would not be additinal income or property tax burden." 22071 6/22/06 2:50 PM MI "* The most efficient way to do this is with public financing, Single Payer. Medicare and Medicaid have very low overhead. Better than private sector insurers.[Truncated]" * I don't think the health care problem will be solved until we get over the insane notion that the private sector can do it better.[Truncated] 22072 6/22/06 3:15 PM MA "* It should be for all U.S. citizens and not something so complicated that you can't understand. Your ss# for life and also no matter who you work for you pay into the system by your salary. That means judges congress, wealthy etc. I guess, th[Truncated]" agreed 22073 6/22/06 3:15 PM MA "* It should be for all U.S. citizens and not something so complicated that you can't understand. Your ss# for life and also no matter who you work for you pay into the system by your salary. That means judges congress, wealthy etc. I guess, th[Truncated]" agreed 22077 6/22/06 5:13 PM OH * I fully agree with this. Our ancestors fought not only for freedom but also to defend our way of life. This way of life is called civilization at its finest. It demands that we pool our moneys to help our brothers take advantage of proper med[Truncated] "Again, this is no big deal to take care of this." * THIS IS IT ! This is absolutely necessary. We need to take care of each other ! This is what is called modern civilization and it is high time that we organize towards this end. [Truncated] * Believe me this is the most important thing for anyone in this situation. Anyone who is insensitive to this is merely ignorant and inexperienced. We have to do this for our brothers. [Truncated] I fully agree. 22078 6/22/06 5:13 PM NC "* We should have a system that's the same for everyone, same cost percentage wise. The ones who have Health care now should not be covering the costs of the un-insured. Our current system is out of control, i.e. My wife is totally disabled, sh[Truncated]" "* Like Social Security, it should be based on income levels, but unlike SS no top out. I think this would actually cut our premiums. But you have to put in controls, stop the greed, stop paying the CEO's of this world Millions, no one, absolu[Truncated]" 22081 6/22/06 8:05 PM CA Yes! Including mental and dental is very important. This should be a core provision of the plan. All good. Let's do this! "* There are countries which offer national health care now, based on the above priciples, and their systems work very well. We should try to emulate such existing systems[Truncated]" 22082 6/22/06 9:11 PM CA "* Our current crisis in health care cannot be resolved with incremental fixes that require more money. A comprehensive restructuring of our medical care system is required, providing universal insurance coverage and quality care without spendin[Truncated]" "* In the words of J. Edward Hill, MD, President of the American Medical Association, ""The days of one-size-fits-all health care coverage will be numbered."" Forget the independent non-partisan private-public group. Every patient's primary ca[Truncated]" "* Guaranteed financial protection against very high medical costs needs to be part of COMPREHENSIVE HEALTH CARE REFORM. Consider the comprehensive health care reform proposal, Doctor Managed Care--doctormanagedcare.com[Truncated]" * These are all well-meaning but bad ideas. Federal government bureaucratic approaches leading to top down determinations of health care benefits through medical establishment endorsed guidelines has contributed significantly to the current mes[Truncated] "* The federal government's previous efforts in these regards, while well-meaning, have been ineffective at best. The federal government needs to get out of the way and let primary care physicians lead initiatives to accomplish all these worthy [Truncated]" "* I speak from experience since most of my 25 year career as a clinical physician was in palliative care. Futile treatments of people living with advance incurable conditions keeps those people from receiving the palliative care they need. [Truncated]" "* I am seeking feedback on my comprehensive health care reform proposal, Doctor Managed Care. To read about it, go to doctormanagedcare.com[Truncated]" "* By greatly reducing the insurance funding of tests and treatments that are not evidence-based to be safe and effective, additional revenue for health care will not be needed and more medical services (e.g., long term care and preventive medic[Truncated]" 22087 6/23/06 12:02 PM GA "* I agree with all the recommendations....however, as stated they are very broad and need further refinement. For example, you need to define who is being referred to by the expression ""most vulnerable individuals/Americans"" are. Another conc[Truncated]" 22091 6/23/06 12:48 PM MI "The difficulty will be in deciding what services should be made affordable, and which are optional or impractical to cover." "* It is confusing when ""high cost and core benefits"" are together in a sentence. I think you meant that there are two categories: 1) high cost and 2) core benefits, but it is not entirely clear. Are you saying that there are two levels of ben[Truncated]" "* Two facets of modern health care seem to play off each other: 1) the constant advances of the field of medicine, and 2)the nearly ubiquitous drive to do ""everything possible"" to save a life. Today we can give treatments or perform procedures[Truncated]" "* If the government would pay for 30% or more of my medical school costs, I'd enroll tomorrow and promise to work for 10 or more years in a rural area. I'm thinking about a similar program to get nurses trained in WWII or the TeachAmerica prog[Truncated]" "* We should not build EMRs just to build EMRs - only if they will serve the higher purposes of the other recommendations. I think Health Promotion deserves a recommendation of its own, if we are talking about shared responsibility.[Truncated]" Agreed. "* I don't see a higher, overall vision of what you want the future to look like. These recommendations seem more like a list of problems and their proposed solutions. I'd like to see a statement about what a future America looks like, where p[Truncated]" "* As someone who makes an effort to live a healthy lifestyle, I don't want to pay for the quadruple bypass of someone who chose not to live a healthy lifestyle. Perhaps the cost of certain treatments that are most likely the results of unhealt[Truncated]" 22093 6/23/06 3:39 PM MD Heartily support Will require tort reform "* This is crucial. The Dartmouth data suggests wasted resources on aggressive care at the end of life. Please, please include this recommendation[Truncated]" This will probably require tax code changes that over-benefit the rich 22098 6/23/06 5:04 PM MO "This is awfully ambitious-sounding. The ""core"" sounds like a Cadillac." * We don't need and should not aim for first dollar coverage. We need minimal contributions from everyone based on income/ability to pay.[Truncated] This will be superfluous if we have a proper national health care system The only way to reduce fraud and waste is to remove the middle-men from the system. "* It is doubtful if new financing would be needed if the costly ""middle-men"" in the system were eliminated. Medicare operates with a minimal overhead, the rest of the system has administrative, advertising and profit costs that amount to 15 to [Truncated]" 22100 6/23/06 7:47 PM FL "* The System that government and corproate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aimed [Truncated]" "* The System that government and corporate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aime[Truncated]" "* The System that government and corporate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aime[Truncated]" "* The System that government and corporate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aime[Truncated]" "* The System that government and corporate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aime[Truncated]" "* The System that government and corporate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aime[Truncated]" "* The System that government and corporate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aime[Truncated]" "* The System that government and corporate America is advocating is an abomination. It will deny care to patients and allow patients to die waiting for care. It will be a de facto socialized medicine program in America. The agenda aime[Truncated]" 22103 6/23/06 10:50 PM CA * We need single payor health insurance for everyone! Cut out corporate profits and waste! Government workers ARE efficient and cheaper than ultra-rich CEOs!!!!!!!!![Truncated] "* Members should be health care professionals--doctors, nurses, citizens, and government representatives. No corporate interests!!!!!!!!!!![Truncated]" NO PRIVATE PROGRAM!!!!!!!!!!!!!!!!!!!!! NO PRIVATE CORPORATE SLEEZEBAGS!!!!!!!!!!!!!! NO PRIVATE CORPORATE SLEEZEBAGS!!!!!!!!!! * We need single payer health insurance provided by government. We have seen the monstrosity that is the MEDICARE DRUG PLAN developed by drug and insurance corporations to rip off the most vulnerable population in our country! Thank you corru[Truncated] * LET THE RICH PAY!!!!!!!!! THE POOR AND MIDDLE CLASSES HAVE PAID ENOUGH! IT IS TIME TO END TAX CUTS FOR THE RICH (CORPORATIONS INCLUDED)!!!!![Truncated] 22108 6/24/06 10:51 AM NY * I am employed by a long term care facility in New York as a registered nurse. I often see individuals in more advanced stages of disease due to the inability to afford routine preventative screening. Aplan that is affordable and available to [Truncated] "* It should be a package that would include all aspects of health care, including mental health and chemical dependency treatment. It should also be specific to a person's personal needs and focus on gender, ethnicity, age group,etc.[Truncated]" * It should include premiums or cost contingent on income or ability to pay with those with the most need being exempt from payment.[Truncated] Eliminate high cost administrative personel and provide more direct care services. "* As a nurse working primarily in geriatrics and end of life situations, I feel there needs to be more awareness of health care at this time of life. The focus should be on when it is and isn't feasible to prolong someone's life.[Truncated]" 22109 6/24/06 11:12 AM CT I agree with this reccommendation. "* I agree with a core of benefits that enhance health, and take care of health problems, including women's health, dental, eye etc. But I would disagree with any ""life style"" benefits.[Truncated]" I completely agree. "This sounds all right, but I would request that the ""buracracy be kept to a minimum." "Again, sounds ok, but keep the buracracy to a minimum." I agree. I do not agree with this statement. We should have a single-payer health insurence system paid for by taxes from all involved. 22113 6/25/06 8:02 AM PA No 22120 6/25/06 9:05 PM TN I could not agree more "* This is the other key and difficult issue. However here, I agree, there are models and data to start with. There is so much public education to do here, so let's get some models out before the public.[Truncated]" I think that remodelling the whole system needs to take priority over this. This can be insured only in a new system. This sounds like top down bureaucracy. Work on bottom-up issues also I couldn't agree more. "I agree, but this does not address the issue of the huge portion of our health care resources that go towards end of life care." Thank you for your work and your genaraslly excellent recommendations "* I agree that financing the first and other recommendations will be the key issue, largely because of the vested interests that control the current revenue stream. Defining the core services and figuring out how to divide up the cost among pay[Truncated]" 22122 6/26/06 1:59 AM WA "* It's impossible to keep up with my ever-increasing deductibles and out-of-pocket expenes. I and others like me will skip visits to the doctor to avoid the $30-$40 dollars it costs each time to go, even for the smallest of reasons. This incr[Truncated]" * It really does come down to keeping ourselves healthy by not fearing to go see a doctor because we can't afford the premiums or skipping medications because they cost too much. Very few people really enjoy taking time out of their lives and [Truncated] "If I lost my job and had a medical emergency, I'd be screwed." "* As a software engineer who typically works in short-term contract situations (less than 1 year), I and the company that hires me wastes hundred, if not thousands per year to sign me up for a new health and dental package every time I change j[Truncated]" Being able to easily port my health care and health history to different doctors would be very useful. "* A clean, simple national health care system would greatly benefit me and all of my peers. As our working lives change from being employed by 1 company for 40 years to working for multiple companies over our lives, our current health care sys[Truncated]" * I personally would much rather pool resources if it means that we are all healthier in the long run. So much money is wasted on health care administration by doctors offices who are forced to deal with hundreds of different kinds of insuranc[Truncated] 22128 6/26/06 11:00 AM NY Preventive medical care such as that practiced in Canada would put our health care dollars to more effective use. I agree entirely. I agree entirely. jWhy not simply expand Medicare? "* If insurance companies are eliminated, efficiency will be promoted. Too much time and money is wasted fighting with business-types who make their living denying medical care to people with bona-fide illnesses.[Truncated]" "* Having watched my beloved mother endure what amounted to torture in various procedures dictated by greedy doctors in Ft. Lauderdale's Holy Cross hospital, I whole-heartedly agree with this recommendation. [Truncated]" "* A system run by the Federal government that includes everyone, such as an expanded Medicare system would not cost much more because the humongous salaries being paid to CEOs would be eliminated. If my neighbors are enabled to be healthier we[Truncated]" 22129 6/26/06 11:08 AM IA "* According to research conducted by the Iowa Better Jobs Better Care Coalition, 25% of Certified Nurse Aides in Iowa's nursing homes have no health care coverage and we don't know how many are underinsured. We know that there are many who pay [Truncated]" "* We are always concerned that efforts to keep costs down may come at the expense of workers in the health care arena. We support choice and consumer directed care, but not when paying workers poorly becomes a means to keep costs down. Doing [Truncated]" Impressive Report. 22132 6/26/06 1:13 PM UT * Opposed. We cannot afford the tax burden to cover all people. The increased taxes would be horrendous for basic core benefits. And there would be a lot of waste. I am also opposed to forcing people to buy insurance. For families [Truncated] People should pay for their own core benefits. Only hospital bills and baby birth should be covered by national coverage. "* Yes, agree. However, we should not cover lots of expensive interventions for the dying, and we should change how very pre-mature babies are paid for. We should change how dying is paid for. (it should only cover hospice and palliative).[Truncated]" "Agree. Also, lets change how very pre-mature babies are paid for." * Let people pay all of their own medical bills except for the high cost items (like hospital or cancer). People should not be taxed for basic care. They can either buy insurance or use health savings plans to pay for their own basic care.[Truncated] 22137 6/26/06 1:25 PM IA All should have health care. 22138 6/26/06 1:26 PM OH "It should be public policy that all Americans have affordable health care " 22139 6/26/06 1:27 PM ME "If not now, then when would be a more-convenient time?" "If not now, then when would be a more-convenient time?" 22143 6/26/06 1:31 PM NJ "Health care should be adequate, affordable and accessible for all Americans." "Socialized medical care works in every country that has it, additional taxes would be worth equal, sufficient care for all" see 3 above "* Instead of diverting vast sums of money to drug and medical companies, Congress should improve health care costs as if it were their own.[Truncated]" 22146 6/26/06 1:32 PM MI Everyone should have health insurance regardless of class or station in life. 22147 6/26/06 1:32 PM WI * As a public school teacher I have daily encounters with children and families who do not have access to quality health care. Families should have access to health care regardlesds of financial status because all have the right to a healthy l[Truncated] * I have no problem supporting a tax to finance health care coverage for all. In the end everyone wiill benefit from lower cost and better access to care.[Truncated] 22153 6/26/06 1:33 PM MN "* AFFORDABLE HEALTH CARE SHOULD BE FOR EVERY AMERICAN PERSON, IN AMERICA. WHAT HAPPENED TO AMERICA? WHAT HAPPENED? I NEVER REALIZED THAT BSH WAS SUCH A TROUBLE MAKER. HE SHOULD SEND HIS DAUGHTERS OVER TO IRAQ...AND THEN WE WOULD SEE WHAT BU[Truncated]" 22154 6/26/06 1:34 PM OH If our country can spend money overseas every american is entitled to descent health care. Amen Ifeel it should be Public and not Private. Spend much less overseas and fund programs for US Citizens 22156 6/26/06 1:34 PM PA "* Everybody in - nobody out. We need universal healthcare - just like Medicare. Minimal administration, NOT FOR PROFIT - FOR HEALTH! [Truncated]" Unmarry the FDA and big-business. Marry the FDA to consumer/citizens' health. Government paid. We pay taxes - let's do something CONSTRUCTIVE instead of DESTRUCTIVE with our tax dollars. Health networks at the community level are critical. Neglect of Amercians' healthcare is disgraceful. Take the profit out of healthcare administration. Take the profit out of healthcare administration! "* Take the profit out of healthcare administration! It is disgraceful that the US healthcare dollar returns so little and that so many are neglected or excluded, especially relative to other ""industrialized"" countries. [Truncated]" * Single-payor - US Government. PERIOD. Public-sector works - let it work. Healthcare is too important to be tied to an employer! This isn't 1950. [Truncated] 22162 6/26/06 1:37 PM TX * $800/a month is not affordable for My wife and I. The pressure of making that payment every month is very taxing on us. I am sixty-one years young and retirement is not in my vocabulary.[Truncated] 22163 6/26/06 1:38 PM VA There is no excuse for the US not having high-quality health care for every one of its citizens. Family planning must be part of this core. I am willing to pay a tax that covers high-quality health care for all--better to pay for this than illegal wars. 22167 6/26/06 1:38 PM TX "* It is much more difficult to remove an existing BAD system, than to start up a good one. We need to do this, however, so that all Americans have access to a decent, affordable health care system that covers not only physical and dental care,[Truncated]" "* Even though this plan goes against the existing ""Big Bucks for the insurance companies"" system, it is the only one that is acceptable. [Truncated]" Yes!!! "* This is very important, to set up this kind of broad-based system of care for everyone. Mental health care should also be included as a major part of this program and mental illness should receive equal coverage.[Truncated]" "This sounds so wonderful, I hope I live to see it." This is the way it SHOULD be. How do we get there from here? "* Only that I believe mental health is as important as physical health, and one cannot exist without the other. With the proper care and medication, mentally ill people can lead productive and normal lives, and should have an equal right to al[Truncated]" Makes sense to me. 22168 6/26/06 1:39 PM NY universal health care for Everyone in the USA!!!! "* America already spends more per capita on medicaid, medicare, workman's comp., etc., than any other nation in the world, including those who already have universal health care! universal health care won't cost taxpayers any extra, if we stop[Truncated]" 22169 6/26/06 1:39 PM MI "* I agree all Americans should have benefits.I'm 24 and I haven't had any benefits since I was 18.I can't work because I stay home and take care of my mother who is on disability,my elderly grandma and my 20 month old son,who thank God has heal[Truncated]" I think any health plans should also include optical benefits too.What good is physical health if you can't see to do anything? I hope that everyone gets taken care of regardless of their financial status. 22174 6/26/06 1:40 PM MD "* I totally agree with this principle. I agree with recent comments to the effect that the employment-based model for health care is broken. As we go to a new system intended to provide universal access to quality health coverage, we need to av[Truncated]" Agree Agree agree "* I think it is important that the Citizens Working Group continue to push forward on principles of access, quality and fair distribution of costs. We need to do more to cover all Americans, and figure out ways not to disproportionately saddle [Truncated]" "Yes, this will require new revenues." 22178 6/26/06 1:41 PM OH The most powerfull nation in the free world has far to many uninsured. 22187 6/26/06 1:43 PM NJ Healthcare Costs should be brought down. Let all Americans be able to afford insurance. "* Get all employers to be strict with landlords who fail to offer sloppy conditions provided to workforce. Horrible conditions doesn't promote good business, for employees to want to come to work.[Truncated]" 22188 6/26/06 1:43 PM MI Sounds good so far! Devil in the details? Looks good. Forget private. Overhead eats away premiums. Profit clouds service. Look at Medicare Part D - a travesty! Sounds good. "Sounds good, but again, devil in the details." Don't trust private companies. Track record has been deplorable. "* It all sounds fine, but I worry about ""special interests"" weakening or deluting provisions in order to line their pockets with uncounciencable profits - like the drug companies.[Truncated]" Should be based on the Medicare layout. 22191 6/26/06 1:43 PM NE "* Health care is a right for all. By privatizing health care, all we've proved is that one can make a commodity of health care. We certainly haven't distributed it evenly, and we certainly, as a nation, proved that private health care enhances [Truncated]" 22194 6/26/06 1:44 PM CO "I agree with this statement. Access to quality health care is important. We do not need more insurance, we need health care!" This seems to address the necessary work to establish a quality program. "* I agree. And with Recommendation 2, after the core benefits are determined, those who demand extra services (like surgery to enhance appearance) should have to pay extra for them.[Truncated]" * This is important as well. It should be fully funded. I live in a rural area where access to health care for the poor is a big problem.[Truncated] Good. Good ideas. It is important to place the decisions in the hands of the people who are dealing with death. * This is a thoughtful statement. I am willing to pay my share if it helps all Americans access quality health care. I would prefer to pay more taxes than to pay increased insurance premiums.[Truncated] 22196 6/26/06 1:45 PM MA Universal healthcare in a single payer system makes the best sense. Universal healthcare in a single payer system makes the best sense. Universal healthcare in a single payer system makes the best sense. Universal healthcare in a single payer system makes the best sense. Universal healthcare in a single payer system makes the best sense. Universal healthcare in a single payer system makes the best sense. Universal healthcare in a single payer system makes the best sense. Universal healthcare in a single payer system makes the best sense. 22197 6/26/06 1:45 PM CA All of the industrialized countries provide access to healthcare. Why doesn't the richest country in the world?? Preventive services should be available to all Americans Citizens should not be forced into poverty or bankruptcy because of medical expenses. * When corporations and their executives are making millions in profits it is a disgrace that millions of ordinary working Americans are not being provided with affordable healthcare and treatment. [Truncated] It now costs the U.S more to care for those who need catastrophic treatment than it would to revamp our present system. 22198 6/26/06 1:45 PM MI Define What constitutes an American. Must be at least a nautralized citizen. Should be open to all who are willing to pay into it. No Free rides. 22199 6/26/06 1:45 PM OR "* I support a publicly Financed Health Care System,That provides Basic HMO stile Health Care For Every Tax Payer. You could Perchass Addition al Insurance On your Own. The Government Would ask Insurance Companys To Bid on A contract to provide[Truncated]" 22203 6/26/06 1:46 PM FL " All American's not just politicians deserve the best health care available." 22210 6/26/06 1:47 PM CA sooner 22215 6/26/06 1:47 PM OR socialized medical coverage for all let's return to the 1970's and look once again at socialized medicine as other countries have 22217 6/26/06 1:48 PM OH "* Every American should have the same access to any and all health care. Not to just a core of health care to any and ALL. The BEST should be given to any and ALL PATIENTS. [Truncated]" "* There should not be a core. All medicines should be accessible to all citizens. Due to no reasons should one person have access and another person not. You are taking God's job away when you do this. Besides he may take your away earlier[Truncated]" Helping the seniors not having to choose between medicines and food. "* OUR country should believe in and treat medically all who need it. It should not matter on cost. We should ALL work together not to see who can make the most money. Working together and believing in one another, trusting in one another sho[Truncated]" 22218 6/26/06 1:48 PM CA We are behind the rest of the developed World in healthcare. Why is America inferior in this way? "Yes, there is no reason not to take care of core health issues." People with health problems do not need to seek bankruptcy. Problems on to top of problems. "Expand the network, make it easy." Make it more efficient! Dying should not mean financial ruin for the dying person and their family. Why should we have an inferior health care system to Canada? 22220 6/26/06 1:49 PM AL "* FULL HEALTH CARE COVERAGES IMMEDIATELY, PATTERNED AFTER MEDICARE AND TRICARE, POSSIBLY THE UK SUCH AS CANADA WITH IMPROVEMENTS ALL ALONG: GET THE GREED OUT OF HEALTHCARE PROVIDERS. [Truncated]" MODERN MEDICINE IS QUITE LIMITED AND IN CASES WHERE MEDICAL HELP COULD BE AVAILABLE IS UNAFFORDABLE. "* IF WE WERE STILL UNDER ENGLAND'S AEGIS, WE WOULDN'T HAVE HAD THIS HEALTH CARE ISSUE/CRISIS. IN THE LONG-RUN, USA HAS NO MEANINGFUL MANAGEMENT EXCEPT RARELY DURING THE LAST YEARS SINCE FDR NAMELY '93 TO 2000 AND CONGRESS WAS A SHAM DURING THAT[Truncated]" "* SOME THINGS UPON WHICH PEOPLE DEPEND CANNOT BE TIED TO DOLLARS. CAPITALISM IS A DEFUNCT SET OF PRINCIPLES WHICH MUST BE REPLACED. USA IS OUT OF CONTROL FOR SOME 80 YEARS BY EISENHOWER, NIXON, REAGAN, BUSH SQUARED, AND MUST BE RE-ESTABLISHED [Truncated]" 22221 6/26/06 1:49 PM WA Everyone should have access to and be able to afford health care! I support this recommendation. MUST be done. I would support this. Seems entirely feasible. Agree. "* Our health care programs should reflect that we are the ""greatest nation"". All there is now is talk and rising costs, depleted services. It's got to stop, or that title will no longer be pertinent.[Truncated]" I agreee with this. 22222 6/26/06 1:49 PM MO "* I am an eligibility specialist for my state's Medicaid program. It is ridiculous how we ""reward"" those who sit back and won't work and support their families by legal means and make those who work minimum wage jobs or who are limited or disa[Truncated]" 22226 6/26/06 1:50 PM CA * Our U.S. health care system is based on supporting an entire extra industry -- insurance carriers. Other developed countries do not have this extra layer of workers who are supported by healthcare dollars. The money spent on health care in ot[Truncated] 22227 6/26/06 1:50 PM PA We need to have a better health care system please.... "* Medication as it stands today is way too expensive. It is like building a furniture a couch and the cost to make it was $40. but you sell the furniture couch for $600. Come on please, man.... that money could have been used for family expense[Truncated]" Yes. Amen. "* Make sure you pay attention to rural areas as much as you do in city areas please? We don't want to have to drive 500 to 1,000 miles which takes time away from our jobs, our families and our lives and it costs money to travel please?[Truncated]" Be serious about this and make sure this comes through and is really a win-win situation. * More people should die in the comfort of their home around familiar faces like their family and medical people should not take advantage of the finanical situation for people with end of life issues. As it stands. It is too expensive right no[Truncated] * Make sure to include Deaf people like me too in the process. I am Deaf and use American Sign Language. Interpreters provided at every hospital and things like that go to http://www.nad.org and they will help coordinate with you. It is a Deaf [Truncated] There needs to be a health care system that is not a burden to either the American citizen or the health insurance companies. 22230 6/26/06 1:51 PM WA "this sounds like Hillary""s ideas. Israel says we- are going to put her in office yis-- coming election. let's do so!" benefits are core. plentiful money. "* --our black market [we sell cocaine] is supporting you-- in public und private about about the psychiatry; the denting aussi also, &c. [Truncated]" "time is plentiful. " * fundamental relationships [such as that of the baptized person to the community whose church s/he was baptized in; am living one now] work out for people who are trying to find a doctor; look for them where the fundamental relationships happe[Truncated] "we're Roman Catholic; in Dignity;" there is plentiful money. 22232 6/26/06 1:51 PM CA "* This country needs a single payer government lead program for medical coverage, like Canada, period! I grew up in a family where two of my subilings had kidney illness resulting in the need for transplants.........it was a terrible burden on [Truncated]" 22233 6/26/06 1:51 PM WI In a nation with the wealth that this country has it is obscene that we do not have a national health care program. All health services should be free It is about time that this country began to care for it's citizens instead of it's corporations. 22234 6/26/06 1:51 PM AK Yes. All americans should have the same health care as our congress and senate have 22235 6/26/06 1:51 PM NY I support this fully and I hope it is implemented soon. I support this fully. I support this fully. I support this fully. "* I support this fully. All medical records should be kept electronically so patients do not have to keep filling out forms repeatedly, which is difficult for older or disabled or very sick people. Forms should be standardized and the same ever[Truncated]" I support this fully. I support this fully. 22237 6/26/06 1:51 PM MT "* Unfortunately I am one of these statistics. Last year I had health insurance and my family ran up a lot of bills. First time in nearly five years did I have any serious medical bills. Of course the insurance came through with very little, [Truncated]" * What is happening now? We are becoming impoverished. Forget about sending our kids to college. Forget about all that we once could afford just seven years ago. There has got to be a better way. It should be done as a National Security is[Truncated] "* IT can be done. The sooner the better for all. The Middle Class is hurting. We have few choices. The poor need just as much help, but they can get on assistance. The well to do, they need to help others. IT is an American problem.[Truncated]" 22241 6/26/06 1:52 PM AR "* Absolutely. I am all for saving money on America's health. That means, bottom line, that prevention and care must be provided to everyone. It costs less than deteriorated conditions, epidemics, increasing poverty, and emergency services. Peri[Truncated]" "Yes, this sounds like sound strategy." "* It is no longer a secret what kind of ACTUAL costs are involved with medical care, vs RETAIL costs. The profit margin is criminal, even monopolizing. There is in fact, no reason whatsoever that medical care should cost what it costs. The VA h[Truncated]" Seems sound to me. "* Please do not forget pain management. Undertreatment of pain costs the country BILLIONS per year. It's criminal, and costly. Pain does not equal character weakness, and currently only the rich get validation of their very real pain, by and la[Truncated]" "* Agreed. Falls under the blanket of pain management also. Pain kills, not just cancer pain, but complex pain, intractable pain. The cost to families who have a member with intractable pain, is enormous. Impoverishing. People should not have to[Truncated]" "* Whatever we do, ""trickle-down"" health care economics is NOT the way to go. The way to go is with the same systems that are shown to work elsewhere, and we have the human resources to plan such a transition and financing, using Anthropologists[Truncated]" 22242 6/26/06 1:52 PM WA "* I have concerns regarding this recommendation. It is imperative to me that 'alternative' treatments, such as chiropractic care, naturopathic/homeopathic care, and acupuncture be covered for those whose beliefs madate this type of medical car[Truncated]" "* I have the same concern with this recommendation as I do with recommendation 2. A treatment that works for one individual may well not be effective for another, regardless of 'scientific' evidence. Medicine is widely touted by its practione[Truncated]" "* I have concerns that this program is set up with a bias toward the AMA/medical establishment model. Further, I am concerned that this will place a burden on those who need or elect alternative medical care. I envision a result, whereby only[Truncated]" 22244 6/26/06 1:52 PM MD Why shouldn't every American get the same health care that Federal employees get? I think it may be time to raise taxes. 22246 6/26/06 1:52 PM TX "* My longtime employer, Eastern Air Lines, went Bankrupt. I lost my heath care coverage. My wife and I started a business, and our private health insurance was our second largest expense, after wages. I applied for, and was granted, VA healt[Truncated]" 22248 6/26/06 1:52 PM WI "good idea, see Wisconsin State AFL-CIO plan" good idea ditto 22249 6/26/06 1:53 PM ND This should be limited ONLY to American citizens--excluding illegal aliens and anyone who is NOT an American citizen Agree! "Yes, All Americans--no illegal aliens or anyone who is NOT an American citizen" Agree Agree! Universal health care is long overdue and nececessary for all americans! Agree! 22250 6/26/06 1:53 PM CA It's the right thing to do. 22251 6/26/06 1:53 PM NJ And be legal !!!! No illegals!!!! Copy the medicare system !!! Only improve and adjust to fit everyone. 22255 6/26/06 1:53 PM CA determining need for financial assistance is an absurd administrative burden and has produced the absurd medicaid system. that should be on an individual basis. no.what do you mean by impoverished? very high?. this a very class-based system. Welcome to Medicare part D. Who wants to sort thru all that? "What about paid family leave so people can care for their families instead of strangers?" I don't support this program. Health care is a right. This is another ill-conceived hodge podge. "single payor is the best way to cut administrative costs. " 22257 6/26/06 1:53 PM TX "* It's ridiculous to have to wait until you're sick enough to go to the emergency room because you have no healthcare. It's ridiculous to live in the greatest country on the planet and not be able to get your preventative checkups.[Truncated]" "Also, homeopathic and alternative medicine should be available." You should not be ruined if you have a catastrophe like cancer * Texas has the worst system in the country. It could be coordinated with other counties in Texas in order to receive matching federal funds from what I understand from a PBS special I watched the other day.[Truncated] Great idea Agree It's ridiculous to live in the greatest country on the planet and not be able to afford to go to the doctor. 22259 6/26/06 1:53 PM VA * I think all americans should be entitled to the same kind of medical treatment no matter the statis to pay we are all living and breath people and everything should be done to help those less fortunate to be able to have the same care and the[Truncated] 22260 6/26/06 1:53 PM NJ i agree with this plan. 22262 6/26/06 1:53 PM AR "* We have the best medical care in the world for people with insurance and money. For those with only one, or neither, we have the worst system in the industrial world. The private sector is failing. We need national health insurance designe[Truncated]" This means national health insurance. It does work in the countries that take it seriously. 22263 6/26/06 1:53 PM FL "* I agree with the cocept, but the wording neds to be changed from ""Americans"" to: ""All LEGAL U.S. Citizens""...LEGAL being the key word.[Truncated]" See above note Should be worded All LEGAL U.S. Citizens OK OK OK No "* Financing is fine as long as workers are earning a LIVING WAGE. Think about it, if they had money to pay for financing they would already have coverage. Low or minimum wage workers can barely afford to eat and pay rent. How can they pay for i[Truncated]" 22266 6/26/06 1:54 PM NY "I'd like to see ""health"" include ocular in the definition." "* This all sounds wonderful, but I'm quite sure that unless and until we address more primary concerns -- such as Peak-Energy, -Population, -Water, and -Food -- such dreams will always be of the pipe variety. Not to mention the fact that our cr[Truncated]" 22267 6/26/06 1:54 PM FL How can we be behind other nations in this very important issue? Definitely! best practises are important. Some of the clinics that I have been to are very impersonal and inefficient. This is long overdue 22268 6/26/06 1:54 PM CA Single-payer program has to come to be. Preventative care is morally and financially imperative. We must do for our brethren. This will save money. This will save money for all. 22270 6/26/06 1:54 PM WI "* 1) A sliding scale for assistance would be a good idea. 2) Currently, the extremely poor have next to no access to health care, and what there is requires long lines with the possibility of not seeing anyone even after waiting, no way to pay[Truncated]" Like the inclusion of dental health and evidence based science. Define financial protection for low income --- "* Considered tieing school grants for the health care professions into a portion of time working with the""underserved and uninsured population""?[Truncated]" * My step-grandmother spent two weeks in a hospice care starving to death. Nothing could be done. The option in such extreme cases to allow the patient not to linger but go to sleep is humane and would save money.[Truncated] "* The only way the so called health care savings accounts would be useful for the majority of the population is if the minimum wage at least doubled, and even that is doubtful. I'm hoping for realistic fixes, please.[Truncated]" "* Should consider using different financing for different areas of health care - say, split into the categories of general care, surgical needs, and long term health care.[Truncated]" 22273 6/26/06 1:55 PM MI * As long as the health care system that will be put in place is the same as the health care system that my U.S. Senators and U.S. Representative have I am sure that it will be fine just for me and my family.[Truncated] 22275 6/26/06 1:55 PM FL This should be implemented by 2008. "* 1. If it's good enough for congress, it's goods enough for all Americans. 2. If All Americans must pay for it, so should congressionals. 3. A minimum income levelshould be established, below which a sliding scale goes into effect, reducing [Truncated]" "A minimum income levelshould be established, below which a sliding scale goes into effect, reducing cost to participants." 22277 6/26/06 1:55 PM FL "* As an American who currently has healthcare insurance, I would be happy to allocate part of my tax dollars toward fellow Americans who cannot afford healthcare. America, in my eyes, is all about shared sacrifice and a common good for all.[Truncated]" "* Even a catastrophic plan for every American will be better than people going into financial ruin for medical emergencies that they can't afford. We don't have to have a ""Cadillac"" health insurance plan, but we should have in place an emergenc[Truncated]" See response to Recommendation 2. Excellent recommendations! Ditto. Ditto. "* We should also institute preventive health education curriculum into our public schools and university systems. This includes reality-based sex education and prevention of pregnancy and STDs, which can be disabling as well as life-threatening[Truncated]" "* As I mentioned before, I have no problem whatsoever with paying additional taxes if it means fewer Americans will be doomed to poverty or bankruptcy as a result of catastrophic healthcare expenses.[Truncated]" 22278 6/26/06 1:55 PM NV As long as the Doctor's make the dicission with the patients and not a HMO or the Goverment. Agree Agree * I think this is a possibility but I also believe it will hold wages down as American people will wave increases to keep their medical coverage.[Truncated] * Concern: Outsourcing medical records to other countries taking jobs out of America again. We need a guarantee that the person transcribing are American based companies.[Truncated] * It is amazing to me that HMO's can decide whether a cure or surgery is viable based on age or condition but in most states we can not decide that for ourselves.[Truncated] * What we really need is health care reform. Big corpratoration in the prescription drug and insurance companies are causing this problem. It is just greed of the CEO's of these companies that are making it impossible. There should be a cap as [Truncated] 22279 6/26/06 1:55 PM MA Go for it. "Yes, of course." "Yes, Yes, Yes." I fully support this. Yes. Yes. Ditto. 22280 6/26/06 1:56 PM PA * AFFORDABLE HEALTH CARE FOR ALL. NO ONE SHOULD BE LEFT WITHOUT MEDICAL HEALTH CARE. THIS COUNTRY HAS TWO CLASSES FOR HEALTH CARE IF YOUR POOR ENOUGH YOU GET MEDICAL ASSISTANCE AND IF YOUR RICH ENOUGH YOU CAN HAVE ANYTHING YOU WANT INCLUDING [Truncated] 22282 6/26/06 1:56 PM IA * As a super power there is no excuse for the U.S. not to be able to provide affordable health care for all citizens. Let's make this happen now![Truncated] 22283 6/26/06 1:56 PM IL "Health care is a basic human right and should be treated as such, not as a commodity." "The more emphasis on wellness and preventative care, the better off the nation will be." "Through a universal, tax-funded program, every citizen should be covered." The critical thing is insuring equal access in all parts of the country. "Insure the health care dollars are used for human needs, not making rich drug companies and other providers." Health care should be universal and coverage to all via a federally funded system. 22284 6/26/06 1:56 PM AK "* I am so tired of Americans coming up short, while we finance and care for others all over the world. I would not like anyone to suffer but please take care of the ones you should first and if there is any left over then help the others. Fro[Truncated]" 22285 6/26/06 1:56 PM MD "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" "* All congressmen, State represenative, government officials, while serving in office and retired, shall be required to have the same national care policy as the general public [Truncated]" 22286 6/26/06 1:56 PM IL "* Single payer government run health care should be a birthright of every American regardless of race, creed class or national origin. It is a disgrace that we do not have this in the US, which is supposed to be an ""advanced democracy"". I am 7[Truncated]" Use the Canadian for French models That's a no-brainer - yes to all of those Yes Why not put all the health care under eg Medicare Of course - that'w what a comprehensive system does It's a political question not a bureaucratic question single payer government run health care - sooner rather than later 22292 6/26/06 1:56 PM OH * why can our esteem politicians help finance health care or at least join the health care industry that all other americans have to deal with? I bet things would change then if they had to endure what normal people have to cope with.[Truncated] 22297 6/26/06 1:57 PM OH What about eyes? "* .""Expanding"" --Does this mean there would be some community based health center for the less affluent? If it is to be equal, we should be able to choose our doctors and places for healthcare.[Truncated]" "* Contrary to what many in our gov't. would have you believe, healthcare in Canada is excellent. People choose their own doctors, there is little or no waiting, prescription drugs are from the same companies in the U.S. and I have seen better [Truncated]" * We must remove insurance companies from any control of healthcare. I am not truly in favor of a value-added tax and would like to see figures to support or not support this vs. payroll taxes. [Truncated] 22300 6/26/06 1:57 PM TX "Absolutely! All the lawmakers have the best care our money can buy, why can't I?" Sounds good. Great! Getting Better. All good. * If we drop illegal alliens from the health rolls and not allow them free health care in this country we can have more to care for our own people.[Truncated] "How about we take health care away from the congress and senate, that should about pay for it." 22301 6/26/06 1:58 PM PA "* Restore the health care benefits to Priority 8 Veterans taken away by the Secretary Of Defense in Jan. 2003. Some of us have lost jobs due to plant closings etc and now have no health care and because of some means test we still can,t obtain [Truncated]" 22302 6/26/06 1:58 PM OR "* I lost my wife to cancer this year because we couldn't afford health care during my four years of unemployment. Had we been able to afford the regular screenings, it would have been caught in time. As it was, we nearly bankrupted ourselves an[Truncated]" "* This is a great set of definitions. I think that we need to be careful, though, in making the 'high cost' benefits available anyway - the rich should not be the only ones to get the most modern treatments. Further, a big contributor to hig[Truncated]" This is absolutely necessary. "* Just make sure that the local HMOs don't profiteer from this. I especially want to point out Kaiser, which has become very rapacious lately.[Truncated]" This is going to require more than the currently-damaged Medicare program - Bush has messed that up no small amount. Improving funding for Hospice is absolutely necessary. "* I would be willing to pay more in taxes if they were used wisely. I further think that giving away huge tax cuts to the very wealthy is a wonderful way to send this country into a depression, and a definite barrier to creating realistic fina[Truncated]" 22304 6/26/06 1:58 PM NY "* I support UNIVERSAL healthcare for all Americans 100%. Too long have our citizens suffered because of a lack of health insurance. We are behind many, many countries on this vital, vital human right. [Truncated]" * I support recommendation 3 one hundred percent. These recommendations are a basic human right - please do all you can to make this happen for citizens today and for future generations of Americans.[Truncated] 22305 6/26/06 1:58 PM OH "* In today's society, if free enterprise, competition, and the growth of small business is to occur, people need to know that their families won't suffer healthwise or finantially if they decide to start their own company or use their creative [Truncated]" Vision care and hearing should be included. "Financial protection for those in a transition period as well. For example, between jobs, after graduation etc." * Health education should be taught and physical education and recess needs to be placed back into the schools. One only needs to look at the large numbers of obese children to know that our health care costs will skyrocket if something isn't [Truncated] 22308 6/26/06 1:59 PM GA "* I FEEL EVERY PERSON WHO IS A U.S. CITIZEN WHO HAS EVER WORKED HER SHOULD HAVE SOME KIND OF HEALTH CARE EVEN IF IT ONLY ALLOWS YOU QUARTELY TO BE CHECK BY A DOCOTOR, ESPECIALLY WHEN WE CAN COVER FOLKS WHO HAVEN'T CONTRIUTED ANYTHING ALL THEY D[Truncated]" 22309 6/26/06 1:59 PM MN "* I think it is high time that we get affordable health care. What we pay in for taxes and you look at other countries, it is almost humliating that all of our people are not covered. Expically when people can come into out Country and get he[Truncated]" "* The medical effectiveness for our Senior Citizens with cancer, when they can't get the help they need now because of the cost of some medication's is un-called for.[Truncated]" "* There should be a cap put on what our doctor's have to pay for insurance for malpractice suits, and our people should be protected also.[Truncated]" * When you see what our veterans are getting in benefits after fighting for our county is not fair. Our government agency's should have to fall under the same program.[Truncated] * We in the untied states are paying just about as much in taxes as countries that have health care for all there people. Why is our country so behind????[Truncated] 22310 6/26/06 1:59 PM MN I have always had one or more of my adult children not covered by any health car insurance. It frightens me to death. * I knew a cancer patient who lost her home because she couldn't pay the costs of her medical treatments. That is absurd and should be abolished. This recommendation would prevent that from happening I hope.[Truncated] 22312 6/26/06 1:59 PM WA Lets do it Sounds good I like it Its all great We need this We need good health coverage "* Yes I do. Lets STOP making bombs,tanks, war ships, war planes and everything made to kill and put all the money we spend on war and make one hell of a health paln for every person in the U.S.A. What do you think??[Truncated]" Go for it 22313 6/26/06 1:59 PM IN this works in other countries; why wouldn't it work here? there should be a ceiling on how much doctors and hospitlals can charge for their services. 22315 6/26/06 1:59 PM NY "* One partial way of financing this would be through a ""luxury tax"" on a variety of non-essential medical procedures, including fertility treatment and much cosmetic surgery. [Truncated]" 22316 6/26/06 1:59 PM NM "* This is a good recommendation. We can establish a basic medical coverage plan -such as is provided in France. For those who would like additional coverage, health insurance is available. We need to stop protecting the profits of the insuranc[Truncated]" We would spend less as a nation if we provided preventative and integrated services. * Perhaps we could help patients and families deal better with end-of-life issues in a way that emphasizes comfort; not pulling out all the stops in a fruitless effort to save the patient regardless of cost.[Truncated] "* Before we worry about changing the constitution to forbid gay marriage or provide money for special projects (and war), let's commit to providing for our citizens. Much better education, shelter and food should be the next big push.[Truncated]" * I am a Physician Assistant working in a Unversity Hospital Emergency Dept. I see a disproportionate number of the uninsured. I really feel that it is a disgrace in this country for our citizens to do without healthcare. We manage to come up w[Truncated] 22319 6/26/06 2:00 PM NJ I agree. Let's work to make this a reality. 22320 6/26/06 2:00 PM FL "* I agree. In the long term, cutting people out of the healthcare system, or worse, not allowing them to enter it pre-natally and in infancy, cost more than we can imagine.[Truncated]" * A core benefit system is a great starting point. I believe that making PREVENTATIVE healthcare available from birth is an excellent way to not only improve lives but cut costs.[Truncated] * Absolutely. I live in fear of a major crisis(I have MS)that bankrupts my family. I don't want to see my wife give up everything as I am dying.[Truncated] Agreed agreed "this is of course the humane thing to do and, I believe the best for patients as well as families." i agree 22321 6/26/06 2:00 PM PA Thanks for all you do. 22323 6/26/06 2:00 PM IL "If a criminal can get a government sponsored lawyer, shouldn't a citizen have a right to health care?" Single payer. 22325 6/26/06 2:00 PM WY "* All should be covered, from cradle to grave, by universal, single-payer health coverage. No copays, no premiums. We have the resources. Fund this by cutting military spending by at least half, by ending the wasteful war on drugs, by reinst[Truncated]" 22326 6/26/06 2:00 PM WV Very good. I agree. 22327 6/26/06 2:00 PM GA * If healthcare for Government workers and “Elected Representatives” were eliminated I am certain things would change in a hurry. [Truncated] * They would need to be a “bit more concerned” with the health and welfare of those in need than the current “EXPERTS” who routinely deny legitimate claims of disability for people who have worked 30 and 40 years and have to loose every[Truncated] "* Should have been done YEARS AGO and everyone from the bottom of the totem pole i.e. ""WE THE PEOPLE"" who pay for everything to the top of the totem pole i.e. corporate un-patriotic America and their bed-fellows in Congress, the Senate and the [Truncated]" * Somehow “WE THE PEOPLE” end up PAYING for “Elected Representatives” health care even though they themselves (who are far less financially able) can’t pay for their own. This being the case perhaps we should cut the “Dominate the [Truncated] 22330 6/26/06 2:01 PM MN We ned a national healthcare policy now! 22332 6/26/06 2:01 PM CT "* give everyone in the USA health care, The war in Iraq cost us 250 million dollars a day, Bring our troops home and give us good care with that money spent over there in Iraq.[Truncated]" 22333 6/26/06 2:01 PM MN Good health care should be a right and not a privilege for the financially well-off! "* Let's have all those business who have outsourced American jobs overseas pay a special ""outsourcing"" tax to cover universal health care coverage for everyone person in the USA![Truncated]" 22334 6/26/06 2:02 PM WV I agree whole-heartedly. I would add visual health. "Very good idea. There should be some guarantees against fraudulent claims. This is part of what drives up the costs." Very good ideas. This could have been paid for a hundred times over with what we are spending in Iraq. Very thoughtful ideas. Hospice is going to be the way to go by the time the majority of Boomers are going. "* I am just glad to see that there are some thoughtful people taking this on, people who are not motivated by greed. Consider the health care plank of the Spiritual Covenant with America sponsored by The Network of Spiritual Progressives.[Truncated]" I think you are on the right track with this. 22336 6/26/06 2:02 PM IN "* It's immoral that the richest nation in the world, which spends the most on healthcare, cannot provide care for many of its citizens. Instead of currying favor with pharmaceuticals and insurance companies, the administration should scrape the[Truncated]" 22338 6/26/06 2:02 PM IN I STRONGLY AGREE WITH THIS. EVERYONE SHOULD BE ENTITLED TO AFFORDABLE HEALTHCARE COVERAGE. THIS WILL BE A GOOD CORE. THIS IS THE MOST IMPORTANT ASPECT OF THE PLAN. THIS SHOULD OF BEEN DONE A LONG TIME AGO. I THINK THAT IS A GOOD PLAN. BUT TO RAISE TAXES DRASTICALLY WOULD DEFEAT THE PURPOSE. 22339 6/26/06 2:02 PM CO "* Yes, all Americans should have access to affordable health care. We are losing jobs to countries, such as Canada, who have national health care systems. These countries are more appealing to companies because they know they will not have to[Truncated]" "We can get Medicare to work well, why not a national health care too?" 22343 6/26/06 2:03 PM IL "* i believe the main concern is having a population of people who have available affordable health care, and not whether or not the insurance industry is making profits, why not let the entire populatuion have the same health care insurance as [Truncated]" 22344 6/26/06 2:03 PM OH We need Federally backed health care for all people! "* If we can finance an immoral war, we can finance a much, much less expensive health care system. We need to increase taxes on the wealthy!!!!!!!![Truncated]" 22345 6/26/06 2:03 PM CA I agree I agree I agree I agree I agree I agree I agree 22347 6/26/06 2:03 PM MD Yes; I think there should be universal health care coverage for everyone. "* There needs to be coverage for all Americans in a system administerde through the governemtn, just like care for vetarns and programs like Medicare.[Truncated]" We need a single payer health care system. This will eliminate waste in the private sector. 22348 6/26/06 2:03 PM PA "* All Americans should have at least basice health care coverage, and should not have to take out a loan to pay for basic and preventative procedures.[Truncated]" 22350 6/26/06 2:04 PM OH "* Health care for all, rich or poor. It's doable. The main barriers to this are those set up by businesses that are happy to exploit the sick and ill for selfish financial gains under the guise of ""we're just doing business."" It has been done i[Truncated]" Health Care has a high cost as long as exploitation of the sick and ill is allowed to continue. Keep it simple. 22351 6/26/06 2:04 PM CA * I agree. Health care should not be limited to the rich. We are the wealthiest country in the world -- we can afford quality health care for all Americans![Truncated] * I like this idea. We cannot make every procedure available to everyone for free. By agreeing on a set of core benefits we can provide a uniform basic level of health care.[Truncated] Definitely! Too many people are being bankrupted by hospital bills. Illness is nobody's fault. "* I don't know about the public-private partnership. As I said, I am very skeptical about the private sector, especially insurance companies. Private hospitals are OK.[Truncated]" Yes! Expand Medicare and Medicaid to cover EVERYONE! "* Absolutely. I am a big believer in the value of hospice care. Sadly, sometimes it is the most humane treatment available. I think that current end-of-life care can be very inhumane.[Truncated]" * The private sector health insurance companies are making a mess of our health care system. They overcharge and waste billions on administration. Health care management must NOT be left to private companies![Truncated] 22353 6/26/06 2:04 PM CA "* Absolutely needed to bring the United States into the 20th century. Our weapons systems are right here in the 21st of course, but our treatment of our own citizens is in the 19th. Bush is of course trying to push it backwards to the 18th.[Truncated]" * This sounds like an acceptable way to begin. I do kn ow that those who administer the private part of our healthcare system may be a counter-productive part of the process. What we have now testifies to their greed and inability to address th[Truncated] Without this guarantee health is a game of russian roulette for all Americans except the well-to-do. "* As long as homeland security doesn't administer it by using it as an excuse to spy on Americans while handing the contract to Halliburton. Who of course will collect unbelievably large fees and provide really bad service, if any.[Truncated]" "Very good, if well implemented." "Very good, if well implemented." "* Producing this is a very important, and a good, piece of work. It's full and robust implementation will require removing the strangling hand of corporate capital from the throat of our country, and the thieving hand from our pocket. Thanks.[Truncated]" "* The first and biggest efficency will be to remove the profit motive from health care. they are incompatable as the HMO's have proven. With the private sector removed, our health care can easily be underwritten by diverting a small part of our[Truncated]" 22358 6/26/06 2:04 PM HI * It is a disgrace that the United States is the only western country without some kind of national health care. It is a false assumption that national health care does not work elsewhere. I have been a beneficiary of it overseas and it works a[Truncated] Coverage should include all citizens and legal alians who pay taxes. Community based with federal funding no strings attached. * Lets get medicare and medicade costs (fraud and waste) out into the open...Lets talk about how much is charged for a bandage in relationship to costs. We need to have the facts and figures presented. If I am feeding you rice and beans but the[Truncated] "* Let's face it.. IN the US we don't care about our elders, nor do we respect them. All citizens and legal aliens who pay taxes (or did) should have the finest hospice and end of life services on the planet. [Truncated]" "* I do think citizens and legal aliens who are taxpayers should have special rights and priviledges. If I get sick in Italy, should the Italian government and taxpayers cover my expenses just because I am there, or working there? [Truncated]" I prefer the Canandian and Enlish finance systems. 22361 6/26/06 2:04 PM NY "* It is time that America move ahead in our global society and accept the responsibility for caring for all its citizens, not just those who are able to pay for their own health insurance.[Truncated]" We currently have excellent models upon which we can base a universal health care system. 22362 6/26/06 2:05 PM PA * The government needs to be an important player in any health care program. Private health care options are not enough for all Americans. Some need help as it hasd been shown again and again that the working poor are priced out of high quqlity[Truncated] agreed A greater use of teaching hospitals and schools of Medicine and Nursing should be integrated into any community health networks Faith based initiatives can be better utilized for last days care "* I agree wholeheartedly that ""financing strategies should be based on principles of fairness, efficiency and shared responsibility....[Truncated]" 22364 6/26/06 2:05 PM WI Long overdue! 22365 6/26/06 2:05 PM MI "* I think that if the President is pushing for a country that isn't even to our best interest, IRAQ, to have Healthcare for all, we should have it here in the US first and foremost. [Truncated]" "I think that all US Citizens should be offered even a basic benefit package to help their family save money. " Impeach George Bush!!!!!! "* I think that the amount that we have spent on this war in Iraq and Afganistan, we could have saved a lot of money for both Medicare problems and for the financing of the Healthcare issue for all.[Truncated]" 22366 6/26/06 2:05 PM IN " " "* Health Care for all 1. Employeer/Insurance base health care isn't working 2. Employeers should contribute to a system but not directly involved in negoating health care with the providers 3. Insurance companies add an additonal level and [Truncated]" 22367 6/26/06 2:05 PM CA I am in 100% agreement PROVIDED that it is for the LEGAL citizens of our country. Sounds like a plan to staff with special interests that will have the most to gain * Make sure that it if limited to LEGAL American citizens and MUST have lanuage to exclude the 12 million illegals that are taxing our present system.[Truncated] "* I would recommend a study of other countries like Canada that have health care for all and take the best ideas from each, We should not reinvent the wheel, but find out what works and doesn't[Truncated]" "* The federal government can't even get discounts for drugs for Seniors, the medicare cards are a joke, costs are out of control. I want assurances that this will work not more government BS telling us how good it is[Truncated]" "This is one of the first recommendations that I can agree with, like I said the Devil is in the details" "* I will not support any health care if it does not have language EXCLUDING care of illegal aliens. It must be a crime to treat ilegals with out mandatory deportation, only minimum care could be provided to stabelize for deportation.[Truncated]" "The devil is in the details, no way do I give a blank check with the track record of our politicians" 22369 6/26/06 2:05 PM DE We need & deserve this. We need & deserve this. We need & deserve this. We need & deserve this. We need & deserve this. We need & deserve this. "We need & deserve affordable health care. Without us, there IS no America!" We need & deserve this. 22370 6/26/06 2:05 PM ME "* Health care for Congress, the Senate, and federal and state employees should be eliminated and never be better than that provided for every American. [Truncated]" 22371 6/26/06 2:05 PM MI Revoke MEDICARE Program D! This is a disaster for seniors. It's only the insurance and drug companies that benefit. 22374 6/26/06 2:06 PM CA "Separate health care from employment. Employment is no longer reliable and stable." "Charge premiums based on controllable risk factors such as diet and exercise, smokingn and drinking." Bring down the high cost of health care by ending the 30% administratiev costs and profits to rich corporations. "* Rich states can help poor states but the feds should probably do a minimum and states and local have most control, especially in this era of stolen elections and criminal, vicious federal leaders.[Truncated]" * Don't make the doctors give you an x-ray and blood test every time you have an upset stomach. They treat us like lab experiments![Truncated] I think it's cheaper to have visiting nurses than to build nursing homes. Let people stay home and have care come to them. "* I was laid off because of tax cuts, and do not have expensive medical care. But between core hospital insurance and local clinics, I am saving much more money than my $400 a month insurance. Allow people to compare prices and shop around for [Truncated]" Tax the rich who have gotten tax breaks to finance health care. 22375 6/26/06 2:06 PM TX * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] * Companies with over 30 employees should be required to offer medical benefits. Companies with over 50 employees should be required to pay full time wages to its employees instead of part time wages.[Truncated] 22379 6/26/06 2:06 PM WA I 100% support this recommendation! cap allowable chargers. "* If there is not enough money to set this in place: divert money spent for ""democratization"" of Iraq as well cut the military budget!![Truncated]" 22381 6/26/06 2:06 PM IL "Essential healthcare should be considered a human right. " Eye care should be included. The eyes are part of one's body. It's better than the Bush plan. But preventive care should be included. therer should be accountability at all levels. "Educating patients is fine, but basic needs should come first." "Funding should be available at all levels. All caregivers should be well trained and well informed." no "Not only do people have a right to healthcare. They have a righyt to be informed and a right to a voice in their plan." 22382 6/26/06 2:07 PM CA Agree Agree Agree Agree Agree Agree Agree 22384 6/26/06 2:07 PM CA "This seems utterly reasonable, completely achievable, and decidedly necessary. I support this." 22390 6/26/06 2:07 PM AZ I would also like to see alternative treatments such as herbs and acupuncture covered. 22392 6/26/06 2:07 PM NY The system should be universal and easy to navigate. "The benefits should be easily understandable so patients will not get ""caught"" seeking noncovered benefits." "Patients, or their families, should not face going backrupt if they seek needed care" "This sounds like another layer of ""management"" which may not be needed and may cost a lot." "Sounds good, but how much will it cost and will it improve care?" "* Patient choice is the key here. If the patient has not made a choice or cannot make a choice, there should be clear policy for ""resolving"" family disagreements. [Truncated]" "* Currently many people who are receiving SSD because of their medical illness are not eligiable for Medicade or welfare and do not receive enough from the SSD to ""afford"" medical care (drugs) as well as living expenses. Some programs that s[Truncated]" 22393 6/26/06 2:08 PM NY "* This is extremely important and one which there should be no question or opposition..the weathly can afford the health care and the really poor have Medicaid...all others, mostly middle class can't afford medical coverage..especially the youn[Truncated]" Low income families seem to qualify for most programs..what about the Middle Class?????? * I think the government should be financing this..they always vote themselves a hefty pay raise and the hard working Americans are taxed enough..[Truncated] 22395 6/26/06 2:08 PM NY "* I believe everyone is entitled to goodo quality, inexpensive health coverage. My boyfriend had no coverage and fell gravely ill and the system in New York cheated him out of good quality health care - waitng for approval from MEDICAID which [Truncated]" * I agree - nobody should become destitute trying to pay medical costs - most people shy away from going to a doctor or hospital because of this.[Truncated] 22400 6/26/06 2:08 PM MI * Prisoners should not be the only people in the US to have a RIGHT to adequate health care services. That right should be extended to every citizen.[Truncated] 22401 6/26/06 2:08 PM NJ "* We must have a plan that benefits the people, not the drug companies, insurance companies, or for-profit hospitals, etc. Medicare D should be a lesson to all of us that we don't let the lobbyest have anything to do with the writing or impleme[Truncated]" "* Concentrating on educating the public about how to stay healthy, beginning with children, and early intervention would go a long way toward cutting the costs of our health care.[Truncated]" "With a larger and larger percentage of our population the elderly, this will become more important." "* Health care plans in other countries, such as in England, are called socialized medicine as if it were a dirty word. However, a friend who had an appendicitis attack in a plane on his way there, was operated on upon arrival and could only r[Truncated]" "* A major part of the cost of prescription drugs is the overwhelming advertising, which is aimed at consumers, rather than the medical profession. Just one example of why our health care is so expensive. [Truncated]" 22402 6/26/06 2:08 PM NY "* Just throwing money at health care without enforceable standars of quality does not improve health. It just means that more process will be done. [Truncated]" 22403 6/26/06 2:08 PM MA * i agree wholeheartedly with this principle and i think it should be accomplished by establishing a NATIONAL SINGLE-PAYER healthcare system. This would take health coverage out of the employment equation for both workers and employers. The maj[Truncated] Eyecare should be added to the core as well. * This is absolutely critical. i firmly believe that a private program will both in the short term and the long term cost more because of the drive for profit in the private insurance and healthcare industries. Healthcare should not be a for-pr[Truncated] * All of this makes sense. My only objection is that the for-profit private sector (including the pharmaceuticals who recently got that huge giveaway in the Medicare prescription plan) should have little or no influence in this process. They ha[Truncated] "* Any efforts at expanding healthcare coverage must include this effort however the changes made to Medicare in the so-called ""reform"" bill with the prescription drug plan should NOT be a model for going forward. It is antithetical to the osten[Truncated]" "* Addressing this issue is critical. Even before the advent of ""long-term care insurance"" individuals and families have been bled to poverty by the cost of such care, whether in nursing homes or otherwise. The rise of long-term care insurance i[Truncated]" "* As i said in my comments on some of the individual recommendations, i firmly believe that we will not achieve successful reform AND cost containment without ultimately creating a public, single-payer national health system. As long as the for[Truncated]" "* i agree that additional investment is needed but again there was a study showing that for the equivalent of what we spend nationally now on health care coverage including federal government expenditures on employee and military healthcare, wh[Truncated]" 22405 6/26/06 2:09 PM MD Yes! Affordable health care. $20 co-pay is not affordable health care. I am not willing to make financial adjustments on my bring home pay. 22409 6/26/06 2:09 PM IL "I agree that all ""American citizens"" should have access to affordable health insurance.It should be a basic right." This is definitely what should be available This insurance should be separate from your normal benefits This is something that should have been done long ago 22410 6/26/06 2:09 PM TX "* On behalf of the 44 million people in this country who are without health insurance and the other millions upon millions who have inadequate coverage, let's do something. Maybe fewer wars of choice and more concern for middle and lower incom[Truncated]" 22411 6/26/06 2:09 PM NY "* Since early 1970's I have worked for a health care system for all United States citizens. It is an abomination that we have millions of citizens without basic coverage.[Truncated]" "Yes, it's basic." Rich people and poor people get sick. No one should be made poor by getting the healthcare they need. "* Everyone should have access. To me that means either the services in their region that they can access or transportation, housing and food to cover them and their immediate support person (family, friend) to travel to the service.[Truncated]" "* Yes to all. And please stop cutting vetrans benefits. My Dad is a WWII vetran and living on SS. He can not afford any co-payments.[Truncated]" Yes. We do not choose how we are born. We should be allowed to choose how we end our life. "* I will be a cynic here - instead of spending hundreds of million dollars each day on the war in Iraq, let's protect our own citizens. It seems that the President and Congress will put future generations in hock for another countries security,[Truncated]" 22412 6/26/06 2:09 PM TX * It's time to end the corruption of our current system. Stop taking money from Lobbyists to insure that the insurance industry is healthy start worrying about the health of your constituents. [Truncated] "* Stop all the private corporation bs. We should have medicaid available to all citizens and legal residents. Cut out all the pork loaded into legislation and it should be no problem. [Truncated]" 22413 6/26/06 2:09 PM CA "* A huge portion of our healthcare dollars currently go to non-medical costs - this has to be reduced. National healthcare has to also focus attention on the fundamental problems in our country promoting obesity - subsidization for the over-[Truncated]" 22415 6/26/06 2:09 PM CA "We all ready have Medicare and in California, like most states, Medical, we need to extend these benefits to everybody ." 22416 6/26/06 2:09 PM NY I agree I agree I agree I agree I agree I agree I agree 22417 6/26/06 2:09 PM IA * I am strongly in favor of this recommendation with the stipulation that it is for Americans; the hardworking people who have contributed to the health care system & not to illegal immigrants. We have paid long enough for those who have no le[Truncated] I am supportive of this proposal * Right now I am paying out of pocket $526.00 a month for health care coverage. Many Americans cannot afford this & I barely can.[Truncated] "* It's high time that we start taking care of the needs of Americans instead of spending our hard earnedd dollars taking care of foreign nations. To quote my mother, ""Charity begins at home."" America needs to start taking care of its people. [Truncated]" * The baby boomers of which I am one are predominately left with insufficient monies to pay for the rising costs of health care & in the next 10 years the costs will be even higher. Very little has been done to care for this group in their dec[Truncated] 22418 6/26/06 2:09 PM GA * I would go much further than that. Totally socialize medicine but exempth things that are self-inflicted. No lung transplants for smokers or liver transplants for drinkers. Assistance in treating the addictions only.[Truncated] * Stop trying to keep the business men who currently exploit people happy. Focus on supplying health care. We pay enough in taxes to cover these costs. [Truncated] "* Currently we have patients and we have doctors. Between we have a huge group of people who contribute nothing to acutal health care but pay themselves big salaries none the less--insurance company executives, etc. Pay for healthcare by elimin[Truncated]" 22419 6/26/06 2:10 PM TX * Many countries have eleceted to ensure that health care is available to all citizens. None of these countries have the economical resources that the United States has. Let's take the best of the existing models and put the health and wellness[Truncated] 22421 6/26/06 2:10 PM KY "* Any support for Health Care should include the following reforms: 1. A list of all diseases and cures. 2. Medical review boards for hearings about any practice by any physician. 3. Control of the treatments allowed for any disease presicri[Truncated]" "* Health Care should place emphasis on prevention of disease. Regular examination and dietetic supplements would prevent major conditions. A special allowance for the patient who abstains from alcohol, tobacco, and caffeine should be made. Pre[Truncated]" To lower health costs there would be regular reviewing of billing and services billed for. * Transportation to medical facilities from remote areas would be provided. Medical students who are willing to work in remote areas would receive grants to complete their education and training.[Truncated] * Interns would have better training without the requirements to work long hours beyond their capacity. Nurses would be encouraged to upgrade their training to a paramedic status and allowedto participate in the treatment and diagnosing of the[Truncated] * Medical care should be removed from the control of the American Medical Association and placed under a Federal government organization which would cover Veterans and all Federal suppoprted treatment facilities.[Truncated] Tax on physicians who have malpractice settlements should be used to pay for the care of any patient who needs care. 22422 6/26/06 2:10 PM MI I strongly agree. Do not skimp on the benefits. I stronbgly agree. I agree. Reduce the waste in privately-financed health care insurance. I agree. I strongly support government-financed universal health care. 22425 6/26/06 2:11 PM NC * I belive everyone is entitled to health care in this great land of ours and no one should be without. Young or old. One hospital stay can bankrupt most everyone.[Truncated] wonderful if this can be done Maybe this great country should look to other countries how they finance health care 22427 6/26/06 2:11 PM CO "* Health care is a human right. Artificial man-made borders have made some people think they are more entitled to health care than others because they have the artificially construed ""citizenship."" We are all citizens of the earth. Health ca[Truncated]" Ending war and diverting money from hurting people to helping people will suffice in covering health care costs. 22429 6/26/06 2:11 PM IN * America is the richest country on earth and it is absolutely a thing that our government must do for the citizens of the United States of America by providing them with outstanding health care. Do not shove the citizens of this great country [Truncated] See recommendation # one See recommendation # one See recommendation # one See recommendation # one See recommendation # one See recommendation # one See recommendation # one. 22430 6/26/06 2:11 PM ME so send momey overseas til every american is taken care of first. what wrong with your own people of this county. use the money that ia sent to other countries stop sending money to other countries use the money use of overseas stop sending money overseas use the money that is sent overseas if the money that is sent to the other countries was kept her no would have to worry about health care use the money we send to other countries 22431 6/26/06 2:11 PM IN HEALTH IS WEALTH!!!!!!! ANY COUNTRY WHERE THE PEOPLE ARE NOT HEALTHY IS A WEAK COUNTRY AND THE COUNTRY WILL NOT SURVIVE>>>>> 22432 6/26/06 2:11 PM PA "This should be a basic right of all people, not just for those who can afford it." 22433 6/26/06 2:11 PM NY "The first question at the emergency room intake should be ""What's wrong with you?"" not ""Do you have insurance coverage?"" !!!" 22437 6/26/06 2:11 PM FL "* Wow! What a concept, health insurance for all American citizens not just those who can afford it. I didn't think it could be possible. At this moment I don't have health care because my husband's company merged and he lost his job. He is now [Truncated]" "* I believe Preventative coverage is so important, some insurance companies understand this but others still don't get it. The old adage is true."" An ounce of prevention is worth a pound of cure.""[Truncated]" * I have read stories where average Americans have become destitute because of serious illness. It only takes one illness to ruin a person financially. There should be some financial protection by our government to prevent this from happenning.[Truncated] * I think your idea is worth a try because surely the trend that is occurring today is costing us more money. Employers across the country are shifting the costs to their employees. Our government should be providing them incentives to provide [Truncated] 22438 6/26/06 2:12 PM CA "Yes, I imagine it to be like Medicare extended to everyone." OK "For people like me, this is a major consideration. I have a health plan (Kaiser) but it doesn't include extended care." "I don't see mention of taxation, like social security." 22442 6/26/06 2:12 PM NM The universal health care plan in Europe works MUCH better than anything else. 22443 6/26/06 2:12 PM CO If all Americans don't have affordable healh care then we all will suffer from a semi-well/semi-ill society. Excellent idea. * No one in America who is salaried and works 40 or more hours per week should be impoverished if living a defined normal lifestyle. Minimum wage earners and street people have lot in common.[Truncated] This will be hard to do but worth it if you can. * The one thing that makes the Medicade/Medicare and other systems expensive is the lack of tight oversight. One sparcely staffed regional office with a lot of computers doesn't seem to be working.[Truncated] "* The least understood portion of medical care is indigent care. The general public has been frightened out of this service and views it as a last resort. Why? the cost, the lack of care, the horror stories. No one wants to end their life a[Truncated]" "* Because of the costs and all the talk and debates, many citizens would prefer to avoid health care. For some people going to see a doctor is a frightening, embarassing, humiliating, and nerve racking experience. In a fifty fifty situation, [Truncated]" * For families who have knowledge of serious illnesses there should be an option for high health care. For families who have knowldge of few illnesses there should be low health care. Each family and/or individual should have the option of ch[Truncated] 22445 6/26/06 2:12 PM CA "* This is the kind of system that all of our foreign competitors have, and it is costing the U.S. dearly in terms of commerce. For example, more than $1,000 of the cost of a new car from Ford, GM or Chrysler goes to cover health insurance for t[Truncated]" "* Package should emphasize preventive health care, such as well-baby care, regular check-ups, etc. It has been shown time and again that spending money on this now will save more money later.[Truncated]" Agree completely. Lack of coordination is one reason costs are out of control. "* Our nation is spending too much on health care. I believe we can provide health care to more people more cheaply with a rational plan to control costs. Leaving health care costs up to the ""marketplace"" doesn't work because health care is ofte[Truncated]" 22450 6/26/06 2:12 PM NH * Sounds good. This plan should beable to have competiton for better services at lower costs and the medicare prescription program should be expanded to all as well as dental and have competiton too![Truncated] Union members should be mandated to be included. Inclulde long term care with this. All populations should receive same core benefits this should go ahead in home care should be available too * Need to have a systems where unions can negotiate better care and costs formemebers and companies can offer better health plans to attract better and loyal employees.[Truncated] 22451 6/26/06 2:13 PM MI "* The patchwork of current coverage would become even more complex and untenable under schemes to further incentivize employer-based or individual health insurance coverage. We need comprehensive, single-payer insurance! I support H.R. 676.[Truncated]" 22454 6/26/06 2:13 PM WI No one should have to pay 10 hrs worth a week of work towards healthcare * All people should and must have equal health coverage. We are a rich nation with poor health but donate all over the world but to our own. [Truncated] 22455 6/26/06 2:13 PM NY ALL American should have access to affordable health-care. It is the ONE MAJOR FLAW in this country 22456 6/26/06 2:13 PM AK "* Health care has become unaffordable, even for those with health insurance. Deductibles are beyond the ability of many people to pay. It is time for free national health insurance. If we can afford the war in Iraq, we can afford free national [Truncated]" * Keep the insurance companies OUT of the process. They are money grabbing ghouls and are the current cause of our health payment problems.[Truncated] Health care should be free. "* National health insurance will cost much less when we figure what we will not need to spend on accounting for thousands of insurance systems, all with differing requirements. End the war and use the funds for health care.[Truncated]" 22457 6/26/06 2:13 PM OK I agree with this recommendation. This group should be free from political persuasion. I agree. I agree. "I agree, except I don't believe the ""sin taxes"" are fair. Everyone should pay equally. " 22464 6/26/06 2:13 PM NJ "* For the money we are spending with private insurance companies, we could have a Cadilac system of health care. Examples would be those of France and Germany.[Truncated]" "* If this health care system is going to be affordabel, we must be able to negotiate the cost of prescription drugs and big business lobbys must be kept out of the equation.[Truncated]" 22466 6/26/06 2:13 PM NY Universal payor health insurance is desperately needed. Agreed Agreed "Everyone should get the same health care, no exceptions." "* Everyone pays the same. Congress cnnot legislate superior coverage without sharing that same coverage with all Americans. When Americans travel abroad, we must pay for our own insurance. this standard must be applied to foreign nationals here[Truncated]" 22467 6/26/06 2:13 PM PA "canada cares about there people , Why Not The USA" "canada cares about there people , Why Not The USA" "canada cares about there people , Why Not The USA" "canada cares about there people , Why Not The USA" "canada cares about there people , Why Not The USA" "canada cares about there people , Why Not The USA" "canada cares about there people , Why Not The USA, do i nead to say more ?" "canada cares about there people , Why Not The USA" 22468 6/26/06 2:13 PM WA "* Most plans so far particularly miss the single, childless, disabled, but with ""too much"" income by $100-400 to meet the income test. Too high drug needs, must either do without or let other necessary payments fall into arrears. A huge black[Truncated]" "Would meet most needs, if needs-base subtracts electricity, water, sewer, food costs, etc. before determining eligiblility." See above Agree "Fraud is all too prevalent in all fedrally funded systems, it seems. Not sure how to get around that." All is needed. I agree 22471 6/26/06 2:14 PM NY "* No one should not be given a program of care (drugs, surgery, or other) due to an inabilty to pay for it. They will be allowed to pay it off on no interest lay-a-way. Not for elective (cosmtic surgery excluded).[Truncated]" 22472 6/26/06 2:14 PM OH "* This should include competative bidding on prescriptions, not taking the ridiculously high prices of the prescription drug companies and paying for that. Other large groups, such as Medical Mutual have lower prices for their ""insureds"" than t[Truncated]" "* Ditto what I said above. Less to finance if the government had not given into the drug companies campaigning for the high prices. Also, as in Canada, drug companies should not be allowed to advertise their products. Much of the expense of the[Truncated]" 22474 6/26/06 2:14 PM IA "* We need more than ""access to"" health care. That term is at the crux of the problem that most low and middle income families face when deciding whether to take care of themselves or not. Universal health care means that if you need to see a [Truncated]" "* Contain medical costs by eliminating the profit for insurance and drug companies. Doctors should make a living wage,reflective of their training and experience, especially those who work in family practice, and life saving aspects of medici[Truncated]" 22476 6/26/06 2:14 PM NY "* If we can send billions of dollars to other countries for everything under the sun , than we should be able to give our people here food, clothing and health care when needed.[Truncated]" "* AGAIN:If we can send billions of dollars to other countries for everything under the sun , than we should be able to give our people here food, clothing and health care when needed.And we certainly need to take care of our vetrans, whether th[Truncated]" "* If we can send billions of dollars to other countries for everything under the sun , than we should be able to give our people here food, clothing and health care when needed.And we certainly need to take care of our vetrans, whether they act[Truncated]" 22481 6/26/06 2:14 PM KY * I support the above recommendations. Quality healthcare should be an inalienable right. It should be a given for everyone. And we can afford it.[Truncated] 22487 6/26/06 2:14 PM CT "* We are the only nation in the developed worl without health coverage. We spend billions destroying young American lives in vile and criminal ventures like Iraq, yet find it somehow threatening to see to it that our ciotizens have health care.[Truncated]" all this is obvious of course it us time we come out of the 19th century 22489 6/26/06 2:14 PM CA I see it as a birthrite. And the system is already in effect: both the Veteran's Admin. and Medicare are terrific models. Absolutely! "* Switch a few priorities like our military spending which grown to absolutely insane leves and the money for ""Universal"" health care will be there.[Truncated]" 22490 6/26/06 2:15 PM NC * All people should access to good health care. The US government is supposed to be the best and strongest in the world and we should be ashamed of our health care.[Truncated] It is a shame to lose your assets to illness. "* I retired in 2000 and my insurance is eroding fast, higher deductibles, higher insurance premimus and higher prescription costs.[Truncated]" "The working people (middle Class) are burdened with the cost of oll health care now, there should be some relief for them." 22494 6/26/06 2:15 PM CA "* THE INSURANCE AND MEDICAL CORPORATIONS SHOULD BE PENALIZED FOR SOARING MEDICAL COST, CAUSING ANYONE TO GO INTO DEBT TO PAY FOR THEIR MEDICAL BILLS (WHICH MANY OF US FEEL IS SIMPLE RIPOFF OF THE AMERICAN PEOPLE, BY BIG BUSINESS - INSURANCE/MED[Truncated]" "* THE MEDICAL PROFESSION TENDS TO HIDE, CURES FOR VARIOUS ILLNESSES. THEY SHOULD BE REQUIRED TO INFORM AMERICA OF CURES FOUND AND HIDDEN. FINED FOR THE LIVES THEY HAVE TORTURED WITH KNOWN MEDICINES THAT CAUSE ILLNESS. [Truncated]" "EVERYONE SHOULD BE PROTECTED FROM INSANE COST OF HOSPITAL STAYS, WHETHER THEY ARE SHORT TERM OR LONG TERM." FINE THE MEDICAL INDUSTRY FOR EACH YEAR THIS FAILS TO BE ACCOMPLISHED. HESITATE TO ENCOURAGE THIS. IT SIMPLE ENCOURAGES HIGH PAYMENTS TO THE INSURANCE AND MEDICAL INDUSTRIES. ABOUT TIME THIS IS CONSIDERED. TIME IS ONE THING MANY SENIOR AMERICANS DONT HAVE !!! 22496 6/26/06 2:15 PM MI "* Protection from Bankrupting doctor bills that look like mortgages. Figure out why medical costs rise at fifteen percent per year, and fix it.It seems to me that the whole cost thing is based on what doctors and hospitals TRY to charge and NOT[Truncated]" "* No PACKAGES. Either,you need it and it's covered or THIS will turn out to be another program that burns funds at the administrative level at a higher rate than it does paying claims. The ""Too Many Cooks"" syndrome. [Truncated]" "* Cut foreign aide to countries to disaster relief or, I the case of Africa, famine relief. Repeal all of Bush's sweetheart deals for companies that move jobs out of the U.S. and/or eliminate jobs and pay higher bonuses to executives. [Truncated]" 22498 6/26/06 2:15 PM IL "* Absolutely! It is a disgrace that people who have worked hard all their lives can find themselves penniless in just a few months due to a health issue, unless they know how to game the system to hide their assets. SINGLE PAYER is the best [Truncated]" "* WHERE HAVE YOU BEEN FOR THE LAST 15 YEARS SINCE THE CLINTON PLAN? They had it right. So much waste and suffering has taken place since then. Why were the Clintons attacked mercilessly for trying to do what you are doing after so much more [Truncated]" "* 2012 is ridiculously late. How about 2007! It's not thatcomplicated! SINGLE PAYER - UNIVESAL HEALTH CARE. THERE ARE numerous example in many countries you can refer to. Ask Canada.[Truncated]" Are you going to allow madicare to negotiate with pharmaceutical companies or are you going to keep it a federal crime? "* Am I supposed to believe that my government really cares about this issue. Last time I remember this issue was when Hilary Clinton was crucified for bringing it up and called a socialist. I'll believe it when I see it, if I live long enough[Truncated]" "* Single Payer - Universal health care will save money, not cost more. SINGLE PAYER is far cheaper and efficient! Ellimate 10,000 insurance and HMo's and PPO's. Elimate huge beaurocracy and administrative redundancy.[Truncated]" 22499 6/26/06 2:16 PM OH "* America will truely say to the world,""we are a true democracy in which all citizens are entitled to equal health benefits and opportunity.[Truncated]" A national health plan would allivate some of these concerns. Income should not be a discriminating factor in rendering health services. 22501 6/26/06 2:16 PM FL America needs a single payer health system 22502 6/26/06 2:16 PM MD * im about to go on cobra because my company is retiring me because ive been out of a year because of 4 surgeries.........i need affordable health care...what do i do[Truncated] 22503 6/26/06 2:16 PM CA Good work! many thanks for making a start at dealing with the health care crisis in our country. 22504 6/26/06 2:16 PM MN same as above same as above * Cuba and Canada can make it affordable and free so why cant the U.S.A.Iread in the paper were young adults dont have insurance as they are not making enough money. For me thats a couple hundred a month and my wife took a pay cut from N.W.A. a[Truncated] 22509 6/26/06 2:17 PM WI * It is a travesty that the most affluent nation in the world has no national health program that would solve the problems for average Americans. WE need to defeat Bush again.[Truncated] 22510 6/26/06 2:17 PM PA "* I agree with all of the above. It's appalling that the most advanced country in the world treats their low income citizens in the same manner as citizens of Third World countries. In many instances, they are treated worse. While I admire w[Truncated]" 22511 6/26/06 2:17 PM MI "* Health promotion and disease prevention should be key goals. Things that could be done to improve the health of Americans are to prohibit the use of antibiotics and growth hormones in foods, remove flouride from our water systems, promote pr[Truncated]" 22513 6/26/06 2:17 PM TX "* If the US government can afford $4 billion a week to wage war in Iraq, we can also afford to provide our US CITIZENS quality health care without question or red tape.[Truncated]" What about VISUAL health??? "Health care providers should have to think ONLY about the PATIENTS. They should not have to worry about the ""bottom line.""" "* You should look at Comal County, Texas and the McKenna Health Care System for a model. They have not perfected their services, but they are on target. [Truncated]" "* Make forms using SIMPLE language to convey necessary information to patients. Do not use legalize, medicalize, or, even worse, FEDERALIZE terms. Keep it simple. [Truncated]" "* Physicians do not want to recommend Hospice Care for their older, frailer patients. Conseqeuntly, many older patients die miserably deaths because the families don't understand how to care for these individuals. Patients deserve the right t[Truncated]" * Big business and individuals who make more than a specified amount of profit from their businesses should have to pay into a health care fund. Quit pussyfooting around with big corporations and multi-millionaires who are shirking their duty [Truncated] See comment above. 22514 6/26/06 2:17 PM MN "* I can barely afford my HSA/Medical health plan and I make a decent living. Premiums continue to rise yearly, and at this rate, I will be unable to afford health care altogether. Some people are concerned that the qualtiy of health care will b[Truncated]" 22517 6/26/06 2:17 PM IL I agree. "* I agree. And fully support PREVENTATIVE healthcare and ALTERNATIVE healthcare. Ultimately, these two issues would substantially reduce the overall cost of healthcare in this country!!![Truncated]" i agree i agree i agree i agree "* As a formerly high income person now self-employed, I cannot afford health insurance despite having no pre-existing conditions, am 5'3"", 110# and eat a healthy diet and live a healthy lifestyle. I am 53 but that is over the hill to insurance[Truncated]" I agree. 22520 6/26/06 2:17 PM PA "* It is incomprehensible that The United States, supposedly one of the richest countries in the world, would allow so many of it's people go without basic health care. The health and well being of our citizens should be treated as the most impo[Truncated]" "* Health care must include mental health. With the numbers of our citizens seeking help for mental illness increasing drastically, it's imparative that they receive the treatment that they need. Without it we will continue to lose our people to[Truncated]" * Last year I had to begin paying for my own health coverage. I am a relatively healthy person and still pay over $300 a month which I can sorely afford. It's impossible for an average American making a minimum wage to afford health care. Add t[Truncated] * One of the most important things we can do is to promote preventative health care. disease prevention and community education would be an immeasurable aid in this.[Truncated] "* Health care must include end of life care. If you want to know about a society and it's people, observe how it treats it's elderly. We are sorely lacking in the care we provide for our older, more vulnerable citizens.They deserve much much be[Truncated]" * The health of all Americans should and must be our number one priority. We are closing in on a population of 300 million citizens. The fact that close to half of these citizens will not recieve the needed health care and medicines that we giv[Truncated] 22522 6/26/06 2:17 PM NY "* Self-employed, I pay for my own health insurance. My monthly premiums have gone from $42-per-month in 1980 to $740-per-month today. This is obscene. Health care in the U.S., as in every other major Western nation, should be a basic right[Truncated]" 22523 6/26/06 2:17 PM OK "* Millions of us CHOOSE not to have ""health insurance"" because it is a disease prolongation and disease creation welfare system. We choose individual resposibility and no one seems to be listening up there. Yes we all should have financially ap[Truncated]" * Your definitions of the words leaves much to be decoded. Public-private group? Do you mean NGO's (i.e.fascist government?) What so you mean by wellness; more checkups to push drugs and test that make tons f money for the physicians? What do y[Truncated] DOOMED. This is just wording that leads to insuring drug company profits. "* This is not a power given to the federal government and is therfore unconstitutional, and just plain stupid economically for reasons already given and at least 30 more.[Truncated]" See comment #4 "* Evidence based science means no innovation, no using anything that is not existing and accepted by the ""club"" approved by PHARMA. You only mention culturally sensitive when they are on their death bed, not when they could be helped by alterna[Truncated]" "* Quit being the drug industry's mouthpeice and take a look at the facts. ""Modern medicaine"" in this country admits to killing over 786,000 people in the United States. However, the reporting percentage for adverse events (including death) is v[Truncated]" "* I do not want any of my taxes paying for any more of the posionous medical system we have in place in this country. Until there is sincere promotion of self responsibility and access to unadulterated food, there is no hope of a solution to th[Truncated]" 22525 6/26/06 2:18 PM WI I whole heartedly agree with Recommendation 3. I completely agree with this recommendation. 22526 6/26/06 2:18 PM IN "* In addition to endorsing it completely, I want to note that health care not only affects physical health of our citizens, but seriously impacts their economic welfare, as well, which, if bad, affects their health. It is a vicious circle.[Truncated]" "* The group must be inclusive and carefully chosen for their ability to be fair, open-minded and without a mind to personal gain. It is essential to include the spectrum of services described, including physical, mental and dental health.[Truncated]" "* Totally agree. Again, one of the driving forces creating poverty and reducing the middle class in this country is the cost of health care.[Truncated]" "* This has got to be done with an understanding that many communities are woefully lacking in any sort of coherent ""system"" even when providers are many. In my experience local providers including hospitals especially find it difficult to part[Truncated]" "* Presumably this would include negotiating with pharmaceutical companies for the best possible prices on, let's say, drugs. Not to mention other items.[Truncated]" I would hope this would mean that people would get help even if their deaths were not immediately imminent. "* This is undoubtedly one of, if not THE, most urgent issues facing our country, and has been for years. Having managed health insurance programs for a number of large and small employers I would not find acceptable a program that includes th[Truncated]" "* REducing the administrative costs of a health program seems a very important goal, and eliminating the ""middle-man"" ie insurance companies would be an excellent place to start. Medicare is a single digit administrative program; private insu[Truncated]" 22530 6/26/06 2:18 PM PA * I agree that all Americans should have access to basic health care. Someone should not have to die or suffer debilitating pain because their job doesn't offer benefits (which is true for more and more workers) and they don't make enough to p[Truncated] * Providing universal coverage saves lives and protects the health if all Americans while reducing the high costs we already pay in taxes because of waste and inefficiency. Countries that have universal coverage pay much less for it than we al[Truncated] * The time for universal coverage is long overdue; even many businesses want government to absorb the cost of health care because they can't compete globally when they have such high costs to cover their employees.[Truncated] 22534 6/26/06 2:19 PM AZ "* Since the working stiffs that are supporting this country are having our health care benefits cut, maybe its time those in Congress took a hit. Afterall, they are giving themselves a raise at our expense, so who is more financially able to a[Truncated]" "* We should settle for nothing less than what our Congressional Representatives have. After all they work for us, or should be representing our interests. Let them take the hit! [Truncated]" 22536 6/26/06 2:19 PM NY "* In addition I suggest that health care workers (e.g. doctors, nursess, etc.) be fairly and prommptly reemboursed for their services.[Truncated]" "* Medical liablity insurance should be scaled back, whether through tort reform or lowering the ceiling of liability insurance pay-outs.[Truncated]" * I am convinced that the savings achieved by a universal health plan will be more than adequate to offset the cost since medical providers will need only one form to obtain reemboursement rather than the many forms required by each health insu[Truncated] 22538 6/26/06 2:19 PM NY * We need more emphasis on healthy lifestyles and prevention of disease and debility. Public education campaigns in this vein should be started.[Truncated] "* If we think of the entire population of the US as a ""group"" in the sense of ""group insurance"", we can better understand the concept of spreading the risk so that we get insurance that we all can afford. To avoid a ""two-tier (private-public[Truncated]" 22539 6/26/06 2:19 PM CA MOST EUROPEAN AND ASIAN PLUS CANADA AND OTHERS HAVE NATIONAL HELATH CARE. americans should too true true tho remember for the poor and homeless getting to see a doctor or pay for meds is high cost just vote in national health insurance and quit giving money away to other countries "investigate how other countries do it and use them as a model. don't reinvent the wheel, its wasteful" "true, switzerland and canada allow euthanasia. if the us won't help the poor, they could at least allow them a dignified death" "* i have a lump in my breast and cant walk well but have gotten noi help. my son had a bone infection, it took 11 months & they have billed us more than 100,000 dollars (ucla and harbor and olive view for substandard care. national health insur[Truncated]" korean health care costs 42$ each. other countries are happy with their health care systems 22544 6/26/06 2:20 PM NY 2010 is not soon enough for this to go into effect. * removal of the finincing from employers will benefit both the employer and the worker. the money spent by employers for health care should be channeled into a fund for universal care; likewise the premium contributions (an increasingly highe[Truncated] 22547 6/26/06 2:20 PM MT * I agree with this recommendation and would like to add that there should be a choice of coverage for options such as birth control (including abortion). I would hope also that the cost of health care under this system accounts for the fact t[Truncated] "* I agree with this recommendation, and hope that it will not include discrimination based on sexual orientation or choices regarding birth control, including abortion.[Truncated]" Strongly agree with this recommendation. "* I would hope that this recommendation continues to allow insurance enrollees a choice in healthcare providers, and to encourage the equal distribution of professional health care providers, including increasing the number in underserved areas[Truncated]" "Again, I would be concerned about data security/privacy, and the possibility of ethical conflicts." Strongly agree with this recommendation. "* I would hope that the cost of health care under this system accounts for the fact that the average salary (especially the minimum wage) often is not a ""living wage"". I also agree that investing in health information technology is great, but [Truncated]" 22553 6/26/06 2:20 PM NY "* It is incument upon this nation not to neglect the needs of some of its citizens while trying to give health care to all. Universal Health Care is NOT complete unless there is parity in funding for and access to appropriate, community based [Truncated]" "* People who suffer from mental health probably are allowed the least say in what shape their treatment takes. I believe that it is most important that any non-partisan group includes persons with disabilities, both mental and physical.[Truncated]" * How about ending the requirement that one be impovershed and continue to be so in order to continue to access the very services that keep people working and living in the community--so many can't contribute to society because they risk losing[Truncated] * Community Based--these are the two key words. Trying to find a doctor when all you have is medicaid is next to impossible and the managed care debacle has only made that worse.[Truncated] "* I am delighted to see all of these reccomendations. It would be great to see it happen, but only if it serves all people with all types of illnesses equally.[Truncated]" 22554 6/26/06 2:21 PM CA "Yes, this is absolutely essential." Good. This is excellent! Yes. Yes. Yes. This must be done. The present system for medical is failing. 22557 6/26/06 2:21 PM CA I think this should be a given in the richest nation in the world ... Health care should never be a for-profit system--it should pay for itself and no more . . . 22558 6/26/06 2:21 PM KS "* we need to take care of all usa citizen,s before any country, we the people come first,no one in this country should go with out health care because of money, we are the greatest nation, then lets take care of all of we the people.thanks terr[Truncated]" "* if you have health care, the hospital reduces the bill by at least half or more, if you have no ins, guess what no discount, then they sue you, garenshee your wage,s, come on wake up, this is the usa,[Truncated]" 22559 6/26/06 2:21 PM NY "* The use of the word ""core"" scares me. Does this mean that some people may not get the best available care solely due to their economic/social status?[Truncated]" see concerns above "* Out-of-pocket expenses should be means tested. A minimum wage worker should not be paying the same out of pocket as some making $100,000 or more.[Truncated]" "As stated above, the best way to improve waste is to expand the medicare model and cut administrative costs significantly" "* A sound financing strategy has to include the removal of outrageous executive compensation and the profit motive from healthcare. The most efficient health care system in the US is Medicare, where there are no multi-million dollar bonuses et[Truncated]" 22561 6/26/06 2:21 PM TX Medicare now for everyone. Dump the GOP perscription drug rip off and allow the Government to negotiate for lower prices. Graduating twice the number of new doctors will help lower costs. 22563 6/26/06 2:21 PM IN * but - there must be a responsibility clause - if - for instance - someone doesn't take prescribed medication correctly or fails to get needed treatment - then - they should bear the maxium expense for the treatment that is now going to be mor[Truncated] let's make sure that core benefits are broad in scope & specific to genetic & heridetary factors (ex: sicle cell) still think we need to establish a pay for what you use plan like utilities! * We need to be careful what we wish for - when I hear that Viagra is a covered expense but Birth Control isn't - it makes me want to scream for some sanity in the program. And - allowing pharmacists to say NO to prescriptions for birth contro[Truncated] 22565 6/26/06 2:21 PM IL "All recommendations sound good. If there was less paperwork involved, health care costs would decrease." 22567 6/26/06 2:21 PM MA "* We need to figure out how to reduce the cost of health care. Health care facilities, providers, and insurance agencies need to become more efficient. People who work in the health care environment need to become computer savy and be more re[Truncated]" 22570 6/26/06 2:21 PM MD YES! YES! YES! This is vital. "There are significant savings to be realized, but commerical forces will fight against this fiercely." "This is also essential, and a very important point that is not broadly understood." This is complex but you are making a solid and vital statement about the need to work it through. Congratulations! 22571 6/26/06 2:21 PM IL * iT'S IMPORTANT THAT THE HEALTH CARE PROFESSIONALS INVOLVED AMD NOT THE INSURERS MAKE TE DECISIONS AS TO WHAT HEALTH CARE SERVICES ARE NEEDED REGARDLESS OF THE INSURANCE POLICY.[Truncated] 22572 6/26/06 2:21 PM VA I stand with the statement above. "Health care needs to be affordable. " I go with the statement above. I go with the statement above. I go with the statement above. I go with the statement above. none I stand with the statement above. 22573 6/26/06 2:21 PM NY "* This approach will not only help working Americans, but could help many corporations like General Motors to become more competitive.[Truncated]" 22574 6/26/06 2:21 PM MI "* The only comment I have is that: We spend billions of dollars helping other countries and have forever, it's about time we spend some of that money on those in this country who are less fortunate and cannot affiord health care or go without i[Truncated]" 22575 6/26/06 2:22 PM NY * I agree totally. It is unconscionable that the wealthiest country in the world does not provide health care for its citizens. Some things should just not be left up to profit/business/politics etc. It's time -let's do it![Truncated] Wonderful! Throw out the vested interests completely. Operate with fairness and common sense. "* I have heard that socialized medicine can never work. My question is, why? It has to be set up properly and maintained and I believe it can work. Leave politicians out of it and don't give them control over it.[Truncated]" * It is always scary to let the federal government run anything! People who work on this have to be bi-partisan and not political appointees.[Truncated] It seems the bigger the process the greater chance for fraud and waste. What safeguards would be set up? Agree. "This is long overdue. We must ""bite the bullet"" and get it done before things get any worse. It is a prioity issue." "* The Bush administration and conservative Republicans have systematically depleted the treasury and therefore have starved many programs. We take in an incredible amount of money in taxes, we do not use it wisely. Enough with the pork barrel[Truncated]" 22577 6/26/06 2:22 PM IN * All Americans should and need health care services. Some people are dyeing because of they cannot afford it. There is no reason this has not already been done.[Truncated] Most of that sounds good "* You really need to take in mind who would get what. I make $25,000 a year and have myself, wife , two grandkids and my 91 year old Mom living with us. It is all we can do to servive.[Truncated]" Sounds good but all tis may not be cost efficative. Fraud and waste are always a problem and it is not checked enough now. * I see this in my Mom as she is 91 and if she had not of worked all her life she would be dead now as she would have no healthcare.[Truncated] "* All the people who are going to be a part of this would be very smart as it all sounds good, but the ones like me who only have a high school education are left out as what is needed. Why not let us who struggle be a part of this.[Truncated]" * It can be funded if Washington DC and the people in Congress and the Senate and all others who draw all our hard earned money would stop wasting it the way they do. A lot of pork could be stopped. They just will not stop with the waste.[Truncated] 22579 6/26/06 2:22 PM TX We need a national healthcare system like Canada. We need a national healthcare system like Canada. We need a national healthcare system like Canada. We need a national healthcare system like Canada. We need a national healthcare system like Canada. We need a national healthcare system like Canada. We need a national healthcare system like Canada. We need a national healthcare system like Canada. 22580 6/26/06 2:22 PM RI "* I agree with Recommendation 1. and would go further to assert that core health services include preventive care, dental and mental health.[Truncated]" I agree with Recommendation 2. I agree with Recommendation 3. I agree with Recommendation 4. * I agree with Recommendation 5. as long as there are adequate asfeguards for privacy and/or if current punitive actions or unfair limitations on care due to pre-existing conditions are eliminated. [Truncated] I agree with Recommendation 6. * I endorse this work and wish that some leadership on this issue could be found in congress or the White House - sad to say we are without didection when it comes to dealing with real issues of human safety and security. [Truncated] * I agree with the logic of the financing statement with the addition of an objective for limiting profits in the health care industry. Rationalizing care also means rationalizing resources and profit taking by investors and coporations. [Truncated] 22582 6/26/06 2:22 PM CA right on 22586 6/26/06 2:22 PM OR "Universal health care for all, publicly funded, everyone pays, everyone has access." * We did this in Oregon to create the Oregon Health plan. This should be science and evidence based. Acess for all to preventive and basic care will improve the health of all.[Truncated] "Universal care, ,publicly funded, like the rest of the modern world." "* Very important to universal access is the location of a medical home for all in the community, with cultural competence training staffing by providers. [Truncated]" "* Require all providers to report uniform data on admitting conditions, and rewsults, like Pennsylvania does through the Health Care Cost Containment Commission. Use this to publicly and openly report quality and define evidence based practice [Truncated]" * Everyone will die. Let's give people a chance at dignity instead of forced picking and probing and isolation in a hospital when the end is near and clear. [Truncated] "* Do it right. Keep the for-profit providers and insurance carriers out of the discussion until the end. This should be designed by customers and payers, not the industry. Use docs, nurses and other front line providers to advise, but not contr[Truncated]" "* THis is not as complicated as you make out. Every other modern nation has done it. A fair tax structure that includes corporations and the wealthy, and a reasonable income tax base should cover it. And, the inefficienncies of the current syst[Truncated]" 22587 6/26/06 2:22 PM IL "* All Americans should have as good a health care program as the members of Congress and their family member. If we cannot then congressmen should no longer be allowed to have lifetime coverage. When they leave their office, they need to find[Truncated]" 22590 6/26/06 2:23 PM MN "* Other countries provide prenatal, child, and preventative care for less money than the US. We need access for all people to preventative care and medicines to help prevent the over use of emergency rooms.[Truncated]" "* Too many people lose their assets along with their health, and the new laws are not helping anyone. Make the credit card companies take responsibility for their reckless selling of credit to people who can't handle it.[Truncated]" "* Making more care systems non profit would be a step in the right direction. If the administrators make hundreds of times more than the nurses and aides who work with patients, we will not get much more hands on care for those who need it. [Truncated]" 22592 6/26/06 2:23 PM MN "* Other countries provide prenatal, child, and preventative care for less money than the US. We need access for all people to preventative care and medicines to help prevent the over use of emergency rooms.[Truncated]" "* Too many people lose their assets along with their health, and the new laws are not helping anyone. Make the credit card companies take responsibility for their reckless selling of credit to people who can't handle it.[Truncated]" "* Making more care systems non profit would be a step in the right direction. If the administrators make hundreds of times more than the nurses and aides who work with patients, we will not get much more hands on care for those who need it. [Truncated]" 22594 6/26/06 2:23 PM MI "* Other Countries in the World have Universal Health Care. Why should America be so far behind that Her people are going without? We try to be an advanced Nation, but when it comes to taking care of the People, we lack. It's time for Health [Truncated]" 22595 6/26/06 2:23 PM OH "* I feel that this is true because people who fit into the ""middle class"" don't qualify for medicaid and can't afford to pay for their own insurance! What are we supposed to do?![Truncated]" 22597 6/26/06 2:23 PM NV "* All of the above is fine, however, the fact remains that we need universal health care for two reasons (actually three). Number one for our businesses to be competetive. I am a small business owner and the high cost of health care makes me un[Truncated]" 22600 6/26/06 2:23 PM MI * These are bad times and I don't know if we can afford any more things to pay for out of our earnings and retirements. Every aspect of life has become a way of living for some and destruction for others.No one person has all the answers.[Truncated] 22601 6/26/06 2:23 PM IL * It's not a matter of guns or butter; its guns or health. Every country with national health coverage is peaceful and safe compared the US. The real fear for most older people is affordable health care without the risk of losing your house. Wi[Truncated] "* For those who are especially wealthy, there will also be an alternative private health system, lest they be fear being treated like ordinary citizens![Truncated]" Amen! "* Under the current Bush government regulatory groups have been castrated by political appointees whose goal is to demolish public services, in order to turn the country into a rich-pool slave state. Good luck in trying to find a fair Federal o[Truncated]" "I pray that it is possible. First, who is going to halt our lucrative government bribery industry?" "* The way the current system works, the last days of life are 24/7 cash cows for the health industry. Citizens should have some choice in this circumstance. Some may choose euthanasia, that should be allowed in spite of the medical industry man[Truncated]" "* As long as individual profiteering and greed remain the dominant virtue in our culture, anyone who is not a rich person, a good-looking yuppie, or an armed policeman, will continue to be treated like scum. That is why a single-payer-system is[Truncated]" * Obviously taxes will have to be raised--the ultimate sin for the wealthy people of this nation. It is so much cheaper to bribe our politicians and guarantee them 100% health coverage that to make affordable health care for all citizens a real[Truncated] 22605 6/26/06 2:24 PM GA Eliminate all these bureacracys and create a nation health care department. People should be allowed to die with dignity and without worry about finances. Just socialize the thing. 22606 6/26/06 2:24 PM CA "* I am a 75 year old retired nurse. I went into nursing to HELP alleviate suffering. Nursing & health care providers in the past were concerned about their fellow Americans. Now, as I look back and forward I see nothing but $$$$$signs surrou[Truncated]" Not at the moment. I agree. agree "* Keep iimmediate government out of it,completely as far as negotiations are being discussed. Government should be the last to know.[Truncated]" ok "not now, I feel i said enough at this time." "* Private, not govermental panels must sit and allow the public to have a voice in how it will be financed. Afterall, it is from the pockets of every American citizen who will basicall be paying for the service. Keep congress, the senate and[Truncated]" 22607 6/26/06 2:24 PM IL "* Health care costs are crazy.....if I don't have insurance,I have to pay full price on treatment, where insurance companies can have a ""negotiated""rate.....why can't WE negotiate[Truncated]" 22609 6/26/06 2:24 PM NY I support these progressive recommendations and want to see health care provided for all Americans. 22613 6/26/06 2:25 PM NJ TOTALLY SUPPORT THIS IDEA "* YES TO COVERING PHYSICAL, MENTAL, and DENTAL HEALTH. EVIDENCE BASED SCIENCE AS IT CURRENTLY STANDS IS SKEWED IN FAVOR OF DRUG AND TECHNOLOGY BASED TREATMENTS; THESE ALWAYS BENEFIT THEIR MANUFACTURERS, BUT NOT ALWAYS THE PATIENTS. MORE RES[Truncated]" "* DEFINITIONS OF ""LOW INCOME"" ARE HISTORICALLY UNREALISTIC, ESPECIALLY AS INCOME HAS RISEN MUCH MORE SLOWLY THAN HEALTH CARE COSTS. BASICALLY COVERAGE SHOULD INCLUDE EVERYONE; MOST MIDDLE CLASS FAMILIES COULD BE WIPED OUT BY SERIOUS HEALTH CAR[Truncated]" "* WE ARE LONG OVERDUE TO COME INTO THE 20TH CENTURY (NOT A TYPO, I KNOW WE'RE IN THE 21ST),ALONG WITH THE REST OF THE ""DEVELOPED WORLD."" WE ALSO REALLY NEED TO BE OPEN TO NEW PARADIGMS IN ADDRESSING THE HEALTH CARE SITUATION: AS LONG AS WE CON[Truncated]" * MY UNDERSTANDING IS THAT APPROX. 30% OF CURRENT HEALTH CARE COSTS ARE BUREAUCRATIC--IT WOULD PROBABLY BE EVEN HIGHER IF IT TOOK INTO ACCOUNT WHAT DOCTORS HAVE HAD TO INVEST IN TO MEET THE DEMANDS OF VARIOUS INSURERS. ULTIMATELY STREAMLINING [Truncated] 22614 6/26/06 2:25 PM VT * This is basic and obvious. It is ridiculous that the richest nation on earth is too stingy to provide its people with basic health care.[Truncated] "* Birth control must be included. It should be universally available, free, and without anyone having to pass a moral/religious criteria.[Truncated]" I agree with this. It should be obvious. I would like to see a system that worked the same for everyone regardless of wealth or religious beliefs. 22615 6/26/06 2:25 PM WI The United States is the only Industrialized nation that does not offer it's citizens the benefit of healthcare "* The program cuold potentially take the burden off all businesses to supply healthcare to theri employees, maybe the business could then afford higher wages...[Truncated]" So far this sounds great 22616 6/26/06 2:25 PM IN I am in total agreement with Recommendation 1. "* ""Health is not merely the absence of disease, rather it is the social and economic (and I would add, spiritual) well-being of it's society members""---paraphrase.[Truncated]" I concur. I concur. "* Can't legislate morality, but beefing-up community programs that educate the public on ALL of their choices and the principles and philosophies of how healthcare institutions work, will go a long way at helping the lay community make BETTER, [Truncated]" I concur. "Yes, were in Indianapolis, Indiana can I find employment as an advocate, or other human/social services worker?????" Quality h/c ins should not deplete one's life savings! 22617 6/26/06 2:25 PM NV "* It should be public policy that all Americans have affordable health care. All Americans will have access to a set of core health care services. Financial assistance will be available to those who need it. Across every venue we explored, we h[Truncated]" "* Define a “core” benefit package for all Americans. Establish an independent non-partisan private-public group to identify and update recommendations for what would be covered under high-cost protection and core benefits. Members will [Truncated]" "* Guarantee financial protection against very high health care costs. No one in America should be impoverished by health care costs. Establish a national program (private or public) that ensures: Coverage for all Americans; Protection agai[Truncated]" "* Support integrated community health networks. The federal government will lead a national initiative to develop and expand integrated public/private community networks of health care providers aimed at providing vulnerable populations, inc[Truncated]" "* The federal government will expand and accelerate its use of the resources of its public programs for advancing the development and implementation of strategies to improve quality and efficiency while controlling costs across the entire hea[Truncated]" "* Fundamentally restructure the way that palliative care, hospice care and other end-of-life services are financed and provided, so that people living with advanced incurable conditions have increased access to these services in the environment[Truncated]" "* Financing Health Care that Works for All Americans The recommendations will require new revenues to provide some health care security for Americans who are now at great risk. Most people we heard from were willing to make additional f[Truncated]" 22618 6/26/06 2:25 PM OH * The cost of health care is rising beyond the ability of most American to pay for it. This and a living wage are the rights of every American worker. [Truncated] We need to begin this process immediately because it will required many steps to complete the journey to universal health care. 22619 6/26/06 2:25 PM CA To leave any segment of the population festering in untreated illness is to imperil us all. That is where epidemics begin. * Emphasize early diagnosis and treatment and prevention. Don't make people wait until they need catastrophic care. Then it's too late and too expensive.[Truncated] * For-profit health care should be discouraged. Health care should not be about how much we can charge and how little we can provide.[Truncated] "* Sharing of expensive state-of-the-art equipment should be required. If such equipment is acquired regionally, and made portable, duplicative purchases can be avoided and costs held down at each facility.[Truncated]" Provide health advocates for patients to make certain their needs are given due consideration and attention. "* Making heroic efforts to prolong life when that is clearly impossible raises unrealistic expectations and costs. While they might want to urge loved ones to ""rage against the dieing of the light,"" an effort to say farewells and settle with th[Truncated]" "* Polluters and those who provide goods that imperil life and limb should pay taxes to mitigate the negative impact their products have upon health. Automakers and alcoholic beverage purveyors, anyone who makes an internal combustion engine or [Truncated]" 22620 6/26/06 2:25 PM MN "* I believe a way to ease a universal, single-payer health plan into being that will eventually envelop every American is to begin with a 'pilot project'. Only those people who are not covered would be in this project. If a person has health [Truncated]" 22622 6/26/06 2:25 PM OH "* I have lived in a country with a national health care system. As a legal resident of Taiwan, R.O.C., I had complete medical and dental coverage. It seems to me if a small country can figure out a way to provide its citizens and legal resident[Truncated]" 22625 6/26/06 2:25 PM TX * Our neighbors to the North seem to have a reasonbly workable plan. Perhaps we could learn from Canada. This is an immensely complex issue but the nation with the world's finest medical technology should have universal access to basic wellness[Truncated] 22626 6/26/06 2:25 PM OH "* I don't need to comment on anything listed above. BOTTON LINE IS HERE:"" Who are we kidding? We all know the REAL reason health care is out of controll. GREED!!! Get greed under controll and the problem is solved. One problem: ""The golden rule[Truncated]" 22627 6/26/06 2:25 PM MI "* I very much want to see affordable health care for all Americans. But, do not forget the last sentence when implementation begins, ""comprehensive benefits that provide access to appropriate, high quality care.[Truncated]" "* If is of paramount importance that people be afforded assistance to be able to stay in their own homes if that is what they wish.[Truncated]" 22628 6/26/06 2:25 PM WI I agree 100% I agree 100% 22629 6/26/06 2:26 PM NY I agree. "* I believe that out of pocket medical costs should also include a sliding scale formula based on an individuals' ability to pay, income, and overall financial worth.[Truncated]" "Sounds a bit cumbersome, with too much government/federal input/participation." Oversight is also needed regarding fraud and waste at the federal level. I agree. Not without having access to more detailed information and alternatives to the above recommendations. "* I believe the recommendation should also address prescription drug costs with regards to ""shopping"" for lower cost drugs, bulk buying and allowing the purchase of ""safe"" out of country pharmaceuticals.[Truncated]" 22633 6/26/06 2:26 PM NJ this should be done immediately. its a crime not to have this coverage "let's stop talking and finally enact this. Its been talked ""to death""" "* we are a two cancer family right now and it has basically wiped us out even with ""basic and essential"" coverage the stress is sometimes unendurable.[Truncated]" "healthcare should be availalbe to everyone, and it should be national and portable TODAY is almost not fast enough!" Just do it! "again, stop debating and implement!" "* yes, this all can't be done soon enough.my husband and I have cancer at the same time and the politicians e-mail and send letters asking for money ..all i want is to be able to afford my disease. try taking away these benefits from the do not[Truncated]" "* unless you have tons of money getting access to great health care depends on being ""medicaid"", ""medicare"" or truly insured by your emplyer and if you get cancer, you are out of luck [Truncated]" 22634 6/26/06 2:26 PM FL "* This, too, is a no brainer. We pay for the politicians to have the best insurance and we get a pittance. I am asking that all of us have access to health insurance that you enjoy at our expense.[Truncated]" "* Health care should include our supplements from the health food store, and, or, alternative healing....it works....not just the medical for the (P) Harmaceuticals to enjoy and cause more havoc on people.[Truncated]" "* Protection for all. If we quit financing illegal aliens in this country and they using our benefit system, there would be plenty for our own. [Truncated]" * Quit waging wars will take care of this and probably have money left over and come out with the hidden set of books that each county and city and state has.[Truncated] "* Quit waging wars and quit pork legislation....we would all have what we need. When there are the very very rich and the very poor, evail abounds.[Truncated]" 22639 6/26/06 2:27 PM PA * Absolutely and this means that Hospital Boards; Drug Companies and Hospital Supply Companies as well as Insurance Companies have to stop making millions from Health Care.[Truncated] Amen Could easily be done if tax cuts for the super-rich were rolled back. These need to be funded. This has to be done in a way that works; we've never been good at monitoring programs efficiently. Agree "Health Care is a Right, Not a Privilege." This is a total no brainer; but it does require those in power to take the rist and lead the way. 22640 6/26/06 2:27 PM OR "As John Kerry said, all Americans should have the same access to quality health care that the U.S. Congress has." 22641 6/26/06 2:27 PM OR "* Great care needs to be taken to insure patients' rights! Make sure hospice does not take away the rights of people who are dying and confused. My husband, who lives in a separate apartment from me about 50 yards down the hall in our buildi[Truncated]" 22643 6/26/06 2:27 PM PA agree coverage for should be for all medically necesary items including prevention and nursing home care agree we need a single payer system that covers everyone for all treatment throughout their life and is funded equitably. "* move to national single payer system financed according to the current legislation introduced in congress by John Conyers, HR676[Truncated]" 22647 6/26/06 2:28 PM NC "* Yes, I am in favor for affordable health care for all but I do not propose that illegal aliens be able to partake in the program nor should we allow them health care benefits paid by U S citizen taxpayers. We should make sure that only US ci[Truncated]" * This is the area that hits Americans most. This is why you carry insurance but for some reason you can be dropped if you have a catastrophe. This goes against the grain of why you carry insurance to begin with. Legislation should be in fav[Truncated] "* What is the point of saving for retirement when so much of it goes for health care. That should not be the way the system works. I read on Fidelity that over $200,000 will be spent by each individual once they retire just for health care! [Truncated]" 22648 6/26/06 2:28 PM CA * I agree and we must be sure that we do not create a bureaucracy that does not serve the people well. It must provide REAL and affordable healthcare services.[Truncated] 22649 6/26/06 2:28 PM NJ * We live in the richest country in the World yet access to healthcare is limited. Basic healthcare should be supplied to all Americans as a matter of right![Truncated] "I think that everyone should have an HMO basic level of primary care, specialists and hospital coverage" I agree I agree I agree. I agree. "* We need to do something to bring about fundamental changes in the way healthcare is delivered. Everyone should be on board-- from Employers who cannot compete with foreign companies, to workers who can't get raises because of health care inc[Truncated]" * I believe that both Employers and employees should be taxed in the same manner we are for Social Security. There should be a single payer system run by the same folks who do Medicare now.[Truncated] 22651 6/26/06 2:28 PM CO "* It's time to stop all the politicizing and pussy footing and put in place a plan that is prudent, that covers all and that does not cover any kind of elective processes or beauty plans, only true health care.[Truncated]" 22661 6/26/06 2:29 PM NY "* As long as the recommendations are mealy-mouthed about the best way to get to health care for all, they are not helpful. Anyone who has seriously analyzed the health care problem in the Untied States knows that we have to get rid of the insur[Truncated]" 22663 6/26/06 2:29 PM OR * Participation in a core health care service should also not be dependent on employment status. Basic health care is a citizen's right not a privilege.[Truncated] Health is also defined as including corrected eyesight. "* Low cost, local health clinics should take the place of the current overutilization of hospital emergency rooms for first aid, minor emergencies and maladies. [Truncated]" Drug price control through bulk procurement of drugs by one Federal goverment agency such as the FDA. "* Yes, its a shameful disgrace that the wealthiest country in the world refuses to protect its citizen's from profiteering and abuse at the hands of the corporate health industry. Europeans, Canadians, Australians and other people enjoy the be[Truncated]" "* If we can spend $9 billion a week trying to impose our will on a foreign country, we can afford universal health care coverage. Its not a matter of not having sufficient revenue, the problem is the way our government spends and wastes the re[Truncated]" 22664 6/26/06 2:29 PM AZ "* Not only should it be puclic policy, it IS a human right. To live a degraded life, or die because of lack of funds, in the richest country, is morally reprehensible. It is also good economic policy to make sure that all those who can and want[Truncated]" "* Creating more HMO's IS NOT the answers... HMO's are the leading edge of what is killing our once great Health Care system. The only way to afford health care for everyone is single payer, making every Doctor available. This eleiminates the [Truncated]" "* Universal single payer improves efficiency, by eliminating administration overhead, that is exhorbinate in the private sector, and reasonable in the gov. monitored systems. This is recorded in recent worldwide studies of HEalthcare. Universa[Truncated]" "* This is one of the most degrading parts of our Healthcare system. It is guarenteed that if you were middel class or lower, you WILL die destitute and in abyssmal conditions. [Truncated]" "* Single payer Universal care has been proven in studies over and over again, to be the reasonable, affordable and efficacious system to deliver Health care[Truncated]" "* Universal Health Care in a single payer system is the most reasonable method to control costs. Employer contributions and Taxpayer contributions, even at level of 5 years ago, would cover a majority of the costs, in that the negotiating power[Truncated]" 22666 6/26/06 2:29 PM MA "* American medicine provides drugs. It does not provide the nutrients whose lack helps to produce our epidemic of chronic degenerative disease. As a healthy 67-year-old who reads a lot of ""alternative"" medical materials, takes a variety of su[Truncated]" I play harp at the bedside for the dying in two hospice services. The items in this recommendation are excellent. 22667 6/26/06 2:29 PM PA This should be top priority for our elected officials. "define very high,that is adifferent $ amount for everyone." "You want to trust hte federal government to handle this,they put all of us in this fix!" Seeing is believing! Do you really want to trust the feds to accomplish these tasks in a expedient manner? Good luck! negotiating with major health care providers would be a good start. 22672 6/26/06 2:29 PM FL THIS SHOULD BE SUPPLIED BY THE GOVERNMENT LIKE CANADA DOES FOR IT'S PEOPLE SUPPLIED BY THE US GOVERNMENT 22673 6/26/06 2:29 PM OR "* I basically agree with all of the principles above. If we could tighten oversite on government waste and end this Orwellian ""war on terror"" The savings should be more than enough to pay for universal health care. [Truncated]" 22674 6/26/06 2:29 PM NY "* Those core benefits should provide for all that is in the single-payer, national healthcare proposal (H.R. 676) -- dental, optical, mental health, prescription drugs, long-term care and more -- for every resident of the United States. This [Truncated]" * Having a single payer system will guarantee that everyone gets the healthcare they need when they need it. We will have a huge pool of people paying into the system and using it when they need it. [Truncated] "* Medicare would be the preferred entity to be responsible for coordinating the national healthcare system. These community health networks might be nice, but they would not take the place of a national comprehensive, quality healthcare sy[Truncated]" * We won't need Medicaid or Cobra or the health component of unemployment/disability insurance anymore. Medical Malpractice will be much less of an issue because all medical coverage will be provided to everybody whether they were damaged in a[Truncated] "Is this an attempt to get people to die earlier? OR a veiled way of talking about assisted suicide?" * We want and need a single payer national healthcare system. This Citizen Health Care Working Group is just a smokescreen to avoid the real discussion -- what we really need. Most people in the United States want a government guaranteed nati[Truncated] "* No new revenues are required. We are already paying enough. We spend more than twice as much as the nearest country -- per capita. If we quit paying insurance companies profits and money for their huge administrative bureacracies, for thei[Truncated]" 22675 6/26/06 2:30 PM OR "* all communities should be included in this study. for example, the transgender/transsexual community and their unique but NECESSARY health care needs[Truncated]" 22677 6/26/06 2:30 PM MD Absolutely. Absolutely. Absolutely. Absolutely. Defintely. Yes. Absolutely. 22679 6/26/06 2:30 PM PA "* Health care is a very important issue. I do not know how to fix the problems, but something has to be done. Everyone needs health care, but we do not want to sacrifice services for cost. We need a high-quality, affordable health care for all.[Truncated]" 22680 6/26/06 2:30 PM LA "* growing up in a military health system i saw how everyone could have good health care regardless of rank , the same should be true in civilian life ,. if its good for the military it should be good for the common man . [Truncated]" you need to set price limits on services on medicine or you'll never see a ending of medical greed and power "no you just need price fixing . set prices so that all can afford them , most are 200% over cost as is ." make health care a right just like education is . "* you'll still have the problem of cost , we already have quality and efficieney now combining all those groups under one water one name and system is a good ideal [Truncated]" "* reducing and eliminating the middle men and federal take over of all hospitals is essential to stop the money industrial machine that ruining our country and killing our people and selling out our country . [Truncated]" 22681 6/26/06 2:30 PM CA "Core benenfits should include sex reassignment procedures, including required therapy, for transgendered people." 22685 6/26/06 2:31 PM WA * Providing health care to all Americans will help reduce health care costs for the nation. It will result in reduced use of ER visits and encourage people to seek out preventive care. [Truncated] 22687 6/26/06 2:31 PM NY "* I would hope that ""Core benefits will be specified by taking into account evidence based science and expert consensus regarding the medical effectiveness of treatments"" would not prevent someone with a serious illness from getting the most u[Truncated]" I would hope that everyone would be entitled to the best care with the best doctors and not have to settle for mediocrity. 22688 6/26/06 2:31 PM CA * Americans are suffering. The cost of health care has made it impossible to acquire and employers are fast reducing their contributions. Every American should have the right and access to appropriate health care.[Truncated] "* With all the new ailments created as aresult of global warming and the lack of health care, it's in the best interest of all Americans if every American can access health care provisions.[Truncated]" 22692 6/26/06 2:31 PM MN I completely agree. I support a single-payer universal health care system. "* I think the group should be public only, not public private. The process needs to be highly transparent and democratic. I support that health is defined as physical, mental, and dental. [Truncated]" "* Again, I support a public, national single payer health care system. I think all Americans should have access to it, including those all of those who are living in the U.S. but do not have citizenship status. Not only should it be protectio[Truncated]" * I think the group that is responsible for advising the federal government should not allow any for-profit institutions represented within that group. [Truncated] I agree that preventative health care definitely needs to be included. I agree. "* Again, I support single-payer universal health care, that covers all people living in the United States regardless of citizenship status. I do not think that any provider institutions should be making a profit out of health care. [Truncated]" "* I agree that the principles of fairness, efficiency and shared responsibility are key to financing. To me, this means financing single-payer health care through progressive income taxes that equalize wealth inbalances in this country and thr[Truncated]" 22693 6/26/06 2:31 PM WI This is a bassic need that all Americans should have. All Americans should be able to receive the same care members of Congress are able to receive. "Americans then would not need to choose between health care, papying the rent or mortgage and food. Allbasic necessities." Stop insurance companies from running health care. Stop insurance companies from running health care. We need to be able to look forward to death with dignity. All Americans who work should ahve health care coverage through their employer. 22694 6/26/06 2:31 PM WA we must focus on covering ALL children with an emphasis on keeping them healthy. Financial cuts to local public health departments must stop. 22695 6/26/06 2:31 PM OR "* The medical industry should be non-profit, tax funded and universal as it is in most, if not all, of the other democratized nations. Simply expand (and improve) medicare to include everyone. Private providers could contract with the governmen[Truncated]" "* I would fully support an independent non-partisan group of citizens and their representatives assessing what should be covered. As my ideas are to run the industry non-profit, private for-profit business in this industry would cease to exist.[Truncated]" Implementing my suggestions above would provide these protections for all Americans. Implementing my suggestions above would make this unecessary. * Universally expanded Medicare would require policing to ensure that contractors are operating non-profit and that they are not devising ways to defraud the system. [Truncated] "All Americans should have equal access to all tax funded, non-profit medical services." * The universal medical care system should be funded by income tax revenue with a higher rate applied to capital gains and investment income than is applied to wage income.[Truncated] 22697 6/26/06 2:32 PM FL * lots of families have trouble w payments for health care it is too high to budget for so lots go without the high preimums or select plans that cover nothing.. or close to nothing.. w high deductables!! thanks for listening i have a plan a[Truncated] "* core yes and all testing and bloodwork should b epaid for ... alllll of it!!! thihout worry for kids, parents, elderly and all americans![Truncated]" yes we need a better plan for sure... "* companies i think should be willing and able to pay a lot more or most companies should... they get tax deductables that th e adv person does not qualify for... right?? [Truncated]" 22699 6/26/06 2:32 PM WA * Basically these recommendations provide a very good basis to what this country needs to get a reasonable health care system in place and I support these steps.[Truncated] 22700 6/26/06 2:32 PM MD All Americans shoulds have access to some type of affordable health care. There should be a clearly defined class of health care for races of American Citizens regardless of income or social standards. Income should not be the deciding factor when the well-being of an individual in the primary issue. Community health network systems could work nationwide if it would be implement careful and correctly . I strongly recommend this. "* I think this is a personal one on one issue as to how each person would like to deal with the end of life stage . As for me, when it's my turn, let me go easy.[Truncated]" 22702 6/26/06 2:32 PM WA "* Research by the US federal govermnent's Institite of Medicine, their 2003 report ""The Future of the Public's Health in the 21st Century"", states on page 59: ""more egalitarian societies (i.e. those with a less steep differential between the ri[Truncated]" 22704 6/26/06 2:32 PM IN "* Birth control and abortion ARE NOT ""health care"" however! Neither are Baldness, ""ED"", overactive bladder, or other ""lifestyle drug""-treatable conditions! [Truncated]" 22707 6/26/06 2:32 PM OH "* I agree with this. The difficulty will come in defining that core benefit package. Will this system still allow those with good insurance or deep pockets the option to buy levels of care outside of this core? If so, how will this effect the[Truncated]" "* I don't think that the benefit should be separated into core or basic medical services vs high cost or catastrophic services. This will open the door to discrimination. All people should be entitled to ""necessary"" (for health sustaining pur[Truncated]" * I doubt that a public/private partnership will accomplish anything of value in improving coverage for so called vulnerable populations. The truth is that these groups are underserved because there is no profit is servicng them. People in the[Truncated] * The biggest boost to the improvement of efficiency in the current system would be the dismantling of the current financing system with its burden of regulations and paperwork requirments. If you have doubts. visit the CMS website for a view [Truncated] This is important. We do not know how to die in this county. "* I think that this statement is very weak, and panders to the current system of payers that would lose out on a truly effective and egalitarian system. The current system is a disgrace. It discriminates against the needier groups in society, [Truncated]" 22710 6/26/06 2:33 PM UT "Cost of Insurances are ridiculous,and the quality is bad also. Something needs to done soon!!!" 22713 6/26/06 2:33 PM MI * A single public system paid for out of progressive taxes does ensure that individuals are protected against extreme healthcare costs. Getting healthcare should be like sending your kids to public school. The costs are shared -- even if you [Truncated] Public health planning is natural if you establish a public-funded system. These programs demonstrate the efficiencies and effectiveness of public run health care Cover end of life long term care fully -- and do it in a way which prioritizes home care rather than nursing homes. "* The rest of the industrialized world uses public healthcare. This should not be a mystery or be seen as some ""way out"" solution.[Truncated]" * The extreme paper work and profit margins of private insurance is a central factor increasing healthcare costs. We should cut costs by enacting a single public healthcare system. If we continue to focus on employeer provided insurance with [Truncated] 22714 6/26/06 2:33 PM PA If canada and all those countries in europe can have so can we. 22718 6/26/06 2:33 PM IL About time! Bless you all for working on this! Okay as presented. Okay as presented. Okay as presented. Okay as presented. Okay as presented. "* Premiums could be charged on a sliding scale, based on ability to pay. Currently, someone who works regularly and earns a decent living can go to a public hospital, claim to be indigent and get free care. This system should end that. By us[Truncated]" 22720 6/26/06 2:34 PM IL "* As a 63-year-old senior citizen with a middle class income, I am aware that I could soon lose my middle income status if my union contract is torpedoed by some court decision. As an American citizen, I expect my government to help all Americ[Truncated]" I am in agreement with the core health services outlined above in Recommendation 2. I am in agreement with Recommendation 3. I am in agreement with Recommendation 4. I am in agreement with Recommendation 5. I am in agreement with Recommendation 6. "* Note that in my agreement with all of the Recommendations, I reserve the option of criticism--as the devil is always in the details of implementation.[Truncated]" * I believe that the dedication of financial resources to health care for our citizens should cause our government to stop diverting our resources to foreign adventures that have no financial payback.[Truncated] 22722 6/26/06 2:34 PM AZ "* Rising costs,lack of emergency care, and a shortage of physicians have placed Americans in the position of looking at a lessened quality of health care compared to our parents/grandparents. Universal health care seems to be the only viable so[Truncated]" "Knowlegable citizens could indeed generate awesome ideas, provided they were totally separated from any special interests." It is beyond conscience to accept the fact that thousands of Americans are impoverished merely because they get sick. * This burden can best be shouldered with a coordinated immigration and job training plan that could help lessen the need for assistance.[Truncated] * We quite simply need more doctors and nurses. We must give assistance to those among us who can serve in this capacity. Perhaps we should be subsidizing more medical schools and research labs.[Truncated] Hospice is a great gift those of us who are now or will face the end of our earthly lives. "* It needs to be explained to a ""reasonable person's"" satisfaction as to why prescription drugs can be purchased for less outside of the U.S. There appears to be so many anomalies in the medical system that most of us are suspicious. Our gove[Truncated]" * Many of us have health-care off-set accounts to help with the escalting deductables. I would be willing to contribute this amount if it were taken from my pretax income towards a zero deductable national health care system. Perhaps we all sho[Truncated] 22723 6/26/06 2:34 PM CO * Especially veteran's who have Honorably served the United States in the Armed Forces but did not retire with 20 years and don't have access to retiree benefits through the VA. [Truncated] I agree I agree I agree I agree I agree "* I know this effort will be heavily contested by many people and groups. I feel this is a very important movement that will need lots of support from the ""working"" people. Please let me know if I can help. [Truncated]" * It shouldn't be that hard utilizing all of the different programs that exist already. Why can't these programs be merged and people who have access to benefits through their employer be offered more affordable options????[Truncated] 22725 6/26/06 2:34 PM OH "* It should be a constitutional amendment that every citizen have a right to health care and that all should be given the same level of care reguardless of Finincial, ethnic, religous, or any other criteria. Equal care for all!![Truncated]" "* Bar all non citzens from this program. A new law with reguards to illigals in the country if they seek health care of any type they most be reported to immigration, given stabilizing treatment and deported with out delay.[Truncated]" "* All hospitals should be government owned, run, or non profit, all doctors, nurses, and hospital workers should be civil service jobs.[Truncated]" * legalize doctor assisted ending of life in terminal cases where the person is suffering at the discretion of both doctor and paient. this would be both humane and save countless dollars[Truncated] "* we must start by de-profitizing drugs, hospitals, and all other aspects of care. Start by making a national new drug journal and list all new drugs and send this to doctors monthly and make illeagal the advertising, or promoting of drugs, dru[Truncated]" 22727 6/26/06 2:34 PM OH * I agree that we should be able to accomplish this for our Americans - we can do so much for other countries and yet we forget our own.[Truncated] 22729 6/26/06 2:35 PM OR Absolutely my family's top priority. We favor a national health care system--a single payer system. We strongly concur with these recommendations. We support a publically financed program to cover these costs. This is critical. We support the Oregon program regarding right-to-die with dignity. "* Health care in America is very spotty, sometimes non-existant, for lower and middle income families, particularly those working without comprehensive medical insurance through their employment. I have often considered the various advantages [Truncated]" "* We currently pay nearly $9,000 a year for our current health care insurance and corresponding co-pays and prescriptions, and that is with no major illnesses or hospital stays. We should be able to get more of a bang for our buck.[Truncated]" 22730 6/26/06 2:35 PM CA "* I have been denied coverage for having controlled high blood pressure. It does not affect my health, I take a pill a day that keeps me healthy. Insurors are maximizing profits by reducing exposure to non-threatening conditions. [Truncated]" "* A just as liability reform brought back the general aviation industry, the same legal limits must apply to health care. Remove the profiteering from attorneys who participate in liability lawsuits and reduce the liability that physicians who [Truncated]" 22731 6/26/06 2:35 PM CT * I totally agree that all Americans should be provided the best available health care from cradle to grave regardless of economic considerations.[Truncated] "* Any and all critical care modalities that improve, prolong, or positively impact the quality of a person's life should be considered primary health care and should be provided to all citizens regardless of ability to pay for such services.[Truncated]" I agree! I hope that we don't just create layers of bureaucracy that frustrate and deny the very people in need of care. We certainly have examples of fraud and mismanagement so I hope that steps are taken to prevent recurring abuse of the system "The survivors are faced with many emotions, concerns and problems. Any relief of those burdens is welcome." * I disagree that new revenues are necessary. Realignment of current revenues via the line item veto would instantly provide the monies necessary to fund this effort.[Truncated] 22732 6/26/06 2:36 PM MI * Health care is a right NOT a privilege. Universal health care would put humans on equal footing more importantly all would receive the same care. [Truncated] "Wellness encompasses physical, dental and psychological well-being." 22733 6/26/06 2:36 PM MN "* While the health care industry makes up the largest portion of our gross domestic product, and profits in the industry are at an all time high, we need to lengthen the distance between the haves and the have nots. However we should keep our [Truncated]" "As long as corporate tax law remains favorable to me, and allows me to write off any added expenses, I am okay with it." 22735 6/26/06 2:36 PM IL * I lived in the UK and really like universal-health (&would be up for a flat-tax as well). It seems much more fair and much less wasteful.[Truncated] Preventive-service is an idea a long time in coming to the US. YES! finally I hope Universal-basic health and help for the very expensive (~boutique)yet-necessary ops. I miss my old local HMO family health center. I can't afford anything like this anymore. Simple but good. "* reduicing fraud/waste consumer-usable -lessen the legal, have easy info (even email exchanges w/pics; if it can't be found online for sure) (have cheaper no-fault advice/services)[Truncated]" yes I would like to be able to follow the progress (&yes could add more). "I agree. Incl. sin-tax, IT .." 22737 6/26/06 2:36 PM IL Access to affordable health care services for all Americans should be our highest public policy goal. Insurance company profits should be one source of financing for health care coverage. 22738 6/26/06 2:36 PM CA I agree. Wellness and preventative services is crucial. Definitely. "No privatization. A single-payer system, with profit out of the picture, will be the only way to truly keep costs down." I support a federally funded single-payer system. This should be included within a single-payer system. * It is immoral for a country of our stature to not provide health care for all. I support a single-payer system so that all Americans will have affordable health care.[Truncated] I support a single-payer health care system for all Americans. 22739 6/26/06 2:36 PM IL "* Yes, we are at a transition. The USA had a contract with employers and tied health care to the job. Now this Congress and President have delinked this connection even from retiree's benefits. It is unjust. We must inform the American pu[Truncated]" "* YES! You may have trouble with ""Right to Lifers"" But we are not God and to ""support a life of quality"" not quantity should be the criteria for benefits. I am 63 I know I will not live forever. Let us teach America that instead of ""Have me[Truncated]" "* Again, there must be limits on health care receive. I have seen MD's want to transplant a third liver! We must teach that death IS a part of life, the final act of our life. [Truncated]" "* I love the community care concept. Is not this Chrisitianity at its best. Sign as this administration is stripping all communnal involvement and support from our legislative positions.[Truncated]" "* I work in a hospice. The cuts are to the bone marrow of health care. I do not want to think that you would ""use these red herrings"" to address the need. I see this as old thinking. I experience the system as down to the minimum. I have [Truncated]" YES YES YES "* The system is not working for most Americans. Cost and accessability are key. This Congress and President consistently lie and provide protection, change lasw, etc for the PROFIT of the pharmaceuticals, and FOR PRofits health care systems. [Truncated]" "* I have no problem with a one-payer system like Medicare for all. Let us promote lifestyle and healthy living, not spend the money on ""trying to become immortal"" nor at the ""Last two years of life"" Allow natural death. [Truncated]" 22740 6/26/06 2:36 PM CA "* I fully support a health care system that provides access to a set of core health care services to all Americans. I should be a health care system where everyone participates, regardless of their financial resources or health status, with ben[Truncated]" "I agree, but feel more emphasis should be put on health education and preventative care in such a system." I agree. Please try to minimize the levels of beaurocracy in this respect. I agree. I agree. 22743 6/26/06 2:37 PM CT * Everyone should have healthcare regardless of income. Most people work for companies that do not offer healthcare. WE are the richest country and cannot help people have healthcare. SHAME SHAME!!!Helath[Truncated] * The biggest problem in this country is that the low income and middle income families always get shafted by the government when it comes to healthcare. Physicians charge too much for medical service.[Truncated] * All medical insurance should be federally funded. We pay for stupid wars at the expense of everyone. Insurance companies are ripping the american public off.[Truncated] "* I feel that since we have enough money to back a war, we should have enough money for healthcare for all. The insurance companies and doctors should be held accountable for overcharging on medical services. There should be a checks and bala[Truncated]" "Healthcare should encompass both dental, mental and medical assistance. The fees should not be so high." 22744 6/26/06 2:37 PM NV "* Before I retired, less than 10 years ago, my health plan was approximately $30.00 monthly out of pocket. When I retired, the same plan jumped to $75.00 monthly overnight. Now it is $200.00 + monthly and I had to go from the high option cove[Truncated]" 22745 6/26/06 2:37 PM MT Sooner than that would suit me better. Say 2008 or so!! "yes, yes, and yes." "Not Homeland Security, and not someone like Bill Fritz, or some other Republican medical expert." I totally agree with the above. "Awesome ideas here, also." "Not really, but you are certainly on the righjt track. I'm a 79 year old widow who lost my husband to a 'medical procedure.'" Get rid of those obscene tax cuts to the wealthy. 22747 6/26/06 2:37 PM CO Seems to me that quality health care should be a given in our society - a human right. Sounds good. Don't forget to include vision health. "* Yes! As a member of the working poor with health care benefits, I've seen my co-pays double in the last four years, and benefits decline. Meanwhile, Pay goes up 2% per year. I can hardly afford to go to the doctor, even with insurance. S[Truncated]" Sounds like a lot of beaurocracy to coordinate...any way to simplify? The goals sound good. Appreciate the section on consumer-usable information. A MAJOR issue with the baby-boomer population bubble coming into retirement age... This health care system should NOT provide services for illegal immigrants!!! "* While we can't expect financing to materialize from thin air, a fair, efficient system is possible, where all share responsibility in order that all may benefit. How does it work successfully in other countries such as Sweden and Holland?[Truncated]" 22749 6/26/06 2:37 PM IL * what is the real hang-up about health care for all? we pay for illegal immigrants in america. why not for all working americans.[Truncated] 22750 6/26/06 2:37 PM IL "* The reason why it health care ""not affordable"" is because of for-profit health insurance that decreases efficiency (thus affordability) of our overall system by about 31%. The Medicare system has a 40-year proven efficiency ratio of around 2[Truncated]" * Medicare For All (HR-676) is the single best solution. Put everyone in one big risk pool so we can have the best benefits at the best price with free choice of provider and much-needed transparency.[Truncated] * Get the for-profits out of our health care system and pay the providers extremely well for providing much-needed care with a portion of the savings.[Truncated] "* Cut the crap and put us all in one big risk group taking are of each other together for the good of the whole, not )as we are currently) for the welfare of a moneyed few. ""Free Marjet"" principles are flawed when the option of whether or not [Truncated]" "* Stop keeping us divided an dconquesred. We want to unite together for the Good of the Whole, as every other moral, civilized nation on Earth does. Make money some way that doesn't kill Americans and STOP PREDATORY CAPITALISM....because it g[Truncated]" Medicare for All would do all of this and save us billions. "* HR 676 is THE BEST SOLUTION. Some day the people will see the truth, the naked emperor, an dthose of you who failed to point out the obvious will look shameful (just like those who did not support civil rights for people of color). [Truncated]" "* Getting rid of the profit and overhead of the for-profit health insurers will save us enough to cover everyone for everything and have about $300 billion left over, according to Physicians for a National Health Program, the Lewin Business Gro[Truncated]" 22751 6/26/06 2:37 PM OH I agree. I agree I agree. I agree. A single payer health plan such as that being proposed by a group called SPAN in Ohio would help save a lot of money. I agree A single payer health plan such as that being proposed by a group called SPAN in Ohio would help save a lot of money. 22752 6/26/06 2:38 PM MD "I truly believe charity begins at home, we have so many Americans who do not have health care, and that is shameful." 22755 6/26/06 2:38 PM CO "Why should illegal Mexicans get free health care, When our goverment want give us affordable health care." 22756 6/26/06 2:38 PM MO "* All Americans should receive healthcare from a single payer, government run program similar to medicare but without age restrictions.[Truncated]" * Medicare D should be completely revised so as to be run by medicare and so that it has the mandate to negotiate fair prices with manufacturers[Truncated] The single payer program should have no upper limit and should cover everyone regardless of employment status or income level. * A single payer system is an ideal partner with community health programs as such preventative programs save money in the long run.[Truncated] "* Here again, a single payer system will be better able to control fraud because there will cease to be any need to determine who is eligible - everyone is eligible. Such a system can dictate universal records systems and procedures for more ef[Truncated]" The coordination between various providers would take place automatically with single payer. * It is fair to say that a government run single payer system similar to old medicare with government prescription coverage and with universal coverage would solve most of our health care problems and would save us significant amounts of money.[Truncated] * The amount of new government revenue needed for running a single payer system would be significantly less than people and corporations are spending at present for inferior coverage.[Truncated] 22758 6/26/06 2:38 PM CA "...address the extreme monetary problems caused by illegal immigrants! " ...address the all monetary problems to the health care problems which are caused by illegal immigrants! "* Employer's of illegal immigrants and legal immigrants should provide health care package, put together by the creative minds of insurance companies, and paid by employers as well as immigrants. Thus, the strain on the existing health care sy[Truncated]" 22759 6/26/06 2:38 PM NY "* I believe that all Americans should have complete health insurance coverage regardless of age, health, income and employment. Just having ""access"" is not the same thing.[Truncated]" Agreed see my comments on recommendation 2 Agreed "* As long as there are private insurance components to any health care plan, there will not be the desired cost cutting mechanisms to make the plan financially viable. Medicare has an administrative cost of 3% while private for-profit insuranc[Truncated]" 22761 6/26/06 2:39 PM GA Private insurers are much more ineffective than public programs. Working conditions of nurses must be improved. Resources to train larger numbers of physicians and nurses is required. Paying taxes for a universal health care system would be less expensive than private insurance. 22763 6/26/06 2:39 PM MD "* You can take a horse to water, but you can't make it drink. Uninsured people generally don't seek medical care until their health is ""in extremis"". [Truncated]" "* This must also include ""recovery & cure"" care, such as Physical Therapy, Occupational Therapy, and accomodate the reality that elderly patients must be kept active because if ""you don't use it, you lose it"" and that applies more so to the eld[Truncated]" "* Unless you require all businesses to provide full health care insurance, people will be scamming to ensure that they are paid for by the government. Must ensure that people don't have to be destitute in order to qualify. Should [Truncated]" "* Our current system is being undermined by the search for income by hospitals. In Baltimore, John Hopkins doctors frequently can see a foreign patient at the drop of a hat (because they pay full price), but Americans frequently need to wait f[Truncated]" "* This statement overlooked the existence and history of the Public Health Service (Seaman's hospitals) which were reduced in 1981. Until that time, we had public/private system whereby anyone who needed medical care could go to a Public Healt[Truncated]" "* This already exists via home health care, however, the quality varies from locale to locale. This needs to be standardized with the goal of bringing all locales up to the best. [Truncated]" * This proposal sounds almost like a proposal to create committees to study and make proposals that will result in a program that will be approved by legislatures who won't bother to read and understand it. The result could be to short change [Truncated] * Must bring everyone up to the best care that is available. Must make sure that what ever program is passed doesn't relieve employers of responsibilities that were already agreed to in collective bargaining. [Truncated] 22764 6/26/06 2:39 PM NY We should follow the health care system which Germany has established. It is excellent and available to everyone. "* All physical, mental and dental health care should be equal; however, the patient should have the right to select the doctor whom they prefer.[Truncated]" Use the German model. "* Clinics will not work because the rich and eccentric do not want to be with ""those people"", meaning the poor, working class poor, middle class, etc. Also, not all clinics are good for everyone.W[Truncated]" * Why do I hear about blue cross/blue shield saving money and yet my rates are ridiculous? I would prefer care for my spouse and myself without paying for the family plan which we currently have.[Truncated] please allow people to have choices in dying; they paid their dues. "* Currently, the state of health care in the U.S. is fast becoming discriminate in that only the affluent will receive it or the criminals in jail. I support health care for all, equally provided, and not segregated by socio-economic class. I[Truncated]" "Again, use the German model." 22765 6/26/06 2:39 PM OH * I am very grateful that there is a group truly concerned about the health care of all Americans. It is a disgrace that the US chooses to ignore the plight of millions of Americans in so essential a matter but will help out the good ole oil co[Truncated] "* an independent, non-partisan, private-public group is important and it should be a group that does not benefit personally from decisions made, except in their positon as fellow Americans[Truncated]" it's possible and good-other countries have shown us that!! don't need to add to an already well thought out plan * it is soooo important to be truly working on preventative approaches in health care...information that helps us stay healthy is every bit as important as health care once we are sick...and catching the folks who have been abusing the system n[Truncated] all good * thank you for the intense amount of work that is reflected here...would that our own government cared as much...but thank YOU for taking the initiative to make SOMETHING happen[Truncated] The above is good. It is cautious and comprehensive and does move us forward. 22766 6/26/06 2:39 PM WA Agreed. Why wait for 2012? "* Hard choices must be made concerning what procedures will be provided at what ages. Very expensive items may not be provided past certain ages based on expected returns, or only partially funded.[Truncated]" Agreed. Costs must be monitored and controlled to make the plan work. * It is wrong that in a country like America everyone does not have decent healthcare and protection from economic ruin caused by medical costs.[Truncated] "* If we can spend 400+ billion dollars on a war that should not have been fought, we can afford universal health care. Look to the advantages that business will gain in competative markets with reduced health care costs. Just do it.[Truncated]" 22767 6/26/06 2:40 PM CA I totally agreee! I totally agreee! I totally agreee! I totally agreee! I totally agreee! I totally agreee! 22770 6/26/06 2:40 PM NY I agree that all Americans should have access to quality health care. I agree The cost of some operations are so high some sort of protection must be put in place * With insurance companies out of the picture prices are sure to drop.The government needs to support our existing health care networks and to make them stronger to support the best practices.[Truncated] * There is nothing more hurtful than watching loved ones not being able to get the help they need at a price they can afford without ruining the family life also.[Truncated] * If Canada can afford to do it we should be able to do it also and cheaper as we have more doctors and hospitals than they do. We also have the quality care of the nurses and even the volunteers.[Truncated] It will need financial backing from programs to get to work and to keep it working. 22773 6/26/06 2:40 PM FL * I beleive all citizens that are 55 or older should not pay for helath care it should be free. They have work all their lives to make this country what it is and should be rewarded for their efforts.[Truncated] Health Insurance should cover all procedures. I person should never be turned away becuase their insurance refuses to pay. * Insurance Companies should not have the final say on treatment. If the Doctor says this is needed then so be it. That will cut down on long term care for some patients. Patients that are turned down by their insurance company tends to allow t[Truncated] In order to improve care you first need someone who really cares about the people to be in a position of power. "Yes, Please push for free health care for the 55 and older groups." * My thoughts are big buisnesses should as Wal-Mart should be made accountable in Florida for health insurance for all of their employees at a rate that the employee can afford.[Truncated] 22776 6/26/06 2:41 PM AZ "* Currently funded programs can be incorporated into the costs, so it's not a completely new-start program. Common sense, logic, and innovative thought processes are key to a viable program. If the US Government won't do it, where costs would[Truncated]" 22779 6/26/06 2:41 PM OR I suffer from chronic pain. Can't quit working at 60 because I have to have healthcare. Must be folks who do not stand to profit from the status quo. Insurance companies seem to be moving in the oppisite direction. Start wit the aging. More help and less blame would promote participation. Hospice was very wonderful with my Dad. Needs to continue. "* It has to change. My fear is that it will get much worse, people will die before it gets better. It seems like middle-lower classes are expendable drones in this ""change""?[Truncated]" Rising costs victimize consumers by making action impossible. 22780 6/26/06 2:41 PM MI * You know the old saying if you don't like this country leave. Well after my whole adult life being affected by NAFTA causing me to move from state to state and losing 3 jobs directly from jobs leaving this country. Going to a country with Nat[Truncated] 22781 6/26/06 2:41 PM PA * If a sliding scale for payment is used it should be low enough so as not to impoverish any struggling household. A struggling household can include middle class going through financial hardship at that time. These core services must include[Truncated] 22784 6/26/06 2:41 PM FL I am and have been in total support of this recommendation both as a Registered Nurse and an American. I agree with this in total. I am in total agreement In total agreement In total agreement Absolutely * I have watched the deterioration of health care in our nation over the last 25 years. I have worked in health care since 1978 and have been appalled by the increasing cost of health care and prescription medications.[Truncated] * I am in total support of this and understand that it will take time to undo all the damage that has been done to the American health care system due to greed or profits over people.[Truncated] 22786 6/26/06 2:42 PM CA "* I am an American who lived in Canada for 15 years. I had a heart proceedure there and took my kids and wife to the doctor and hospital many times over that period. Single payer universal health care works very well even though, as former Ed[Truncated]" Univeral single payer -- Medicare for All -- will make this entire area unnecessary. "* I am an American who lived in Canada for 15 years. I had a heart proceedure there and took my kids and wife to the doctor and hospital many times over that period. Single payer universal health care works very well even though, as former Ed[Truncated]" 22788 6/26/06 2:42 PM CA * We need health care for all. It is barbaric that we have so many people without healthcare. It also drives up the cost of healthcare for the rest of us to have so many be uninsured.[Truncated] "* We need to have a solid plan to pay for the health care system. We must make sure that the basics are covered, especially for seniors and children. Preventative healthcare will save us money.[Truncated]" We should make sure that we take some of the power away from private insurers. A publicly financed system is the way to go. We must make sure to create a system where doctors and patients make the decisions. Instead of just using current systems we should be focusing on creating a newer system that supplies health care to all. We should make terminally ill patients as comfortable as possible without them needing to worry about the bills. We should move towards a single payer system or something similar to Canada. 22789 6/26/06 2:42 PM CA "* Many of us who have a genetic disorder want to work but in order to get our medicine paid for we have to go onto disability to be able to pay for mediciine thta cost from $150,000 to in some cases $2 million a year. We would like to see a nat[Truncated]" "We americans should have the same benefits as our representatives do, we pay for thier insurance why should we get less?" "* I am a hemophilia and it cost me $600,000 a year for my medicine, I have had to change jobs move in order to keep insured. We need a system that will have NO lifetime cap.[Truncated]" * Serving the rural areas and underserved will take a big cut out of the big institutions overwhelming health care cost and would be better served on a local level in stead of piling it up on a few big centers. [Truncated] "* We are behind in getting our system up and running in the 21st century, we have problems when it comes to electronic records, we need to uniform them so that everyone is using one system and making that system effecient. This would make it ea[Truncated]" * With an aging population it is essencial that we invest in education of people to take care of these people and provide tax incentives for companies to build and staff skilled nursing homes to take care of this aging population.[Truncated] I would be glad to help speak or lobby in support of changes. * All americans are paying for health care from insurance to taxes to cover Medicare and medicaid. Many of those who have to use Medicare and medicaid have to quit work and drop down to poverty in order to get thier medicine instead of working [Truncated] 22790 6/26/06 2:42 PM OR "* Why are you trying to re-invent the wheel? SINGLE PAYER medical systems exist around the world, including our neighbor to the north. We need to end the domination of our medical system by corporate insurance and corporate pharmaceuticals. By [Truncated]" "How about the ""core benefit package"" that Congress has?" How about NO put-of-pocket expenses for anyone? Get rid of the corporate waste and you don't need them. Sounds good to me. We don't need information on prices or cost sharing if we have SINGLE PAYER. SINGLE PAYER "* HMO = health MAINTENANCE organization. If we actually had this, rather than the corporate boondoggle called HMO, efficiency would follow.[Truncated]" 22792 6/26/06 2:42 PM NV "* Affordable should be based on what the person can pay not on what the provider says the person should be able to pay. Factors like mortage, rent, car payments and insurance as well as other debt should be taken into account as well as the cos[Truncated]" "* Funny thing about non-partisan private-public groups they always seem to be controled by those they regulate. Just take the FCC for instance. The rules should be spelled out simply and if they are not right thrown out not just changed or rew[Truncated]" * Thier is nothing wrong with medicine for profit. Their is something wrong when these doctors and hospitals both deduct the cost of free healtch care plus raise the price. [Truncated] "* The Federal governemtn should have a program where they pay a persons madical school cost and in return this person has to work in a rural or low income area for a certain amount of years. Their home, car, clinic, expenses paid for during tha[Truncated]" "* Many see a problem that homeless, welfare people and illeagles get free and better healthcare than they get and they have a steady job. Weather this be myth or thruth it must be addressed in full. People who have jobs and cannot afford insura[Truncated]" "* People remember Doctors are not Gods. They do and will make mistakes. The people they service will also ignore their advice until it is to late. ""Give up smoking"" -- to me anyone who smokes and get ill due to smoking need not complain about c[Truncated]" * All to oftern people thing their is a pill or operation that they can take to fix things and then go back to doing the samething that made them ill in the first place. It should be allowed that the doctor can advise alternative forms of med[Truncated] * What should be taken into account is what the person really needs as compared to what the drug companies says they should have. A man 75 and older really has no need for Viagria for instance. And eveybody gets depresed it's part of life your[Truncated] 22793 6/26/06 2:42 PM CO "* Financial protection should be provided for all families, not just low-income families. This is because health costs can easily bankrupt evem middle-class families.[Truncated]" "* Many studies have shown that a single-payer system can provide universal health insurance for less cost than we're spending now. One such study is the GAO report GAO/HRD-91-90 ""Canadian Health Insurance: Lessons for the United States""; it is[Truncated]" 22794 6/26/06 2:42 PM CA * Curren wording omits a clear statement that physicians from all the various specialities must be centrally involved in determining what consitutes essential care.[Truncated] "* Throw out the private interests. Including the insurance companies will only result in them finding a role for themselves! Look to government-run models like U.K., France, Canada for much more efficient use of funds.[Truncated]" * The current wording beats around the bush. Universal healthcare is a basic human right and should be treated as such. It should be funded by the federal government through a true graduated income tax.[Truncated] 22795 6/26/06 2:43 PM TN "* No Americans have affordable health care whether they have health insurance or not. For those who do not have health insurance, they face constant threat of loss of homes, bankruptcies and life. For those with health insurance, the costs cont[Truncated]" There should be some sort of government guarantee of coverage to all. * There should be some contribution from employers. The health insurance should be in the private sector. Remember FEMA and other government fiascos which are usually the result of political appointees.[Truncated] 22797 6/26/06 2:43 PM MI "* Yes it should be for all AMERICANS and not all of these temporary imports that we see swallowing up our state money and then returning to Mexico. [Truncated]" 22799 6/26/06 2:43 PM NM * We need to vote out the greed in gov. and get rid of the greed in healthcare. Healthcare has become big business and there is mostly concern for the dollar not the well being of the public. [Truncated] 22801 6/26/06 2:43 PM CT "* everyone should be able to affort the medical and there is great need for that.here in america there is lots of people without medical coverage because they cant affort it. they need hlep, so let be resonable.[Truncated]" * it should be a plan that will benefit all and not to be put so difficult for the people and that people that cant affort it should be a free plan for those that are elegible .[Truncated] i agree with this recommendation very much so. i agree very much. there is lots of room for a better change i agree * the rich has everything and those not know how the poor or middle class has to survive every day and also the goverment dosent know how we have to work hard to be able to have what we need and also take care our fam.[Truncated] "* you know that the goverment spend money in other things that are not helful , instead of health care. they should be taking care of our people first.[Truncated]" 22802 6/26/06 2:43 PM MI "* I agree with this. I work for a state agency that provides Medicaid to low-income people and families, but there is often no medical coverage available to single adults unless they can prove they are disabled.[Truncated]" "* Vision insurance should not be overlooked. Most adults cannot easily afford the cost for glasses, especially those requiring bifocal or trifocal lenses. The cost to update is very high, and those without the resources may be forced to go ma[Truncated]" Amen to this! "* This program MUST be done fairly and without corrupt, greedy companies sticking their noses in in order to get THEIR piece of the health-network pie without offering proper services to their clientele.[Truncated]" "If Canada can have a national health-care system, why can't the United States?" This can be done. * It is shameful that one of the richest nations of the world has one of the poorest health-care systems. The red tape that's been snagging this must be cut in order to provide a fair health-care system to all regardless of income or lack ther[Truncated] "* Instead of taking money from the lower financial classes to fund this, the wealthy should instead finally pay some taxes to help those less fortunate.[Truncated]" 22805 6/26/06 2:43 PM TN Yes everyone should have health care.T "The lottery's in each state should have to help pay for the health care of there own state,including mental & dental health." 22806 6/26/06 2:44 PM AZ "* We can solve the whole healthcare problem with a universal, comprehensive, single-payer, national health insurance program. zzin other words by expanding Medicare to cover every American, not just seniors. Such a program would address ALL o[Truncated]" 22808 6/26/06 2:44 PM OH Health care for all regardless of financial status - rich or poor - black or white or brown - health care for ALL means ALL!!! I have no additional comments here! Totally agree with all of No. 3. Agree! * Iron out any provisions that should have been included above after the program is implemented and can see whether it's doing what it was really intended to do![Truncated] Agree! "Not until it's in operation - (if I'm alive then, ha!) - and I have a chance to see how things are going!" * Financing to come from government collected taxes! This should happen AFTER the give-away to the rich is rescinded! The rich shouldl pay their fair share on the graduated scale used to figure income taxes during the 1990's![Truncated] 22809 6/26/06 2:45 PM AZ "I agree with this recommendation. Health care in the richest country in the world should be a right, not a privilege of wealth." I agree with this recommendation. I totally agree with this recommendation. I agree with this recommendation. I agree with this recommendation. "I very much agree with this recommendation. " I agree with this recommendation. 22811 6/26/06 2:45 PM CA "* I am very concerned about the Bush administration's vision of privatized health care accounts and high-deductible health plans , as these things would exacerbate, not fix, the problems with health care in this country. Currently, 46 million o[Truncated]" 22812 6/26/06 2:45 PM PA i think this is a good idea * instead of paying $4.65 an hour for health benefits. why not pay into a governmental fund for everyone. insurance companies are the only ones winning here[Truncated] 22813 6/26/06 2:45 PM TX "* Additionally alternative medicine should be paid for as well. Preventitive medicine should be looked into as well. It is less expensive to prevent an illness from occurring then to treat one that has already developed. Look into yoga, massage[Truncated]" See my above comments in the first box. See first Box. See first box. 22815 6/26/06 2:45 PM NY * The Good Of The Many Out Weights The Good Of The Few. ie.The AMA - The Drug Companies - The Insurance Companies. You get the Idea.[Truncated] * The Goverment Will Have perform This Task In A Way It Never Has Before. If A Provider Screws Up Make Them Pay. If A Doctor Screws Up Make Them Pay. If An Offical Screws Up Make Them Pay. If An American Screws Up Make Them Pay.[Truncated] SEE Comments Regarding Recommendations 1. 2. "They Did For Animals 4H Clubs, Cornnel Co-orpertive Extenisions, County Health Centers. It Can Not Be That Hard For People." "* Its All About The $$$$$$$$$ Who""s Computer Systems Will We Use top Make Sure We Get The Bang For Our Buck The Problem Is Who Is Saying This The People Or The Systems Owners. [Truncated]" The System Beats You Up Every Day It Should Let You Win The One With Dignity. "* Worry About Health Care That Works For All Americans First Then Foreign Aid. If We Are Not Healthy How Can We Help The Rest Of The World. We Feed The World, We Heal The World We Do Not Do It For Free. We Forgive Them Thier Debts And Then Char[Truncated]" 22817 6/26/06 2:45 PM CA "* All Americans must have access to health care immediately. ""Should"" is a very weak helping verb. Change it to ""must"" have a health plan and your message is stronger. [Truncated]" "Yes, we need birth to death health care, which covers all of the above." Yes! Stop complicating things! We need national health care for everyone ASAP! "When we have a single payer plan that excludes drug and insurance companies, the cost of care will dramatically go down." "As I said above, Americans need health care from birth to death." * We are the only country that does not have a universal health care plan for its citizens. It is outrageous that the richest country in the world won't provide health care for people; instead we subsidize drug and insurance companies who do n[Truncated] "* Health care must be financed through general taxation of ALL citizens (yes that includes the rich, too!). Our country needs a government single payer plan, which will get the drug companies and the insurance companies off our backs![Truncated]" 22819 6/26/06 2:45 PM IL "* For those who really desire and are willing to work toward providing health care for themselves and their families, we should provide financial assistance. This is especially important for those minimum wage families who will now still be in[Truncated]" 22820 6/26/06 2:45 PM WI "* I'm an RN in a teaching hospital that already has to bite the bullet bullet and swallow the cost of treating the poor because everyone around us refers them to us for care. Why do we have to go under, and all the other teaching hospitals as w[Truncated]" 22821 6/26/06 2:45 PM MO Agree Agree "Yes, Agree" Agree "Yes, agree" Agree Agree 22823 6/26/06 2:45 PM SC Great idea.Lets get it passed. 22825 6/26/06 2:46 PM TX "* Being poor should not be a road block to important health care. All citizens must have access to optimum health care including medications, without placing a financial burden on the families.[Truncated]" "* We must not allow insurance companies to dictate what medical circumstances they will not be responsible for. Universal, quality health care does not give them the option of excluding catastrophic illnesses.[Truncated]" Agree wholeheartedly. "* We must provide citizens the tools for optimum health. Toxins and other additives that are unhealthy, must be removed from our foods by law (eg. hydrogenated and partially hydrogenated oils). Citizens must have information to make healthy c[Truncated]" "* The federal government must set standards for medical costs. Doctors, hospitals and insurance companies must not be allowed to continue running up the costs of medical care. Severe restrictions on drugs and medical procedures can only be ef[Truncated]" Agree wholeheartedly. "* Quit allowing the free market to dictate costs. The citizens should have a voice in the cost of medical care and the federal government must be our enforcer not the ""enabler"" of the medical profession. [Truncated]" "* Whatever mechanisms are put in place to finance a universal health care system, they must be fair and just to those who are at the low end of the economic ladder.[Truncated]" 22828 6/26/06 2:46 PM CA "What about vision? I'll pay for fancy glasses, but my eye exams are for my overall health." "* Taxing unearned income would be good. Lack of health insurance payments allows corporate income to increase, inflating share prices and dividends. Finance healthcare thru a tax on dividends and capital gains.[Truncated]" 22832 6/26/06 2:47 PM OR "* Preventative care and regular physicals would help keep cost down, and I think it would lower them significantly. Eligibility for more expensive procedures down the road could be tied to maintaining regular physicals and using preventative pr[Truncated]" "* Most,if not all states have county-run or state-run medical services. Most states require employers to maintain worker compensation insurance. Most, if not all states have a medicaid plan. The federal gov't provides medical support for vetera[Truncated]" "* If the government could amend and expand Medicare to make it available to all for a price based on ability to pay, it would force the insurance carriers to compete. This plan would still need subsidizing, but the subsidy could be increased th[Truncated]" 22835 6/26/06 2:47 PM OH * It is absolutely essential that ALL Americans have health care services. It is absolutely criminal that American citizens are unable to access essential health care because they have no insurance & cannot pay for care![Truncated] I wholeheartedly agree with this recommendation. Agree Agree I would like more emphasis placed on prevention activities Agree * I would like a recommendation specifically addressing the needs of people with disabilities & educating medical personnel about their needs.[Truncated] "* Financing a new system will take creative thinking. However, cost or complexity of funding should not be an excuse for further delaying implementation of a plan that serves ALL Americans![Truncated]" 22836 6/26/06 2:47 PM WA * We should join the rest of the civilized world and offer cheap/free health care for everyone. Our current profit-based system is a disgrace.[Truncated] "Further, citizens should be free to refuse any and all treatment without penalty." "* I'm baffled as to why our herdlike population just takes it in the tail and uncomplainingly pays the freight for this obscene system. Remember, it's ""We the people."" We're in control.[Truncated]" * Is it too much to hope for that we can do an end-run around bloated pharmaceutical costs and promote natural methods of lifestyle change instead of pushing costly and marginally effective drugs like statins?[Truncated] "* Amen. My family had a real struggle getting hospice care when my relative's condition didn't include a flashing red sign over her head saying ""LESS THAN SIX MONTHS TO GO!"" She only had two, and we finally got hospice for the last week of it, [Truncated]" "* Ditch the insurance companies; that would be a good start. I'm old enough to remember when ordinary people could pay their medical expenses without all the middlemen. And doctors didn't have to pay ""Mother may I"" with 20-year-old insurance cl[Truncated]" 22837 6/26/06 2:47 PM ID * Absolutely necessary. We are a hugely wealthy nation whose healthcare protections lag behind those of other developed countries.[Truncated] "* Wellness care is an integral part of health and should be included in the core services along with all aspects of women's healthcare including contraceptives for both men and women. Additionally, as research continues to indicate the importa[Truncated]" Yes. Yes. "* Yes, but not to the detriment of needed treatment. Currently, many HMOs get in the way of necessary health care due to overly stringent insurance terms. While saving money is important, so is quality care, and excessive limitations defeats [Truncated]" "Yes - don't you want to die on your own terms, with dignity? This is a basic right for every human being." "* No system is optimal, as stated, but currently there are funds for Medicaid and other services that can be grouped into a national health care plan. Taxation of both individuals and businesses is appropriate and necessary for this to succeed[Truncated]" 22838 6/26/06 2:47 PM OH "* Funny....the Canadians can run a FREE National Health Care system, and it works BETTER than our FOR PAY health system here!!! There is NO REASON that we can't have that here in our country... rapidly becoming a third world country, thank[Truncated]" 22840 6/26/06 2:48 PM MI "* I agree, and if traditional, profit-driven health care insurers were cut out of the equation, I bet it'd be much more affordable.[Truncated]" "* I am not sold on ""providers."" I'm more of a socialized medicine person. There's no way we'll ever get providers truly on board with this. They like yachts too much.[Truncated]" Agreed. Okay. "* Yes. But even if quality and efficiency are problematic, it's better to have everyone covered than to have quality for only a few.[Truncated]" Yes. "* I really distrust any kind of disaster/misfortune insurance for profit, medical or otherwise. We have far less trouble with publicly funded education than with medical coverage issues. Our disputes can be quite philosophical when it comes to [Truncated]" I would expect to help pay for universal health care as long as I am not in reality making someone else's yacht payment. 22842 6/26/06 2:48 PM MD "* We need a single-payer health care system: one-class for everyone, not linked to a job, and not different programs for the elderly and disabled, the employed, and the poor. Forget about wasteful private insurance. Medicare for All would have[Truncated]" * Care must be comprehensive to be effective and fair. Preventive care and mental health care will save money in the long run and benefit the entire economy.[Truncated] "* A one-class single-payer system of Medicare for all would be best for patients and health care providers, and the only way to control costs fairly and effectively. Eliminate deductibles and co-payments that discourage people from getting time[Truncated]" "* Integrated community health networks would bring health care to underserved communities and lead to effective, efficient service for all. [Truncated]" "By combining the funding of all these programs, we can have one integrated, effective single-payer system." "Hospice and home-based care should be included in a single-payer system. [Please correct spelling of ""consensus."" ]" * A single-payer system is the only affordable way to provide high quality care for all. The cost of medical education should also be subsidized so medical professionals are not saddled with onerous debt that currently makes them feel the need [Truncated] "* The fairest system of finance is the progressive income tax, restored to fairness by repeal of all the tax cuts for the wealthy. Return corporate taxes to their previous higher level, and retain the estate tax. Enough of taxing wages and sal[Truncated]" 22843 6/26/06 2:48 PM NJ "* I feel if we are all able to buy into affordable health insurance, people could have 2 part time jobs instead going crazy looking for a full time job with a company that has medical benefits. Also people would be able to be semi-retired and m[Truncated]" 22844 6/26/06 2:48 PM MA "* I am all for this,medical costs should be distributed evenly across the board,regardlesss of financail resources,or health status.[Truncated]" Agree. Absolutely. " " Agree. Agree. * I feel most of the monies should come from the higher class people not middle class and I beleive that America has to start helping our own long before we help all the aliens in this country.This has gone on too long and I feel it has really [Truncated] Agree. 22846 6/26/06 2:48 PM NJ It should be one of the unalienable rights of all human beings. "physical, dental and especially mental health benefits" Coverage for all Americans yes yes yes Healthcare is just one of the top ten issues that are the most important in this nation at this particular time of history. Yes it can be funded by Bill Gates Foundation in the interim. 22849 6/26/06 2:49 PM MN "* It seems to me that the same politions who fight for the right to life on the abortion issue are not fighting for the right to life for the elderly. If we continue in the direction this administration is taking us in health care, more people[Truncated]" "* Insurance premiums for my wife and I ahve been increasing at a rate of 18-20% per year over the last 6-8 years. Meanwhile, our wages have increased at about 2.5%. There is no way any of us can survive many more years of this. In fact if yo[Truncated]" 22851 6/26/06 2:49 PM TN * Benefits should also include alternative approaches such as vitamin and supplement therapy in addition to procedures like acupuncture.[Truncated] * there should be no/ low interest on loans etc and payment plan options available. Information about financial services should be clearly written and readily available (in written form and phone call access) in multiple languages.[Truncated] * More information about HIPPA should be given to health care providers so that providers themselves can fax and email information with a proper understanding fo the laws. This moves the onus of being responsible for medical records exchanges f[Truncated] 22852 6/26/06 2:49 PM TX "* If people could get medical treatment easily, it would prevent more expensive medical treatment later on when their condition has greatly worsened.[Truncated]" "* What about vision? As a teacher, I frequently have students who need glasses but theirparents can't afford to but them or replace them.[Truncated]" This is a must. """Sin"" taxes are fine. How about expanded luxery taxes as well?" 22854 6/26/06 2:49 PM PA "* It is the moral responsibility of the country to protect its citizens when its citizens is unable to do so, most especially in the case of invasions and intrusions. Why is this accepted as a bedrock of our civilization in the case of a foreig[Truncated]" 22856 6/26/06 2:49 PM NY "* This is addressed to every Congessional person and the entire Presidential administration. You and your family are covered by a medical plan. Why shouldn't every American be covered by a health plan, also?[Truncated]" 22859 6/26/06 2:49 PM NY You can use Canada as a model. And make it a Not for Profit system to keep the greed out of it. Socialized Medicine should include ALL services. To ALL citizens. "* The term "" VERY HIGH"" is not difined and subject to special interests. Our current system does not work!!! A constitutional Amendment for Health care could be writen on 1 page. A) All legal Citizens of the United States of America will be gra[Truncated]" Not an option Not an Option * A tax on ALL American companies including OFF SHORE companys would cover ALL cost associated with this system. The biggest concern of businesses is the rising cost of Health care. If you Flat Tax each company by the number of employees then t[Truncated] 22860 6/26/06 2:49 PM CO "* In supposedly the most prosperous country in the world, it is shameful that we don't have adequate health care services for every single American. Instead we're close to third world status and moving in the wrong direction. All Americans de[Truncated]" 22861 6/26/06 2:49 PM MO "* I am very concerned about end of life services. Some elderly persons are spending down their savings by providing college trusts, etc. to their grandchildren and great-grandchildren. Others are hanging on to their savings and then letting it [Truncated]" "* We need national insurance for everyone that does not expect persons 55-65 to pay exhorbitant amounts of health insurance while those 65+ get medicare. Also, young persons just starting out get stuck with huge child birth insurance costs and [Truncated]" 22863 6/26/06 2:49 PM IN "* This is a fundamental quality of life issue for our entire society. We must do this in order to contain health care costs. At the present time, exhorbitant rates are driving up insured fees AND creating runaway expenses in Medicare and Medica[Truncated]" "The ""experts"" need to be both well educated in medicine and FREE of special interest and government alliances." This is more than a goal it should be the statement of purpose. "Medicare was very successful, it could be the model." * Absolutely imperative. And if and when an individual decides they do not want to prolong life either personally or by proxy this should be honored universally.[Truncated] * God Luck. We are all very interested in this. I'de love to see more bipartisan legislation as early as next year. This is almost as important as the economy in general because it has such an effect on our lives and costs both individually and[Truncated] * If this transition is carefully planned it would not be anymore jeprody or inconvenience that the current run-away cost method we curently have.[Truncated] 22865 6/26/06 2:49 PM MO "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" "* DO AWAY WITH ALL LOBBYISTS.....IT SHOULD BE ILLEGAL....NOTHING BUT BIG MONEY GETTING WHAT THEY WANT.....WHAT IS THAT BUT BRIBERY???? THIS COUNTRY WAS FOUNDED ""A GOVERNMENT FOR THE PEOPLE BY THE PEOPLE"".NOT "" A GOVERNMENT FOR THE RICH BY THE R[Truncated]" 22866 6/26/06 2:50 PM HI "* Just don't call it ""Free"" Tell is like is would be, paid for by our hard work by money taken out of our salaries to help all. [Truncated]" Dental is amust if really care. But self destruction should not be bailed out! "* A family doctor for everyone, every child who can give so many lost youth a feeling that there is some one who cares about them![Truncated]" A more social society is needed. How to improve the influences of our horrible media? "* The ultimate civil right is the right to die when one no longer cares to live! It is sick, sick, sick to keep alive the incurable suffering who would like to move on to greener pastures. [Truncated]" "I feel very saddened by the horrors of our current reality! The lies, lies, lies that are every where!" "* Emphasis should be on prevention and educaation. This will directly clash with private interests that sell us cigarettes, and unhealthy food and drink! Our additions are menay, fat, sugar, crapy snacks![Truncated]" 22869 6/26/06 2:50 PM CA It's LONG overdue. It should closely resemble what The Clintons proposed in 1990. "* Ethics MUST be involved. Please find away to not permit it to go the way of what used to be an honorable FCC, NAB, SEC. (Call me.)[Truncated]" "Medical Care isn't merely going ""UP""; the cost of MRI's and various oscopies are becoming bankruptsy factors." "Include Citizen Auditing of all legislative and operational structures. (Please, call me.)" "Incorporate the old, time worn (but beautiful) ""Hippocratic oaths"", not only for MD's, but for all involved." " Include all options, politacal, ethical, religious, including the withholding of end-of-life services." "* Yes, I'd like you to take all my above statements, put them in one paragraph and repeat theme here! (and use them as my appli8cation to serve on your advise and consent citizen panel). [Truncated]" "* An ""SEC"" kind of ""Fed Reserve"" czar must oversee...NOT Corporate! It Must Not be just another ""Energy Bill"" or ""Bush-style Prescription Plan""[Truncated]" 22870 6/26/06 2:50 PM MO * Couldn't say it any better myself. Particularly if you lose a job where you had health benefits but have a pre-existing condition. Currently you can't even get health care ever again. That is so morally wrong.[Truncated] * Government should not have unfair control of this package and nobody should have the right to refuse you service or pick and choose what you can and can't have done. Like now the over control of prescription drugs by government is making th[Truncated] See previous comments. See previous comments. See previous comments. See previous comments. "* I agree. However, this should be for legal American's that are tax paying American's. I have difficulty paying for anything for illegal aliens and people that don't pay taxes.[Truncated]" 22872 6/26/06 2:50 PM MI "* We need National health care now! The drug company's,and insurance co's are holding us for ransome.Nothing will change until congress gets off it's duff, and starts to look out for the general population, not just their own interests.[Truncated]" "* National health care gives the same care to the richest,and poorest of our people.If only Congress would leave it to do it's job,and not mess it all up.[Truncated]" The answer again is National Health Care!!!!!!!!! "* National health like Canada's answers all these questions.Spot lineing the pockets of lobbiest's,and pollitions, and start helping the little guy,s. [Truncated]" 22873 6/26/06 2:50 PM NY * The only real solution to the crisis of health care in the US is a comprehensive national system that eliminates private for-profit insurance companies and places price caps on medical services and prescription drugs. The model should be alon[Truncated] 22874 6/26/06 2:50 PM FL "* I totally agree with Recommendation 1. I believe that everyone should have a health care system in this country, regardless of their financial situation, or their health. [Truncated]" No comments. This is long overdue.....and should be implemented as soon as feasibly possible. No comments. No comments. * This is a vital addition to the National Healthcare Program.....people with incurable diseases and conditions must have easy access to services in the environment they choose.[Truncated] No additional comments. 22875 6/26/06 2:50 PM NY "* We need financial protection against very high health care costs, support for integrated community health networks and prrovide only the finest quality of care.[Truncated]" * It is important to have a wellness program along with urgent care and everything inbetween. Prevention is the lowest cost health care. Individuals need to have input into their own care.[Truncated] "* Public is the only program that would work. Need to take the incentive for ever-increasing profits, at the expense of quality health care, out of the picture.[Truncated]" An integrated system will stop multiple billings and other types of fraud. Private support services integrated into the system is important. * Don't make the same mistakes as the medicaid fiasco we are dealing with today. Having dozens of providers is insane and the proof is what you are seeing today. Lapses in insurane and nobody understanding how it works. A proper plan meeds t[Truncated] "* Not only individuals but business must bear their fair share of the burden. Many uninsured are now being paid for through government dollars, sometimes at higher costs. These dollars could also be channeled to Health care that is more effic[Truncated]" 22876 6/26/06 2:51 PM NY "* All the recommendations are an excellent start. It's a national scandal that we do not have universal health care in this country. We can barely call ourselves civilized and certainly not ""the leaders of the free world"" when we allow a sign[Truncated]" 22877 6/26/06 2:51 PM MN "For the overall well-being of our society, and for our ability to compete in a worldwide economy, this is absolutely essential." "The ""Best practices"" approach to care for chronic diseases must be included as part of the core benefit package." This seems adequate. This sounds excellent If this can be accomplished it would be ideal. Excellent "* These Interim Recommendations sound very hopeful. I only hope we'll have the will to enact them, esepcially considering the well-connected companies and special interests that will resist any change to the current system which provides them [Truncated]" "* This is a worthwhile approach as long as it steadfastly avoids defunding other programs that help those in need! Only if these programs are adequately funded, will we be able to avoid the kinds of problems and complaints that have arisen in [Truncated]" 22878 6/26/06 2:51 PM CA * I totally support this recommendation. It is inexcusable that the richest nation in the world does not provide adequate health care for ALL of its citizens.[Truncated] I would add vision coverage to your list of types of covered health care. "Absolutely, this is essential." This is one of the most critical areas of need; see my comments above re: Financing Health Care that Works for All Americans. Yes! No one should find him- or herself without health care coverage at the end of life. "In my view, this could well be the most important issue facing us as a nation today." "* If the federal government will play a more active role in the administration of health care, costs can be cut dramatically without sacrificing quality of care. We as a nation pay more now for health care than we should, but the benefits of th[Truncated]" 22879 6/26/06 2:51 PM CA "* I've had long periods of my life with no health insurance, either because I couldn't afford health care then, or couldn't find any insurance company to insure me. I also spent six months paying for health insurance that turned out to be fr[Truncated]" 22880 6/26/06 2:51 PM IL I hope that this doesn't support more of tier system than we already have. "Some health care industsries need to be watched more closely, ie pharmaceutical and insurance." "* This needs to require adequate reimbursement for providers. Currently a few are willing to forgo just incomes while many benefit from the direction of rewarding the top tier of economically advantaged, usually at the expense of others.[Truncated]" * I would rather my tax dollars were spent to help support adequate health care over the current exorbitantand unnecessary military spending.[Truncated] 22881 6/26/06 2:51 PM OK Choice of health care providers should be available to the patient. agree agree agree agree agree agree 22882 6/26/06 2:51 PM NJ "* Universal coverage for all, like almost all other developed nations. It is a disgrace for the richest country of the world, spending hundreds of billions on defense, to not insure medical coverage for all its citizens.[Truncated]" "* Concerned that if the 'core benefits' are too narrowly defined, new innovative therapies will not be available to the general population, just the wealthy who can afford to go outside the system. [Truncated]" "Publically funded National healthcare for all, will protect all from financial ruin." Need to be sure that Insurance Companies are prohibited from lobying to corrupt and profit from each network participant. Good start ! * DEA should be blocked by law from prosecuting doctors prescribing strong pain killers for cronic pain suffering and terminal patients. [Truncated] * Universal health care should be financed like the war in Iraq. Universal coverage should be a national security priority. Get insurance company profits out of health care costs. Reduce defense department spending. [Truncated] 22884 6/26/06 2:51 PM NY "* It is a disgrace that the wealthiest nation on the planet does not provide health care to all its citizens. We say we have the best health care services in the world, but they're only for those who can afford them. And why are we so afriad of[Truncated]" 22885 6/26/06 2:51 PM CA "* Yes, it is a good policy concept. However, ""affordable health care"" should be distinguished from ""emergency care."" It should be made clear that the policy suggested will not diminish the quality of no-cost or low-cost health care made avail[Truncated]" Sounds good. "* This needs to be simpler. It needs to be very clear that there will be a co-pay for every doctor visit that all Americans will pay, say 10 or 15 dollars, or less to none for lower income Americans, and that the rest of the health care costs [Truncated]" Good. "* Perhaps some of these programs such as Medicare and Medicaid, etc etc. can be made part of the universal health care system. Some of these programs can be eliminated if the universal health care system is designed appropriately to cover all [Truncated]" "This is a tough sell. Advanced incurable conditions, covered totally by the U.S. government? Good luck convincing Congress." Thank you for doing this. * The financing of health care should come from a diversion of the excessive funds being spent in the military spending sector of the national economy. There should also be other options for financing but in any event it should be presented in[Truncated] 22889 6/26/06 2:53 PM NY See additional comments. See additional comments. See additional comments. See additonal comments. See additional comments. See additional comments. "* It is vitally important that the U.S. join the rest of the world to acknowledge that helath care is a basic human right that needs to be guaranteed universally, to all citizens, no matter the cost. [Truncated]" See additional comments. 22890 6/26/06 2:53 PM OR "I completely agree. Other industrialized countries provide core health care to their citizens. America should, too!" I agree; we must define a responsible core benefit package for all Americans. I agree; no one should ever be impoverished by health care costs. "My family and I are certainly willing to make additional financial contributions to ensure health care for everyone. " 22891 6/26/06 2:53 PM NY "* My son is among the working poor who cannot afford the cost of health care. The company he works for currently requires that he carry health insurance and as a result of this, he is unable to pay the rest of his monthly bills. He would be be[Truncated]" * We all know that how much money you have is no indication of what kind of person you are and neither should it be the measure of what level of health care you are accorded. Over and over again I see those without healt care not seeking medica[Truncated] * I feel very sorry for my country. We are truly a land of the have and have-nots. We see nothing wrong with wealthy people spending billions of dollars to make themselves more attractive while others are literally dying for want of medical ca[Truncated] 22892 6/26/06 2:53 PM IL "* Our country being one of the most advanced industrialized nations in the world should have by now the most comprehensive social health care system, it is time that our law makers and politicians stop giving into the large pharmaceutical and m[Truncated]" No Comments. "Yes, it will also provide future jobs and revenue into the medical fields for research and disease cures." Yes. Yes. Yes. No further comments. "* Pay for it from the ""slush"" funds or extreme amount of cash-flow that we seem to have going to other countries, it is time our government stop throwing money at or into other countries and start focusing on fixing the important issues to Amer[Truncated]" 22893 6/26/06 2:53 PM CA "* Health care is a basic human right. Access to health care is currently in the hands of institutions concerned with profit and not human needs. We all pay the price of lack of access to health care as infections spread and emergency rooms be[Truncated]" 22896 6/26/06 2:54 PM TX "* We are the only developed ""Western"" country not to have decent health care for its citizens. Our politicians are well covered under their policies. What about the rest of us?[Truncated]" * Make sure these decision makers are not tied to any one insurance company or medical group. Police how they are lobbied or influenced.[Truncated] * Keep a close eye on the federal govt. They don't have a good track record when it comes to healthcare of any kind. Build in some sort of watchdog arm that keeps lobbyists in check.[Truncated] * Something safe and affordable should be in place for every American regardless of their personal funds. No one should have to decline and die in a substandard facility.[Truncated] "* The government cannot continue to claim that we don't have the money since they are spending millions and millions at a rapid rate in Iraq. It is not a lack of funds, it is the commitment to the quality of life in the US and the health of ou[Truncated]" 22899 6/26/06 2:55 PM NY "* If the President hadn't given so many tax breaks to his party's very wealthiest campaign contributors, there would be more in the public treasury to fund federal health initiatives in universal coverage for all Americans and we would not be s[Truncated]" Thank our President for the lack of will and of resources to fund this one. * I really think that we need national health insurance that is not administered by large for-profit insurance companies whose main concern and incentive is higher profit margins and not coverage of people in all risk categories with affordable[Truncated] "* While government does not get it perfectly, it certainly tries to make coverage available to as many people as possible and has an administrative mechanism in place to do so. [Truncated]" This is a very important and long overdue idea whose time has come. 22901 6/26/06 2:55 PM OH Good health care and minimum cost education for all should be among the rights we enjoy in the U.S.A. 22903 6/26/06 2:55 PM CA "* excellent - I would suggest that alternative modalities be included because the Medical Doctor degree is so limited to chemistry and surgery. [Truncated]" "* You mean you're going to interest the Republicans in science? Good luck. I particularly like adding mental and dental which is priced beyond the pale...or if not high priced, inferior. chiropractic, accupuncture, herbal medicine, hypnosi[Truncated]" "* Bravo. Price gouging by pharmaceuticals should be covered as well. There should be no reason why Canada gets better drug prices than the US[Truncated]" Single user insurance that cuts out the insurance companies as middlemen would be a good start. * If every person in America has the same basic insurance - most particularly if the members of the House and Senate have the same insurance as the rest of us without privelege....we will get decent coverage.[Truncated] bravo "* My belief is that the health problems in America are caused by the insurance companies, the out of control pharmaceutical companies and the for profit health delivery systems - HMOs and Hospitals. Create a national system that eliminates ins[Truncated]" * If we use the power of all participants to get the pharmaceutical companies and the for profit hospitals and insurance companies into line with pricing - the cost of health care in America should drop precipitously. As long as huge businesse[Truncated] 22904 6/26/06 2:55 PM OH "* Like voices in t he wildernes asocial worker for forty yearass, I again plead for action on a national health care system. Now retired, I worked as a social worker at the VA Hopital here in Dayton. It is one of the oldest, establilshed by [Truncated]" The VA gets medication at a discoung. And vets can get it with a modest co-pay. "The VA often provided access to long term care, with its nursing home and it's program to use contract facilities." The VA has for the last several years established local clinics to make care more available to vets. * The VA in Dayton has had a great system for long term care. Sadly the facilities like Domiciliary have been closed. But the Hospice Unit has been very positive addition.[Truncated] "* Since FDR, presidtnts have considered a national program to be much needed. Even a few Republicans. But each time the corporate powers, and the American Medial Association have used propogana to defeat it.[Truncated]" 22905 6/26/06 2:56 PM NY * I ACTUALLY SUPPORT SOCIALIZED MEDICINE - AND I AM A MEDICAL BILLER - WHICH IS PROBABLY WHY - I HAVE SEEN FAR TOO MANY DDOCTOR GET PAID FAR TO MUCH FOR WHAT THEY DO - THE COLLEGE WAS PAID FOR YEARS AGO AND THEY POCKET 95% AFTER MALPRACTICE INS[Truncated] AS LONG AS PREVENTATIVE INCLUDES PREGNANCY PROFALACTICS. ALSO LONG TERM HEALTH CARE TO PREGNANT WOMEN AND THERE BABIES * THE ONES THAT NEED THE MOST PROTECTION AND HELP ARE NOT IMPOVERISHED BUT THE VANISHING MIDDLE CLASS WHO ARE TOLD THEY MAKE TOO MUCH FOR MEDICAID BUT WHO DO NOT MAKE ENOUGH TO PAY FOR INSURANCE OR FOR MEDICAL CARE ON THEIR OWN. PEOPLE MAKING F[Truncated] * JUST MAKE SOME LAWS AND STOP TRYING TO PAD THE GOVERMENTS POCKETS WITH MORE OVERSISED AGENCIES. STOP WASTING TIME. A SMALL FED GROUP OVERSEEING STATE AGENCIES WITH BLANKET REGULATIONS. FOR ONCE SCREW INDIVIDUAL STATES - IF WE ARE ONE NATION T[Truncated] * MOST OF THE EXSISTING FEDERALLY FUNDED HEALTH PLANS SUCK! I SHOULD KNOW. NTO ALL BUT MOST. FIND THE MODELS THAT WORK WELL FFOR ALL PARTIES AND COPY THEM. HOW DO YOU DO THAT? SEND OUT QUESTIONAAIRES TO MEDICAL BILLERS AND THEY WILL TELL YOU. [Truncated] "YES, HIRE A BUNCH OF MEDICAL BILLERS TO FIGURE IT ALL OUT SINCE WE ARE THE ONLY ONES THAT TRULY KNOW WHAT IS NEEDED." * TAKE MONEY FROM THE WEALTHY - JUST THAT SIMPLE - LET THEM CRY UNFAIR ALL THEY WANT - A PERSON DYING FROM LACK OF MEDICAL TREATMENT IS WHAT IS TRULY UNFAIR - WEALTHY PEOPLE PARTING WITH MORE MONEY IS NOT. WHAT IS WEALTHY? ANYONE WHO OWNS A CAR[Truncated] 22906 6/26/06 2:56 PM CA health care for all Americans! Health care for all including dentaland mental health! Coverage for all Americans only !! no comment ! I agree ! I once again agree !! * Health care should be for ALL AMERICANS ONLY !! tO many Mexicans getting our welfare money when so many senior citizens are in need !!!![Truncated] Finance according to what seniors can afford! 22910 6/26/06 2:57 PM CA It is way past the time to promote the common welfare by being sure all Americans are covered with a healthcare plan. 22911 6/26/06 2:57 PM TN "* A government of, by and for the people puts the health care of its citizens as a top priority. No one should be finanically devastated due to medical expenses. High quality medical care should be readily available and inexpensive or free to e[Truncated]" "* Benefits should be the same as those provided under Medicare. The prescription drug coverage should include cost controls which the current law does not provide. Any costs to the patient exceeding $3,000 should be free, except for those with [Truncated]" * Everyone with income would pay a nominal fee each month as current Medicare recipients do. Businesses should contribute a small percentage for each employee into a national health care system with cost increases tied to inflation and ability [Truncated] "* Expand the current Medicaid system for indigent people using the tax structure we currently have. Those who do not pay into the system should provide specific public service as compensation for their medical care, when and if they are able. I[Truncated]" * Combine all these systems into one massive database that holds every individual's medical data. Privacy controls to prevent misuse of the records should be an integral part of this new system. Another system would hold general medical informa[Truncated] "* Medicare should pay for end-of-life services, provided to the caregivers. The patient, family and doctor, exclusively, should make final decisions about end-of-life care, including choices about treatment, as well as when to end treatment.[Truncated]" "* Health care for everyone is a complicated business, but we make it more complicated than it has to be considering that we already have federal and state programs in place that could be expanded rather than redesigned.[Truncated]" * Medicare for everyone is the answer to this one. This federal program is already in place. It needs to be expanded to cover everyone.[Truncated] 22913 6/26/06 2:57 PM NC "* Corporate American uses the excuse of sending jobs overseas where labor costs are cheaper to be more competitive in the global economy. The global economies we compete against all have something in common in their favor, government subsidized[Truncated]" "* I agree. Basic prevention and wellness programs from cradle-to-grave finds minor health issues before they become major problems and government subsidized health care shows not only Americans, but the world as well that American cares for and[Truncated]" "* Again, I support higher federal taxes for universal health care. We all pay in one form or another health care costs for low income and uninsured Americans. [Truncated]" I agree. * A healthier nation equals less money spent for treating problems that should have been caught earlier. This also equates to more money spent in research to solve and eliminate diseases that are the leading causes of our nation's health proble[Truncated] This recommendation encompasses the cradle-to-grave concept and should be a part of universal health care. * Our federal government should provide universal health care on the same level as providing for the common defense of this nation. Advocating and providing for the health care needs of all of her citizens should be one of the main priorities o[Truncated] I am willing to pay more in federal taxes to support universal health coverage for all Americans. 22914 6/26/06 2:57 PM MD "We are the only industrialized nation without such health care. Let's stop being a problem, and be part of the solution." This is going in the right direction. This is basic. Single payer health care would cover this. Good thinking. Tis makes sense in every way. "Single payer, like a medicare for all, would work well." Good work! 22917 6/26/06 2:58 PM MI No less of a benifit than congresspeople get. reverse the trend of having the billing depts.be the most important aspect of health care delivery. What ever benifits our representatives get should be good enough for the taxpayers and labour that ultimatly pays for it. "keep it simple ,stupid!" "* dont let the insurance,pharma-industry,or the AMA write themselves an expensive sweet deal.Check out how more progressive countries finance and deliver ,and find the best means to pick.[Truncated]" 22920 6/26/06 2:58 PM IL "It is unbelieveable this country, does not have national health care." Health care should be provided to all legal citizens. Health care should be mandatory like auto insurance. 22922 6/26/06 2:58 PM OH I would appreciate Congress extending the same/similar level of healthcare to their constituents that they themselves enjoy. 22925 6/26/06 2:59 PM TX "* I highly agree with Recommendation 1. It would be a great thing! I do not know why monies cannot be appropriated for something this important for our country which has a large population of poor and needy, etc. Money can always be gotten f[Truncated]" "* I am in desperate need for dental work at this very moment, and my dental insurance only pays for partials or plates every 5 or 6 years, I think. So I must wait until January before it will even pay 80%. Being on SS Disability, I am doing t[Truncated]" I agree! "I don't always understand all of the things recommended, but if they will help, I agree." "Anything that will help, I am all for it!" "I am 60 years old and 80 looks young to me now, so anything that will help...I agree." None other than it has been nice having the opportunity to comment on such things. I just hope that something can be done. The process has got to begin somewhere. And I pray to Almighty God that something can be done regarding health care for all. 22928 6/26/06 3:00 PM CA "* This would assist govt and private companies in many ways. all too often, employees have no recourse, but to go on state disability or workers comp for illnesses that could be prevented and treated through a health insurance benefit.[Truncated]" The main thing is to get this idea going. 22935 6/26/06 3:01 PM NJ "* Health care should recompense Doctors and Nurses, Health Care Aides, Dentists and Psychiatrists very well. Insurance companies, Pharmaceutical companies, and other ""profiteers"" -- PLEASE say ""Good Night and Good BYE.""[Truncated]" DO IT NOW!!! "AGAIN, NO Privatized (for Profit) Hospice Companies are to be ""welcomed"" into this Program." "* THANK YOU FOR DOING THIS CRITICALLY IMPORTANT WORK. This should be the SECOND most important ISSUE to Americans, following the FIRST CRISIS IN AMERICA of ""non-Verifiable, no Paper Trail VOTING MACHINES and preceding the THIRD horrific CRIS[Truncated]" "* No Institution of Health Care, i.e., a HOSPITAL, should operate under PRIVATIZATION. Health Care is NOT FOR PROFIT ... health care monies, especially Medicare, Medicaid and State Charity Care, should always ""pay"" the Employees first; and, [Truncated]" 22936 6/26/06 3:01 PM CA "* Medicare for all not just the older ones. And following Medicare's low administrative costs, this is a good model for universal healthcare.[Truncated]" Mental health is very important and we should strive to improve and expand coverage. bankruptcy rules should be changed to exclude medical debts 22938 6/26/06 3:01 PM SD "* Yes, Healthcare is a basic need; therefore everyone should be able to have it; not only those who can afford it. As of now, it is poor and middle class Americans, who do not have equal access to care. I[Truncated]" 22941 6/26/06 3:01 PM CO "* We haven't yet determined whatconstitutes ""basic"" and what constitutes ""extraordinary"" care. A large proportion of a person's lifetime medical expenses are actually spent in the last year of life. The public shouldn't fund heroic measures m[Truncated]" "* Medicare is a federally UNfunded program. As long as there is a financial disincentive for doctors to treat medicare patients, we will suffer from unequal care.[Truncated]" Assisted suicide should be available to all at some prescribed level. Thank you for an intelligent approach to the problem. Good luck getting it implemented! "Eliminate the corruption in ""officialdom"" and the money will be there." 22942 6/26/06 3:01 PM MN I agree wholeheartedly with this Recommendation. I agree entirely. "* No one should be truly impoverished by health care costs, but we all have to pay for health care; therefore, there must be cost containment and/or forcing a spend-down of assets before all costs are taken over. Like it or not, one way or ano[Truncated]" * Let's have one big single-payer system like Canada's. Enough of this patchwork coverage and multiplication of forms and administrative costs! Enough of cost-shifting already![Truncated] "* Yes, yes, yes -- but CONTAIN THE COSTS! ELIMINATE THE HMOs and protections for drug companies' prices! When possible offer consumers choice of branded drugs with copayment and generics with less/no copayment. Income-adjusted copayments may[Truncated]" Yes - we all have to die; we don't have to take half the GNP with us when we go ... "* Eliminate the HMOs! Eliminate non-competitive drug price supports!If ""reform"" becomes an uncontrolled tax on the young & healthy, payable directly to Big Medicine (such as forced purchase of private health insurance), where profits are priva[Truncated]" "* I agree that revenue streams must include payment of taxes by workers. I favor expansion of the Medicare tax on both employers and employees, combined with dedication of all cigarette & alcohol tax revenues to the program.[Truncated]" 22943 6/26/06 3:01 PM IL * My only comment is we must offer health care to every citizen in the US. Knowing that over 46 million people don't have health care and probably that many more that are under insured is a disgrace to our country. The Bushs and the Cheneys may[Truncated] 22944 6/26/06 3:01 PM WI "* This is great except that often the income caps are too low to be of any use to the ""near poor"". Those of us who make enough to make payments on our bills from month to month but have nothing to fall back on if we get sick. Our income may be [Truncated]" * Just do it right and go to universal health care for all like Canada and the rest of the civilized world does. Are we really that barbaric?[Truncated] 22945 6/26/06 3:02 PM MD "The best way to accomplish this is through a single payer system, where the government assumes the role of insurance company." "* No one should have to ""impoverish"" themselves to pay for nursing home care. Health insurance should pay for home health care for the infirm and elderly.[Truncated]" * Area for savings that could go to financing health care: revoke Bush's tax cuts for the rich; restore capital gains taxes to levels above what were just established by Congress; bring the troops home from Iraq.[Truncated] 22948 6/26/06 3:02 PM MI * Inadequate money pensions for most working americans can never cover costs of medical ins. and living expenses together.These Americans paid high taxes all there lives and deserve quality medical treatment from the richest country on earth[Truncated] Lottery 22951 6/26/06 3:03 PM PA "* I really would like to know the reason why us ""Americans"" do not have health coverage for everyone in the United. States. This is the land of the free, but yet we still are very antiquated in a lot of things. If Canada can have health coverag[Truncated]" 22952 6/26/06 3:03 PM NY "* I would like to know why only the people in congress have the best Health Care? Why do they get raises every year automaticaly? They get such big raises. This is our tax payers money and they spend it foolishly just like the 38,000 trailers[Truncated]" 22953 6/26/06 3:03 PM MD "* this will equalize the market for labor, giving unions a chance. this will result in more predictable health care costs, therefore more efficiently run as a government program[Truncated]" "* when there is personal accountability, there are improvements in performance. if an independent commission points a finger, someone will clean up their act. there must be both public and private investigations. there will always be excess/[Truncated]" "* universal health care is the best solution to the problem of sky-high medical costs, and high medical costs are a product of an inefficient system that is beyond the control of both consumers and the government[Truncated]" "* if given the freedom, the resources and the incentives, medical practices will move to where there is demand, thus giving all people access, and then there should be a network of communication for consumers and doctors to ask questions and fi[Truncated]" "the bigger the pool of health care consumers, the more risk sharing, the cheaper and more predictable the costs become" "* this focus on personal freedom, especially seen through the lens of ""what do I want on my deathbed?"" will go over well with the American public[Truncated]" "* excellent, this avoids many of the ideological pitfalls of the health care debate- you do not and should not mention the problems with the current health care system- reread it and take out any editorializing statements, keeping only solution[Truncated]" "* a truly progressive tax is optimal- there is no need to increase expenses for most Americans, however with legislation needs the support of rich people. it needs to be an incentive based system- in which we all pay for random health problems [Truncated]" 22954 6/26/06 3:03 PM WI Give every american the same coverage that congress gets! "Cigarette, liquer taxes and oil profits to pay for health insurance for all americans." 22956 6/26/06 3:03 PM FL "* recommend having a 15% income tax across the board for all americans based on their annual income to help defray the cost of medical treatment. [Truncated]" 22957 6/26/06 3:04 PM IL "* As a physician, I am convinced this should be universal, single payor, comprehensive health care. The insurance companies must not be involved; they are sucking all the money out of the system. [Truncated]" * Emphasis should be placed on care in the perinatum period and first 5 years of life. Prevention must have high priority. We need to shift spending from the last year of life to the first 5 years.[Truncated] 22958 6/26/06 3:04 PM TX "* Amen, but I'd want to be sure people were allowed to make their own decisions about the avenue of treatment for their healthcare concerns, in the issue of whether or not to use Western medical techniques or more natural means, which don't req[Truncated]" "* Why not have the universal healthcare provided for by public employees - doctors that work for our healthcare system who are all accountable to us, ourselves, the taxpayers, users, patients. And the whole concept of experts worries me - who p[Truncated]" "* NO private program - it's a public issue, and we need a PUBLIC organization which is more concerned with taking care of its citizens than making a profit for their company. [Truncated]" "* NO private program - it's a public issue, and we need a PUBLIC organization which is more concerned with taking care of its citizens than making a profit for their company. [Truncated]" "* The rules now under the use of Medicaid if one has a terrible, long-term illness is basically that if they have a penny more than nothing, they have to sign all over to Medicaid before they can have care and I believe this is wrong. Veteran's[Truncated]" "* Again - no private programs needed - Public hospitals should take care of terminally ill patients who are in horrid condition - like they did when I was little - people weren't sent home, with no one professional to care for them, and horribl[Truncated]" "* Private healthcare does not work - its interest is in profit, not our citizens - for a healthy community - EVERYONE needs decent healthcare - like roads, parks, libraries - let's have healthcare too![Truncated]" "* What are the practices in Britain, France, or Canada? Universal healthcare is up and running in those places and I believe our country has more money - so it shouldn't be horribly catastrophic.[Truncated]" 22961 6/26/06 3:04 PM AR "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" "* www.debittax.com offers FREE HEALTH CARE FOR ALL (and all support of our national government), via a national revenue tax of 1/2 cent on all money withdrawn from all U.S. bank accounts. Check out the Aussie version at www.debittax.com!!![Truncated]" 22964 6/26/06 3:04 PM CA "* I agree that all Americans need Universal healthcare. There must be, however, a responsibility on the part of all of us to take care of our own health. There needs to be an all out effort, starting in preschool all the way up the educational [Truncated]" I agree. "* Again, there must be an all out national effort to create a society of health instead of pollution and overindulgence. We are already headed for a health crisis in America with the rising impact of obesity to mention one. I for one do not wan[Truncated]" I agree. I agree. I agree. * I would suggest that there be a graduated monthly fee for everyone based on income. After a few years we will have identified the right fee to charge in order to meet costs. The fee would go up or down based on the costs. This would provide t[Truncated] 22965 6/26/06 3:04 PM CA "* At this time--and no later--universal health care is essential for the well-being and adequate ability to function for all of us Americans. Thank you for focusing on this dire need for the people of this country.[Truncated]" 22967 6/26/06 3:05 PM PA "WE WHO THAT ARE ON MEDICARE NEED BETTER HEALTH COVERAGE," 22968 6/26/06 3:05 PM VA * I endorse this recommendation. It makes good basic sense and takes an important step toward making American health care services more equitable.[Truncated] "* Well, first of all, thank you for keeping this secular! Second, I realize that this process of defining a ""core"" benefit package will be very complicated, not least because so many different, competing interest groups will want (at least) a [Truncated]" * Right on! Thanks for including this; it's really important. Let's fight back against the greed of those who charge these outrageously high costs.[Truncated] "* I'd like to encourage the federal government to work toward striking balances between federal administrative structures and local (or, failing that, regional) concerns, distinctions, quirks, etc. One danger here, of course, is that the perce[Truncated]" Sounds good and reasonable to me. "* Absolutely. This is one of the areas most desperately in need of ""fundamental"" (radical!!) revising and restructuring. This recommendation seems like a good start; whether it really promises to go far enough remains to be seen.[Truncated]" "Thanks for all of your work so far, and best of luck!" "* I have always believed that paying taxes is one of the basic tenets of good citizenship. And I would be more than willing to pay higher taxes in order to help secure better and more equitable public services. Simply put, the current system [Truncated]" 22970 6/26/06 3:05 PM WA We should have a health care system like the UK or Canada. We should have a health care system like the UK or Canada. We should have a health care system like the UK or Canada. We should have a health care system like the UK or Canada. We should have a health care system like the UK or Canada. We should have a health care system like the UK or Canada. Health Care should be a right not a privilage!!! We should have a health care system like the UK or Canada. 22971 6/26/06 3:05 PM KY I strongly favor a single payer health care system for all. * It is outrageous that for decades these principles have not been reflected in public policy. The subsidies to the big drug companies not only should be ended but returned to facilitate goals such as you have outlined above.[Truncated] * Recent reports on hospital infection rates suggest glaring problems and many unnecessary death that never should have happened. The failures of health care and health policy in the US leave no more room for timid commissions huddling in the [Truncated] 22973 6/26/06 3:05 PM AZ "* Would this be government run, like Medicare? If there is a universal program that ALL employees and legal citizens are a part of, the costs to medical care would be reasonable.[Truncated]" "* It sounds almost like an HMO. Would these members be appointed, hired, or elected? How would the HMO mentality be kept from creeping in... save money at all costs, regardless of the situation or need. How would politics be kept from turning t[Truncated]" Do you envision this health coverage like the one in Canada? As socialized medicine? * This all sounds ideal. Will there be a set of checks and balances to keep the cheating and greed factor out of the system. Who will oversee that responsiblity? [Truncated] Can the two polictical parties actually agree on such a mammoth program? Or will it be politics as usual? I thought that most of this was already in place. Perhaps only for the fortunate few? "I would like to see this handled with the the American citizens coming first, but not people here illegally." "* A 24-hour stay in the hospital for chest pains shouldn't cost over $11,000 for the use of the room. That was the bill I was sent from Banner Estrella Hospital, and it wasn't even itemized! Because these hospitals try to pad the bills of insur[Truncated]" 22974 6/26/06 3:06 PM KY "* need to ensure that every american can afford health care, single payer plan, controlled by physicians seems the best ideal to me.[Truncated]" "* whatever the physician deems is necessary, not the insurance companies who do not hold a medical degree, who have never witnessed the suffering of other humans. [Truncated]" "* Health care should not bankrupt a person, Seems to me Veterians are able to care for the animals without bankrupting the family to provide services. But then again they focus on cures not symptoms.[Truncated]" "* Right now if I were to become deathly ill, I would have to drive at least 1 hour to get to a hospital who may or may not be seeing patients. Lots of emergency rooms go on diversion, because they do not have the staff to take care of the patie[Truncated]" single payer physician controlled 22975 6/26/06 3:06 PM MN I agree. Everyone should have adequate health care. "* There should be a sigle payor system, run by a government agency. he private insurers are only concerned with profits and excessive pay packages for their executives.[Truncated]" "* The private sector has shown that it cannot effectively provide health care and manage costs. The executives in the private sector receive excessive compensation and at the same time, raise the cost of helth care by double digits every year.[Truncated]" "* Health caren should be financed by income taxes and corporate taxes. So called ""sin taxes"" and ""value added"" taxes are not fair to all people.[Truncated]" 22976 6/26/06 3:06 PM WI "I agree, but another six years is too long." Excellent. Six years unless some of this is already in the works. A lot of establishing needs to be accomplished. Focused. Quality of life issues are paramount to the very end of life. I now understand why six years out is probably more realistic. 22977 6/26/06 3:06 PM MI The date for this is too far out in the future. People are suffering needlessly now! No comment. No comment * is it possible to review the health plans of those countries that supply health care to everyone and choose the best features of those plans and apply them to our country.[Truncated] No comment No comment "* According to articles I've read state that for the present expendature for health care, we could deliver health care to everyone if the ineffecienies were eliminated. How about the 15% or so paid to insurance companies that could go for care?[Truncated]" 22979 6/26/06 3:06 PM MD "It will be interesting to see how these ""citizens"" are appointed and who the ""experts"" will be." "* This financing explanation is a wonderful piece of double talk. Unless the law is specific that all individuals will pay their fair share, it won't be any better than our current income tax system and the new senior prescription plan which is[Truncated]" 22981 6/26/06 3:06 PM WA "* Previously, our health care policy did not provide for routine, well-child care and only covered my husband, the subscriber, for routine care. We were fortunate to get our children covered on the Medicaid system. Since then, our health cove[Truncated]" "* Any ""core benefits"" needs to include some sort of end of life care for the elderly and terminally ill. Public education as to what is life affirming and compassionate for all phases of life needs to be addressed. Just because there is techn[Truncated]" "* People should not lose their homes and be forced into bankruptcy due to an illness or injury. And emergency rooms should be used for medical emergencies, which will happen when preventive health care is provided -and that will make emergency[Truncated]" "* Access to information and assistance at a local level gives people the feeling of attachment to their community, which fosters strong and healthy communities. [Truncated]" "* I'm a strong believer in the Medicaid and Medicare programs. Additionally, my parents are retired career military and they receive excellent health care. Obviously the government can do well as a provider - let's expand these programs.[Truncated]" "* Having had personal experience with home health nurses, I'm a big fan of letting people stay where they are comfortable and receiving the amount of care they desire, making their own decisions on what they want for a quality of life.[Truncated]" "* The longer we put off embarking on a program of national health care, the more marginalized people there will be and the harder it will be to implement. It has to be done - let's not wait until there are more people dying in the streets due [Truncated]" "* There will undoubtedly be additional costs as a new system is put into place. But with the aging of our citizens, there will be additional costs to not putting a new system into place. I support ""sin taxes"" and would expand them to include,[Truncated]" 22983 6/26/06 3:07 PM WV "* Health care is a social justice issur-all have the right to health care. If more time was spent on health promotion and disease prevention the cost of health care in the US would gradually decrease.It is not a matter of putting more money in[Truncated]" "Core care must include basis health prevention and promotion, not ""here is a pill, call me if it doesn't work""!" The same options should be available to all-not just the rich and heaviyl infured. * This top down approach may not be the most cost conscious or most beneficail. Let it be the grassroots up with local communities developing the needed programa and access mechanisms with the Federal part providing the financial support.[Truncated] "This sounds great but let the communities decide, not the federal government, what is needed first and most." Other countries spend less money and have better health outcomes. Have we not explored the reasons why? 22984 6/26/06 3:07 PM CA * The common message tells it all...it's beyond shameful that so many of us in this country have no health insurance nor is there any truly affordable health insurance available unless you are very wealthy.[Truncated] "* I don't see anything about prescription coverage. The high cost of prescriptions is because of the drug companies making money hand over fist. But after all, it's VERY costly to advertise via the media so I guess somebody's got to pay for i[Truncated]" 22987 6/26/06 3:07 PM CA Absolutely agree. * Study approaches that other countries like Singapore have taken. Singapore is one example of a country that uses a combination of private and public financing to provide universal health care for all its citizens. It stated a long time ago th[Truncated] 22988 6/26/06 3:07 PM OH * As a member of the United Steelworkers of America Local 8530 I think that it is a disgrace that working men an women do not have adequate health care for their family. It is time for coperate America to pay a fair share to provide all of thei[Truncated] 22989 6/26/06 3:08 PM PA "* I fully agree that health care should be accessible to all Americans, no matter if they are extremely wealthy or the poorest of the economic ladder. [Truncated]" "A plan should be comprehensive, from pre-natal and preventative medicine to emergency care and everything in between." "* High medical costs is the leading cause of personal bankruptcies in the U.S., even for people with private healthcare plans. No one should be forced to make a decision between eating or getting pills or living in their own home because of the[Truncated]" * The government has a better track record at providing good health care than private insurance. I am for a government backed universal system. [Truncated] All the data suggests that the government is cheaper and provides as good or better care than insurance companies. "* I'm in total agreement with a proposal for extending care to all, including, but not limited to hospice, and allow doctors to act in the interests of the patient and families.[Truncated]" "* Universal health care is cheaper than our current, inefficient and overly expensive private health care system. Medicare currently spends 98% of every $100 on actual health care, while private industry only spends 35% with the rest going to a[Truncated]" 22990 6/26/06 3:08 PM PA "* The measure of a nation is how well it cares for its citizens. An American's health should not depend on what state he lives in, his income, the social status of his parents or any other such factor. There should be a bsic level of health car[Truncated]" 22992 6/26/06 3:08 PM MN "* Every other ""1st world"" country on Earth has accessible health care for all citizens. Why are we so far behind on health care for our people? Can we really be one of the ""greatest"" countries to live in without it?[Truncated]" Absolutely! Absolutely! It's past time our government did this! Amen. I am willing to pay higher taxes if Health Care is universal and the tax is universal (including the wealthy). 22993 6/26/06 3:08 PM TX I couldn't have said it better. Should definitely be public. "As I have said, the biggest efficiency booster would be to remove insurance companies from the loop." * The biggest reduction in cost would come from booting the inefficient insurance companies out and going to a single payer system.[Truncated] 22994 6/26/06 3:08 PM PA that is the the best news i have heard great very good very good good very good that would help me for i have no health care 22995 6/26/06 3:08 PM NC "* Other countries do these things, why can't Americans in government public service learn to agree that people need this type of service in America. So many people are without Medical care in this country that it is unbelievable that our Gover[Truncated]" 22997 6/26/06 3:08 PM IN A healthy nation is more likely to be a high performing nation. 23001 6/26/06 3:09 PM CA "* I agree with the above, however, involving the government will lead to mounds of paperwork, and I fear, insufficient health services as we experience now with our Work. Comp. system in California. [Truncated]" "* I have concerns because gov't.-funded health programs continually face cuts. Perhaps a system of allowing ALL health costs to be deductible, or ALL ins. premiums to be so, would be more reliable. Health education programs and cost-informati[Truncated]" "* My only concern is that the quality of programs such as Hospice would decline exponentially should the gov't. become more involved. Indeed, these services need to be available to all. [Truncated]" "* In sum, I feel that all should have access to health care and that it need not be a multi-tiered quality of service program. I do worry about decrease in quality and availability of services, as well as funding, were the gov't. to become mor[Truncated]" * I suggest that the % of pay requirment with regard to health expense deduction on our taxes be eliminated. Another fair policy would be to allow tax deduction for health insurance premiums. [Truncated] 23002 6/26/06 3:09 PM CA * I beleive health care should be a right not an option. I'm 58 years old and it has been a real struggle over the decades to keep affordable health care for me and my family. Now my youngest son who is 30 years old is back home going to coll[Truncated] Benefit package shoud include everything that our legislature has. Full service including dental and vision. "Yes, it should be affordable to everyone." "No comments, sounds fine to me." "* Yes, but there should always be oversight and the people should not give up their right the civil tort system. The right to sue is the only thing that keeps people honest.[Truncated]" "Yes, I agree, this is a big problem with most people." "* I agree it will have to multiple financing sources. Wages have not kept up with the cost of health care and other basic needs. For example, my sons were born in 1967 and 1975. At the time we had insurance that didn't cover normal births. We [Truncated]" 23003 6/26/06 3:09 PM FL "* Maybe it would take a major hepitits ""B"" or ""C"" outbreak transmitted to Wal-Mart customers from an uninsured illegal immigrant working at a Wal-Mart food center or superstore to shake things up. Remember a decade or so ago, the Chi Chi Restau[Truncated]" "* At the very least, first dollar coverage for contageous and communicable diseases, including Meningitious and Hepititis and flu shots be provided for first responders, daycare workers, food and restaurant employees and others that have the po[Truncated]" See previous suggestion blocks. * This needs to be done before the bird flu pandemic hits! Hurricane Katrina/Rita has amply demonstrated the abjact inabilility of the private insurance industry to meet its obligations and promises. [Truncated] "* System of competing ""Kaiser-Permanente"" like clinics allows healthcare professionals to concentrate fully on delivery care, rather than wrestling with running business![Truncated]" "* We are on the threshold of having an epidemic of advanced prostate cancer deaths as more and more early reirees loose affordable and decent healthcare insurance access! For example, in Florida, the Moffit Cancer Center will provide care to th[Truncated]" * A significant amount of healthcare costs are created by industry conditions. A business tax that varies according to the statistical instances of injury or illness among employees and their member families would be a strong incentive for the [Truncated] 23004 6/26/06 3:09 PM OH "* I strongly urge a public policy that all americans have affordable health care!Like many working americans,I have seen my health care ins.rise,with bigger co-pays,each year.Not one politician has the nerve to tackle the health care industry,a[Truncated]" "The staff of experts,should all have back grounds in health care,to understand fully the price paid for these services." Agree with this protection. Agree. "* While I loathe the idea of the government involved in any health care,I fully understand the need for it,and understand that it must be involved to work.I agree with this recommendation.[Truncated]" "I work with hospice care,and agree that this service is needed,and is currently underfunded." "* Financing such a coverage,should include repealing the tax cuts to the rich that Bush awarded.Although I realize raising ""sin taxes""is one in a series of ways of paying for this,many of us in certain states,have had these sin taxes increased [Truncated]" 23005 6/26/06 3:09 PM NC "* Having been without health insurance for several years, I am delighted to be on Medicare. I sold my home to pay medical bills. Shameful that so many need healthcare. Matilda Phillips[Truncated]" 23006 6/26/06 3:09 PM NJ "Very good,everyone must take part--universal." Fairness is paramount. 23009 6/26/06 3:10 PM MO * Affordable to the government often means substandard. There needs to be someone within the government who will hear complaints and act on them. Doesn't sound like the shiftless bureaucrats we have now. Still we have to try so I say yes to re[Truncated] This the very least each human being deserves. It should be in a health care bill of rights. "No question about it, when patients can't pay no one profits." We shouldn't have to point this out to our government representatives if they were doing their jobs. "I vote yes, we can rebuild Iraq after we get this done." This is what representative government should be. I support this effort 100% "* Perhaps if Congress weren't so eager to award itself pay raises and benefits that are too good to be true, health care for all could be a possibility. [Truncated]" 23013 6/26/06 3:10 PM IA Agree agree agreeagree agree agree agree no Health care shouldn't be tied to jobs. 23014 6/26/06 3:10 PM WA * I've read the recommendations and I'm glad the task force has included public comment. I am concerned about the amount of money that our private healthcare system wastes on administrative costs. I am also concerned that we have been mislead t[Truncated] 23015 6/26/06 3:10 PM OR * It is time for members of Congress who oppose national health care to either start caring for Americans or move to another country where health care is as bad for everyone there as it is for those of us who do not have health care insurance.[Truncated] 23017 6/26/06 3:12 PM TX "* I would like to see the reference of ""all Americans"" be changed to ""All Citizens of the United States of America"" throughout the full document.[Truncated]" 23019 6/26/06 3:12 PM TX "* Remove the line ""Financial assistance will be available to those who need it"" and add the line in it's place ""Health care will be paid for through tax payer dollars, with the bulk of the taxes coming from the wealthiest people and corporation[Truncated]" "* This core group should not consist of any corporations. Instead, it should represent those in this society who need a universal health care system: the working class. Therefore, it should be made up of the organizations of the working class a[Truncated]" This MUST be a public program. Why would we hand over a national health care program to a private entity? Efficiency in medicine has often come at the expense of quality. No one on this planet should die of a curable disease simply because they can't afford health care. "* Is it really that difficult? There are vast sums of wealth in this country in the hands of the corporations, enough to easily finance universal health care for all Americans. We live in a system that places corporate profit before human needs[Truncated]" 23023 6/26/06 3:13 PM AK This I feel is correct. "* Although science bases studys are very important, lets not let that hold up the move to enact health care for all. We have to understand first that not everyone will ever agree and this could delay any real moves forward[Truncated]" * There should be a base health care system in place. Then any additional above and beyond care could be available for the people who feel the need to spend above that. This should not be made to limit the type of health care all should have a[Truncated] * Lets not stick money into a system that has been set up to fail. The majority of Americans are just one or two pay check away from being in a low income state. One illness in a family will put most of use in there. We live in a house cards[Truncated] * by using a national health plan we could eliminate the cost or busines of medicare and medicade. Look to use the funds we throw at those to systems alone would make it possible. Controls should be in place for pricing of all or most proceed[Truncated] "* Hospice is great! Too many business have gotten involved in the running and money making of this fact of life, and by doing so have emptied the back accounts of most seniors who have built this country. I have seen systems for the elderly t[Truncated]" "* this is a act now subject and further delay will affect the future of our country and it's people. We are America, lets get back to being good to people and quit working to create millionares. [Truncated]" I also agree with this. 23024 6/26/06 3:13 PM CA "* Asa registered nurse, I have all too often seen the disastrous consequences of waiting to access health care because of lack of insurance. It is in this country's best interest to initiate a system that encourages early intervention. Heal[Truncated]" Any plan that doesn't recognize the value of dental health or a strong mental health component is virtually worthless. 23026 6/26/06 3:14 PM NC * It's an abomination that in a country that's as rich as this that people are having to suffer because they don't have healthcare provided for them. I personally know of two cases of hardworking people that cannot get the most basic care that [Truncated] "* Employers should be mandated to provide health coverage for all employee's and healthcare providers (doctors, hospitals, and drug companies) need to be mandated to handle this. Bill Gates and Warren Buffet are looking to spend fortunes to he[Truncated]" 23029 6/26/06 3:15 PM NE * core health services only cover normal health conditions such as routine check ups or occasional illness. Most prescriptions are not available on core health services. We should have health care coverage that coverages that are not only affor[Truncated] * What is the time line for mental health care. Most core or high cost protection doesnt cover the patients needs. High cost isnt going to work for middle class or poverty working families. To think that this is going to actually be a scientifi[Truncated] "* Financial protection is a high concern as is affordable prescription drugs. The national program needs to include many aspects of the health industry set standards and fee's asscociated with the cost of care. Like I stated above, a tiered pro[Truncated]" * Again with the ferderal goverment specifily and coordingating the funding many people are still going to be left behind and then the statement making affordable and quaility health care for everyone would be inaccurate and misleading as it is[Truncated] * Federaly funded health programs have financial caps placed that when a family on the cusp that makes $100 to $200 to much a month is excluded from these services which them places a financial burden on the familes and therefore have to forgo [Truncated] * I think that included in this statement is that they people should have access to a family advocate that will be able to provide emotional support and in turn can recommend services for after the person has past. Before the last days of end o[Truncated] * For me heatlh insurance has been a horrible process. My son suffers with bipolar disorder and requires intense treatements that most of the time very unaffordable. His medications a month are $600.00 that doesnt include the therapy sessions n[Truncated] * This statment just states that they are working on a fair affordable heatlth care and will still rely on goverment funding. No where in this statement does it state that regardless of financial stature will be covered for health care includin[Truncated] 23030 6/26/06 3:15 PM CA "* The Declaration of Independence guarantees Americans the the ""Right to LIFE, Liberty and the Pursuit of Happiness."" We are the worst develioped nation regarding health care for its citizens-this needs to change![Truncated]" "* Again, we should all remove private entities from health care policy. The private sector can make suggestions, but the government should be responsible for making the policy.[Truncated]" "* We are guranteed ""Life, Liberty and The Pursuit of Happiness"" by our Declaration of Independence. That document does not mention income nor family size. Health Care should be a RIGHT-not a privledge![Truncated]" "* I happen to believe that the government should be responsible for All health care in America. However, if the federal government runs health care like it is currently running an illegal war, border secuirty, the situation in the Katrina/Rita[Truncated]" We must make it IMPERATIVE that ALL measures needed to improve health care in America are implemented as soon as possible. Separation of Church and State is written in the Constitution. Religious beliefs have no place in medical research. "* We have become a country run by special interests, be they insurance, companies, pharmaceutical companies, doctors, etc. The Federal Government should mandate helath care for all Americans-period![Truncated]" 23032 6/26/06 3:15 PM CA "* Affordable Heath Care Should Be a Right For All Americans. Everyone should be covered for their health care requirements based on a ""doctor's"" diagnosis and recommended treatment plan. The same as with Medicare![Truncated]" "* There shouldn't be a tiered system. Everyone should be covered for their health care requirements based on a ""doctor's"" diagnosis and recommended treatment plan. The same as with Medicare![Truncated]" I agree! To bureaucratic!1 No good! Yes. "* “Here is my principle: Taxes shall be levied according to ability to pay. That is the only American principle.” ~FDR And so it should be with payments for health care![Truncated]" 23035 6/26/06 3:15 PM NH Universal health care now! Universal health care now! Universal health care now! Universal health care now! Universal health care now! Universal health care now! "* If you want a competative economy, removed the health care ""excuse"" companies use by providing universal health care. Health care will improve and jobs will stay in the US verses going overseas because companies will no longer have the excuse[Truncated]" "* After 19 years of service I lost both my health care and pension due to a ""hand-picked"" bankrupsy court. Universal health care now!..No more excuses.[Truncated]" 23036 6/26/06 3:16 PM PA "* I agree, every one should participate, only have 1 plan for everyone in the U.S. thats the only way to get fair treatment and pricing.[Truncated]" "Just have 1 plan cover everyone, and everything keep it simple." "* Just keep it simple. We are call ourselves World leaders, yet we cannot take care of our own. Address the reasons why we need of out of pocket cost or financial protection.[Truncated]" "Demand it, and limit the private part. Do you let the Fox in the hen house? Look what HMO's got us." "This should have been done by now, and should be forced on to private concerns." should have been done "Why blow smoke and let the Healthcare Industry write it's own fix, they had a chance." "* Make it a percentage of gross income,that way everyone pays the same amount of their wages. The lower wage earner usually gets screwed and has to pay dispaportionaly. The key is everyone in the country must participate.[Truncated]" 23037 6/26/06 3:16 PM MN "* universal health care is deffinetly needed as it is r the largest concern for workers and also is alarge expense lor all units of government.[Truncated]" good * i fell yhis should be a public enety.blue cross blue sheild has been overseeing minnesota health care and cost continue to raise near 20% A YEAR AND THE CEO GETS MILLIONS IN BONUSES.[Truncated] good good 23038 6/26/06 3:16 PM CA "* It is shameful that the United States, one of the richest nations in the world, does not provide universal health care for its citizens.[Truncated]" "A surtax on those with annual incomes over $100,000 would be equitable." 23039 6/26/06 3:16 PM PA "* Health care should be a right, not a priviledge. In the richest nation on earth, we can't provide health care for all of our citizens cradle to grave? [Truncated]" "* I would agree with this recommendation. As Ben Franklin once said: an ounce of prevention is worth a pound of cure."" Healthy living and eating habits, vaccinations, check-ups are the best and most cost effective way to prevent early illness[Truncated]" "* If we are all in the insurance pool the costs and risks are spread wider. If everyone is covered, we identify and prevent illnesses and reduce costs. If we spread the cost based on ability to pay, we can assure fairness and coverage that is[Truncated]" "* Community and public health initiatives will improve health, reduce illness and accidents, and reduce health care costs. An educated health care consumer will be the best health care customer.""[Truncated]" "* Using electronic data will improve efficiency, lower costs and allow for research to focus regional efforts to reduce illness and injuries through intervention and better public health education efforts. Data can measure outcomes, reduce cost[Truncated]" "* Dying with dignity is important. Hospice care should be for everyone, not just the well off with insurance. It is the cost effective and compassionate way to go. Warehousing the dying in hospitals and nursing homes is not cost effective or d[Truncated]" "* Health care for the citizens of this country should be a right like education. We have the technology, we have the capital what we lack is the will. Doctors fought Medicare and Medicaid. Insurance companies are fighting health care reform b[Truncated]" "* We need one system, one payer with a combination of revenue streams to pay for it. Costs of coverage should be based on the ability to pay based on income and assets. The total cost should be shared between the government, the employer and i[Truncated]" 23040 6/26/06 3:16 PM IA "* I am laid off getting unemployment, thats still too high for me too get health care for myself, but the unemployment only get me through the month paying rent, utilities and gas to find employement and still thats not enough to get through t[Truncated]" I answered all that I had too say for now in Recommendation 1. My job would not cover heath care without being broke to pay other bills to keep us from being homeless 23043 6/26/06 3:17 PM DC "* This is right. Too many families are just an illness or accident away from physical, mental, and financial disaster. Too many people face ruin because of losing a job that provided their only access to health care. Meanwhile, the costs of [Truncated]" "* I fear the distinction between ""core"" and ""high cost."" Already our society is splitting into parts. Our system of health care contributes to the disparities. We should not make that worse.[Truncated]" Yes - though my comments to 2 still apply. "* Absolutely. This is a crucial recommendation, and I'm glad to see public attention to palliative care, especially with regard to training health professionals.[Truncated]" Yes - though I think a governmental universal payer system should be the goal. 23045 6/26/06 3:17 PM CA We should at least approach the standards of healthcare in other first world countries. We should at least approach the standards of healthcare in other first world countries. I know people that would rather be ill at home than incurr the bills that a doctor vist will bring. We should at least approach the standards of healthcare in other first world countries. We should at least approach the standards of healthcare in other first world countries. We should at least approach the standards of healthcare in other first world countries. We should at least approach the standards of healthcare in other first world countries. A reduced pentagon budget would easily finance universsal healthcare. 23049 6/26/06 3:18 PM ID Completely agree. The elected representatives in the federal government should be in the same plan as the rest of the citizenry. I prefer a public insurance plan. "This is important in a large, rural state such as Idaho." I agree. "The cost of long term care to be included in any national, single payer health insurance plan." At present some forlks are uninsurable due to previous medical problems. This should be corrected. Coverage should not be tied to employment. 23050 6/26/06 3:18 PM TN God knows we NEED healthcare! The doctors have gotten rich off insurance companies long enough. * It's a pity to work hard all your life and try to have a home and then a catastrophic illness hit and you loose everything. Just not fair. [Truncated] "* It's a pity that dr's treat patients according to their insurance. The better your insurance, the better your treatment. We should all be treated in a dignified manner. [Truncated]" 23053 6/26/06 3:19 PM HI "* Being the world leader in so many areas, why are we the world loser when it comes to health care for ALL of the people of America? [Truncated]" "* No one should have to suffer illness, and preventative care should be available to all of us. We should have a choice in our health care, who we choose to have as our primary physicians, our specialists and our other care-givers. Providers o[Truncated]" "* Everyone used to be able to afford to see a doctor, and some even made housecalls before the advent of today's insurance fiasco. Insurance sompanies have no right to decide treatments or other aspects of healthcare. This needs to be a system [Truncated]" Use a percentage of the money that is financing the mess in Iraq. 23055 6/26/06 3:19 PM IL "* You must also consider female specific issues, such as mamograms and bone density scans, contraceptive devices, and pre-natal care within the core benefits.[Truncated]" "* Include practicianers of ""alternative medicine,"" including Traditional Chinese medicine, as part of a health care system with appropriate licensing and certification procedures.[Truncated]" * Remove restrictions on the use under the supervision of a physician of certain now illegal drugs for pain medication and treatment of chronic illnesses.[Truncated] "* Please do not use regressive taxes, such as value-added taxes, to finance the health care system. Such fees as are assesed on enrollees should be calibrated to income.[Truncated]" 23058 6/26/06 3:20 PM GA there should be parity between physical and mental health care. 23060 6/26/06 3:20 PM MO "* The health care system is clearly broken. It is unacceptable that so many Americans have either no access to health care or effectively no health coverage. I strongly agree that everyone should have access to affordable heath care, just as ev[Truncated]" "Family planning, reproductive health and childbirth MUST be considered part of these core benefits." "* No-one should be forced to make heartbreaking decisions between thier families healthcare needs and other essentials like food, housing or retirement income. The whole concept of pre-existing conditions not being covered by health care plans[Truncated]" "* Some groups have very low access to health care, even to health care that they may already be eligible for. Achieving universal health care will REQUIRE special attention to particular disadvantaged populations. [Truncated]" * Somebody has to do this. If it is the federal government the advantage is that they can have the authority to set standards and ensure compliance.[Truncated] * As we live longer health care in old age becomes a larger and larger part of our total use of the health care system. It also becomes more and more likely that we will die while under some kind of medical care. There is no one-size-fits-all s[Truncated] "* While it is true that no one financing system is optimal, some are clearly more effective than others and there is much to learn from other countries with universal health care. One reason drugs are much cheaper in many other countries is the[Truncated]" 23062 6/26/06 3:20 PM WI * Affordable health care is a necessity in this day and age. I lost a family member who was actually turned away from treatment in a Wisconsin Hospital because she did't have coverage. She passed away in route by car to another facility that wo[Truncated] "* Not enough education through preventative medicine and high cost of drugs for those needing them most. We can do better. We need to do more policing of Medicine, Care providers and Phamaceutical coumpanies that are gouging the citizens for pr[Truncated]" * Funding must be made available for assistance to all americans not just the rich when high medical costs threaten ones existance. catastrophic illness is nothing compared to trying to figure out how to pay for the hight costs of treaqtment. W[Truncated] We fund other countries in need while we neglect our own. It's time for change to guarantee our own citizens are taken care of. "* teach, plan, prevent - 3 key words to base our health care system on. Not enough funding is available under our current administration to educate. If we did more up front the cost in the end would be less for us all. we need a well thought ou[Truncated]" * Funding for end of life service needs to be increased so when our time comes we can die with dignity and not place any more financial burden on out loved ones.[Truncated] * I am saddened by the Current State of Health Care under the Bush administration. I say enough with the so called quick fixes. We need something that will provide for all Americans in the long term in the Centuries to come. It's time to revamp[Truncated] * Something needs to be done now to ease the high cost of Medical care. So many cannot afford the high cost of just basic insurance. Our President has no clue how to handle this. Of course his is paid for so he doesn't have to worry thanks to u[Truncated] 23063 6/26/06 3:21 PM OR "If Bush can spend Billions of dollars on his war in Iraq then we should have a decent health care system in this country...." Same as above.... Same as above... Same as above.... Same as above.... Same as above.... Same as above... Cut some fat out of the militay War Machine and fund it with that...put 23064 6/26/06 3:21 PM OR It is shameful that a country of affluence such as ours disregards the basic needs of so many citizens!!!! " We can afford to protect our citizens in their pursuit of life, liberty, and the pursuit of happiness." It is time for action!!!!!! 23067 6/26/06 3:21 PM IL "* Worker's Comp. companies are allowed to negotiate set fees for every service, procedure, test, etc. The doctors, hospitals, & pharmacies have to take that amount as paid in full, or not participate. Why can't the government regulate all ser[Truncated]" There should be some protection & option to try alternative treatments & testing. "* Very high is too relative a term, my family was forced into bancruptcy over a $10,000 operation in 1985.. Financial protection should include any individual or family with income less than $100,000 per year.[Truncated]" "I hope they do NOT use the same geniuses who came up with the confusing & too often useless, Medicare Part D!" "* All health care insurance should be tax deductible, that would help middle-income & poor. Companies could write-off the healthcare if they paid for employees healthcare. Rich people should be able to donate to a ""super-fund"" & write off those[Truncated]" 23068 6/26/06 3:22 PM MI "* Quality healthcare should not just be for the rich and elite, but for all Americans. The health of all citizens will suffer from major epidemics if only a few can afford to go to a doctor.[Truncated]" 23071 6/26/06 3:23 PM MI "54, Professional Photographer and College Instructor, can't afford insurance and have a far of becoming ill." Yearly gyno-mammograms inc. no one should loose their homes or business due to an emergency visit to the hospital. * get a grip on welfare and if able bodied - regardless of # of children - must enter workforce to help pay for ins. should also be held resp. for # of children.[Truncated] * My dear sweet Mother died with the assistance of Hospice - at no cost to our family - and money should continue to assist institutions that aid in the difficult task of death with dignity.[Truncated] would be willing to pay into a funs - based on income - for insurance. 23073 6/26/06 3:23 PM TX "* Yes, a system in which everyone participates is key. Right now, I have health insurance....who knows what will happen to me and my family next month! Such insecurity is stressful and can lead to further health problems.[Truncated]" "* Managing and preventing illness is much less expensive than trying to play catch-up once a patient is critically ill. And dental health, not to mention mental health, are also part of each whole person. I'm glad to see them included in the co[Truncated]" * Yes! Most everyone can afford a little more...but few can afford the massive amounts that a single illness or accident can require.[Truncated] "* One way this can be implemented is by increasing numbers of physician assistants and nurse practitioners, as well as by allowing licensed dental hygienists to practice without requiring supervision by a dentist. These well-trained professiona[Truncated]" "Yes, using extant networks and systems is a good start." "* I'm especially impressed at your suggestion that the kind of end-of-life care offered be driven by patients' and families' own desires. What one person feels is intrusive, another might find relief in.[Truncated]" Thank you for this well-thought-out set of recommendations. "Yes, we have to raise taxes. Or cut other programs, like subsidies for oil and gas companies...just a thought!" 23074 6/26/06 3:24 PM CT "Hell, yes, this should be public policy." "Hell, yes, health matters." "Hell, yes, we should protect everyone from being impoverished due to high healthcare costs." "Hell, yes, we should create a universal system of healthcare." "Hell, yes, hell, yes, hell, yes ...." "Hell, yes, we should help those at greatest risk." 23075 6/26/06 3:24 PM OH "* If Canada and Europe can have Universal Health Care, we should certainly be able to. Our politicians have made sure they and their families are well covered and at our expense. How shameful is that?[Truncated]" I agree completely * This is long past due. People are losing everything they've worked a lifetime for including their homes. This is outrageous in a counry where some have so much.[Truncated] I agree I agree I agree "* I think this is necessary and overdue. With rising costs and more without coverage, people will have to choose between groceries and medicine and will stop going to the doctor and we'll have a tragedy with large numbers of people living with[Truncated]" "I think this needs to be done and because it will take time, should be started now." 23077 6/26/06 3:24 PM IL * All other Industrialized nations have health care for their citizens. Why should Americans expect less from their government? Government workers have affordable health care. Why should Americans expect less not only from their government b[Truncated] 23079 6/26/06 3:25 PM NY I hope this includes a patient-friendly prescription plan. Fraud should carry serious prison sentences. It's about time!! 23080 6/26/06 3:25 PM OR "* the war against the american middle class is nowhere more obvious than in the creation of a health care system accessible to the hmo, insurance, and private hospital industries, yet inaccessible to millions. unfortunately, the same people who[Truncated]" 23085 6/26/06 3:26 PM OR "* Absolutely!! It is unconscionable that some are without health care and not only some, but many. And others ""go broke"" just trying to keep health care.[Truncated]" Agreed! "Yes! Other countries have it and some have good, efficient, adequate health care. Research their plans." Would have to think a lot longer about that and have more details. * Sounds good. How do you reduce fraud and waste. Has increased yearly. I do think consumers should have a lot of information on prices which at this point is not easy to get. Even when you want to know what you have to pay when you have[Truncated] Yes! "* We need to look at our health care system and the services it provides. Basic health care should be provided for all. Perhaps that means we have to cut out some extremely ""extraordinary measures"" for some people.[Truncated]" 23086 6/26/06 3:26 PM TX "* I fully agaree with the recommendation. I think everyone should particapate in the program. It should be a national health coverage plan like Canada, The Scandinavian countries, and England. They don't seem to have a problem with it. [Truncated]" "* Excellant ideas, but getting the gov't. to accept such a plan will take a mighty big person or group to convince them. A country this prosperous, should be able to have a national health care program, that will cover everyone. Do away with th[Truncated]" "* I agree coverage for all Americans reguardless of their income brackets, is what is needed. I think anyone earning $100,000.00 or more a year, should pay for their own health care. Everyone under that amount should not have to pay the high pr[Truncated]" "* Sounds good, but you could get too many chiefs and not enough indians to balance the program. It will get out of hand concerning the insurance companies, and drug companies, and no one will get what they need. [Truncated]" "* This reads as a wonderful plan, but all of these providers need to be refined to serve even better than they do now. Doctors take advantage of the Medicare/Medicaid program, and are getting rich off of it. A better monitoring system must be p[Truncated]" "* Yes I agree with the plan, and monitoring this section of the program will have to be people who care about people and not a cold uncaring type of persons. To be able to make all this work, will take a miracle.[Truncated]" "* We must go to a national health care program such as has been stated above, or like Canada, England and the Scandinavian Countries have, because health care is no longer affordable for the low and middle class people. Only the wealthy can aff[Truncated]" "* Yes I agree with some of the ideas, but no one should have to pay large prices for care or prescriptions. It should be financed by the Gov't. Medicare is too expensive also, the premiums are getting out of site. Almost a $100.00 month from o[Truncated]" 23088 6/26/06 3:26 PM MN "Our health care services are failing fast, we need a new system that will provide quality care for all." Basic core health care needs must be included. "Financial protection is a necessity, so many are unable to afford high costs." I have seen a huge change for the worse in the quality of health care. A well thought out financial plan is necessary. 23089 6/26/06 3:26 PM OH "* Health care costs could be cut to some extent if all drug advertising would be eliminated. It was not until television and paper advertising were allowed that costs soared. How can cheaper drugs in other countries be considered unsafe if th[Truncated]" 23090 6/26/06 3:27 PM NE Agree. By virtue of the fact that health care is based on access to wealth means that it is rationed. "* Adequate health care must include access to basic services that are defined. Presently, an inordinate amount of health care is provided at the end of life. Health care needs to be preventive.[Truncated]" This would directly affect those people who are forced to declare bankruptcy due to out of pocket medical costs. * Access to adequate health care must be decentralized. If Medicare can hold down administrative costs so can other delivery systems. One of the keys is that competition drives up costs due to the administrative structures that have to be put[Truncated] "* In many ways the government has built an efficient, effective health care delivery system. The problem is, in the case of the Veterans' Health Administration, is that it has been cash starved and then held out to be an example of government [Truncated]" Health care must emphasize prevention to free up other resources. "* Health care financing for all, to me, means that it is an investment in people and that one way or another health care is paid for, albeit inequitably.[Truncated]" 23091 6/26/06 3:27 PM KS health care should not be privatized 23092 6/26/06 3:27 PM PA This should be a Right and not an option Excellent "Privtization's motive is profit, this should be publicly run." The United Way would be an excellent conduit for this type of network "Again, The United Way would be the ideal organization to coordinate this effort" There are many foundations that would be able and willing to fund such an endevor. * I serve as the labor VP to the UWGLV and Chir of the UW's Alliance on aging. We have coordinated and implimented many reforms for the senior population in the Lehigh Valley and have the vehicle and expertise to impliment many of the above ref[Truncated] Absolutel and privization is not the answer 23095 6/26/06 3:27 PM HI Every year medical costs are increased. Is there no end in sight? We cannot afford services that should be basic to all. There must be an end to high costs. Low income people deserve fair treatment - the same as anyone else. "* For as great a nation as we are, why is it that there are some people who are not covered by medical plans? The goal must be equity for all.[Truncated]" 23096 6/26/06 3:28 PM TX "* We should get the same health benefits that our employees (Our Congress) gets. Nothing more, nothing less. Every candidate running for Congress MUST sign a pledge that they will not accept health care benefits UNLESS we have the same benefit[Truncated]" 23098 6/26/06 3:28 PM IN "* I think that it is sad,that the richest country in the world can not afford health care for all americans. All other industrial country's have universial health care for all citizens. [Truncated]" 23099 6/26/06 3:28 PM MI "* National health care will allow business to prosper and raise the standard of living for all Americans.Workers will get real raises, not just money that will be applied to their now overpriced health benefits...[Truncated]" 23101 6/26/06 3:28 PM IL "* One of the main reasons for health care getting so high, is a lack of insured people. When people end up in a emergency room and have no means of paying the cost of medical service,hospitals end up abssorbing the cost. That cost is then pas[Truncated]" * How many people have high blood pressure and don't know because the are too busy tring to make a living on a small income and no insurance. Common sence would tell you if they have proper care a heart attack or a stroke is less likely. Does[Truncated] 23106 6/26/06 3:29 PM FL "* We in the USA are one of the few nations of the world left that does NOT have a national or socialized health care program. This is not relevant to our discussion here, but much like we're the only nation left who does not use the metric syst[Truncated]" "* What guarantees do we have that this group will not be ""infiltrated"" by special interest groups, lobbyists, and the like? Will each of us have a vote in general elections for this group's members? Will certain voting citizens be ""disenfranchi[Truncated]" "* Keep any national program PUBLIC. Again the people of this nation I think do not mind footing the bills, so long as they see where their cash is goin. This also keeps the decisions to be made in the hands of the people, not in the top elite o[Truncated]" 23110 6/26/06 3:29 PM NC Agreed totally. Lack of health care is the worst type of injustice. Go for it. YEs 23111 6/26/06 3:30 PM IL "* All Americans should have basic quality health care services, especially wellness services which help to alleviate later costly emergency procedures.[Truncated]" "* Health care means, wellness and preventive services, counseling, prescription drugs and over-the-counter medications as well as, more education, treatment, follow-up, physical therapy, dental care, and just plain concern for others. [Truncated]" "* They are all important. Those that can afford to pay should pay a fair share, and others a lesser amount depending on resources.[Truncated]" Good health care begins at home and we need to help within each community to educate and inform. This is right on target. To enable its citizens to be able to die with dignity and comfort is the mark of a civilized society. "* As the wealthiest country in the 21st Century, we are obligated to care for all our citizens. It is unconscionable that we have children who go to bed at night sick and hungry and that some of our seniors have to choose between food to eat a[Truncated]" "* I realize that there is no one way to do this, but consolidating some costly areas such as testing centers and long term therapy centers and then expanding personal connections through local clinics and out-reach services w ould help.[Truncated]" 23112 6/26/06 3:30 PM CA "* Let's get a grip! People lacking health care options will die before 2012! Imagine waiting 6 years to see an MD, to get needed medication! ACT WITHOUT DELAY! People are sick & dying while we wait and watch and do nothing! Meanwhile, Congress [Truncated]" 23113 6/26/06 3:30 PM MN "Make that ""All American citizens will have access to ....""" Include provisions for research. Just make it an extension of medicare to all American citizens. "* Exclude the private, profit-making, groups; they have had their chance at providing healthcare to American citizens and they have failed. Do not throw good money after bad. Let private groups provide care for the very wealthy who can afford a[Truncated]" Include provisions for increased funding of basic research. Good idea. "* Simplify and economize: Make national, single-payer healthcare an extension of medicare. Healthcare for noncitizens will be provided as a traded item according to a trade agreement with the immigrant country billed for it. [Truncated]" It can be financed by the estate taxes on wealthy estates and it can be an extension of medicare. 23114 6/26/06 3:30 PM TX "* It is a shame and a discrace that a country such as the United States has nearly 50,000,000 without medical insurance. Special interests and ""legalized"" coruption have harmed many for the benifit of the avarious few.[Truncated]" 23115 6/26/06 3:30 PM CA * The deal breaker will be if this includes those here ILLEGALLY. Working American citizens are being devastated by illegal immigrants - and I would not support a system that included anyone not here LEGALLY.[Truncated] * There should be some levels that reflect the number of people in a family. The family with two children should not be paying the same family deductable as the family with 5 or more. [Truncated] * Again.... no paid services for those here ILLEGALLY. Our hospitals are going broke having to provide for them as it is federally mandated that NOBODY is turned away at a hospital. Have you been to an emergency ward lately? They are full of[Truncated] AGAIN... including those here ILLEGALLY will kill this system. 23117 6/26/06 3:31 PM CO * I am a 63 year-old woman and I just had my annual physical. Just the doctor's visit and the blood work came to approximately $600.00. I'm fortunate to have fairly good insurance so I won't have to pay very much of the $600.00 charges. But [Truncated] "* All health care must be covered from cradle to grave. It should include health care, dental, vision, psychiatric and counseling services. Everyone in society pays sooner or later for neglecting the health care needs of it's citizens.[Truncated]" * Absolutely no American should be left without coverage in a National Health Care plan. Nor should any family lose everything they own because of catastrophic medical conditions from disease or accidents. [Truncated] A good deal of the actual administrtive work should be done at the local level. "* I can't really add anything to this except to say that if you leave the private sector out of the equation, you'll avoid a lot of fraud. As an example, just look at the Medicare Prescription Program. Because it was written by the pharmaceut[Truncated]" "* End-of-life services should be no different than any part of a National Health Care package. They should be provided through the program just as any other aspect is. Just keep the private sector, who is more interested in profit, out of the[Truncated]" "* If you look at Germany, France or Holland as an example, you'll find excellent models in all of them. America can do this. We just have to have the will and the moral fortitude to do what is right for all the citizens of this country and no[Truncated]" "* Model the financing along the lines of the Veterans Affairs Hospitals and Medicare. Their administrative costs are a fraction of what private for profit health care spends. In fact, if you look at health care in America today, you'll find a[Truncated]" 23119 6/26/06 3:31 PM NE It's a shame that the United States can bring universal health care for the Iraqi citizens but not at home It is proven that preventative care can saving a lot of money in terms of health care * The principles by which this country was founded certainly demand equal coverage no matter what. Wealth should not be the determining factor in health care rather on need[Truncated] I support this as well the burden that health care has placed on the states madate a federally funded health programs * understanding is key for any program to work and benefit each individual. All you need to do is look at the Medicade prescription drug benefit and the confusion that causes[Truncated] * Again it is a shame that in a country with such excellent health standards that 46 million citizens are unable to take advantage of it for lack of health care.[Truncated] Equal rights should be guaranteed 23121 6/26/06 3:32 PM PA "Most countries provide health care for their citizens, it's time our country steps up and does the same!" "For the amount of taxes we pay as Americans, no one should be left to pay for thier own health care!" It should be the Federal government's responsibility to provide national heatlth care for all of it's legal citizans. Reduction of Fraud is a must and should be a priority! 23123 6/26/06 3:32 PM TX * I agree fully with this statement. My initial reaction is to be concerned about what would happen to abortion rights and other types of health care services that some doctors or pharmacists already don't offer in their practices or pharmacie[Truncated] "* bullet two might need an addition that says ""based on scientic research in leading academic journals."" This way the recommendations are required to take into account studies instead of just beliefs about different types of health care.[Truncated]" 23124 6/26/06 3:32 PM CA I agree -- I beleve in adequate health care for all. "You should be able to go to the doctor, when you need it. Not the mortician!!" "* If you knew what I pay for health services, plus that I don't get anything for the acupuncture that I have found indispensable for stroke, I don't know what I'd do![Truncated]" Do you know that I found out that the Naval hospital here is among the best? 23125 6/26/06 3:33 PM PA "* Yes, providing health care at the onset of a disease or injury will be cheaper in the long run than one where the patient does not seek health care until the problem is advanced or life-threatening. [Truncated]" "* This can be done quickly and easily, starting with what health insurers already are willing to pay for, vaccinations, annual physicals, mammograms, prosteate cancer screening, etc.[Truncated]" * It is disgraceful that medical costs contribute to fully half of personal bankruptcies in this country and that hospitals charge the uninsured up to 10 times what they pay insurance companies. Families should never have to face personal bank[Truncated] * Start by straightening out the mess Congress made of the Medicare Part D Prescription Drug program and allow medicare to bargain for cheaper drugs like the VA does. [Truncated] "* Health care should be divorced from employment. This is an insane system. People can't work because they get sick and if they get sick and can't work, they cannot get or afford health insurance. American companies cannot compete with the r[Truncated]" We could have paid for a national system three times over for what weare spending on the war in iraq. 23126 6/26/06 3:33 PM IN * Some things are right no matter what the cost.As Americans and decent human beings we must make sure everyone has the ability to be treated in sickness or wellness according to each individuals needs.[Truncated] * AMEN! It is a shame to each and every one of us to allow human beings to go without medical treatment. I like the core benefit as defined here.[Truncated] AMEN! THIS SHOULD HAVE HAPPENED 50 YEARS AGO! * The cost of all these programs could be redirected to a national health plan through current insurers and fund the new insurance with little or no new monies. It would have a savings by reducing several administrations down to one organizatio[Truncated] AMEN! "* I have beenb without insurance myself at times and with a family to worry about. I know families who live without the ability to pay for wellness care and see the resulting health problems bad teeth, aches and pains they can't afford to have [Truncated]" * It seems to me that the US. Government ia already paying most health care costs. Medicare becomes a primary even if you are insured and the only insurance if your not insured. With 90% of an individuals care costs occuring after retirement ag[Truncated] 23127 6/26/06 3:33 PM AZ * There were severval instances when I was a young father that I had to hear my child cry all night because of the lack of health care insurance and the cost of services because a person lacked health care benefits. This still happens today 30[Truncated] "* It should not be run by,or include, for profit entities. Experential data is available through medicare and could be used for determining benefits and cost.[Truncated]" * Nor should anyone be disproportionately enriched for administrating services. No one should be allowed to buy care outside of the system period. If the care is useful and beneficial it should be available to all and not just to a newly crea[Truncated] "* All systems shoul;d be intergrated and of equal quality. There should be freedom to move about the system, open access, thus no one is given superior care.[Truncated]" "* For profit entities should not be involved in the planning, determination, distribution, or approval of care. The individual and his or their doctor (doctors) should discuss care options with the patient making all decisions. If a patient's[Truncated]" "* There is not, (and none should be offered), any excuse why a universal program could not be implemented immediately. The system should use the best practices of the Medicare System and the Vetererns Administration. No matter how much planni[Truncated]" 23129 6/26/06 3:34 PM KS Why is the United States of America the only industrialized country in the world that does not have national health care? "* Major Medical, Physical, Mental, Dental & Vision Care should be the core benefit that all americans have. How about the same benefits that congress gets, the ones working people are already paying for. And perscription drugs as well.[Truncated]" Minimal costs for all period. "* We should certainly be able to get this figured out, unless the do nothing congress that is currently in place decides to take their usual do nothing approach to this like they do everything else![Truncated]" "The biggest issue here is do detect and eliminate fraud, that would make this a whole lot more efficent and effective program." * I am 53 years old and I will never see Universal or National Health Care in my lifetime due to the partisan politics in Washington D.C. this congress and white house has demonstrated time after time that they refuse do have the courage to do [Truncated] * This country seems to be able to give huge tax breaks to the wealthiest 2% of americans why can't we roll back some of those tax breaks and put that money to betteruse by having universal health care for all americans and invest in americas g[Truncated] 23131 6/26/06 3:35 PM WA * Every citizen of this Country should have access to Health Care. You cannot have a vibrant economy when the citezens are denied proper Health Care.[Truncated] "Health care should at least include care for serious and/or terminal care, as well as incurable deseases, and birth defects." Great Idea. "* The entire system could be financed for at least a year if Halliburton, Bechtel, and all the rest, were required to return the money they have stolen from the Treaury, by nonperformance of contracts, and falsefied invoices.[Truncated]" 23133 6/26/06 3:35 PM WI "* Let's do something about overly excessive physician/specialist incomes, and unrealistically high salaries of insurance industry CEO'S.[Truncated]" 23134 6/26/06 3:35 PM CA * Hospital and medication costs are out of control. I read an article this weekend that said the drug companies have been raising the costs of certain medications following the implementation of Medicare D (the part of Medicare that pays for p[Truncated] 23135 6/26/06 3:36 PM MD * The emphoasis is on ALL Americans. There is no justification for any half-baked argument which would eliminate large numbers of people in groups disenfranchized by neglectful legislation and administration of laws intended to divide the have[Truncated] 23138 6/26/06 3:37 PM AZ Establish some sort of right to appeal denial of coverage. "* Some general concerns about the extent to which exhorbitant funds are expended in end-of-life situations (for the very very young and the elderly), with multiple surgeries, etc., which simply prolong suffering and do not change the outcome. [Truncated]" * Would be very good to de-link health care from employment. Current system means persons at low wages and/or for small or middle-sized companies that don't provide health care simply don't have any; companies that do provide squeeze their emp[Truncated] 23141 6/26/06 3:37 PM OR "* It should be public policy that ALL Americans have comprehensive health care free of any charge. All costs should be borne by the U.S. government-instead of phony wars and bloated military budgets.This would cover ALL stages of life, from pre[Truncated]" * We're way overdue for universal health care and other social programs favoring ordinary citizens. Let's do it now-and to hell with the bushies. [Truncated] 23147 6/26/06 3:39 PM WI "* YES!!! It seems obvious to me (and anyone else with a BRAIN) that health care should be available to EVERYONE living in the richest country in the world.[Truncated]" Sounds great! See comments for question 1 and 2. "* Sounds great again, but good luck getting the federal government to do anything except vote themselves a raise in pay and a better health care program for THEIR families.[Truncated]" YES!!! "* This is a free country and I believe all citizens should be able to spend their last days any way they want to, and their medical care should be fully covered.[Truncated]" "* I think health care, or rather the lack of it, is one of the most serious problems facing our country right now. I hope this petition helps, but I have to say I don't have much hope for a resolution because wealthy, selfish people run this c[Truncated]" "* This also seems obvious. It is not an impossible task. It merely requires people with brains, and more importantly, people who give a damn. There are millions of Americans who fulfill both requirements, but unfortunately, they are not our [Truncated]" 23149 6/26/06 3:40 PM MI Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. Remove all religious tax exemptions and use this revenue to finance basic health care for the needy. 23160 6/26/06 3:42 PM KY "* its amazing before the war in irac the excuse for not having health care for everyone was we dont have the money, but we have spent trillions on the war. where did this money come from. and of course all the senators and congressman have grea[Truncated]" "* if affordable prescriptions were commonplace and people could obtain and take them long before a serious problem were to arise, the cost to hospitals and insurance companys could be less.[Truncated]" "* this type of health care has been common place in europe for years and seems to work well. its expensive also, but atleast people can get healtcare when required.[Truncated]" "* the federal goverment cant keep up with what they need now, and their prior history of protecting the people is what you might called limited and one sided.[Truncated]" "* do you really think the goverment can actually do anyting about health care cost, its seems the drug companies and insurance co. seem to go hand and hand.[Truncated]" everyone should have hospice care and other end-of-life services. "* all persons should have health care in this country,but everyone should have to work in some way or another to help pay for it. to many people have a history of families who live on welfare and generations of welfare, everyone who is able sho[Truncated]" if all persons had the same health care as do our elected officials wouldnt we all be in pretty good shape. 23161 6/26/06 3:42 PM CA appro9ve all recommendations..... 23162 6/26/06 3:42 PM WI "* I would like to recommend a plan by Dr. Fred Bannister, published in a book called Health Security America, Fixing the Health Care Crisis. Dr. Bannister is from northern Wisconsin, and his plan has been picked up by the Democratic Party of W[Truncated]" 23164 6/26/06 3:43 PM NY "* This is a great recommendation. I work in a pharmacy, and we deal daily with people who are struggling to pay for their perscriptions. These are usually necisary to uphold a healthy lives.[Truncated]" "* This is very inclusive, and notably includes dental coverage - something not always included in health care plans and therefore hardest for low-income Americans to have access too, despite being necisary for a healthy life.[Truncated]" "* This should be a public program, financed by all. All Americans need health care, and all Americans should get, and pay for it.[Truncated]" * This will help bring down the cost of healthcare - something that is definetly needed for health reasons as well as upholding a healthy economy.[Truncated] "* This is crucial, as too often families care for their own sick members at the end of their lives, which results is huge added stress to the family and takes away from aspects of the families lives, and also results in worse care for the sick.[Truncated]" "* Building a nationally funded healthcare system must be done to give tens of millions of people healthcare. Healthcare is not a luxury; it's a need. There are few government services as important as healthcare, and we should see this expande[Truncated]" "* The cost should be picked up by the united taxpayers of America, so the burden falls on those most able to pay, like our other general expenses usually work. Something like the payroll tax works like a regressive tax, and shouldn't be expand[Truncated]" 23165 6/26/06 3:43 PM MO This should be a priority on the agenda! Make sure RN's are included as part of the group. Protection from unnecessarily high drug costs is important too. Please make the programs CONSUMER-friendly! "Advance Directives should be made available, with assistance in filling the forms out, as needed." 23166 6/26/06 3:43 PM IN * Reduce physicians costs by putting a cap on lawsuit damages. Limit the loss to lost wages and create a formula for pain and suffering payment to the victim only.[Truncated] 23169 6/26/06 3:44 PM OH "We should have the same health care that you have, that we pay for." We should have the same coverage as you. Our out of pocket costs should be the same as yours. "If you were part of the ""vulnerable population"" what would you want?" Pretend we're Mexicans. "If you were dying, how would you want to be treated." We should have the same health care as the new americans (mexicans)have. Our health care should cost us the same it costs you. 23170 6/26/06 3:44 PM CA * Definitely true. When every country in Europe and some countries with far less money and resources than us can have universal health care there is no reason why the U.S. should not.[Truncated] * The benefits should be to all for all care that is necessary for their good health. I am glad to see you are including preventitive information to patients. So many of our medical patients are having problems that could have been avoided wi[Truncated] "* People should have their medical care financed from their taxes just as their education through 12th grade, highways and national parks are financed.[Truncated]" "* I would strongly recommend that the nation look to many of the European countries for their example in this. They have low income people, people who could not afford insurance or would not have it if they needed it for care, and people in ru[Truncated]" * I would recommend that you provide all Americans universal health care through the tax base so that the consumer information service is not even necessarey and health insurance becomes unnecessary also. This would save us a lot of money in p[Truncated] Agreed "* The best change they can make is to have one universal billing system and collection system for all instead of these separate departments which each handle part of the medical load. We have a department for veterans, a department for the nee[Truncated]" 23172 6/26/06 3:45 PM NY most western countries have it -we should too! 23174 6/26/06 3:45 PM PA Only a single-payer insurance system will ultimately work. 23179 6/26/06 3:46 PM RI * This statement is very true--it is the government's responsibility to ensure that our health care system provides care for all Americans.[Truncated] I agree with this recommendation. "* This is the exact type of system that we should adopt, rather than alternatives such as President Bush's misguided ""Health Savings Accounts.""[Truncated]" * It is critical that we have high-quality community health centers that allow lower-income people access to care. Preventative care is particularly important in these centers.[Truncated] "* This type of care is increasingly important as more Americans live to older ages, so it is important that there be good options for this care and that there be extensive information available about these options.[Truncated]" "* The best type of health care system would include mandatory health insurance (as with Massachusetts' plan) with a strong Medicare for All option, so that everyone would pay their part into the system, but there would always be a strong, affor[Truncated]" * The current system of financing is a complete mess. Forcing employers to pay for their employees' health insurance absolutely destroys their competitiveness. Since forcing individuals to pay for their own plans would devastate lower and wor[Truncated] 23180 6/26/06 3:46 PM IL "* The fact that this wealthy, powerful, and increasingly unequal society does not provide health care to its members as matter of right tells us all we need to know about the lack of civilization of its leaders. An elite cruel enough to deny t[Truncated]" 23181 6/26/06 3:47 PM IA I support Recommendation 1. I support Recommendation 2. I support Recommendation 3. I support Recommendation 4. I support Recommendation 5. I support Recommendation 6. NO I support the financing statement. 23183 6/26/06 3:47 PM AZ * Society is viewed by how it takes care of its inhabitants. Our government should run a health care system that takes care of all its residents. That's a major reason for having a government.[Truncated] I stated it all in the first and second section. * All government funds should come from its residents based on their ability to pay. That includes corporate income before it is plundered.[Truncated] 23184 6/26/06 3:47 PM FL * Today so many Americans are without health insurance for one reason or another that it has to be made available to all if one can pay or not including prescriptions.[Truncated] 23185 6/26/06 3:47 PM ME * Not having health care for all Americans is costing us more than if we were to cover everyone. This should be a basic human core value that is a priority for a country as wealthy as ours and one that touts it's supremacy in democracy and jus[Truncated] Cost control measures need to be instituted as part of the health care coverage for all citizens equation. "* Recommend the highest paid people in our country (CEOs, Sports Players, TV & Movie Stars) pay into a pool of money to cover catastrophic care for people in our country. Nobody needs to make millions of dollars in this country per year, while[Truncated]" * Not so sure the current Government is equipped or capable or handling such a huge task...look at the Katrina Disaster...there was an Agency supposedly totally tasked with handling an emergency such as Katrina that our tax dollars supposedly f[Truncated] "Advertising, lobbying, pharmeceutical lobbying, and medical cost caps should be looked at to control costs and inefficiencies." "* Recommend the highest paid people in our country (CEOs, Sports Players, TV & Movie Stars) pay into a pool of money to cover catastrophic care for people in our country. Nobody needs to make millions of dollars in this country per year, while[Truncated]" * Every bomb that's dropped could be money that goes to the issue of healthcare coverage for all. We can't kill all our enemies and violence just begets more violence. We need an Agenda shift in this country that speaks to a defensive posture[Truncated] "* Caps may be necessary on an out-of-control medical system, exploits what it can to reap more and more dollars. the pharmaceutical industry is one that should definitely be investigated for their cost inefficiencies (advertising, wooing of do[Truncated]" 23186 6/26/06 3:47 PM PA I agree I agree I agree I agree 23188 6/26/06 3:48 PM FL All Americans !! Citizens of the USA !! 23193 6/26/06 3:49 PM TX "* Personal health is just as much a matter of ""national security"" as is military might; one dies just as fast from an accident as from a bomb, or in slow agony knowing that if one had the money, one could be cured. [Truncated]" Be sure to get rid of the pre- or post-lobbyists! "Yes, if there is a chance for a good life afterwards. No, if the person is going to die in a few months anyway." No comment This should get rid of some of the sky-high administrative costs. "Yes, indeed." "* I believe something like the ""Oregon Plan"" should be put in effect. There is little point in spending two million dollars to keep my nephew-in-law alive when he was too ill to ever be born and will never be productive or even well enough to [Truncated]" 23195 6/26/06 3:49 PM CO "Health care for all is possible, therefore it must be provided for all." "Health services for a lifetime must cover physical, mental and dental health." "We must have a ntional program to cover all Americans and not impoverish any child, woman or man." * Integrated community health networks will strengthen health care and focus on persons and localities where the need is the greatest.[Truncated] Health education and patient focused care are needed. People with incurable conditions and those who need hospice care and end-of-life services must be provided for. "Financing can be available for all and should be fair, efficient and should be provided by value-added taxes. " 23196 6/26/06 3:49 PM MI "I agree with Recommendation 2 " * I agree. Perhaps Congress should take a pay cut and also pay for their benefits to help the uninsured Americans. Certainly they can afford it.[Truncated] I agree. * Perhaps their are people who would donate their time to oversee such a project rather than take a salary. Perhaps someone like Bill Gates who is very interested in the well being of the children of this country.[Truncated] I agree "* Certainly in a rich country such as the US their are many educated, charitable citizens in the medical and business fields that would donate time or money to such a project. [Truncated]" "* Those of us who can afford it could help pay for universal health care. I find it appalling that Congress gets the best medical coverage available, but sees no urgency it helping the American people they represent to access the same health c[Truncated]" 23200 6/26/06 3:50 PM RI * A single-payer universal healthcare system works in most other industrialized nations. This is the most fair. Wealthy people will still be able to get extra care in private clinics. The U.S. needs to be able to negotiate fair drug prices as C[Truncated] * Health benefit decisions should be based on the best evolving research and agreed upon best practices in each field. They should not be based on profits for the administrators or for investors in healthcare organizations.[Truncated] * It is simply cheaper and more humane to allow people the support if they choose to die at home. Any decisions given to a dying patient are empowering and respectful. [Truncated] 23203 6/26/06 3:50 PM CA "I absolutely agree. The Constitution begins with the word ""We,"" NOT ""Some!""" This is essential and MUST NOT be restrictive. This is essential. Of course! This is the basis for democracy! Another essential component. Of course. Another essential element of equality. "* If we are to continue to lead the world and demonstrate the validity of Americanism itself this is a critically essental step. To NOT do this would be to validate those who point to the decline of AMerican as a democracy and the return of ""ru[Truncated]" "We can learn from other countries, who are fellow democracies, that already do it successfully." 23204 6/26/06 3:50 PM MD "* If the US can spend over $300 billion and rising on an immoral and illegal war in Iraq, it can afford universal, single payer health care similar to that of most developed countries. To do otherwise is sinful, shameful, and wrong.[Truncated]" The State of Oregon has a model program identifying core health service. A universal health care system will eliminate this requirement Local governments can administer universal health care under standards set by the federal government. This is a non brainer We need availability of hospice and alternative medicine facilities without extra charges to consumers. "* The US health care system has been broken for fifty years. It serves only the rich and shoves aside most others. Even the rich are victims because the system is inefficient and corrupt. The lobbying of pharmaceutical companies, insurers, a[Truncated]" * The mney should come from war expenditure cutbacks and a termination of the income tax cuts that benefitted mostly multinational corporations and rich individuals.[Truncated] 23205 6/26/06 3:50 PM NM * The idea that we should let insurance companies and others leach money from our health care system in this country is crazy! Let us finally have the good sense to have a single health care payer for all![Truncated] 23209 6/26/06 3:51 PM NJ "* It is time, especially since instead of more people with Health Insurance there are less. Both my daughters-college graduates and with full time jobs have at varius times had no health insurance. I had to pay for ones COBRA because she has [Truncated]" Definitely include preventative. My relatives in England and Ireland are all very happy with their system. I am in a rural area and we are definitely underserved. Couldn't we do away with Medicare etc if we had a Federal Health Insurance Plan for all? Wouldn't money be saved? Put all under one system. "* Cradle to Grave Helth Insurance for all and do away with most other seystems would probably save money in the long run. I have always had Health Insurance from birth. However, my daughters and many of their friends have not. This country s[Truncated]" We have to have car insurance so too should there be a system of health insurance. 23210 6/26/06 3:51 PM GA "* It is a disgrace and a sellout to the AMA, Drug Cos and HMO's that we do not have affordable health care for every citizen in this allegedly greatest and richest nation on earth! Stop our billion dollar wars and start to provide real benefit [Truncated]" 23211 6/26/06 3:51 PM NJ Health care is important to ensure productivity. 23212 6/26/06 3:51 PM IL "* In the 50's we had a one supplier system - Blue Cross, Blue Shield. It was a pool for all. Anyone could obtain coverage at an affordable price, in good health of poor health. Today, health care is a capitalistic commodity - sold by the wealth[Truncated]" 23215 6/26/06 3:52 PM MD "* We are the most advanced country, except for caring for our less fortunate and providing for basic health care needs. Surely all Americans have a right to necessary medical care. Our society will be healthier, more productive and create new[Truncated]" This appears to me to be a terrific campaign---what can we do to help? "* Other countries have found ways to finance universal health coverage, we can take the best from any other system and apply it to American society and values.[Truncated]" 23216 6/26/06 3:52 PM TN "* It is the role of government to obtain public goods such as health care for citizens and residents. If the private sector fails to provide essential public goods such as health care, as our medical industry has done, then the government must[Truncated]" "* Preventative health care would save lives and ease the burden on our over-crowded ERs. Also, mental health care is essential to prevent serious injuries and dangerous contact with the criminal justice system.[Truncated]" "* Bankruptcy court is the catastrophic medical insurance for many Americans. This is completely unacceptable. Families are left destitute and our doctors don't get paid. Where are our insurance premiums going, anyway?[Truncated]" Everyone should have quality health care. "* Doctors should use their professional medical judgment in recommending treatment, not strict formulas made by insurance companies with an incentive to save a buck.[Truncated]" * Pain treatment is a key component of a rational medical care system. The so-called War on Drugs should not lead to policies punishing doctors for prescribing painkillers.[Truncated] "* America deserves a single-payer health care system. Get the private insurers out of public health care! The majority of Americans want rational health care, not outsized corporate profits. [Truncated]" "* Health care should be financed the same way health care is financed in many countries with functioning public health care systems: by cutting administrative costs. Executive pay in private health care corporations should be cut, and sharehol[Truncated]" 23217 6/26/06 3:53 PM MI "* This sounds totally vague and wishy-washy, since it does not mention single-payer national health insurance. How will Americans have affordable health care without affordable health insurance? This recommendation sounds like it was written [Truncated]" Sounds like a process that is much more complicated than necessary-- Good Sounds good-- Ok Ok "* What about single-payer health insurance? Without that, all this other stuff is either the politics of distraction or pie-in-the sky....[Truncated]" "* Again, you've lost me in all the verbiage (and I'm a PhD), so don't expect many Americans to trust this kind of recommendation-- Sounds like corporate-speak for putting off doing anything serious for as long as possible....[Truncated]" 23218 6/26/06 3:53 PM OH "Medicare works. If all had this protection it would address most all of Recommendation 3. " "Medicare(except for Part D) works. Why not apply Medicare for all? " "* Medicare(except for Part D) works. Why not apply Medicare for all? It is disgusting to think that a nation of our stature can not care for its citizens. [Truncated]" "Medicare(except for Part D) works. Why not apply Medicare for all? " 23219 6/26/06 3:53 PM WI * Health care is not simply providing for an individual in times of sickness. Adequate health care must be pro-active enabling all to anjoy the benefits of good health.[Truncated] The US is the only major industrial nation without a national health care plan that is accessible to everyone. 23220 6/26/06 3:53 PM MA There is no reason we should not have care for all legel residents and legel visitors. This seems to cover it. What we now spend each year is enough to pay for an all inclusive system. 23222 6/26/06 3:53 PM AZ * This should be basic and would help us all avoid the financial and emotional stress suffered by all of us who have lived without any health insurance.[Truncated] 23226 6/26/06 3:53 PM FL "Yes, I think all americans deserve healthcare for their famlies, not just the rich powerful friends of the president!" Very smart to have non partisan group invloved. how will we convince high power snobs or corporate special interest this good for them too? I support it. I support it. will help healthcare cost down for all americans! I support it. "Yes, I support any way of finding affordable healthcare for all!" support this recommendation also. 23227 6/26/06 3:54 PM IL Include vision care "* Be able to set up a medical account, which is tax sheltered, and deductible from your paycheck - but transferable in a national account to a nother job, and not expire until you die. Current ones in the workforce usually expire at the end of[Truncated]" 23229 6/26/06 3:54 PM NY "* In every other developed country, access to medical services is easier and more universal than it is in the United States. That is a disgrace! Through family, I am familiar with health care in Israel, Canada and Great Britain. Their systems [Truncated]" "* The system will probably have to be tiered, but provision should be made for access to life-saving costly treatments in some way, especially when less costly treatments have been attempted without success.[Truncated]" "* With the exploding costs of health care, financial protection is needed for all but the very wealthiest segment of our population. [Truncated]" "* The final point in this Recommendation is very important. Prevention of disease and preservation of good health is cost effective in the long run, and well worth the expense in its encouragement.[Truncated]" "* Several of my older relatives verbalized that they did not want to end their lives in hospital. Had there been a hospice system available, it would have been easier for them, as well as for family members who were not able to be with them at[Truncated]" * Technical advances in diagnostic procedures and in treatment have made it possible to relieve symptoms or cure diseases that were death sentences previously. But these same advances have caused the cost of health care services to rise beyon[Truncated] 23230 6/26/06 3:54 PM MO I totally agree with recommendation 1 "* My health care payments go up nearly every year and those costs are taking a bigger bit out of my check. Something has to be done, I hope it is very soon.[Truncated]" All recommendations sound good to me. "If this can be done soon it would be great, if not maybe we could go to a system like Canada has." "I hope a way can be found, this country needs universal health care." 23235 6/26/06 3:55 PM OR "* Americans speak loudly about including ""God"" in everything - on our money, in our pledge to our country, etc. But it takes more than saying or printing the name of ""God"" everywhere to be a moral nation. The old phrase ""Actions speak louder [Truncated]" "* If you get too many people involved in making decisions, you'll have the same problem we have now - too much beauracracy and red tape. Why don't you include vision in the core benefits?[Truncated]" "* This should be a public program (contributed to by private donors if they so wish). If the entire program is private, it will be like insurance companies are today - forever raising prices until the benefits are out of reach once again.[Truncated]" "Quality care would be wonderful! But right now, any affordable care would be a blessing!" This all sounds fine if you can make it work. Sounds good. How does Canada handle all of this? Why don't we just do it that way? "* I would gladly give up my little tax reduction from President Bush if it could be applied to financing universal health care. Couldn't the wealthy of this country, who benefitted most from the tax cut, give theirs up also? I'm sure all thi[Truncated]" 23236 6/26/06 3:55 PM IN * This is the right thing for America. Quality health care should not be limited to the rich nor should it place an undo burden on low income Americans.[Truncated] 23238 6/26/06 3:56 PM NJ yes yes yes yes yes yes * Someone needs to definitely correct our health care problem....george w...just seems to help the rich get richer...how about the middle man we seem to pay for all.... [Truncated] yes 23242 6/26/06 3:56 PM NC "* Insurance companies, HMO's, pharmasutical companies, and giant hospital conglomerates are making out like bandits while millions go without adequate coverage or no coverage at all. The system needs reform. We need to edge out those who seek[Truncated]" 23244 6/26/06 3:56 PM OR "* I am in total agreement with all six recommendations. The fact that we are the only Industrialized Nation without coverage for all citizens is disgraceful enough, but when you add in the fact that we are paying twice as much as other Industri[Truncated]" 23245 6/26/06 3:56 PM NY Sounds good. PUBLIC PROGRAM! "* A comprehensive fair income tax that does not allow deductions adding up to over six figures, with the current rates would do a lot to adjust the inequality. Personally I'd like to see a 50% rate on all income between $250,000.00 + $1,000,000[Truncated]" 23248 6/26/06 3:57 PM WI any one working should have a minimun coverage. "Have minimun set. If CEO ands to that for 1 employee they must add for all, not allow 1099's as lopehole." 23249 6/26/06 3:57 PM IL "* Health care should cover cradle to the grave ,including longterm care. no exceptions. It should cover more doctors and not just medical ass. picks and chooses. All medical needs should be included and no means tests .[Truncated]" * Use the veterans adm. profile since it will no longer be needed since vets will be included in the plan. It works great and is already tested .[Truncated] " Everyone should be treated alike , including the president and congress /senate.No exceptions." " Everybody should be treated the same , no exceptions." * All should be integrated into the veterns adm and everyone should be treated the same including the president and the senate/congress. No exceptions.[Truncated] * Health care should be for health care not for profit . Everybody should be treated the same including the president and congress/senate. No exceptions. More doctors and nurses and no means tests.[Truncated] "* I know that honesty is a commodity that is hard to come by these days ,but honesty should be the number one and most important ingreidient in this program, checks and balance should be incorporated with the means to weed out dishonesty ime[Truncated]" No means tests and no special tax . Pay for it out of general revenue . no descrimination or behind the back deals . 23252 6/26/06 3:57 PM MO "* UNIVERSAL HEALTH CARE FOR ALL AMERICANS... to be paid by passing a sales tax to cover health care for all Americans.... We are helping foreign countries to provide for their people...and when will it be OUR turn ...or will we just continue[Truncated]" a sales tax should be used to pay for UNIVERSAL Health Care...that way every one would pay their share of taxes.... 23253 6/26/06 3:57 PM NM AGREE HAVE ALWAYS BELIEVED THIS IS RIGHT NEED NOW VERY NECESSARY AGREE MUST DO TODAY "VERY CLEAR AND REAL STATEMENTS, THANK YOU." TOTALLY AGREE 23255 6/26/06 3:58 PM TX "* We NEED it NOW. Lack of health care affects both productivity and costs - ability to compete. As it is now, the market you all worship will bury us. Total health care for all -- no. Public, not private. I'd rather see a little graft th[Truncated]" 23257 6/26/06 3:58 PM OH * I agree whole-heartedly and think the U.S.Government should get off their rears and implement something asap. Even if it takes an amendment to the Constitution.[Truncated] * It is very improtant to educate the children as they grow up into adults. They must know the value of the health care system and how to manipulate it to their best interest and at the least expense. Family practitioners instead of hospital [Truncated] "* Tie it to a persons' income and a percentage of it should help pay for medical costs. Once past that threshold, insurance and the government should pay the tab. Stop the medical industry from charging so much for procedures and medicine.[Truncated]" "* Everyone must be involved, from the citizens to the politicians and especially the medical people of this country. It's shameful that the greatest Country in the world doesn't take care of it's own.[Truncated]" "* Prosecute to the fullest, any fraudulent medical practioners, insurance rip-offs, scams, and thieves. Put the cheaters out of business and in jail where they belong.[Truncated]" I agree. "* For the County's sake do something, even if it is wrong at first. At least something is then being done. Medical expenses are ruining peoples lives and keeping them from getting well and staying well. the high cost of medicine (over the co[Truncated]" * Just quit doling out free money to every other country in the world and every nut that asks for it and we'd have more than enough to fund a health program for each and every American.[Truncated] 23259 6/26/06 3:58 PM FL Medicare-For All!!! Medicare-For-All!!! Medicare-For-All!!! Medicare-For-All!!! Medicare-For-All!!! Medicare-For-All!!! "Have friends in Canada. Been there numerous...Healthcare-For-All most efficient, cost saving andmorally correct solutionn." Medicare-For-All!!! 23260 6/26/06 3:58 PM CA We can so we must. "* Health care in America is a joke. My dad was the chief physician at St. Jude, and advocated National Health Care in the 60's. The greedy interim is an abomination.[Truncated]" "The money's there. Don't let rich people fool you. Or kill you, for that matter." 23261 6/26/06 3:58 PM CO "* My company made only high deductible, health savings accounts available to folks who started coverage two years ago. I shouldn't be forced to pay the first $2,700 of care while my insurance company keeps posting larger profits year after yea[Truncated]" * Core benefits would allow at least a baseline of care to be available to everybody. This will work to keep future health care costs under control.[Truncated] "* The program should be set up so that low cost care is provided first, not the newest and most expensive care. Health care should be flexible enough so that [Truncated]" Reduce redundancy and beauracracy when possible. * Communication between provider and patient is critical. Transparency of the process will help engender trust and support for universal care.[Truncated] * Reduce the amount of public money spent on end-of-life care. America spends more than any other industrialized nation (per capita) for this and it's generally wasteful spending.[Truncated] * Expand Medicare to all citizens: the infrastructure is already in place to expand the program to every citizen. Level of care might be limited to the youngest people newly insured.[Truncated] 23262 6/26/06 3:59 PM CO "* ER care is *THE* most expensive care! And when they finally go to the ER for care, their conditionS are MUCH more entrenched. An ounce of prevention...[Truncated]" I'd like to see as much local self-sufficiency as possible. After New Orleans... "I feel about this, as Ben Franklin did about the US Constitution." 23264 6/26/06 3:59 PM IA "For a nation supposedly founded on Judeo Christian Values, we certainly practiced a niggardly way of caring for our citizens." 23265 6/26/06 3:59 PM WA "* The United States is the richest country in the world, there is no reason why every person shouldn't have affordable quality healthcare. It is a disgrace for all of us who have deductibles so high that we can't even go to the doctor for regul[Truncated]" "This recommendation would be a blessing for the poor, the working poor and anyone else who had little or no coverage." 23269 6/26/06 4:00 PM WY "* It should be stipulated explicitly that vision care is part of the ""core"" package. Also, preventive care and healthy lifestyle incentives should be worked into the equation. What about alternative treatments that are often much cheaper to p[Truncated]" "* In my small community of 27,000, many people are forced to travel outside the state in order to get the highest quality care. The hospital in my town is poorly run and staffed, and they charge usurious rates of interest on outstanding balanc[Truncated]" "* I agree. I believe that the insurance industry gouges physicians as well as patients, causing fees to rise and making it harder for physicians to work in rural areas.[Truncated]" * Capital gains taxes could be tapped as well. I believe that the taxes of America's richest people should be employed to help those who are struggling.[Truncated] 23270 6/26/06 4:00 PM MO * This is not to be a mandate to make insurance companies wealthier as the Medicare Pard D was designed by the pharmaceutical companies to make them richer. This needs to be a simple expansion of Medicare to all with assistance in payments to t[Truncated] There is no place for partisan politics or religious domination here. "* The program needs to be public, not an effort to enrich insurance companies. An expansion of Medicare to all with a single payer system would be the most efficient.[Truncated]" "* Point of service options on the part of the participant with a single payer system, such as the expansion of Medicare to all. This is a no brainer.[Truncated]" Including the availability of home health care services and hospice services at home. * Do not make this a system that is designed to enrich insurance companies or pharmaceutical companies. The easiest and most efficient system is Medicare and it needs to be expanded to cover all of us.[Truncated] The simplest way to bring this about is to expand Medicare for all with contributions by those who can afford them. 23271 6/26/06 4:00 PM IL * There is too much wealth in this country for even one person to be denied health care. It is time for all of us to get serious about this issue[Truncated] 23275 6/26/06 4:00 PM UT "* The proposals are too complicated, and in some cases contradict one another. They actually encourage the development of cumbersome bureaucracies and turf wars. Use the existing bureaucracy of Medicaid, and expand it to cover everyone. Sh[Truncated]" 23276 6/26/06 4:01 PM TX a country first concern should be the health of it's citizens at all costs 23277 6/26/06 4:01 PM NV * With business making billions and paying their CEO's millions they can afford to pay 100% of the cost of health care for all their employees. If they can not afford these cost they should go out of business.[Truncated] 23281 6/26/06 4:02 PM TN "* Yes I agree wholeheartly, the ordinary citizen should have the same health care provided for them as does our members of Congress.[Truncated]" I agree AMEN "Need health care providers, State & Federal Governments, Individuals, & Corporations working together to provide health care." Can agree. Agree. * If all of the entinineties that are profiting from the healthcare industry and the rich 1% that are recieving the big tax breaks would be willing to help out we could have affordable health care for everyone.[Truncated] "* I think that an increase in Medicare cost to active workers could be used to help finance the cost for retirees, seniors and anyone who is not able to pay for affordable health care.[Truncated]" 23282 6/26/06 4:02 PM TN "* Yes I agree wholeheartly, the ordinary citizen should have the same health care provided for them as does our members of Congress.[Truncated]" I agree AMEN "Need health care providers, State & Federal Governments, Individuals, & Corporations working together to provide health care." Can agree. Agree. * If all of the entinineties that are profiting from the healthcare industry and the rich 1% that are recieving the big tax breaks would be willing to help out we could have affordable health care for everyone.[Truncated] "* I think that an increase in Medicare cost to active workers could be used to help finance the cost for retirees, seniors and anyone who is not able to pay for affordable health care.[Truncated]" 23285 6/26/06 4:02 PM NJ I agree with recommendation 1. "I agree with the ""core"" benefit package." I agree that recommendation 3 is very important. I agree with Recommendation 4. I agree with Recommendation 5. I agree with Recommendation 6. The financial statement is well thought - I agree with it. 23287 6/26/06 4:02 PM VA "* I agree. There needs to be a generous means test so wealthier folks don't cheat, but I do agree on accessibility of decent health care for all.[Truncated]" "I agree with the concept of a health care continuum. As we age, our needs change." "* Yes, I agree that those who cannot afford it should have protection against catastrosphic health expenses that leaves families and persons deeply in debt,and/or in poverty.[Truncated]" "* Yes, public/private cooperation in networks of health care providers caring for vulnerable populations seems to be a thoughtful, comprehensive method to reach persons in need. We recommend this approach overseas. It would be nice to see it [Truncated]" * Having the support of the federal government in integrated health care systems cuts through a hodge podge of existing systems so that no one is excluded or left out.[Truncated] "Yes, I support this recommendation too." "* It might be wise to have health care information given throughout the public school system in each state. Often citizens are unaware of what they are doing to themselves and can learn to avoid certain behaviors if they knew better, such as p[Truncated]" I agree with the sources of revenue to support health care for all. 23289 6/26/06 4:02 PM PA "* The American Middle Class cannot go on much longer with these rising costs of health insurance, doctors and dental fee increases etc. We are being maxed out and unlike teachers and political people we are not receiving huge wage increases. [Truncated]" 23290 6/26/06 4:03 PM SC * It is a shame that small countries with less resources are doing a better job of providing health care to their people! We invest our taxes in drug research yet the drug companies make exorbitant profits at our expense. Our system is broken. [Truncated] 23291 6/26/06 4:03 PM NY This should be a fundanental right of all Americans. * Many Americans do not have access to good or any dental care. This aspect alone would save the government money when these citizens reach retirement age and are covered by medicare.[Truncated] * This should be an interim step towards full coverage for all Americans. If the countries in Europe and the UK are able to provide health care for their citizens why can't we.[Truncated] * Many families have to impovish their parents to provide final health care and end-of-life services because the current costs are so high.[Truncated] * Health care should include vision and dental care as well as nutritional services so that all Americans will be more productive during their working years as well as when they retire. Too many companies have opted out of providing health care[Truncated] 23292 6/26/06 4:03 PM AZ * I support universal health care for all people and it should be modeled after the VA health care system. My husband goes to the VA and I can't give them enough praise. All the specialist are right there plus all the equiptment to run test. Ev[Truncated] I think I took care of everything in my first two comments. "* All employers and employees, both full and part time, should pay a small amount into the healthcare system and perhaps a graduated co-pay based on ablity to pay with a minimiun and max amt. A card issued similar to an ATM card that is swiped [Truncated]" 23293 6/26/06 4:03 PM CA "* I live in San Francisco, CA and we are in the process of advancing just such a policy right now. It has the support of the Mayor and the majority of the Board of Supervisors and overwhelming majority of the public.[Truncated]" Sounds good. Ours based on the health provided to city and school employees * Take the examples of local communities and national systems like medicare and veterans admin to heart so we don't have to reinvent the wheel. Emphasize how much such a system will save us in emergency care provided now as well as improved pro[Truncated] "* Again in SF, financing is suggested to come from the city health budget (we already pay huge amounts for emergency room costs for the uninsured as to most cities), individuals to be covered (sliding scale based on income) and employers (right[Truncated]" 23294 6/26/06 4:03 PM PA "* I am deeply concerned about the health care situation in our country. After my husband lost his job, my family lost our health insurance and were unable to pay the high costs of having insurance on our own. We are a respectable and hard-worki[Truncated]" we Americans need a way to afforded a core benefit package. I am in favor of this. "* With the majority of baby boomers coming to the age of retirement, we need to do something fast so we can live our life with dignity regarding health-care costs. [Truncated]" 23295 6/26/06 4:03 PM NC I agree wholeheartedly with this recommendation. Basic good health care is a human right!!!!!!! "* ethis sounds like a good plan. However, there should be special incentives for people to lead healthy lifestyles and fast food companies should be expected to offer better quality food.[Truncated]" Agree completely. More low-cost neighborhood clinics. Doctors should be on salary. Medicine should be taken out of the marketplace. Hallelujah! Absolutely! "I hope to see these enacted in my lifetime. I am now 77, so let's get started now." "* Why not extend Medicare to everyone? Get rid of insurance companies! That alone would save so many dollars. Currennt workers could work in Medicare.[Truncated]" 23296 6/26/06 4:03 PM FL "* A single payer health care structure will reduce the cost of care, assure almost every dollar will go for a health benefit, everyone will be covered, and business can be relieved of the heavy health care burden and become more competitive.[Truncated]" 23297 6/26/06 4:03 PM CA * We should follow the lead of other countries such as Canada who have a universal health care system that is effective and efficient.[Truncated] * By putting more effort into prevention we will curb escalting health care costs. There is too much emphasis on treating a disease only when it becomes apparent. It is much more efficient and better for the patient to take care of the body bef[Truncated] * There are too many middle men taking money out of the health care system. Doctors who are the heart of the health care system are making less money and paying higher insurance costs while pharamaceutical companies and big corporations are mak[Truncated] 23298 6/26/06 4:04 PM CA "It is a disgrace that our industrialized, rich country does not provide medical insurance for everyone." 23299 6/26/06 4:04 PM MD I agree. I agree. I agree. I agree. I agree. I agree wholeheartedly with this. I agree. 23300 6/26/06 4:04 PM WI I am 100% for this I am 100% for this I am 100% for this I am 100% for this I am 100% for this I am 100% for this 23301 6/26/06 4:04 PM MI "* I feel everyone needs healthcare, however I feel that babies with government support only, should be lowered. We can't continue to support generations of welfare paychecks. They make more money than I do for working.[Truncated]" "Low income is not the ""low income"" That part needs defining more clearly." "* I work as a C.N.A. so I see the need for pre care, ongoing and hospice. All people should be able to have the care that our shoulders fight for daily, yet some of our soilders don't get that care. Every person needs to be assesed an amount to[Truncated]" * Health care payments should be based on income and income for welfare should be considered. The middle class is now at poverty. [Truncated] 23302 6/26/06 4:04 PM CO * Individuals must be taught to seek out healthful ways of living. Health is the responsiblity of each individual and we cannot keep assigning the responsibility for health to the government and to insurors as though health is a third-party is[Truncated] Part of the solution has to be a shift away from treating sickness and toward promoting wellness. 23303 6/26/06 4:05 PM WI * I think everybody should have health care.Many people can't retire when they want because they can't afford health care.Millions of jobs would be available if we had national health care.[Truncated] All that needs to happen is national healthcare.We need millions of voters to let our goverment know this. 23305 6/26/06 4:05 PM OH "* I agree absolutely, but what does it mean to say that it would be ""public policy""? Many of us feel it should be a constitutional right to adequate healthcare. But even then, nonsegregated education was held to be a constitutional right ever s[Truncated]" "While this will need to be fleshed out a lot, it looks pretty good for this stage." "* Would there have to be some ultimate ceiling on what the state would do, or would we provide twenty years of round-the-clock care to someone like Christopher Reeve? I forget but didn't John Kerry have something to say along these lines in 200[Truncated]" "* It's good that you say ""Financing strategies should be based on principles of fairness, efficiency, and shared responsibility"", but this is still quite vague. I hope we achieve improvements in efficiency, but how can we be sure that these wil[Truncated]" 23307 6/26/06 4:06 PM WA Yeah! Yeah! WE NEED THIS NOW! Good Idea Quality Health Care for ALL! WE NEED IT NOW 23308 6/26/06 4:06 PM TX "* Fully agreed. Canada's system works. We're smart enough to fashion a system of our own that truly is inclusive in the ""American"" Tradition. Shame on us for dragging our feet![Truncated]" agreed agreed "I believe gov't is to serve the people, not vice versa." agreed agreed we can do this despite the difficulties. "And we're a ""wealthy"" nation?" 23309 6/26/06 4:06 PM NJ I endorse this goal. It is absurb that Americans should be held as Slaves to the Insurance/Healthcare/Drug industries. I strongly support this objective. I fully agree with this objective. I strongly agree. I strongly agree. I strongly agree. I strongly support this objective. 23312 6/26/06 4:07 PM IA * All legal Americans as much as I simpathize with there plight We can not continue to subsidize health care for illegal alieans in America.[Truncated] Low income should be excluded especially low income retired. 23315 6/26/06 4:07 PM SD A compassionate society should provide for those less-fortunate. * Basic services with a priority on preventitive care will bring rewards in the long run with less catastrophic consequences as the end result. [Truncated] Equal coverage for all on a sliding scale that is measured by income levels and does not exclude based on income Attention has to be on sparsely populated areas that have a hard time dispensing qualility health-service needs Efficient operation of this new system is essential to the success. Duplications must be avoided. The end of life experience for all should be with dignity and respect "* The priorities of this system are long over due. We, as a society, must rededicate ourselves to the moment that will define our existence.[Truncated]" A form of payroll deductions with matching contributions from business will go a long way to the affordability of the system. 23316 6/26/06 4:07 PM MD * For-profit health care systems have demonstrated that they cannot be trusted to provide all Americans with quality health care. I was kicked out of my private Blue Cross/Blue Shield plan because of blood pressure and cholesterol concerns... [Truncated] "* Preventative care is paramount to reducing costs in the long run. As a diabetic, routine exams and continuing medication will prevent more expensive, serious problems in the future.[Truncated]" My physician should decide which treatment and medication is appropriate... not my insurance company. "* I am more than willing to pay my fair share of health insurance premiums. In return, I demand quality coverage for me and my family that allows me to choose my own doctors.[Truncated]" 23317 6/26/06 4:08 PM IL "* People who have no health care are often forced to wait until their condition is at a critical stage before going to the emergency room. All of us pay for that: Emergency rooms become overcrowded, people do not get care when their condition [Truncated]" "* Our population is aging. We need to decide who we are as a people. Are we a country of people who take care of each other or are we only interested in ""What's in it for me?""[Truncated]" "* Please don't forget that any program must include education. Many diseases and conditions are preventable or the effects of which can be controlled if people can learn ways to change some lifestyle habits. Somehow,incentives may help. That[Truncated]" "* Would it help to get Congress and the president to move on these great ideas if they had to participate in the same health programs that most of us now do? I'm thinking of things like Medicare, Teacher Retirement Systems, Public Employee Sys[Truncated]" "* This issue is so important to the welfare of the whole nation, that my husband and I would be willing to pay into a workable system, especially if it could guarantee that the money would truly go to providing an adequate amount of health cove[Truncated]" 23318 6/26/06 4:08 PM ME This is long overdue. Employers are dumping their benefits programs. No more secret panels recommending policy: the public needs to understand the process. Good. The mission (and resources) of the PHS need to be expanded. Good. * We can stop wasting so much money extending the lives of the dying after they have apparently lost consciousness for the last time.[Truncated] More ways are needed to incentivise care rather than revenue generation. "* The country needs to restore taxation based on ability to pay (i.e.,progressivity). Unearned income, including inheiritance, should be taxed at a higher rate than earned income, not lower. There should be no cap on payroll taxes. There are pl[Truncated]" 23319 6/26/06 4:08 PM WA "* Access to health insurance doverage should not depend on your work. It shoudl be like the Social Security system where everyone participates, and you carry it with you . Too invasive means testing is an obstacle to many people applying for m[Truncated]" "* A Kaiser family, Rand or RWJ foundation published a study that showed that high copays discourage people from getting care - butt hat it is harmful for thsoe with chronic conditions or needed care. So, ideally, the chronically ill would have[Truncated]" "* i think it should be a combination of employer, governemnt and individual (for those who can afford it). The most efficient system seems to me to be a dedicated stram through taxes -with employers paying a percentage of their gross sales to t[Truncated]" 23320 6/26/06 4:08 PM NY stop dancing on this. a single-payer plan now! stop dancing around this. A single-payer plan now! stop dancing around this. A single-payer plan now! stop dancing around this. A single-payer plan now1 23326 6/26/06 4:09 PM CA Perhaps it's time for us to join the civilized world. 23328 6/26/06 4:10 PM WA "* Of course everyone need access to a core set of health care services. Decades of study tell us that early detection and prevention or treatment forestall later, more expensive illness. Prenatal care and early childhood checkups can set the st[Truncated]" "* Glad to see mental and dental included, especially dental! If you are poor, finding a dentist that will treat your kids under the current Medicaid system is next to impossible. Let alone whether that dentist has any kind of beside manner or a[Truncated]" "* And how are you going to deal with rural health care networks? So far, we are gutting access to health care in rural areas. So do consider how to provide care to those in more remotes areas, too.[Truncated]" "* Just remember that some people are better off spending their final days at home, others are better off in a respite care center, some belong in the hospital. Consider family abilities and resources, not just desires. Don't come up with a one-[Truncated]" "* Given that many people (and small businesses) cannot afford the ""highest"" quality care, we should have a system that provides coverage to all. Many industries and corporations have been allowed to sequester their profits in an effort to avoid[Truncated]" 23331 6/26/06 4:10 PM FL "* MY GOVERNMENT NEEDS TO BE MORE CONCERNED WITH TAKING CARE OF ITS CITIZENS THAN IT IS WITH HANDOUTS TO THOSE WHO ARE IN THIS COUNTRY ILLEGALLY AND HANDOUTS TO NATIONS WHO TURN AROUND AND PI@# IN OUR FACES. I WOULD BE WILLING TO PAY OUT SOMETH[Truncated]" SHOULDN'T WE ASK THE CANADIANS OR EVEN THE BRITISH FOR IDEAS IN SETTING ALL OF THIS UP REDUCTION OF FRAUD IS AN OUTSTANDING PLACE TO START! OH THE FUNDS WE COULD PUT TO USE BY DOING THAT ALONE! DEATH WITH DIGNITY....WHAT A CONCEPT! * I DON'T MEAN TO SOUND TRITE BUT SINCE THIS PRESIDENT AND HIS BAND OF LIARS AND THIEVES HAVE BEEN IN OFFICE I AM SOMETIMES EMBARRASSED AND ASHAMED TO CALL MYSELF AN AMERICAN. I CAN HARDLY WAIT TO SEE WHAT HAPPENS IN THE MIDTERM AND NEXT PRESI[Truncated] "THE OPERATIVE WORDS ARE: ""ALL AMERICANS""........." 23332 6/26/06 4:10 PM TX Americans have a right to better health care and a low-cost prescription drugs. "People would be protected against becoming ""guinea pigs"" for pharmacuetical companies." Health care costs are still the number one cause of bankruptcy -- reform law or not. The VA Hospital System could provide a good working example of integrated networks. I would be willing to pay more taxes to support health care for all. 23333 6/26/06 4:10 PM WA "* It is almost criminal that this does not already exist in this country. We are one of the wealthiest nations in the world yet a HUGE number of our citizens cannot afford to go to the doctor. It is, actually, embarassing![Truncated]" "* This, again, should already exist in this country. Families should not be financially destroyed in order to obtain adequate medical care.[Truncated]" "* I think that the governmental leaders, with all their benefits and wealth, should figure this one out. They should pay for it. God knows they can afford it![Truncated]" 23335 6/26/06 4:11 PM OH "* It's pathetic when somebody who is a hard working American finds themselves in debt because the fat cat corporations can't be bothered to give their employees decent health care because they are ""part timers"" and only full time workers can ge[Truncated]" 23337 6/26/06 4:11 PM AZ "* There is no such thing as an independent non-partisan private public group. There would be a group of people representing competing and complimentary interests. The ""expert"" staff members would represent similar competing interests - likely e[Truncated]" * Behavioral health must be an integral part of health care at every level from prevention and primary care to emergency and tertiary care. Why do we have to keep doing the same research over and over demonstrating the efficacy of behavioral he[Truncated] "* I believe that health education, disease prevention and health promotion deserve a special recommendation of their own and should not be tacked on at the end of ""Promote efforts to improve quality of care and efficiency"" where it makes little[Truncated]" "* Read the existing research, talk to the real experts - most of whom are not physicians but a few are. Look at the Exercise Physiology research, contact the Center for Science in the Public Interest, read about Integrative Medicine, talk to Dr[Truncated]" 23338 6/26/06 4:11 PM MA "* Make sure that it is not the Health Insurance Companies that are making all the decisions! The fiasco of the current Medicare prescription plan is a horrible example of special-interest groups making the decisions based on greed. For the c[Truncated]" "* It is very important the the National Health Plan does not base it's decisions about accepting or denying treatments upon cost. No person's life has a price tag, & any & all available treatments should be accepted regardless of cost.[Truncated]" * Wealthy citizens should NOT get a tax break just because they can afford to pay for private health insurance. We Americans are sick & tired of the wealthy getting all the tax breaks while the middle class gets stuck with all the bills!![Truncated] 23339 6/26/06 4:11 PM CA Core benefits are no where near enough to protect most working class people in this country. "* Independent, fair and transparant are key. We do not need another beaurocracy that caters to the rich or is partisan in any way![Truncated]" Bravo "Keep partisanship out of all aspects of this. We need protections, not beaurocracy." "* For ""evidence based best practices, we will probably need to go abroad. I question whether there is any ""best practices"" in our profit driven culture.[Truncated]" "* All great sounding ideas, but until we eliminate the ""morally superior' (or so they think) religious fanatics from the decision making process, I question whether any of this is achievable.[Truncated]" Lets stop talking about it and get it done. Improvements are long overdue. "* We most definately need to improve efficiancey ASAP. Way too much time is wasted in red tape. As far as fairness goes, lets not saddle the underprivilaged with a devastating burdon that thay cannot possibly attain. People's ability to pay sho[Truncated]" 23340 6/26/06 4:11 PM HI * This is the bottom line. It is obscene that the U. S. alone of the world's developed nations does not provide universal health care.[Truncated] I like this statement very much. * I doubt that any public insurance program will be able to cover every possible treatment for every possible condition. Some hard decisions about what treatments to exclude from coverage for what patients will probably have to be made. These[Truncated] Sounds good. "* If the cost of malpractice verdicts were assumed by the national health care system, fees to physicians and hospitals could be significantly reduced through the elimination of malpractice-insurance premiums. When annual insurance premiums fo[Truncated]" "* Disagreements over end-of-life care for those unable to express their wishes could be alleviated by a mandatory, legally binding, advance health care directive filed with the patient's primary care physician, reviewable annually. The mandato[Truncated]" "* I am very impressed with the quality of the recommendations, and look forward to assisting in getting them approved -- and funded![Truncated]" "* Individual contributions should be geared to income level, and sufficient to guarantee that frivolous use of the system will not happen -- but no more than that. [Truncated]" 23342 6/26/06 4:12 PM IL "* No one knows at what point their financial security is endangered. I say, Americans should have affordable health care across the board so that people don't have to dip into their hard-earned savings to get it.[Truncated]" I agree that health benefits should include prevention as well as patient education. "* Bush's idea of very high out-of-pocket medical costs might be over $10,000, while I might think very high would be $1000. This part is very vague.[Truncated]" "* There are also lots of young, middle class college graduates who are out there who don't have health insurance because they work for themselves. Let's include our young massage therapists and business owners too.[Truncated]" It is almost an impossible task to ask for improved quality and cutting costs. This is all very vague "* I know it's a start, but all this sounds very vague. Everyone has different opinions about what hurts them financially or what is better care for less money. Even in countries where there is socialized medicine, a person needs to wait longe[Truncated]" 23343 6/26/06 4:12 PM NJ " wh en you make recommendations on what to cover, somebody always loses sounds like a hmo.i do not see any body agreeing" the federal gov. is not capable of doing this. the lawyers and big business wont want this program 23344 6/26/06 4:12 PM OH "* It is not fair for the elderly who have worked and served their time in the work force, not to be able to afford healthcare or medicine in America.[Truncated]" 23351 6/26/06 4:14 PM NY "* All Americans should have free, quality health care from the cradle to the grave. In fact people universaly should have completely free and the highest quality health care.[Truncated]" Public! Public! Public! Never private. All persons have a right to be in this world without having to worry about paying health care bills. Confiscate the ill gotten wealth from the rich and use it as seed money to finance universal health care. 23353 6/26/06 4:14 PM IL "* I don't believe that mental health services or other physical health services that help patients should be required to show evidence based scientific research. Oftentimes that is not possible, while many services are still valuable to the hea[Truncated]" "Public not private, this needs to be regulated by a trustworthy body." Add some decent paying jobs to that. * If you hire degreed health care practitioners who are trained and educated about best practices you need not worry so much about evidence based practices as these are not always the best practices (as far as mental health is concerned). Als[Truncated] in the environment they choose WHEN THEY CHOOSE. I can't afford any financial investment. I don't have insurance nor do I get any from my place of work. 23355 6/26/06 4:14 PM WA * All American citizens should enjoy the benefit of universal health care at the very minimal cost. No and I repeadt No Amserican should be aat the mercy of corporate exploitation of his and her health. the health care financing system in t[Truncated] I agree with recommendatiion three. agree with Recommendation four Support recommendation five I support recommendation six * A universal Health Care System for all Americans must be made opserative in the greatest haste. Millions of people are suffering without benefit lof medical service. Of All the industrialized nations of the world the united States has the th[Truncated] * A Universal health care system should be based upon an aggfregate pool system where everyone pays in a determined amount based on abilty to pay and income. the Dederal Government and State Governmendt should operate the system which would el[Truncated] 23361 6/26/06 4:15 PM PA "* I totaly agree with thepolicy that all Americans should have appropriate, high-quality health care reguardless of their income. This is something that IS a NO BRAINER. It is something that effects us all either directly or indrictly who is [Truncated]" 23362 6/26/06 4:15 PM NJ "* My husband and I are self-employed. We pay for our own health care coverage, which covers us and our teenage daughter. The monthly premiums are over $700 per MONTH. This includes a $30 co-payment for doctor's visits and the monthly rate goes [Truncated]" "I ran out of time. " "I ran out of time. " "I ran out of time. " "* I have run out of time, so I can't write anything else. However, this issue is very important to me and my family. My husband and I lose sleep over this issue as we know that it is only a matter of time before we will have to stop payments to[Truncated]" "* The health care crisis is ruining our country. haven't we all noticed a dreadful thing called ""outsourcing"". Jobs are going overseas partly because of the outrageous price of health care coverage for Americans. This problem is not going away.[Truncated]" "* Get rid of the insurance companies (the worthless middlemen--extortionists) and you already save a whole bundle. Also, let all politicians pay for their own health insurance for a few years--and all of a sudden you'll hear politicians complai[Truncated]" 23363 6/26/06 4:15 PM FL "* Yes, and US citizens abroad should be able to access health care in their country of residence or return to any state in the US for health care if needed.[Truncated]" "* I don't think there should be a core package. If one needs health care, one should have access to it. This should include lots of preventative care including dental and eye.[Truncated]" Absolutely. Great. Yes. Yes. * I think health care should be free. I believe that no new revenue is required. Reprogramming funds that support the military would more than cover the health care needs of all US residents and citizens.[Truncated] 23367 6/26/06 4:16 PM NC "The poor should NEVER be made to suffer simply from lack of funds, or opportunity to obtain health care." 23368 6/26/06 4:16 PM MT "* All the above are on the right track. Present plans demand almost psychic, cognitive skills lacking in many elderly and/or lacking income to support private plans. What ailments will I develop in my remaining years, which ""Insurance Plan"" [Truncated]" 23369 6/26/06 4:16 PM WV Pension money set aside by an individual to live on when he is old should not have to be used to pay for health care. * Other nations have affordable health care. If we can pour billions of dollars into wars on foreign soils we can help our own people. I am not in support of free health care to illegal aliens.[Truncated] "* Tobacco, alcohol, marijuana and substance abuse have driven up health care costs to the point that decent Americans can not afford health care premiums.[Truncated]" 23370 6/26/06 4:16 PM DC "* We need to be honest about what cannot resonably be covered also : no cosmetic surgery, no infertility services, mandated generic pharmaceuticals etc.[Truncated]" "* We need to be honest about what ""CORE"" means / look to the past ""Oregon Plan"". Many subspecialists will be apoplectic re: not having mandated payment for their services [that's partly what happened during Clinton's presidency][Truncated]" "* We also need to be honest re: need for ""end of life"" planning so that we can avoid multimillion dollar care for terminally ill patients. HOSPICE must be covered and available earlier. WE NEED TO ELIMINATE PROFIT BASED MEDICAL CARE.[Truncated]" "We need to focus on community based care, not hospital based care." YES YES!!!!!!!!!!! "* I agree w/ ""sin taxes"". With automobile insurance, one pays more for a history of accidents. We also need to let the ""rich"" continue to finance their own special favors, such as ""1 day executive physicals"", cosmetic surgery, infertility ser[Truncated]" 23374 6/26/06 4:18 PM WI * All Americans should have access to primary care clinics. This shouldnot be dependent on a person's employment status. Health insurance needs to be out of the realm of the employer who can cut benefits at will. Employers need to contribute[Truncated] This sounds good to me. This program should NOT be written by insurance companies or drug companies. Keep spreading this message and don't give in. "* Health care should be paid by a combination of employer contributions, based on the number of employees, but not for specific employees; tax dollars and individual contributions to premiums and modest co-pays.[Truncated]" 23378 6/26/06 4:18 PM WV "* It is a crime that, in such a wealthy country as the United States of America, millions of hard-working families cannot afford decent health care. We have some of the best health care facilities in the world, but services are out of reach fo[Truncated]" "* I hope this includes provisions for basic vision and hearing correction, as problems in these areas can inhibit the ability of individuals to learn or work.[Truncated]" * It is very important to insure that people cannot be completely wiped out financially by a catastrophic illness or injury. How is one to recover physically from such an ordeal and recover financially at the same time?[Truncated] "* It is important in such a system that public providers, particularly in high need areas are paid competitively with comparable positions in the private sector.[Truncated]" "* It is also important to safeguard the privacy of individuals, and their personal information while record systems are being developed.[Truncated]" It is very important that people be allowed to die with dignity. "* The trouble with ""Sin Taxes,"" is that governments become dependent on the revenue from these sources, creating a conflict of interest in that the more people spend on taxed items such as alcohol or tobacco, which clearly can have devastating [Truncated]" 23379 6/26/06 4:18 PM MI EVery American deserves to be treated with respect and giving quality healhtcare regardless of income. "* Core package? I am unsure of, I see it says non-partism private group. I think that I disagreed with this. WHO will be doing the defining and and who will it really be for?[Truncated]" I agreed totally. NA "* Just that it is a shame that we the people of the U.S. have such a poor healthsystem setup for this country. All people should have care and be treated as human beings, regardless of income. Dental care included.[Truncated]" "* We need to prove healthcare for all, we send money going to the moon, but cannot or will not take care of the people that cannot afford to have healthcare. Something is wrong with the present system.[Truncated]" 23381 6/26/06 4:19 PM PA i don't think that Health care is an extra thing anymore. Other countries have set up plans that work for all its citizens. I think this is a great thing to work for. I am excited by the attempt of our Unions to make this a more wide spread plan. "* The poorest people receive health car but so many of our working poor do not. I would feel comfortable to contribute to a plan where everyone can get health care. The insurance companies would benefit by more people in their plans, but mayb[Truncated]" 23384 6/26/06 4:19 PM MO * Early detection of health problems are easier and cheaper to cure. I had a routine mammogram in Jan.It detected an early cancer I had a lumpectomy and radiation. My chances of a full cure are excellent.[Truncated] * My mother died of lung cancer in 1994. Hospice provided her with excellent care. This service should be available to all people who need it.[Truncated] I am fortunate to have good coverage. I want my children and grandchildren to have acess to affordable quality health care. 23385 6/26/06 4:19 PM AZ "* I agree with this statement, as long as it applies to ONLY Americans. Illegals, Refugees, etc. will NOT be included UNTIL they _become_ U.S. citizens and then must abide by the rules of the country like all of the rest of us.[Truncated]" "* This sounds like it was put together by a normal person, as opposed to a physician or expert in the field. As someone on the outside, it sounds good, but I'm positive it can be modified to include some health problems that are not here, simp[Truncated]" "* I agree with this statement, but the definitions of ""low income individuals"" is pretty loose. What _is_ low income? Is the definition realistic? I can see the government setting this lower than what is truly needed and many people getting [Truncated]" "This sounds like a good plan, plus it includes a checks and balances system to keep everyone ""in the loop""" A proactive approach is good. Thank you for including this section. "* This seems realistic. Will you be developing large nursing homes or elderly communities? I think as long as they can still feel as though they contribute to life, it will be fine.[Truncated]" "* I guess the only real thing I have to comment on is how you came up with this plan thus far? Have you asked other countries (like Canada or England) how they run health care? Maybe they have some insight we Americans don't have, plus it's e[Truncated]" "* Okay, this section sounds like a bunch of blather to me. Why don't you clean up your wording, make some _real_ statements as to what is being proposed as opposed to some general statements and then we'll talk. And as far as financing, try p[Truncated]" 23386 6/26/06 4:19 PM MS Of course! Great! Rebuild public facilities. "* The best things in life are free! The value of human relations, public services, and cultural amenities comes from the dedication of people who make them a reality, and their effort is priceless! Public facilities - roads, parks, school[Truncated]" 23389 6/26/06 4:20 PM PA "* I could not agree more in re: Recommendation 1. It is way over due for all Americans to have health care services. Canada has similar coverage for its citizens and so should all Americans. Sincerely, [Truncated]" 23390 6/26/06 4:20 PM WA "* GWB's so-called 'health-care plan is full of, ahem, Bushit, because he doesn't look out for the average American citizen; he always looks out for his pretentious, pampered, pompous pussying special interest groups out to line their pockets---[Truncated]" Health care costs need not be so high for those who can't pay medical bills. I hope this isn't just on paper; we need a better health care system that doesn't cost so many people so much money. I don't care about a broken down health care system that doesn't respect the privacy of patients. * The government shouldn't control what kind of health care we Americans get; it's atrocious that we Americans get low-quality health care.[Truncated] "* Elderly people need to be treated better in this country than they currently are these days; we treat them as useless outcasts when we should learn from them, and respect their rights as patients, too.[Truncated]" "* I wish doctors were trained to be genuinely compassionate toward their patients, not treat their patients like lab rats undergoing experiments.[Truncated]" "* We need better health care than what we have now, and better non-invasive surgery for patients in hosptials. The health care system is breaking down, due to lack of care and consideration. More money is unfortunately being spent on an uneth[Truncated]" 23391 6/26/06 4:20 PM MI "* That everyone be required to purchase their own insurance. It would lower the cost for everyone and would not raise our taxes, which are already too high. Our health care delivery system is the best in the world, let us not risk that by fool[Truncated]" "* Choose your own coverage, buy buying your own coverage. It is the only thing that makes sense. It would help the economy and the country. Ida Salsbury[Truncated]" "* We have the best health care delivery system in the world. If the federal government gets involved, it will cost more and we will receive less care and bankrupt this country. NO to Universal health care. The idea that there are 46 million u[Truncated]" Do not get the Federal govt. involved in last days decisions. That should go excusively to the families and their doctor. "* No to universal health care. We should ALL BUY OUR OWN. NO NEW TAXES TO SUPPORT THOSE WHO HURT THEIR BODIES. I DON'T WANT TO PAY FOR THEM. I WILL BUY MINE, that is free enterprise and freedom AND THEY CAN BUY THEIRS. You choose the type and[Truncated]" * We do not need to tax us anymore than we already are taxed. Investment is just another name for more taxes. I do not want to pay for the health care of the drug and alcohol dependent person who abuses his body. That is socialism and not a goo[Truncated] 23392 6/26/06 4:20 PM TX * THIS WILL TAKE A LONG TIME AND HOW MANY PEOPLE WILL HAVE TO DECLARE BANKRUPTCY OR LOSE EVERYTHING IN THE MEAN TIME. THIS SHOULD HAVE BEEN DONE MANY YEARS AGO.[Truncated] THIS SOUNDS VERY GOOD AND NEEDS TO BE DONE RIGHT AWAY! * YOUR WHOLE PLAN SOUNDS LIKE IT WILL TAKE MANY MANY YEARS AND WILL BE A REAL JOKE. JUST LET PEOPLE WHO ARE WITHOUT INS OR NOT IN A GROUP BUY INTO THE GOVERNMENT HEALTH INS.[Truncated] * WHY CANT WE JUST BUY INTO THE HEALTH COVERAGE THAT COVERS GOVERNMENT EMPLOYEES. I CANT GET GROUP COVERAGE SO THE HEALTH INSURANCE CO. CAN DO ANYTHING THEY WANT AND AT AGE 60 IT IS HARD TO KEEP SWITCHING COMPANIES ALL THE TIME. SO FAR I HAVE H[Truncated] 23394 6/26/06 4:20 PM NJ "* It has been my observation that the smaller the buracracy dealing with a large-scale program, whether one in private world or the government, and whether Federal, State or Local, the more efficient and less wasteful is the operation of the pr[Truncated]" * The Medical Profession frequently points out that too often people delay mdeical care until their health situation is in crisis because they have no health insurance or inadequate coverage because they cannot afford to pay for it and then whe[Truncated] * I feel it is grossly unfair that the successful elected member of the Federal Government can vote himself lifetime care and protection of health care and at the same time balk at the suggestion that maybe the ordinary citizen should have tha[Truncated] * To create and support intergated community health networks could be the solution to the problems I mentioned in my cooomnts to Recommendation 2. Surely some of the 'old 'folks can remember the baby keep-well clinics devised during the Presid[Truncated] * Never having a burecrat or an administrator of anything greater than my own rarely-balanced checkbook I leave this request for comments to others more experienced at manipulating facts and figures. [Truncated] * On the use of the phrase 'nearing the end of life' I would hope that the choice is guaranteed to the individual to determine whether he is nearing 'the end of life.' At that state of life quite often is the need for friends and relatives and[Truncated] * Yes! Too long have we a a nation looked to the profit motive for insurance coverage to care for our health. The insurer has a vested interest in minimizing its expenditures needed to protect the health of the insured. The initial concept o[Truncated] 23395 6/26/06 4:21 PM SC * I am in FULL AGREEMENT with Recommendation 1 and the subsequent paragraph. The way I read and understand this is that ALL Americans will be enrolled in the same program. IT IS VITAL that ALL Americans are in this program. DO NOT PERMIT the ri[Truncated] I agree whole-heartedly wit your recommendation. Let's NOT ALLOW it to be diluted by 'legalese'. I agree. "* I continue to read the term public/private in your descriptions. Although it may NOT be your intent, nevertheless, it sounds to me like a two-tier health care system. I viewed a two-tier WORK-PLACE system and I can assure you....THIS IS AN ER[Truncated]" * IF the system is INTERGRATED into a SINGLE SERVICE program RATHER than a PUBLIC/PRIVATE program then efficiency will be the purview of ALL AMERICANS.[Truncated] EITHER we are ALL in this together....or we are not! Thank you for hearing my views. "* AHHHHHHH....now HERE'S THE RUB! It seems far too complicated for a poor individual of my education to suggest ways and means of financing such a gargantuan project! HOWEVER, (smile) I will offer this....Why not finance the Universal Health Co[Truncated]" 23396 6/26/06 4:22 PM CO I agree! I already emphasize wellness but need some protection just in case. "Yes, universal catastrophic care would be essential." It seems that the VA programs are a good model if adequately funded. Any plan needs to limit buereaucratic and paperwork costs. I am willing to pay something but not the $650 per month I'm paying now. 23401 6/26/06 4:23 PM FL "Yes, it should be, we can give everyone else help but not to our own. Thanks Mr. Bush" Thank You!! Do you think you could do this by tomorrow. When? We will all be bankrupt by the time the government actually acts on anything. "* Yes, I would like it to be this way in the real world where people work and suffer to pay there bills and never see the light of day. Their healthcare costs all their savings for the future.[Truncated]" I totally agree * My father died at home where he wanted to be and I thank hospice for being such wonderful caring people.I beleive everyone should be able to feel comfortable with their last requests on this earth.[Truncated] * My husband and I both are spinal cord injury patients. We are unable to afford health care because of pre-existing conditions. I do however realize that it is not the government's problem. We are about 13 years from mediare and do not know wh[Truncated] 23402 6/26/06 4:23 PM MI IF CONGRESS AND THE GOVERNMENT WOULD HAVE THE SAME HEALTH CARE AS EVERYONE . THEN WE WOULD SUCEED. . * IT SEEMS FUNNY THAT WE CAN FINANCE A WAR THAT NOBODY WANTED (BUT EXCEPT YOU KNOW WHO) BUT WE CAN'T FIND MONEY FOR HEALTH CARE . [Truncated] 23403 6/26/06 4:23 PM WI * Health care services should not be regarded as a commodity for purchase by those who can afford them. They should be viewed as a right fundamental to the dignity of every person.[Truncated] Broad participation and use of scientific data to determine the core benefits of the system seem appropriate. "Such medical emergencies could happen to any of us. This is a corporate, social responsibility, not an individual one." We must make special provisions for protecting vulnerable populations. "Prevention, consumer education, and achieving efficiencies within the system are crucial steps in containing costs." Palliative and hospice should be universally available. "* I am in favor of the efficiencies of a single payor system. We already have that with Medicare, whose overhead is much lower than that of private health insurance companies. [Truncated]" 23404 6/26/06 4:23 PM MO "* The simplest and most cost-effective way to do this would be to expand Medicare to all citizens, regardless of age. Medicare infrastructure costs less than 1% of the health care the program extends to eligible seniors and is paid for with a f[Truncated]" "* A primary issue to be addressed is the concept of rationing scarce resources. That approach -- the heart of Medicaid -- is not useful. Instead, we should operate under the assumption that the richest nation in the world, with a high per capit[Truncated]" "* Back to my first suggestion: expand Medicare to every age group. Add my subsequent suggestions to get for-profit insurance companies out of the industry and regulate pharmaceutical companies as utilities, especially limiting the necessity to [Truncated]" "* That's what I've been saying: expand federally funded health programs. Along with that, eliminate or reduce the effect of profit-priority operations at every point -- insurance, hospitals, pharmaceuticals. Would we trust our fire protection[Truncated]" "* Private NON-profit organizations, including religious organizations, should be given the same access (at the patient's request) as any other organization, and such non-profits should have PRIORITY funding over profit-making organizations.[Truncated]" "* Profit-taking has so infiltrated every level of health care that many people no longer see how the priority has shifted from people's health to just another consumer market. For any reform to be effective, investment for profit must be remove[Truncated]" "* Eliminating the bureaucracy and cost of for-profit insurance companies would profoundly reduce the cost of providing healthcare. The American ""system"" of adding a profit cut at every level of service is becoming a drag on every sector of our[Truncated]" 23408 6/26/06 4:24 PM PA As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) As long as ONLY AMERICAN CITIZENS have the care not every illegal that comes waltzing into the country (like it is NOW) 23410 6/26/06 4:24 PM CA "* I agree that this is absolutely essential, and think that the natural way to do this would be through a single-payer style national health insurance scheme like they have in Canada.[Truncated]" * It is important that the insurance industry play no role in this process. They are the primary obstacle to meaningful changes in our broken system.[Truncated] I would like to see a universal plan. "* I fear the multiplication of government, nonprofit and private agencies, a problem that doomed Clinton's efforts to reform health care. A single-payer system would be very simple, and still leave lots of room for a diversity of hospitals and [Truncated]" "* Keeping costs down requires tackling the pharmaceutical industry, and its greedy efforts to strengthen and extend patent protections. There should be no patents granted anywhere in the world on medical technologies essential to life.[Truncated]" "* I like this idea, and think that one important way to help with end of life treatment is to support unionization of care providers. Our nursing homes and the like are a scandal, and that scandal has a lot to do with the vicious anti-union and[Truncated]" * There really is no reason not to support a single-payer health insurance plan except for resistance from the insurance industry. And it is against the public interest to allow greedy special interests of this sort to dictate health policy.[Truncated] "* The obvious way to make sure the money is there is to have a single insurance plan for all Americans. Otherwise, the government will be stuck paying for the sickest, poorest and most needy, while private insurance companies cherry-pick the ri[Truncated]" 23411 6/26/06 4:24 PM MA "* No one should be without affordable, high-quality health care. If European countries and Japan can serve their populations in this matter, why can't we?[Truncated]" Recommendation 2 makes sense to me. "* That brings me back to Japanese ""kokumin hoken"" (national health insurance) and how it was proportionally affordable. I see no reason why the US can't do the same, with a little political will.[Truncated]" I think Recommendation 4 is quite good. * It sounds good. I just hope attempts at implementation of these worthy goals can overcome the inevitable resistance of for-profit hospital corporations as well as HMOs. [Truncated] This collaborative approach is very good. "* I just want to see fairness and accessibility in our health care system. I'd like to reiterate: if othe rcountries can do it, why not us?[Truncated]" "* I think we should have single-payer health care based on proportional payroll taxes. When I first lived in Japan, I was quite poor, and my monthly health insurance premium was the equivalent of $2.50. When, a few years later, I was making g[Truncated]" 23412 6/26/06 4:24 PM MO "* I AGREE, MY BROTHER-IN-LAW HAS HAD 2 CANCER OPERATIONS AND RECENTLY HAS BEEN FORCED TO PAY $225 PER MONTH TO COVER HIS HEALTH INSURANCE. HE IS STILL UNDER A DOCTOR'S CARE AND MUST PAY THIS AMOUNT TO MAINTAIN HIS RECOVERY. HOWEVER, HE NOW IS [Truncated]" 23413 6/26/06 4:25 PM OR I fully support this recommendation. It's about time! "* I advocate for the inclusion of alternative or ""complementary"" health care practices in covered benifits. Health care techniques such as acupuncture, massage therapy, hypnotherapy, Reiki, Oriental medicine, naturopathy, and so on have been wi[Truncated]" I support this recommendation. "* I support this recommendation, and advocate for the inclusion of social service agencies, community agencies, and alternative and/or folk (indigenous) healers in community-based networking. [Truncated]" I support this recommendation. I support this recommendation. "* As an uninsured student, and a future Masters level professional in counseling, I understand the urgency of creating an effective health care system for everyone in our country. With something like 25 per cent of all Americans suffering from [Truncated]" * I believe that government needs to take responsibility for financing along with private sector sources if we are to create viable universal health care. This may take the form of start-up funding programs from Governmental coalitions. The pas[Truncated] 23414 6/26/06 4:25 PM NE * Fraud reduction is going to be the biggest priority with hospitals already ripping individuals and the government for billions of dollars in Medicare/Medicaid.[Truncated] 23415 6/26/06 4:25 PM MI "* This is a must for the future of this country. Without affordable, available health care this country will eventually fall into a class society with anarchy as a potential.[Truncated]" This would be a great start. It doesn't go far enough but would make a big difference. "* great idea..... also, extreme measures should be curtailed in many cases. Death is part of living and we will all do it someday. Living wills (advance directives) should be mandatory and strictly adhered to.[Truncated]" * The amount of money we have wasted on the war in Iraq and the fraud and corruption perpetated by the current administration would have made affordable health care available to all. I think a sliding scale for payment would be a must. The wa[Truncated] 23417 6/26/06 4:26 PM CA "* It is patently--and humanly--absurd to think of ourselves as a ""first-world"" nation and still in 2006 not have health care for all--ALL--citizens.[Truncated]" This seems basic to me. This also seems basic to me. "Without this, I don't see how any plan can work." This should be elementary. Of course. "* Until we understand that finanacing health care--i.e., good health--for all citizens is the most cost-efficient thing we can do for our economy, let alone all other facets of life in this country, we will keep having circular arguments about [Truncated]" 23419 6/26/06 4:26 PM CA * I have lived and had a near-death experience in Canada. The care I received was superior to the medical care I received in the US for a recurrance of my near-death experience. The pitiful state of our health care system is to our shame. It[Truncated] This transition will be painful. The above recommendations should help manage the pain of healing a sick healthcare system. * Triage! Oregon is the only state that follows a schedule for triage. I saw it happening effectively when my Canadian father-in-law was allowed to succum to his failing heart. He died in peace.[Truncated] * The biggest obstacle will be the AMA. Doctors have become the money changers of our temple. Ask Bill Frist. He knows but he can't take it with him.[Truncated] * I have watched the VA. They have it down. I have worked with them as my 81 year old dad is a vet. The care he gets thru the VA is excellent. And the VA leads our country in the treatment of post-traumatic stress among numerous other field[Truncated] "* My family was blessed by Hospice care when our mother died of leukemia at home. My Canadian mother-in-law has second stage dementia and still lives at home, thanks to OHIP in-home care. We spend 40% of our medicare dollars on nursing homes,[Truncated]" * Global warming and healthcare...sort of the same thing: the first for the wellness of Mother Earth; the second for the wellness of us all. We are in deep trouble if we don't heed the cry for help.[Truncated] "* Standardization of costs, triage of treatment, full-disclosure of outcomes. These are the dreams of a well-developed cost management system for healthcare. Americans are deluded about the quality of care we receive. It is inferior to other[Truncated]" 23420 6/26/06 4:27 PM CA "Single Payer health care for ALL, NOW!" Institute all areas of the above mentioned. All aspects of the above should be incorporated in an all-encompassing health care system. Include all of the above provisions. Get rid of those parasite insurance companies. Include all of the above recomendations. Incdlude all of the above recomendations. "SINGLE PAYER HEALTH CARE FOR ALL, NOW!" Give us the same health care plan that Congress enjoys. Why should those parasites have better coverage than the rest of us? 23423 6/26/06 4:27 PM CA "If other less wealthy countries can do this, why can't we?" Excellent description of what is needed. Health equality should be an American value. Not just for the rich. "* A ""public-private group""? Don't let the private sector control this. We'll only end up with very rich people raking it in again.[Truncated]" Good. Can we trust the private sector to do this? "* I would prefer a single-payer system as in Canada, Scandinavia etc. I don't trust the private sector. They are only interested in their bottom line.[Truncated]" 23425 6/26/06 4:28 PM RI "* IT'S A DAMM SHAME WE CAN SPEND BILLIONS OF DOLLARS AROUND THE WORLD BUT WE CAN EVEN TAKE CARE OF OUR OWN CITIZENS AND PROBLEMS SUCH AS HEALTH CARE. IF THE AVERAGE WORKING PERSON DID THEIR JOB LIKE OUR GOVERMENT DOES THEIR'S , THEY WOULDN'T[Truncated]" 23426 6/26/06 4:28 PM CA * I think the recomendation can gp one further. In saying any company that will not participate to cover all americans should be boycotted by the government and all private industry.[Truncated] * We are in dire times of trying to self indulge and remain fit. As to the effectiveness of preventitive medicine. We are in a crisis now if we don't address the issues now of who is most deserving and why they are more deserving it will not b[Truncated] * We should be able to earn a living and at the same time not be worried that should a illness befall our family. We will lose everything[Truncated] * You and i know what is right and we know it won't change over night but it can be regulated in the in a timely sensitive faishon without a lot of meeting.[Truncated] We waste to much time on identifying. If the private secture can be assured of process fare and equitable. I think all can benefit and profit. * We are slowly killing our past and our future. There seems to be a plan in place to eliminate our health system and not replace it. If you can't afford to get sick don't and if you have to then at least die quickly.[Truncated] * If the polluters are made to pay there fines and actually clean up the pollution it can reduce the need for health care so that it would eventually balance itself out. Less people are sick the more coverage for all.[Truncated] 23427 6/26/06 4:28 PM IA "* When you have adult children trying to raise a family without the help of a father, you need all the help you can get. Minimum wage just does't cut it.No child support, no benefits, and if they get sick then what?[Truncated]" 23429 6/26/06 4:29 PM GA "It's absolutely ""Third World"" that the US doesn't have an affordable health care plan for its citizens." Stop corporate welfare and the war tax and their will be plenty of money for social programs including a national health plan. 23430 6/26/06 4:29 PM CO Strongly agree. Change Medicare D so that the pharmaceutical companies are not the prime beneficiaries and so that the 'donut' is eliminated. "* Yes. And it seems that if the insurance companies could be reined in or eliminated, that money spent on them could go directly to health care, rather than to their investors and administration.[Truncated]" 23432 6/26/06 4:29 PM TX "Yes, all Americans should have affordable health care, including prescriprion drugs." "* Core health care should include physical, mental and dental health care. It should also include vision and prescription drugs. The medicare drug ""donut"" should be covered. [Truncated]" "Greatly improve medicare and medicare drug plans. The ""donut"" in the medicare drug plans needd to be eliminated." "The medicare drug plan needs to eliminate the ""donut"" of NO COVERAGE." 23434 6/26/06 4:29 PM NY keep up the good work 23435 6/26/06 4:30 PM GA "TO LITTLE, TO LATE" "TO LITTLE, TO LATE" "* My Health Care Benefits through Coca-Cola, North America are very good. But, the out-of-product/deductables are encreasing more and more every year. Because the Doctors fees have increased. What can be done about that? [Truncated]" "* I believe every US Citizen, with a Social Security number, should have Health Care Coverage. Everyone should have coverage, but I cannot afford to pay for them through raising my taxes. If the problem with the ILLEGAL ALIENS had been addresse[Truncated]" "AS ALWAYS, TO LITTLE, TO LATE" 23436 6/26/06 4:30 PM MI "* Our law makers should be the last to receive health care insurance/benefits in the US and than equal to the least of the coverage offered to the citizens! If this were the case, National and equal health care would happen tomorrow![Truncated]" 23438 6/26/06 4:30 PM ME I agree with this whole heartedly. I would also include eye care as well as dental health. Yes. Good. Excellent. Agreed. 23439 6/26/06 4:30 PM CA strongly support strongly support support support support support Each should pay according to his/her ability 23440 6/26/06 4:30 PM IL "* I feel that recommendations 1, 3 & 6 are the most beneficial. My mother is a self employed home health care worker & takes care of mainly elderly people with various health problems. She has health problems herself but cannot get health ins[Truncated]" 23442 6/26/06 4:30 PM MN "* I absolutely agree with this claim. Health costs are increasing dramatically, and those without coverage such as retirees or self-employed workers or workers without benefits are being squeezed in a process that is not sustainable in the lon[Truncated]" "* I agree with these, although I wonder why ""dental"" health is separate from physical health, which in turn makes me wonder if optical care is also not covered; the eyesight of the average working American is getting worse--in part on account o[Truncated]" "* I agree with this strongly. The federal government should not be allowed to ""cut and run"" the way that many insurers do when in face of a health emergency or long-term, costly illness of one of its policy holders. [Truncated]" "* This sounds good but I don't really understand the details here so I don't know if I can advocate this as strongly. For example, the nature of the ""public-private group"" is something that I'd like to know more about. And while I agree with [Truncated]" "* This sounds good. I do sometimes worry about the waste in contemporary healthcare systems that provide so much ""choice"" based on a consumerist model for healthcare, but some amount of this would be needed to prevent being locked into being s[Truncated]" "* I feel strongly that hospice care should be moved towards a new, community-based model, so that the aged and infirm are not trapped in institutions effectively condemning them to death. Rethinking the roles the aged can play in a vital socie[Truncated]" "* I feel strongly that taxes financing health care should come primarily those who can afford to pay for it, those in upper tax brackets and, to some degree, those in middle-income brackets. I like the idea of a smooth transition, but the imme[Truncated]" 23443 6/26/06 4:30 PM NY "* It is sad that such a system is considered by any in this country to be progressive when many less affluent countries around the world provide similar care for their people as a basic function of stable, responsive governance.[Truncated]" I agree wholly. "* Again, while fiscal conservatives will and do claim that this is not feasible, I have friends who have been the beneficiaries of similar policies in nations such as Tunisia, Thailand, South Korea and Venezuela.[Truncated]" "* While I do doubt the willingness and good faith of the private sector to participate to the fullest in such a program, I believe it is important to compromise, be realistic and work within existing structures of health care to provide quality[Truncated]" Enough said above. * This is probably the most problematic aspect of this proposed policies; these things are never perfect in the original conception. The realization that such care is a very troubled part of the American healthcare system will be integral to an[Truncated] Perhaps there is some way in which the federal government could save $250M per day... 23447 6/26/06 4:31 PM OH "Actually, I think we should all have health care PERIOD!" "We should all have exactly what we need, including dental, vision, etc." We need to do it like the Europeans do! Simple as ABC! I say just DO IT! "* Every single person that is a US resident, is entitled to and should have unlimited free health care! That is the bottom line! It works in other countries![Truncated]" "Again, let's just do it people! Everything has to be 52 thousand miles of red tape!" "* I think I've pretty much stated how I feel. This country is RIDICULOUS, when it comes to this issue, and our senior citizens. They can't even raise minimum wage to make health care affordable, so I say just give it to all of us![Truncated]" * Time..hmmm......this country is how old? And we still don't take care of our own people? Something is wrong with this picture![Truncated] 23449 6/26/06 4:31 PM FL "* Boy, can I relate! I fell, HAD to have an operation, or loose use of my wrist, am self employed, no health insurance. The emergency room has turned it over to collection, and the bill for the hospital due to the surgery was $22,444. I will be[Truncated]" Boy could I use this!! "According to my income tax for 2005, I did not make one red cent. WHY CAN'T I GET HELP FROM SOME WHERE??!!!" I can only agree. 23450 6/26/06 4:32 PM CA "* Patients should still be entitled to full informed choice. If their choice does not fall within the core benefits, then they should be given an equivalent allowance to use toward the benefit of their choice. Otherwise, there will be no moti[Truncated]" "* I believe health care is expensive because it is a monopoly of allopaths. The monopoly needs to be broken. Also, EVERYONE in the system is greedy - not just doctors, and hospital administrators, and pharma execs, but even the guy who invent[Truncated]" 23460 6/26/06 4:35 PM PA "* keep the bureaucracy to a minimum. cutoff farm subsidies. repeal tax cuts for anyone that makes over 100,000.00/year and slash the defense budget to get it done. thanks[Truncated]" 23462 6/26/06 4:35 PM NJ So many other countries have national health care plans. We lead the way in so many other venues why not this one? You shouldn't have to choose between food and medicine that is needed. Are we living in the dark ages?! Everyone has the right to die with dognity. It shouldn't be for just those that can afford it. "* Those who can afford to should pay. Those who cannot should have an option other than being told ""too bad"". We are only as strong as our weakest link. We should take care of those in need because someday we will ALL be in need.[Truncated]" 23463 6/26/06 4:35 PM CA * Universal healthcare should be the number one priority of any administration because the national health is the basis of national securtiy![Truncated] Core must be defined as that that is required to maintain the highest quality of life. A national patient dedicated program is a must! "All information concerning the networks operations must be transparent and available to the public. " Quality of care is essential. Efficiency of care and operation is a necessity. Old age and end of life care is a civic and Christian duty of any society. "* Wars cost much more than health care: the business of death is far more expensive thanthe business of life. If a President can finance a war, he can certainly create the funds for universal healhcare![Truncated]" 23466 6/26/06 4:36 PM ID "* All persons, regardless of ability to pay must have access to basic healthcare. The system should be based on the Veteran's Administration System. For examples, accepted treatment for children would be the setting of broken bones, treatment[Truncated]" Care is to include chiropractic and acupuncture. * No one should be impoverished by healthcare costs. But no person can expect unlimited benefits. Benefits offered must be rooted in a sound statistical basis.[Truncated] "* Universal heathcare supplied by the federal government is required. Without that requirement, heathcare will bear the marks of prejudice.[Truncated]" * Use the VA System and teaching hospitals and clinics. Small communities could be serviced with a van or motorhome clinic. An absence of charges and billing will save 40% of the cost of healthcare. Proof of need also costs too much money. [Truncated] * The current health care system in the US does not work at all. I can only believe that a two tiered system is the only thing that will work. The basic system is federal and encompasses all of the obvious treatments such as setting broken bo[Truncated] "* A list of set treatments and test is used, based on a percentage of success basis. All providers are federal employees and patients are not charged. No insurance is billed.[Truncated]" 23467 6/26/06 4:36 PM IL * i Believe that all americans are sntitled to free health care since we have worked hard in our lives to live in this country and keep it the great nation it is and the govergnment should take care of its own people before hellpig countries [Truncated] * this commission should re alize the real experts for this comission are the people that are using the network Eg: patients and their families and let them have the mos to say in the formation of schedules[Truncated] "* our country needs to go back to when the founders lived and worked for themselves and helped their neighbors without expecting money in return if the person didnt have it and such things as helping each other and caring for you neighbor Fre[Truncated]" * every inch of this nation should have a complete system of attaining the best healthcare treatment and best healthcare providers of their personal choosing no matter what the price[Truncated] "* use the taxes we pay for the programs they are paid into andd for the reasons thes programs were originated and not take from one program to pay another [Truncated]" * in a persons last days they and or their families should not have to even woryy about how to pay for leaving this life that is the wortst thing you can do to someone whos is passing they dont need to be upset when going on after all their tim[Truncated] * this is the greates country on earth and yet we dont even take care of our own to make sure of its future existence which to me is completely deplorable after all our moms dads ancestors and all named this the land of milk and honey[Truncated] * every american should have free healthcare and reliable choices of care givers at no charge and we can recoop the cost thru sur taxea and the big corporations can also help with the costs by being fair and honest an realize you dont need en[Truncated] 23469 6/26/06 4:36 PM KS I FAVOR UNIVERSAL HEALTH PLAN FOR EVERYONE I FAVOR UNIVERSAL HEALTH PLAN FOR EVERYONE I FAVOR UNIVERSAL HEALTH PLAN FOR EVERYONE I FAVOR UNIVERSAL HEALTH PLAN FOR EVERYONE I FAVOR UNIVERSAL HEALTH PLAN FOR EVERYONE I FAVOR UNIVERSAL HEALTH PLAN FOR EVERYONE I FAVOR UNIVERSAL HEALTH PLAN FOR EVERYONE 23470 6/26/06 4:36 PM CA "* I feel that affordable health care is very important. I have read that 500,000 people are turned away from hospitals each year in the U S. Something is very wrong. [Truncated]" 23474 6/26/06 4:37 PM MN Why does the present administration wish to make us into a banana republic when most areas are too cold to raise bananas? 23477 6/26/06 4:37 PM CA I like this idea. Other countries have something like this; why can't we? This should be done. "* This is a good idea. However, I also believe that Americans should require a permit to have children. We are overpopulated. This is a very basic problem, from which most if not all other problems are based.[Truncated]" Good idea. I support this idea. "Very important. Also, make assisted suicide legal." "We need to emphasize quality of life, and de-emphasize quantity. We have all too much quantity, already." "Tax the rich. America is a great place to be, it should cost extra if you want to live here." 23478 6/26/06 4:37 PM OR 2012 is too long. * How will new innovations in care be funded before there is enough proof to justify coverage? Shouldn't it be use the traditional but then when the traditional fails pay for whatever works?[Truncated] Get for profit insurance companies totally out of the mix...for prescription drugs too. * This should be a social responsibility...not where individuals have to pay for their own..mix of employment/taxes/income maximum limitation...the rich have to pay for their own premiums.[Truncated] 23484 6/26/06 4:39 PM OH "* After working for 30 years, the last 17 of them for a Fortunte 100 company, I found myself ""downsized"" s short 3 years before I could pension out with healthcare benefits. That left me at age 51, my wife at age 42, and our daughter a mere 3 y[Truncated]" * I'll leave the plan for care to the professionals. I am just starting to have a grasp on my own personal healthcare needs at age 51.[Truncated] * I'm already impoverished by my family's health care needs. It's currently third only to shelter and food and has at times replaced both of those. My 3 year old is behind on her innoculations because it takes me months to find the money for do[Truncated] "* I believe health care to be the most important single issue facing this country. It supercedes issues of border security, the war in Iraq and military funding. It's beyond belief to me that the USA can't get their act together to ensure healt[Truncated]" "* A system could have been financed and put in place for less money than the current Administration spent on an unpopular war in Iraq. Why is it that ""We the People"" can finance a war yet not provide for their own country's needs. We all need t[Truncated]" 23485 6/26/06 4:39 PM FL my son and his wife both work and cannot afford health insurence. There is a lot wrong with the current system. 23486 6/26/06 4:39 PM WA "* My grandson will forever be crippled because a misdiagnosed broken foot which was diagnosed as chronic tendonitis, and now my granddaughter has scoliosis. We're hoping she can get helped by the Shiners. They have no insurance. Their mothe[Truncated]" OK "* Public by all means. We can see what happened with the ""part D"" scandal. We surely don't need that again! We need a single payer plan.[Truncated]" "* yes!Yes! Especially public payers. Social Security only has about a 6% overhead, while private payer plans have to have much more in order to pay over-rated CEO's and other bloated overhead.[Truncated]" "Public, Public Public!" "* I don't trust private plans, after the mess they made of Part D social security. The private carriers are only interested in excess profits[Truncated]" "I think Medicare should be expanded to include everyone, and everyone should contribute to make it a success." 23487 6/26/06 4:41 PM PA * I would like to see a single payer national health plan - coverage for all. Doctors should be spared the necessity of learning what different health plans cover. All medically necessary procedures and medications should be covered. Negotio[Truncated] 23489 6/26/06 4:42 PM MN YES * Sounds good if they get something done another way to do it is eliminate Congresses health care until they get a plan in place that take care of all of us that are taking care of them.[Truncated] Stop gap at best ... the big plan should include all. This could be done very easily with Medicare for all. Sounds good. People should have a right to say enough is enough and so should health care providers. I hope I see this done in my lifetime but I won't hold my breath. * Use MedicCare as the example take the at age 65 out and say it starts at birthh and work on the funding. Currently there is enough money in the system it is just getting spend wrong. Health care should not be done a for profit bases. [Truncated] 23490 6/26/06 4:42 PM TN "* I AGREE. WE ARE CURRENTLY PAYING $3,084.34 PER MONTH FOR HEALTH CARE. PLUS $1,000 DEDUCTIBLE FOR EACH. WE CAN'T AFFORD THIS. WE ARE GETTING HELP FROM EMPLOYER AND FAMILY. WE ARE CONSIDERED HIGH RISK AND ARE NOT MEDICARE AGE. DOUBT THERE [Truncated]" AGREE. AGREE. * THOSE OF US IN MIDDLE CLASS NEED HELP TOO. WE HAVE INSURANCE BUT OUR RETIREMENT SAVINGS IS DOWN TO ALMOST NOTHING DUE MOSTLY TO OUT OF POCKET HEALTH EXPENSES. IF WE DID NOT HAVE HELP WITH OUR PREMIUM WE WOULD JOIN THE 46 MILLION WITHOUT HEALT[Truncated] AGREE. AGREE VERY MUCH. "* HOW THIS ADMINISTRATION CAN LET MILLIONS GO WITHOUT HEALTH INSURANCE IS UNCONSIONABLE. THEY ARE NOT ON SOCIAL SECURITY, MEDICARE, AND HAVE A CUSHY HEALTH PLAN PLUS GENEROUS PENSIONS. THEY DON'T CARE ABOUT US.[Truncated]" * WE NEED SOMETHING AND VERY SOON. WALMART ANGERS ME THAT THEY DO NOT PROVIDE HEALTH INSURANCE BECAUSE MOST EMPLOYEES ARE PART TIME. THEY GO ON TENN CARE AND WHO PAYS FOR THAT? THE TAXPAYERS.[Truncated] 23491 6/26/06 4:42 PM CO Right on! Good! A must do! "Must be done at the Federal level to ensure all are covered, eve as they move from state to state." Electronic medical records are critical and long overdue! Amen! Please move this agenda along as quickly as possible. Get the profit motive out of health care! 23492 6/26/06 4:42 PM OH "* I agree, but we need to go further. Just affordable healthcare isn't enough. People will still have to make decisions as to whether to pay for care, and there will still not be the public incentive towards preventive care, to keep more peop[Truncated]" "* I would agree with this recommendation. I would also add Vision correction and some sort of method for evaluating and offering ""experimental"" services on a pre-approval basis, not only for the specific benefit of the patient involved, but al[Truncated]" "* Yes - of course. Obviously, the best way is to have a single-payer system that covers everyone, with either small or no co-payments. Until we get there, this is an important guarantee.[Truncated]" * The only hesitancy I have with this is the National/Federal level. This may run up against strong opposition from Libertarian and Constitutionalists who don't believe these things should be administered by the federal government. If it is d[Truncated] "* Same concern as under Recommendation #4 regarding the federal level of administration. The alternative would be to make sure that the federally-funded programs such as Medicare, Medicaid, Veterans Administration, etc... would all allow each [Truncated]" "* Totally agree with this recommendation. The lobby of the increasingly large nursing home industry may be problematic, but well-deserved...[Truncated]" * Anyone aiming for fundamental changes in our healthcare system must also be active in changing the fundamental political system under which we operate currently. Only this will allow a real transition to the most effective and efficient way [Truncated] "* I agree with the goal, and the combination of financing strategies. However, many local and state governments and school districts may suffer or go bankrupt before the goal is met... As long as the private, profit-motive industry is invol[Truncated]" 23493 6/26/06 4:42 PM OH Agree!! "Should have a provision for appeals, citizen proposals, a democratic member feedback mechanism for core benefits determinations" "Information also should be provided about payment plans and billing alternatives, low-interest financing for healthcare debt" "Need funding specifically for healthcare outreach in vulnerable areas, incentives for using preventative care" * Mandate information in clear language about healthcare costs and the opportunity to speak with a financial counselor free of charge[Truncated] Eliminate spend-down provisions in Medicare Agree 23495 6/26/06 4:42 PM NC "* Has there been any nation that has done the above without having, at a minimum, signle payer health care in the style of Canada? I don't think so, and I firmly believe we need to spend our energy working to implement a program such as this A[Truncated]" "I would also include eye care, and make dental more than a afterthought." Implement single-payer health care. "* Put an emphasis on preventative helath care, especially with dental and eye care, which, in my view, can be some of the easiest preventable medical problems.[Truncated]" "Get single payer, as quick as possible." 23497 6/26/06 4:42 PM VA "* The US ranks number one in health care spending yet 37th in delivery.The US also ranks 42 in infant mortality. As a health care professional, I can say that the tremendous ammount of money does not go to the patients, nor the physicians and n[Truncated]" * I am in full agreement. The decisions need to be made by the professionals involved and the patients and families of the patients. Not by business execs whose main concern is profit margin.[Truncated] "* With the ammount of money paid into the industry, if the outline above is adhered to, then all health care costs would be covered and no one would risk financial ruin.[Truncated]" "* I am willing to pay an additional ammount for universal health care, but is an additional fee actually needed? As all working people contribute to some form of health plan, if that ammount went to a non-profit form of financing, then the fund[Truncated]" 23500 6/26/06 4:43 PM IL i support recommendation one i support recommendation two i support recommendation three i support recommendation four i support recommendation five i support recommendation six is upport yur endeavours i support the financing statement 23502 6/26/06 4:43 PM AZ "Let's join the rest of the civilized world, for heaven's sake." "Yes, yes, yes!" Health care should not be profit-driven. Let's revive the Great Society and do what's right for everybody. All states should have laws like Oregon's to put end-of-life decisions into the hands of the terminally ill themselves. "* For God's sake, please stop the slide into the Dark Ages that is occurring under the present administration. Universal health care should be a core value in any modern society. We Are the Body Politic![Truncated]" "We are the Body Politic! Obviously, as a whole we should care for Our Body!!" 23504 6/26/06 4:43 PM CA "EVERYONE IS ENTITLED TO LOW COST HEALTH CARE, NO MATTER WHAT THE SITUATION!!!!!!!!" * dEFINITELY!!! mY MOTHER JUST PASSED AWAY FROM AN INCURABLE CANCER. sHE HAD HOSPICE CARE IN THE HOME. THEY WERE WONDERFUL!!!!!!!!!!!!!!!!!![Truncated] 23505 6/26/06 4:44 PM CA "* Universal health care: person sees health care practitioner, including the wider variety of care; the State/the common tax base pays for the health care, whatever it is. The State/U.S. tax base stops paying for imperialism. The State/U.S. s[Truncated]" 23507 6/26/06 4:44 PM NM agree agree agree agree agree agree 23510 6/26/06 4:44 PM NY "* Our Health care system is embarrassing when compared to the rest of the industrialized nations in the world. We spend twice the percapita per person to provide coverage to those that have health insurance, when other countries are providing [Truncated]" I like the recommedation In favor In favor In favor "It seems that we would be better off with a payroll tax, as well as the taxes from cigarettes and alcohol financing this." 23514 6/26/06 4:45 PM VA * Single payer health care will cost equal to all we spending currently and give all Americans access to the care that is consistent with valuing everyone's human rights.[Truncated] "* Preventative care including treatment for addiction to food, cigarettes, alcohol, work stress, and other drugs. Exercise is prescribed to all.[Truncated]" * Private health insurance has failed progressively to support our private and public health. Fire private insurers and hire single payer system.[Truncated] "* Health care for profit is a failed experiment. Single payer systems work better for corporations, citizens, and public health in Canada and Europe. When we remove the profit tax that a few very highly paid executives and shareholders receive [Truncated]" 23517 6/26/06 4:45 PM HI "* We agree with Recommendation 1. We feel this should extend to retireees of self-employed and small businesses whose health care benefits terminate upon retirement.[Truncated]" "* We agree with Recommendation 2. We feel that Recommendation 2 should continue when employees retire from self-employed and small businesses. Health care benefits terminate upon retirement. [Truncated]" "* We agree with Recommendation 3. Please include retirees of self-employed and small businesses which terminate health care for employees and families upon retirment. (Financial protection for low income individuals and families.) [Truncated]" "* We agree with Recommendation 4. Please include retirees of self-employed and small businesses which terminate health care benefits for employees upon retirement. [Truncated]" "* We agree with Recommendation 4. Please include retirees of self-employed and small businesses which terminate health care benefits for employees upon retirement.[Truncated]" "* We agree with Recommendation 6. Please include retirees of self-employed and small businesses which terminate health care benefits upon retirement.[Truncated]" "* We agree with financing statement. However,retirees of self-employed and small businesses,would be at risk when health coverage terminates upon retirement. These benefits should extend when retirement begins.[Truncated]" 23519 6/26/06 4:47 PM IN * Drug Companies need to keep the cost of their products down? And the non for profit Hospitals what is that take a look at their finaincal statements why does the ceo make 300000 per year which is way above the average income for the people t[Truncated] * We need to close the borders so we can help the people already living here.....And stop the money going out of the country..........So we can support the people here to cut the high cost of medical care.[Truncated] What is tricare? And Community health Centers? Are they discounted to those of us without insurance? It should be up to the patient and family not the doctor how much care should be given to prolong life........ "* Why do we who have no insurance have to pay the full amount to hospitals, where insurance companies get reduced charges up to 90 % reduction?[Truncated]" 23521 6/26/06 4:47 PM OH "* It is time for progressive thinking in our country. This will not only benefit our families, friends, and community members - it will aslo benefit business and the high cost of health care benefits they pay to their employees. We are one fami[Truncated]" "This is a ""life"" issue that needs to be addressed. From prenatal care to old age will show who and what we are as a society." * This removes the high cost of administring the programs and curtails the millions of dollars reflected in advertising that shows up in our hospital and prescription drug bills.[Truncated] 23522 6/26/06 4:47 PM FL As an educator I have seen firsthand how many families suffer from a lack of health insurance. 23524 6/26/06 4:47 PM VA * I have spent 2 hours today calling around trying to find a free or low-income clinic so that I can be seen to get a prescription to a medication that I desperately need. I cannot return to work unless I get this medication. My husband works[Truncated] 23525 6/26/06 4:47 PM CA "* As a Christian country, it is a disgrace that any human should go without health care. Everyone deserves the best medical treatment available.[Truncated]" 23527 6/26/06 4:47 PM FL "* Amen, Amen, & Amen. The fact that health care is a business is a national sin. We have the ability & resources to provide universal health care. All we need now is the political & moral courage.[Truncated]" 23530 6/26/06 4:47 PM OR We are the only advanced nation that does not provide health care for all its citizens. Shame on us! "* If preventive services were available, the cost of health care would be less, because hospital emergency services would no longer be the major source of health care for the poor.[Truncated]" "* High health care costs have been the major cause for personal bankruptcies, with devastating effects on the individuals concerned as well as the economy as a whole.[Truncated]" Coordination is critical. "* Funds should be availabe for people to be able to received needed care in their own homes, so that they are not forced to move into nursing homes in order to have the services funded. Otherwise, the nursing homes profit, but not the patients,[Truncated]" "* The funds are there. We need to tax the super rich at a higher rate than they are being taxed, especially as the divide between rich and poor in this country has never been greater, and the middle class is being squeezed in between.[Truncated]" 23531 6/26/06 4:48 PM NY "* In a country such as the United States, it is a crime that any of us do not have access to health care. Our governmebt has run from the concept of socialized mediciane for far too long; a change must come. Call it what you like, but no Americ[Truncated]" "* Our nation has clearly been throwing away billions of dollars on a war that many of us continually question. If our government can find the resources for this, then therre is no question that they cannot begin to contemplpate other ends for t[Truncated]" 23532 6/26/06 4:48 PM KY "* The US is supposed to be a country of equal opportunity. As the leader of the free world, our citizens should be cared for. How is democracy promoted, if we allow our citizens to be treated poorly and denied the basic needs of health, mental,[Truncated]" 23533 6/26/06 4:48 PM OR "* All Americans have a right to healthcare. We should have healthcare paid for by our taxes in a single payer healthcare system. In addition, all Americans should be covered regardless of ability to pay - many citizens don't make enough money t[Truncated]" "* Preventative services should include therpaies designed for optimal health, including chiropractic, massage, acupuncture/accupressure and chinese medicine, naturopathy, etc...[Truncated]" We are the only western country without universal healthcare - it's time for a change for the better for all Americans "Make sure this unit isn't stacked with insurance, drug company, and other corporate interests." Good idea as long as costs aren't the main reason for denial of treatment. "* CNA's need to be paid decent wages, protect these invaluable workers who take care of the elderly, disabled, and terminal patients.[Truncated]" Let's get universal health going in this country asap! "* Don't reinvent the wheel, use the same program that Norway or England (for example) does. Don't worry about what he insurance and drug companies want, either.[Truncated]" 23535 6/26/06 4:48 PM NJ Yes. Agree. Yes. Yes. Yes. Yes. No increase in taxes and no need for financial acrobatics. Stop funding war and there's plenty of money. 23536 6/26/06 4:48 PM GA Give us the same coverage that Senators & Congresssmen have now. Give us the same financial protection that Senators & Congressmen now have. 23541 6/26/06 4:50 PM WA * the kind of health insurance you are covered by shouldn't be a part of your medical history. to have the type of care you receive depend upon the level of medical insurance you have is unethical. everyone deserves the same care and the best[Truncated] "* This sounds like a reasonable and sound place to begin. But, let's be selective about the ""experts"" who sit on the steering group. Ie: to connection to politicians, or companies who stand to profit from decisions.[Truncated]" "* No one's health care should be determined by the ""type"" of coverage they have or do not have. Care should be universal. And, those with the means to pay, should be held responsible for their bills, not the government (taxpayers). [Truncated]" "* these should be equally funded by the government. poorer communities should not suffer the same blight that schools, and the present health care clinics exist under.[Truncated]" "* Patient teaching needs to be expanded in both hospitals and clinics to include practical topics, as well as those related to their medical conditions.[Truncated]" agreed "* I want to reiterate that healthcare needs to be more egalitarian, with poor people participating in their care, and maintenance, and with access to the same tools and services and wealthy patients. Health care should not be dictated by the c[Truncated]" "* A national system that is headed by common people who have no connection to the insurance industry, the medical profession, or elected officials; would give the people an honest chance to find an acceptable yet affordable program without list[Truncated]" 23543 6/26/06 4:51 PM FL We are the only country in the world that does not have universal health care coverage. A single payer health care system would create more than enough savings to insure every American has health care. 23545 6/26/06 4:52 PM GA "* Single payer universal health care coverage paid for with a progressive tax will make health care affordable by cutting out profit and administrative costs for private insurance. THIS IS NOT JUST POLICY, IT'S A MATTER OF LIFE AND DEATH. IF [Truncated]" "* The entire continuum of health care services should be included, especially preventative services like check ups, as well as prescriptions.[Truncated]" "It's important that a universal health care coverage system, based on a single-payer method, be established." * Collaboration is great for the delivery of services. The problem is the coverage. The most important thing is that a universal health care system based on single-payer method be established so everyone is covered.[Truncated] "* Quality and efficiency are currently hindered by the private insurance system because people often can't get the services they need when they need them, cycle in and out of treatment, prevention doesn't occur, health issues go unaddressed. Q[Truncated]" * I agree people should be able to choose their environment during end-of-life services. All of this should be covered as part of a universal health care coverage system based on a single-payer method.[Truncated] "* Shame on America until universal health care is provided. Stop playing games with people's lives. This is a MORAL ISSUE! Thank you for investigating American's thoughts on this issue. Now, DO SOMETHING. Americans have stated what they wa[Truncated]" Single-payer universal health care coverage paid for with a progressive tax is the best financing option for America. 23547 6/26/06 4:52 PM IL Progressive co-pays to facilitate finances. "Unfortunately, people against universal healthcare would have to be included in this group." Decisions about high risk operations will be troublesome. This obviously would be an immense improvement over the current system. The system would be possible if all citizens were enrolled in the same system. Realigning drug laws would be necessary before acceptable hospice care would be possible. I tend to be a cynic and a skeptic about universal healthcare but I favor it. Progressive leadership will be needed to get financing off the ground. 23549 6/26/06 4:53 PM MN "* I believe everyone should have the basic entitlement of health care in our country. I hope we, as a society, have moved forward to the place where every American man, woman, and child will have access to quality health care that is affordabl[Truncated]" "* We must keep compassion at the forefront of any decisions made concerning who receives health care services. Universal health care should be equally available to all, without descrimination based on financial capability, race, or other orien[Truncated]" Private management of universal health care will not work because private corporations are in business for profit. We need to centralize medical treatment centers to hold costs down and make our medical care more efficient. "* This is a good plan that needs to be implemented now. Talking gets this country no where, and people are dying while we wait for politicians to do something. The time for action is now.[Truncated]" "* We, as a nation, need to move beyond the partisian politics that has torn our country apart. We, as a people, need to provide care and compassion for each other. Affordable health care is a big step towards moving forward in a humanitarian [Truncated]" "* This issue has been talked about long enough. Every other progressive country offers it's citizens health care. We must implement this policy, we the people need to care for each other, and offering health care to everyone is a necessity in[Truncated]" "* We must move quickly to bring health care to every American citizen. The costs could be managed by improving efficiency through standardization of reporting, utilization of technology and filing of claimes. We can not delay implementation o[Truncated]" 23551 6/26/06 4:53 PM KY * It is incomprehensible that other industrialized nations have had universal health care coverage for their citizens for at least half a decade and we do not.[Truncated] Agree "* If Canada, Britain, Norway, Italy, France and many other industrialized ntions can provide coverage for all, we should be able to design a plan that can do the same.[Truncated]" Agee "Agee, but keep politics out of it." Agree "* The government already has Medicare and the VA health care system, and it would provide a b asis for designing the needed health care program for all.[Truncated]" "* When the ERs and private physicians and others have to offer free care to uninsurred and underinsurred, it seems reasonable to expect that designing a finacially feasible plan to cover all will be less costly since some of the free services a[Truncated]" 23552 6/26/06 4:53 PM CA None - Agree with it. Agree - pretty much covers it. establish a public national program. Agree Agree Agree From the billions of dollars doled out to foreign nations that are anti-american or are self-sufficient already. 23556 6/26/06 4:54 PM MO It is sinful in a country such as ours not to have everyone insured. 23557 6/26/06 4:54 PM NY "* Once upon a time there was Blue Cross and Blue Shield. Thanks to our government and all those greedy corporations out there, we now have crap! Wow isn't competition wonderful? Now we have dozens of Officers and executives of these HMO's all r[Truncated]" No co-pay and get to have what you come to the doctor for taken care of. Quite letting the private sector work in collusion with those people in government who need a reality check. * heath care in teh 21st century is nothing moe than 3 card monty or the shell gave. Physco babale about how good they are. How good they are compared to WHAT?[Truncated] 23558 6/26/06 4:54 PM OR "* I fully support these reasonable, wise recommendations. Other developed countries have these systems in place. The ""free market"" does not supply health care for all. [Truncated]" I support this recommendation I support this recommendation I support this recommedation. I support this recommendation. I support this recommendation. "* thank you for working for reasonable, effective, effiecient affordable health care for all americans. I consider this an issue of High Priority for our National Security. [Truncated]" I support this recommendation for those most at risk. We can fund alot of this with improved efficiency. 23559 6/26/06 4:54 PM OH * It is essential that these services include preventative medicine options to help avoid dealing with problems that could have been addressed more easily if discovered early. These services should be available to all. Too often circumstances[Truncated] * Sounds logical to me! Elective options for extraordinary procedures should not be part of core benefits. Somewhere in the discussion there needs to be dialogue/education of a larger segment of our population on cost benefit analysis relativ[Truncated] "* As a mother of two adults daughters, one with limited and inadequate coverage, and the other with no coverage, I appreciate the fact that any program must be universal in the provision of core services, and, expenses must be within the abilit[Truncated]" Expansion of services offered by trained non-physician medical professionals under appropriate physician supervision. "* MUCH needed! An ecumenical, supportive community of religious professionals might serve as helpful advocates in what might be an anticipated negative response from persons/clerics who could be opposed to this position.[Truncated]" "* Our citizens, our politicians, and our nation as a whole needs to confront the financial aspects of this disasterous problem. When we are able to find resources for ""fat"" in the budget, and for military expenditures, we can surely find resou[Truncated]" 23562 6/26/06 4:55 PM KY * As you know those who have insurance pay way too much! The rest of the folks can not get it. It is way past time to do something to help this country with Medical insurance. Dahnmon Whitt[Truncated] Please do what you can to help the people in the USA! Dahnmon Whitt 23563 6/26/06 4:55 PM NY "* America should have national healthcare, ""Medicare for everyone"", funded just like Medicare for Seniors through a tax on income, or payroll tax, as it is called. This is how all other western countries fund their healthcare programs. I thi[Truncated]" "* I agree with your definition of core benefits, that should include physical, mental and dental health: prescription drugs; preventive, primary, & acute care.[Truncated]" "* Universal healthcare, like Medicare, would financially cover all of these costs. There should be some co-pays, & premiums by those that can afford them.[Truncated]" "* Every new doctor should be required to work with the above-mentioned vulnerable populations for a fixed period of time after graduating from medical school. I also think that we should utilize nurse practitioners & doctor's assistants more, [Truncated]" I agree with this recommendation. "* I agree with this recommendation. In addition, pain medication should be more easily administered to patients with painful, end of life diseases. Doctors should be better educated about pain-management. There should be a massive campaign b[Truncated]" "* I wish you good luck since any changes to our healthcare policies will be very difficult to attain since the government has allowed private industry, through insurance companies & the pharmeutical companies, to pretty much take control of our[Truncated]" "Funding should be through a tax on income, the payroll tax, like the government does for Medicare." 23565 6/26/06 4:55 PM AK It is an inalienable right. "* Establish an independent non-partisan group based on income groups, i.e., select a proportionate number from the number of income earners based on their gross income.[Truncated]" All of the above including opthomology and dental care No private insurance companies need be involved. Fully support Fully support "Good job, support all of the above" Universal health care should be paid from corporate profits. 23569 6/26/06 4:56 PM NJ I strongly agree I strongly agree I strongly agree I strongly agree I strongly agree I strongly agree. I strongly agree 23570 6/26/06 4:56 PM KY * I firmly believe all Americans should have access to Health Care. My hopes are that it will be long before 1012. Time to take action is NOW![Truncated] "* Again agreed. However we must not allow so called ""experts"" to deny benefits at will. Some ""experts"" say there is no this or that thereby denying all benefits.[Truncated]" Those who can afford the least should have to pay 0. YEs! Yes! Yes! Agreed. It must be fairly distributed with NO loop holes for the most wealthy. 23572 6/26/06 4:57 PM NC * Universal Health Care!!! Single payer system. Health care is a right not a privilege. Health care is public good and does not belong in the hands of the private sector where profits supercede patient care.[Truncated] 23573 6/26/06 4:57 PM CO "Agreed, and we shouldn't have to go into debt to be able to take care of our bodies and minds." Agreed Yes! Agreed Agreed Agreed * This sounds like the first steps towards many others that will put us on the right track for health care in our country! I just hope we can get the backing of all the government agencies and health care conglomerates (i.e. insurance companie[Truncated] Agreed 23574 6/26/06 4:57 PM NC "* As someone who is uninsurable without group insurance, I can tell you what a huge burden would be lifted from me knowing that my healthcare would be covered regardless of my occupation. Not only those who are without insurance, but also the m[Truncated]" * Traditional European models are much more balanced than the US-centric AMA/pharmaceuticals companies/FDA-USDA as god approach. I am very leary of pharmaceuticals being included in the same budget 'pie' as the rest of health care. Far too many[Truncated] "* Again, I totally agree, with reservations re: the free rein the pharmaceutical/AMA/insurance co. cartel has over the practice of medicine in this country. I also think PE and health ed should be reinstated in the schools to engrain a healthy [Truncated]" "* I do not believe there is any such thing as a 'vulnerable' population, only an ignorant one. I do not believe any program based on race or ethnicity of origin has any place in a free and democratic society. I believe in equal care for everyon[Truncated]" "* This unfortunately sounds like a great place to 'black budget' a lot of funds. That said, outcomes protocols, checks and balances and health promotion are much needed in any system. HOWEVER, I have seen first hand what PPS has done to nursing[Truncated]" * Hospice and palliative care are great! Funding for massage therapy as well as instruction in end-of-life maintenance exercise/positioning-for-comfort programs by physical therapists and exercise physiologists should be included. (Personal plu[Truncated] "* Just that I think health care is a basic human right in any civilized society, but at the same time one that should be regarded almost as a priviledge in terms of measuring one's own personal needs against the good of the collective so as not[Truncated]" "* I am a fan of the flat tax for both individuals and corporations as far as income is concerned. 'Sin' taxes on cigarettes, alcohol, sugar, nonorganic foods, and 'accountability' taxes on manufacturers who pollute the air, water, earth are all[Truncated]" 23576 6/26/06 4:58 PM NY agreed agreed agreed agreed agreed agreed "The US is the only ""developed"" country without a national health care system." agreed 23577 6/26/06 4:58 PM IL * Health care should not be a commodity. We need a single payer system. Period. Reemploy insurance company employees within the new system. Eliminate the private Health insurers. [Truncated] * Health care should not be a commodity. We need a single payer system. Period. Reemploy insurance company employees within the new system. Eliminate private health insurance corporations. [Truncated] * Health care should not be a commodity. We need a single payer system. Period. Reemploy insurance company employees within the new system. Eliminate private health insurance corporations. [Truncated] * Health care should not be a commodity. We need a single payer system. Period. Reemploy insurance company employees within the new system. Eliminate private health insurance corporations. [Truncated] * Health care should not be a commodity. We need a single payer system. Period. Reemploy insurance company employees within the new system. Eliminate private health insurance corporations. [Truncated] * Health care should not be a commodity. We need a single payer system. Period. Reemploy insurance company employees within the new system. Eliminate private health insurance corporations. [Truncated] * Health care should not be a commodity. We need a single payer system. Period. Reemploy insurance company employees within the new system. Eliminate private health insurance corporations. [Truncated] 23578 6/26/06 4:58 PM NJ "* Again, how many families are forced onto public assistance because the main financial provider becomes suddenly ill. People who live from paycheck to paycheck at jobs that provide no insurance cannot choose to be insured rather than eat.[Truncated]" * It seems to me that the cost of not having basic care available to everyone is more expensive than providing it. Ultimately those who are uninsured wind up in emergency rooms and public hospice care with conditions that might have been lesse[Truncated] 23579 6/26/06 4:59 PM MA "* We currently have an excellent government program in place. It's called MEDICARE. Why not extend this to all Americans. And, because prescription drugs too often take a huge portion of one's income, affordable drug coverage should be include[Truncated]" 23585 6/26/06 5:00 PM TX * I approve. My son is 30 years old. He has no job because he has a hernia. He has no insurance because he has no job and no money. We live in Texas and he has been told that he can only get the hernia fixed if it strangulates and he gets g[Truncated] I haven't seen a fair study done by government hired researchers in the last ten years. cut out the insurance companies - they are gluttons. who watches the watchers? I like this one. "no more ""putting old/sick people out on icebergs""" "* The insurance company killed my husband by refusing to let him stay in the hospital over 60 days. They sent him home, his time was all used up and the next day he died. [Truncated]" * Quit picking on smokers - this is not a reliable revenue and discriminates against an ever smaller population. If Canada and England can fund health care we should be able to find the funding too.[Truncated] 23586 6/26/06 5:01 PM KY "* This is the wealthiest nation in the world, it is unthinkable that our citizens should continue to go without affordable health care[Truncated]" * Senior citizens should be protected from bankruptcy due to catastrophic illness without paying exhorbatent premiums for insurance[Truncated] strongly agree good luck fighting the vested interests. perhaps a good pr campaign to let the public know who's behind the objections "the work life of nurses should be investigated, many drop out due to pressures and stress" "* end of life choice should be made more readily available, it is a stupid waste of resources and emotional energy to let dying people linger for months and years when their wish is to end their life[Truncated]" thanks and good luck. this is one of the most pressing issues effecting the american people and an aging population * Companies like Wal-Mart should be required to provide health care benefits to their employees. I do not patrionize companies that abuse their workers like Wal-Mart does[Truncated] 23587 6/26/06 5:01 PM NY "* Big picture - Nations with much smaller economies that ours have taxpayer funded universal health coverage for their citizens. If the goal is to provide health care, and not to enrich the insurance industry, it can be accomplished ina lot les[Truncated]" 23589 6/26/06 5:01 PM VA "* How will future historians judge our American civilization? They will ask how so many of our citizens are without affordable health care in the world's richest country, even while better health care is available in less affluent countries in[Truncated]" Prevention is cheaper than treatment of afflictions. "People have been bankrupted in middle and late years because of health care costs, and this is not fair." * First doctors and hospitals should police themselves. The federal government should take steps to make sure states can offer health care to all their citizens (with make sure states go it).[Truncated] 23590 6/26/06 5:01 PM CA * We should have a national health care system that covers everyone and is paid for by the government. The market has proven to be an unfair and wasteful way of managing health care in contrast to the national health services in the Scandinavi[Truncated] "* Sounds like a technocrat's dream, but I wonder who is being excluded by the focus on ""evidence-based science"". One expects the outcome will be skewed by representation from the insurance industry, whose interest is in receiving premiums but [Truncated]" "* If one has national health care, this is not an issue. The only issue is understanding that one has to actually levy taxes to pay for the system, preferably on the whole populace.[Truncated]" * I don't think it possible to provide good cost-effective health care in partnership with the insurance industry. A national health system focused on providing good health care everywhere in the nation would be a worthy goal.[Truncated] "* And who is being excluded here by ""evidence-based best practices""? This seems like it will be a boon to manufacturers of electronic medical records systems or providers of materials used in health education, etc. Perhaps we should look at t[Truncated]" A nice idea; easier to achieve with national health care than with insurance companies. "* You will have gathered that I favor a national health care system, financed and run by the federal government. Anything less is unlikely to make much of a change in the ways we waste money on healthcare.[Truncated]" "* The point is to spend our money on health care, not on insurance companies. We waste far more money now than Canada spends to provide better health care. [Truncated]" 23591 6/26/06 5:01 PM CA "yes, and it should NOT be a health care system for profit. Health care should not be a for-profit business." * We are way behind the curve compared to other industrialized countries when it comes to total citizen well-being in this country. Government needs to step in here to protect families and individuals from the ups and downs of a market economy-[Truncated] "* Yes, this is especially crucial in an aging population, as we have in the U.S. Long-term health care is more prevalent and families need to be protected from the financial devastation that can occur when a loved one is institutionalized over [Truncated]" * We need a single-payer system that cuts out the numerous middlemen in our health care provision. This is the only alternative that makes economic sense and that can truly protect our collective health.[Truncated] * It is amply documented that a single-payer system is far less costly than the for-profit kaleidoscope of providers and insurers we have in the U.S.[Truncated] 23592 6/26/06 5:01 PM WI the richest country in the world should have universal healthcare . healthcare for everyone i agree agree agree agree it's time for the leaders to do something about healthcare instead of tax breaks for the rich and corporations "government coverage for catastopic illness should start immediately , which would also bring down employee and employer rates." 23593 6/26/06 5:02 PM NY we should have universal health care all health care no one should lose their homes reduction of fraud we should have the right to die with dignity hence we should have natinal laws like oregon stop wasting money on all the pork prigrams you politicians make up 23594 6/26/06 5:02 PM NJ "* This is an essential, imperative policy. More and more average Americans are forgoing healthcare because it is unaffordable, particularly for the self and unemployed. Workers must pay more and more of the cost of group coverage provided by em[Truncated]" "* The first caveat within this recommendation should be that Insurance administrators do NOT determine whether or not a patient should recieve care, surgery or other medical service. Secondly, coverage must be portable and provide quality servi[Truncated]" "* Most bankruptcies in this country are prompted by catastrophic health costs. One major surgery and hospitalization can do it. This has not only happened because people have no coverage, it also happens because insurance companies find ways to[Truncated]" * My concern is if you mean the CURRENT administration in putting this plan together. They've turned their backs on Katrina victims who are still displaced and homeless after 10 months. They turned their back on the average citizen and have no [Truncated] "* Like consolidation of various departments under the Homeland Security umbrella, so should these various departments be consolidated and headed by a Healthcare czar. Community groups and grass roots efforts are already in place but desperately[Truncated]" "* This is an essential part of a comprehensive plan. Moreover, a similar structure should be set up for those with chronic conditions that need care - home health aides, elder care and other services.[Truncated]" * Comprehensive healthcare is needed yesterday. I do not understand why it cannot be completed sooner than 2012. We need to kick it in gear and get moving on these discussions. There is much work to do and the entire country is in need of such [Truncated] * We are spending billions of dollars a month in Iraq. This administration has run up trillions of dollars in debt with NO benefit to the average American citizen. A comprehensive healthcare program could have been paid for ten times over alrea[Truncated] 23596 6/26/06 5:03 PM AZ "* This is a basic human right and we should enact this measure as soon as possible. I am an educated professional. However, because I am self-employed and 48 years old, I have been unable to secure health insurance although I've been trying f[Truncated]" "* While this sounds good, I remain unconvinced that such a group would be able to withstand the pressures of the pharmaceutical and insurance industries and we will end up with another disaster akin to Medicare Part D that benefits big business[Truncated]" "* I agree completely with this. Congress and President Bush should be ashamed for enacting the so-called ""bankruptcy reform"" measure that makes it more difficult for average citizens to dig their way out of bankruptcy. We should be ashamed th[Truncated]" "* This is terrific, but you are leaving out the middle class. We are also struggling to afford adequate health care. We must ALL be covered by any program. [Truncated]" * The insurance industry has forced most providers to engage is so much paper pushing that they sacrifice time with patients in order to handle the bureaucracy. I agree that streamlining systems and creating new systems to increase efficiency [Truncated] "* I agree. I also believe that, in some cases, families are not the best to decide on end-of-life treatment for loved ones. Too often I see them asking for everything to be done to prolong life for a day or a week for a loved one when death i[Truncated]" "* We need to expand Medicare to serve ALL Americans. We need to reform the Medicare Part D prescription drug program so that gov't can negotiate best prices, there is no deductible, no sign-up penalties, no doughnut holes, and no one is in dan[Truncated]" "* I believe that the best plan--and the one we will ultimately have to adopt--is a single payer plan for ALL, where all Americans have access to the same quality of health care without regard to ability to pay. If we roll back the Bush tax cut[Truncated]" 23598 6/26/06 5:04 PM WA "* It seems the least-cost way to provide coverage is to cover everybody with the same plan, using a single-payer program such as Canada's. I've heard it suggested that this could be accomplished by extending Medicare to everyone, and rolling M[Truncated]" * Vision care should be specifically included. I agree with the rest of the package. I like the science-based effectiveness test - I don't think we should be paying for unproven 'alternative' treatments. I also have trouble with paying for s[Truncated] A Canadian-style single-payer plan would provide this at least cost. "Encourage doctors to work in under-served areas by using scholarships, student loan forgiveness, income tax credits, etc." "* Agreed - my mother had Parkinsons, and the Canadian health system provided in-home nursing and helper services (my brother wound up marrying the live-in assistant!). When the care level needed to be increased, the system provided a very nice[Truncated]" "* I suggest a federal drug research program, using a set percentage of our GDP. Facilities that accept these research dollars agree to let the government retain the patents, which would allow new drugs to be immediately generically produced by[Truncated]" "* I agree that taxes should be levied on those activities & substances that contribute to health problems: tobacco, alcohol, pollution, trans-fats, high-fructose corn syrup, sprawling subdivisions, and the wealthy (as it has been shown that th[Truncated]" 23599 6/26/06 5:04 PM GA THIS COUNTRY CAN AFFORD FREE HEALTH CARE FOR ALL PEOPLE. THIS COUNTRY CAN AFFORD FREE HEALTH CARE FOR ALL PEOPLE IN THIS COUNTRY. THIS COUNTRY CAN AFFORD HEALTH CARE FOR FREE FOR ALL PEOPLE IN THIS COUNTRY. THIS COUNTRY CAN AFFORD FREE HEALTH CARE FOR ALL PEOPLE IN THIS COUNTRY. THIS COUNTRY CAN AFFORD FREE HEALTH CARE FOR ALL PEOPLE IN THIS COUNTRY. * MEDCARE SURE BE FREE FOR ALL SENIORS IN THIS COUNTRY. THE MONEY THAT IS BEING TAKEN OUT OF THEIR CHECKS(SSI) EACH MONTH COULD BE PUT INTO A FUND SO THAT THEY CAN HAVE FREE HEALTH CARE AND MEDS.[Truncated] "IF THIS COUNTRY CAN AFFORD BILLIONS OF DOLLARS FOR A WAR, THEN THEY CAN AFFORD FREE HEALTH CARE FOR ALL PEOPLE IN THIS COUNTRY." 23601 6/26/06 5:04 PM IL "* I believe that health care is a right for all people in this country - for practical reasons, the ability of a person to go to a doctor would drastically cut down on unnecessary emergency room visits - and this could possibly cut down on the [Truncated]" I would glady pay more in taxes for guaranteed health care for all of us. "* One of the prime goals of national health care should be intensive teaching about healthy diets, preventative care and tests, and the importance of medication compliance and follow up care.[Truncated]" 23605 6/26/06 5:06 PM WV Under Medicare Same Same Same Same Same * We need it now. Families are going bankrupt now. Congress changed the bankruptsy law so they can't take bankruptsy to wipe out the medical debt![Truncated] Same as Medicare now! 23608 6/26/06 5:07 PM TN * AMEN! My wife and I are 62 years old just retired and can not afford any health Insurance. We may buy Major in August but must shop. Please make sure everyone is able to get medical help. Thank you for caring and may you have all the success [Truncated] SAME AS # 1 SAME AS # 1 sAME AS # 1 SAME AS # 1. PLEASE CONTINUE ON ALL 5 FRONTS AS ALL ARE NEEDED. Same as above May you get the backing to help us Americans with HEALTH CARE. SAME AS # 1 23611 6/26/06 5:07 PM NY "* We,one of the great counties of the world, can not care for our own???? Then our Leaders are Liar's and/or crooks and spending it on themselves. Save OUR citizens by giving them FREE HEALTH CARE like our President and his cabinate recieves v[Truncated]" 23613 6/26/06 5:08 PM MA "* In the name of the most vulnerable, each of us needs to recognize our responsibility to cover the costs of what they and their families cannot conceivably cover. To do so is a democratic privilege.[Truncated]" Yes. "* In this area, insurers need to work with Social Security, Medicare and Medicaid, and philanthropy to plan in a way that includes everyone.[Truncated]" The media needs to become an ally in implementing this objective. * All that you say merits serious consideration and anticipates the unavoidable crunches and crises that come with an unexpected Katrina or individual disaster.[Truncated] 23615 6/26/06 5:08 PM WI "* It is time for taking the medical benefits from the employer. The individual should have access to insurance just like car insurance. They could contact a number of agencies and get the best deal possible. Meanwhile, business would be taxe[Truncated]" I agree. I agree. I agree. I agree. I agree. * Money allocated from comapnies and other sources should immune from the Congress. The Congress should not be able to take away funds from this account.[Truncated] See above. 23618 6/26/06 5:08 PM AZ * It is shameful that the US is the only 1st world industrialized country where health care is seen as a commodity available to those able to pay the price rather than a basic human need that should be guaranteed to all.[Truncated] "* It is absolutely critical that the core package include significant help for the severely mentally ill, half of whom have been homeless on the streets for the last 25 years.[Truncated]" A single payer system works well in other countries. We should try it here. 23619 6/26/06 5:08 PM CA "* When health care is privatized, PROFIT is the driving force rather than what's best for the individual patient. Only government can guarantee health care for all -- and THAT'S WHAT GOVERNMENTS ARE FOR: To provide services to all its citizen[Truncated]" "* Since Republicans will be sure to label as ""socialistic"" any plan run entirely by the government, and scare enough Americans to scuttle such a plan, it makes sense to appoint a private-public group to specify just what would be covered under [Truncated]" "* If our government is really ""of the people, by the people, and FOR the people,"" then it's about time EVERY American should be guaranteed health care he can afford.[Truncated]" (Same as above) "* Such complete coverage is LONG OVERDUE, and even corporations like General Motors should be in favor of such a plan, since health care adds something like $1100.00 to the cost of every GM car.[Truncated]" (Same as 3 and 4) "* Although Americans pay more for health care than citizens in any other industrialized nation, we get less for our money. We call ourselves the ""Leader of the Free World,"" but when it comes to health care, we're trailing behind most of the [Truncated]" 23620 6/26/06 5:08 PM ME "* Hillay Clinton in her autobiographhy said ""{as wife of Gov or Arkansas and as wife of Pres of US, I have not had to worry about health care. Why should anyone else!"" Health care is key to small business as well as to working families![Truncated]" "* As a Health Retreat director, I find preventive services are key. Mental must be integral. As little bureaucratic red tape as possible.[Truncated]" Agree. Note that not all high cost procedures should be available all places. we muswt rein in costs1 "Yes. Must rein in health care costs at all levels by all in system: insurance, pharmaceuticals, doctors, hospitals, etc." yes (This questionnaire is too long. Don't have answerers lose interest!)Right - much too long see above answer. "Point out which ""modern countires' do not offer universal health care besides the US. Say that in every publication." "How do we pay for health care for senators and Congress? Citizens are just as important. " 23621 6/26/06 5:08 PM FL * One thing is I think ppl on welfare should have only 1 year to get it together and they should be retrained for a job so to get off welfare. They get better insurance then ppl who work. ITs better in America to be on welfare and have lots of [Truncated] * TAKE DEAD BEATS OFF WELFARE AND GIVE AMERICAN'S THAT WORK HARD WITH NO INSURANCE THE BENEFITS AS WELFARE. AND PLS PRINT MY COMMENTS. I AND MYGRANDSON HAVE NO INSURANCE AND CANT AFFORD TO BUY INSURANCE. MAYBE I SHOULD QUIT WORK AND LET THE GOV[Truncated] 23624 6/26/06 5:09 PM MI Put in a democrat and see how the health situation will change 23625 6/26/06 5:09 PM NH * It is disheartening that Recommendation 1 has not yet been met within the US. This is critical to the future of our nation as a leader in the world.[Truncated] "* Eyecare needs to be part of this. Further, a close look at how medical devices are included needs to be addressed. I just paid $3700 for a pair of mid-price range hearing aids which I need, and are not covered--under almost ANY healthcare pla[Truncated]" "* Again, we need to look at what the expenses truly are; why are doctors paying such high malpractice insurance fees that they are giving up their practices? Why are insurance CEOs getting multi-million dollar bonuses and salaries, when doctors[Truncated]" "* This is crucial, but let's not overlook the middle class. Too often groups such as these think that the middle class can afford healthcare, but we too are pinched by the costs, or simply unable to meet the costs of healthcare.[Truncated]" Yes. "* We must not overlook the cost of healthcare itself when considering financing options. Why is health care so expensive? Does it really need to be? The answer is a resounding no. Rather than further burden the taxpaying citizens, we need to ta[Truncated]" 23626 6/26/06 5:09 PM MI just as long as everybody is treated equally. * I don't think anything run by bureaucrats will be successful unless there is civilian oversight to make sure any universal health plan is properly operated.[Truncated] 23627 6/26/06 5:10 PM FL "* END CORPORATE WELFARE NOW, END THE RIDICULOUS ""WAR ON DRUGS,"" AND LEGALIZE SMALL AMOUNTS SO THAT THEY MAY BETAXED LIKE OTHER DRUGS -- ALCOHOL AND NICOTINE. REGRETTABLY, THE LOBBYISTS FOR THE OTHERS DON'T PAY OUT AS MUCH, OR THIS PROBLEM COULD[Truncated]" "* THERE SHOULD BE A CAP ON OUTRAGEOUS MEDICAL BILLING. A TAB OF ASPIRIN IN THE E.R. SHOULD NOT COST ME $10. NOR SHOULD CLEAN GAUZE THAT IS 50 CENTS AT THE DRUGSTORE COST ME $20. THERE SHOULD BE A CAP ON HOW MUCH PROFIT THESE COMPANIES MAKE, OR [Truncated]" "* END CORPORATE WELFARE NOW, AND REPEAL THE OUTRAGEOUS TAX CUTS THAT BENEFIT ONLY THE TOP 3% OF THE PEOPLE IN THIS COUNTRY. THE NEEDS OF THE MANY, OUTWEIGH THE NEEDS OF THE FEW - HOW MUCH DOES ANY ONE PERSON REALLY NEED? THE REST IS JUST GREED.[Truncated]" 23630 6/26/06 5:10 PM NV All Americans deserve affordable health care. 23631 6/26/06 5:11 PM MO "* The reaagan free market aproach to healt care is a catistrophic failure. Some sort of single payer plan is the only option that will provide the quality health care that should be an american birthright. It is inexcusable that the ri[Truncated]" 23632 6/26/06 5:11 PM AR "* we need a good health coverage with out a second thought. i have h.m.o. they will not pay 1 cent on my blood presure medicine. they charge me a big monthly premium tho. .[Truncated]" * we donot need all free loaders on this let them get a ob and help thier self some .we donot need to have to carry the whole load.[Truncated] very good idea. "* with out a dough every 1 need to pay thier part .we donot need a lots of free loaders. let them help thier . things have been free for way to long.so let every 1do his are her part. .[Truncated]" "* we are helping way to many people that does not need help. i no a lots of people here in our county that does not work .they have other jobs and work 2 times as hard as any man on a regular job .i wished i new where to report them. [Truncated]" 23634 6/26/06 5:11 PM NY "Yes for all legal americans, not illegals!! Don't encourage illegals to stay for free benefits." * It could run as social security has as long as the fund can't be dipped into when it's over funded. Social security has been one of the best systems ever as long as it was used for its original purpose.[Truncated] 23637 6/26/06 5:11 PM NY * Socialized medicine has been practiced in many kwestern governments successfully. We can see the advantages of this in England for instance. The tax to pay for this type of program is the political problem at hand. I am for affordable heal[Truncated] * Open fofrum debate on this issue will bring forth ideas and information critical to institute this type of program. The key is to get the ball rolling and to find common ground.[Truncated] "* Obviously, high risk cases should be shared by the insurance companies involved in the system utilizing some form of equity based on the % of profit estimated. All sides need to win in order for any such program to exist. [Truncated]" "This is just part of the investigative process, and is needed to go forward." "I do not know how to coordinate this effort, but those who know the business surely do." "* I sincerely believe that this initiative will make America a better country. The efforts of any government should be to enhance the lives of the majority of its citizens, not just the pocket books of the upper 5%. I know in my heart that a [Truncated]" I agree. 23639 6/26/06 5:12 PM MO I agree. "I support. " Imperative. I support. Yes. Yes. "This is important and should be a non-partisan issue. All Americans deserve decent, health care. " "I concur. " 23640 6/26/06 5:12 PM KS I fully support Recommendation 1 Should also include vision care. "Regardless, no care should ever be denied based on ability to pay." 23642 6/26/06 5:12 PM PA HEALTH CARE SHOULD NOT ONLY BE FOR THE LUCKY OR WEALTHY 23645 6/26/06 5:12 PM MN It's about time that we get a plan that guarantees health care for everyone! Yes! See comment on rec. 1 Yes! Yes! Yes! Stop letting the insurance companies call all the shots. 23646 6/26/06 5:12 PM CA "* I generally agree with the recommendation in italics. However, it does not adequately define who is eligible when the term ""Americans"" is used. If the intent is to include only U.S. citizens, then I think the statement is too restrictive. [Truncated]" "* I agree with the draft of Recommendation 2 but would like to see the possibility of non-citizens being appointed to the ""independent non-partisan private-public group to identify and update recommendations..."" There could be individuals livi[Truncated]" "* I support Recommendation 3. However, as in Recommendation 1, I see a need to clarify up front who is to be included in the Healthcare System or Healthcare Coverage. In Recommendation 3, the second sentence starts with ""No one in America"", w[Truncated]" "I support the draft of Recommendation 4. On the face of it, it sounds very reasonable." "I support the draft of Recommendation 5. On the face of it, it sounds very reasonable." "I support the draft of Recommendation 6. On the face of it, it sounds very reasonable." * I am delighted that serious work is being done to identify a way or ways to provide health care for everyone in the United States. I thank the Citizens' Health Care Working Group for their dedicated work to achieving this crucial goal. I al[Truncated] * I find the above statement inadequate with regard to the urgency to achieve an effective Universal Healthcare system in the United States and too limiting with regard to financing possibilities. The first thing is to declare that adequate hea[Truncated] 23647 6/26/06 5:12 PM AZ "* We are able to finance the Irag war to the tune of 7 million an hour, we CAN and SHOULD immediatly finace heath care for everyone[Truncated]" 23651 6/26/06 5:14 PM AL Everyone should have affordable health care to include preventive health and dental care. Core services should be defined as those services needed to maintain optimal health and identified fairly and scientifically. Why make the system more complicated. A single payer system would be simple and take care of all these problems. "Again, these processes would result in confusion and obsfuscation. A single payer system is the best and only answer." Might be a good start in moving toward a single payer system. Good! The system is broken. It cannot be fixed. We must move toward a totally new system. Any step in that direction is positive. "* A single payer system is the obvious answer. Remove all the added bureaucracy, insurance companies, contractors, etc. Also, why not a tax on junk food? Look at the cost of diabetes, heart disease, etc.[Truncated]" 23652 6/26/06 5:14 PM CT You haven't mentioned keeping health care records private. * I'm fine with everything you have said as far as what is needed. This is a hughly expensive project. How will it be funded? I think you have a great job with your definitions and assessment of needs. Health care is something we cannot afford [Truncated] 23654 6/26/06 5:15 PM MA I fully support this recommendation. "Our taxes can and should finance a single-payer healthcare system. Everyone can be covered, and everyone should be." 23656 6/26/06 5:15 PM CA This is long overdue. Seems appropriate. This is essential. A feasible approach. "* The right approach -- but the federal government's involvement must be based solely on health-related considerations, not politically- or religiously-motivated considerations.[Truncated]" "An ambitious, but worthy, goal." "* My primary fears are: (1) Government will become too involved in purely health-care decisions, and (2) The quality of care will suffer as I believe it has in England and Canada.[Truncated]" * I agree. But I also believe that a significant part of the financing could come from reversing the Bush Administration's tax giveaways to the wealthy and retaining a meaningful estate tax. [Truncated] 23659 6/26/06 5:16 PM CA LETS DO IT!!!!!! 23663 6/26/06 5:16 PM CA * I agree that we need a good comprehensive plan to give every citizen of the United States appropriate health care without endangering individual or family financial security. Please do not give us another plan that creates as much confusion[Truncated] "* This could work well as long as the panel who made the decisions covered a broad spectrom of people. This panel should not be all bankers, or doctors, or lay people. Mental health is as important as physical health.[Truncated]" "* Defining what is meant by ""low-income"" can make a difference. If you make $12,000.00 per year or $25,000.00 per year in this country you are still living below poverty level. If you live in California, you cannot even afford the rent.[Truncated]" * Why reinvent the wheel? You already have the Medi-care program. Why not use that as the governing agency and use HMO's like Kaiser Permante to take care of the patients? In my opinion Kaiser does an excellent job. I have used them for ove[Truncated] * All of No. 5 sounds excellent. I would like to see the fraud element emphasised. There will always be people who want to take advantage of the government because they think it is free money. They do not take into account it is our tax doll[Truncated] "* Agree, a patient should be able to die in peace. If I have a terminal disease and the doctors can do nothing to keep me going I would like to be at home, if possible with a visiting nurse to tend my medical needs. Today Medicare sometimes o[Truncated]" * I am so pleased that you are asking lay people as well as professionals regarding this topic. No matter what a persons income is they should pay something for this type of coverage. The payment should on a sliding scale according to the inc[Truncated] * Check with other countries to see how they moved into universal care. Just make sure you think this plan through carefully. A proper medical plan could save money for all of the welfare programs that are now paying private practices for car[Truncated] 23664 6/26/06 5:17 PM CO "I agree with recommendation #1, in it's entirety." Agree 23665 6/26/06 5:17 PM NJ Keep the government out of health care. Keep the government out of health care. Keep the government out of health care. Keep the government out of health care. Keep the government out of health care. Keep the government out of health care. Keep the government out of health care. Keep government out of health care 23668 6/26/06 5:18 PM NY "* univeral healthcare should be provided for everyone (not health savings accounts). This is a necessity and the only humane thing to do. We all need to, and should be able to see a doctor when ill without worry.[Truncated]" "* All medical expenses should be covered by universal health care. The only things not covered should be things such as luxury items, such as cosmentic (plastic surgery just to look better, etc). [Truncated]" "It is unconscionable for anyone to have to go into debt, or not go to the doctor because they can't afford it." "* healthcare is a crisis in this country. As a necessity of life, the government shoud step in, and make this available to all. The sooner we start the better.[Truncated]" "* Universal healthcare (provided from the government), is the best and most adequate way to offer coverage for all. It is also the most cost-efficient. Government and big businesses should pay in and it would acutally be better for not only i[Truncated]" 23670 6/26/06 5:19 PM OH "* Everyone should have excellent health care. We need to take care of our country's people first. Shame on anyone that stands in the way of making this happen. Also, the senate should be replaced every 4 years like the president. [Truncated]" 23671 6/26/06 5:19 PM WA "* We spend more on health care than any other industrialized nation and yet have far more citizens without health care protection than any of them. The solution is simple; a national health care program under social security. This would cas[Truncated]" 23672 6/26/06 5:19 PM OR "* please take notice of the countrys that already have universal health care, for example canada, norway, sweden, ect, ect. these countrys have made their health care work. also look at the health care fed employees have, if i have to pay for t[Truncated]" "* i think that preventive services are very important, we are at a very bad stage at the present, all of the prescription drugs advertized on t.v. newspapers, are filling our ears with a lot of bunk. the advertizements are telling us to run to [Truncated]" "* doctors, hospitals need to make a livabile income. but the public is being raped, with high health care. the people who should be making some money are some times on the poverty roles at the expense of the administrators and others at the top[Truncated]" "* i like your concept, but under the current admin, i can see this getting swept under the rug. i want top see this become law of the land. i think that health care is a universal need and all locations should be covered. [Truncated]" * underserved and uninsured should not be an option all americans no matter who they are should be covered under this plan equally.[Truncated] "* the fed govt right now is not in step with this last one, they tried to get rid of assisted death of individuals who are on their death bed. they, the fed govt, qualify their dissent with these people as religous beliefs. i live in one such s[Truncated]" "* i applaud your work on something which will in fact let all americans have universal health care. keep up the good work and don't falter, as the road blocks will be forthcoming.[Truncated]" "* right now we have the ultra rich getting tax breaks, i think they should open up their eyes and get with the program. i and other low to middle income people are the ones who made you rich. you need to pay back some of your astronomical profi[Truncated]" 23676 6/26/06 5:20 PM NY Every American deserves affordable health care coverage. End of story. 23678 6/26/06 5:21 PM IN We are the only industrialized nation without national health care. "* I believe we should expand our Medicare system to include everyone. Medicare is cost-effective and its success is proven. Its administrative costs are about 5% of its total cost, compared to about 30% for traditional medical insurance.[Truncated]" 23679 6/26/06 5:21 PM FL * LONG TERM CARE IS AN AREA THAT NEEDS TO BE INCLUDE IN A CORE BENEFITS PACKAGE. THE TREATMENT THAT INDIVIDUALS WHO HAVE TO DEPEND ON MEDICARE FOR THIS CARE IS A DISGRACE AT THIS TIME. THE DIFFERENCE IN CARE FOR A MEDICARE FUNDED AND PRIVATE [Truncated] * MIDDLE INCOME FAMILES OR INDIVIDUALS SHOULD NOT HAVE TO SPEND DOWN THEIR ASSESTS TO THE POINT OF POVERTY TO BE ALBE TO RECEIVE MEDICARE OR MEDICAD CARE FOR TREATMENT OF ILLNESS' THAT THE COST EXCEEDS THE BENIFITS OF ANY HEALTH INSURANCE THAT [Truncated] * THE PUBLIC-PRIVATE GROUP OF ADVISORS SHOULD BE MADE UP OF HEALTH CARE PROVIDERS FROM ACROSS THE WHOLE HEALTH CARE SYSTEM AND CONSUMERS OR HEALTH CARE. KEEP GOVERNMENT OFFICIAL AND INSURANCE EXECUTIVES OUT OF THIS ADVISORY PANEL.[Truncated] "* THE FEDERAL GOVERNMENT HAD FAILED MISERABLY IN THIS AREA. THIS CAN BE ACCOMPLISHED IN A J0INT EFFORT BY THE GOVERNMENT HEALTH CARE AGENCIES, PRIVATE HEALTH CARE AGENCIES AND CONSUMER HEALTH CARE ADVOCATES.[Truncated]" * AGAIN HERE IS AN AREA WHERE THERE IS A VAST DISPARITY BETWEEN THE CARE AND SERVICES RECEIVED BY INDIVIDUALS WHO CAN AFFORD THIS OR HAVE INSURANCE THAT WILL COVER THE COST AND LOW INCOME OR UNISURED INDIVIDUALS. THIS PROBLEM NEEDS THE UTMOST [Truncated] "* THERE SHOULD BE NO AMERICAN CITIZEN THAT CANNONT RECEIVE THE MEDICAL CARE AND SERVICES THEY NEED TO MAINTAIN THEIR HEALTH, NO MATTER WHAT THEIR ECONOMIC STATUS MIGHT BE.[Truncated]" * SMALL BUSINESS' SHOULD BE ALLOWED TO FORM AND JOIN GROUP ASSOCIATIONS IN ORDER TO PROVIDE ADEQUATE AND AFFORDABLE HEALTH INSURANCE PROGRAMS TO THEIR EMPLOYEES AND THEIR FAMILIES. HEALTH SAVINGS ACCOUNTS AND HIGH DEDUCTIBLE PLANS WILL ONLY DR[Truncated] 23681 6/26/06 5:21 PM NJ All Americans should have free healthcare as a right. OK. Healthcare should not be privately funded or controled. OK. OK. OK. "Healthcare should be universal, available to all and free that is paid by the country as a whole with progressive taxation." Healthcare financing should be based on progressive taxes. Those who have more should pay a higher percentage. 23684 6/26/06 5:22 PM FL I agree with this recommendation. I agree * I disagree with the idea that this could be run by a privately run program. There are certain things that should handled by us (our government) without regard for someone making a profit. Many of our problems today stem from this enviroment o[Truncated] I agree except for the privately run aspect. See my comments on recommendation 3. I agree. I agree. * We should move toward a single payer health care system. It seems like way too much of our health care expenses are not for health care but for the insurance industry.[Truncated] 23685 6/26/06 5:22 PM MA "* The US is the only major country that doesn't have a system of nationally provided health care. This is ironic since Americans spend more per capita on health care than than any other nation. It would be understandable if Americans didn'[Truncated]" "* I belive that all full-time employees should have health care coverage and since many employers already provide it and it is supplied to the nonworking poor, it would not require a substantially greater expenditure than is already suppli[Truncated]" 23686 6/26/06 5:22 PM VA "* It is LONG PAST TIME that our elected representatives recognize that 1) all Americans should be covered by single-payer, universal health care and 2) that our health care be of high quality for EVERYONE! GET THE INSURANCE COMPANIES OUT OF TH[Truncated]" 23687 6/26/06 5:23 PM CA * Our existing system proves that insurance (for healthcare) doesn't work. The plan must be a PUBLIC comprehensive program that regulates care and spending.[Truncated] "* Overall healthcare data (not individual information) must be transparent so that actual costs, usage and outcomes can be evaluated objectively. Poor care must not be tolerated or paid extra for as exists in some markets today. Hospitals & p[Truncated]" "* ""Sin"" taxes can be counter productive when an ongoing source of income is needed as in universal healthcare. The very nature of ""sin"" taxes ensures the revenue from them will continually decrease. Enrollee contributions or payroll taxes (on[Truncated]" 23688 6/26/06 5:23 PM GA THE ELECTED OFFICIALS THAT DON'T SUPPORT HEALTH CARE FOR EVERYONE SHOULD BE VOTED OUT OF OFFICE. AGREE 100% AGREE 100% AGREE 100% AGREE AGREE AGREE SAME AS ABOVE 23689 6/26/06 5:23 PM NM Great. We need universal health care. Just put everybody on Maedicare. Good idea "* Mediare's administration costs are fantastically low. Put everyone on it (including Madicaid--get rid of) and work out fair payments Poor pay NOTHING[Truncated]" Goog Good except Medicaid and the Vetran's are not as efficient as Medicare. Good "UNIVERSAL SINGLE PAYER HEALTH CARE--SUCH AS EVERY INDUSTRIALIZED NATION AND COSTA RICA HAVE" "* I believe that the Government should be the single payer. Individuals can get charged in keeping with their income. Insurance companies should get out of the business or sell policies to rich people who want to fly to France for operations[Truncated]" 23694 6/26/06 5:23 PM CA "* The time has long past to remove the adminstrative waste, greed, and mismanagment from our current system. While detaching employer based pay mechanisms as well to make the US more competitive with foreign companies. Everyone knows this, tha[Truncated]" 23695 6/26/06 5:23 PM NY Everyone should have access to health care in this country or any country! 23703 6/26/06 5:25 PM CA HIGH-QUALITY HEALTH CARE SERVICES... "Preventive medicine is essential -- this should include acupuncture, massage, chiropractice work, and counseling." We should not have to choose betwen bankruptcy or death. Make is simple anbd people won't abuse it. One stop shopping for health care! And give us the right to die with dignity! End the pharmaceutical noose on the health care system!!! Work towards legalizing medical marijuana. Needs to a just system for all... universal and compassionate. 23704 6/26/06 5:25 PM WA "* As the only ""super power"" nation in the world, it is shameful to have Americans who do not have access to health care. This is a moral imperative.[Truncated]" PLEASE keep partisan issues out of this. 23709 6/26/06 5:27 PM CA This is essential. Otherwise we are no better than a third world country. Sounds OK. Yes; make it a public system. Why should we alllow corporations to profit from people's illnesses and basic health needs? "* If we allow private entities to participate, they should be non-profits only. For-profit groups profit by denying, not providing, as much care as possible.[Truncated]" Yes! This is desperately needed. Hospice and palliative care are humane and non-wasteful. This is a good idea. * What we need is a system managed by the government. We need to cut for-profit insurance companies out of the picture to the greatest extent possible. They would be utterly unnecessary if we had a workable government system to negotiate dire[Truncated] 23711 6/26/06 5:27 PM CA * Universal Health Care For ALl!!! Let us finally join the rest of the world & become as civilized as they are & provide for ALL our citizens!![Truncated] Universal Health Care for ALL - eliminate Ins Co's - we want a single payer system!!!!!!!!!! Again - Universal Health Care for ALL! Single payer system that eliminates insurance companies!!! Eliminate Insurance Companies - Single Payer System!!! 23713 6/26/06 5:28 PM IL Absolutely; health care should be a human right. "As broad a 'core"" as possible." "Most of us can barely afford the paltry insurance we have now, as it is." Yes! What's the point of having health care if its inefficient or inadequate to one's ailment? There's no point having health care if you can't afford it. 23716 6/26/06 5:29 PM TX * Providing mandatory health care should be a number one priority in a so called democratic society our infant mortality rate and the low standard of living of our poor is a result of our country's let them eat cake philosophy regarding those o[Truncated] 23717 6/26/06 5:29 PM IL "* I have been a union activist for over 30 years. As a negotiator or an organizer, the single most frequent obstacle with management has been the cost of health care. We need a single payer system.[Truncated]" Including optical care. Seeing my grandson is at least as important as hearing him and hugging him. "No one should have to choose between losing everything they own, often leaving their surviors penniless, or dying." "* Use the power of the federal government to get reasonalble prices that still allow the providers to make reasonable profits. It works in every other industrialized nation - it will work in the USA. [Truncated]" * Put more funding into all areas of medical reseach. If people have ethical problems with the results - they can refuse the treatment.[Truncated] * Every person has the right to die with dignity. We also have the right to choose the means of our death - whether naturally or by some other method WE CHOOSE.[Truncated] "If you will pardon the pun - anyone who doesn't support a national health care plan must be ""Sick""." Single Payer - that means that federal taxes pay for it. The source of the taxes can be worked out - just do it. 23718 6/26/06 5:29 PM NJ Great! "* A core package should be what my employees have! My Senators, Congressmen and my state officials. We should pay exactly what they pay![Truncated]" Great! Great! Good! Great! "Canada, Germany, Ireland etc. health care is provided by the govt. It should be so in America as well!" 23720 6/26/06 5:30 PM TN * Totally agree. I am ashamed of our current situation regarding health care coverage in this country. While we spend billions abroad millions continue to suffer. They wait until they are critically ill before seeking medical attention. It [Truncated] This sounds like a very good over all plan. * On this particular recommendation I am very well qualified to speak. I had breast cancer in 1995 and I have a guaranteed issue plan through BC/BS. This plan is expensive and carries a high deductible. Without help from my mother I would ha[Truncated] * We have a safety net in Tennessee. But unfortunately the net has a big hole in it. Safety nets are hard to regulate and insure that individuals are getting the care they need. In rural areas it is difficult to convey what and how to obtain[Truncated] "Sounds great, but again implementation and corruption are hard to control." * This is so important and from all that I have heard regarding hospice care it has been very favorable. The health professionals in this field must be doing a wonderful job. Also the hospice care givers that go into the homes get very positi[Truncated] * I hope and pray that we can make this country a place where all can receive affordable and quality health care. I will continue to do what I can to help. This is my passion.[Truncated] "* I realize that it will take time, but we need to move as swiftly as possible. But regarding ""sin taxes""; I have a problem with this. It is not fair to continue to tax tobacco and alcohol when the critical problem is obesity. Are we going t[Truncated]" 23722 6/26/06 5:31 PM AZ "* Basic, core health care needs to be free of charge to the consumer. This should be covered by the basic charges that are made to each person paying into the system.[Truncated]" "* The American Nurses Association has a set of recommendations that should be reviewed by the committee if it has not already done so. This set of recommendations covers most, if not all, of the needs seen by the committee so far.[Truncated]" "* The core health care provided will assist in preventing the types of high health care costs that we see as a result of having no health care. The dedicated stream of financing will also be a big part of this protection.[Truncated]" "* One of the problems seen in underserved areas is lack of practitioners; this may be rectified by loan forgiveness for the health care workers. A second is safety, although if an area is known to be the health care center for ALL we may not n[Truncated]" * Expansion of resources will have to include a larger number of health care practitioners; the current medical/health care personnel cannot keep up with the consumer load as it is.[Truncated] "* ""of any age and their families"" This is the biggest statement in this recommendation. As a nursing student I've been through a hospice rotation and I was impressed by the care offered by the center I worked with but they were not caring for [Truncated]" "* I feel that ""sin taxes,"" value added taxes and luxury taxes are the best bets for a dedicated stream of money to finance health care for all.[Truncated]" 23725 6/26/06 5:31 PM MO "This is an issue not to continuing to avoid, after 5 years of some the highest increases." 23726 6/26/06 5:31 PM MD "long, long over due." yes the poor need financial protection. The most vunerable. The way to go. 23729 6/26/06 5:33 PM IL * How can congress say no to healthcare? Are the people of the US not worth having healthy? Would you like to try to fund your own medications and doctor visits? Are the bribes and pay offs to big to change the system?[Truncated] 23732 6/26/06 5:34 PM NY * This plan should be understood by all and medications should be included as well on a sliding scale basis. The poorest person in our nation should have access to all drugs and the latest medical treatment that is available. Our nation will [Truncated] No comments right now! * If the income provider cannot function then the family will greatly suffer! Let's be sure to cover families while those who bring in the income recuperate![Truncated] * Maybe Europe and Asia should be included because I believe that global health care will ultimately be the answer for all of us. We are a global family and tragedies like unexpected natural disasters or manmade disaster disrupt an entire soci[Truncated] * Integrate all healthcare facilities and medical and medicinal coverage throughout the country and ultimately througout the globe.[Truncated] * #6 should be integrated into #5. Which means end of life services wherever they are met like in the home or elsewhere are part of healthcare needs![Truncated] "* Right now, I cannot think of any. Let's see where the suggestions made above 1-6 takes us! Then lets look over the options we may not have heard of or thought of. Let's include epidemic situations around the world which affects everyone no[Truncated]" Good strategy! 23735 6/26/06 5:34 PM MI "* I have family members (UNITED STATES CITIZENS, BORN & RAISED) WHO COULD USE HEALTH INSURANCE. THEY WORK HARD TO RAISE THEIR CHILDREN AND THEY DESERVE AFFORDABLE HEALTH CARE. LETS START TAKING CARE OF OUR OWN PEOPLE ""FIRST"" FOR A CHANGE. WH[Truncated]" SAME AS ABOVE THERE HAS GOT TO BE A WAY TO HELP US GET THE MEDICAL COVERAGE WE DESERVE. PLEASE DON'T TAKE 2 YEARS OR MORE TO GET IT DONE. "UNITY --- WORK TOGETHER, FOR US, AREN'T WE YOUR ""BOSS""" SAME AS ABOVE "* HEALTH COSTS ARE OUT OF THIS WORLD. I AM BLESSED TO HAVE B.C./B.S. , BUT I DO NOT KNOW HOW LONG MY EMPLOYER CAN KEEP PAYING FOR IT. I HOPE FOR A VERY LONG TIME. I DO NOT ABUSE IT, BUT IT IS NICE TO KNOW THAT I HAVE FOR EMERGENCIES. [Truncated]" GOD BLESS AMERICA "JUST DO IT. IT IS ELECTION YEAR FOR MOST OF YOU, ISN'T IT ?" 23739 6/26/06 5:34 PM DE "* TO MAKE IT SHORT AND TO THE POINT. GIVE EXACTLY THE SAME PLANS AS THEY HAVE IN CONGRESS TO EVERYONE, OR MAKE CONGRESS GIVE UP WHAT THEY HAVE !!![Truncated]" 23740 6/26/06 5:34 PM MI "* I work in an emergency room. Many people who never used the ER for routine healthcare before are doing so now due to their loss of health insurance. This is a very ineffective and expensive way to obtain health care, but it is becoming more[Truncated]" 23742 6/26/06 5:35 PM TX "* I absolutely concur. For example, before Plan D which I consider a program that victimizes seniors, I was the RN administrator of an outpatient dialysis center. One of my responsibilities was to make sure that my patients met the critieria [Truncated]" "* I think it would be important to study countries that have currently up and running low cost National health programs no matter what our political relationship is with them, i.e. such as those established by Castro and Chevaz. Whatever our p[Truncated]" "* This could not be accomplished without a terrible fight with the insurance corporations, because basically the insurance corps. are betting that you will not get sick and you are betting that you will. If your bet is correct then they find a[Truncated]" * One thing that is obvious is that the Federal government is not working in the interest of the citizens. This is no longer a government for and by the people. It would be better if this program was administered by the individual states. Th[Truncated] The government has already proven it's inability to do these things. * This sounds good but with the government current domestic survelliance programs many people would not avail themselves of these programs.[Truncated] "* Today the Fed is dictating to Medicare, one of the most successful federal programs that they can administer Plan D but can not use the VA method of holding down drug costs. I worry that a National Health Program administered by the Fed woul[Truncated]" "* Several supposed poor countries like Cuba for instance have national health programs that are successful and cover all costs for doctors, hospitals and drugs for less that $30.00 a month. One of the things that holds their costs down is they[Truncated]" 23743 6/26/06 5:35 PM NY EVERY PERSON MUST HAVE ACCESS TO HEALTH CARE. THIS IS WHAT I'M LOOKING FOR GOOD!!! THIS WOULD REDUCE TO COST OF END OF LIFE SERVICES WHILE GIVING THAT INDIVIDUAL A SENSE OF WORTH. "* THE GOV'T MUST USE ITS BARGINING CLOUT TO REDUCE THE COST OF MEDICINES AND SERVICES. BUT, THIS MUST ALSO ALLOW A FAIR RETURN TO DOCTORS FOR THEIR TIME AND PHARMACUTICALS FOR THEIR RESEARCH. [Truncated]" "HEALTH CARE MUST BE FUNDED THROUGH A PROGRESSIVE TAX THAT IS FAIR AND BASED ON ABILITY TO PAY. " 23744 6/26/06 5:35 PM AZ " EVERY AMERICAN CITIZEN DESEREVES HEALTH CARE! LET'S MOVE ON IT, BEFORE WE LOSE MANY OF OUR DESERVING CITIZENS!!!!" 23745 6/26/06 5:36 PM RI * I would like to see a stronger public policy of affording a universal health care plan to all Americans that are legal citizens of this country. It needs to be addressed by the politicians who favor big business over the working class of thi[Truncated] 23748 6/26/06 5:37 PM WI * If this means we would finally join the rest of the civilized world and provide a universal health system for all Americans this is an idea whose time is LONG past! We need a single payer system.[Truncated] * Asking individuals and corporations whose interests rest with the current system makes little sense - their goals are far different and not in the interests of any universal care system. We can easily see the result of their inclusion by loo[Truncated] "This would be solved by a universal, single payer, health care system." "As long as this is done ""inside"" a universal, single payer health care system for all Americans!" * About time! Why wasn't this done with Part D?????? Do we really want people to know that Medicare has an administrative cost of 2%? People might actually realize what our present health care system is doing to them and to the country.[Truncated] * I will be surprised to see anything come of this but we have to keep trying. The need is so apparent and it is probably our nation's greatest failure to its citizens.[Truncated] "* Many of these ""concerns"" are nothing but excuses to put off doing anything. How did Taiwan do it a decade ago? If we actually want to solve the problem then we have to do it. Funding should come from a real progressive income tax - in othe[Truncated]" 23749 6/26/06 5:37 PM AZ * This nation needs a National Healthcare System like Canada or England. Clintons tried to get it going and that's exactly what we need...[Truncated] 23750 6/26/06 5:37 PM IA "* I fully agree. Before my naturalization, I was a German citizen where we have healthcare for all, and things work great there. Everyone is taken care of without delay and if you want extra special treatment, you can buy additional insurance[Truncated]" see the German health care system which has all these features in the program. look at the European systems that have all that incorporated and it works. 23751 6/26/06 5:37 PM MI "* Everyone needs and wants afordable health care. Bush and others don't understand how bad the situation is for most Americans. Because they were born with silver spoon's in thier mouths, they either dont care or are indifferent to the plight [Truncated]" "* This has to cover abortions as well. It should also be a platform for discussion on subjects such as aids, hep. C and other ""social"" dieases.[Truncated]" "* Every time I turn around these days, someone has ""hacked"" a system and stole personal/financial information. How safe would an electric medical record system be any different? Who would take responsibility if these records were stolen or lost[Truncated]" * This has to done SOON! The drug companies are doing fine with all the extra money Mr. Bush gave them. Same goes for the insurance industry. Why has the government put the American people at the end of the line? Caution must be taken so this b[Truncated] "* If the president used the same urgency that he used to get tax cuts for millionaires and big business, this should not be as long or as difficult as many think.[Truncated]" 23753 6/26/06 5:37 PM NY * I believe that every American should have medicare - it's the simple solution to our crazy patchwork of expensive insurance plans.[Truncated] "Well, for openers, we could reduce the military budget and use those funds to cover all americans." 23754 6/26/06 5:37 PM WA * We need health care for all. Our Health is one of the most important things we need in life. We need a health care that everyone can afford.[Truncated] We need full coverage for everyone Coverage for all It would be smooth if everyone pays a little 23755 6/26/06 5:37 PM TX "* The Government should establish a National Health Care Plan for all that will cover basic medical needs, similar to those offered in other industrial countries. It's time for every employer with 50 or more employees to pay a fair share of He[Truncated]" 23756 6/26/06 5:38 PM NJ "* The GAO reported in 1991 that the U.S. could extend health care to all its citizens and still save money by adopting Canada's national system. The report concluded that ""If the universal coverage and single-payer features of the Canadian s[Truncated]" "* The GAO reported in 1991 that the U.S. could extend health care to all its citizens and still save money by adopting Canada's national system. The report concluded that ""If the universal coverage and single-payer features of the Canadian s[Truncated]" 23758 6/26/06 5:38 PM VA UNIVERSAL HEALTH CARE WILL MAKE U.S. BUSINESSES MORE COMPETITIVE NOT LESS. 23759 6/26/06 5:38 PM MI "* As a single parent of a college student, healthy and self-employed, my insurance costs are strangling my already inflation- strained finances, the current rate of increase being more than 20 % per year.[Truncated]" "* Do not forget eye health. I haven't been able to afford an eye exam in many years, as my hugely expensive individual policy does not include it, and current procedure is to charge far more for out-of-pocket individual payers than the inurncce[Truncated]" "* If the system, including the prescription drug industry, continues to be capital driven, prices will only mount, while the search for potential cures is ignored. I'm tired of a government which so obviously contributes to the crisis in public[Truncated]" 23762 6/26/06 5:38 PM MA "* I believe that we should enact a single-payer form of health care, which would be universal, without deductibles and co-pays. The United States could save vast amounts of money by removing administrative waste. Everyone and all businesses sho[Truncated]" * Core benefits should include preventive as well as acute care. I believe that we must include mental health and dental services as both are critical to healthy functioning. I agree with the inclusion of course of primary care and the governme[Truncated] * The system should not differentiate between any income level. Put everyone into the risk pool and there will be plenty of money to address the health care needs of all. Of course some people will have extraordinary health expenses but the sys[Truncated] Community health centers do wonderful work but they do not discriminate against any patient. Make the system universal!!! Make it all a public system and provide the best care sound practice would dictate. * Universal single-payer would by definition be sensitive to the needs and wishes of the ill and dying. Insurance companies would not be making the decisions and helath care professionals with the patient would. [Truncated] Make universal single-payer a reality. It makes sense!!! My remarks abopve address this issues. I do not favor sin taxes. 23765 6/26/06 5:39 PM OH "* Health care was originally designed to help people. It has turned into a business, where the health care professionals are getting rich. All the way from the insurance company to the doctors, to the medicine providers. I realize that you can'[Truncated]" "* Start with a maximum amount that Health care professionals can charge for services. The way it is now, we have to pay what ever they say, or go without medical attention. I realize that insurance companys regulate the amount that Doctors can [Truncated]" 23767 6/26/06 5:40 PM TX "* This is a no brainer. We can not allow the poor of our society have inferior or no health care at all. It is up to the governement, which is us, to do something about it.[Truncated]" vision care should be included I agree with this recommentation I prefer the program be run by the Federal Government with strict accountabilty measures a nop brainer Since children no longer take care of the elder as was the custum generations ago this plan makes a lot of sense "This is a dream, Try to get it through a Republican Congress but I doubt you will." there should be an enrollment fee that is put into a trust fund that the government can not touch or borrow from in anyway 23769 6/26/06 5:40 PM SC * we are suppose to be the greatest nation on earth yet our citizens are the unhealthiest because they cant afford to see a doctor. Universal health care for our people is a must.[Truncated] 23770 6/26/06 5:43 PM NJ We need to protect the individuals and families from financial ruin because of a medical necessity. This group must consist of business and labor leaders. It must be from all levels of financial levels. Base coverage costs on the normal preventive services with a catastrophic clause. * All health systems should work together to guarantee that each person is given the best medical services. Many private services now receive federal funds and should be made to service all individuals.[Truncated] Streamline the paperwork and filling systems that now eat up to much cost. We need to provide care in final days to allow the families privacy with dignity in the best of care facilities. * All persons covered should pay into the system no matter how small of an amount. The payment should be based on an individuals financial status.[Truncated] 23771 6/26/06 5:43 PM WI "* We need to find a way to reduce the costs for doctors, hospitals and other health care providers so that they no longer have to continue to charge rediculous prices.[Truncated]" Preventative health care should be the highest priority. * The predatory lenders in this country need to be reformed so that when someone is hit whith high costs they are also not hit with rediculous high interest loans. [Truncated] * You can reform the health care system bit do not forget there is a reason that costs are increasing faster than inflation and its not even close.[Truncated] Do not leave the determination of what is necessary or not in the hands of the financers. 23772 6/26/06 5:43 PM MN "* This should be a National priority. Sick people can't work, and workers can't get a better job if they're losing health care. And don't talk about the ""ownership society"". We're all owners, and we all deserve much better than we've got. U[Truncated]" We need total committment to a total overhaul. Ask Canada how THEY did it! A must. "* A number of years ago, the Office of Management and Budget stated that almost all the uninsured could be taken care of if much of the paper work involved in health care were eliminated. Paper work has only gotten worse![Truncated]" "Compassion is what counts, and everybody deserves it." "* Our present system is a rip off for every tax paper in the country, and we get nothing in return for our acquiesence to big money in big politics.[Truncated]" 23773 6/26/06 5:43 PM NY "* America is no longer the land of gold sidewalks, to those of us that cannot afford to walk on them. Everyone is or trying to become a millionaireand at this time in our lives it darn near takes a million to get healthcare we can afford. Coun[Truncated]" We need another committee discussing our needs like we need that proverbial Hole in the Head. Ask Bill Gates and his Wife to come up with a comprehensive plan they seem to be good at it. Yet another committee blah blah blah. This is acutally the best agreed "* Take it from workers at a % each can afford and not miss from their everyday lives. $1 contributed weekly by each worker or welfare, pension, etc. would go a long way at providing comprehensive care for all Americans. [Truncated]" 23774 6/26/06 5:43 PM NY "* All therapies including massage, chiropractic, accupuncture and non-traditional medicines (i.e. homeopathic, vitamin, herbs should be scientifically studied in order to know their benefits) and included in health care for Americans.[Truncated]" 23776 6/26/06 5:44 PM MO Health care should be universal and free for all people. It should not be privatized. "Health care should cover physical, mental, and dental health." * If healthcare was funded by government and free for all people there would be no need for additional financial protection for Americans. I bet the pricing of overall healthcare would be significantly lower if government was paying for it.[Truncated] The government should finance the healthcare with money it collects from our taxes. 23777 6/26/06 5:44 PM CO "* If businesses do not want to provide health care coverage to their employees, then we should increase the corporate tax rate and/or eliminate any federal tax breaks they currently have.[Truncated]" 23779 6/26/06 5:45 PM NY "* My Employer, a non-profit organization, reduced our medical benefits in 2003-04, by limiting our choice to two plans and introducing a co-pay which was particularly difficult for families to meet. It was effectively a pay DECREASE that we wil[Truncated]" "* To our shame, we may have the poorest health insurance coverage on earth when measured by our national wealth. This proposed definition of a ""core"" benefit package would change the health of our nation with the resulting improvements in ever[Truncated]" "* There are Federal programs that meet this criteria now -- medical coverage for members of Congress, the Military, Veterans, Medicare, Medicaid, and other Social services that might be expanded to incorporate these needs. [Truncated]" * Your hard work covered all of my comments and concerns. I agree with all of your recomnendations and commend both your thoroughness and sensitivity. My only reservations are a wariness about privatization and rhe added expense of adding an [Truncated] "* My Employer used a sliding scale based on income to determine deductibles and out-of-pocket limits for individuals and families. Also, Employer contributions were made for us to a medical/dental spending account to help ease the shock of hig[Truncated]" 23783 6/26/06 5:47 PM IL * We do need this.There shouldn't be hundreds of companies offering the same thing at so many different prices.Two or three companies would be more like it.[Truncated] I am not sure I understand this concept. * This is a necessary fact of life.people on medicare have trouble keeping up with medicare premuims now and it just keeps going up.At this rate more than half our SS checks will go to pay premiums.We can't afford this!![Truncated] That is a good idea. * I think this is good.I also think part of the medical schools should leard about natual remedies instead of just pushing medications.[Truncated] That's a great idea * No matter what is planned it will be costly and that needs to be worked out.The government can't cover all the cost but we all should have afordable insurance coverage.[Truncated] "* As I stated above there are too many Insurance companies selling policies now,so get two or three companies to provide coverage at reasonable prices. [Truncated]" 23784 6/26/06 5:47 PM AZ "* Because of my union I have excellent health care coverage - the people who don't have health insurance cost everybody money even those who have the money to pay for insurance. -- it is a pay now or pay later kind of thing. [Truncated]" "If we spend too much $ on committees and studies we won't have any thing left for health care." "* Make preventive care at the top of the list instead of near the bottom ( as with most insurance companies) and people would not need so much care.[Truncated]" This should be funded at the community level. No one wants a government employee telling them how to live their last days. "All Americans need to have health care - our elderly and young most of all." "* Financing should be a shared responsibility by all Americans - even the rich who find every loop hole for taxes -- make it a tax deduction and watch the $ roll in.[Truncated]" 23785 6/26/06 5:47 PM AZ "* This should be the law. In an era when CEOs are getting paid millions to cut hard working people's jobs, those people are owed this basic right. It must be protected by the government since that is who allows these companies to get away wit[Truncated]" * Government regulations and lack of insurance controls are driving higher medical costs. The government must protect the citizens from these outrageous artificial costs. [Truncated] "* The government has had a hand in creating this situation, they should play a major role in making sure everyone has the coverage they need.[Truncated]" A basic human right. * The government has failed to keep health care affordable for the average person. Wages have not kept up with the oosts of health care. Employers have been allowed to neglect their duties to employees. The responsibility to rectify this sit[Truncated] "This should be an option, but basic coverage should be standard for all Americans." 23786 6/26/06 5:48 PM NM True!! Go for it. Agree! ?? ?? Yes! "* Something needs to be done so everyone is covered period. Not everyone can afford health which is much much much needed for every American...this needs to be done faster than 2012. I am fortunate enough to have it, but others are not and th[Truncated]" 23790 6/26/06 5:49 PM FL "* This is a national security issue.Parents need to provide medical care for their children.The Palenstians, Somalians, Chechneyans,Iraqs,etc.,etc.,etc.are fighting for medical care for their children.Why would 99% of the Human Race fight?[Truncated]" "Essential to limit influence of Insurance & Health Care Coroporations.Doctors Nurses, Patients,Etc.must have equal input." This concept is a core belief of every religion on the Planet Earth. * The Federal Government of the American People can accomplish this goal. The present Transnational Corporate Federal Government will not support this Goal.[Truncated] Here we must be very careful "concentrate on the lower class&lower middle class.Crack this nut, the restis down hill" "America needs Leaders in this endeaver, not just powerbrokers" "* 80% of Americans will be in the Lower Class soon. Without credit most Americans have very little.This is not an accident,this is not market forces. this is Government Policy.[Truncated]" 23792 6/26/06 5:49 PM GA "* Are we just that out of touch? Unless we have a healthy America, America will be terminal. We spend Trillions on wars, Foreign Aid, and yet we don't take care of our own? A National Health care policy is good for America. Let's stop this nons[Truncated]" I agree. I agree. As long as they are 'legel' in the US they can participate. Yes YES! Yes. With the option of assisted departures'. * Please! Let's move this Country into the future which is now and past due! We are the premier country on the planet yet we are living in the 19th century. The time is now.[Truncated] "* I agree with the approach. The reality is in the execution. If it becomes mired in partisan politics attached to Por Barrel bills, it is doomed to failure. Keep it out of the politicians hands and let the medical community 'give it a shot'.[Truncated]" 23797 6/26/06 5:50 PM AZ "* I agree. It is unsafe for the public welfare to not treat everyone with all basic health services, i.e. screening, prevention and acute care.[Truncated]" consensus build with trial lawyers and insurance companies "* No pork barrell issues allowed. Use as many empty buildings in urban areas to hold down the cost of new construction. In rural areas use abandonded sites, as well.[Truncated]" "* Use the each person's social security number, it would help with identifying and corelating studies, findings, outcomes and benchmarks for promoting good health.[Truncated]" "* As a very dedicated health professional, this looks almost too good to be true. PLEASE diffuse the ""no birth control,etc"" people. Prevent them from derailing this!! Thank you[Truncated]" "* Please use other universal countries' sources of financing the health care system to illustrate the point and deflect ""we are unable to afford it"" group. [Truncated]" 23799 6/26/06 5:51 PM IA "* The existing system is broken, primarily because of too many different plans, too much paperwork and not easy to follow the billing or what was done. Need to get to work on the transistion to a national plan ASAP.[Truncated]" Get going now. Change the system now. No more study. Do something. Let's do it this year. "Start, don't wait" 23802 6/26/06 5:52 PM MN "* I'm glad to see the inclusion of mental health in this recommendation. Additionally, it will be crucial to include Ph.D.-level psychologists in the decision process, as these are the group perhaps best trained in and most inclined toward evi[Truncated]" * These are good points. One important cost-containment feature would be services that help dying individuals come to terms with the inevitability of their death and give them alternatives to expensive treatments that will minimally prolong li[Truncated] "* We should be sure to take lessons, both positive and negative, from successful universal health care systems such as the Scandinavian and Canadian ones. (The Canadians complain about theirs, but few of them would trade their system for ours![Truncated]" "* I would strongly prefer a value-added tax (excluding unprocessed or merely canned and frozen food, prescribed medications, and some clothing items) to the other financing mechanisms. We need to get employers out of the role of paying for hea[Truncated]" 23804 6/26/06 5:52 PM CT Amen! "* Health care should be a ""given"" for all who need it. The arguments about cost and ""need"" ignore two fundamental truths: 1- Those first world nations who are our primary economic competitors provide health care for all, in some cases regardle[Truncated]" 23805 6/26/06 5:53 PM MI * I was diagnosed with Leukemia a year ago. Several years ago a drug was developed to treat my disease. Prior to the drug life expectancy was between 3 to 5 years. The new drug gives folks with my form of leukemia a much longer life expectat[Truncated] Eliminate tax cuts for the rich. 23806 6/26/06 5:53 PM WV Stop the health care for illegal immigrants and give it to those who are hear LEGALLY----NOW--------NOT NEXT YEAR--NOW! * Also include in HOMELESS --LEGAL CITIZENS ---to have a say in makeing decisions. Not just some wealthy politicians relatives or acquaintance.[Truncated] To the people -for the people To the people for the people The health care should be proveded to all legal citizens AND WITH NO STRINGS OR ATTACHEMENTS TO THEIR BELONGINGS OF ANY KIND "Again, stop giving to those who do not deserve it" 23809 6/26/06 5:54 PM PA "If Congress and other government employees have it, we want it." "If we can fund an unelected AWOL dictator's ""war."" We can fund health care. Besides, our ""public servants have it." "* ""No American left for dead or bankrupt due to hesalth care"" should be our new national motto. If we can fund an unelected AWOL dictator's ""war."" We can fund health care. Besides, our ""public servants"" have it. GM Ford want it, we want it and[Truncated]" "* There are too amny greedy companies and horrible health care plans that are waaay too costly. Besides, if our ""public servants"" have it, we want it.[Truncated]" This administration is the worst ever and only cares for the rich. "* We can and must do better. Start with impeaching the president and VP and get Frist out of ""lawmaking"" and send him back to medical school, so he can identify who is and is not comatose.[Truncated]" "If Congress and other government employees have it, we want it." 23810 6/26/06 5:54 PM OH "I believe that every American is entitled to the same healthcare package that Congress has given to itself." "* I believe that the ""Health Care Package"" for the American citizenry should be financed in the same manner as the Congressional health care package.[Truncated]" 23811 6/26/06 5:54 PM DC "* 2012 is too long to wait. I'm concerned also about what will be accepted as ""quality healthcare"". I think only a single payer system without deductibles and copayments will work. It should cover drugs, dentists and mental health as well [Truncated]" "* I don't really know what this means. It's too vague. I don't know what ""core benefits"" are. All legitimate medical costs, excluding procedures with purely cosmetic intent, should be covered.[Truncated]" "* There should be no out of pocket costs for anyone aside from the ""health tax"". The tax on low income people should be very low or none.[Truncated]" "* Not necessary in a single payer system. The only decision necessary is how to handle non citizens. Will legal aliens be covered? What level of care will be provided to illegal immigrants? This is likely to be contentious. It should be [Truncated]" "* - Evidence based best practices are a place to start, but allow practice should not be limited in this way since many people have physiological quirks that require them to be treated differently. - We must have strict and enforced laws aga[Truncated]" - There should only be one public payer otherwise I agree. "* Any attempt to provide coverage through private companies is destined to fail. Their only interest is in making money. We have to recover to exorbitant salaries of ins. co. ceos and the billions wasted in red tape in order to get the mo[Truncated]" "* Enrollee contributions should be based solely on income which would mean a reduction in costs for many who do not now have employer based ins. Payroll taxes are often counter-productive in that they can discourage employment. I would pref[Truncated]" 23812 6/26/06 5:54 PM TX agree agree agree agree agree agree "* we need to follow the lead of states like Maine and Massachusetts that have Health Insurance Programs available to everyone. Universal health insurance will actually reduce health costs and improve health care. There is no resason why US C[Truncated]" agree 23813 6/26/06 5:55 PM TX "National Health Care for everyone is the right thing to do for the richest nation on earth. Anything less is a crime!" For it. My Blessing for this! The only way. "What is going on now is not woring, this is a step in the right direction." Good "Something has to be done, The resorces that are wasted today is not right" "* The cost of public health care through emergency room of county hospitals is a great burden on tax the taxpayer, This money could be better spent with public clinics at a tremendous savings over the current cituations. The Insurance Industry[Truncated]" 23814 6/26/06 5:55 PM LA "* The concept is great but financial assistance should not be a part of the equation. National health care should be provided to everyone, I mean every legal citizen. No strings attached[Truncated]" NATIONAL HEALTH CARE PERIOD NATIONAL HEALTH CARE PERIOD "* A flat income tax with a designated percentage for health care would be the only way to go. With no one with a family income below thirty thousand dollars taxed at all. this way business and the wealthy contribute just like everyone else, e[Truncated]" 23816 6/26/06 5:56 PM KY I agree. We need a single-payer system like Canada's and Western Europe's. I agree It needs to be public. I agree I agree I agree This is more complicated than it needs to be. The answer is a single-payer health insurance system. Single-payer solves this problem. 23820 6/26/06 5:57 PM CA "How is personal responsibility encouraged? " * Please recognize the current bias of so-called 'science': research is geared to the development and assessment of pharmaceuticals as our only method of treatment. You will miss valuable tools looking at today's 'science.' You are going up a[Truncated] "* Indian Health Service may provide a valuable model. In addition to a standardized offering of services, there should be room within locales to provide things that area's group of participants cares about most, eg, funds for self-determinatio[Truncated]" "* Medical professionals should have final judgment in treating patients, not thousands of flow charts to comply with like robots. 'Profession' means highly educated in order to make sound judgments in individual cases. [Truncated]" Hopefully people can be cared for at home. "* Please don't see pharmaceuticals as the only answer for medical problems. This current mind-set is an error. Complementary medicine offers inexpensive, strengthening treatment options. I've been MD for 35 years.[Truncated]" "* What degree of transparency in financial side is expected, and how is it enforced? (viz., people making decisions about healthcare programs should not benefit financially from those decisions -- we don;t easily know the investments our cong[Truncated]" 23821 6/26/06 5:58 PM TX T "* Look at the successful examples set by those progressive countries that have had SPS-style healthcare for awhile (for instance, Canada, Germany, England, Taiwan, etc.), compared to the USA failure of a big-business system--ranked 37th in the [Truncated]" "* Universal health care is not an economic issue--our country is the wealthiest in the history of the world. It is a moral issue. Remove the ""middleman"" insurance industry, and go to a single-payer system (SPS).[Truncated]" 23822 6/26/06 5:58 PM MO "* Our government can't seem to take care of it's own people. Just how on Gods Green Earth do you think you can take on all the UNWANTED I L L E G A L M E X I C A N ' S??????????????????[Truncated]" "* As all americans are supposed to be equal... All of ""We the People"" should expect the same health care as the people we elect to represent us.[Truncated]" "* If the elected officials in each state do not have a plan regarding health care for the people they are paid to represent, then they too should not have the peace of mind that covered health care provides.[Truncated]" "* Any large corporation that shows a provit should be forced to pay for health care insurance, including Wal-Mart type companies. This includes the many part-time people they employ to attempt to avoid coverage of insurance and compensation of[Truncated]" "* Our country can't provide for it's own people now, send the unwanted ILLEGAL MEXICANS BACK WHERE THEY BELONG. This will lower fraud a great deal. [Truncated]" * If the hospice people who assisted my family before my Father passed would have been better organized as to getting perscriptions filled by local pharmacies instead of having them deliverd by a company 50 miles+ away: They would have saved mu[Truncated] * Our elected officials need to be brought down to the working class level when it comes to work compensation and benefits. They are clueless when it comes to the issues of common people.[Truncated] * Cut out the tax loop holes for the top twenty corporations and top twenty wealthy individuals (ex: Waltons of Wal-Mart). Give the tax brakes to the people working two or three jobs just to cover necessary living expences.[Truncated] 23823 6/26/06 5:58 PM TX sliding fees should be incorporated could not agree more agreed agreed agreed agreed "Until this policy is in place,we are a backwards country only for the priviledged and elite,in terms of humane services" "stop tax cuts for the rich, have Congress deny themselves pay hikes" 23824 6/26/06 5:58 PM CA "* Having affordable health care for all Americans could help improve the health of all Americans. With the overall health of all Americans improved, the strain on the health care system would be reduced and costs might actually go down.[Truncated]" "This sound like a good idea, all long as bureaucrats are not involved." "* The economy and productivity of this country might actually improve, if we could help every American get the health care they need without draining their own resouces. Let's face it not many Americans make enough money to live much less pay f[Truncated]" This is way overdue!!!!! Yes! Yes! Yes! It's about time. "* The government has always been willing to tax us for their wasteful spending programs, they should be willing to put some effort into financing health care for all Americans with those same methods.[Truncated]" 23825 6/26/06 5:59 PM TN "* OUR ELECTED OFFICIALS GET HEALTH CARE PAID FOR BY OUR TAXES, AND NO AMERICAN SHOULD HAVE ANY LESS QUALITY CARE THAN THOSE WE ELECT[Truncated]" * YOU MUST HAVE A PIPE DREAM GOING ON AS WE HAVE NO ELECTED OFFICIALS WHO WANTS US ALL TO BE WELL AS THE DOCTORS AND DRUG COMPANIES WOULD GET THEIR CUT OF OUR TAXES!!!!!!!!![Truncated] "* IF IT PRIVATE PLENTY OF FRAUD AS THE DRUG BILL IS NOW, IF PUBLIC WHO'S GOING TO OVER SEE THE PROGRAM SOME ONE APPOINTED BY OUR CROOKED GOVERNMENT????????[Truncated]" "* NEED TO ALLOW HEATHLY FOOD TO BE EATEN AND ALLOW ANYONE BUT THE DRUG COMPANIES TO CONTROL HEATH FOODS, AND REPEAL THE LAW FDA MADE THAT ONLY DRUGS (BOGUS)CAN HEEL OR PREVENT DISEASE, WHICH IS A TOTAL LIE!!!![Truncated]" "* IF THE FEDERAL GOVERNMENT IS INVOLVED WE ARE GOING TO HAVE MAJOR TRBL WITH MORE GRAFT AND MIS-MANAGEMENT OF FUNDS, SAME AS THEY DO NOW!!!![Truncated]" GOOD LUCK!!!! "* STOP ALL THE GOVERNMENT WASTE AND THE MONEY WILL BE AVAILABLE, ALSO NEED A 10%FLAT TAX RATE FOR EVERYONE NOT THE THE WORKING CLASS PEOPLE AND THERE WILL BE MORE MONEY THAN EVEN OUR CROOKED REPRESENTATIVE COULD SPEND!!!!!![Truncated]" 23827 6/26/06 6:00 PM OH Rich people really don't care is poor people die because of a lack of proper treatment!! Cradle to grave health care..what ever comes will be handled...nice dream!! * Nice dream..isn't that called socalized medicine?? Do you reallly think that is ever going to fly in this econiomic enviorment...Health care is $$Big$$Business$$[Truncated] * Depends on who's pocket which federal official is in as to whether or not things will change at all. Health care is BIG BUSINESS and big business is buying the votes!![Truncated] * Every one is being CUT to the bone...staff reduced and care non existant for the very poor....so whats new?? This is a VERY old problem....do you think the fat cats really care if poor people die for lack of proper health care? Fat cat ho[Truncated] Try try to the very end to save a life! Maybe once America reaches third world status people will get health care. Socalized medicine!! 23828 6/26/06 6:00 PM na "* It is my understanding that you represent all American's. If so why do you allow only some to have Health Care and others to die because they don't?[Truncated]" Every one deserves basic Health Care coverage. why should the poor or Middle class have to decide if they can afford to live or die. "Re recommendations 4,5,6. A well planned system can work and be more efficient." Canada's per capita Health Care costs are lower than those in the U.S.A. and all Canadians have Health Care coverage. It works. 23830 6/26/06 6:00 PM NY * We should join the other civilized countries of the world and provide health care to all citizens. Extending Medicare to cover all would be a first step in keeping costs down. The present system is designed for the benefit of the HMOs and p[Truncated] 23831 6/26/06 6:00 PM MO agree agree agree agree agree agree yes - what's taking so long? "divert taxxes from existing ""war-funding"" to non-existing ""care-funding""" 23832 6/26/06 6:01 PM WA I totally agree with the recommedation that it should be public policy that all Americans have affordable health care. 23833 6/26/06 6:01 PM WV I support this recommendation. I support. I support. I support. I support. I support. "* To make money,to profit, from the medical misfortunes of others is immoral.I believe the medical industry must become not-for-profit.[Truncated]" I support this financing statement. 23834 6/26/06 6:01 PM CT "* EVERYONE should be in this health care recommendation. Not just the poor and working class. Congress should use the same plan, that way when something goes wrong they will be equally interested in fixing the problems.[Truncated]" "I think this recommendation is fair, but needs to define abuses of the system, and what wouldn't be acceptable. " Same as above. "* The bullets are good points. The people doing the research shouldn't always be the will of the government. Like jury duty, it should be a civic duty of a mixture of the population.[Truncated]" Necesary medical attention should not have a cost-sharing. Wellness programs and things people could live without should. I agree. "* Insurance companies should not be in control of the kind of care or the lenth of recovery. If there is a need for this it should be a panel of proven healthcare specialist that represent the whole population, not the rich or the capitalists.[Truncated]" * I believe a flat tax is a better way to share the cost of a system like this. A sin tax only costs the people with the addictions. Let's find or create a tax that hits every tax payer with an equal portion of the bill. Leave the seniors alone[Truncated] 23836 6/26/06 6:02 PM NJ I support recommendation 1 "* How will this affect already established health care benefits such as Federal employee benefits, state and local municipal workers? How will it affect other union negotiated benefit plans? Will insurance companies be included in the indep[Truncated]" "* I support recommendation #3 How will we educate the high income population to understand and support the need for the above. They are already brainwashed that it's not good. ""People in England,and Canada have to wait so long for non-life[Truncated]" Some of this already exists under Medicare and the VA I support Yes See above. Well done. Need to educate the public at the local level "* What about funding from sources of wealthy foundations; ie. Gates, Buffett, etc. Also federal government has billions to spend on Iraq and defense. Redirect some of those $$$[Truncated]" 23839 6/26/06 6:03 PM CA yes yes yes yes yes yes "the more public, the betteer" yes 23840 6/26/06 6:03 PM MI U.S. citizens only U.S. citizens only. U.S.citizens only. U.S. citizens only. U.S. citizens only. U.S. citizens only. U.S. citizens only. U.S. citizens only. 23842 6/26/06 6:03 PM OH PLEASE HELP THOSE IN NEED FOR HEALTH CARE!!! PLEASE HELP THOSE IN NEED!!! PLEASE HELP THOSE IN NEED!!! PLEASE HELP THOSE IN NEED!!! PLEASE HELP THOSE IN NEED!!! PLEASE HELP THOSE IN NEED!!! PLEASE HELP THOSE IN NEED!!! PLEASE HELP THOSE IN NEED!!! 23844 6/26/06 6:03 PM MI Vote Hillary 2008 23846 6/26/06 6:04 PM KY "* It should not be about affordable health care, it should be about free health care! Taxation should be used to develop a health care system that is a right to everyone, regardless of household income. I find it offensive to live in a country[Truncated]" "* What is a ""private-public group""? Including oxymoronic reccomedation will get us no where. Like I said previously, none of this matters if it is all under the umbrella of a corrupt and big-business driven governmental system.[Truncated]" "* The sentiment that ""no one in America should be impverished by health care costs"" cannot be realized under privatized system of health care. It all must remain public and as easily manipulated by the citizenry as possible.[Truncated]" "* Financing universal health care should never come from any facet of a private market. We need to work on improving our governmental system to use our money efficiently, fairly... all while reducing the amount of money that is funneled to off[Truncated]" 23847 6/26/06 6:04 PM CA "* Everyone should have high-quality health care through a single payer system with no co-pays and no deductables. You go to the doctor, clinic or hospital of your choice and once the bill is verified it is paid by the state or federal entity r[Truncated]" Health care would include vision care and pharmaceutical needs. Single payer with no deductables and no co-pays. "* The financing should come from the same sources as now, medi-care etc. Currently, 25% to 35% of the costs of health care goes to insurance companies. With the state or federal entity now providing coverage the overall costs of health care s[Truncated]" 23848 6/26/06 6:05 PM PA "* The run away cost of healthcare, purpotrated on us by drug companies and institutions has made it vital that the government do something to make sure all Americans are covered & protected. This should not include people who are in our country[Truncated]" Great idea if they are appointed fairly The financial protection should be for everyone. People should not be penalized for having a good job. great great so needed "* The raping of our population by the drug companies, and some insurance cos. needs to stop. When municipal workers are forbidden to strike because it adversely affects the people, but the pharmaceutical giants can rape as they please, there is[Truncated]" "* Further money can be put towards healthcare by backcharging the Pharmaceutical companies for the money the gov gave them for research, then allowed them to pass on the cost to persons & insurance companies. Always seemed like double dipping t[Truncated]" 23849 6/26/06 6:06 PM PA "* WHAT ABOUT DENTAL COVERAGE FOR CHILDREN AND ADULTS (ALL AGES)? I WORK FOR FEDERAL GOVERNMENT, WE PAY ABOUT 67% OF OUR HEALTH INSURANCE AND THE EMPLOYER PAYS THE REST; DEFINITELY NOT THE WAY IT SHOULD BE. I AM TYPE 2 DIABETIC AND I NEED DENTA[Truncated]" 23851 6/26/06 6:06 PM WI That is precisely what I have been saying for years now! (Even before health insurance costs were rising so drastically.) This sounds well thought out. Excellent! Just think of how many families are forced into bancruptcies each year because of health care costs! none " Excellent!" I agree wholeheartedly! "* With the billions that are now spent on health insurance, I can't see how it could cost us any more for universal care than it does now. And yes, everyone should have health care, even if the rest of us have to pay a bit more![Truncated]" 23852 6/26/06 6:06 PM IN * that core access might be the doctor with a $40 dollar office visit. Then if it is anything major most people without heatlh insurance are screwed and even those with it.[Truncated] this should be total coverage from initial problem and covered thru thw rehab stage. Most of the other major nations have this now use them as examples anything with a savings plan would be a farce. * this should be set in stone so the goverment can not change anything once it is started. A lot of veterens just lost their va benifits during this round of budget cuts.[Truncated] * Every one should be covered. How Much would it be say if everyone paid a $10 a month fee with a cap for larger families. (SAY $40 A MONTH) that is a lot of money to start something.[Truncated] * We are about the only major country that does not provide health care to the people. And our goverment sits around and bashes other things that work in other countries.[Truncated] The firs step to this might be starting over medicare and reducing the costly paper work and other waste in the system now. 23853 6/26/06 6:06 PM WI i am disabled at this time and have no health care at all. also there is none available that is affordable for my situation. 23854 6/26/06 6:06 PM IL i firmly believe. i agree. i agree. i agree. i agree. i agree. i feel these recommendations need to be moved on swiftly. i agree with this. 23855 6/26/06 6:06 PM OH * A nation cannot call itself advanced or even civilized unless all it's citizens have basic necessities whether it be from working or through the government. Health care is one of the most basic necessities for everyone. It should be accessi[Truncated] * The only change I would make in the core health services suggested above is that I would exclude mental health coverage for all except inpatient service. Too many people going to see doctors because they are sad or confused. That's a waste [Truncated] "* This recommendation is not bad either. It is probably the best. Put a cap on the out of pocket expense for all citizens that is a direct percentage of their net worth (NOT income). For instance, no one will have to pay more than 5% of thei[Truncated]" Too complicated. Too many things can go wrong. Too many loopholes. "Anytime you rely on the govt to do something for you, you will end with a hammer for $5,000. Bad idea." * Elders are any nations conscience. They need to be given more options and treated with respect and care they deserve. This should be done at the community level but I would apply the deductible I mentioned in recommendation #3. If they can[Truncated] I appreciate your efforts towards making healthcare available to all citizens of this country. * I agree. I am not against giving the insurance companies time to adjust but the result of this effort should be total coverage for all citizens regardless of financial situation and it should be done as soon as possible not by dragging it ou[Truncated] 23856 6/26/06 6:07 PM OH "* I want affordable health care for everyone. Not just those you make over $100,000, but those of us who only make $32,000 per year! Please, let's make it happen. We are Americans. I know we can![Truncated]" "* It is so bad that I am encouraging my children not to have children because I don't know how they are ever going to make ends meet. It has just gotten way out of hand for those who make less than $75,000 per year. I know we can't all make t[Truncated]" 23857 6/26/06 6:07 PM NY Universal Healthcare financed by the government is the only viable option. Important Neccesary This is a step toward responsible oversight needed in high need communitites. I support this I Support this. 23858 6/26/06 6:07 PM TX "* I am a diabetic and insulin and medications are very expensive. In the last 3 years, I have lost my job twice. I am not eligible for Medicaid or any state assistance. I am now $13.00 over the income level for food stamps and medicaid for my c[Truncated]" * Some people may only need an affordable prescription plan and hospitalizion. Most people can afford to pay their family doctor visits. Medicaid income needs to be raised up to the inflation level.[Truncated] 23859 6/26/06 6:07 PM MA "* Financing should be entirely by the federal government, that is, virtually through expanding Medicare to cover the entire population and eliminating the 1,100 or so highly inefficient health insurance companies, HMOs, etc. that represent an i[Truncated]" 23860 6/26/06 6:08 PM CA "* why wait until 2012, that's way too far into the future. there are important elections before that, health care can and should be a central issue.[Truncated]" 23862 6/26/06 6:08 PM IA * Universal health care should be the primary goal for health care. Lack of funds or being unemployed should not affect availability of health care.[Truncated] * We need to hear from those who are most directly concerned and knowledgable. Their recommendations should be carefully considered.[Truncated] Totally agree * It is important that health care is not dependent on having a paying job. Health care needs to be movable from one situation to another.[Truncated] "* I agree with the above statement. There are ways of financing universal health care. We need to explore all possibilities and, of course, choose the most viable.[Truncated]" 23863 6/26/06 6:09 PM LA "* I believe this to be the basic foundation to healthcare in this country, that we all deserve the best care available with out regard to our financial status. When clinic appointments in teaching hospitals for anyone but the dying or pregnant [Truncated]" "* When private insurers in this country refuse to pay or retract their payments because of cost of procedure it is not a healthy state of obligation, I experienced this during treatment for breast cancer 7 years ago, and then again with reconst[Truncated]" "I thouroughly agree, see above." Agree completely agree "I agree with the financial statement. I know that a change this big will take time and will have some rough ""patches"" in it." 23864 6/26/06 6:10 PM OH speak english please. EXCLUDE ALL ALIENS. Public-private is a contradiction of terms. * I am taxed and fee'd and charged to death.Everything costs more but wages have lagged far FAR behind.You can't get blood from turnips.fLAT RATE TAXES 10%FOR ALL REGARDLESS OF INCOME INCLUDING BUSINESSES AND WE'LL HAVE SURPLUSS MONEY.Use your [Truncated] * NO MORE TAXES!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!MAKE THE F---ING BUSH OWNED OIL COMPANIES USE THE BILLIONS THEY HAVE GOUGED FROM THE POOR TO PAY FOR IT! NO MORE TAX!NO MORE TAX! Make flat rate taxes for all individuals AN[Truncated] 23865 6/26/06 6:10 PM TX All get the same benefits not a two level system like in Britan. More like France or Germany 23867 6/26/06 6:10 PM PA I agree I agree I agree I agree I agree I agree "* An afforadable plan for single heads of household that have part time employment and not covered by DPA BENIFITS, need specific inclusion. Retired persons under the elegiblity age for medicare also need affordable coverage options. [Truncated]" 23874 6/26/06 6:12 PM MI I believe that legal American residents should have access to health care. "* So if you dont pay for the ""high cost protection"" you basically lose the benefits you have access to now. Am I supposed to feel comfortable with this group of individuals that will decide my benefits that may or may not affect my health becau[Truncated]" * I agree that there should be protection against very high out of pocket medical costs for everyone- it is apparent that Congress and the current administration do not as they let the drug companies rewrite Medicare and that cost us billions. [Truncated] * The federal government is going to coordinate all federal efforts that support the health care safety net- they could not even coordinate water delivery and rescue of hurrican survivors nor could they coordinate the new medicare plan and that[Truncated] "* with the lack of privacy in this country and this administration breaking every law regarding our right to privacy, I do not endorse electronic health records. If this administration wanted to reduce fraud and waste they would not have all[Truncated]" "* This sounds as if the the government will decide who lives and who dies. I do not want the government dictating whether someone lives or dies, based on the religious or ethnic background or if they are the minority rich few that can afford to[Truncated]" "From what I have read, I am not in favor of this plan." "* I am not willing and am unable to financially contribute. My employer pays my benefits as a part of my union package or I would not have insurance either. I rather like my insurance package and what it pays for, and am not willing to have the[Truncated]" 23875 6/26/06 6:12 PM NY * I would like to see the president and members of both houses of Congress have to take their next medical emergency to a public hospital where those without private insurance go. These people work for the public. Let them know how little a h[Truncated] 23876 6/26/06 6:13 PM MO The US is one of the only western countires that does not provide health care for its people. That's a disgrace 23877 6/26/06 6:13 PM MI "* High quality health care should be considered a right. It should be paid for through general taxation. The federal government should function as the insurance provider, negotiating the best price from drug companies and health care provide[Truncated]" "* The federal government should be the only health insurer, all forms of private insurance should be made illegal. Any illness or proceedure that benifits the patient should be covered.[Truncated]" "* Every citizen or legal immigrant residing in the U.S. should be covered for any medical condition, and there should be no out of pocket expenses.[Truncated]" "* Every citizen or legal immigrant residing in the U.S. should be covered for any medical condition, and there should be no out of pocket expenses.[Truncated]" "* Eliminate all of the different agencies providing health care, and consolidate them as part of one comprehensive national health care plan that covers everyone.[Truncated]" "* The federal government should be the only health insurer, all forms of private insurance should be made illegal. Any illness or proceedure that benifits the patient should be covered.(Including the above)[Truncated]" "* I used to live in Canada, and was very happy with their health care system. I travel to Canada frequently. I have a friend living in the U.S. who needs medications which I pick up for him in Canada where the price is one tenth the U.S. price.[Truncated]" Health care should be paid for through general taxation. 23878 6/26/06 6:15 PM NY * I recently learned of a young local female veteran who lost both her legs in the Iraq Fiasco and has hugh medical bills. A local group had a fund raiser for her. This should not be! [Truncated] "* The country is already financing many , including illegal immigrants, and currently many who are not eligible but are misusing the system. This administration has misused money that could have helped many people, families and veterans. Healt[Truncated]" 23879 6/26/06 6:15 PM CA "* Absolutely... isn't this equality guaranteed to us by our forefathers in the constititution? Not having basic healthcare goes against direct the equality aspects stated in the consititution.[Truncated]" 23880 6/26/06 6:15 PM IA Sounds very fair to me!!! involving a broad base of people should help alot. My last three raises have gone mostly to health care! I need to get some money on the check again!! Great!!!!!!!!!!!!! * It's about time we started putting all the health programs together (think tank) and come up with a master plan to improve quality and efficiency!![Truncated] Sounds straight forward to me. "To move this country forward, we need a good health care system. We need to keep this on the front burner!!!!!!!!!!!!!" right on!!! 23881 6/26/06 6:16 PM TN THE GREATNESS OF THIS NATION WILL BE MEASURED ON HOW WE TREAT OUR LESS FORTUNATE CITIZENS. 23885 6/26/06 6:16 PM WA This is all well said and thoughtout. I couldn't agree more. This is so overdue. We have to work together to make this happen. 23887 6/26/06 6:16 PM IL "With single payer and eliminating profit motive, all prescribed services could be provided, including prescription drugs." Single payer is the only way to achieve this and provide better health care for all. 23889 6/26/06 6:17 PM CT "* Health care costs are spiraling dangerously out of control. The people who need it most are the ones at risk: the poor, children, and the elderly. Many teachers that I know put off retiring for fear of not being able to affort health care cov[Truncated]" 23892 6/26/06 6:18 PM NY "We should join the rest of the industrialized nations - all of which provide universal health care run by the government. " "* Medicare has done an excellent job for seniors and it matters not to the beneficiaries of that program that some diehards may call that socialism. It is no more socialism than governmnent-owned and operated public schools, libraries, parks[Truncated]" 23894 6/26/06 6:19 PM WI I agree. I would add EYE CARE coverage. I agree. I agree. I agree. I agree. "* We should not have to wait so long to get adequate coverage! It is doubly catastrophic for many families to have to deal with a life threatening illness and then to pay for the treatments and medications! In many ways, it is worse than living[Truncated]" I agree. 23896 6/26/06 6:19 PM CA "* When people have health care when needed, it is better for everyone around them so illnesses do not spread or cause them to miss work.[Truncated]" "* Better to have high standards set up by a mix of qualified people than having Big Pharma ""selling"" their products at extremely high prices, telling us to ""talk to our doctor"" about the latest ""break-through""![Truncated]" This is a basic need in our Democracy as we have known it. * A national group to set up high standards for health care at local level to see everyone can participate makes sense and more efficient.[Truncated] "The working of this group of resources, their experience, their efficiency, is the kernel of making it all work." Humanity dictates that we care for those individuals and families who have terminally ill people to support. "* I am a former R.N., now a senior, so I can understand the problems from a personal viewpoint. Our system needs to change for the better.[Truncated]" "There are better models in the world to learn from than the American so-called ""health-care"" system." 23898 6/26/06 6:20 PM AZ "* I STRONGLY believe that ALL Americans should have health care, regardless of health or wealth. I have battled the health care system for years, unable to attain good quality health care for myself and my family. My husband is self employed,[Truncated]" "* I totally agree that something needs to be done now, and I would be fully willing to make contributions to a fair health care system for all.[Truncated]" 23899 6/26/06 6:20 PM OH This should be available to all Legal American Citizens. * This needs to say Legal Americans. Sorry but if you aren't here legally or born an American Citizen we should not be paying for free health care for anyone.[Truncated] Americans need the right to have health care provided at home if possible. * Take some of the money the government wants to spend in Iraq and spend it on health care for Legal American Citizens and we'll have plenty to go around for everyone.[Truncated] 23900 6/26/06 6:20 PM IL * I am an RN and I am appalled at the low quality healthcare provided to those who work but unable to afford adequate insurance and also all the limitations put on the type of care Medicare provides. These medicare recipients have worked hard a[Truncated] A non-partisan private-public group-seems that would be hard to come by. It would be nice. * This is interesting. It would be nice to come up with a plan that allowed the elderly to pass on what they have earned to their children or whomever they want without becoming completely impoverished and losing everything to obtain late stage[Truncated] * Good idea but it sounds like more goverment jobs and less real help to the people. We do not need more committees and red tape we need more action.[Truncated] "Sound good again however, Is this adding more paperwork and less hands on care?" "Training yes, but is this just for those in management that rarely gets to those who are doing the everyday care?" I would love to help facilitate thes changes in Health Care! "* I would like to see a stop to the ridiculous practice of paying Senators and Congressmen the same salary and put them on Social Security. After all they are public servants, this will give them a chance to act like one. I am sure this will fr[Truncated]" 23901 6/26/06 6:20 PM NM Excellent. We lag behind all industrialized countries in our provisions of care for our people. "* There are already states that have done this, and have a comprehensive health care system for all citizens. There is no need to reinvent the wheel on this.[Truncated]" Agreed. "* I would also advocate making the federal government provide good quality, comprehensive care by making them open to civil and criminal actions. The Veterans Administration Hospital are a good example of what happens when there IS no oversigh[Truncated]" "* I would encourage heavy oversight of all of the above health care services by consumer advocates, and medical peers, as well as a truly innovative facilities and policy adherence teams, also comprised of consumers and medical peers, as well a[Truncated]" "Excellent. But, again, very strong independent oversight." No. Thank you for the opportunity to speak out. Agreed. 23902 6/26/06 6:20 PM OH This should be available to all Legal American Citizens. * This needs to say Legal Americans. Sorry but if you aren't here legally or born an American Citizen we should not be paying for free health care for anyone.[Truncated] Americans need the right to have health care provided at home if possible. * Take some of the money the government wants to spend in Iraq and spend it on health care for Legal American Citizens and we'll have plenty to go around for everyone.[Truncated] 23904 6/26/06 6:21 PM WA * It is inexcusable that the richest country in the world is leaving the health care of it's citizens to the whims and vagary of the insurance industry.[Truncated] "This only makes sense in terms of quality and cost effectiveness. Health care sould not be a ""for profit"" endeavor." "* If Health Care ceased to be motivated by profitability, it would become much less expensive, because it would become possible to get equipment and to negogiate group prices for everything.[Truncated]" * I understand also that recent legislation has dismantled the International Data bank to match donors with recipients. Perhaps this should be reinstated.[Truncated] Let's give some of the control back to the medical professionals and out of the hands of the insurance community. "* More in-home care should be made available to families, to cut down on costs and improve the quality of care for those facing the end of life.[Truncated]" "* How about an amendment to the Constitution delineating BASIC Health as a right for every citizen and an Oversight Committee made up of researcher's, practiioners, and citizens.[Truncated]" * It would be so much more cost effective and reasonable to focus on prevention rather than wasting health care dollars on emergency room visits which are left as the only avenue for many people in poverty. Health Care should not be motivated [Truncated] 23905 6/26/06 6:21 PM CO Amen Amen Amen Amen Amen Amen Aaaamennn! Amen 23908 6/26/06 6:21 PM FL "* HEALTH CARE FOR EVERYONE CAN BE EASILY OBTAINED, JUST TAKE ""OVER 65 "" OFF OF MEDICARE. IT IS THE MOST EFFICENTLY RUN PROGRAM IN THE UNITED STATES AND IT SHOULD BE AVAILABLE TO ALL.[Truncated]" 23909 6/26/06 6:21 PM CO This should be a fudamental right of all Americans. Keep health care as non-partisan as possible. Great idea lets start right now! We should begin as soon as possible. 23910 6/26/06 6:22 PM CA "* This is suppose to be the greatest country in the world yet our infant mortality is one of the lowest of all industrialized, ""modern"" countries in the world. Every person deserves health care to ensure the safety of our children and our citiz[Truncated]" 23911 6/26/06 6:22 PM WA I completely agree. Strongly agree. "There is simply no excuse for America to lag behind every other industrialized nation in providing affordable health care. " Agree. We must implement these solutions sooner rather than later. "Agree, agree, agree!!!" * This is a problem which simply must be solved. Ask Bill Gates and Warren Buffet to finance a study of the problem from which they can create a solution.[Truncated] 23912 6/26/06 6:23 PM IL All Americans should have health care! 23914 6/26/06 6:24 PM PA * Other countries supply equal health care for ALL. We are the richest and greatest country in the world and I don't understand why we can't do it too. [Truncated] 23918 6/26/06 6:25 PM NV strongly support strongly support strongly support strongly support strongly support against. Keep it private. "If we can pay for schools, we can pay for healthcare." strongly support 23921 6/26/06 6:27 PM PA Amen. * Please do not charge individuals using the Federally Qualifed Health Centers. I came from a rural area where pregnant women were charged for pre-natal care. This on top of the costs of traveling to and from the centers.[Truncated] 23922 6/26/06 6:27 PM OH * All Americans should have access to necessary health care services. Making this a government guarantee would help businesses lower their costs and compete worldwide more effectively while protecting the health of all citizens. This health car[Truncated] "I'd favor a one-tier system comparable to what the Congress receives, not a core benefit and a higher end benefit package." A national program should also minimize paperwork. "* Make sure there is adequate oversight and a system to appeal decisions. Doctors should be in charge of providing health care, not bureaucrats.[Truncated]" Well written. Yes. "* I'd favor recouping the tax base that has been lost over the past 6 years by taxing the wealthiest Americans and corporations at a level commensurate with what the government does for them, and at higher levels than they currently pay. I'd fa[Truncated]" 23923 6/26/06 6:28 PM IL We need healthcare for every american as soon as possible!!!!! Health for all now!!!! single payer system 23924 6/26/06 6:28 PM NY "* fantastic, but you should define ""core hc services"" and hopefully have an expanded plan for those with substantial care needs (chronic illness, catostrophic events, etc).[Truncated]" i;d need to see specs before comenting "absoluetly, but what all would be included? long-term care? chronic mental counseling? ivf? again, needs specs." "* immigrant care? contriception and abortion services? it'll come up, you need a response. (and i'd guess most of us responding to this support both, but in a public/private mix you need broader approval.)[Truncated]" yep good "* love that you've put this more work into this, but there needs to be more. health care is far too controvercial in too many ways, esp. when govermnet is involved. fantastic so far, though, i'm impressed.[Truncated]" "* i think something really basic, like an extra dollar per 10k in taxable earnings, would be exceptable to everyone if properly explained. but then i'm a bit of an optimist.[Truncated]" 23926 6/26/06 6:29 PM AZ "* I am very glad you are including dental care in this set of recommendations as I think it is closely related to our physical health. It is also the first thing that gets neglected. [Truncated]" * I think it makes economic sense to do this. Look at the burden of healthcare costs on employers. Look how many people stay at work places because of health benefits they dare not give up. I come from the U.K. where the government program elim[Truncated] 23927 6/26/06 6:29 PM WI This should be the minimum! It sounds wonderful. Great job. 23928 6/26/06 6:29 PM CA * Should also be independent of job/employment status. This will allow people to change jobs/seek education and training as needed.[Truncated] "* Non-traditional (i.e., non-MD) treatments should be considered equally with allopathic treatments so that safety, health and effectiveness can be improved.[Truncated]" "* I am leery of the term ""safety net."" Usually this is a code phrase that means there will be two or more tiers of benefits depending on wealth or other factors. The prospective health plan should have the same exact benefits for all American[Truncated]" This is obviously a huge benefit of such a system. "* This is obviously another huge cost mechanism, since most people spend huge sums on health care the last 6 mos. of life. No one wants to prevent very sick people from getting the care they need, but we also need to avoid throwing money away [Truncated]" "* This is the most pressing problem facing the United States. Obviously the major political issue is that the for-profit health insurance industry is going to fight tooth and nail to retain the existing system, which is hugely profitable for[Truncated]" "* The Canadian system can be used as a well-tested model of what we can do. Canada spends 1/2 what the U.S. spends per capita, yet covers all citizens. Note that the Canadian system includes mechanisms to negotiate reimbursement rates with [Truncated]" 23933 6/26/06 6:32 PM TX "* I would be willing for the guaranteed benefits to be modest, as long as they cover all reasonable preventive testing and treatment to assure that all preventable and reversible conditions likely to cause disability or death are addressed in a[Truncated]" 23934 6/26/06 6:32 PM CO This is the best solution I believe. * I believe having a comprehensie universal healthcare structure may potentially help American companies compete in a global economy. How can we compete when other companies from around the world don't have to pay for their employees healthcare[Truncated] 23935 6/26/06 6:32 PM LA "If we do this, we will lower health costs and the expense caused business by workers health issues." This self-evident. A public National Health Care Program would spread the cost out over the entire population. Universal Health Care should sooner than 2012. The simplest way to pay for Universal Health Care is to eliminate the Social Security Tax cap. 23937 6/26/06 6:32 PM TN "Rather than spending $2 billion a week on war, let's spend that money for quality healthcare for all Americans." I agree... I agree... I agree... I agree... I agree... "Rather than spending $2 billion a week to pay for war, let's use that money to provide quality healthcare for all Americans." 23938 6/26/06 6:32 PM CA "* Yes, Yes, Yes, This a a must.even people who have Health Benefits, are continually finding that little by liitle, they are being taken away.Taken away in various different ways. Higher premiums, higher deductibles, and co-pays. Leaving senior[Truncated]" "* All of the above sounds great, but finding the people, who will honestly adhere to any such program will be a miracle in it self.[Truncated]" Yes. "* The reduction of fraud and waste in every area, is a must. For example: Too many tests are given for unrelated ailments. You don't need an MRI on your brain, if you have a broken toe""[Truncated]" "* If this program is ever brought into practice, there should be some kind of age cut off time. Meaning that seniors, in their later years should not be required to contribute from their social security benefits or thier pensions. [Truncated]" "* the financing of a health program of this magnitude, has to start at the top. The corporations should still be required to pay into a fund for their employees, along with a reasonable contribution from the employees. Employees contributions s[Truncated]" 23939 6/26/06 6:32 PM AR * No one should be allowed to suffer from an illness or disease that can be easily treated in its early stages because they cannot afford medical care.[Truncated] * It is cheaper to treat early signs and symptoms than have to cure it after the disease has run its course and needs draconian efforts to reverse its direction.[Truncated] Government is for the people and should encompass all divisions in the funding and coordinating of efforts. "* When the government can spend billions of dollars per day in a country that doesn't want us there to secure for a large corporate industry the fruits of their graft and corrupyion, the least it can do is suppost the people of this country in [Truncated]" 23943 6/26/06 6:34 PM CA Decent health care should be a right for every human being. 23944 6/26/06 6:34 PM CO "* I have had medical insurance that has covered my family most of my life. Due to unemployment a few years ago and not having enough money to pay for medical insurance I was forced to go for a long period of time without insurance. My wife bec[Truncated]" 23945 6/26/06 6:34 PM OR I support the public policy that all Americans have affordable health care. Great ideas. Excellent. I agree wholeheartedly. These efforts will save lives. Sounds great. * I am willing to make additional financial investments in the services of expanding protection against the costs of illness and access to quality care.[Truncated] 23948 6/26/06 6:36 PM ID * It is obscene that prisoners in our jails have better access to health care than minimum wage earners who are sometimes working 2 and 3 jobs and still receive no health benefits![Truncated] 23950 6/26/06 6:36 PM WA This should be a single payer system. It will provide universal health care. 23951 6/26/06 6:36 PM AZ This is only reasonable to expect of a nation of our size. If we do not get into any more unnecessary (Irac) wars. * This is very broad but if worked correctly would be good. One thing that would need to be prevented is some of the stupid rules of Medicare. Madicare would rather pay more for some services when they can be obtained much cheaper and quicker[Truncated] "* Make sure that the insurance companies and the hosptials are not the ones choosing what will be allowed so they do not line their own pockets, like the drug companies are doing with the Medicare Part D.[Truncated]" Working with already istablished local organizations would help to not double up on survices. * Must be very careful to not let just one side or the other decide on what services are reasonable and justified. There are new serves offered in Mexico (forinstance) that are a great help and are reasonable and have been used for some time.[Truncated] "* Do not forget that some individuals should have the right to die peacefully and not suffer the pain of continuing life when what they have is just living not ""life"". Remember ""They shoot horses, don't they?""[Truncated]" "* This sounds all well and good but there are so many places for the government to get into peoples lives where they should not be. Much care must be given to not let the big ""business"" of health care make decisions that really favor them and [Truncated]" With the monies that have been spent on the Irac war we could do so much for the health care of the entire nation. 23952 6/26/06 6:37 PM IN "* This is a nation that lacks rational health care, it is controlled by for profit groups. As the number of un, or underinsured people rises, the cost rises, and the quality falls, mostly for the poor and eldery. Now with the new attack on ""m[Truncated]" "* The first item is a good idea, as long as we see to it that the group doesn't include some so called ""Christian"" pinheads, I am sorry but ""it is Gods will"" isn't a medical answer. The second item is a very good idea as long as ""we as a natio[Truncated]" "* The national program should be public, private programs are to make a profit, and to become a form of ""Denialcare"". I exist under a form of the plan called ""Dont get sick"", the new gop thing.[Truncated]" "* I like this one, here(Indianapolis IN.)we have hospitals that have closed for lack of funding, local or federal, and all of these places are in the areas are the places that most need them.[Truncated]" "* The big one here is the ability to talk to each branch of health care, none of the above programs use the same computer programs, causing problems. Each one of the programs seems to have its own criteria, and defends its little ""lilly"" pad, [Truncated]" "* We all watched as ""Teri Schivo"" was declaired a political pawn, and way to many people made her life, and death, a total mockery. A pack of posturing clowns lessened her to nothing less than the poster child for ""Christian Bigotry"", and it s[Truncated]" "* I find it sad that people who are living here, born here, and are legally here, have less rights, and access to health care than the people who haven't followed the rules, this has driven up the cost of health care for every one, legal or not[Truncated]" "* We as a nation need something similar to social security, but with no cap on the amount paid. A value added tax, unless it excluded food and medication, would hurt the poor and the eldery the most, sin taxes fail because these scorces dwindl[Truncated]" 23954 6/26/06 6:37 PM NY * These services should be for American citizens ONLY. I cannot support any services to help those who come to this country illegally and take advantage of our nation.[Truncated] * These services should be for American citizens ONLY. I cannot support any services to help those who come to this country illegally and take advantage of our nation.[Truncated] * These services should be for American citizens ONLY. I cannot support any services to help those who come to this country illegally and take advantage of our nation.[Truncated] * These services should be for American citizens ONLY. I cannot support any services to help those who come to this country illegally and take advantage of our nation.[Truncated] * These services should be for American citizens ONLY. I cannot support any services to help those who come to this country illegally and take advantage of our nation.[Truncated] * These services should be for American citizens ONLY. I cannot support any services to help those who come to this country illegally and take advantage of our nation.[Truncated] * These services should be for American citizens ONLY. I cannot support any services to help those who come to this country illegally and take advantage of our nation.[Truncated] 23955 6/26/06 6:37 PM NY * It should be a government paid for program - universal health care. Everyone should be entitled to the same high quality of health care with no regard for individual's financial resources.[Truncated] You are defining yet another insurance program. STOP. National Health. Nothing less. Raise taxes specifically for health care. 23960 6/26/06 6:39 PM NY "* NOT Affordable. NOT ""without endangering financial security"". FREE. As in ""provided by the government 100% funded by tax revenues"".[Truncated]" "* Why are you posing this as if no one else has done it before? Every other developed country already has a single payer plan that provides better care at half the cost! American Physicians have already figured out how to do it, and have join[Truncated]" "* There is no need to specially protect people from catastrophis costs when the plan already protects people from every cost. There is no need for special protection for low income families, when you have already protected everyone. Health Ca[Truncated]" "* There is no such thing as a ""vulnerable population"". All human beings are vulnerable to disease. Inequity in distribution is the result of the state abandoning its responsibility to the people. Private providers should be paid by a single [Truncated]" "* Again, you sound like you are trying to reinvent the wheel. A UNIVERSAL health care system does not have separate parts such as Medicaid for the poor vs. Medicare for the old vs. private for the middle class vs. nothing for the working poor.[Truncated]" "* Once again, no separate financing structure is needed. Once insurance companies are removed from the equation, decisions about funding are automatically simplified and more transparent. [Truncated]" "* The Citizens' Health Care Working Group is to real health care reform what the Medicare Prescription Drug, Improvement, and Modernization Act Of 2003 is to real prescription drug coverage. There is already a much superior proposal in congres[Truncated]" "One specific option IS optimal: Income tax. There should be NO enrollee contributions, NO other taxes of any kind, period." 23961 6/26/06 6:39 PM WI * Health care cost are out of control. If you have a health condition it is almost impossible to get insurance. The private and public sectors have a moral duty to see that all have the same affordable access to health care. Health care is not[Truncated] 23962 6/26/06 6:40 PM IN "* I have lived in countries where there is universal health care, and, in contrast to what you hear all the time about the low quality and long waits for service, I found the systems accessible, caring, and effective. There is no doubt I my min[Truncated]" Eye care? It's the private system that has given rise to fraud and waste - and astronomical administrative fee! "* I think fair taxation, individual and corporate, will work just fine - just as it does in other countries. As the executive director of a program for abused women and children, I can tell you that there is NO way organizations like mine can [Truncated]" 23965 6/26/06 6:41 PM PA Make sure that this is avaliable to Americans. We don't need any more incentives for illegals to come here. Sounds good. See above! The medical industry has exploited us at every turn. Enough! * And keep neo-conservative operatives out of it? How do you propose to do this? Politics and lobbyists will try to subvert this effort. [Truncated] * We need health education and metrics from early childhood. The current obesity epidemic is going to crush the health care system 20 years from now. Emphasize prevention![Truncated] Excellent idea! "* Again, this proposal is going to meet massive resistance from the industry. A lot of money has been made exploiting the current system and these folks will not want to see the well go dry. A major obstacle is going to be winning trust of [Truncated]" "* 1) This might be a good opportunity to start migrating towards a national sales tax to replace income tax. 2) To increase efficiency, we need to increase the supply of doctors. The current medical education system makes entry into the med[Truncated]" 23966 6/26/06 6:41 PM NJ "* It is a shame that the GLOBAL Country of the world does not provide healthcare that is afforadble to the US Citizens. Where are your priorities? Get with the program, Canada provides healthcare for all. What are the greedy politicians doin[Truncated]" "* All Americans need fairness and healthcare regardless if their age, education, sex, or ethnic background...get with the program and start providing benefits to Americans...all Americans.......[Truncated]" 23967 6/26/06 6:41 PM AZ "* Of all the options this is the best option, look at other model countries and nations that have national health coverage, how come they can do it and have been doing it for years!!![Truncated]" 23968 6/26/06 6:42 PM TX I agree. "* My family is one of those that currently falls in the gaps. We have difficulty affording healthcare. We pay premiums and have insurance coverage, but even with insurance, out-of-pocket expenses are unaffordable in our budget. We make too mu[Truncated]" I agree. 23970 6/26/06 6:42 PM CO I agree. "* Alternative and complementary care should be available, particularly for chronic conditions which do not respond well to allopathic treatments. Complementary therapies are often less expensive.[Truncated]" I agree. "Again, it is important to consider alternative and complementary care modalities." * I support financing that is fair and equitable to all. In addition Charges for medical care and tests should not depend on whether or not one has insurance. I think a sliding scale based on family income would be helpful.[Truncated] 23971 6/26/06 6:43 PM IN I agree I agree I agree No private insurance companies. There should be one non-profit insurance company for all. I agree I agree "* In the system now in place, the wealthy don't pay hardly anything. Their premiums are tax deductible. Therefore they have insurance provided by the government. The poor also pay nothing because you can't get blood from a turnip. The only peop[Truncated]" "Take away the Bush tax cut for those who make over 150,000 dollars a year to pay for it." 23973 6/26/06 6:43 PM TN * Health care costs in America are out of balance. Those with insurance are paying for those who don't have any insurance. We need a system where the payments for health care are done on a more equitable basis.I agree with Recommendation 1[Truncated] Agree Agree Agree Agree Agree We need to health care down lean and mean by cutting waste.It should be funded equally. 23974 6/26/06 6:44 PM MN "* It is time to look out for the welfare of or society as a whole. Providing health care to all is a major element of supporting a fair and just society. Anything less allows special interests to trump the common good. But, build up the common [Truncated]" "A ""core"" is a place to start, and should emphasize preventive strategies." "* As it stands now, a person fortunate enough to have health coverage is a lucky person, indeed. For many peaople, coverage is vanishing. It is all the worse when you have no coverage and a health need arises. The costs, even of a brief emergen[Truncated]" "* At this point in time, there is no reason all medical recordkeeping, billing and all other paper functions cannot be totally computerized for universal access within a framework of total privacy. Such measures would obvisouly save money.[Truncated]" Such measures would be very helpful and caring and should be encouraged. Shared responsibility is the key to financing an equitable plan. 23975 6/26/06 6:44 PM NV * Take away our senators and congressmen's private elite health care plan and they might be more willing to see that all legal citizens should have access to health care!![Truncated] 23976 6/26/06 6:44 PM OR "* Many of us take our health insurance for granted, not thinking about the fact that the most disadvantaged have little or no access, often resulting in death or disability. When it's a low-wage-earner with family, this is usually catastrophic[Truncated]" "* We must re-vamp, even socialize our health care system, from top to bottom. Clever people can design such a basic coordination of dollars and resources. The net result will be a nation benefitting across all sectors from the nurturing of a [Truncated]" "* We need to think beyond the traditional doctor-clinic-hospital provisions, and reach out to those who need services through schools, markets, travelling clinics and other venues, especially in rural areas and pockets of populations that don't[Truncated]" "* In addition, science and health classes in schools need to spend at least an hour or two each schools year on access, and learning about how to implement home care as possible in each situation.[Truncated]" "* Children whose basic needs of food, health care and education are made available in will come to appreciate what is an emergency and what can be taken care of at home. As they grow into adults, with access to living-wage employment, and assu[Truncated]" "* We need to ensure that education and health care are available to all, and cultivate an attitude of responsibility for one's self and family. This and other innovations are not quick fixes, but involve very carefully planned legislation. Th[Truncated]" "* I believe it is long past time for our legislators to put aside the quest for greed-based laws and come together to first and foremost ensure basic common standards of living, including access to food, medicine and education. We continue to [Truncated]" 23982 6/26/06 6:46 PM IL I agree. * The bar should be very high for excluding any children's health item from core health services. Vision coverage should be explicitly included.[Truncated] "Yes. Some preventative things like regular teeth cleaning should be basically free, as in any good health plan." yes Medicaid and Veterans health should be consolidated into Medicare. yes. "* Single payer for all, like Medicare and Canada. Drug finance must be substantially reformed, ending the abuse of the patent and copyright system. Federal government must use its power to control drug costs.[Truncated]" * It's not that complicated. Medicare should be extended to all Americans. The bulk of the revenues should come from general taxation on personal and business income. Payroll taxes are regressive and penalize employment. Some use of sin taxes i[Truncated] 23983 6/26/06 6:46 PM OR I agree strongly with this recommendation. I support the concept of comprehensive coverage across health disciplines. Excellent. "* I want to see a real emphasis on preventive care, on quality long-term health strategies rather than just reactive care. PLEASE INCLUDE COMPLEMENTARY/ALTERNATIVE THERAPIES. When well-monitored by a physician, these are cost effective, have fe[Truncated]" great. 23985 6/26/06 6:46 PM CA I absolutely agree with this recommendation. * It is vital that the representation for this non-partisan group be composed of a wide spectrum of the population and that it be transparent and open to comments from the public.[Truncated] Yes! Yes! * Yes and I think that many physicians would be open to this given that the income for a number of them not on the high end has gone down in recent years.[Truncated] "I agree! (a typo on the 2nd line of the first bullet...""end-of-live"" should be ""end-of-life."")" I am also concerned for those who are undocumented! We can't afford not to finance health care for all Americans. 23986 6/26/06 6:46 PM IA "* Universal Health Care should be seriously considered. It's a disgrace that the ""wealthiest nation in the world"" ranks behind MANY others in caring for the health of its citizens, even though we pay the highest costs on the planet![Truncated]" Practical. "The health care program should continue to be public, not private to enrich insurance companies or the pharamacutical industry." * Just keep the public involvement essential to minimizing privatizing any of it. The so-called Part D of medicare for prescription drugs is an example of going down the wrong pathway. It's enriching insurance companies and drug companies ONL[Truncated] Sounds good. "I'm a Hospice volunteer. As I understand it, these goals are already incorporated into the system." "* Social security and medicare are efficient, effective, and affordable if the Administration would quit eyeing the trust fund for its uses elsewhere. If changes are needed, consider them but do not privatize ANY of it.[Truncated]" 23987 6/26/06 6:47 PM MN This commitment is absolutely essential. "* I am unsure of the distinction drawn here. What sort of guidelines would this ""group"" have? Will the group be dominated by ""experts"" from the health care industry? What criteria other than cost saving and medical effectiveness will be appl[Truncated]" "* Again, it is essential that the program not give away cost savings. The program should ensure that medical costs do not exceed a fixed percentage of disposable income. To achieve that goal, the health care system cannot continue double-digi[Truncated]" * The programs should provide some incentives to avoid the expensive hospital based end-of-life procedures that dominate our present health care system. Perhaps the program could provide subsidies for seniors who elect to forego any extraordin[Truncated] * The shared responsibility concept is absolutely critical. Everyone must be in the same pool to make this work. There must be fundamental cost saving adjustments to reduce the excess profits in some parts of the health care industry (executi[Truncated] 23990 6/26/06 6:47 PM MO Absolutely agree. Yes. """From each according to their ability; to each according to their need.""" Just do it.... "* Obviously, but don't forget that some people made millions last year and used tax loopholes to not pay their fair share of taxes. Fundamental health care for all Americans is part of the ""common good."" Those who don't want to pay their fair s[Truncated]" 23991 6/26/06 6:48 PM MD "YES!! It's about time we joined the rest of the developed world! (And a whole bunch of the ""undeveloped"" too!" 23992 6/26/06 6:48 PM OR "* I like the idea recently adopted by one state in the east (was it New Jersey) that requires people to obtain insurance, and helps those who cannot afford to. [Truncated]" "I am concerned about this ""evidence-based science and expert consensus"". Sounds like it would exclude alternative treatments." Good "* Too much emphasis on the federal government, not enough on state and local which are closer to the problems. Much too much bureaucracy.[Truncated]" "Again concern about ""evidence-based best practices""" " Agreed but should be firmly against assisted suicide." * I totally oppose universal coverage if by that is meant government provided coverage. I have seen the horrors of it in other countries.[Truncated] 23993 6/26/06 6:48 PM WA * I am a Washington State resident and on 5/4/00 I suffered a traumatic brain injury. I was covered by Washington State Basic Health Insurance during this time. I began to see a psychiatrist 2001 for medication evaluation and consultation. Shor[Truncated] 23994 6/26/06 6:49 PM NY "* With rising insurance company profits, higher co-payments, decreased coverage, and unaffordable health insurance costs, many working poor and ""middle class"" people are going without healthcare. We spend billions in Iraq to save lives. Lets pr[Truncated]" Put all health care under a non-profit corporation and use 95% OF MONEY FOR DIRECT PAYMENT OF HEALTH CARE. ABSOLUTELY "* We need ethical, caring, intelligent people who want to protect all citizens as if they were their own family. Keep national politics and corporations out of it.[Truncated]" See #s 1-2-3-4 "* Nursing homes are run as a cost effective business, greatent profit for minimal expense. A hell of a place to spend one's final days.[Truncated]" Act in accordance with our religious values. Love thy neighbor as thyself. Don't let our American Moral Ethics be a matter of financial policy. Are we still our brothers keepers? 23995 6/26/06 6:49 PM IN This statement is absolutly true I agree with the above I Agree with the above "* I agree with the above. I think all involved should be accountable to the general public, no life time appointments maybe even elected. Ban any one from taking jobs before during or after there term on these pannels for ten or more years to[Truncated]" I Agree * If the oil reserves in the rockies materializes use the revenue from that to pay for health care. Also Quit sending so much money over seas.[Truncated] 23996 6/26/06 6:49 PM CA "* If we can spend millions upon millions of taxpayer dollars helping promote the interests of various corporations, why can't we spend money on taking care of Our own citizenry? Also, we need to cut off care for the ILLEGALS who are raping our [Truncated]" Basic health care should be a right. "Americans should not have to suffer because, they can't afford health services." This care should be assured for all American citizens.....CITIZENS only. These are things that should have been in place already. American citizens should be guaranteed from cradle to grave. "* Instead of allowing corporations have free or virtually free access to Our mineral resouces such as gold, oil, and lumber... why can't We harvest ourselves and use the profit to fund things such as universal health care.[Truncated]" 23999 6/26/06 6:50 PM MA "* It is time to do something radical re health care funding, not just patching it up. We had a chance to do so in the early 70's and muffed it. Let's not do that again. Single payer should be our goal.[Truncated]" 24000 6/26/06 6:50 PM PA * Until there is Universal Health Care it will continue to be rationed to the rich. Those that can not afford health care will continue to fill emergency room and wait hours and sometimes days before being seen.[Truncated] No American should lose their home and life's saving in order to get health care. 24001 6/26/06 6:51 PM TX * It is a shame that the riches and most powerful nation in the world does not have health care for all. It is about time that this issue is brought to the fore and a universal program be completed in the next 5-10 years.[Truncated] "* A high-powered blue ribbon commission should be established, such as the 9/11 commission. Its representation should include groups who represent regular and poor Americans.[Truncated]" The government or controlling agency should have the power to negotiate rates and costs for medical insurance and procedures. Definitely agree. Medical access in poor and rural areas is critical to universal care. Definitely agree. "* This is only reasonable, but basic health care for all should be the priority in implementing a univeral system. Other needs can come later within a 10 year period.[Truncated]" We should not tolerate efforts by the elite and political right to sidetrack the issue. * We should not drag our feet on universal health care. This administration doesn't seem to care about finances when it comes to their narrow priorities and taking care of their own.[Truncated] 24002 6/26/06 6:51 PM CA If we can pay for millions for bombs we should certainly pay for all medical costs for ALL AMERICANS. joy miller "too much talking and writing, just give health care to all Americans." let the drug companies cut the prices for their pills. "* Quit the war and pay for Americans to have health care. Just like congress, the president and the vice-president. Cut out security for all past presidents. That would save.[Truncated]" 24003 6/26/06 6:51 PM OK I agree completely. Llooks like a good procedure. Agree Agree Agree Agree I agree. 24004 6/26/06 6:51 PM FL "* We need a National Health Care System instead of being exploited by ""Big Business and their HMO's"" Its our elected leaders put the American Peopl;e First instead of ""Big Business""[Truncated]" 24007 6/26/06 6:52 PM FL "* Congress should have the same insurance; not better . It is shameful how Congress has voted itself raise after raise, free health care and prescription coverage , generous pensions, and perks; while too many americans can't pay to feed thems[Truncated]" see above. "* see above. Pensions and retirees health care and medicine benefits should not be taken away. Workers today deserve the same, and should not have to carry the burden while corporate executives and board members are exorbitantly paid. [Truncated]" congress deserves no better than every other american. see above. see above. see above. 24008 6/26/06 6:52 PM VT "* I believe in universal health care--as I believe in universal education, universal clean air and water, and universal right to vote.[Truncated]" I agree. I agree. Good plan. Yes. We all get there eventually--if we're lucky. Medicare works. A universal system can be modeled financially on Medicare. 24009 6/26/06 6:53 PM NY I completely agree with all of the above recommendations 24010 6/26/06 6:53 PM NC I could not agree more. I agree. I strongly agree. I agree. I agree. I agree. "SOMETHING HAS TO BE DONE ABOUT THE ""CRITICAL CONDITION"" OF OUR HEALTH CARE SYSTEM!" We need have a national plan just like the other civilized nations of the world. 24011 6/26/06 6:53 PM WI "It should be a right, not a privelege, to have health care." Sounds good "Every American should have insurance, and a certain % of their income should be taxed." Good Good Good "* It is time to have some type of national coverage. We do not have to re-invent the wheel here, there are numerous programs world wide that can be studied and explored. I do not believe that the health insurance and medical industries have t[Truncated]" "Should be like a flat tax, a certain %, like the social security mechanism." 24013 6/26/06 6:53 PM MA Totally agree. Yes. TOTALLY AGREE Yes. Yes. Yes. "Yes, totally agree." 24014 6/26/06 6:53 PM CA lsupport I support I support I support I support I support I support your fine work i support. 24016 6/26/06 6:54 PM OH privitization of healthcare accounts is the best way to go we need a new bureaucracy for this effort with highly paid bureaucrats that will pay union dues no one should have to use drinking money to pay for any medical expenses more trees must be used for writing manuals for these things more public employees until everyone works for the gov't & pays union due....we must also unionize the unions what are bullets? doctors must always be sued whenever possible...we need free legal help for this all medical doctors should get part time jobs in convenience store to help with their salary 24019 6/26/06 6:55 PM KY * Make the Congrees and the Senate pay into Social Security like everyone else. Also make them pay taxes on things the have have hinden. also Stop letting them give themselve pay raises. that above the cost of living.[Truncated] take out the corpate Board Rooms. make more comsumer oreniented. Let the docotors decided. Addf mental health to regual health care Red o the Federal from the gound up by indpented peopleThe Va should be complete The Va is total waste "Give the more Funding, take money from the War" Impeach Bush and Vote out the GOP tax the wealthly higher and make companies like Walart pay a tax to help shore the health care systemPrev 24020 6/26/06 6:55 PM FL universal health care for every AMERICAN peiod. 24021 6/26/06 6:55 PM MA I believe everyone deserves health care. 24023 6/26/06 6:56 PM CA "Coverage should be universal, for universal benefit for the society." "* Financing public health is basic to sound national economy. A uniform financing system would prove less costly, with wider benefits.[Truncated]" 24024 6/26/06 6:56 PM HI "* All of our representatives in Washington, D.C. should participate in the health and social security programs that the rest of the country have. Why should they have special ""royalty"" treatment. Isn't this a democracy. I don't remember they as[Truncated]" 24026 6/26/06 6:57 PM PA This should have been done a long time ago! I agree! Should be affordable to all!! I agree. I agree. I agree. none Whatever it takes to get this done! 24029 6/26/06 6:58 PM KY Citizens and Congress should have the same health care system! agree agree A Medicare type plan for all is needed. "* A National HealthCare Plan is needed which covers all Americans from cradle to grave. It would level the playing field for industries competing with foreign companies. And assure no one goes without, or loses their home to pay for medical c[Truncated]" 24030 6/26/06 6:58 PM NJ "* instead of insurance companies making blanket decisions regarding healthcare, patients should be given choices(a,b,c,etc.)with the understanding that various choices may have varying costs to them but at least people will have options and the[Truncated]" "* as a healthcare worker, many times i have seen hospice care denied to patients because they did not have the proper insurance. end of life is hard enough for families without the burdon of cost. death with dignity is the least we can do for[Truncated]" 24031 6/26/06 6:58 PM NY I agree whole heartedly. FMJRP52@aol.com Agree Agree Agree with all.Yes "Yes, all should be taken into consideration." Agree Agree This is long overdue. 24033 6/26/06 6:59 PM FL "* Not only are health care costs rising, but so are rents, housing, insurance, and energy costs, and as a result, homelessness is also on the rise. We need simgle-payer universal health care for all, just as Canada has. Or ""medicare for all"" [Truncated]" Please fix this page! 24035 6/26/06 6:59 PM MD "* Health care should be FREE for all Americans, and it should be jointly funded by corporations which claim to operate under American status, no matter where they oursource to. (In fact, they should be taxed rather heavily by outsourcing), and [Truncated]" This is too wordy. FREE is FREE. See comment 1. "* Yes, Health care should be FREE, completely, unequivocally FREE, and absolutely available to everyone. There is nothing to debate, no agendas needed, no qualifying issues, no enrollment crap. It can be done. High cost and core issues will eve[Truncated]" See comment 1. 24036 6/26/06 6:59 PM CO * George W. Bush is promoting GREED among employers & the rich. The U. S. needs a health care program that will serve the people that built this country & made the rich rich. Let's share the wealth & not just let the rich experience decent he[Truncated] Sounds like we have to start someplace. I agree that no american (legal citizen) should be impoverished by health care costs. I would have to generally agree something has to be done soon. Definately reduce fraud & waste in all health care services. "Also, people could volunteer their time to help the elderly." We must start asap on a solid program that provides health care to every legal citizen in the U. S. Basically we have to come up with a plan that will br affordable to everyone. 24037 6/26/06 7:00 PM CO "* I would be comfortable with an income ceiling say $200,000, at which they would be responsible for their own health care.Perhaps phasing infrom the bottom up income wise, i.e. poorest get coverage first.[Truncated]" "include eye glasses and some alternative (chiropracter, acupuncture,maybe a limited amount for supplements etc.)" good good negotiation for reduced cost with providers. "* I would be comfortable with capped amounts for end of life care. Those who wanted more whould pay extra. I realize that this may appear to penalize the poor, however most cost is for end of life care. Perhaps there could be special insurance [Truncated]" good 24039 6/26/06 7:00 PM TX "* Health Care should be a right, not a priviledge. Giving a tax write off does not work. Those who have pre-existing conditions will not benefit from a health spending account or write off. They are excluded from coverage period. Then what [Truncated]" "You must have basic check ups, prescription coverage, and catastrophic coverage." * Reign in the costs by not letting the health care businessess buy off the Congress and President with high priced lobbying. The fact that Medicare cannot negotiate prescription prices and look for the best prices is ludicrous. This is anoth[Truncated] 24040 6/26/06 7:00 PM MN I agree with recooendation number 1. I agree with recommendation 2 * I believe we have to be very carefull when we talk about out of pocket cost. These costs can be devistating to an individual or family. They can catch anybodys budget of guard very quickly.[Truncated] "* I have a problem wit the phrase ""public-private"". Would be fine as long as private does not include a Health Care Insurance company.[Truncated]" I beleive the Veterans Health Administration is a fine example. For universal Health Care. I agree with recomendation number 6. I beleive this country can and should get to universal health care as soon as possible. I beleive we have to look closely at what the profits are for the health care insurance companies. 24041 6/26/06 7:00 PM WA "* This is a no brainer! Perhaps if we started using the money that we keep throwing at the Pentagon, and to support a war of ""CHOICE"", we could have this without any hardship whatsoever. As we age, and live longer, it's imperative to start de[Truncated]" I think this is very relevant. Basic Health in Washington State is a good model for this. * So many people dealing with chronic or terminal conditions are losing a lifetimes' worth of work to care for themselves or family members. This is obscene! [Truncated] "Once again, a no brainer. This should have been done years ago!" "* Having worked in a teaching hospital, I know the pitfalls, but I also know the incredible level of care! Working on disease prevention would save huge amounts of healthcare dollars, and this country is lacking in this area.[Truncated]" * Dying is not easy not matter what your issue is. One friend of mine is struggling with insurance and doctors while she fights metastatic cancer. This is unconscionable! This would be a great plan![Truncated] "* I know many people who go to Canada for specialized health care because of more reasonable prices, and more options in health care. I also know terminally ill people who go to England and other countries where there is better pain control at[Truncated]" "* Having good health care is not cheap, and I have no doubt most Americans would support it in any way they could. I have no problem with additional taxes on ""Sin"" products in order to aid in financial help for low income Americans. [Truncated]" 24043 6/26/06 7:02 PM NY "* I agree with this recommendation. But, 'Americans' must be US citizens, not just the children born here by immigrants that are on 'working visas', 'educational visas', etc. The entire family should have US citizenship; everyone should pay t[Truncated]" Fine. Americans should not have to become 'poor' and therefore dependent on others in order to pay for medical costs. Have we looked at other countries that provide universal health coverage to see how they're doing? How would our quality care be compared? How do our doctor's feel about this? Are they willing to change? I would like to retire in 4 years and really don't want to have to spend most of my hard-earned money to pay 'just to survive'. "* We would not benefit if we allow our current government to undertake this task. We are already peaked out on enrollee contributions, income taxes, surcharges, sin taxes, payroll taxes, and value-added taxes that our government has enabled co[Truncated]" 24044 6/26/06 7:02 PM IN I support this Brothers and Sister 100% Eye care is also very important!!!! "Yes Yes Yes. A illness even a small one. the cost are VERY exspensive. Prtection for everyone is vital!!!!" Yes no matter how small or how LARGE the area. High qualit health care is VERY important. * Vereran`s Health nework needs to go to a better system to provide a health care system that takes care of are veterans even if the illness is not service connected. [Truncated] care to the dying is vital!!!! Time is very important and we should get this done ASAP!!!!! 24046 6/26/06 7:03 PM TN "* We should have health care for all legal citizens, We have been take advantge of all these years with high cost of medical and prescription drugs and they have been supported by mostly the republican party who wants there money and votes, We [Truncated]" 24049 6/26/06 7:03 PM TX Of course. OK. Yes. yes. Simply expand Medicare to cover everybody. yes. "Expand Medicare into a comprehensive, single-payer medical insurance plan that preserves choice of health-care providers." "Simply expand Medicare to cover everybody, financed by a payroll tax." 24050 6/26/06 7:03 PM CA All of it sounds wonderful. When do we start? 24052 6/26/06 7:03 PM CA * I have experienced being hospitalized without health insurance. I was charged several times what an insured person would have been. It's time to stop victimizing uninsured sick people.[Truncated] All humans have a need and a right to receive health care. It shouldn't be denied because of lack of finances. Absolutely necessary Sounds like progress. Definitely. No person should be denied health care when they need it. 24053 6/26/06 7:03 PM ID "* There is no rational health care system in America, the wealthiest nation in the world. If you are employed by a large company or union, you might have care, if not, you are on your own with increasingly unaffordable bills. Too many people [Truncated]" Not sure how I feel about this. "* This is an absolute must. When people have to chose between food and medications or health care, it is obvious the government has not done the job it is designed to do, represent the interests of the people, rather than those of the medical [Truncated]" This sounds reasonable and rational. This sound so much better than the helter-skelter approach we have at present. "Yes, yes yes! Our elderly are targeted by unethical people who make their last days a hell on earth." "* I believe this must be financed on a sliding scale, with those at the top of the financial pyramid paying the most for insurance and care, they can afford it, might take one or two less exotic trips or might have to put off purchasing the new[Truncated]" "* Let us do away with medicare coverage for the very wealthy, put a cap on the income at which you will be eligible. It is ridicules that one of the richest men in America has his his replacement surgery covered by Medicare! We need a sliding[Truncated]" 24054 6/26/06 7:04 PM NY * Every American should automatically be eligible for either Medicare or Medicaid paid for on a pro-rated basis based on income or lack there of.[Truncated] "* Preventative health maintainence should soon offset the costs of ER healthcare for the uninsured. Couple that with unhealthy life style surcharges for those that choose to smoke, drink alcohol & eat to excess like gluttonous couch potatos.[Truncated]" "* Health care is a right, not a priviledge. No ones healthcare costs should exceed the prorated base amount as it relates to their annual income.[Truncated]" "* The health care industry needs to focus on the needs of the community putting the best interest of the patient before all else. Review boards to evaluate the process, quality & efficency of community based systems should always be in place t[Truncated]" * Get rid of all the bloated beaurocrats & let people do their jobs without wooring about the expense or practicing defensive medicine for fear of liability lawsuits.[Truncated] * Patients & their families have a right to decide to die with dignity since science can prolong their life beyond reasonable limits. [Truncated] "* Health care is a right, not a priviledge. All health care should be Non-Profit. If you're in it for the money, you're in the wrong business. People before profits. All profits should be plowed back into R&D, upgrades & improvements.[Truncated]" "* The Healthcare Industrial Complex is a top heavy, bloated beauracacy that would be much better managed by true healthcare pros than a bunch of non-medical bottom line bean counters destroying peoples lives to save money to justify ludicrous C[Truncated]" 24055 6/26/06 7:04 PM FL "* We have, as the richest nation in the world, one of the poorest systems of health care for its citizens. It is about time we changed that. [Truncated]" 24056 6/26/06 7:04 PM IL * I fully agree! All Americans should have the same access to health care as the Richest 1% if the Nation can afford. A life is a LiFE regardless of their individual financial circumstances.[Truncated] I'd also add vision health and then agree with this whole heartedly. "* In addition to this, health care providers should not be allowed to collect for failed attempts to save a person's life. If a person died, the bill for services rendered should die with them. This might encourage health care providers to be[Truncated]" * Guidelines should be made into law to prevent any group from unfairly accessing higher fees and abusing whatever system is put in place.[Truncated] 24058 6/26/06 7:05 PM TX "* I believe that all Americans should have AFFORDABLE insurance. We provide medicines to Africa, why not to Americans? The Part D is a real joke. Other than the first 3 months very few are saving anything. I am one that is paying more. All [Truncated]" "* No group can decide, fairly, for all what is necessary and what is not. That is part of Medicare's problem today. What is good for me may not be good for my husband, and vice versa. Core benefits should be what it taks to make you whole.[Truncated]" * This never should have been a problem to begin with. All Americans should be protected against bancruptcy from medical bills. After a nominal amount it should be covered.[Truncated] this is not enough information for me to comment. "AThis would be wonderful. IF IT WORKED. It goes back to what is good for one is not necessarily good for all, and vice versa." Everyone should have this written down right now. Maybe sent a form with the income tax forms and get it in writing. * There should be no tax to Americans. Africans do not pay for the free medicine we ship over there by the ton. Other third world countries are provided the honey while we get nothing.[Truncated] 24059 6/26/06 7:05 PM MN "* ""High income"" citizens do NOT need ""protection"" from high health care costs. The guarantee should only be granted to U.S. citizens.[Truncated]" "To reduce fraud and waste, perhaps the government must be more proactive in pursuing perpetrators." "* Obviously, ""health care for all"" will only work if it is funded by those who can afford it - NOT middle/working class families, but rather, those who have multi-million dollar incomes/assets, etc. We can no longer ignore the growing income d[Truncated]" 24062 6/26/06 7:06 PM CO "* I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a BASIC HUMAN RIGHT, NOT a privilege of The Rich![Truncated]" "* I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a BASIC HUMAN RIGHT, NOT a privilege of The Rich![Truncated]" "* Yes! And control the high cost of prescription drugs like other ""Western Democracies"" do! I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a [Truncated]" "* I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a BASIC HUMAN RIGHT, NOT a privilege of The Rich![Truncated]" "* I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a BASIC HUMAN RIGHT, NOT a privilege of The Rich![Truncated]" "* I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a BASIC HUMAN RIGHT, NOT a privilege of The Rich![Truncated]" "* I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a BASIC HUMAN RIGHT, NOT a privilege of The Rich! Multimullionaire CEOs should be taxed 30% so [Truncated]" "* I agree with the Committee's Interim Recommendations. I would have SOME health care if I lived in any other ""Western Democracy."" Health care is a BASIC HUMAN RIGHT, NOT a privilege of The Rich! Multimullionaire CEOs should be taxed 30% so [Truncated]" 24063 6/26/06 7:06 PM PA "Every U.S. citizen should pay into it, including politicians." 24066 6/26/06 7:06 PM PA "* Dental care isn't really necessary. My dental plan only covers the basics. Once, you reach a certain age and the mouth starts falling apart, health insurance doesn't cover any of it.[Truncated]" I am sick of hearing about low income families. Every American should be guaranteed protection. * People who have worked all of their lives should not lose their homes to be able to be taken care of in their old age. It is disgraceful.[Truncated] * I would like public healthcare. I would rather not pay for healthcare out of my wages. Just include the cost in our already bloated tax structure.[Truncated] 24068 6/26/06 7:07 PM MI I totally agree. 24069 6/26/06 7:07 PM NJ Absolutely! That seems about right - it should be similar if not the same as Medicare. Agreed! Medicare is the logical place. Yes. HR 676 is the best answer. 24073 6/26/06 7:08 PM MI * I agree. Every American should have decent medical care that will not burden or bankrupt them. No one should be refused appropriate medical care.[Truncated] "* I agree, as long as the people chosen to make these decisions are caring dedicated people, not chosen as political party loyalists, or, as with the deciders regarding decisions regarding pharmaceutical companies, cronies or lobbyists. [Truncated]" "I agree, as long as it is not like the Medicare debacle." "I hope it is far better than Medicare and Veteran's health care now, or it will be a disaster." "* Amen. Good care at homeor hospice, adequate pain treatment. It is far cheaper to provide so much more in the home where the patient is more comfortable.[Truncated]" "* I agree, as long as the richest citizens pay the most, since they have had the finest care available, and this is no burden for them.[Truncated]" 24074 6/26/06 7:09 PM GA Healthcare is a fundemental human right! 24076 6/26/06 7:09 PM MN "* My daughter had an anuerism. She is a self employed cosmotologist. The cost of insurance is so high she can't afford any. She had it earlier. We have a hardware store. There needs to be a universal insurance that we would pay into for our [Truncated]" 24077 6/26/06 7:09 PM CA "This should include vision, mental health and dental, and be comprehensive, quality care, not bare bones." System should be funded sufficiently to allow timely access to services. Single payer would guarantee this. These should be integrated into a larger program of health care for all. "* Single payer fund is the only way to achieve all of this, and will actually save money while covering everyone (who is a resident for 3 plus months--the moral thing to do).[Truncated]" "Insurance companies should be eliminated in favor of a single fund, paid for out of taxes on employers and workers." 24082 6/26/06 7:10 PM FL Have health care privileges enjoyed by members of the U.S. Congress provided to all Americans Go whole hog. Not in increments Same as above Same as above. Same Same Getting on the subject NOW rather than later. It is too late for millions right now. "Tax all according to ability. Instead of rebates to the rich, graduate payments according to income." 24085 6/26/06 7:11 PM WA * For the past six years there has been a steady decline in public support for the poor class and a steady decline in the standard of living for the middle class. The only segment of our population that has benefitted under this administration [Truncated] * This recommendation would be a good place to start. Perhaps we could look at the model used in Canada and many European countries to examine their approach to health care. [Truncated] These are worthy considerations. I agree. I agree. See above. * If we roll back the tax cuts for the wealthiest 1.5% of our citizens we will come close to having enough money to finance a healthcare system. [Truncated] 24087 6/26/06 7:12 PM FL Yes this should be an inalienable right. "Why should the most powerful nation be number 37th in healthcare? " "* For anyone who professes to believe in the ""right to life"" this should be a no brainer--------if people can't afford to keep themselves alive then this to me is worse than abortion.[Truncated]" Let's get the middlemen out of it! 24088 6/26/06 7:12 PM WA * I think this is a great idea because there are many individuals out there that are unable to afford health insurance. Financial assistance should be assessible at all times because it gives those that don't make very much money the opportunit[Truncated] "Health is very important and so are treatments. Therefore, services should be available 24/7, especially for poor people." Many individuals do not make very much money and deserve the right to services to cover very high expenses. Should be taken into consideration and this kind of help should start NOW. * These things must take effect today in order to help every individual receive health care regardless of where they're at in life. [Truncated] This better take effect today so that those without health insurance can get the help they need. * I totally agree with this because everyone is different and different people need different plans according to their financial situations. [Truncated] 24089 6/26/06 7:12 PM CT I agree ALL Americans need affordable health care ASAP! Good health insurance including alternative/natural medicine is VERY important. Affordable decent health care for everyone. Stop wasting time and lives and make decent affordable health care available for everyone. * Stop wasting time and American lives and finance a health care system for everyone NOW! People don't mind spending money on taxes so long as we get something from them.[Truncated] 24091 6/26/06 7:13 PM NC "* In order to do this effectively we need to begin teaching in kindergarten ""how to stay well"" and that our bodies are designed to repair themselves as long as we provide pure water, nutrients and excercise At this point in time we are taught [Truncated]" Alternative treatments and education as well as allopathic must be included. * Everyone deserve the right to quality health care and quality education about health. Unless this new system of education is implemented we have done nothing expect spend billions of dollars on the status quo and for a few companies to make [Truncated] All persons to receive benefits must be also required to attend education for health. Real education. * We will always have persons with life=threatening major disease. We can reduce that thru education. However we must serve all.[Truncated] "* Having been a counselor for spouse abuse, alternative healer, etc. I have witness folks who when they have ""free"" care run to the doctor with themselves or their children out of FEAR. So I began teaching them about healing themselves thru s[Truncated]" 24092 6/26/06 7:13 PM CA "* IF WE ARE TO CREATE A HEALTH CARE SYSTEM FOR AMERICA AND IT'S CITIZENS, IT MUST BE COMPLETE, COMPREHENSIVE, AND BE PAID OUT OF THE GENERAL REVENUE FUND. IT MUST ALSO INCLUDE PRESCRIPTION DRUGS, MENTAL HEALTH CARE, AND COVER ALL MEDICAL HEALT[Truncated]" * HEALTH CARE MUST ALSO INCLUDE EYE GLASSES OR CONTACT LENS COVERAGE. WHAT GOOD IS IT TO HAVE A HEALTHY PERSON WHO REQUIRES VISION CORRECTION TO FUNCTION SAFELY?[Truncated] "* COVERAGE SHALL BE TOTAL, COMPLETE AND WITHOUT REGARD TO ANYONES ABILITY TO PAY. HOMLESS AMERICANS SHALL NOT BE DENIED COVERAGE BECAUSE OF A FAILURE TO PROVIDE A HOME ADDRESS OR TELEPHONE NUMBER FOR THEMSELVES OR THEIR DEPENDANTS OR FAMILY ME[Truncated]" "* ANY CITIZEN OF THE UNITED STATES SHALL BE ENROLLED IN THE UNIVERSAL COVERAGE SYSTEM FOR THE REMAINDER OF THEIR LIFE, REGARDLESS OF ECONOMIC STATUS, LOCATION IN WHICH THEY LIVE, OR ANY OTHER REASON BY LAW.[Truncated]" * HEALTH CARE MAY BE LINKED TO ONE'S SOCIAL SECURITY NUMBER FOR PURPOSES OF IDENTIFICATION AND TREATMENT. ANY FRAUD MAY BE CAUSE FOR FELONY CHARGES RESULTING IN LIFE WITHOUT PEROLE IF FOUND GUILTY BY A COURT OF COMPETANT JURISDICTION. ANY ILL[Truncated] "* SUPPORT MUST ALSO BE GIVEN TO THE FAMILY MEMBERS WHO WILL CONTINUE LIVING AFTER THE PATIENT ADMITTED INTO ANY SUCH FACILITY HAS PASSED AWAY. BEFORE ENTERING ANY FACILITY, THE PATIENT MUST HAVE A CLEAR ADVANCE MEDICAL DIRECTIVE FILLED OUT AND[Truncated]" "* THE FEDERAL GOVERNMENT SHALL ISSUE THE MOST UP TO DATE FRAUD PROOF IDENTIFICATION CARD TO EACH LEGAL U.S. RESIDENT OR CITIZEN ONLY. ANY COUNTERFEIT IDENTIFICATION CARDS SHALL BE DEALT WITH IN THE HARSHEST TERMS, LIFE WITH OUT PEROLE, AFTER C[Truncated]" "* I BELIEVE THE BEST WAY TO PAY FOR UNIVERSAL HEALTH CARE IN THE UNITED STATES, IS TO IMPLEMENT A PROGRESSIVE PAYROLL TAX STARTING WITH THOSE EARNING ABOVE THE POVERTY LEVEL FOR THE NUMBER OF PEOPLE IN THEIR FAMILY OR DEPENDANT GROUP. THIS TAX[Truncated]" 24093 6/26/06 7:13 PM WA "* Why ""core services""? Why not all medically necessary services? Core services suggest 100% of everything for the fortunate, and something less for low income folks, the unemployed, and those struggling to keep what health care coverage they [Truncated]" * HR 676 would establish a private-public group. That takes care of the first bullet. My response to the second bullet is the same as my response to question # 1...why core benefits? Why not all medically necessary coverage?[Truncated] This is covered by HR 676. * This would be unnecessary if HR 676 was in place today. Everybody is in. Nobody is out! The poor would get the same access to quality health care that the rich would get. ZNo favorites. [Truncated] "* Let's face it: For-profit hospitals, and the insurance cartel have pillaged hundreds and hundreds of billions of dollars from America's medical consumers. With them still in the picture, any so-called ""reform"" is doomed to failure. HR 676 i[Truncated]" HR 676 covers this. "* I sure do! Why the hesitation to jump on the HR 676 bandwagon? 142 labor groups already have, and they've been joined by numerous faith-based and social justice organizations. In 1989, a disturbing photograph appeared in newspapers acr[Truncated]" Read HR 676. It is all right there. 24094 6/26/06 7:14 PM MO "* this recommendation would work the best for my family, i am divorced and can barely make ends meet in paying bills, let alone the doctor bills that are not covered in my health insurance policy that i have from work. i have been sent time ove[Truncated]" 24097 6/26/06 7:14 PM CA I agree as long as this does not include illegal immigrants and their families!!!!!!! Ask Hillary and Bill if this will ever work! They tried for 8 years with a Democratic Congress and finally gave up. That I agree with! "* the premise is good,but do we need any more overly expensive welfare programs. I'm sure if you work and make a living,you will not benefit from this system....just pay for it. As usual! Middle America can't carry everyone!!!![Truncated]" 24098 6/26/06 7:14 PM NM "* Every industrialied (civilized) country, except the US, provides quality medical care and drugs to all of its citizens with their taxes. Also, since we, the American people, provide cadillac medical care for each member of Congress and the pr[Truncated]" 24099 6/26/06 7:14 PM CA Absolutely. Equal health care for all. "* Our taxes as wage earners go to pay for the salaries and benefits of our Congress members. I believe that as their employer, we American tax payers are entitled to the same benefits as our ""employees""![Truncated]" * a study was done which showed that 40% of all bankruptcies were due to medical costs and 2/3 of those who filed for bankruptcy had medical insurance at the beginning. Enough said!!![Truncated] "* Like the federal government took care of the people of New Orleans! Please, I wouldn't let Bush - the killer- take care of my cat![Truncated]" "Again, not the federal government under the fascist Bush!" "* People should be allowed to die with dignity and be able to choose to end their life when in pain and suffering and that is a personal decision. Right now, people's life ends when they run out of money.[Truncated]" "* My beloved older daughter died of an arterio-venous malformation at the age of 26 because the doctor didn't want to do anything more than treat her epilepsy because as he said "" I didn't think she could afford it."" I think that says it all. [Truncated]" "* Kucinich had pointed out that the money that was going to be used to finance the boondoogle ""Star Wars defense system"" would cover the cost of finanacing.[Truncated]" 24101 6/26/06 7:15 PM NC "* Clearly, NOT pproviding quality health care for all - including the 45,000,000 uninsured, ends up being MUCH more costly in terms of the care provided in emergency rooms and unattended pregnancies. [Truncated]" "* The German system of a partnership between the government and private insurers seems to work pretty well. In the UK's National Health Service there has been a renewed interest and implimentation in preventive care and ""well baby"" care.[Truncated]" "* If I were visiting most Western European contries and had a ""medical emergency"" I know that they would take of the emergency BEFORE they ask to see my insurance cards, and in many cases cover the costs[Truncated]" What about financing the cost with one dollar increase in gasoline taxes with rebates to lower income families? 24102 6/26/06 7:15 PM ME I Agree * All american citizens should have access to quality health care. If all employers were required to provide health insurance to their employees the cost would be shared by all and the unethical companies that say they can't compete in the mark[Truncated] 24103 6/26/06 7:15 PM MI "* I have concerns about who will determine & define the term: ""core health care services"". This should be further defined to cover ALL Americans regardless of age, sex, race, gender, sexual orientation, etc., as well as to cover any treatments[Truncated]" "* Health care core services as a definition should continue to evolve as new research is done (should be updated at least annually, and should support the WIDEST range of treatments and care without limiting any health services based on religio[Truncated]" "* I agree that it should include coverage for all Americans, but we may want to explicitly define what type of coverage should be ensured, so that this is not ""tweaked"" in some negative way to diminish coverage over time. So perhaps, that ensu[Truncated]" "* As well as a focus on community-based health problem areas to provide coordinated health care that includes targeted treatment and prevention on any specific areas of health with which a community struggles, as demonstrated by annual statisti[Truncated]" Excellent! Outstanding! "* And it should not be allowable for any one company to have a monopoly on health care financing...we want the treating DOCTOR's to say what should be paid for in cooperation with and with communication with the client/patient, and not the gove[Truncated]" 24104 6/26/06 7:15 PM OR "I am in total agreement with, and support of this." Amen! The 'evidence-based science' is very important!! This is vital. This needs to be protected from cronyism and partisan politics! No more pandering to the pharmaceutical industry by hamstringing Medicare! Yes! Respect is the keyword here. Go for it! All of it! Thank you! "This makes a lot of sense, and will be great, if it can be pulled off." 24105 6/26/06 7:15 PM OR Yes! This is the minimum a civilized society must offer its people. "* it is a fallacy that for profit health care is more efficient. In fact, private health care agencies are about providing shareholders with profits not providing patients with the best qualty care. Therefore the way they organize is inefficie[Truncated]" * It is imperitive that our tax structure is progressive - favoring the poor ove the wealthy. What we have now is a national embarrassment. Those who have benefited most from our system of goverment - the wealthiest Americans - are paying sma[Truncated] 24107 6/26/06 7:16 PM TX This is the only way our great country can remain great. We should have listened to Hillary when she proposed this. We have to do this. We can do this. All this is imperative and we deserve no less. Freedom to choose should be our right. Just do it. "If we can afford to spend $100,000 a minute in Iraq, why can't we use needed resources for our citizens?" 24108 6/26/06 7:16 PM LA "* My daughter died from blood clots in her lungs. The clots had been there causing her a lot of pain, but the choice was feed your children or borrow enough money to see a doctor. She was 29 with 2 small children and a husband who was working [Truncated]" 24109 6/26/06 7:16 PM IL "* I am in full agreement with ""Recommendation 1."" It is a national disgrace to be the only industrialized nation in the globe without a national health insurance program in place (well, AFRICA doesn't have one, either! Small consolation!)[Truncated]" "I vote ""Yay!""" I am in FULL agreement with Recommendation 3. * I don't have one iota of trust that the Bush administration is capable of initiating ANY program that might prove beneficial for the average working families in America.[Truncated] I am in agreement with Recommendation 6. * I simply wish to strenuously reiterate my persuasion that our government - and the Bush administration in particular - has SOLD OUT American working families! There is NO WAY that ANYONE may justify the health care dilemma near-to FIFTY MILL[Truncated] I agree fully with the financing statement as outlines above. 24110 6/26/06 7:17 PM AZ "* Waiting for 2012 is not acceptable! We need this now! Our citizens need to have universal health care. Jobs end, or do not offer it. Jobs pay too little for someone to afford their own insurance. We try to care for ourselves, but it is[Truncated]" 24111 6/26/06 7:18 PM TX * It is inexcusable that the greatest nation in the world does not provide health care to all its LEGAL citizens (illegal aliens should not be covered!) This is supposed to be the land of equal opportunity for every citizen. Equal access to a[Truncated] 24112 6/26/06 7:19 PM WA * I think this is a great idea. I don't find it fair that some large corporations have health care and others rely on government subsidied healthcare when they can obviously afford it.[Truncated] I agree * Bankruptcy hurts our country and therefore certain provisions should be made in order to prevent someone from going bankrupt because of their health.[Truncated] "* Most needed could change at anytime. I don't understand the rigidness of this statement. As long as the availability is fair we should have no problem.[Truncated]" "I like this recommendation. This process should be accessible to any who would like to check or question it." * It sounds expensive but in the long run I think it will help our society and keep family members at work and able to deal with their sick relatives.[Truncated] * I still think that there are many companies who should be providing health care. It is because of these companies that the burden has fallen on other companies and taxes to provide a minimal of healthcare to employees that these companies emp[Truncated] As long as it is fair and doesn't punish anyone or make the burden heavier on one part of the population or marketplace. 24113 6/26/06 7:19 PM TX "* If Canada can do it, why can't the most powerful country in the world do it? Another way of putting it is What good is it being the most powerful country in the world if we can't take care of all of our citizens? The truth is that a country i[Truncated]" Please see the above statement. That says it all. 24115 6/26/06 7:19 PM TN "* I fully support the 1st Recommendation as listed. It would also be wonderful, if paid Health Care especially for Government Employees could be extended to cover grandchildren if parents are unable to afford health care for their children the[Truncated]" "* Be sure to have a panel for exceptions as new technology, medicine and procedures become available the panel needs to have the ability to intiate the usage of these new programs and technology timely with after research to determine it's true[Truncated]" "* The most important thing here is that the middle class not be stuck with everything and that the term middle class include the true middle class which is up to 100,000.00 in high cost areas such as LA NY The beltway and Boston[Truncated]" agree "* keep in mind that Tri-Care makes everything very difficult to obtain with multiple no's before yes on a lot of standard tests and procedures, and has a bulky and cumbersome appeals system[Truncated]" "* That would be great as long as programs did not force any particular program, or force people not to try until the end for a cure or remission it is up to each indiviudal how far they should be allowed to take their treatment, not an arbitrar[Truncated]" "* The idea is good as long as the pre-existing systems are not dismantled to for an HMO type system on indiviudals I pay a premium for my health care so I do not have pre authorizations, referals etc and want to continue to do so, I want to be[Truncated]" * I think this sounds good but until it is set in stone that a % is paid for by the employer and a % by the employee with perhaps reductions given due to pay etc to make it flexible this will not occur. To many small businesses simply cannot a[Truncated] 24116 6/26/06 7:19 PM FL "* This is the Greatest, Wealthiest Country in the World.The United States of America. Treat your own, The U.S. Citizens the way that you treat the United States Senate and the United States Congress. Healthcare and Benefits for all United State[Truncated]" See comment No.1 See comment No.1 See comment No.1 See comment No.1 See comment No.1 "* Look around. Are you better off than you were 8 years ago. Not many are and I don't care what this bunch in office says, They put us there. No excuses allowed. They did it and they can have all of the reponsibillity for it. They want all the[Truncated]" See comment No.1 24117 6/26/06 7:20 PM MA It is time the United States took the same level of care of it citizens as other first world countries. * The program must be equal to the health care package presently available to all members of Congress. It is wrong that they should be funded with our tax dollars and our citizens go without.[Truncated] The program cannot be yet another gift to the insurance industry. It must be cost effective and available to all. "It must as I said above, duplicate the quality and coverage given to members of Congress." * The outrageous outlay of capital the Republican administration has authorized to support this war must end and resources be given to the programs necessary to guarantee the health and welbeing of all who live in the US.[Truncated] 24118 6/26/06 7:20 PM WA * I am completely in support of any efforts to provide affordable health care for all Americans. This shouldn't depend on individual finances. Other countries with far fewer resources than we have do provide universal health care. How can we[Truncated] "* These recommendations all seem good. We need the full spectrum of services -- physical, mental, dental (and what about hearing aids and vision aids?) -- and wellness services should be strong so that we're not just trying to deal with illnes[Truncated]" "* This one seems to be part of the initial point: if health care is affordable, no one should have to be impoverished. Again: this is the wealthiest country in the world, and as I understqand it, we're already outspending other countries for *[Truncated]" * Surely we can learn from European countries that have developed health networks -- and then we can improve on them because we do have more resources. My one concern is that a lot of time will be spent studying this matter when we already kno[Truncated] "* As indicated above, we do already have a lot of programs in place that can be used and expanded to better and more efficient health care. What are we waiting for?[Truncated]" * I agree: end-of-life services are a great idea which isn't yet being fully implemented. People shouldn't have to be suffering through debilitating and/or terminal illnesses just because the system is too rigid.[Truncated] * It seems to me that everyone would agree with all these points if only there was enough public awareness. The people who resist the idea of universal affordable health care are presumably either mistakenly afraid of the costs or brainwashed [Truncated] "* Taxation -- individual and corporate -- and organized investments make sense to me, as long as the taxes are levied on those who have the money, not those without.[Truncated]" 24120 6/26/06 7:20 PM LA Pass minimum health coverage just like minimum wage. Let people decide whether they want to use their money as they go are to buy health Ins. We can't afford this if everyone doen't contibute including the poor. * Not everyone will want this create minimum of 1.00$ per Hr. and soon people will learn the cost and demand more for themselves or get another job.[Truncated] Yes Yes Minimum health care coverage of 1.00$ per hr. 24123 6/26/06 7:21 PM GA "* Even with Medicare, BC/BS, and Medco for meds, I have more medical bills than I can comfortably afford. My heart goes out to those who have no insurance. Some of those people ar friends and family. It's shameful that this happens in America.[Truncated]" "* Study countries, including 3rd world countries that have outstanding medical care and stop over using your minds to define that can work. I lived in Germany and was not even a citizen. My health care was excellent there. I have a friend from [Truncated]" "No one SHOULD be, but many are impoverished by health care costs. Many more ignore health care until it is too late." What? Can we speak English? "* Fraud and waste is your absolute, biggest challange. Between the refferals to specialists, drugs prices and SO much more, we will shut down any chance of affordable medical care. My kids are military and it is the biggest shame of all. So man[Truncated]" If only. YES! I could go on forever. I won't. The country is going backward where our needs are concerned and forword with technology. "* I believe our greedy lawmakers should give up thier latest rasie and past and future to help the people who elect them. Once they are elected they stop listening to us and have the nerve to ask for donations. Doctors coould charge less and [Truncated]" 24124 6/26/06 7:21 PM KY MOST MAJOR COUNTRIES HAVE SOME FORM OF GOVERNMENT HEALTH CARE "LET THE GOV FINANCE, BEFORE WWII EMPLOYERS WERE NOT INVOLVED IN EMPLOYEE HEALTH CARE" 24125 6/26/06 7:22 PM WI Absolutely "* Provide the aboive will be done fairly, openly, responsively to Us the People– which in the light of politics as it's being played now is unlikely.[Truncated]" Absolutely. The civilized nations of the world have long since done this. "HMOs, 'medicine for money', must be eliminated and outlawed." Getting private insurers our of the piicture will do wonders for efficiency and cost-reduction. "Again, the civilized world has already done this decades ago." Good luck! "* Interstingly, for a 'Liberal' I believe it is unfaair to require any employer to provide health-care insurance to his employees. Yet I believe that 'It should be public policy that all Americans have affordable health care.' The only fair,[Truncated]" 24126 6/26/06 7:22 PM OH absolutely! absolutely! absolutely! "Every business should be required to contribute to the national health plan. every self employed person, likewise." 24127 6/26/06 7:22 PM NY "I absolutely agree! This is incredibly important. I believe that we need universal health care in this country. " The core benefits should include any treatment that is necessary to a person's well-being. "I agree. Ideally, health care would be free." "* Good. All people should have access to similar high-quality health care, regardless of income, employment, or geographical location.[Truncated]" "* Improving quality in existing programs is good, but the cost of these programs is not presently extreme. Health care needs to be considered a top priority of the government, not a waste of money. Everyone should have access to a choice of d[Truncated]" "* Again, I support a system of health care where everyone would have full access to their choice of care near the end of their lives.[Truncated]" "* No transition to a new system of health care would seem entirely seamless, but the payoff will be WELL worth it - it is an embarrassment to the country that not all Americans have health care.[Truncated]" 24128 6/26/06 7:22 PM IL "* From what I have read, our health care system is more expensive than in countries that guaranttee all health care. What we pay now to insurance companies could finance a non-profit govt. run system like medicare that has a smal administration[Truncated]" 24129 6/26/06 7:22 PM TX "I agree that all Americans deserve access to necessary medical treatment without financial hardship. " "* Thank you for working on this issue. Many health problems are caused by foods promoted for profit irregardless of their impact on health. The food industry and our Food Department should be held accountable for the food decisions they pro[Truncated]" "* Our lawmakers should give priority to the needs of all Americans, not just themselves re: recent Senate pay increase)and big business interests. [Truncated]" 24130 6/26/06 7:23 PM NC I agree Keep politicians to a minimum on nay committees formed Very important. Poor coordination has doomed many past efforts. Very good The death of my sister showed me the value of hospice care. She died peacefully and without pain. Good lick!! Eliminating the tax break for the wealthy should provide the necessary funds. 24132 6/26/06 7:24 PM NY I APPROVE. I APPROVE. I APPROVE. I APPROVE. I APPROVE. I APPROVE. IT IS LONG OVERDUE THAT WE HAVE PROGRESSIVE AND COMPREHENSIVE HEALH CARE IN THIS COUNTRY I APPROVE. 24133 6/26/06 7:24 PM MO Excellent. * The language regarding appointing members seems overly broad to me. What mechanisms are there to assure that we get people who will actually help solve the problem instead of making it worse?[Truncated] Agreed. No comments. No comments at this time. Agreed. Not at this time. Agreed. 24134 6/26/06 7:24 PM CA "I hope such a ""core"" would include contraceptive and family planning services." Excellent idea. "This is a wonderful recommendation, particularly the funding idea." 24135 6/26/06 7:24 PM PA * Healthcare for all would guarantee basic coverage that would lead to better quality of life and lower health care costs for major illnesses that now go untreated.[Truncated] 24136 6/26/06 7:25 PM FL "* There is no rational basis for our government to deny the basic healthcare that all civilized countries provide to their citizens, that is recognized by the U.N. and international treaties as one of its fundamental duties.[Truncated]" "* Healthcare should be provided that meets at least the same standards as the system in Canada, and at about the same cost. The W.H.O. report on healthcare outcomes in different countries indicates clearly which are the most serious deficienci[Truncated]" "National Healthcare System! Progressive taxation! Everyone else can do it just fine. What's wrong with us?" "* Local government should employ a complete network of Health Visitors for new mothers, sick elderly at home, and others in need of care, education and supervision in the home.[Truncated]" * Use the power of bulk purchasing to bring down pharmaceutical and hospital costs. A recent report separated Glaxo Smith Kline's revenue into four components: research; production; marketing and administration; and profit. The largest two we[Truncated] "Healthcare - a human right, not a consumer choice!" "* It is unconscionable to waste the nation's resources on a redundant Cold War military industrial complex, on waging wars in violation of the U.N. Charter, and on an ""intelligence"" system that is designed to destabilize other countries and dec[Truncated]" 24138 6/26/06 7:26 PM FL The public policy should be that health care is a right. "* We should look to other more experienced countries when choosing the limitations of coverage, however with the elimination of cororate profits and administative costs, there will be more money than we have now. People do not overuse healthca[Truncated]" * It is absolutely necessary that the national program be publicly financed to avoid the waste of a profit-driven like the one we already have. [Truncated] "* As long as community based centers exist for the purpose of serving only ""vulnerable"" populations the care will always be sub-standard. Why else would there have to be a separate place. One single-payer system that pays for everyone to go t[Truncated]" A single payer system would provide for this also. "* Health care is the biggest financial burden for Americans. HR 676 in congress is the simplest way to address this problem. We already have a system in place; medicare, which need only be expanded along with the elimination of the privatized[Truncated]" * In order for our country to have a national healthcare system it would not require additional financial investments. Americans already pay more for healthcare than any other developed nation and yet we are ranked only 37 in the provision of [Truncated] 24139 6/26/06 7:27 PM TX Single payer like Medicare seems to be the best model. Experimenting to figure out what works is perfectly acceptable in the real world; it should be in politics too. 24140 6/26/06 7:27 PM CA * Availability and accessibility of primary and preventive care would encourage more people to seek care before problems become major emergencies or long-term chronic conditions. This would be to the advantage of all concerned; the individual b[Truncated] "* Again, referring back, prevention and early treatment are invariably associated with both lower costs and better outcomes. This applies to physical, mental, and dental health equally! One of my pet peeves is that the lack of parity in mental [Truncated]" "Bravo. Who's going to define ""very high""? Very high for me isn't pocket lint for Dick Cheney." "* I think this is called the Public Health Service. If you want to do something really smart, here's an idea for you. Recruit for the Public Health Service just like DoD does for military service, from physicians to nurses, to all the alli[Truncated]" "* Go for it. I'd love to be able to find out what the cost of ANYTHING is. Every time I've asked, the answer has always been ""What's your insurance?"" Which tells me that there is some massive book-cooking going on.[Truncated]" "* Agreed! I would also encourage the greatest possible support for people who want to stay at home, with respite care available as needed, or visiting care-givers available.[Truncated]" "* Based on my own experience, I would suggest the immediate implementation of triage centers at emergency rooms. It is sad but true that our ER's are often overwhelmed by non-emergencies. These non-emergency cases are often people who use the E[Truncated]" 24142 6/26/06 7:28 PM OH "* Since corporations, and now, companies of all sizes are enjoying the government sanctioned right of telling their workers that there are no longer benefits such as pensions and health care, it falls on the government to collect back the profi[Truncated]" See Above. 24143 6/26/06 7:28 PM IL NOW NOW NOW NOW NOW NOW NOW NOW 24144 6/26/06 7:28 PM OH * I really believe that ALL U.S. citizens should have health care reguardless of income. I would even go so far as to socialize it.[Truncated] 24145 6/26/06 7:29 PM NJ "* Actual Health care providers should be compensated for the work they perform, not HMOs. Family financial security IS NAtional Security![Truncated]" Healthcare will cover physical and mental needs ofeach citizen. Coverage for NO Illegal aliens! """Private"" should be as devoid of ""corporate"" interests as possible." * Those who are found to have defrauded the system will pay by spending the rest of their lives as human experiments or IED detectors or both![Truncated] "* All controlled substances should ready for the pertinent doctors to dispense once the prognosis is irreversible. If Ecstasy is found to take the edge from the pain of death and the patient consents, so be it![Truncated]" "* Abortion should be free and on-demand pending the discovery and successful clinical trials of a procedure to remove any unwanted fetus from a womb, transplanted free of heredity and disease into any other support vessel that can complete gest[Truncated]" "Healthcare should not be a business, but a mission." 24146 6/26/06 7:29 PM IL * Our Health care system is a mess. Only the rich can afford good health care. We are always being told to get checked for something or other. Those of us that don't have adequate health insurance cannot afford to be going to a doctor every wee[Truncated] 24148 6/26/06 7:30 PM AZ "WHY WAIT!!! MAKE IT SO!!!" MAKE IT A BONAFIDE NONPROFIT ORGINIZATION " THIS IS ESSENTIALY EQUABLE FOR THE HEALTH&WELLBEING OF OUR NATIONAL INBODYMENT" "* MAKE IT A BONAFIDE NONPROFIT ORGINIZATION, OR FOR PROFIT WITH A 20% PROFIT MARGIN MARSHALED EVERY YEAR FOR THE COST & DISTRIOBUTION OF FUNDS[Truncated]" "MAKE IT SO!!! THIS SHOULD HAVE STARTED YEARS AGO!!! THE SOONER THE BETTER!!!" NOW YOUR ON TO IT A TOTAL PACKAGE FROM THE FIRST DAY TO THE LAST!!! "* TO PROVIDE A NATIONS CITIZENS WITH A TOTAL HEALTH CARE PACKAGE ATTAINABLE WITHOUT DURANCE TO FINANCE SHOULD BE OF UPPERMOST PRIORITY[Truncated]" "THIS IS A PRIORITY ""A1"" ISSUE!! WHY WAIT!!! " 24149 6/26/06 7:30 PM CA * That sounds okay...I'm still concerned that certain procedures may not be considered necessary especially preventative and diagnostic medicine.[Truncated] Make sure HMO representatives are minimally or not represented... "There still needs to be some mechanism to allow for innovation which means experimental or ""unproven"" treatments." * I'm most concerned that we NOT end up with a highly tiered system where those with the income can buy fundamentally better care and those on the bottom of the economic scale get a stripped down version.[Truncated] "Sounds good. People who still have employer paid coverage need to be reassurd that they are not ""losing"" anything." 24150 6/26/06 7:30 PM CA * Any employer caught with undocumented workers on their payrole should be forced to put a specified amount of money into the health care system.(sum based on each employee x a set amount)[Truncated] 24151 6/26/06 7:30 PM AZ "* We need single payer health care. The key here is the phrase "" financial assistance available to those who need it"". The definition of need is crucial to implementation of this Recommendation. We already have the highest price health servi[Truncated]" "Sounds great, again when will this be implemented?" "* What is the definition of ""very high health care costs""? And ""very high out-of-pocket medical costs'? Not enough specificity here. Sounds great but need details and implementation date.[Truncated]" No comment. "* The biggest cost is having multiple HMO's with repetative admistrative costs, including very high executive slaries and perks. Eliminate them all into one organization supervised by an independent public/private watchdog group. [Truncated]" Wonderful. When will it be implemented and who will pay? "Time is of the essence. We need implementation dates, not great sounding words or it will never happen." 24152 6/26/06 7:30 PM OH I beleive that eye care should also be included. 24153 6/26/06 7:31 PM OK "Yes, we need this." "Yes, we need this." "Yes, we need this, but, a private program without public supervision could prove to be a problem." "Yes, we need this." "Yes, we need this." "Yes, we need this." * The wealthy should not have so little compassion that they laugh with joy when the unwealthy die because they can not get health care. [Truncated] "Yes, we need this. Also, increasing taxes on the wealthy would help." 24154 6/26/06 7:31 PM MI "* Access to expensive medical procedures should be ensured. Everyone should be allowed access, with or without proper identification. Problems can be sorted out with time, but a heart attack is irreversible and a broken bone that sets wrong in [Truncated]" "* Efforts should be made to remove profit from healthcare as much as possible. Health care should be free to everyone and as long as the majority of fees are going towards padding investors pockets, there will always be excessive amounts of cha[Truncated]" 24155 6/26/06 7:31 PM IN "* Every American should have affordable, general health care. If we can fight wars around the world and help others, we sure can have affordable health care here[Truncated]" 24158 6/26/06 7:34 PM MO "* All Americans should be enrolled in the same health care program as that of our elected congressional representatives, federal political appointees, and federal judiciary. [Truncated]" 24161 6/26/06 7:35 PM PA "* Profit should not be made from old, sick, or disabled people. This health care system desperately needs to be changed, to a more compassionate, non-profit system, with medical personell dedicated to healing their fellow human beings, instead[Truncated]" "* The USA is the only developed nation in the world, that does not have National Health Care. This is travesty and disgrace. We, as a nation need to school and train people to work in a National Health Care system. There are many caring dedica[Truncated]" 24163 6/26/06 7:35 PM FL "* Considering that most bankruptcies are caused by medical problems and it is the biggest expense for small (and large ) businesses, anything that can be done to remove the fear of needing medical assistance has no down-side unless you are an i[Truncated]" What about visual benefits? Everything else sound great! * Inequities already exist in payment schedules for those with insurance and those without. Evening those out right now would do a lot to alleviate financial burdens an those without insurance.[Truncated] * Having members of advisory boards free of industry influence and making their dscisions an unpolitical event would put common sense in the driver's seat.[Truncated] "* If members of congress had the same health benefits as the rest of the nation, I'm sure the tax-paying citizens of America would celebrate!!!![Truncated]" Everyone deserves a peaceful passing. Keep up the good work!! * Prevention is the name of the game. Free enterprise and the ability to pervert the first amendment to accost young children through unrelenting advertising should be curtailed or taxed.[Truncated] 24164 6/26/06 7:36 PM TX "* YES,AND LET SOME OF THE POLITICIANS WHO GET LIFETIME HEALTHCARE PAY FOR THEIRS OUT OF POCKET LIKE THE REST OF US HARD WORKING AMERICANS[Truncated]" "* I AGREE ON THIS ISSUE.EVEN THOUGH I DO HAVE DENTAL INSURANCE,PATIENT PORTION IS STILL OUTRAGEOUS, AND I AM GOING WITHOUT PORTIONS OF CARE DUE TO THE COST[Truncated]" "* gO FOR IT, I WAS FOR IT DURING THE CLINTON ADMINISTRATION,BUT DUT TO THEBIG BOYS THAT LOBBY AND CONTROL INSURANCE, IT DIDN'T HAPPEN I HOPE UNTIL CHANGE HAPPENS THEY MAY FEEL THE MISFORTUNE THAT SO MANY HAVE HAD TO ENDURE, THEN MAYBE THEY WILL[Truncated]" "* AS REGUARDS TO COMMUNITY HEALTH NETWORKS, AS LONG AS CITIZENSHIP IS PROVEN, IT IS ABOUT TIME THIS HAPPENS.THE RISE IN ILLEGAL IMMIGRATION IS SUCKING DRY THE AVAILABLE FUNDS WE NOW HAVE.[Truncated]" i FEEL THAT THERE ARE PLENTY OF NON-PROFIT HOSPICES ARE AVAILABLE FOR END OF LIFE CARE 24166 6/26/06 7:37 PM MO * I am embarassed that our country does not care enough about all our citizens to provide health care for everyone. The USA's values are confused and we cannot tolerate inaction any longer. A healthy nation is the most important ingredient miss[Truncated] Recommendation 2 is a good place to begin the process. The system can be continually refined. I agree strongly. * Begin the process in the areas where help is most needed. Do not allow perceived social status to prevent the most needy from being treated first.[Truncated] "We also must concentrate on prevention by educating the people about the value of healthy diet, vitamins and exercise." * There is a woman who works at St. Lukes Hospital who is highly qualified to give you advice about clinical realities. Her name is Gail and her maiden name is Simmons.[Truncated] Fight hard to provide health care for all and not only the elite. The revenue generated from the inheritance should be used to improve the health care system. 24167 6/26/06 7:37 PM CA "* Right now hospital costs for the uninsured but not-low-enough-income to qualify for Medical are astronomical. I was charged $13,000 for a single day's stay in a local hispital. Blue Cross had a negotiated payment of $1,200, a 97% discount. Th[Truncated]" 24169 6/26/06 7:37 PM FL "* We think it is a shame that in a nation as rich as ours there are people we go with medical care, that children suffer preventable diaseases and our elders can't get the care and attention they need. The federal government is responsible for [Truncated]" 24170 6/26/06 7:37 PM MI will not particpitate if insurance companies are running the program or have any involvement at all. "* again what do we pay taxes for if not for the government to help its citizens when they are in need of assistence, every other country in the world takes care of its senior citizens except the most prosperous country in the world.[Truncated]" private companies lead to greed and nothing more. * cut back the defense budget by 1/4 look at the figures and stop all this foolishness and take care of the seniors.put the money owed to social security and again look at the figures.[Truncated] "* look at what you already have in the federal promgrams, put in people who can do the job right stop the waste, misuse of funds and the total lack of responsibility among the federal employees.[Truncated]" just give us what we pay for and put our money (taxes) to work for us and not corporate america. "* the people of this country pay enough taxes, local, state and federal to support another country with common sense and less greed.[Truncated]" 24172 6/26/06 7:38 PM VA "* We have many, many issues which need to be resolved in the national health care front. Socialized medicine has so many negatives, but yet it also presents the most positive means of ensuring our entire populace has access to needed health ca[Truncated]" * There needs to be a careful balance between protection of the medical facilities and professionals against petty litigation and justice in true negligence cases--some means to bring the cost of insurance for the health care professionals and [Truncated] 24173 6/26/06 7:38 PM FL "A number of other countries provide universal, affordable, comprehensive, high quality care. We should learn from them." "* The core should be very comprehensive. Otherwise, we will create a broad group of second class citizens. I believe approximately 95% of Canadians' health care need are met through the public system there. Only about 5% of the wealthiest Ca[Truncated]" Indeed! But these goals should be met by providing a more comprehensive public system. "* Integrated community health networks offer the ability to provide a broad range of care to a large number of people. If run as non-profits, they will provide a way to hold down costs.[Truncated]" "* Efficiency can be good as long as we don't define it in terms of maximizing profits. The low administrative overhead of Medicare (about 2%, I believe) is a good example of efficiency, compared to the nearly 40% at Cigna.[Truncated]" I don't know what we would do without hospice for my elderly mother. "* I think it is important to educate the public about the different systems other countries have used to provide universal, affordable, high quality care. Canada, Holland, Japan, Sweden have all developed systems that are somewhat different bu[Truncated]" * All people in the US should have affordable health care. Countries that have achieved this goal tend to have a single-payor system. We should consider such a plan seriously. The comment above that we will need to move gradually is quite fr[Truncated] 24176 6/26/06 7:38 PM TN "* As of this time my wife and I have no health care. We simply can not afford it. If we were to purchase health care, my wifes full pay check would go to the cost of insurance. She is in her 50's and needs yearly check ups and we just can't aff[Truncated]" 24179 6/26/06 7:39 PM CA "* We are in a health care crisis that requires action. Now that employers are trying to get out of the health insurance requirement, there is a significant vacuum which requires government action. Every American should have access to good healt[Truncated]" I especially agree that health care should be comprehensive as described in this recommendation. * We should do this. we can do this. allocation of resources...maybe our elected representatives should have exactly the same coverage as any other AMerican.[Truncated] "* A sound investment. I would want to know the checks and balances on this unit, and be assured that the head of this at the national level is someone with ourstanding qualifications. Please no political hacks, i.e, Michael Brown![Truncated]" We will need a healthy over site program. Hospice is a wonderful program and I assume that it would be support within this recommendation. "* THe US is, I understand, one of the few developed, first world countries that does not provide health care for its citizens. THe middle class is getting squeezed as we learn daily of efforts that protect our wealthiest citizens, i.e., repeal [Truncated]" * I am willing to be taxed appropriately to provide this health care security to my fellow Americans. This isn't altruistic; it just plain makes sense and is the best way I know to reduce health care costs over the long run by providing care i[Truncated] 24180 6/26/06 7:39 PM WA We are already paying for this care in the form of critical emergency room visits. "Once again, much of this is already being paid for by people who have emergency care." Health care can still be private and public. We are rationing health care by financial circumstance. "* People need good health care and protection from poorly trained doctors. Doctors need to have their educations more fully funded, so that they do not start out poor.[Truncated]" "* The money spent on keeping people alive in their last five years of life, would be better spent making their last moments comfortable.[Truncated]" * The insurance companies must become nonprofit entities if we are to get out of this mess. 30% of health care costs are administrative and this must be reduced.[Truncated] We need to spend less money on the defense department. 24183 6/26/06 7:40 PM FL I wholeheartedly approve. Great concept! "* Great idea, but not specific enough relating to what will be covered. Should it be life-threatening procedures only, or include cosmetic ones such as tummy-tucks or face-lifts? Good luck in trying to clearly define what should and shouldn't[Truncated]" * Does this mean that the federal government will once again be tasked with cleaning up after big businesses make a mess of things because of their myopic focus on profits? Will the poor and those with chronically high medical costs be dumped[Truncated] "Once again, good luck!" Great! "* Please don't let either my own critical comments or anyone else's get you down. This is a monumental task all of you have undertaken, and you are to be commended for your efforts on behalf of all Americans.[Truncated]" "* I believe these are great goals. However, I personally believe that a single-payer system could save a great deal of money by eliminating medical insurance companies - whose huge paperwork requirements and profit margins run up medical costs[Truncated]" 24184 6/26/06 7:40 PM CA "* This is not a revolutionary idea; it is only common sense. The pharmaceutical and insurance industries are trying to ensure higher profits by driving health care prices beyond the reach of ordinary Americans, without regard to the fact that [Truncated]" * Our country is in desperate need of affordable health care for all citizens. The only way to provide it will be to take the choices on what care is provided and what the cost will be away from the insurance companies and pharmaceutical compa[Truncated] 24186 6/26/06 7:41 PM IL "Care should be delivered in a timely way, as well as high-quality." Union nurses should be on this committee. * The plethora of insurance plans adds greatly to the cost of health care. More time is spent on paperwork than caregiving. Streamling this should be part of your plan. Fair wages and working conditions for nurses and other health care workers[Truncated] 24189 6/26/06 7:41 PM WI National health care! That would be real homeland security! "* Allow people to have euthenasia available in their living will should they become brain dead or have an incurable illness that is causing them much pain and suffering. Just to be clear, this would be optional for the individual to choose whi[Truncated]" 24192 6/26/06 7:42 PM MA yes yes single payer health care for all yes yes yes Single payer health care for all single payer health care for all 24195 6/26/06 7:43 PM CO "* The basic purpose of government is to provide sevices, benefits, and protections to the citizens that are beyond the ability of the actions of individuals--or, as here, of the private market. There is a broad consensus that this is a benefit [Truncated]" "* Defining the level of benefits is hardly an obstacle. We already have insurance companies, with their adjusters serving as gate keepers according to specific criteria. The only difference here is that these choices will now be subject to inpu[Truncated]" "* see comment immediately above. Also, the bottleneck in the development and distribution of prohibitively high cost services is that these services are allocated to such a small part of the population that economies of scale have not developed[Truncated]" "* Here, the unmet need that is beyond the ability of the present profit driven system is the broad field of preventive health. This is the key to a healthy population, and includes an inherent commitment to overcome poor nutrition, unhealthy wo[Truncated]" see comments to #4. "* While much of the health care system will, and should, remain in the market place of private providers, some parts of the system will necessarily be provided by public, tax-payer, financed providers.[Truncated]" "* Yea! yer darn tootin', it has been and remains a scandal and beyond comprehension that this fundamental aspect of the ""social contract"" between american citizens and their government has been taken away.[Truncated]" "* It is a myth that public finances cannot sustain such a large project, or expenditure. The fact is there is so much waste of public resources by the private interests who have captured government and the public purse for their own benefit tha[Truncated]" 24196 6/26/06 7:43 PM OH * I believe recommendation #1 is vital. I am sick and tired of only the wealthy having access to proper health care and the medical field being driven by nothing but profit. It's time to change this system altogether.[Truncated] "* If it can be done, I am all for Recommendation #2. However, the group appointed to do this MUST be completely non-partisan and have the best interests of the American people at heart, and not just that segment of America who is the wealthies[Truncated]" "* I am definitely all for Recommendation #3. Our entire system needs revamped because it is rife with corruption and special interests that are driven by greed, to the exclusion of caring for the people of this nation. It's a travesty that so[Truncated]" "* I approve of Recommendation #4, again if it is governed in a completely non-partisan manner and if those in charge of doing these studies can do them without involving all of the 'pork' studies that are so rampant whenever the government beco[Truncated]" "* Recommendation #5 is vital. I work in the Medicaid field and fraud is rampant. Consumers not only do NOT get basic necessities in a lot of cases, but when they attempt to find out exactly what Medicaid is paying for, regarding health care p[Truncated]" "* This is an area that definitely needs to be addressed. However, people need to have the option of staying in their own homes and receiving services and not be forced to be shuttled into nursing centers for palliative care when the family is [Truncated]" "* The medical system currently in place in this nation is a travesty. Under our current system, the dollar rules and only the wealthiest and most powerful receive the best of care, everyone else is left in the dirt and nobody cares, ESPECIALLY[Truncated]" "* I am one of those who would not mind a fair and equitable system of financing the cost of health care for all Americans, based on income. I believe that those of us who are blessed with greater wealth have a greater responsibility to contrib[Truncated]" 24197 6/26/06 7:44 PM TX "I agree, and I am glad the word ""insurance"" is NOT used in this recommendation." "I agree, and if Canada can do it, America can." Might cut down on the bankruptcy filings and actually help the economy too. We could have had this by now if the dialog wasn't nixed during the Clinton administration! "TRICARE should not be used as an example of what we want, in my opinion." "Having just gone thru this, I will confirm that the current process is broke!!!" "Thank you for your work on this effort. If I had any money, I'd send it to help out." We could start by diverting the $250 million per day used to fight a war in Iraq. 24200 6/26/06 7:44 PM PA "* The Declaration of Independence guarantees certain inalienable rights, Including the right to life, liberty, and the pursuit of happiness. How can we guarantee the right to life and deny American's needed drugs and treatments? How can we guar[Truncated]" 24201 6/26/06 7:45 PM TN "I agree, but the timetable is too long." I agree with all of Recommendation 2 See Medicare proposal See Medicare "Finally, good answers." I agree. "* Healthcare for all is needed, and needed now. People are not able to go to Dr.s, and then the cost of a catastropic illness, is almost predictible.[Truncated]" "We have a workable program with Medicare, which could be used to help all citizens." 24202 6/26/06 7:45 PM MA I think that pretty well covers it. "* Once again I emphasize the elimination of privatized health care. I do not support any involvement of the private sector, i.e., the insurance companies, as they are the reason that health care is so expensive and the reason we don't already [Truncated]" "I support developing and expanding public community networks of health care providers, but not PRIVATE care providers." "* I feel that if all other industrial nations can afford a NATIONAL HEALTH PLAN provided by the government, so should we. The resources can come from taxes, however, I feel that the wealthy should be taxed much more than they currently are. T[Truncated]" 24207 6/26/06 7:47 PM CA I agree! YES! YES! YES! YES! YES! Health care for everyone! 24209 6/26/06 7:48 PM FL "* As a citizen of the only major industrializwd nation without guranteed health care, I support any effort to bring universal health care to the US.[Truncated]" 24211 6/26/06 7:48 PM KY push for approval pass it pass it pass it pass it "use funding for illegal alien hospitalization,or other packages they receive that our older tax payers don`t but pay for." 24213 6/26/06 7:48 PM OK "* National care policy for all. Those that have insurance are already paying for those that don't. Americans should not, after working and saving for all of their lives, have to spend everything they have for health care. Congressmen and Repres[Truncated]" "Again, this is a radical improvement from what is in place now." Definitely needed. A great idea. Good. Good. "Impeach George W. Bush, and his supporting allies." I'm all for it. 24215 6/26/06 7:49 PM OH Make health-care affordable for all!! 24216 6/26/06 7:49 PM NJ "* Coverage of mental health problems is absolutely necessary and should be covered equally with physical health. If people had equal access to mental health services as physical health services, there would be an actual and significant savings [Truncated]" Effective ways to simplify billing and reimbursements must be found and instituted. 24218 6/26/06 7:50 PM CA This is a vital issue that must be addressed. Please take care of this NOW! YES! Absolutely YES!!! YES! YES again! DEFINITELY! PLEASE DO THIS! YES! 24219 6/26/06 7:52 PM FL "* In this country there is no reason for anyone to go with out health coverage. Other country's have managed care and we don't see people being exported in body bags, do we? The health care system is extremely fat on just knowing what and when [Truncated]" * This group of individuals must be controled and populated by the general public and not those groups with a direct financial interest in the outcome.[Truncated] * What good is it to burden the ill with debt they will never be able to pay? Again I say that the only way is with a national health plan that we can allow these people to not be afraid to see a doctor and therefore we might stop some of the i[Truncated] * Let's just let everyone have coverage and to hell with special interest agendas. All this does is create more cost on the system and less coverage to those who need it. We have proven this many times over with the current medicade system.[Truncated] "* Want to know how to finance the health care system? It's easy, apparently $3.00 a gallon gas has no impact on the wealthy and those who think their wealthy American. I propose we place a 6 or 7 dollar a gallon tax on top of the fuel price and[Truncated]" 24221 6/26/06 7:53 PM FL All your ideas sound well thought out 24222 6/26/06 7:53 PM WA * I work with people who have low incomes and I have seen many people struggle unncessarily because they did not have access to health care for themselves in their children. Often times folks who do not have healthcare go to emergency rooms fo[Truncated] 24223 6/26/06 7:53 PM OR * Americans should be free to choose their health care system and provider and should not be made to provide or donate to a health care system that they do not want and are not going to use. Health care for those whose employer does not provide[Truncated] * If you really believe that the government can provide any kind of benificial health care to the American public you're nuts. Just take a look at the latest effort of the government in that general area. Namely the Perscription Drug Plan. What[Truncated] * Let the government back a plan where those that did not plan their life and that earn under a set amount can donate a fee to the government and the government make up the rest out of general taxes (no special taxes)and leave the rest of us th[Truncated] * If you want to do something of value to drastically lower health care costs and provide more care to more people then forget about getting into health care. Get into the insurance business and provide all health care providers with malpractic[Truncated] * You're going to have the federal government improve quality and efficiency? What a laugh! The government is the organization that goes on a spending spree at the end of every fiscal year to spend out their budget rather than save it! Quality [Truncated] * Leave the private health care systems alone. Check out and incorporate the Oregon Assisted Suicide plan nationwide to give people another choice. Its not right for everyone but it should be an option.[Truncated] * Yes I have a comment. Keep the government out of my health care! I planned my future. I worked hard and long and I have what I want and I don't want the government stepping in and making me pay more and get less than what I have now. Educate [Truncated] "* I do not want to be part of ANY government health care system! I planned my life, my education and my career. I was not from a rich or even middle class family but I saw what needed to be done and I got up off my ass and did it. The same oppo[Truncated]" 24224 6/26/06 7:54 PM WI "* I agree, some of those without health care right now drive up health care cost. This means we should have EVERYONE with some health coverage. Also those company's who chose not to insure their employees have a unfair advantage over those who [Truncated]" * You know I see (private or public) in the above and I need to let you know. I do not trust the (private) program at all. In our area the last 5 years our health insurance has gone up by as much as 27% in a year. I do not see any (private) Ins[Truncated] "* As I said above. All company's should offer health coverage to all their employees. Making a unified system evens the feild for all employers, taking away the disadvantage for the concerned employer.[Truncated]" 24225 6/26/06 7:54 PM AK "* I totally agree, a catastrophic illness or work related condition can reduce a productive citizen to an impoverished non -productive state of being in short order. If an affordable Health Care plan was available to all with a strong emphasis [Truncated]" * A partnership for a healthier America is the best plan every citizen could be a partner with a share in their own health and the health of their country's health care system.[Truncated] "* When citizens are financially broke, they are also spiritually broke, It cost more to fix someone or something than to maintain it or them in the first place.[Truncated]" "* Funding for Prevention is always the first to be cut in the medical model, it is hard to measure proactive outcomes with a break and fix mentality formulary.[Truncated]" 24226 6/26/06 7:55 PM PA "* I work in health care and believe everyone should have high-quality health care. However, I don't want to see an outcome of mediocracy. Where the middle and lower class have to fight to get an appointment, if we are lucky, within 3-4 months[Truncated]" "* I have yet to see an independent, fair, transparent and scientific process developed by the government. They tie things up with legal mumbo-jumbo, hearings, and bullshit. I don't see them getting this right, either. I honestly don't know w[Truncated]" "* I agree. But, where will the money come from? My taxes? We almost encourage a number of low income individuals to stay that way. A select group of people know they can come to an ER every week and we can't refuse to care for them, even wh[Truncated]" "* Well, I worked at, as well as managed, a Rural Health Clinic. It was almost impossible to get the help you needed to run it efficiently (you have to pay for that help) and still turn a profit to stay in business. Getting reimbursement from [Truncated]" "* Blah, blah, blah. I also worked at an Army base. We ran out of supplies. An emergency room out of crutches, slings, bandaids, etc. None could be ordered until Congress passed the budget. Oh yeah, that system works real well.[Truncated]" I agree. "* I think I have rambled enough. I could go on and on and on and on... You may publish my comments, if you wish, but, I DO NOT want to be identified. I need my job to help send my children to college, which is a whole other discussion in itse[Truncated]" "Now, I am really scared!!!!" 24229 6/26/06 7:56 PM SC * People who are below poverty level should have a government-subsidized program to help them meet their healthcare needs and there should be bigger tax credits for small businesses so their employees can afford healthcare![Truncated] * The government program helping low-income people should stress prevention and tests such as mammograms and other health screenings should be free since it is cheaper to prevent illnesses rather than having to deal with major illnesses that co[Truncated] "* Protection from high out of pocket costs should be determined by your income. If you are very low income, more of the services of the government subsidized healthcare system would be very low cost or free but if you were working class or low[Truncated]" "* In addition to government-subsidized insurance, each community should have its own free or low-cost medical clinics that can be government subsidized as well as receiving private donations that can be tax deductible for anyone who wants to co[Truncated]" "* For quality control purposes, these clinics should be periodically inspected and evaluated on their performance and these findings should be available to the public so people can make their best judgement as to what is the best clinic to go f[Truncated]" Hospice or end-of-life care should be included in the subsidized insurance program. * We are one of the richest countries in the world and lots of other countries who are not as affluent as us have this government subsidized healthcare and their citizens are healthier and happier as a result![Truncated] * I think that people who make over $1 million a year should pay more taxes and I don't think that there should be tax subsidies for oil companies since they are already making record profits![Truncated] 24231 6/26/06 7:56 PM NY "* In our rich country, it is a national that we can't provide basic health care like other industrialized nations. So many people of wealth in this country are also the most selfish.[Truncated]" 24232 6/26/06 7:57 PM TX everybody should have health care.it should be affordable and it should also pay the hole bill. and not just part as most do. 24233 6/26/06 7:57 PM OK "* As an ex-hospice nurse, it is very helpful to get to know the patient and family, to serve and educate them optimally. This takes time, and too many physicians and families delay calling hospice until the ""last days"". They can still be helped[Truncated]" 24234 6/26/06 7:59 PM CA Single Payer Health Care For All NOW! "Add Optical, hearing aid and dental services" Single Payer NOW SINGLE PAYER NOW! Single Payer NOW 24236 6/26/06 7:59 PM OH * American citizens and American industry will benefit from a universal health plan. Our country sorely needs it. Many other civilized countries of the world have shown that a well designed universal health plan can work and work well! It would[Truncated] How can anybody not be for this plan??? "Today, Americans pay more per capita for health care than any nation! Can't we do better?" "It may take time, but it surely can not cost us any more than we, along with our employers, now must pay." 24237 6/26/06 8:00 PM FL ONLY AMERICAN CITIZENS INCLUDE IMPORT TAX BECAUSE ALL OUR WORK HAS LEFT THIS COUNTRY. 24239 6/26/06 8:01 PM WA "* The terminology implies a very stripped down set of benefits. Considering what we are now paying per capita, we could have a very generous set of core services with evidence-based medicine.[Truncated]" * Core benefits should include vision and hearing. It should also any need for hospital and emergency treatment. Evidence-based medicine is a start.[Truncated] "* Universal single payer health care does this, by putting everybody in the same risk pool. Just as Enron and Reliant made more money by blocking energy distribution than by supplying energy, so private insurance makes its money by cherry-pick[Truncated]" A good recommendation. This is one issue that reform of financing can't address. It will require separate direct action. "* With the global budgeting process in use by Canada, the problem of fraud is solved by requiring local health care boards to stay within their capital and operating budgets. If providers try to game the system, they can only do so by taking m[Truncated]" "* A good comprehensive statement, except that it could use a strong statement in favor of real pain relief instead of imposing idiotic War on Some Drugs outside micromanagement on dying people and their health care providers.[Truncated]" "* 10% of the population accounts for 72% of all health care costs, and in any given year 50% of the population has NO health care expense at all. That means that you are somewhat more likely to get expensively sick or injured than you are to ha[Truncated]" "* Actually, there IS a financing mechanism which is optimal, namely single payer financing by the government where everybody is in the same risk pool. (See the Levin report out of California.) We don't need ""choices"" in health care financing a[Truncated]" 24240 6/26/06 8:01 PM IN How will the insurance companies fight this and do they own anyone's ear that could stop Health care for all? "* If a person healthcare begins with pre-natal for his mother, that person's life will be healthier. I would hope that there would be more doctors and scientists making the desicions what shall be covered.[Truncated]" "* If coverage begins at the earliest age, most diseases could be prevented or at least caught in it's earliest stages. This may prevent high medical costs.[Truncated]" "* I strongly support healthcare for all Americans. I know some insurance companies would suffer, but I think everyones quality of health would go up. With American Corporations not having to pay so much towards healthcare, they should be able [Truncated]" Take the amount American workers pay in premiums with the amount paid by American Corporations and I'm sure there'll be enough. 24241 6/26/06 8:01 PM NY * there should be a basic universal health for each citizen at minimal or little cost.People who could afford extras would have the option of paying for extra services in a premium depending on their need or desire--The basic plan should be off[Truncated] * don't make the process to complicated with too many committees-universal health care will never happen or it will be the same mess as the Part D when politicans and insurers get into the mix[Truncated] * remember the catastrophic care bill of the 80's -don't make the same mistakes-keep it simple-goal is to give basic health care to the people-to help improve our country[Truncated] "* keep politics out of it-or rather politicans who manipulate facts to suit their own needs and those of their lobbyists-get responsible caring ,Health care experts to do this with oversite[Truncated]" need to concentrate on prevention of illness and education-plus more public health--using the Medicare model and the VA * health care should be available from birth to death in the most supportive environment--why can most of the world do this with better outcomes and less cost to their citizens and we won't--it's a national shame--a country that doesn't take ca[Truncated] * basic health care should be a basic right of every citizen-Savings would be realized by preventive care.There will be no smooth transition due to the actions of the insurers to prevent universal health care--The model to follow should /would [Truncated] 24244 6/26/06 8:02 PM CA Health care sould be available to all who live in a nation with the kind of wealth available in this country. 24245 6/26/06 8:02 PM WA I agree I agree I agree Iagree I agree I agree No additional comments I agree 24246 6/26/06 8:02 PM NY "* It is a national disgrace that we cannot provide all our citizens with a national healthcare plan as do all other industrialized nations. Too many of our richest Americans are also our most selfish citizens.[Truncated]" 24251 6/26/06 8:05 PM FL "YES, QUALITY HEATH CARE SHOULD BE VIEWED AS A RIGHT." YES YES YES YES YES A SYSTEM WHERE EVERYONE IS SERVED SHOULD HAVE A BROARD BASE OF FUNDING 24254 6/26/06 8:06 PM FL "U.S. Constitution; Artice 8, Section 1, Clause 1" See above See above See above See above See above "There's no free lunch, just get off your butts and do it." See above 24256 6/26/06 8:07 PM MD "* As a Registered Nurse, I fully support this recommendation. Lack of adequate health care services for poorer Americans costs far more in the long run, in both lives and dollars.[Truncated]" "* Preventative healthcare is essential, and will also bring casts down, because people will have fewer emergent health care needs.[Truncated]" * You could start by enacting legislation to bring down the costs of prescriptions. This can be accomplished by forcing 'Big Pharma' to stop gouging the public and charge reasonable fees for their medications.[Truncated] Agreed "* And don't forget making prescription medicines affordable to all, by re-writing Medicare Part D, and legislation to rein in 'Big 'Pharma'.[Truncated]" "* If the hospice benefit was properly funded, more facilities would be willing to create in-patient hospices, thus providing desperately needed beds for patients whose families are not able to care for them at home, but cannot afford to pay out[Truncated]" "* Again, there will be a commensurate long-range savings if people are given adequate and timely care, rather than utilizing Emergency rooms and services .[Truncated]" 24261 6/26/06 8:08 PM TX "Other developed countries have it, why don't we?" Alternative medicine should be included. Stop the wars and we can easily do this! We can do this if we stop corporate welfare! "Other countries can do this, so can we!" ALL CHOICES SHOULD BE HONORED. Good Luck! Bring the troops home and we can afford it! 24263 6/26/06 8:09 PM IL * It is tragic that in the RICHEST COUNTRY IN THE WORLD there are millions to have inadequate health care coverage. I agree that all Americans should have access to affordable QUALITY healthcare.[Truncated] * I think it is imperative that low-income families be protected. Access to healthcare coverage can help the working poor most -- it is an injustice that sometimes the working poor are worse off getting two full-time jobs than they were on wel[Truncated] Excellent proposition. "* We could begin by covering caregiver services under the Medicare financing. This frequently becomes a large out-of-pocket expense for working families with a family member in hospice. Many have to place the individual in a nursing home, whi[Truncated]" "As a social worker, I believe that universal healthcare is one of the most pressing issues in this country today." "With lower premiums, we could afford a healthcare tax. It is, after all, the insurance companies that profit most." 24264 6/26/06 8:09 PM GA * I think everyone should be able to have some from of insurance.With the cost of ins. these days there are no excuse for this not happening.[Truncated] 24266 6/26/06 8:10 PM CA "* I have been a member of the Local Health Care Coalition in Fresno for 12 years now. We try to get better health care for the underserved, and have unanimously come to the conclusion that universal, single-payer health care is the only solutio[Truncated]" "I am glad to see education and prevention on the list, even if last on that list." "* I just went through this, as my wife died one week ago. Actually, she was very well cared for by the Alzheimer's home, but long-term care must be included in any viable plan.[Truncated]" "* As Thomas Friedman asked a few weeks ago, after going through the benefits of single-payer health care in his NY Times column, ""What are we waiting for?""[Truncated]" * The studies I have seen show that going to a single-payer system will give universal coverage at less cost than our present totals.[Truncated] 24267 6/26/06 8:10 PM NY "* Everyone has the right to basic health care. If you're sick, and need specialist care, then it should be made available as needed. Those that have the ability to pay should, if not then assistance should be provided. I think that if you ""gut[Truncated]" "* I think health care should be comprehensive, including mental, dental, vision. Right now, private insurers literally write off mental health care (because of the expense). What they do provide is a joke, 30 days max per year? And they really [Truncated]" "* Yes! Now that they've ""gutted"" the Bankruptcy Laws, what else is left? You can lose everything, just from one unexpected medical emergency.[Truncated]" "Yes, but I really don't expect anything to come of this with the incompetents running Washington right now." "Yes it can work. Unfortunately, it would take competent leadership to accomplish it." Everyone has the right to an end of life with their family and with dignity. "Nope. If the above six recommendations could be put in place, most if not all of our health care problems would be addressed." I agree. See above. 24268 6/26/06 8:10 PM IN "* It should be policy, but it's a national disgrace it's not. Washington should make a common sense policy that helps all Americans, not just the ones that foot the lobbying bill with a plan that will line their pockets.[Truncated]" ditto again It's fine. agreed agreed Stop making people jump through so many hoops to get help. ditto 24270 6/26/06 8:11 PM TX all people in this country should have affordable health care and quality healthcare. all people in this country should have affordable healthcare and quality healthcare. all people in this country should have affordable healthcare and quality healthcare. all people in this country should have affordable healthcare and quality healthcare. all people in this country should have affordable healthcare and quality healthcare. all people in this country should have affordable healthcare and quality healthcare. "* I could give you many ideas on how to resolve this issue but you would not listen. So, here it is: ALL PEOPLE IN THE COUNTRY SHOULD HAVE AFFORDABLE HEALTHCARE AND QUALITY HEALTHCARE.[Truncated]" all people in this country should have affordable healthcare and quality healthcare. 24272 6/26/06 8:11 PM SC * i think the health care companies should be forced to lower their prices and keep the same benefits. they should not be able to raise their prices ever time federal employees get a raise. i think their raises should be frozen.[Truncated] "i agree with this statement " this sounds good to me. i like this one too. i like this plan sounds like a good one. sounds like a plan to me. 24273 6/26/06 8:12 PM PA * Just to have a full medical coverage for every one in the United States as in all industrial countries in the world. If We have G-8 meetings and discussing the world economics and making deals and trades with other countries American represen[Truncated] 24274 6/26/06 8:14 PM NY Medicare should be provided to all. Their should be no testing for the service. All should be provided equal medical care. Medicare should provide the care. Again all care should be provided by medicare. Long term care should also be provided under medicare. If we had Medicare for all it would not cost any more than the present Private/Public system we have now. 24279 6/26/06 8:15 PM OH "we need a plan to cover every American. It is shamful that America allows some people to go unprotected." sounds like a plan Yes. yes yes Families should be able to help loved ones make the transition without fear of running out of money. it is time to take a step toward protecting our citizens 24280 6/26/06 8:15 PM CA "* We need health care, not health insurance. The health insurance system is stealing our health care through high middleman fees, high drug costs and high false claims. Please end health insurance. Send them the way of the buggy whip. Please en[Truncated]" "* The Bush Crime Family is paying off its ""Friends of Frist"". Someone needs to stop the Bush Crime Family from stealing all of our hard earned wages.[Truncated]" "* Health care must be dtermined by a health ethicist. Too much money is spent to keep alive brain dead infants and elders. Someone must stand up to the enablers and say ""It is time to let them go along to the next world"". [Truncated]" * We need to throw out the Republicans from the Congress and start anew with a dynamic single payer health system. Socialism can be a good thing if it well managed. Capitalism can be a bad thing if it not managed. Health care can not get much w[Truncated] "* We really need the ""Right to Death"" enabled on a state by state basis. If the Southern states don't want a right to die, they don't have to.[Truncated]" We really must be rid of the republicans and the bush crime family before anything will change in a good way. "* I am an employer. I pay $100,000.00 in insurance costs, most of which are for health care. I am willing to pay $8,000.00 per year per employee and that would still save me about $60,000.00 per year!!![Truncated]" 24285 6/26/06 8:16 PM IN "* As an RN who is currently on worker's comp, I can't afford COBRA so have no insurance. My oldest son in law school has insurance only during the school year. My daughter who is in college and supports herself on eBay cannot afford insurance[Truncated]" 24287 6/26/06 8:16 PM FL * Letting every American know what specifically is covered in a natiuonal health plan is more important than who will be running it. What is in the plan and what does it cost each individual is important for us to know. Spell out the specifics [Truncated] * All employers of one or more employees should be mandated to provide health insurance and self employed should be required to carry health insurance on themselves and family. The end result would be less costly than the current system of the [Truncated] 24288 6/26/06 8:16 PM FL "* We need to work on a system which can gather all the money being spent on health care in our country, then enact a Medicare system for everyone. A single-payer system is the only system which will serve all Americans as they should be serve[Truncated]" 24289 6/26/06 8:17 PM TX "* everyone should have health care, but I feel it should only be for an American Citizen and not some allien, that snuck into our country illegally, and is doing the work our American citizen should and would do.....[Truncated]" we worked all our lives not to have to spend the last days as beggers "* I think if all the money spent on those who are not legal citizen, for housing and health care and all the other thing they get..bylingual teachers, and day care and so many others if that money was not use for that purpose there would be a [Truncated]" 24290 6/26/06 8:17 PM PA "* NO - UNIVERSAL health care inclusive of physical, mental, psychological high quality health care from cradle to grave paid for by tax dollars - in a single payor system. NO private insurance of ANY kind. Rita Addessa June 27 2006[Truncated]" 24292 6/26/06 8:18 PM WI "* All legal American citizens!! So much help is given to others that come to this country: ex: the mungs - all those years of free services such as housing, schooling, medical and Social Security. That just isn't right.[Truncated]" * TRUSTWORTHY PEOPLE will be needed to be in charge of this; not ones that are only their thinking of themselves or corporation costs.[Truncated] AMEN!! * Federal government workers should also have to pay their way; not the taxpayers providing them with the BEST OF THE BEST!!! How are they to experience what the rest of the people are?[Truncated] "* Does anyone in the Federal Government ever have to go to a Veterans Health Care facility? I doubt it. Even 20 - 30 years ago; some of these were drab, dreary, in need of paint & repairs, understaffed and overworked. Time hasn't improved th[Truncated]" See next box. * At this time; I know of some elderly persons that are no longer able to live in their homes and care for themselves. Therefore; they are forced to go to nursing homes and sign over their homes to these places in return. What is wrong with t[Truncated] * Not everyone will be able to pay more for this care. The medical facilities are getting out of control with their costs; and that they dictate whether a person can go to see a specialist or not. Why aren't Doctor's believed?[Truncated] 24294 6/26/06 8:19 PM NC The time is right for our government & citizens to come together for the health of our nation. 24295 6/26/06 8:20 PM OH * The United States and South Africa are the only two developed countries in the world who do not provide health care for all their citizens. How said is that?[Truncated] 24297 6/26/06 8:20 PM NY "* Basic health care should be treated as a right, not a commodity. Health care workers (including doctors and pharmacy researchers) should be paid well for their skills but in a non-profit system - - investors shouldn't be profiting off insura[Truncated]" * What ever kind of prescription drug system is established should at the least allow the government to bargain for good prices on drugs (unlike Medicare Part D). Thought should be given to establishing a system of government-owned prescriptio[Truncated] "* Nurses should be treated with a lot more respect than they currently get, not just through symbolic things but by practical measures such as prohibiting mandatory overtime except in true emergencies (like major accidents or disasters), improv[Truncated]" * The government should not be intruding in families' end-of-life decisions (like happened with Terri Schiavo) while at the same time failing to provide funding for treatment of low-income people who want and can benefit from treatment. The Bu[Truncated] "* This may be beyond the scope of your report, but the cost of health care is increased by the number of people who have chronic diseases, and I suspect that some of the chronic diseases that have become more common in recent years may eventual[Truncated]" "* A single-payer system would take out a lot of the overhead, and free up large amounts of money to pay people to do health care work rather than paperwork. A system such as that adopted in Massachusets, that penalizes people if they don't buy[Truncated]" 24298 6/26/06 8:21 PM MI We want the same health benefits that Congress gets. Our government is no better than its people!!! 24299 6/26/06 8:21 PM MD * It should be up to the government to insure all citizens have health insurance. It can use it's muscle to make sure the rates and coverage are fair and equitable. There would no longer be lapses in coverage when someone goes to a different [Truncated] Cost can be based on a sliding scale of ability to pay. But the coverage would still be the same for everyone. 24300 6/26/06 8:21 PM NY We want what Congress and Federal employee's have. 24303 6/26/06 8:22 PM KY "IN THE 1960s WE THE TAX PAYERS FINANCED THE ALASKAN OIL LINE , THIS MONEY CAN GO FOR HEALTH CARE FOR AMERICANS ," 24304 6/26/06 8:22 PM MN I favor single payer plan. * Health savings accounts don't work. People are looking for the best health care not the cheapest. Single payer takes out the fat.[Truncated] 24306 6/26/06 8:24 PM FL "* I do not have all of the answers, nor the time. If I did I would run for office. And to those of that which are in office I say ""This is your job, earn your overpaid money."" People should watch and learn from Debbie Wasserman in Florida. I [Truncated]" 24309 6/26/06 8:25 PM WV "* It is a sad time in which we live, when we cannot provide decent health care coverage and resources to those who are less fortunate and need help. We certainly can't call ourselves Christians, when we refused to provide even the basics of Jes[Truncated]" "* It is time that we give control of health care services to experts, and take it out of the hands of the government. We have all seen the blunders made by this administration, and it's time to stop killing Americans by negligence and apathy.[Truncated]" "* Proactive care saves millions of dollars annually. When a person has no health care coverage and has to utilize the services of an emergency room, his or her illness or injury has usually escalated to a serious level by the time treatment is [Truncated]" "* Providing universal health care is not the only answer - we must be smart and effective at dispensing these services, and we must coordinate efforts at all levels.[Truncated]" "* We must ensure that all providers are willing and able to accept patients who utilize programs like Tricare and Medicare. Otherwise, we risk discrimination and denying services to select individuals.[Truncated]" * Patients who are critically ill and/or have chronic diseases or injuries should never have to worry about paying for health care or last needs - or about leaving family members with huge medical debts after they die.[Truncated] "* Most Americans would readily and gladly give to a health care provision for this country, instead of funneling billions of taxpayer dollars into Iraq and a war that is killing and mutilating thousands of our yound men and women.[Truncated]" 24310 6/26/06 8:25 PM MN * Even many executives in large corporations now support this. They recognize the burden the current 'privatized' system places on our economy. We now pay more for health services than any other nation while our results fall lower on almost[Truncated] 24311 6/26/06 8:25 PM NC * I feel that basic health care is a right of all people regardless of their place of birth or status. We certainly must make this a public responsibility in this country. [Truncated] 24312 6/26/06 8:25 PM PA * My son just turned 21 in April and our Health Care was discontinued due to end of employment and preexisting condition that occured interferring with ability to get insurance in our state of PA for the parent who had this coverage for our fam[Truncated] 24314 6/26/06 8:26 PM OH "* I believe that if we have a single payer universal health insurance, the cost will be much less for all of us. If we are all in one pool, the healthy people's premiums will help off set the cost of the people in poor health. [Truncated]" 24315 6/26/06 8:26 PM IN "* Attendance, productivity, comprehension, achievement, creativity and innovation will all improve at work and at school if all families have basic, affordable health care coverage. Having everyone in the pool eliminates cost-shifting while p[Truncated]" "* Please specify that core health services should ALSO include * vision health and * home health care patients and providers since confined health institutions have high rates of infection and contagious diseases and seldom have[Truncated]" "* Certificates of need should be required to eliminate excess capacity for which we all pay. In Indianapolis, every major hospital feels it has to be an expert in the most expensive procedures, i.e. heart by-pass. There should be local, eas[Truncated]" "* All health facilities and insurers should use the same health record forms - see the comment above. There should transparent reporting of efficiency, infection rates, death rates, level of specialized care within categories, malpractice r[Truncated]" "* This program SHOULD cover low income folks but strategically, the middle class and businesses must buyinto it too, so please reconsider the packaging of these ideas to focus on benefits the wealthy, the middle class, and businesses can all re[Truncated]" * We are all paying now - in one way or another. My excellent health care coverage is paying shifted costs for emergency room care for the uninsured poorest Americans. Economies of scale and wellness savings are lost as a result. I would[Truncated] 24317 6/26/06 8:28 PM IN "* In order to make any healthcare work for America's workers, we must get rid of the lobbyist that bring up the cost of healthcare. Right now pharmaceutical and insurance companies have congress in their pockets, so no matter what program they [Truncated]" "* The only people that should be involoved in the effectiveness of medication and treatment should be the patient and their doctors. Evidence-based science and ""experts"" are not care givers, have no medical backgrounds and therefore should not [Truncated]" "* Remove all lobbying predators, like insurance and pharmaceutical companies, return the medical decisions to the patient and their doctors[Truncated]" "* One of the major problems with healthcare, since it's begining, is the involvement and condoning of insurance and pharmaceutical companies involvement in the medical treatment and the process of said medications and the protolcol that doctors[Truncated]" "* We do not need to be told when to go to the doctor, what medication to ask for, and long drawn out testing, that waste time and resources. Before the developement of this so called, ""healthcare"", people went to the doctor when they needed to.[Truncated]" "* Decisions, medical or last days support, can only be relevant through people that have make that profession their life work. This is something that can not be put on a scale and weighed by money factors. It takes professional medical people o[Truncated]" "* Several decades ago, when people became ill. The treatment was decided by their doctors. They didn't go through a series of elimination to come to a diagnois. ""Managed Healthcare,"" is the sole cause of astronomical cost of our medical. Lobbyi[Truncated]" "* I am highly suspious of the pharmaceutical and insurance companies involvement in universal healthcare. Through their lobbyist, the American people are going to suffer.[Truncated]" 24319 6/26/06 8:29 PM AZ * There is a need for some sort of health insurance for the middle class who are most often the ones without health ins because they cannot afford the premiums or they are turned down for medical reasons and are not eligible for govt health pro[Truncated] "members should be entitled to healt care with a 5,000 deduct if they cannot qualify for other health ins or are self employed." * Should be guarr healt ins with a a high deduct to cover against a catastrophie also cover should be prov if people are laid through no fault of their own.[Truncated] * there is a need to concentrate on the middle class without health ins rather then the poor who are in most cases under medicaid also there should be temp coverage prov if someone loses there job thru no fault of their own that could be finac [Truncated] there needs to be more emphasis on the middle class rather then people who in most cases are under medicaid. More emphasis on cover for the middle class. * There should be a govt sponsored prog for middle class people with a high deductable that could be paid for with less then 1percent inc in the payroll taxes.[Truncated] 24322 6/26/06 8:30 PM MN "* Health care should be a right for all Americans, and not just a luxury for a few. Nobody should have to worry about going bankrupt because he or she is sick. We are the only industrialized nation in the world to deny a basic fundamental rig[Truncated]" 24325 6/26/06 8:31 PM NY It should be obvious to anyone. And it is about time. sounds good so far It should be limited to citizens only. OK OK People should be permitted to die with dignity if they choose. * The present (non)system shifts costs from those without insurance to those with coverage. This has caused dramatic premium hikes for the insured. [Truncated] 24327 6/26/06 8:31 PM CA "* As a life science treacher, I am fully aware that the health care needs of all americans is in the interest of the whole country. Epidemics do not strike only those who have medical coverage but, in fact, the uninsured form a group that is b[Truncated]" 24329 6/26/06 8:33 PM MI * I heard the comint that we won't get national health care until health care is taken away from our politicians. This rings true for me. How can this be accomplished?[Truncated] 24330 6/26/06 8:34 PM OH "In our great country, do we not value equality in medical care?" should also include eye care "* providers deserve a fair rate, but not an exorbitant rate. Out-of-pocket payments should be reasonable & not apply to low-income[Truncated]" right on right on excellent I appreciate this work "* We cannot support useless wars & also care for the health of our own citizens. We must decide what we really value. When we support the rich with tax breaks, we don't have the resources to care for the needs of others. What do we value?[Truncated]" 24332 6/26/06 8:35 PM OH "* What we need is obvious. We need comprehensive medical care for all Americans. Every civilized country but one has a national health care program. And recent studies find that in most countries with national health care the general state[Truncated]" 24334 6/26/06 8:36 PM VA "Such benefits should include medical,dental,vision, and catastrophic illness in coverage." Keep the drug companies out of it! Accountability matters! home bound services Let's not price insurance out of the average American's range of affoardability. What about perscriptions? 24335 6/26/06 8:36 PM MI I support high quality health care for every American!!!! It's long over due in this county. 24341 6/26/06 8:38 PM IL I Agree I Agree I Agree I Agree I Agree I Agree No I Agree 24342 6/26/06 8:38 PM MO Preventive and public health are high priority items. * We already spend way too much on health care. I'm not willing to put in another nickel until the drug and insurance companies do their share.[Truncated] 24343 6/26/06 8:39 PM MI "* It is a sad day when our government will take care of illegals and other people in their own countries, but keeps refusing to take care of all American citizens. The congress and president never have to worry about health care cause they hav[Truncated]" I would hope that poor as well as middle and upper class be involved in this process too. * If we are going to have a North American Union and we are joining with Canada and Mexico then we should be able have a similar if not better health care coverage with financial protection too.[Truncated] "* If we have Congress in the same boat with the rest of us, I think they would be more willing to pass a great health care plan for all of us, and actually work for the people.[Truncated]" "* Until our government realizes that the American people have had enough and realize that they won't keep getting back in to their soft protected cushy jobs, then we will start to see real change.When we [Truncated]" When we can separate church from state then maybe this will happen. "* The first issue of business for any one running for re-election or just to be elected, if they don't support the Congressional change of their Social Security and Retirement benefits, then they should not be voted in by any of us.[Truncated]" * I think we should get back from the Congress what they have tucked away in their own Social Security funds and have them join the people's social security and then we should be able to afford health care for all the people.[Truncated] 24345 6/26/06 8:42 PM FL "* End the crazy relationship of pharmaceutical sales representatives, and their activity in the offices of physicians. I recently changed doctors because pharmaceutical sales representatives were getting more of my physician's time than patient[Truncated]" 24346 6/26/06 8:42 PM WA "We need medical coverage for our own people Affordable!" 24349 6/26/06 8:43 PM MI "* If the President and members of Congress would, for a minute, put themsleves in the shoes of the average American citizen when it comes to quality health care, the health care problem in this nation would be resolved in a manner of minutes. [Truncated]" 24351 6/26/06 8:44 PM PA "Without question, and everyone should be offered the same great health plan that our congressman enjoy." Perfect! Wonderful No comment Okay "Quality of life in the waning years should be a priority, not just a luxury for the rich." * All cigarette tax that the government collects should be deposited into the health care fund to help pay for the effects of smoking. RJ Reynolds Corp and other companies who withheld reports about the dangers of smoking should be huge contri[Truncated] 24353 6/26/06 8:45 PM CO * I feel it is immoral that America is the only industrialized country in the world that does not have some sort of tax supported universal health care. It is my understanding that fully 40% of US health care expenditures go to the insurance i[Truncated] "* The system is currently designed to take all of a persons assets at the end of life. End of life should be a routine part of the cycle, not a system for bankrupting families.[Truncated]" * Like most Americans I live in fear of anyone in my family getting sick. Such an illness would wipe out all of my assets and any meager estate I might leave for my heirs. American health care is a fine example of capitalism at its worst. [Truncated] * Eliminate the health insurance industry from the system. Replace it with a single not-for-profit government agency. Too many are making fat profits from health care expenditures. INSURANCE IS NOT HEALTH CARE!!![Truncated] 24354 6/26/06 8:45 PM PA "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" "* Stop giving these benifits to Illegal aliens and stop wasting our money at the hospitals, no id NO TREATMENT... and stop wasting MY Social security dollars on Illegal immigrants... they didn't work for it I did[Truncated]" 24357 6/26/06 8:46 PM AZ Excellent Excellent Excellent Excellent Excellent Excellent Excellent 24360 6/26/06 8:47 PM OH "Failure to continue tying health care with wealth is immoral, anti-Christian, cruel, and ineffective." 24362 6/26/06 8:48 PM CA "* Health Care is a Birth Rite - not a privilge. This country always has money to wage a war somewhere on this planet. As it is now, a person lives or dies depending on the Health Care Insurance that he/she has or doesn't have. This is wrong.[Truncated]" ALL Americans is key here! Agree Agree Agree Agree "* ""May the force be with you"" It's time the insurance companies actually put people before profits. It's time that seniors don't have to choose between food and medicines. It's time that every American gets whatever medical care, including pr[Truncated]" It works in Canada and elsewhere. Why not here? 24363 6/26/06 8:48 PM NJ We need a single payor system. We need a single payor system. We need a single payor system 24366 6/26/06 8:49 PM VT "* We should not have a two tier system of health care - one for the wealthy and another for every one else. Our goal should be comprehnesive, high-quality care for all.[Truncated]" "* All necessary and reasonable physical, mental and dental health care— including preventive, primary, critical, chronic and emergency care— should be available to all in a safe and timely manner. Guarantees choice of doctors and providers.[Truncated]" "* Healthcare funds should not be wasted on profit, advertising, administration, poor system design, or lack of coordination. The principle sources of administrative waste - the multiplicity of insurance pools and benefit plans -- must be eli[Truncated]" "* Any additional funding by progressive taxes based on ability to pay. Total costs to individuals should be less than that currently spent on insurance (or given up in raises and other economic benefits), co-pays, and out-of-pocket health cost[Truncated]" 24368 6/26/06 8:50 PM FL "* Other countries do this successfully. We should learn from them so we don't make mistakes. Universal health care will ultimately be less expensive, since the millions of currently uninsured people will be able to get treatment in places other[Truncated]" 24370 6/26/06 8:51 PM IL "* Health Care actually benefits millions of people, IF they have access to it. 50,000 people die every year in the United States because they don't have health insurance and can't get the care they need from the ""For Profit Only"" hospitals, ow[Truncated]" 24371 6/26/06 8:52 PM IL * Companies are unilaterally eliminating all health care benefits. Sometimes it's retirees who have worked all their lives thinking they would be taken care of in their old age are now losing everything they've ever earned paying for health ins[Truncated] "* It is self-defeating to have the ""panel of experts"" be insurance company reps. Representation of all interested parties is essential! It is very important that mental health be included especially since we understand better now that mental h[Truncated]" * I believe there must be ways to control the skyrocketing costs of medical care. We didn't have this problem until it was determined in the 1970's that healthcare should be profitable for healthcare providers. Without having a way to control w[Truncated] 24372 6/26/06 8:52 PM WY "* As a Health Care provider, I have had the opportunity to be involved with a healthsavings account through my employer. To date, I have $4.00 in that account. I was unable to pay the high deductable on my insurance and was eventually turned [Truncated]" 24373 6/26/06 8:52 PM CA * YOU DIDN'T MENTION THIS COUNTRY NOW RATES ABOUT 35TH IN HEALTH CARE IN THE WORLD AND THE FACT SELFISH INSURANCE COMPANIES CONTROL OUR CONGRESSIONAL LEADERS WHO ALREADY HAVE THEIR OWN HEALTH CARE PROVIDED BY THE TAX PAYERS OF THIS COUNTRY...[Truncated] 24375 6/26/06 8:54 PM IL This should be a given in any industrialized country. Now the USA is the only such country without this! 24376 6/26/06 8:54 PM WI "* I didn't realize until being laid off by a state government how expensive health care is. For myself and my two children, it is $1425 a month. My new job is not going to help - at a low wage I will hav eto pay jalf that amount- half my mont[Truncated]" I volunteered as a hospice worker. Hospice can be great! "* Any plan must be careful to ensurethat physicians want to remain working, and new students arrive totake the place of dr. retirees. In Russia, where drs are paid a straight salary, health care is terrible. [Truncated]" 24377 6/26/06 8:54 PM OK "* you cannot take care of the whole of america. most americans that don't have health care are already receiving free health care, because they don't pay. a government sponsored health care is not the answer. people should take care of themselv[Truncated]" simply not the answer. * you will be able to fix health care and social security with one action only. put the congressmen and senators on the same plan as everyone else and they will fix it in a week. why don't you suggest that to them.[Truncated] * the government can't and shouldn't take care of everyone. people nee to take care of themselves and learn to take care of themselves. no one has any responsibility for their own actions anymore. it is always someone else's fault they are in t[Truncated] * a donation funded organization does not need any help from you for funding. they are doing fine with their own plan. they don't need any type of government intervention in their business.[Truncated] "* yes, i do. why don't you give the multiple choice way to answer you petitions instead of your way or no way. i would like to see that change in your agenda.[Truncated]" "* it will never work to insure all americans. business taxes is not the answer. your plan just simply won't work. tax, tax, tax, is all you think about. let the working pay for the non-working. let the non-working figure out that a job is the w[Truncated]" 24379 6/26/06 8:56 PM CO I agree that all Americans should have affordable health care. I know many who do not have any insurance. People of varying financial ability should be appointed to the panel. Protection of high out -of- pockets casts must be paid for because it is the most vulnerable who have these costs. Rural poor must be covered if only by rotating doctors or medical students under supervision. Eliminate the rediculous Medicare prescription Drug plan. That plan is the most costly idea the republicans have proposed yet. "The wealthy should help subsidize the poorer Americans, starting eith Bush himself!" 24380 6/26/06 8:56 PM CA * Why can all of the other developed country have health care for their citizens and the U.S.A. does not want to take care of its citizens?[Truncated] 24381 6/26/06 8:56 PM NY Agree agree agree agree good good What the hell happened??? We never had to worry about this. agree 24382 6/26/06 8:56 PM MS "* Financial assistance to ""those who need it "" ??? What will be the criteria?? That is my concern. I've never had health insurance and I've never been quite ""poor enough"" to qualify for help. Yet, I cannot afford $1,000 tests and regular trips [Truncated]" "* Sounds great, BUT... Does that include EYES? Optometrists and Opthamologists, etc. Eye Glasses??? I cannot affort new glasses and haven't had any in several years. I'm using dollar reading glasses and have gone from 225 to 300 in strength. N[Truncated]" Sounds great again... but should not be a private company. No corporate crap. "* Sounds like a lot of paperwork and too many rules, regulations, and processes... creating trouble... as in FEMA ""rules"" and red tape and the ridiculous insurance issues, etc. relative to Katrina victims in Mississippi.[Truncated]" My concern is electronic med records... too many people knowing my business that have no need for knowing it. "* This really sounds great! I went through a horrible situation w/my father. His sudden illness and his last month of life were extremely excrutiating. The cancer doctor he had was the most inconsiderate, cold-hearted, unfriendly, ass I've ever[Truncated]" "* Quality and timely health care for the whole body, as well as medications and treatments of all matter should be available to ALL. It should be a right and not a privilege for only those who can afford it. [Truncated]" Sounds like more bureaucratic crap to me. 24384 6/26/06 8:57 PM IN "SEE THE LAST SPACE FOR MY HEALTH CAR PLAN. FCB" "* MAKE IT EASY FOR ALL; WE WANT AND DESERVE THE SAME HEALTH CARE; THAT INCLUDES TEETH, EYES, CANCER, AIDS AND THE REST OF THE BODY. WE WANT THE HEALTH CARE THAT US CONGRESS HAS. WE AS TAX PAYERS PROVIED THEIRS SO WE CAN HAVE IT TOO. FC[Truncated]" 24385 6/26/06 8:58 PM IA "* Everyone needs to participate even if they have little income. I can see it now, people will remain poor so they don't have to pay. That is where it hurts the people that are honest about their income.[Truncated]" "* The program that the Bush administration wants leaves a lot of room for error.First of all if individuals are responsible for putting aside monies for health care,what happens when they don't. You can't tell them they cannot have health care.[Truncated]" 24386 6/26/06 8:58 PM NY I'm for universal healthcare; it would be good for the people and a stimulus to the economy. This is a solid recommendation. I'm for universal healthcare; it would be good for the people and a stimulus to the economy. Sounds reasonable Sounds reasonable Sounds reasonable * Elect Democrats in November for any chance of ever seeing a much needed national healthcare program; it would be fool-hearty to expect the Conservative Republicans to do anything positive for the people.[Truncated] Increase public revenues by mainstreaming a greater share of unreported income in America. 24387 6/26/06 8:58 PM NJ * Yes. It should not be a pressure or burden on the working families who already a struggle on the individuals in meeting the demands of the job and caretaking of their families. Hence a secure healthcare is a must and an affordable health c[Truncated] Yes. The quality and the efficiency are the areas that are to be focussed to get the desired results in the healthcare field. I strongly agree to the above suggestions in providing affordable health care to all. "* Yes. Universal healthcare is the top agenda while making policies by policies by community groups, politiciens and goverment and Private enterprises. [Truncated]" "* As mentioned in the 2nd and 3rd paragraphs, to accord affordable health care to all Americans, there should be a defined and well organized policies should be passed and effected to finance the secure healthcare. [Truncated]" 24389 6/26/06 9:00 PM CA Absolutely necessary! All are at risk when the health system does not work to keep everyone well.2012 is already way too late. 24390 6/26/06 9:00 PM MI * We must find a way in our modern society to care for our own American citizens as far as health care. We are spending billions to influence foreign national policy. Help our own people!!! [Truncated] 24391 6/26/06 9:00 PM IL "* This should be a right to every American Citizen. It is unforgivable where those who are illegal are given this service, but the working class must suffer [Truncated]" * I do not believe in private sector having or holding any power over this organization. So often privation leads to increased corruption. State and Federal Employees are held to higher standards and under a truly bi-partisan that the directors[Truncated] medical care to every American should be a right and privilege * I do not believe in private sector having or holding any power over this organization. So often privation leads to increased corruption. State and Federal Employees are held to higher standards and under a truly bi-partisan that the directors[Truncated] "* it should be its own then later integrate in other medical agencies, except Veterans Care because of its uniqueness of clients and services offered.[Truncated]" Companies which limit service and care should be eliminated they do not serve the public only themselves. "* As a nation we must again look to everyone paying their Fair Share. Under this administration the fair share had been lost and it needs to be recoup now, as I am sure they would want to pay as every true American Believes.[Truncated]" 24392 6/26/06 9:01 PM NY I favor all these proposals. 24396 6/26/06 9:02 PM NM "* Quality universal health care coverage is essential if we are to believe we are a civilized nation. We have vast wealth, beyond any other country at any other point in history. It seems commonsenssical that we can afford it. Of course, as [Truncated]" "* It is important to include alternative medicine in this category, including licensed naturopathic doctors in particular, as they are generally better at providing preventative care. Oriental Medical Doctors are also very good at treating man[Truncated]" "* I don't know how this could be done privately, as the free market is always money-focused, and would be challenged to be primarily health-oriented. Also, as many people in this country are very poor, living in poverty, there should be almost[Truncated]" sounds good. "* Do we really need to have all these various programs in place once universal health care kicks in? How about some serious simplification. The system needs to be not only inexpensive, but simple and unintimidating.[Truncated]" "* This is very important. There should be much more emphasis on dieing with dignity, in a comfortable non-sterile atmosphere. We have a long ways to go in this area. Also, as I said before, unless someone wishes to personally pay for it, ex[Truncated]" Good luck!!! "* It seems clear that obviously unhealthy products should be increasingly taxed to help fund this. This would definitely include alcohol and tobacco, and possibly other things as well. These items often result in high health care costs, so wh[Truncated]" 24397 6/26/06 9:02 PM CA "* We will all benefit by including all people in a health care plan, no matter what it is called. The unhealthy among us presents a common threat to the health of all.[Truncated]" * Wellness care is the least expensive tool for avoiding major illnesses that can cost much more. Neglected symptoms lead to serious illness.[Truncated] "* The truly impoverished are for the most part covered by Medicaide already. Many of us already have health care provided by collective bargaining agreements. Many, the luckey ones,can afford excellent health care regardless of the expense. [Truncated]" * We must focus on care that can be an effective way of providing good health care. But do everything possible to avoid creating an unmanagable network of beaurocracy that will only hinder the best care possible. [Truncated] * The structure for care may already exist. The real challenge is to overcome the emotional prejudice that leads to the belief that only healthy people deserve good care.[Truncated] * The cost of dying is frequently beyond reach for too many. The cost of sustaining a life already lost is a bitter reality as well.[Truncated] * Thank you for putting this in front of us to the extent that we have been able to focus on what can make it work insted of what is wrong with the thought of medical care for all.[Truncated] Good health care does not come cheap. Through a combination of participating sources the necessary funds can be found. 24400 6/26/06 9:03 PM PA "* The Constitution of the United States declares it was established to ""Promote the general welfare"" among other goals. I don't see how you can neglect the health of the people and not establish an affordable health program for all the people.[Truncated]" We should have a plan like Canada. 24404 6/26/06 9:04 PM MD * i agree totally with recommendation #1. health care should be available to everyone at an affordable cost to them and their families[Truncated] * medicine is outrageous and needs to be less expensive for all. especially those of us who have no prescription plan available to us.[Truncated] i agree with # 3 * 28 years ago i recieved a blood transfusion and have since found out that i contracted hepititis c as a result of the transfusion. i was aware that i needed to be checked periodically for aids but was never told about the hepititis c. now i h[Truncated] * i believe that each case is different and should be viewed different. some people can afford more than others but all of us need help to a point. i know i do[Truncated] 24405 6/26/06 9:04 PM WI "* I believe that we as the only industrialized nation are not providing health care for our citizens and too often we work for low wages, so we can get health care benefits.[Truncated]" * I have not seen the federally funded programs to work well. Tricare is a disaster and even Tricare for Life does not kick in and people pay for additional health insurance to get coverage. What should happen is that any hospital which recei[Truncated] "* All too often I see single people, who do not abuse the system, being punished and subsidizing health care. We do that with income taxes and every other venue. I don't want to see it go that route.[Truncated]" 24407 6/26/06 9:06 PM TX "* Everyone should have access to health care whether or not they are able to pay for it. This includes hospitals, ER care, clinics, dentists, eye care, and physicians and should include affordable prescriptions whether generic or name-brand. [Truncated]" 24409 6/26/06 9:06 PM CA "* In our great nation its a shame we all don't have quality affordable health care. I am in firm agreement that it should be public policy, if not a civil right, to have affordable, if not free, health care.[Truncated]" "* I want to make sure that eye care, nutrition, and preventive services and education . I also think that we need to implement better health education in our K-12 schools that should also be implemented.[Truncated]" "* Its important how this part interacts with recent bankruptcy legislation. Its also important to look at FMLA, leve and disabiliity laws. All too often individuals who are able to work, but not to the full level they were prior to a medical [Truncated]" Yeah! I think Kaiser Permanente is a good model of quality and efficient care. Yeah! "* K-12 education on health, nutrition and biology/physiology- the functioning of the human body- can create and exceptionally knowledgable and educated citizenry who can take better preventive care of their health, their parent's health, and th[Truncated]" * I say close the tax loopholes of the rich and the powerful corporations and put a moratorium on wars until we have health care provided for all.[Truncated] 24411 6/26/06 9:08 PM NY "* We should absolutely have affordable health care. We should have a single-payer system such as they have in Canada, or one based on the Meidcare model, which works beautfifully.[Truncated]" I agree. Absolutely. Good. Good Okay. * We need a single-payer system. WE could easily pay for it by rescinding G.W. Bush's giveaway to the wealthiest one percent of Americans and by forcing big business to pay their fair share.[Truncated] 24412 6/26/06 9:08 PM WI SAME SYSTEM AS CONGRESS. CONGRESS SHOULD BE FORCED TO BE INCLUDED. I AGREE. FORCE CONGRESS TO BE INCLUDED. I AGREE. I AGREE. WELL COVERED. I AGREE. 24413 6/26/06 9:08 PM MD It is well stated. I agree. Well stated. "* I generally agree, but ""how high is high""? What is ""high"" for me might be ""easily affordable"" for you. What may be helpful is a government medical loan fund at very low interest where a family may be obligated to repay at least some of thei[Truncated]" "* Although a system such as Canada's would probably be cheaper and more efficient, the above sounds like a politically achievable compromise.[Truncated]" "* The problem with ""best practices"" is that such statistically based decision making may be best for most but be harmful to a significant minority that would be better served by access to alternatives that are outside the norms. Rare or hidden [Truncated]" Very humane. Good. See my suggestion in the answer to #3 about government loans. "* The money has to come from somewhere, and this seems to list the possible sources. Choosing the most fair and efficient is the most difficult part.[Truncated]" 24414 6/26/06 9:09 PM DE "* I have decent, affordable healthcare, as do my friends. As a family councilor, I also know many hard working people who cannot afford healthcare. My children have been among them. I believe that if everyone had universal, decent, affordabl[Truncated]" Excellant recommendation. American healthcare is as important as security against terriorists. "* Public-private cooporation sounds very positive in implementing effective and efficient health-care. I no longer believe purely private oversight is effective, because the bottom line is money for the private oversight, and not effective car[Truncated]" Excellant. Excellant. "* I think insurance companies and drug companies milk the system, taking money which could fund excellant health care. I think a single payer system such as Medicare would be much more efficient. Insurance companies could provide the service u[Truncated]" 24415 6/26/06 9:09 PM GA * Affordable health care is a fundamental issue. It is absolutely essential that universal health care coverage be made available to all citizens.[Truncated] "I am not yet convinced that a distinction needs to be made between ""high-cost"" and ""core"" benefits." I'd prefer to see total medical coverage for all Americans. * Universal health care will provide an advantage to US businesses as the compete with foreign businesses whose governments provide health care for all citizens.[Truncated] 24416 6/26/06 9:10 PM MA "* It is about time you do what voting citizens elected you to do and that is to enact legislation that WE want, not what the health care industry and the lobbyists want. [Truncated]" "* Preventive health care and health maintenance programs (exercise, extended rehab services) should be included in the core program to save money in the long term.[Truncated]" "* Health insurers decide what they are going to pay for so subsequently the ""insured"" or those with no insurance get stuck with the rest. Since Congress allows garnishment of Social Security those of us who must rely solely on it for income end[Truncated]" * Be sure that lower income groups and the middle class have meaningful representation in the advisory groups. Also reserve these facilities for CITIZENS.[Truncated] "* Again, preventive care and maintenance must be included. Security of data and systems is essential as well. No one except patients and patient-authorized health care professionals and persons should have access.[Truncated]" Patients should have a choice as to where and how they wish to spend their last days. "* Keep the influence of lobbyists out, HMO influence should be minimized as much as possible with the weight of opinions of patients being dominant. Health care should be holistic with a team of medical professionals (not HMO representatives) w[Truncated]" "* Quality health care is the domain of the rich now so graduated income taxes, taxes on alcoholic beverages, OUI fines and gambling should finance health care [Truncated]" 24417 6/26/06 9:10 PM AZ * We should be embarrassed about the dreadful state of healthcare in the USA. It is among the worst of ALL the developed countries.[Truncated] 24418 6/26/06 9:10 PM MI Health care avalible to all american citizens not ( foreigners or illegal immigrants putting the focus on a healthley life style from an early age to have healthier adults could ease the cost of health care. set maxiums for high cost procedures and allow patients payment plans when needed. keeping cost at an affordable level for preventitive care ( wellness ) would help everyone be healthier . this should be first on the list of recommendations. * many of the existing services could be expanded and education on accessing these services would make them more readly available.[Truncated] most important each individual should have a role in their healthcare. "insurance companies, drug companies, and other large corperations, should help carry the burdon to make the transition." 24419 6/26/06 9:10 PM CO "I agree except for those who knowingly abuse their bodies with cigarettes, alcohol, drugs and risky behaviors." * Efficiency needs to include the decision to stop health care if the person desires that option or if the outcome of extensive health care will not be beneficial to the person in terms of quality of life and/or chances to survive.[Truncated] Reality is the key word. We need to stop prolonging life when the ill person does not benefit. Those who place themselves at greater risk should pay more. 24420 6/26/06 9:11 PM CA "I support this good work in general and have no specific comments. This is certainly a worthwhile project!" 24422 6/26/06 9:11 PM TX This is the only that will work 24426 6/26/06 9:14 PM CA * We already provide health care for everyone who lives here regrdless of their ability to pay. The unfortunate truth is that we do this in the least cost effective and most discriminatory manner possible. It is clear that the old model of empl[Truncated] "* I disagree with the idea that participants without medical training should be deciding which treatments are necessary and which are too expensive. Anyway the coverage should be for essential, not core, medical procedures and medicines and the[Truncated]" "* This is the very concept of insurance coupled with the very concept of government. All we need are systems in place to ensure that no one can ""scam"", ""game"", or manipulate the system fradulently for their own profit or benefit and we are ther[Truncated]" * May not be as necessary after the above ideas are implemented but in any case these are the province of social services to seek out those who cant care for themselves and assist them towards that end. I dont see that entwining these two will [Truncated] "* You cant know that your program is successful if you dont inspect it. The end result of inspection is recommendation for improvement, examination of that recomendation by the cadre of health care professionals charged with this task, and impl[Truncated]" duh! * Lets eliminate political pay-back appointments and talk-radio manipulated elections by leaving the decisions to the group educated and oath-sworn to providing for our medical needs. Fund these decisions in the most cost effective manner and t[Truncated] * A flat tax on everyone's income that defines income broadly and eliminates income shelters would be the most fair. Persons on government assistance could have their assistance increased to cover the cost of such an income tax. This will howev[Truncated] 24427 6/26/06 9:14 PM LA "* I was in private Pediatric practice from 1953 to 1995, and I know that a univeral health system is the best defence against the worse form of terrorism to American children- the inability to obtain adequate medical care. .[Truncated]" 24428 6/26/06 9:14 PM FL "* The provision of universal health care, whatever the cost, can only help make America stronger as a national culture and as a competitor on the world market. The current system has a layer of special interest and insurance interests who skim [Truncated]" 24429 6/26/06 9:14 PM MI "* Utilize the most efficient system that is in place, has a very efficient track record. Phase in children from babies to 16 years and continue expanding the age group until 100% covered under Medicare. Single payer, no fault, administered by[Truncated]" 24431 6/26/06 9:14 PM MN * Quality health care must not depend on the ability to pay. The people we are hurting the most are those that work the hardest - the poor. Universal health care shouldbe a goal of all.[Truncated] Core benefits need toinclude long term care and prescriptions in order to be effective. I agree. "* I hate to see the feds in charge of administrating since they are so known for wastefullness, but i see no other viable solution.[Truncated]" Okay. Yes! Let's finance universal health care like other developed countries. 24433 6/26/06 9:14 PM MN "* I agree wholeheartedly with the above recommendations. As a healthcare worker in dentistry, I was glad to see dental care included in these recommedations.[Truncated]" 24434 6/26/06 9:15 PM NY "* Yes! I agree. Some people who earn minimum wage work just as hard or harder than people on wall street, and can't make more simply because they're from another country. They should have the same health benefits of wealthy people, and we sh[Truncated]" 24438 6/26/06 9:17 PM CA * Single payer would also address this concern. There have been numerous studies which suggest out of pocket expenses would be far less for Americans who currently have health care insurance and provide coverage for all.[Truncated] * It sounds a little chaotic at this point. It would be easier to operate a model similar to the one found in Canada or Western European countries.[Truncated] * I would preder a single payer system rather than mere assistance for HMOs which leaves the system more open to abuse such as overcharging.[Truncated] 24441 6/26/06 9:19 PM CT "* Health insurance is the problem,not health care. Take the profit motive out of health insurance and all of us will have happy healthy lives.[Truncated]" 24444 6/26/06 9:20 PM OR "* All US Citizens who earn less than $70,000 per year should have access to the same quality of health care that members of the US Congress enjoy.[Truncated]" "* The non-partisan, public-private citizens committees should never include lobbyist or major stockholders in the pharmaceutical, hospital or health insurance sectors. We must prevent this type of conflict-of-interest at all levels of health c[Truncated]" "* Individuals who earn or have income of over $80,000 per year should be expected to pay for health care costs and services. An equitable health care plan should be largely based on ability to pay.[Truncated]" * Community health care networks should have a majority of members on boards and advisory committes who live and work in a particular local community or region.[Truncated] "* In order to help control the costs of health care, we must have public financing of political campaigns to prevent the influence of campaign contributions on elected officials. Millions of dollars can be saved each year if we divert the money[Truncated]" * Another way in which to finance health care for those who cannot afford it is to roll-back the excessive tax breaks for the wealthy that have increased dramatically over the past five years.[Truncated] "* To help bring the costs of health care under control, the salaries and other benefits of CEOs and other executives in the hospital, insurance and pharmaceutical industries should be controlled or capped.[Truncated]" 24445 6/26/06 9:20 PM FL * till we get a Democratic president. democrats. for house & senate we will never see it now. we can show them NOVEMBER we can unseat all the yes men bush has placed in right places to get what he wants done also all crooked politicians out [Truncated] 24448 6/26/06 9:22 PM HI "* Universal health care is available in most Western European countries as well as Canada. As a US citizen who lived in Canada for 14 years, I can attest to the fact that their health care system is loved by Canadians. The citizens of the Uni[Truncated]" "* Absolutely this is necessary. For a man or woman that has worked their entire life to lose their savings over one major illness should never occur. We simply must have coverage to protect them, particularly as they get older and are prone t[Truncated]" * This is unnecessary and is only a waste of time and money. We need to set up a Universal Health Care system...USHIP...the United States Health Insurance Plan...that will provide coverage to all citizens and legal residents of the United Stat[Truncated] "* Public programs are costly and cause much paper work that is unnecessary. Again I stress the need for a Universal Health Care Insurance plan that will cover all medical situations (physician visits, hospitalization, drug benefits, etc.).[Truncated]" "* Respect and quality of life should be considered a fundamental right of every citizen in this country. Law abiding citizens who have led productive lives building our nation and our economy, deserve to have care as they end their days. This[Truncated]" "* We need something done now. Months, years, decades of debate simply will not work. The members of Congress have been able to protect themselves and their families with a plan that is second to none. Why should American citizens not be enti[Truncated]" "* There is no question that corporate and private citizen taxes will be needed to provide Universal Health Care and accessability to affordable drug plans. Most are more then willing to pay for this. After all, health care is already one of t[Truncated]" 24451 6/26/06 9:24 PM IN "* This is a big issue for all people today I watch the news and this man warm buffet gave Bill Gates . $31 billion that's good I'm s happy for the people that will be receiving this money for health care. This is a good thing that the work the[Truncated]" "* We have got to do something for the American people have no entrance. We've got to do it sooner not later time is running out for some people. I think God and of my union I have health care.[Truncated]" 24452 6/26/06 9:24 PM NH "* It is a sin that a country as great as the United States doesn't recognize basic health care to be a basic human right, but rather limits it to those with money or the luck to have a good job that provides quality health insurance.[Truncated]" The government MUST be allowed to negotiate for best price on prescription drugs! * A single payer system will greatly reduce the enormous cost of paperwork that's drowning our medical system and wasting needed health care dollars.[Truncated] "* I think it is vital that health care be divorced from job status. When a person loses a job, he/she usually cannot afford to continue insurance payments and health care costs on his/her own while struggling to try to make payments on such es[Truncated]" 24453 6/26/06 9:25 PM IN Everyone deserves it. Everyone deserves it. Everyone deserves it. Everyone deserves it. Everyone deserves it. 24454 6/26/06 9:26 PM NY "* Every American should have quality, affordable health care regardless of how much they make. They should have the right to choose the providers of their choice and be able to afford health care and any and all medicatons that they need. Thi[Truncated]" Dental and eye care should be a part of any medical provsion. Many cannot affor the high cost of dental and eye care.Makes Makes a lot of sense and seems to be fair. * It is a crime that we can spend money on space exploration and not provide quality health care for all our citizens. We spend billions ovrseas and ignore our prople at home. Time to spend our dollars to improve life for all US citizens.[Truncated] A good idea but how will it be implemented so it is fair for all? 24455 6/26/06 9:26 PM OH "* Please take a few minutes to see our website, and the short video clip about the SPAN Ohio Walk for health care justice. the web site for the Single Payer Action Network Ohio is www.spanohio.org[Truncated]" 24456 6/26/06 9:26 PM TX "I completely agree. Health care is certainly not an area where ""greed is good""." It is essential that a cross-section of America is represented in the commission that defines the program. No one should have to choose between health care and their self respect. "* Reduce the cost of Pharmacuticals by shopping worldwide for medications which meet a minimum standard of quality. It is time to take advantage of free trade, not be a victim of it.[Truncated]" "* I have no problem with tax increases that are fairly distributed and where the result is healthy Americans, not a windfall for Hospital, Pharmacutial, and Insurance corporations.[Truncated]" 24459 6/26/06 9:27 PM MI get a new president please have a full house of dems 24460 6/26/06 9:27 PM CA "* It is outrageous that the richest country in world which spends twice as much per capita on health care than other industrialized countries with universal coverage, doesn't protect all its citizens. [Truncated]" I agree I agree Good ideas OK I agree "* We need more emphasis on natural, non-toxic healing and health maintence modalities which need to be added to our present ""sick care"" system. These approaches should be covered and available to those who want to use them.[Truncated]" "* Elimination of red tape and profit margins of insurance companies, HMO's and other ""for profit"" corporate providers with cover most of the cost. We need medicare for all.[Truncated]" 24461 6/26/06 9:28 PM TN Benefits should be across the board and not based on income or net worth! "* The financial protection should not be income dependent! If you base the financial protection on income, it becomes just another tax on the middle class.[Truncated]" See comments above! * Stop the practice of bankrupting families to care for the elderly when low income patients get the care for free. Make this care free to all![Truncated] "* Financing should done in a way that does not ""tax"" the individual. Make the corporations that do business in the USA pay for cost of the health care.[Truncated]" 24464 6/26/06 9:30 PM GA i agree. This is very heartening. "* It is important that the commissioninclude many communit activists and citizens group, not cooporate interests, who seek to steer the solution in favor of their economic interests.[Truncated]" Amen "* I strongly believe that health care is the realm of the public and should be managed through our democratic, public organizations. It is part of the commons.[Truncated]" We need to expand significantly the public role in health care. "* Again, we need to emphasize and expand our public, democratically controlled institutions. We should no count on private interests, wich have failed us in the past, to provice us the solution. We should, for example, build on the success of[Truncated]" Please consider a full single payer system "Again, I agree." 24466 6/26/06 9:32 PM CA I support affordable health care for all! 24467 6/26/06 9:32 PM FL * i agree with this 100%. it is not right that americans have to pay for their ihelath insurance. it should be provided by the government[Truncated] i agree 100^ i agree 100% i agree 100% i agree 100% "* hosptials need to clean up their acts and get rid of MRSA and allother hospital transmitted infections diseases that they are brushing under the rug./ 90,000 people a year are dying of this and they keep it all hush hush. that is a sin. th[Truncated]" "instead of sending all our money to other countries, keep it here and pay for americans health care" 24471 6/26/06 9:34 PM CA "* Any civilized nation should be able to take care of the health of its residents. As it is, only Emergency Rooms can do this and they are overcrowded. And where are programs that help maintain health before it progresses to a costly stage?[Truncated]" 24474 6/26/06 9:35 PM AZ It is what is needed. Should be instituted as soon as possible. All of these recomendations should go into effect as soon as possible. 24478 6/26/06 9:37 PM IN * This is a wonderful idea but who is paying for it? The middle class is about taxed to the limit. We need to curtail medical costs. Hospitals and doctors are building kingdoms and raping the american public because they can and the government [Truncated] * The filthy rich must pay more taxes. We cannot allow corporations to offshore their operations so they are tax exempt in the USA. Too many profits are being seen by the wealthy sector and not enough is being done to make corporations pay the [Truncated] 24479 6/26/06 9:37 PM IN "* We lost our 29 yr old daughter in 2003 because her factory moved to Mexico, and she was without work, so no money for insurance. She became ill, borrowed the money to go to the doctor. The doctor knowing she did not have insurance, sent her h[Truncated]" This should be affordable. Something single parents can afford. 24483 6/26/06 9:40 PM PA I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! I'm tired of the greedy Insurance Companies taking advantage of victims all in the nane of the almighty $ (DOLLAR)!!! 24485 6/26/06 9:41 PM RI "* Many will die by 2012, implement the changes NOW. abolish the ""donut hole"" what a lamebrain idea that is. abolish the PENALTY for not signing up late to this confusing plans.[Truncated]" 24487 6/26/06 9:41 PM WI * there is no reason that american citizens shouldn't enjoy the same health care that our congress does. they have voted themselves this certainty so all should be involved.[Truncated] * I recently had surgery and I am only 59 yrs. I thought I had good insurance but the out of pocket expenses will hamper my husband and I financially.[Truncated] preventative care is the answer and if all americans were able to get good care maybe most expensive problems wouldn't exist. * there is no reason americans should lose everything they have worked for over the years because they have a health problem. we should take care of our own people.[Truncated] 24488 6/26/06 9:41 PM VA * As a Christian O strongly believe Americans on this richesst nation should have universal health care for ALL regardless of economic circumstaces.[Truncated] "* This wealthy nation already has adequate resources to pay for health care for all our citizens, but it needs to be made a priority for congress.[Truncated]" 24490 6/26/06 9:43 PM WI "* This is absolutely correct! Why in the world do the illegal immigrants receive better coverage than we who have lived and worked here all of our lives?! In a country such as this it borders on insanity to admit the state we have allowed this[Truncated]" "* Let the honest working citizens have a say in what will be established and let those in government (congressmen, senators)receive the same care provided to the average working man trying to make ends meet. See how fast that would change the [Truncated]" "* If there was true honesty in those running these programs, there would be no need to monitor waste, greed or any such fraudulant behavior for the rich to get richer and the average man and his family to struggle. I agree t us time to have a [Truncated]" "* Absolutely. Everyone deserves as I have stated before, to die with dignity. It is time that the higher ups realize we are the reason they are where they are and remember they too will come to the end of their time. How will they want to be t[Truncated]" Thank you for this opportunity to be heard and I pray that God will be heard in this great nation. "* It is understandable to realize that this new system will take time, but with unemployment, deadbeat fathers, low (unfair wages) and the government voting themselves raise as they wish it is high time to give the common hard working American [Truncated]" 24492 6/26/06 9:43 PM IL "* I have a college degree acquired after my severe brain injury. I cannot work for a living, though, because I have too many physical problems due to my head injury. If I had medical insurance, I could work, though. [Truncated]" "* I cannot work because financing my medical problems is too expensive. If the United States had a universal health care system to finance my health care, I would be able to work and not need to collect Supplemental Security Income.[Truncated]" 24493 6/26/06 9:43 PM OR * My brother David died because he did not have access to the mental and physical health care services that he needed. Even without my personal experience I value the right of all Americans to have access to whatever health services we have [Truncated] 24494 6/26/06 9:44 PM MN * I believe that all Americans should have equal access to affordable health care. No one should have to go without health care. Our current system is not meeting the needs of the people. It is wasteful and causes suffering. This should not[Truncated] 24498 6/26/06 9:45 PM OH * I currently have Health Care through my trade union. However it has gone from $3.50 oer hour to $6.25 and hour in the last 5 yrs. This is out of my pocket money so therefore I havn't had a pay raise on my paycheck in the last 5 yrs. AQnd wit[Truncated] "* I think everyone should still pay into the plan on some basis, so as to make them at least somewhat accountable for or aware of their use of the system.[Truncated]" * Keeping the majority of the system on a local and local needs based system is what I would like to see. The Federal aspect of the plan takes to much of the personal touch out.[Truncated] "* I am currently paying $12,000 a year out of my pocket, and that is not for full coverage. I would like to see some different plans on the board with maybe the chance to vote on the best one. I think the public should at least have a say in [Truncated]" 24503 6/26/06 9:47 PM WI "* This is essential. I am appalled by the number of hospitals that resemble country clubs and are only half full at any one time. And yet, anyone paying into the health insurance system, is supporting them. We need to get rid of this greed th[Truncated]" * I think we need to emphasise community clinics with nurses as the first line of practitioners. Most everyday health problems can be handled adequately by nurses.[Truncated] "* I wish we could be better at denying million dollar treatments with high failure rates. For instance, bone marrow transplants in some instances, or organ transplants with little chance of long term success. Also extreme measures for premies.[Truncated]" "* I believe that as long as we have for profit health care, and the profits are extremely lucrative, we will be unable to return to government health care. I see government supported clinics and hospitals and emergency rooms shutting down at a[Truncated]" "* Again, huge amounts of money should not be spent on health care for incurable or low percent cure conditions. So many poor people are dying from curable diseases that have not been treated early do to lack of access to the medical system.[Truncated]" "* I applaud this undertaking as one of the two most critical crises facing us, the other being the environment. The health care crisis will not be tamed until greed is removed from the equation. It is not important to find new cures when most[Truncated]" "* The top tax brackets need to be raised. It is sinful to have people earning millions in a year and being taxed at the same low rates as middle class wage earners. I don't think we need to go back to the 70% bracket, but at least 50.[Truncated]" 24505 6/26/06 9:48 PM IA * It would be a lot cheaper for everyone if the government would provide health care for all citizens in the US. Companies or Corporations could make more profits and the benefit would help everyone in the long run. Medical costs are getting [Truncated] 24506 6/26/06 9:48 PM KY It should be part of our social commitment to take care of all! agree agree agree agree * Much education needs to be done to avoid futile resuscitation of terminally ill individuals who then must go through the dying process again. Hospice should be greatly strengthened so more people can be served in their time of need.[Truncated] * Taxes on items known to increase health care needs should be used to offset the costs incurred by those who buy and consume those items.[Truncated] 24508 6/26/06 9:49 PM TX "* America is still considered the best nation in the world. And for many reasons, I believe this is rightly so. But besides the altrustic side, this is in our own best interest. As the saying goes, am ounce of prevention is worth a pound of [Truncated]" "* To take that a step further, there should be a bare minimum ""core"" benefit package. If one can afford more, then they can pay for it. But the bare minimum ""core"" should be sufficient to adequately cover routine check-ups, necessary preventi[Truncated]" "* This is how insurance should work: the many helping the few who have such catastrophic emergency needs. Everybody paying the same percentage of their income level so the amount taken from someone who is poor, while a smaller amount, is just [Truncated]" * A very good way of actually implementing these recommendations. This is basically what I was trying to say in my comments above.[Truncated] * I would imagine non-profit mission driven hospitals (or governmental health agencies) would be more adept at this than bottom-line profit-first hospitals. [Truncated] "* Has a study been done comparing actual costs of providing in-house care as opposed to hospital care? If not, I believe one should be. The centralized hospital/clinic may have lower administrative costs, but what about rent, electricity, etc[Truncated]" No "* Related to what I said earlier, it may seem more expensive in the short-term, but in the long-term, it will benefit all Americans. I don't believe there is an easy solution (else it would have already been achieved), but all avenues should b[Truncated]" 24509 6/26/06 9:49 PM NC Americans should have access to appropriate health care and medication. "The term ""staffed by experts"" is undefined thus unclear." "the term ""protection"" is used twice, once as ""financial"" so it becomes unclear as to what the first use implies." * It would appear that the Department of Health and Human Services is already equiped to work in this way making the need to identify the government unit unnecessary.[Truncated] none none no "The financial statement is vague at best. Corporate tax cuts continue, as do tax cuts for wealthy individuals." 24510 6/26/06 9:49 PM KY It is long overdue! A good program must be comprehensive. Valid and urgent goals. Yes! The options are there. Very important. These changes must happen. There is a solution. 24511 6/26/06 9:49 PM WA The rank of the U.S. in quality of life is a national disgrace. What will you do about it??? "Sound national policty embraces health, education, and quality of life for all citicens." National healthcare for all citizens is the only answer to the U.S. healthcare crisis. "* Integrated healthcare in all communities, under public scrutiny must be initiated to assure a healthy, productive, creative society. [Truncated]" "National insurance is necessary, and every citizen should be entitled by virtue of their humanity....." * The victime of debilitating disease and injury is the only person who should decide on the final days. This would be enunciated in the living will...[Truncated] Is health care to be available only to those who build their lives around the accumulation of wealth??? 24512 6/26/06 9:51 PM MI include alternative treatments. Be careful we don;t end up with a Wal-Mart style system We sould have the best health care system in the world. Not the best if you can afford it. "* I don't care a whit for the Insurance companies that have made a killing by keepingus dependent on them. I don't care if the transisiton is seamless. Just do it. the social security system is the most efficient insurance program in the w[Truncated]" 24513 6/26/06 9:51 PM IN "If it's good enough for Canada, it should be good enough for America." Sounds reasonable to me. Americans deserve this. Well thought out. Good. Good recommendation -- again "Yes, yes, yes" You heard me. "* I should thinl that financing could at least partially result from Congress cancelling the cash bonanza for the filthy rich enacted by the lying, duplicitous (sp?) crook in the Oval Office (who - incidenatlly - should be IMPEACHED NOW).[Truncated]" 24515 6/26/06 9:52 PM AZ "* We all deserve the same medical coverage as we provide, through our tax dollars, for our elected officials. Every person has the right to decent medical care.[Truncated]" 24516 6/26/06 9:53 PM WV * I currently have very good health care provided by the UMWA and I think everyone should have good benefits like I do. I don't have dental or vision care and I think every American should also have good dental and vision care.[Truncated] Health care should also include vision care. "* I believe everyone should have a co-pay of $5.00 deductible for a doctor's visit up to $100.00 annually, and a perscription cost of $5.00 per perscription until a $50.00 co-pay is met.[Truncated]" Rural healthcare should be improved upon. We should lead the world in health-care. Hospice is a very good program and we need to expand upon that. We are judged by a society as how much we practice compassion. We must take care of the Americans who are at the most risk now as opposed to later. 24517 6/26/06 9:53 PM NC Absolutely! Mental health pariety is essential Healthy children and adults make a strong country Health care should be community based. * We should be protecting citizens' health not insurance companies. Insurance companies are currently making health decisions that should be made by medical professionals.[Truncated] Currently poor patients on medicare can be refused services because of financial inequities. This should not be allowed. I hope this committee has soume clout. It sounds fair. 24518 6/26/06 9:53 PM WA "Every one needs good ""Health Care"", that they can aford!" 24524 6/26/06 9:58 PM FL "* WE IN AMERICA SHOULD HAVE HEALTH INSURANCE. ALL OF THE OTHER COUNTRIES HAVE INSURANCE. IF YOU DIDN'T HAVE SUCH BIG SALARIES MAYBE WE COULD HAVE SOMETHING. IT IS TIME WE PUT ALL OF YOU OUT OF OFFICE, AND TAKE BACK AMERICA. WE COULD VOTE NEW P[Truncated]" AS LONG AS THEY ARE FAIR YES KEEP IT INEXPENSIVE YES IT SHOULD BE VERY SAFE. MEDICARE IS A GOOD CHOICE. YES WE NEED MORE HOSPICE AND PEOPLE TO HELP THE PEOPLE WHO ARE DYING. "* YES I THINK IT WOULD BE WONDERFUL IF WE HAD INSURANCE THAT WE COULD COUNT ON,IT WOULD CERTAINLY GIVE PEACE OF MIND TO MILLIONS OF PEOPLE.[Truncated]" WITH ALL OF THE TAXES WE PAY I THINK THE GOVERNMENT SHOULD PAY FOR OUR INSURANCE. 24525 6/26/06 9:58 PM MI "We need nothing less than what Canadiens, Europeans, and most of the rest of the world have. Public health care for all." "* It should not take a rocket scientist to figure this out. 100% of health, wellness, and medical services available to 100% of the public.[Truncated]" * 100% health coverage for 100% of Americans. 100% financed by 100% of Americans through 100% public financing. Medicare for all![Truncated] 100% coverage for 100% of our population. Of course we need public health centers for public health. "* Medicare for all. Private health care only for those who want to pay to go well above and beyond what is reasonable and necessary to promote and sustain normal human life. Cosmetic surgery, for example, would not be free, but available in p[Truncated]" "* Cradle to grave public health care for all. The only private health care should be for the wealthy to dabble in cosmetic and experimental type health care, above and beyond reasonable and necessary to sustain normal human life.[Truncated]" "* Keep it simple. The federal government should be taking over all of the now private, non-profit health organizations. Fully financed by payroll taxes, health care for all. The private, for-profit health organizations would remain only for [Truncated]" 100% public financing for 100% public health care. Keep it simple. 24528 6/26/06 9:58 PM NH "* I have been working in or around healthcare and the ridiculous rules of medicare, etc create more work and more expense, a national more simplified program for those below a certain income or benefit level needs to be considered. As someone w[Truncated]" "* Everyone should be entitle to certain well visits especially children, adults of certain ages, certain std tests which will probably change over time and access to medication without having to spllit a pill!!!! As well, any troubled person s[Truncated]" "* I totally agree with these 3 points. As someone who works hard, watches my benefits decrease, I could see my 2 chronic conditions being a huge burden on my husband and son.[Truncated]" "* perhaps if certain guidelines for quality exist and are met, subsidies can be supplied or if the program goes out and does something in the community.[Truncated]" "* Communication between providers amd pts is at at all time low because providers are rushing to see a minimum # of patients just to make money. It seems to me, many ins companies are getting richer than the caregivers.[Truncated]" I agree Our current system needs and overhaul NOW * I now work in a community hospitals and I do know we offer subsidized care but if we didn't we would have to turn people away. How can we do that in such a weatlhy country. I am continuing my employement but each year my benefits decrease so [Truncated] 24530 6/26/06 10:01 PM VT "* In an emergency, people without insurance go to the hospital emergency room. Paid for by someone ? If that money was applied to an insurance plan, one thip would most likely pay for a years worth of insurance or maby not. Any way you can see [Truncated]" 24531 6/26/06 10:01 PM CO "* Again, there's no need to reinvent the wheel. Look at what other developed countries with highly regarded health care systems do. Also, please include mechanisms whereby non-""mainstream"" medical care can also be covered if it meets evid[Truncated]" "* The best way to achieve this is to cover all non-elective healthcare costs, and to have all non-elective health care paid for by the national program. I.e. as in Canada's single-tier system. (Not the U.K.'s two-tier system, which means that[Truncated]" "* It's not clear what much of this means, especially the ""public-private"" advising group (in what ways are they public and private? who appoints/elects them? If it becomes an insurance industry lobbying group, we're sunk.) and it sounds as thou[Truncated]" "* The federal government should be using its clout to negotiate down prices for medications and equipment. Patients can't be expected to ""shop around"" for this kind of thing, unless they happen to be MDs specializing in the area that they're [Truncated]" "* In fact, a single-payer system (government-covered insurance for everyone) would _save_ about 10% on our current system, because of not having to cover the excess paperwork of private insurers, and not having to pay for the profit of private [Truncated]" 24532 6/26/06 10:01 PM GA "As a Christian, I believe this follows the values of justice, compassion, and love, and therefore I support it fully." 24533 6/26/06 10:02 PM AR "* In my opinion healthcare for all is the most important issue facing our country .A solution must be found.We are still the wealthiest nation on the planet,basic healthcare should be a given.[Truncated]" 24534 6/26/06 10:02 PM CA * I think prevention is the best way to control costs. Healthy people might not want to pay for those who are irresponsible for their health.[Truncated] 24535 6/26/06 10:02 PM NY "* Stop tap dancing around the real issuse with bandade measures that don't measure up. We need a Free Health Care for all. A Single Payer Universal Health Care system, similar to the rest of the civilized world. Don't be afraid to use the ""S"" W[Truncated]" All Americans rich or poor deserve exactly the same quality health care. No exceptions!!! It should be a FREE PUBLIC SYSTEM FOR ALL. Stop all extra ordinary care for people over 80 years old if you need to cut costs. "* All Public not private all not for profit. Community based centers a good Idea with federal funding to assure that rich and poor get access to same high quality care.[Truncated]" take the for profit model out of the health care system and replace it with a quality care and service model. "Don't prolong pain and suffering , all people rich or poor should die in peace with dignity." "* Do not sell us out this time, Single Payer Universal System is an absolute must. We should have had it 50 years ago. The UNION must be the VANGUARD in this Struggle, not the LAP DOG!!! If you need a real Union Man with Guts to ad[Truncated]" "* It should be financed at the Federal Level by taxing unearned income at double the rate of earned income and a surtax equal to 50% of every dollar earned that is on CEO's pay that is 25 times more than their lowest paid worker. Also repe[Truncated]" 24537 6/26/06 10:04 PM OK Affordable health care for all Americans is long over due! Lets take care of ALL Americans now & do the right thing. "* I strongly agree with this, especially the dental health part. As of now many Americans living on social security disability have no dental health coverage & do not deserve to be without this valuable health benefit simply because, through no[Truncated]" I totaly agree. "Yes, this needs to be done, now." I agree. "* We cannot put people aside & forget about them & their needs when they are nearing the end of their lives. If we do we are no better than any lower form of life below us, as we that live to become old will all be put in this position some day[Truncated]" Financing health care to all Americans through an income tax surcharge sounds like a very good start. 24542 6/26/06 10:06 PM KY "* We are the only industrialized nation that doesn't take care of their own. What a pathetic group of evil, mean, people running our government today.[Truncated]" * Those in office today don't believe in mental health care and in reality do not believe in any kind of health care for the poor and middle class.[Truncated] "* Look ant Canada,Norway and Sweeden all have a higher quality of health care than do we in the USA. I know they have higher taxes but all are taken care of regardless of income. [Truncated]" "* This is great but can only be done if the correct people are elected to the House and Senate--those there at present, especially on the right don't give a damn about people---just money and making more.[Truncated]" Instead of using our tax money to kill people let's use it to give ourselves good health coverage. 24544 6/26/06 10:06 PM WI "* Its hard to believe that our neighbors to the North and south have good health care for their citizens and we do not , its a shame your health and life are dependent on your income level.ill bet our leaders have good health care policie[Truncated]" long overdue If other countries can do it so can we. 24545 6/26/06 10:06 PM NY Universal health care must be looked and acted on NOW! 24547 6/26/06 10:08 PM CA "* Think of it, all those children and women who are in need of health care can actually get it. Everyonr should have this opportunity no matter what their income is. Hospitals should not have to close because they don't get paid.[Truncated]" I believe in the above statement "This should be available for all americans, those who are illegal should be subsidized by thier countries. " Lets get with it Congress "* I also believe that those who have served in the Armed Forces, including the Coast Guard should receive free medical care at the VA Hospitals. They fought to keep our country free and deserve this.[Truncated]" "* Some of the income tax that we pay yearly and believe me some of us pay a lot, should be used for health care for the elderly. Taxes should not have to be raised to help pay for this. [Truncated]" 24548 6/26/06 10:09 PM FL "* Instead of reducing taxes by the same percentage why don't you have people pay the same % in to health care from their earnings. This would be a heck of a lot more fair than taxing them the same % on income, don't ya think?[Truncated]" "* Have people earning over $1,000,000 per year give a good portion like $50,000 plus to cover the lack of medical care for poorer people.[Truncated]" see other comment above See comment above. 24549 6/26/06 10:09 PM FL "* I believe we sill save money if we practice prevention instead of running to the emerency room when things get out of hand. We should also do something about gun violence. I we have the guts to take on the health care system, then the gun lo[Truncated]" "* I believe there should be a limit as to things like heart transplants. Also we spend too much on end of life issues. When it's time to let go we should not hang onto life just becaue we have the technology to prolong life. It there is no qua[Truncated]" "Asi said above, we spend too much money on end of life functions. We treat our pets better." "* It is mind boggling, that the US does not have socialized medicine, when almost every other industrialized country does have such systems.[Truncated]" 24552 6/26/06 10:10 PM IA * Why should an 80 year old woman be sent home the day after hip replacement surgery without any in house therapy/rehab? She was told her insurance would NOT cover this kind of thing. Trying to get around without any supervision could be very[Truncated] * What ever happened to doctors' recommendations for their patients instead of having someone tell them they spend too much time consulting with their patients? Why are so many of the doctors leaving the profession?[Truncated] By the time committees are formed to coordinate anything how many people will die waiting? "* Again, too much time is spent talking about the situation. It seems like no one wants to make a stand because it might hurt their image.[Truncated]" * This has been an issue for a long time. When are the powers that be recognize this and do something? They sit for hours arguing about what kind of raises they give themselves and maybe they should trade places with someone who just had majo[Truncated] 24553 6/26/06 10:10 PM WI "* All of us are responsible for each other. We live in a Christian country and our faith demands this of us. When anyone of us suffers, in some way we all suffer. While our constitution says that we all deserve equality that does not mean all o[Truncated]" "* Specific recommendations must include excercise programs, recommended readings throughout early, middle and high schools as part of the broad educational requirements to maintain a healthy population and proper education in re to adequate foo[Truncated]" "* No one should have a ceiling above which they cannot rise; likewise, there must be a lower limit beyond which any citizen or guest of this country must not be allowed to fall without assistance.[Truncated]" * Integrated health care networks would be remiss if they did not include adequate environmental rehabbing and protections of our resources to provide safe environs for these as well as all populations being served.[Truncated] Get rid of the pork. Streamline and revitalize by cutting away the fat which doesn't produce results. Amen! * Every citizen deserves to die and to spend their last days in dignity and with the least amount of suffering especially after years of service toward the common good; and certainly all citizens must be educated towards that very end of contri[Truncated] * We have plenty of people who are experts in this area and we must use their combined knowledge and expertise to arive at equitable solutions from which we can vote on and live with.[Truncated] 24554 6/26/06 10:10 PM AL * I agree! my 50 yr. old brother passed 3 mo's ago he had no health care and was tossed to fro through the system with promises of help and died at home suddenly with the respotory problem which could have been resolved with treatments. Ashamed[Truncated] "* The core benefits and high cost protection idea is good and can be very cost effective to all Lifestyles back by available educational and fitness programs offered to Americans sponsored by business as well state and local governments sho[Truncated]" * The high cost of health care is the price we pay for no care and neglecting to deal with core issue of Government and Corporate Greed [Truncated] * Health care professionals should be compensatied to establish and reach out to these difficult areas to help lower cost by being available Every American should be required to see a heath care Pro.Yearly for evaluations [Truncated] These programs can be effective and must be monitored not allowing big insurance companys and businesses to rule and control Truly let the people and families choose based on pro. counseling * If we don not take control of the health care in America our nation will not recover from the sickness of social neglect that is eating away as a cancer our strength and will to live and sirvive the econimic disastor bad health is costing us.[Truncated] "* Afordability is only an issue with the poor,sickly and jobless.If America is as claimed the richest nation, the revenues are available and can be found to minister the health care to Her Children. Businesses and any group which sells and di[Truncated]" 24555 6/26/06 10:11 PM DC * I support this 100%. I find it a disgrace that people in the US do NOT have what people in every other industrialized country have - access to core health services. It's about time.[Truncated] * i think your proposal is excellent. I do think we will have to deal with extraordinary measures for newborns and very old people - which I understand to be major drivers of expense with little possible benefit.[Truncated] "* The system has to be universal and public. Private programs are necessarily expensive, with costs going to expenses other than health care. If the program is different for low income individuals and families, those people will find their be[Truncated]" No comment Sounds okay. Great! * I am thrilled that you all have come this far. I strongly believe that single payer is the way to go - but I don't quarrel with anything you say - except that health insurance should no longer exist. Patients should have the right to choose[Truncated] "* The one health care financing mechanism that is inappropriate is private health insurance. There is no reason the health care system should pay for risk evaluation, selection of insureds, marketing and other nonsense. Medicare provides an e[Truncated]" 24561 6/26/06 10:14 PM OH * Let's make it clear it's for Americans all legal Americans and Legal American citizens Not illegals real citizens We the working class should not have to pay for the illegals period!!!!!!!!!![Truncated] Again only for legal American citizens period!!!!! Again for legal American citizens only. No free health care for illegals!!!!! "* Only that, only Legal American Citizens qualify for this health care No Illegals period when the need healthcare send them back to their country to be taken care of!!!!!!!!!!!!!!![Truncated]" Again do not pay for illegals do not give them health care!!!!! 24562 6/26/06 10:14 PM IN I believe this is the appropiate action to take. I agree. 100% participation. I agree. "It should also include state representation. " I agree. Provide quality food services for the poor through before - during - and after school programs. * This should be brought online so that no business can opt out and thus gain an economic adavantage over anothe business in the same economic class.[Truncated] 24563 6/26/06 10:14 PM NY * I agree wholeheartedly with the above recommendation. The state of health care in this country is a disgrace. This country's health care system is based on the almighty dollar. Politicians should be ashamed of themselves. The decisions ab[Truncated] No recommendation at this time. * This is perhaps the most important recommendation due to the fact that many families in this country have had to file bankruptcy due to the high cost of medical bills.[Truncated] This will be difficult to establish. In rural areas around the country decent health care is almost none existent. No comment at this time. * I agree with this recommendation. This is a critical and sensitive time and it is important that the health care industry realize this.[Truncated] * I hope this system will include corporations who hire part time workers thereby alleviating their responsibility for providing health care for their workers.[Truncated] 24564 6/26/06 10:15 PM WA * Soaring health care costs are widespread and many people simply suffer as they haven't the funds to pay them. Lets do the right thing and care for the people of our nation![Truncated] Thats it! * Even a broad range plan would allow personal choices in health care providers. Let a basic full range health care system be standard and allow options for those whom wish or need them.[Truncated] 24565 6/26/06 10:15 PM NC "* I FEEL THAT EVERY ""AMERICAN CITIZEN"" SHOULD HAVE THE RIGHT TO RECIEVE MEDICAL HELP NO MATTER WHAT THIER FINICAL BURDEN IS AT THE TIME. IF IT MEANS FREE MEDICAL TO SAVE THIER LIFE THEN SO BE IT FREE MEDICAL. THIS CONTRY IS VERY FAR BEHIND IN [Truncated]" IT SOUNDS GOOD BUT WHAT WILL IT COST THE AMERICANS IN THE LONG RUN? * I HAVE MEDICAL INSURANCE FOR MYSELF AND MY WIFE AND WE ARE STILL UP TO OUR EARS IN MEDICAL BILLS THAT WE CAN NOT AFFORD TO PAY AND THAT IS ONLY WHAT OUR INSURANCE DIDN'T PAY. WE ARE ON A FIXED INCOME SO I AM WONDERING HOW MY INSURANCE IS HELP[Truncated] QUALITY HEALTH CARE IS NEEDED IN EVERY INCH OF THIS COUNTRY NOT IN JUST CERTAIN AREAS * ALOT OF DOCTORS ARE MONEY HUNGERY AND THAT IS WHY THEY ARE DOCTORS. IF IT DIDN'T COST SO MUCH TO SEE A DOCTOR MORE PEOPLE WOULD BE ABLE TO GET TREATMENT FOR THIER MEDICAL PROBLEMS THAT MAY OR MAY NOT OCCUR BECAUSE OF NOT BEING ABLE TO SEE A [Truncated] * THIS IS TRUE THAT ALOT OF PEOPLE MAY NEED THIS HELP AND THEN THERE ARE OTHERS THAT DON'T WANT IT. BUT I FEEL IF SOMEONE WANTS AND NEEDS IT THEN THIS IS GREAT.[Truncated] * JUST GIVE ALL OF THE AMERICANS WHAT THEY DESERVE AND HAVE FOUGHT FOR EVER SINCE THIS COUNTRY CAME TO BE OR WE MAY NOT BE A COUNRY FOREVER. YOU CAN NOT TURN YOUR BACK ON THE AMERICAN POEPLE AND THAT IS WHAT ALOT ARE FEELING. THEY ARE ENTILED T[Truncated] "* THIS COUNTRY IS SUPPOSE TO HAVE SO MUCH MONEY THAT THEY CAN GIVE FREE GRANTS TO PEOPLE TO PAY BILLS, RENT AND ALL OF THIS IS FOR FREE FOR THE ASKING SO THEY SHOULD BE ABLE TO GIVE OUR AMERICANS FREE MEDICAL THAT ARE IN NEED. THEY CAN ROB PETE[Truncated]" 24566 6/26/06 10:15 PM na AllAmericans should have equal access to high quality health and Mental health care without discrimation. 24568 6/26/06 10:16 PM NY I fully agree. I agree with the above definition. I fully agree. I fully agree. I agree. I agree. * This is a noble cause and I fully support your work. These recommendations sound great. I truly hope for bi-partisan support for this fundamental issue for our nation. Never should people in this country be denied health care for whatever rea[Truncated] "* I agree. Even though my family and I have private health insurance, I would not mind contributing more taxes knowing that we have a solid program that provides universal health coverage for all Americans.[Truncated]" 24569 6/26/06 10:16 PM MA "* It should be affordable and with a single payer to avoid the hours everyone, patients and doctors alike, have to spend dealing with insurance issues.[Truncated]" "* And middle income folks, too! Only the very rich who can really afford it should pay. Any family with children where the income is under $100,000 is struggling these days between high costs for housing, fuel for commuting and for heating, s[Truncated]" 24570 6/26/06 10:17 PM CA * In the Salinas Valley there are babies who are dying from the nitrates in the water. The families have to be treated for skin rashes and hair that falls out. The elderly are at risk of premature deaths from the usage of pesticides by farmers[Truncated] "* Customer service is at the core. Guidelines should include written plans of care and specific objective obtainable goals. When th epatient is listened to and guided in the right direction for care, there will be more efficient healing and l[Truncated]" "* I agree. When people are empowered to be healthy and seek medical care, everyone benefits from it; those who would have been exposed, those who would have lived shorter lives and had to have family take care of them. They would be free to h[Truncated]" See above where I talked about the Salinas Valley's need for water sustainability and decreased use of pesticides. * The evidence must be allowed to be printed and received by the masses in order for us to know what needs to be changed and how to find solutions to complete the change. If noone knows that newborns can get methemoglobinemia (blue baby syndro[Truncated] "* Living trusts and the like should be provided to insure that the infirm persons resources are not stolen and that they have control over as much of theirselves as possible at the end of life. Many times patients are drugged so that they wi[Truncated]" "* If school age children are instructed in all aspects of learning including art, music, P.E. and life skills, Scout based skills acquisition, there would be fewer claims for retraining and more persons who have valuable contributions to make e[Truncated]" "* One way to finance the change is to provide taxation to the source of the health care problems such as the pesticide and poison and chemical industry, the home building industry and those who are polluters, energy providers like the coal and [Truncated]" 24573 6/26/06 10:18 PM CT "WE should also have a privatize system . For no one system can cover every need." Probably the most important issue. "* You left out the one group that needs it the most the working class/middle class. Those who make a good wage but not enough to sasve and where an illness could wipe out thier life savings. We make over $20,000 but under $100,000[Truncated]" Shouild be left up to individual states or regions. 24575 6/26/06 10:18 PM ME "* Federally funded universal health care --- incorporating recommendations 4, 5 and 6 --- would be an excellent solution, and the only way to achieve equity. Why are we still pretending that this has not been proven the most fair, cost-effecti[Truncated]" 24579 6/26/06 10:20 PM TX I agree and support universal healthcare. I agree and support universal healthcare. I agree and support universal healthcare. I agree and support universal healthcare. I agree and support universal healthcare. I agree and support universal healthcare. I agree and support universal healthcare. 24583 6/26/06 10:21 PM PA "* Not only should care be universally accessible it should also be of the same quality regardless of your class or economic means. Corporate America, and the Pharmaceutical industry should be expected to contribute in large measure to fund suc[Truncated]" "Vision benefits should be included as well, sight is very important and efforts should be made to preserve it." * Let's NOT make it a shoddy system whereby someone HAS TO go bankrupt or very seriously into the red financially BEFORE any help is available. Make it a system that starts helping BEFORE people are in trouble financially and keeps them financ[Truncated] * An emphasis should be placed and WHOLENESS care and the overall well being of the patient at all times and in all ways. One should not be put through a revolving door that kicks you out once the specific condition you are being treated for i[Truncated] "* One should be able to legally end ones life if in a situation which does not lend itself to resolution (incurable, excessively painful diseases, etc.)[Truncated]" * An emphasis should be placed on where the money is for such things. The rationale behind my thoughts to have corporate America pay for a large portion of this matter is that they share the benefits of the system and reap huge profits because[Truncated] "* As stated above, corporate profits at the expense of the health and welfare of the people of this nation needs to be reevaluated. Corporations should pay more of a share in any healthcare payment plan, as well as the Pharmaceutical industry.[Truncated]" 24584 6/26/06 10:21 PM NY * One sign of a developed nation is the quality of life enjoyed by the majority of its citizens. We must provide access to comprehensive health care for all citizens of this nation to avoid establishing a second (lower) class of citizen.[Truncated] This can become a great political position develop a national unity or in the hands of fools can tear the nation. "* Community health networks should be encouraged to be even more proactive before citizens become in need of a costly remedy. Please include a proactive statement that includes healthy living standards, diet, exercise, vaccinations, check-up, [Truncated]" Yes this does include safeguards put in place to limit potential abuse and promote equity. 24590 6/26/06 10:24 PM FL "* Universal single payer health insurance administered by the government is the answer. All people should be covered, not just low income people. It should not be a welfare type program.[Truncated]" I agree. All people should receive the same coverage regardless of income. It should be publically administered. * This is not OK. This should be the only health insurance for all. That way all people (voters) will have a stake in maintaining a quality program.[Truncated] OK Universal single payer health care should be financed by the progressive graduated income tax. It is the fairest method. 24592 6/26/06 10:24 PM PA I fully concur with this statement. "* I'm all for reality based decision making, but leave out the insurance companies. Perhaps not to the last company, but most for sure have but one motive, and it isn't the best interests of the community writ large.[Truncated]" Same song different verse - single payer solves the problem neatly. * I understand the political need to dance around various interest groups' likely objections. I'd venture a guess that most public health officials already know what needs to be done. How about giving them the resources and authority to do it?[Truncated] * Perhaps the most important thing to do to ensure quality integrated health care is to help mint more family doctors who are taught how to truly coordinate care (without the HMO command and control feature thank you) and fewer specialists.[Truncated] Agree 100%. "* In case you missed it above, single payer is a critical component of a truly reformed health care system. Private provision is fine, but the lion's share of insurance companies stopped working for patients a long time ago and thereby forefit [Truncated]" "* As I continue to fight with the local Blue Cross outfit over valid claims they refuse to pay and wait in vein for responses to pre-certification requests submitted multiple times, there is a straight forward answer to the funding issue - sing[Truncated]" 24593 6/26/06 10:24 PM CO "* On retirement income, our health care costs have tripled in the last 3 years. If this continues, our retirement income will pay for health care and nothing else. No food, nothing.[Truncated]" "* How will changes in information and technology be factored into the above? There needs to be a variety of ages, socio-economic and racial folks in the patient representatives.[Truncated]" * Make sure there are no 'doughnut holes' as in the prescription drug coverage. It's an abomination to have that in legislation. [Truncated] Let's not get too bureaucratic. It's beginning to sound so complex that it will go nowhere. Follow the KISS principle folks. Please make sure the patient records are private and not accessible to others not needing to know. "* Please expand this beyond 'their last days'. Six months minimum at the least. Educate physicians that they need to listen to their patients, indeed ask questions, instead of promoting the use of advanced drugs, etc. when there really is no [Truncated]" "* We need to see a wide range of women's health issues protected. From EC, to something beyond one hospital day for mastectomy, etc.[Truncated]" Please give concrete examples of how this would work. 24594 6/26/06 10:24 PM IN "* I do not want to pay for anyones insurance but my own. The middle class and rich people do not need to pay for everyones insurance. I am not a liberal. [Truncated]" "I do not want to pay for any insurance but my own. " "* If you can't afford it, I guess you don't need it. We need to quit suing everyone for the least little infraction. Maybe fees for hospitals and doctors would go down. [Truncated]" "People need to learn to support themselves. " "The Lord has a lot to do with healing. I know that prayer works, if we pray to the Lord Jesus in heaven. " "They should work and invest their own money not mine. You liberals." 24595 6/26/06 10:26 PM MI "support a single-payer plan, similar to the Canadian model" "support a single-payer plan, similar to the Canadian model" "support a single-payer plan, similar to the Canadian model" "support a single-payer plan, similar to the Canadian model" "support a single-payer plan, similar to the Canadian model" "support a single-payer plan, similar to the Canadian model" "support a single-payer plan, similar to the Canadian model" "support a single-payer plan, similar to the Canadian model" 24598 6/26/06 10:27 PM OR * I say let us import foreign doctors like we do farm labor. That will get price down. the AMA has a death grip on our care.. It is extortion.[Truncated] Include alternative therapys and procedures. Use wheat grass juice. 24599 6/26/06 10:28 PM WA Just make it happen !!!!!!!!!!!!!!!!!! 24600 6/26/06 10:28 PM FL "* Why not develop a Health Care System based on the one Massachusetts recently adopted. Universal Health Care would take the employer out of the insurance business and would allow those employed to be paid a ""living wage,"" the tax on which wou[Truncated]" "* Core health services aimed at ""preventive"" care, instead of ""curing a preventable sickness,"" starting pre-natal to grave, would lessen the need for hospitalizations in instances where the illness is prevented. My health care (Medicare/Aetna) [Truncated]" "* Low income individuals who are ""knowledgeable"" are already on Medicaid. It is the individual trying to make it in society that falls through the cracks and has a tough time trying to stay out of poverty. I would hope that a system be institut[Truncated]" "Again, keep it simple or nothing will be accomplished" "* All noble endeavors. Can we dare to ask that pharmaceutical companies be funded to insure that when a beneficial product is discovered it becomes available, not at the cost of its development, but recognize that it could benefit the public by[Truncated]" "* Prolonging the viability of a body, as opposed to recognizing what quality of life remains, needs to be for the welfare of the patient. Its been said that funerals are not for the dead, but those left behind. Caregivers, in whatever form they[Truncated]" "* As a Gerontologist, I know that every life in a society has value. It is up to that society to provide the means for a life with dignity.[Truncated]" "* Bush's plan, much like the ""new medicare"" which is already costing individuals more for their medications, is on the same level as his Social Security Privitazition scheme. Instead of ""helping the ""workers"" they are sinking further into the [Truncated]" 24602 6/26/06 10:30 PM AR "* The first law should be nationwide ""NO DOCTOR OR HOSPITAL CAN REFUSE SERVICE TO A PERSON BECAUSE THEY DON'T HAVE INSURANCE OR MONEY TO PAY UP FRONT.'[Truncated]" * The Alderman is a elected post.He/She represents the smallest group of people within the county/state government.one year terms.Their body making up the quarim court.A very wide representation of the crossection of the population.I think they[Truncated] "* If the medical costs are at the level that is going to impoverish the person's family, then he/she should be allowed to recieve dissability benefits until they can recover,then as needed until they are able to deal with the medical cost,even [Truncated]" "* Try not to let the government involvement turn their part into the same thing that happened to collage tuition,where you have qualified students or patients being turned to the side to get to one with government guarenteed money.[Truncated]" "* By allowing the patient to be the final signature after the service'es have been adminestered,and the review board reccomends payment before the funds are released. Each doctor serving a comunity should have to serve a certain amount of time[Truncated]" "* This type of expence/benefit should be a two phase program short term and long term I've known people to be involved in these kinds of situations for years before the end of their life came,while again some only after a short time.I think the[Truncated]" * One of the worst feelings a person can have is to be a burden to other people and to be alienated out of the things going on around them.I think every effort should be made to inshure the person that they are very much a part of whats going o[Truncated] * A person not having the money at the time of their illness should be able to borrow the money from their own social security account and over time after they have recovered be allowed to pay it back through catch up deductions by payroll dedu[Truncated] 24603 6/26/06 10:30 PM WY "Universal health care means total coverage for all. No ""needs-based"", no income tests, nothing." "Great, as is." See #1 above. "OK, but seems to place too much emphasis on the private." Yes Yes "* Paid for from a general tax fund, funded by a universal income assessment. No exceptions, no exclusions, no graduated rates, but on every nickel of earned, unearned, capitol gains, inheritance, and deferred income.[Truncated]" 24604 6/26/06 10:31 PM TN Totally agree. Agree with this too. Agree! "* Yes, as I am in a rural area and my TenCare was cut out a few months ago even though I was paying a premium of $200.00 per month since I started working more hours on one job and got a second job. I still cannot to see my Dr. sometimes when I[Truncated]" "* Quality of care improving sounds good. My Dr. prescribes a drug for everything and rarely talks to me about diet, exercise or alternative methods of staying well or healing. Sometimes I wonder if some Drs. are ""owned"" by the drug companies. I[Truncated]" YES! I have already seen and heard of people in Tennessee dying because their healthcare (TennCare) was stopped. We need this! 24607 6/26/06 10:32 PM TX * I have a neighbor who works for a physician who does not provide health insurance for his employees. She has almost had to declare bankruptcy because she has had some minor health problems. Everyone deserves to have good health care and all[Truncated] * Preventive services are so important. Often times if these were addressed we would spend much less for rehab care or disability coverage.[Truncated] * People need advocates to help them ask the right questions and not just accept what their physician says. Physicians have a vested interest in continued treatment and often times to not explain the options unless pressed to do so.[Truncated] Thank you for the opportunity to express my opinions. * It is not fair for only the rich or the lucky who have health insurance to have their health care needs met. We need to bite the bullet and take care of all of our citizens. Right now we are all paying for the uninsured through higher healt[Truncated] 24609 6/26/06 10:33 PM PA This would be perfect. Too good to be true! 24610 6/26/06 10:33 PM OR * I agree that everyone should have health care in this country. But the statement that everyone should participate concerns me. Who decides what is a fair price that everyone should pay? The questions should be asked of the insurance agencie[Truncated] "* Once again, who is going to decide what a ""Core Benefit"" is? It is a great idea, but as soon as someone really needs health care because of a traumatic incident you can bet they will be cut. Because it cost to much and they will not have en[Truncated]" * I know this one all to well. I retired at the age of 50. I had to pick up my own health care. After I paid my house payment and Medical insurance I had $300 to live on with other bills coming in. Needless to say health insurance has now b[Truncated] "* It amazes me that we can spend 84 billion dollars a year to finance a war that only the President and Vice President wanted, but we can't spend one dollar to help out americans who need health care.[Truncated]" 24611 6/26/06 10:34 PM NY "* I advocate for HR 676, single-payer healthcare for all. There should be, as this bill provides, NO deductibles, NO co-pays, NO premiums, No doughnut holes, nothing of the kind. It would be funded by a low income tax, and cost 30% less than [Truncated]" I agree! * Same as I said for Recommendation 1. It should not cost anybody anything except that one low tax across the board. See HR 676.[Truncated] I agree! "* I don't think there should be any cost-sharing or pricing. Again, it shouldn't cost people a cent to get healthcare--just that tax, the same kind of tax that funds Medicare.[Truncated]" I don't think there should be private payers. No insurance companies. Just single-payer. "* Support HR 676! Thank you. I think these recommendations are very comprehensive, and have been very carefully and painstakingly thought out. I respect that, even when I don't agree with them. I certainly agree with the aim, which is to [Truncated]" "* Again, HR 676 provides for funding from a low income tax that would pay for everything. Remember: It would be 30% less expensive to administer than the hodge-podge of competing plans with all their paperwork which we have now.[Truncated]" 24612 6/26/06 10:34 PM NY * Health care should be available to all and be simple to acess. It should not be administered by profit making private interests. For the elderly Medicare is much more efficiently administered than private insurance companies and HMO's. Ther[Truncated] 24613 6/26/06 10:35 PM AZ "* It should cover everyone, no matter what their hobbies are. Even if they're so-called ""Dangerous"" sports;ie: rock climbing, motorcycle riding, water/snowskiing, etc...[Truncated]" It shouldn't cost me any more than what I'm already paying for a comparable package! 24615 6/26/06 10:36 PM MD "* I believe all americans should have a health care system where everyone participates, regardless of their financial resources or health status, with benefits that are sufficiently comprehensive to provide access to appropriate, high-quality c[Truncated]" "I believe every american should have a ""core"" benefit package, established by an independent non-partisan private-public group." All americans should have protection from high health care costs. I would support some type of integrated community health neywork as long as it is effective. Every effort should be made to improve the quality and efficiency of care. I agree with all of recommendation 6. "* A strong nation is a nation that takes care of those who truly cannot take care of themselves, especially those who have willingly served.[Truncated]" "* I agree on having strategies that are based on principles of fairness, efficiency, and shared responsibility and should draw on dedicated revenue streams such as enrollee contributions, income taxes or surcharges, ""sin taxes"", business or pay[Truncated]" 24617 6/26/06 10:37 PM NY right on! non-partisan is key. yes! i grew up with 'military medicine' and it was fine; much better than nothing at all. makes sense people have the right to die "we all know it will cost us all something, so let's just get on with it." 24618 6/26/06 10:37 PM FL "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" "* Why don't we just simplify things a little. We already have a national health care plan, the best in the world. All we need to do is drop the age 65 requirement from Medicare and institute a sliding scale fee system. There, wasn't that eas[Truncated]" 24620 6/26/06 10:38 PM AR I agree everyone should have health care. I know that we can have it if we stop wasting tax dollars. Canada does it so can we! make sure it isn't loaded with insurance members. sound's good. o.k. good. good. this all sounds good but how will you get congress to go along with it and the people who are in control of the goverment? I agree. 24622 6/26/06 10:39 PM TX "* There are people with severe chronic conditions that cause severe pain. The war on drugs sometimes confuses illegal narcotics with necessary narcotics. People who need to use prescription narcotics in order to make life bearable, should not [Truncated]" 24624 6/26/06 10:39 PM FL * I think it's an obligation from the part of this corrupt government to help it's citizens to get an affordable health plan. Why these idiots spend billions in a stupid and useless war like the one going on Iraq right now? Wouldn't be nice if [Truncated] 24633 6/26/06 10:41 PM PA You congressmen take care of yourselves but omit the middle class and total disregard the poor. What a congress. It is a crime that other G8 countries can give health care to more than the government but that the USA cannot. You really need to do something soon. Election is only 4 months away. We need more clinics for the poor. Something needs to be done NOW. Get rid of the prescription drug bill and get a new one that does not reward the drug companies. "* Election Day I hope will be an eye opener for this do nothing or do worse congress. Nothing has passed that benefits anyone in the middle class and the poor, congress totally disregards.[Truncated]" Reduce your perks a bit and maybe you can then help those that really need the help. 24634 6/26/06 10:42 PM TX "* When the CHIPS program was cut back in Texas, some students of mine lost the help they needed. These children suffered because of those cuts. Meanwhile, the father had an accident and was unable to work. He could only get emergency room hel[Truncated]" A must! I'm all for efficiency. It makes things less expensive. "* This is SO important. Because my mother had good health insurance, she was able to stay at the Alzheimer's unit and have the support of Hospice Care and of her two children. I was able to be with her when she died. What a blessing that was[Truncated]" "* George Eliot wrote: What do we live for if not to make life less difficult for each other? This is a quote by which I try to live. If our country could do the same, what a truly wonderful world it could be. [Truncated]" Just make certain that this is not out-sourced. 24640 6/26/06 10:44 PM CA It should be free for the poor and working class. "Yearly check-ups, blood tests, and even random check-ups should be covered." It should be free for the poor and working class. * More training programs should be funded for folks in the most vulnerable areas and to provide better jobs for the poor and working class.[Truncated] The taxes should fall heaviest on those who can afford them -- the rich and upper middle class. 24641 6/26/06 10:44 PM TX I agree. I agree. We need socialized medicine. I agree. I agree. We need socialized medicine. We need socialized medicine. 24645 6/26/06 10:46 PM WI "* Health care is the most profitable industry in the nation and it is the most shameless example of unbridled corporate greed in the U.S. In the guise of cost-containment, it redistributes resources from sick people and their caregivers to weal[Truncated]" "* Government tax revenues: $533.3 billion (43.9%). Keep existing federal, state and local revenues that currently pay for Medicare (employer and employee payroll taxes - 1.45 percent each or $121 billion) and other federal and state programs (w[Truncated]" 24647 6/26/06 10:47 PM WA "* Yesterday wouldn't have been soon enough 2012 is a joke. for my son who need it now, no job and no-one cares. How many more are in the same condition. and the over pricing of the Insurance and medical Doctors and hospitals a real shame, But [Truncated]" 24648 6/26/06 10:47 PM CA * I am not sure the form that health care should take but am convinced that the Bush medical savings account system will not work. If this plan is backed by the same type of interests that creat Medicare part D (Large drug corporations)its only[Truncated] 24650 6/26/06 10:48 PM CO * Insurance companies should have no place in the final package. It should be tax-based with small co-pays and free to those who cannot pay.[Truncated] 24652 6/26/06 10:51 PM PA I Totally Agree!! This should be phased in later!! I Agree!! 24656 6/26/06 10:55 PM KY THE WORKING POOR NEED HEATH CARE MANY SUB-CONTRACTORS DO NOT HEVE IT AT ALL 24657 6/26/06 10:55 PM MI "* And not some crap where gay people can't visit their spouses in the hospital because they ""aren't family"" or whatever. People are people. Universal healthcare would be a huge step toward our country actually admitting that. [Truncated]" "* Don't forget needle exchange programs. Don't leave anyone out because you discriminate against their lifestyle, whatever that lifestyle may be.[Truncated]" "We know where the money is. Well, besides in our imagination." "* On point one, just don't call it ""Homeland Helath Security."" On point two, no partisan ship, period. No ideological groups giving anybody money. No lobbyists, becuase you know the right wing crazies will be all out there about ""no money for[Truncated]" "* This is going to take a lot of people. What a great way to create jobs, at home. You can't outsource health care. You can't send dying people off to India and China in a helicopter. There would be stuff for everyone to do. Just don't mismanag[Truncated]" * I think end of life care should be totally up to the person whose life is ending. If someone wants to get up and walk out of the hospital and enjoy themselves and their freinds and family for one week rather than sitting in a hospital bed for[Truncated] Think of everyone. "* Yeah, why don't you also legalize all drugs, and use the inevitable tax revenue from those to help pay. Then, all the money from the illegal and racist, not to mention unwinnable, ""war"" on drugs could be funneled into the health care system. [Truncated]" 24658 6/26/06 10:55 PM IL I support Isupport Unless something can be done to improve the efficiency of these they should be scrapped for another model. Sopport Support "No new money is needed, we already pay twice what other industrialized countries pay for poorer results." 24659 6/26/06 10:55 PM MN "* Since many employers cannot afford, or will not provide their employees with health care benefits, many low to middle income families become bancrupt due to illnesses. Many other low to middle income families simply are not able to access ro[Truncated]" 24663 6/26/06 10:57 PM MI "* In this great United States of America, I think it is unforgiveable that thousands of people are without health care converage because their employer doesn't provide it, or health care institutions have put premiums so high the people who nee[Truncated]" It sounds like this would cost a lot of money. Where would it come from? I agree whole heartedly with this! How it would be implemented is the million dollar question? * We need to help the most our low income and uninsured people. I have children and granchildren who are working but have no health care coverage and can't afford it on their own. I worry constantly about them. I the above things will help a[Truncated] * I believe th government needs to do a much better job of using more of its resources to provide and improve health care in the U.S.[Truncated] I strongly support this recommendation. End of life care and support for families so they can die with dignity is essential. "* Yes, all the money our government has spent and will spend in this war in Iraq could have been better spent doing something to provide health care for all Americans![Truncated]" * There is so much mismanagement and wasteful spending within our government that maybe we should start there to keep better track of where our tax dollars are spent and possibly direct more money into a better plan for health care. It is stil[Truncated] 24664 6/26/06 10:57 PM TX "* It is a disgrace that the richest and most advanced nation in the world is denying health care to its citizens. It is the duty of this government to protect and care for the citizens of this nation, not to disregard them and undermine their [Truncated]" I agree. I agree. Thank you! I fully agree. 24665 6/26/06 10:57 PM AZ "* Every American citizen, regardless of financial status, should have access to basic medical care, such as annual checkups screeing procedures.[Truncated]" "* Given the expanded life span of women, this core should include a choice for post-menopausal women to have a parital hysterectomy (now considered by insurers as unnecessary in the absence of a disease state), rather than annual exams designed[Truncated]" "* The protection should provide for health care OR palliative care, if a citizen chooses not to have an expensive procedure performed.[Truncated]" "* The provisions could include nursing clinics, supervised/managed by physicians or nurse practitioners. Such clinics could perform routine immunizations, screening procedures, well-baby checks, and support/therapy groups for physical/mental h[Truncated]" "* One of my concerns in this area is a result of the new Medicare drug provisions. As an RN who works per diem in a mental health community clinic, I have seen people hospitalized as a result of an inability to obtain medication they have take[Truncated]" "* Absolutely. People should be able to remain in their personal environments, if they choose, instead of being forced, for insurance coverage, to enter long-term care facilities.[Truncated]" "* The time for nationalized medical care has come. Routine medical, psychiatric, and dental care should be affordable and available to all citizens, regardless of financial status.[Truncated]" "* Given the example of the tobacco companies in the last few years, perhaps one of the ""sin taxes"" could be placed on candy and fast food (contribute to the development of Type II Diabetes) and all alcoholic beverages (contribute to alcohol-rel[Truncated]" 24666 6/26/06 10:58 PM CO "* President Bush wants to privatize health care. In my experience at age 75, I've come to believe that privatization seldom solves any problems, but often adds to them in unexpected ways. This country needs a solid plan for core health-care ben[Truncated]" "* Someone once said, ""Pay me now or pay me later,"" and that's the truth now. Those without health insurance end up in the ERs, and everyone else pays for their care anyway. Can't the White House get this through its thick head?[Truncated]" 24668 6/26/06 10:59 PM PA * Agreed. Health care should be available to those who have lost their job or are between jobs and not be dependent on employment. [Truncated] "What about vision care, hearing aids,and other like equipment?" "* Let's havew none of the hugh gap as in Medicare D, where people can go ""bankrupt"" having to pay 100% of the cost for durgs while the drug companies, like the health care insurers continue to make hugh profits![Truncated]" Agreed. * Agreed. Let's stop the Medicare fraud perptrated by the medical community and have better monitoring of the system as well as fining individuals and group practices who practice such measures.[Truncated] Agreed. No. Agreed. there should be universal health care as well as private insurers . People should have choices. 24669 6/26/06 10:59 PM NM "I agree completely that affordable, quality health care should be accessible to everyone. Health care is a basic human right." "* I agree with this, especially that benefits be based on an independent, fair, transparent and scientific process with public input. [Truncated]" I agree. Integrated community health networks are important to providing access to vulnerable populations and in rural areas. all sound ideas for improving the health care system and providing for better health care outcomes agree with this recommendation * We need to have action on these recommendations; not just have the report sit on a shelf. Our health care system is broken and begging for major surgery! It's a sin that the wealthiest country in the world can't provide health care for all it[Truncated] * Costs will be lowered by providing everyone with health care. Contributions to the health care systemo should be on a progressive scale. Medicare is a model of a successful health care system with low overhead and the majority of the money pu[Truncated] 24672 6/26/06 11:01 PM AL "* Congress, especially the senate, needs to guit giving tax cuts to the rich and famous and corporations and start getting health care for all. They need to get to work, THEY have a great health care plan for life.[Truncated]" 24673 6/26/06 11:01 PM KY EVERY American should affordable health insurance My health insurance costs me $800.00 a month now.. I wouldnt exactly call that AFFORDABLE AMEN! Lets do it. As long as the government doesnt screw a national health care system up like they have social security.. 24674 6/26/06 11:01 PM OR Let's get to it. "Comprehensive, holistic care that has prevention as a major focus is very important." I see middle class persons going homeless over financially devastating health costs. Just do it. I am distrustful of Privatizing public health care. Very important. "* Many disabled people, old as well as young, need to be assisted to independence and care at home in ways that are much cheaper and more productive than institutional care in ""nursing homes"" and other residential institutions. However some ins[Truncated]" No additional profits for insurance companies. 24677 6/26/06 11:02 PM CA "* A single payer universal health care system is essential for the health and welfare of this country. The government has been derilect in its duty to ""promote the general welfare"" stated in the U.S. Constitution. Let's join the more responsib[Truncated]" "* Just copy Canada's, or Britain's, or Norway's, or Sweden's, or Belgium's, or Holland's, or Italy's, or Spain's, or France's. If they can figure out how to do it, surely we can. At least one would think we could. It would be an embarrassing m[Truncated]" 24678 6/26/06 11:02 PM CA I agree. Agree. Agree. Agree. Agree. Agree. "* Currently costs are way out of line with reality. Any universal health care program must control costs or the program will be too expensive to maintain. Doctors (especially surgeons, orthodontists, specialists)must stop charging outrageous [Truncated]" "* Universal health care should be financed through taxes. Costs need to be controlled. Doctors don't need $10,000 to do a 30 min. surgery. [Truncated]" 24679 6/26/06 11:02 PM FL * Why should the rich be so rich. Let them take the brunt of the expense. The poor cant ever get credit because they have to go to emergency rooms and then cant afford to pay the bills because they are so outrageous. In Fl they work you less[Truncated] Again the rich can afford all this. The poor cant. One more time. The rich can afford all the healthcare and related costs. The struggling cant. Let the rich pay Let the rich pay Let the rich pay. * The rich need to share some of that outrageous wealth and not be so rich. The people in entertainment can well afford any medical bill that arises. The working class cant. I say the rich need to pay much more> WAY more. [Truncated] "* Again, why should the rich have something affordable. And for all amercians? they can afford to pay. We the working struggling cant. [Truncated]" 24682 6/26/06 11:04 PM WY "* If healthy people are allowed to opt out, the system will cover the sicker people, who will cost more and be paid for only by those with fewer resources. Since anyone can get sick or hurt at any time it is to everyone's advantage to particip[Truncated]" Preventive care is critical -- and cost effective. Good. too many people get hopelessly in debt because of medical costs. "* These are good ideas, but the system should not be overly complicated, which was a problem with the Clintons' plan. Perhaps extending Medicare to everyone would be the way to go.[Truncated]" All good things. Good. "* Everyone pays huge hidden costs related to the uninsured -- e.g., higher hospital fees, insurance rates. If people can be brought to see this, they would be less unwilling to pay higher taaxes for universal care.[Truncated]" 24683 6/26/06 11:04 PM VA * I'll need to see the GOP flying(Dumbo) before I could ever believe this group in office would care about the health of the common man![Truncated] "* With this administration, I find it hard to believe that there could ever be an ""independant,fair,transparent and scientific process""....[Truncated]" This is a must... "* This would all be contingent on WHO is on the ""public/private group"" responsible for advising the govt on the ""funding streams""....Bill Frist again....?[Truncated]" "Who will ""oversee"" the reduction of fraud and waste??? Dr. Frist??" We should at least be able to die with dignity. * None of these has a snowball's chance with the present administration unraveling every social program we have in place.This initiative will need people in the streets..visible signs..OR a regime change in November![Truncated] "Just make sure that any ""efficiency gains"" don't go into Bill Frist's hospitals coffers!!" 24686 6/26/06 11:05 PM MI I agree. "* I concur with all six recommendations and am volunteer with the Michigan Alliance to Strengthen Social Security, Medicare and Rx drugs. Do you have a local MI group with which we can work?[Truncated]" 24690 6/26/06 11:09 PM FL "* I have family in Canada, including a cousin who is a doctor. Their system may not be perfect, but it sure is a LOT better than what we have here--both for patients and those in health care.[Truncated]" 24692 6/26/06 11:10 PM OR "* we just want what the govt. employees get for a few years of work \after a lifetime of paying into the system you say i get nothing! how much do you think even the most patriotic american is going to allow? you guys keep writing in your anua[Truncated]" QUIT STEALING SO MUCH MONEY THEN THERE WILL BE PLENTY! "* THE LOTTERYS WERE SUPPOSED TO PAY FOE EDUCATION AND COMMUINITY SERVICES YOU CANT TELL ME ALL THE BILLIONS ARE GOING TO ADMINISTRATION. A SMALL FRACTION GOES BACK TO THE COMMUNITY. AND IF WE CAN NO LONGER DO MALPRACTICE SUITS HAVE BEEN STOPPE[Truncated]" SHOW ME ...TALK IS CHEAP! * YOUR JUST GOING TO CREATE ANOTHER HUGE BURAURCRACY AND THE MONEY IS GOING TO DISAPEAR THE SAME AS MY SOCIAL SECURITY DID. IT WAS FOR RETIREMENT AND YOU STOLE IT FROM US. NOW YOU SAY I 'VE GOT TO DO HARD CONSTRUCTION LABOR TILL I'AM 67 AND MY [Truncated] "* LESS SPACE AND WAR MORE BENIFITS THAT WE PAY FOR\ YOU CANT EVEN GET A COP TO INVESTIGATE A CAR THEFT EVEN IF YOU CATCH THEM REDHANDED, THEY WONT RESP0ND,TOO BUSY![Truncated]" 24694 6/26/06 11:11 PM NY * People who have the most serious health problems are the most vulnerable to losing health insurance and not having the money to pay for care because they can't work. Allowing people to get appropriate health care regardless of their income o[Truncated] * I agree with all of this - wellness and preventative services are essential to ensuring a healthy populace as well as reducing costs and would be a much better model than the present illness based model.[Truncated] This is absolutely essential. This should also include high quality residential dementia care that is currently poorly funded. * These are excellent recommendations. Thanks so much! I was wondering where experiimental treatment for terminal and/or debilitating chronic illnesses might fit into the picture?[Truncated] "* Poor health can happen to anyone, so every person should shoulder part of the cost. I strongly support financing health care for all, even if it means increased taxes. [Truncated]" 24696 6/26/06 11:13 PM CA * I have always felt that a society that values its citizens will provide healthcare to all people regardless of their financial situation and ability to pay. I would like to eventually move to a universal healthcare system similar to Canada.[Truncated] "* This sounds wonderful, but the reality of providing healthcare that includes wellness and preventive services is a bit far fetched until real core services are provided for all people.[Truncated]" "Again, this should be covered eventually by a universal system. It seems private funds will be the way to go for now." * I don't think the federal government has the ability to monitor such a process until the national debt is paid. The state government would do much better at monitoring the community health networks.[Truncated] "* Not understanding how the Medicare, Medicaid, Community Health Centers, TRICARE and the VHA works, it's hard to comment. But I guess I feel that anything from the federal government at this point is a difficult process and hard to believe tha[Truncated]" "* I absolutely love this recommendation being involved in the care of both my parents before they died. My father wanted to come home so bad, and my mom didn't have the services she needed to bring him home. Instead, he died in a nursing home v[Truncated]" I want to thank you for giving me the opportunity to speak and to read your recommendations. "* Our current administration has delayed this process by years because of our national debt. But perhaps the way to start is by each person giving a percentage based on their income, and therefore, the very rich will pay for the very poor. Hope[Truncated]" 24698 6/26/06 11:14 PM NY "* I favor a system which supports health as well as health care. The government ought to be publicizing the health risks associated with eating junk food, especially nutrient depleted foods which cause us to overeat, which is the single greate[Truncated]" "* There is no reason that we shouldn't have the very best, affordable health care system in the world. There are many viable plans that have been presented and it's high time that we develop the collective will to make this happen in the USA.[Truncated]" 24699 6/26/06 11:15 PM WI "* I don't like the comment that 'financial assistance will be available'. It implicitly suggests that people still will not be afford basic access to core services, which is unacceptable. Reread your own first sentence - if you plan to actually[Truncated]" "* It's funny how the phraseology continues to put subtle spin on what any serious evaluation of the current state of US healthcare vs. other industrialized 'first world' nations SCREAMS - the answer is obvious, and models that work surround us.[Truncated]" "* Subsidies such as this become meaningless in a national single payer system. Stop being distracted by red herrings and keep your eye on the ball - affordable, quality healthcare for all![Truncated]" "* That's a start - it will be better when Medicare and Medicaid go away and are rolled in, along with the VA, with our new national healthcare network.[Truncated]" * Hospices are one of the shining stars in the system over the last 10 years. Helping people face the end of life with dignity is more valuable than any pricetag you attach to it. This should continue to be part of the overall plan for comprehe[Truncated] * 2012 is too long to wait. Anything to advance the timetable must be done. Our system is already starting to break down - go to any major city and sit in the ER of the 'county' or 'public aid' hospital if you need to see it yourself. We need t[Truncated] "* A transition without waves = no transition. Insitiutions, expecially those with vested financial interests, will be lothe to give up their feathered nests. The only way to fund a massive reform is by converting to a single payer system, and u[Truncated]" 24702 6/26/06 11:16 PM CA "* yes all Americans should have free health if they can afford it, not illlegals. All Americans should have the best health care money can afford free.[Truncated]" "I f an American can pay it should be free " 24705 6/26/06 11:19 PM CA "* We needed Universal Health Care yesterday, it would be much more reasonable. As it is, Americans are paying tremendous sums for limited care and much of that care has been reported to be inadequate for those who are insured.[Truncated]" "* Look, go to Canada, go to Sweden or Norway or Denmark. Learn how they take care of their people. Keep the greedy industry people off of your board.[Truncated]" "* Totally against a private national program, private funnels off too much money. We need a National Public Universal Health Care System....we need to cut out the private, greedy rip offs, who do nothing to support patients or the real medica[Truncated]" "* Leave the privitized groups and their greedy interest out of Universal Health Care. There is no way we can have a cost effective program that covers all citizens with them in it. Do the research. Check out Sweden, Norway, and many other Un[Truncated]" "* Forget the various programs, focus on National Universal Health Care! It's less expensive. Focuses on taking care of everyone. We have enough doctors.[Truncated]" "Yes, of course! Such services belong in a Universal Public Health System." "* It's about time for some honesty in our country. Privatized hospitals, privatived medical care has not worked well for our country. Too many are left out. It is time for a National, Public Universal Health Care System and cut out the middl[Truncated]" "* Universal Health Care would reduce revenue needs if everyone was in the system. As it is, Americans are paying a lot of money for inadequate medical care. Compared to other countries who provide Universal Health Care, we score in the miser[Truncated]" 24706 6/26/06 11:19 PM OK "* I believe that everyone should be able to have adequate health care, not just those fortunate enough to have a job that provides health insurance. while congress refuses to increase the minumum wage the cost of health care continues to increa[Truncated]" increase the fica withholding by 1 percent with that money being used to provide health coverage. 24711 6/26/06 11:22 PM AR "* It is a crying shame that we are considered "" The Leader of the free world"" and we don't have health insurance for all our citizens. Canada and some of the European countries have better health care for their citizens than the USA does. We [Truncated]" 24716 6/26/06 11:25 PM TX I support Recommendation 1 in its entirety. It is my belief that this is long over due. I hope Recommendation 2 includes eye care ie. eyeglasses & eye exams by a qualified health professional. "* I support Recommendation 3 including a more progressive interpretation of what constitutes ""low income individuals and families"" than that which is in effect for Medicare Part D recipients.[Truncated]" Community based health care is very important for people living in underserved areas. I support Recommendation 4. * I support Recommendation 5. Members of Congress and other federal employees have very good heath coverage. I would suggest that these federal health programs would provide a way to expand health care for all in a very quick and efficient wa[Truncated] "* Recomendation 6 seems to be a very compassionate response to the special issues that confront terminally ill patients and their families. I support Recommendation 6.[Truncated]" No "* I agree with the general idea of financing health care as expressed in the above ""Financing Health Care that Works for All Americans."" I would only emphasise that financing health care should be based on the ability to pay. Revenues should [Truncated]" 24719 6/26/06 11:26 PM IL "* All American Citizens and LEGAL immigrants should be able to see a professional and licensed doctor when they are ill and for basic preventitive medicine. An ounce of prevention is worth a pound of cure. Also all American citizens should [Truncated]" "* The commission making up the reccomendations should include physicians and pharmacists as they are the front line. Then it should include representives from both labor and management, it is important to keep the size of the commission managea[Truncated]" * Our nations bankruptcy laws need to be changed again to protect those who have been devastated by serious disease or illness. Lifetime caps on insurance should be raised by a factor of 3.[Truncated] "* national healthcare should have a cabinet level position and be required to set and achieve goals, a minimum healthcare experience requirement should be set to insure qualified candidates and not political hacks are selected.[Truncated]" "* Perpetrators of fraud, both user and provider, should face fines and then removal from the system for repeat violators. A secondary system of checks should insure against fradulant billing and access. Provide medical school tuition for doctor[Truncated]" * Human beings should not either be forced to accept life extending treatments if they wish to forgo the cost and suffering nor should they be denied treatments if they wish to hang on for possible new cures. each individuals religion or belief[Truncated] "* Basic and affordable helth care is a human right, just as we need food and water to exist so do we need access to quality healthcare. As our environment becomes more and more toxic and as new and more deadly viruses and microbes evolve its si[Truncated]" * Another source of possible funding for our health care system is an import tax on goods made overseas with substandard wages and living conditions. It is these imports that are driving down the standard of living and health care available fo[Truncated] 24720 6/26/06 11:27 PM MI I agree!!! "Again, I agree." Agree Agree with all. 24721 6/26/06 11:27 PM MI "* I strongly commend the workgroup for beginning with a concern about health care, and not about payment systems. Changing payment systems and health insurance plans are secondary solutions. But the goal is always health care services, not heal[Truncated]" It is critical that wellness and preventive services are available to all Americans at no cost. "* I believe that health care should not be dependent on employment. Given the degradation of employment opportunities and especially the reduction of health care benefits in employment packages, it seems that the day of employer-provided health[Truncated]" 24722 6/26/06 11:28 PM TN * it is a shame that this is not the way it is now!!!if drug companies and insurance were not allowed to contribute to politicians this would have been secured for everyone years ago!!!!![Truncated] 24724 6/26/06 11:28 PM NY "* I agree with this statement, I think health cost is out of control and insurance companies started the rising cost along with doctors[Truncated]" I beleive a national tax could help all Americans and am willing to pay this in a tax forum 24725 6/26/06 11:31 PM PA "* Why do any of us have to pay for th is service?? If other countries can have FREE health care for all of it's citizens, why can't the richest country on earth have them too???[Truncated]" Make everything FREE!!!! Too much Federal control!!!! "* I have health insurance that increases every year. This year my co-pays went up and so did my mortgage, so in order to have a place to live I have to cut don where I can---so many months I do without some of my medications. I'm supposed to b[Truncated]" * Quit giving our tax dollars to study such inane things as the sex life of a gnat or whatever!!! Use that money for something useful like free heaqlth care for ALL legal AMERICANS!!!![Truncated] 24726 6/26/06 11:31 PM NY * The insurance companies are benefitting under the Bush Medicare prescription program more than Medicare subsribers. Pharmaceutical companies should not be allowed to advertise their medicines on TV and in magazines etc.[Truncated] 24728 6/26/06 11:31 PM MO "* People living in England are healthier than people living in the U.S. England has free healthcare, but the U.S. can't afford it. [Truncated]" 24730 6/26/06 11:33 PM MN absolutely ok I agree ok good all right * There is no reason in the world anyone in the country should have to suffer because of no health care. The elected people in the supposed great country better get off their butts or lose their next elections!![Truncated] I am willing 24731 6/26/06 11:33 PM OR "* Furthermore, this system must be a single payer system with full authority and muscle to negotiate fair prices for all medical services and pharmaceutical products.[Truncated]" If we want to call ourselves a civilized country how can we do less than this? * This must be a single payer public program. The private market has already proven itself to be incompetent to provide adequate health care for all Americans![Truncated] "* Public-private networks are prone to be taken over by misguided zealots, much as happened to our entire country in the last 5 years. The only private part should be private citizens who actually provide the services. Payment for these servi[Truncated]" "* A few years ago I would have said this was a good paragraph. However, since then I have seen how the current administration of our country has twisted and manipulated information and intelligence to support their pre-conceived agenda, regard[Truncated]" "* Private payers have a proven record of serving their own bottom line to the detriment of health care for the American people. They MUST be kept out of this system or it will be grotesquely deformed under the banner of ""reform"".[Truncated]" "* I wish to repeat once more that it is essential to have a single payer system and keep ""market"" based corporations out of our medical care and treatment system. They have already established themselves as being incapable of providing adequat[Truncated]" * It is vital to keep in mind that the problem is how to provide quality health care for all Americans - not how to pay for it! If we know we are going to get good health care we will work together to find a way to pay for it![Truncated] 24732 6/26/06 11:34 PM NY * It is ridiculous that many people who have worked their entire lives are left penniless and in debt due to healthcare costs stemming from a lack of affordable insurance. Affordable health care needs to be a must for all Americans.[Truncated] I agree. Education is key. See my comment for #1. I agree. "* Yes, I agree. I do believe something needs to be done about the abuse of resources, including ambulance services being used for non-emergency illnesses. I'm not sure how to resolve that.[Truncated]" I agree. No. "* I agree that financing should be based on fairness, efficiency, and shared responsibility and should draw on the above-mentioned revenue streams. [Truncated]" 24733 6/26/06 11:35 PM NY "We need health care , fix it" 24736 6/26/06 11:36 PM AZ "* Health care is an inalienable right of every life on earth. Living in an atmosphere free of chemtrails and pollution, drinking clear and fresh water, eating healthy food free of preservatives all belong to each one of us. [Truncated]" "* No current corporations involved in the corporatization of health care should be on the group. Only medical professionals, hospital ceo's and private citizens, as well as though needing most treatment, chronically ill, elderly, birth defects[Truncated]" "* Having and still experiencing financial poverty due to a health crisis 18 years ago, I believe we all should have the health care we need without regard to ability to pay. [Truncated]" * No current government employee or corporate entity. Or ensure that we will not end up with another Medicare D engineered by Scully and the pharmaceutical industry. Must have a guarantee about this. [Truncated] "* current programs leave much to be desired. Fraud exists in congress, and in pharmacies and pharmaceutical corporations and what they charge. If that is eliminated, much efficiency remains. [Truncated]" * Everyone should be able to live at home as long as they wish. Arizona ALTCS HCBS is a good model but does not go far enough and is too restrictive for some. Most nursing homes are funeral factories and the care is abhorrent as the employees [Truncated] Go forit! If we end war there will be enough for all of us. Lets do it now. 24737 6/26/06 11:36 PM NM "* New Mexico, which is one of the most impoverished states in the union, now has made such insurance available. Every other modern country has made this a right. Is the US to be a third rate country in this area?[Truncated]" "* HEALTH EDUCATION MUST BECOME A PRIORITY IN ORDER TO PREVENT MOST LONG TERM CHRONIC ILLNESSES THAT ARE A BURDEN TO THE SYSTEM. THIS INCLUDES DIABETES, KIDNEY DISEASE, CANCER.[Truncated]" HOSPICE CARE IS LESS EXPENSIVE THAN ACUTE CARE FACILITIES BEING USED FOR END OF LIFE PATIENTS. MANY OTHER COUNTRIES AND SOME STATES CAN PROVIDE TESTED INFORMATION ON ALL OF THESE ISSUES AND HOW TO EFFICIENTLY ADDRESS THEM. * The only identifying number for all charts and records should ONLY be the social security number of each person AND ALL RECORDS MUST BE KEPT CONFIDENTIAL AND NEVER RELEASED WITHOUT INFORMED SIGNED PERMISSION OF THE PATIENT.[Truncated] 24740 6/26/06 11:39 PM CA * It makes me ill to know that my family will have nothing of mine after I die because the gov't will take it all away to pay for my health care due to catastrophic illness. This is insane.[Truncated] 24741 6/26/06 11:41 PM TX * My line of thinking is as follows. All Americans that own a car must have car insurance and so should all of them have health insurance. What ever the costs of a liabilty policy concerning a car should also be the cost of health insurance. It[Truncated] * Dental is as important as health care in a doctors office. Thier is no excuse for not providing health care equal to the top policies. none [Truncated] * All programs should have mulitple servers for options. All programs should meet coverage guide lines. I happen to watch people trying to save a buck by choosing the lower health care coverage offers on my old job and seeing what happened when[Truncated] "If the population has a post office , church , or school , we need a local doctor in that area." "* The armed forces have an excellent staff for health care needs. All others need to go to school and obtain their certificates to practice. The reason so many do not go to school for Rn , dentists, and other health care occupatoins is simply ([Truncated]" "* It is already thier and it is called hospice care. Thier simply is no easy way for people to loose a loved one . The crime in all of this , is that when a human is in a terminal condition , the medical feild , the family , sometimes the perso[Truncated]" * All Americans have a right to health care. It effects our ability to persue life and liberty . I strongly believe in all people paying thier fair share and that it should not cost them any more than car insurance or home insurance. A national[Truncated] "* Their is no need for all of that , simply a national sales tax on all non food items , every thing that is now taxed should be more than enough to cover the cost plus insured paying their fair share. No to free rides , yes to affordable cove[Truncated]" 24742 6/26/06 11:42 PM OR * Providing health care for all is the one thing that will truly make a major improvment to all citizens. Why wait so long? Once started the costs will reduce due to less use of the ER's.[Truncated] "The wealthiest country in the world ranks 37th in health care, it is way past time to provide this right to all citizens!!" "* Compiling all Federal, State and current employer contributions will create a large pool of money to pay. A system structured like the Medicare one,has far less expense, and is already in place.[Truncated]" 24743 6/26/06 11:43 PM MI "* It is a mystery why Congress should have such a problem with coming up with health care for all citizens as they have no problem getting it for themselves.[Truncated]" "* It would help lower the cost of needed health care if an honest guide of what people should be required to pratice to remaine healthy.[Truncated]" "* At the present time many people with out insurance wait until the last minute and then use the ER to get thier health care so we are already paying for thier health care.[Truncated]" "* There are groups helping families to conduct their livies to remaine healthy in there areas just expand and it could save costs.[Truncated]" "It has already been shown that our nation compared to other nations lags in quality health care for all citizens." "* When the end draws near for those persons that have incurable illnesses there should be those people who wish to volunteer to help them to go in peace with reasonable costs.[Truncated]" "* Many other Nations deal with the care of it's citizens with out it costing a lot of funds and we as a Nation that is well off should be able to do it without to much fuss.[Truncated]" "* At the present time there is enough spent on health care for those insued persons today that it would not cost more for everyone.One payer and drop what is being paid to other companies should reduce the present costs.[Truncated]" 24744 6/26/06 11:44 PM PA "* i have long been an advocate of a national health care system. living in this prosperous nation, the only thing stopping that is our brilliant government. its about time we got together and did something to help our own.[Truncated]" * members positions should be possibly elected and consist of some union people. high ranking union people because its the little guy that we are really trying to help as well as the elderly.[Truncated] "so long as its not a ""preferred patient"" situation, in that ALL FAMILIES ARE TREATED EQUALLY." "* as long as it is made sure that ALL DOCTORS, NURSES, AND ANY HEALTH CARE WORKER follows all guidelines regarding national health care.[Truncated]" * yes the federal government should be heavely involved but not to control a national health care system. the people should bein charge as the constitution was originally intended[Truncated] * this part could be integrated into the health care system very easliy as death is a part life. and how we deal with death is at least as important as how we deal with life.[Truncated] not at this time "* there is definitely a way to finance this. tell the oil companies they help more than anybody especially since we are paying what we are for oil and gas. if everyone working on payroll in this country contributed 1 or 2 % of their wages, that[Truncated]" 24745 6/26/06 11:44 PM OH we need health care for all period. 24746 6/26/06 11:44 PM IN "* WE need a single payer medicare for all plan Now! Millions of our citizens are needlessly suffering, putting off seeing a doctor until too late, resulting in disability and death for many. We need H.R. 676. http://www.healthcare-now.org/ [Truncated]" "* This program will cover all medically necessary services, including primary care, in- patient care, outpatient care, emergency care, prescription drugs, durable medical equipment, long term care, mental health services, dentistry, eye care, c[Truncated]" * Every person living in the United States and the U.S. Territories would receive a United States National Health Insurance Card and i.d number once they enroll at the appropriate location. Social Security numbers may not be used when assigning[Truncated] "* Use a plan that has worked! Medicare! If your plan is cost effective, and can start soon, use it until the medicare plan kicks in.[Truncated]" * I am hopeful but afraid that not much will change in our current system that seems to only strive for making as much profit as possible.[Truncated] "* From H.R. 676 Maintaining current federal and state funding of existing health care programs. A modest payroll tax on all employers and employees of 3.3% each. A 5% health tax on the top 5% of income earners. A small tax on stock and bond t[Truncated]" 24747 6/26/06 11:45 PM OH "* We like to tell the world we are the richest nation on the planet. Therefore, we should share out wealth with our citizens by providing basic health care for them.[Truncated]" "* What about vision care? We also need to provide for birth-control, abortion, and maternity care. Immunizations for chilren should be included, as well as care for the elderly. In addition, women should receive as many benefits and test as [Truncated]" "* Health care should be affordable for all, no matter their income level. And, everyone should have access to the best doctors, not just the rich.[Truncated]" "* Don't forget about homeless people, also. And, try not to make this such a large bureaucracy that people easily fall through the cracks. Not only should health care be affordable and accessible, but the mechanism for accessing it should be [Truncated]" "We need to safeguard the privacy of patients, so any electronic medical records need to be safeguarded." A definite need of an aging population. "* The Future Problem Solving program used Healthcare Access as one of its topics this year. Please contact their website to find some of the research they provided students, and also the Future Scene they used to help students think their way [Truncated]" "* Big business should shoulder its fair share. The wealthy CEO's are getting wealthier while cutting health care benefits for workers. This MUST stop! And, we should NOT be using a ""sin tax"" to pay for health care. Those most likely to be sm[Truncated]" 24748 6/26/06 11:47 PM NY "* I fully support this recommendation, but we must make sure that mental health and substance abuse be covered as well. We need to better understand substance abuse and pursue more effective treatment.[Truncated]" "* I cannot stress how important it is to society as a whole that a more effective understanding of mental health, emotional health, and substance abuse is achieved. The move to universal health care should encompass this goal and hopefully faci[Truncated]" 24749 6/26/06 11:48 PM NH Needed Financing could be partly accomplished be getting rid of the Bush Tax Cuts to the richest 5% of the population. 24751 6/26/06 11:50 PM CA It's shameful that all Americans do not have healthcare coverage. "Even in Cuba, when you go to a hospital, you're asked what's your health problem BEFORE you are asked for your insurance card!" "* President Harry Truman wanted a national healthcare system, but Dixie Democrats thought this would mean that black and white persons would be treated side-by-side. The current group of ideologues in the Republican Party who are ruining this [Truncated]" 24752 6/26/06 11:50 PM AZ * I do NOT believe in socialized medicine. Providing healthcare is not a proper function of government. I would like to see more free market concepts used to fix the problem of overpriced healthcare. Only through TRUE competition will healthcar[Truncated] Another impersonal beauracracy with long govermental tentacles and wasteful programs? Forget it! * See above. Providing healthcare is not a legitimate function of government.Private initiatives and the free market unencumbered will solve the healthcare problems.[Truncated] LESS government should be our goal as Americans. "I am repulsed by the phrase: ""The federal government will expand and accelerate...""" "You seem to love the phrase: ""funding shall be made available."" I also catch a wiff of doctor assisted suicide." I think I've made myself clear enough: Socialism DOES NOT work. "* SEE above. PLEASE, NO MORE TAXES! My paycheck is already gobbled up by obscene government taxes and waste thereof. Wealth redistribution and confiscatory tax rates are unamerican and violate the wonderful free market concepts we live by, or s[Truncated]" 24753 6/26/06 11:51 PM CO It should be a free program. Financial assistance only adds to debt. "* Too have an even playing field amongst the population, the ""providers"" must be replaced by a system that provides for all regardless of income, even if it means socialised medical care such as in Europe.[Truncated]" "Again, it should be a free service. Medical care should be a right provided by our government." Getting bogged down will only hurt. Make it simple. "Agree. However, too many individual programs. Should have only one program that is good for life." "As with other medical care, hospice care should be free. No one should have to worry about money at a time like that." * This is just another avenue to pay insurance companies. Get rid of them. Some kind of single payer program must be implemented.[Truncated] 24754 6/26/06 11:51 PM WI "* I agree with the above. A person shouldn't have to file bankrupcy because of medical expenses. Also, I don't agree with Codex; one should decide for themselves if they want to use alternative medicine as well as orthodox and be covered for it[Truncated]" "* Health concerns a person's mind, body and spirit--wholistic healing. Does the scientific process consider this? Some of these healing practices are ancient and effective. They would work along with modern medicine and shouldn't be thrown out [Truncated]" No comment. No comment. Reducion of fraud and waste is especially important I think. No comment. No. Thank you for doing this. It's much needed. No comment. 24755 6/26/06 11:51 PM TX I support this recommendation. I support this recommendation. I support this recommendation. I support this recommendation. I support this recommendation. I support this recommendation. I support this recommendation. 24756 6/26/06 11:51 PM OR * A national Health Care system would release employers from the financial burden of providing employee Health Care and enable U.S. employers to compete with employers in other nations where National Health care is provided[Truncated] Preventive Health Care would minimize more serious illness by providing early diagnosis Health care should not be available only to the affluent "Local application, provision and administration of Health Care would reduce costs by simplifying the process and procedures." A single payer system could reduce the opportunity for fraud and usurious pricing of both prescription drugs and medical care . "Death with dignity should be available to all human beings, not only the affluent" * I truly believe that most Americans would gladly forgo any of their recent tax reductions in exchange for both the financial and emotional security of guaranteed health care.[Truncated] 24757 6/26/06 11:52 PM VA Charity begins at home.. how about taking a little of these Billions and helping the poor in The USA.. 24760 6/26/06 11:53 PM CO "* Health care should be accessible for all persons regardless of income, that is, our country should adopt universal health care. The option should exist for persons to pay privately or through their employer for health insurance as well.[Truncated]" 24763 6/26/06 11:54 PM NY "It should be a single payer, universal health care system, like the rest of the developed world." If we have a single payers system it will cost much less than we are paying now. 24764 6/26/06 11:55 PM RI "* I agree. With core health-care services available to all, diseases can be controlled, children have a better chance at growing up healthy, the elderly have a more secure retirement, and working adults are more productive. [Truncated]" "I would hope that core benefits would include contraception, the ""Plan B"" pill, and first trimester abortions." "* This should not be more drug-industry wellfare --as the Medicare drug plan turned out to be. This should not end-up as insurance-industry wellfare. This should not be more HMOs telling doctors how to be doctors --to cut costs. [Truncated]" "* Just don't let it go the way of mine safety, the FEMA, and Homeland Security. Katrina victims go homeless while the governmet loses 1.4 billion to fraud. National Health Care has to be run by physicians and others who have a sworn code of e[Truncated]" "* Roll back the millionaire tax-cuts, and stop Bush's War, and we will have plenty of funding for social security AND national Health Care. Let the millionaires give back to the people who slaved to make their millions for them.[Truncated]" 24767 6/26/06 11:57 PM CA "* Health care should be a right, not a priveledge available in proportion to one's financial resources. I agree most heartily with recommendation 1.[Truncated]" "* The independent group should consist primarily of private individuals with healthcare expertise representing all spectrums of healthcare, including holistic health doctors and practicioners. The group should NOT include representatives from [Truncated]" Agree. See comments regarding Recommendation 2. "* The systems should also provide the opportunity for individuals to choose the type of healthcare that they receive, including holistic care.[Truncated]" Agree. "* I have reservations with the financing statement. It is not necessary to impose additional taxes. Shifting of priorities and resources is appropriate. For instance, billions that are spent on defense should be shifted into healthcare. Ind[Truncated]" 24768 6/26/06 11:58 PM na would improve quality of life for all and improve companies competive edge in the market place in a large group dealing with a large population the costs can produce savings it isn't going to get any cheaper in the direction you are going now there has to be a close watch on costs to ensure there is no gouging by suppliers a healthy community is a productive one and a better one to live in you can be heathy one day and the next thing that could happen is an illness wipe out your life savings it is a cost we could all share and hold corporations accountable for the huge profits they reap from American's backs 24769 6/26/06 11:58 PM NY "* Reduce waste brought about by inefficiency, multiple insurance providers, multiple diagnostic codes. I feel strongly that the U.S. should be training its own citizens to provide health care, including nursing care at all levels, rather than [Truncated]" 24770 6/26/06 11:58 PM OH "* This hs to happen soon. If 45 million Americans are without health care, we are all in danger. As someone with a chronic health issue, I cannot obtain any health insurance or prescription coverage. In order to survive, this has to change for [Truncated]" "I would urge eye care, especially for school children." "Of course, without care that is affordable it is of no use to rearrange the system." * We have to share medical information so that the most vulnerable can be protected against medical errors. The funding has to be mandated and removed from budgetary whims.[Truncated] "* No one in any country should die alone and unknown. I have seen it before and no one, no matter what, should die this way. It is obscene that the ill, the poor and the elderly should have to look forward to this scenario. [Truncated]" "* No matter what else happens in this country, it is meaningless unless we provide affordable health care for all, I mean all, Americans. This nation's health care is a crime. [Truncated]" * It will take compromise on all sides and we can do that. We have a health system that is broken. We have to fix it. We have no choice.[Truncated] 24771 6/27/06 12:00 AM IN "* We need a single payer plan, NOT Health Savings Accounts which benefit the richest amongst us. The single payer plan will allow people with less monetary standing to use the system for preventative health care, instead of catastrophic covera[Truncated]" "* I would include physicians, mental health workers, social workers, and specialists for a more rounded coverage. These are the people who diagnose our problems, NOT THE INSURANCE COMPANIES![Truncated]" See recommendation number 1. "* We must get away from the Beverly Hills mentality on health coverage- only the rich need apply. Community health networks would be a good start towards this end, but just a start. The program would need to expand to the poorest counties in [Truncated]" * Families should not be financially penalized for having to place a loved one in a hospice or long-term care facility. We must make these items more affordable.[Truncated] GET RID OF THE HEALTH SAVINGS ACCOUNTS! 24772 6/27/06 12:01 AM FL I WOULD WELCOME AN INCREASE IN TAXES FOR HEALTH CARE COVERAGE. THE ABOVE RECOMMENDATIONS ARE ABSOLUTELY NECESSARY. AMERICANS ARE BEING DRIVEN TO THE POORHOUSE FOR LACK OF HEALTH INSURANCE AND HEALTH CARE COSTS ARE FORMIDABLE. * COMMUNITY HEALTH NETWORKS ARE AN INTEGRAL PART OF ANY HEALTH CARE NETWORK AND PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY AT LARGE.[Truncated] WE MUST EXAMINE OUR VA HEALTH SERVICES AND EXTEND THEIR SUCCESSES TO THE HEALTH CARE SYSTEM NATIONWIDE. JUST AS BIRTHING HAS BEEN ELEVATED IN HEALTH CARE SYSTEMS; SO MUST END OF LIFE CARE. * HEALTH CARE WANTS TO EMPOWER THE PATIENT AND ITS SERVICE PROVIDERS TO A LEVEL OF NATIONWIDE ACCEPTABILITY. LET'S GIVE HEALTHCARE PROVIDERS THE TOOLS THEY NEED TO SPAN THE GAP BETWEEN ACCEPTABLE HEALTHCARE TO SOME TO SUPERIOR HEALTHCARE SERV[Truncated] I AGREE WITH THE ABOVE STATEMENT. 24773 6/27/06 12:01 AM MO Canadian style health care would do fine. Don't reinvent the wheel. The Germans have a great plan. Don't reinvent the wheel. "* How about any coverage for all Americans. After all, between Federal, State and local governments, half of health care spending is already accounted for.[Truncated]" Socialization of healthcare coverage is the only workable answer. Get the accounts out of counting the costs on everything. Put them to work measuring the savings on lifestyle changes. Socialize the system. * Patchwork fixes will not be the answer. Fix the problem correctly. Use any western democracy's social health program. Quit talking and start acting. People are dying![Truncated] Healthcare like the French have works for me. Don't reinvent the wheel. 24776 6/27/06 12:02 AM FL * I think we should have universal coverage like other industrialized countries. Everyone is entitled to have adequate health care. We should be more focused on that that throwing money into the Iraq war.[Truncated] 24777 6/27/06 12:02 AM MA Yes! The health of this nation depends on this. A truly democratic system must have a HEALTHY and EDUCATED population. "* I agree with the above and would like to see all services coordinated. (A team approach with a team coordinator.) Preventive services and primary care should be based in the community (schools, workplaces, etc.)[Truncated]" Public is preferable. Private available as alternative or supplement for those who choose. Yes. Yes Yes This restructuring is long overdue! "Ultimately, we must have a single payer system." 24778 6/27/06 12:03 AM FL "If Europe and Canada can have health care for all, what are we, chopped liver?" Why can't we use Medicaid/Medicare guidelines as a start? "* This should be paid for by everyone, just as Social Security is paid for by everybody, by income, and a ceiling of earnings where you wouldn't be taxed ad infinitum.[Truncated]" Excellent!!! No duplication of services when everyone is on the same system. It's about time someone is serious about this problem and offers a solution to it. "* The cost of Bush's war would have financed health care for all....oh, but I forgot....Halliburton, et al, wouldn't be making the $$$ they're making, would they?[Truncated]" 24779 6/27/06 12:03 AM CO * You are not addressing the real problem - that there is up to 30% of the total health care bill that is literally being wasted by the bureaucracy of the insurance companies. When are we going to finally recognize this???[Truncated] Everyone in - no-one out. The broadest base possible is the most effective. "Private health care - public funding. We are 55% there now with Medicare, Medicaid, Veteran's Administration CARE." Wonderful!!! Why are we not doing that now??? Badly needed. * Sounds OK as long as we get the insurance companies out of the business of making medical/financial decisions about someone's health needs.[Truncated] 24780 6/27/06 12:04 AM NY "* I believe that we should have a basic level of health care available to everyone, whether it be the minimum wage worker(That same minimun wage they can't increase because it will bankrupt the entire country). We are the only civilized coun[Truncated]" * We also need to put a cap on the percentage increase in profit margins for the Health care Prociders and Drug companies. They are entitled to a reasonable profit margin but not run away profits on the backs of the common man.[Truncated] 24781 6/27/06 12:05 AM MN Yes Yes Yes Yes Yes Yes No Yes 24783 6/27/06 12:05 AM OR "* We are suppose to be the leaders of the free world, and yet we have about 45,000,000 people without adequate health care. This is absurd. Especially when one takes into account that those of us who pay taxes and are either paying for health [Truncated]" "* This is likely the biggest uphill battle of a plan to truely take care of America. For I see this as relating to Health Corporation transparency, i.e., getting past the big bucks folks who cash in on ills and pills. Also, if people learn to[Truncated]" "* Those less fortunate are an expense we as a nation all share. If folks end up destitute because of their outrageous medical costs, we end up footing the bill in some way shape or form anyhow. Why not invest the money in the caring phase, an[Truncated]" * Keeping this part of the system as simple as possible and preventing it from becoming administrative heavy appears a likely challenge. Perhaps it is lame; but somehow we gotta keep it simple. Or it all just becomes another beureaucratic ma[Truncated] * I especially like the idea of combining the teaching of medicine with the needs of the underserved and uninsured. The ultimate goal ought to be that all have insurance. But if it is gonna take our government another 5 to 6 years to get it [Truncated] "* Yes, let's not forget about the end of life. Everyone ought to have access to hospice if and when the time comes for an expected death. Hospice also provides options for avoidance of the prolonging of death, and while a touchy subject, it d[Truncated]" "Let's get the job done. The need for health care is NOT a partisan issue. Eveybody needs health." "* Our government is spending money it doesn't even have on preemptive war, which means taking away lives and/or good health from human beings -- both foreign and domestic. If even 10% of the money funneling into the military were diverted into[Truncated]" 24785 6/27/06 12:08 AM OK I hope we can pass this.It is great. We all need it and we maust have it. 24786 6/27/06 12:09 AM NM "* I am ashamed that my country, the richest in the world, does not provide access to affordable health to all its citizens. I strongly support the recommendantion[Truncated]" "I agree. We have one of the most costly, but least effective, health care systems in the world." I agree. See my response to issue #2 above. I agree. * Take the health care system away from profit making companies to obtain the least amount of overhead costs possible. Then see what the remaining costs will be. I understand that saving the current overhead cost of about 35% lst torivate com[Truncated] 24788 6/27/06 12:11 AM TX "Lack of good, free primary health care for the uninsured costs far more than any conceivable savings from denying it." Simply provide everyone with a basic care plan and charge for the policy based upon income. 24789 6/27/06 12:11 AM MO "* Wrong. Socialized Medicine should be implemented. Whether it's medical or medical insurance, the more profit based and complex the system, the more it will milk the working individual of his/her life savings.[Truncated]" "* All ""Americans"" should have access to the same healthcare. Deregulate antibiotics and eliminateother money making regulations by the AMA and FDA.[Truncated]" "Put profit limits on drugs (wholesale and retail), and establish limits for standards procedures. Again, socialized medicine." Strategically locate hospitals by the government sector. * Establish a patient's Bill of Rights requiring doctors to determine cause. Require the EPA and OSHA to review illness and work / live locations for high incidences of illnesses. Make it criminal for the EPA and OSHA not to investigate.[Truncated] Give the families and patients a say-so in the help they need and the way they wish to be treated. "* THe present system is set up to funnel medical expenses to the medical, legal, and pharmacuetical companies. Bush is presently using chronic environmental toxins through EPA mandated fuels to shorten life expectancy. I know because i caught[Truncated]" * Set the budget by the cost of procedures and statistically figure out how many procedures there will be. Add 8% for administrative costs and pay doctors and nurses well. Quit using medicine for population control. THe closer to the politician[Truncated] 24793 6/27/06 12:15 AM CA "* I agree with the Recommendation. I must have accessible health services especially since I've had epilepsy/seizure disorders since birth. Too, my doctors have strongly suggested I take anticonvulsants daily. As one who lives on her monthly[Truncated]" "I don't understand what, exactly, your're asking me. " "* The most important statement that's been made is ""No one in America should be impoverished by health care costs."" I, like millions of others, MUST seek out adequate health coverage in order to retain a normal lifestyle. Be it paycheck to pay[Truncated]" "Please, take responsibility to""Advise the Federal government on the nation's health care safety..."" " "* Health education; patient-provider communication, and patient-centered care, disease prevention, and health promotion are vitally important issues and must be recognized by medical practitioners! [Truncated]" "* My mother; father and only brother are no longer alive. Perhaps, if there had been better trained health professionals many years ago, our society might not have to psychologically live with the fear and concerns which health issues can cause[Truncated]" "* I do appreciate that you take the time to ask readers how they truly feel about health issues. Be it for themselves or their loved ones! Many thanks. [Truncated]" "My only thought is that, again, I have very few funds and a major medical disability which requires constant attention. " 24795 6/27/06 12:16 AM TX * My father's Tri-Care is busy trying their best to play silly-buggers trying not to reimburse his expenses. What is to say that this won't happen on a more expanded scale to pay for more unneeded war and pork barrels?[Truncated] "* We have nothing to say about the why, when or how we are born and so I believe if there is a chance that we can have a say in the why, when or how we are to die, we should have that right.[Truncated]" I agree with all of this. This is well planned with much professional and lay input. 24796 6/27/06 12:17 AM CA "* The more preventive medicine is practiced, the less it costs to treat people. They either do not get the expensive diseases or the diseases are caught early enough to not need extensive and expensive treatment.[Truncated]" Particularly for maintenance and preventive care.... * ESPECIALLY efficiency. Nothing is less efficient than what happens now! Millions of dollars are wasted on chasing insurance claims and dealing with paperwork instead of on actual healthcare![Truncated] * Many uninsured problems end up being all of our problem. We all pay the high price of care for ultimate problems that uninsured have in public hospitals and emergency rooms. We should all be willing through taxes or other financial participat[Truncated] 24797 6/27/06 12:18 AM TX I agree Add cigarette taxes in with the sin taxes 24799 6/27/06 12:18 AM VA "* I heartily agree, and would like to add that, in my opinion, National Health Care insurance should not be tied to the employer, but be available as a birthright.[Truncated]" "* Of course, any National HI plan should include catastophic coverage, whereby an individual's home, automobile, and personal effects would be protected.[Truncated]" 24800 6/27/06 12:18 AM KS "Yes, all Americans should have access to health care." There should be a definition of core benefits for all Americans. They should include preventive services and wellness. Health care costs should not impoverish any Americans. * The federal government should provide support for establishing community networks of health care providers for vulnerable populations.[Truncated] * The federal government should use its resources to develope and implement strategies to improve quality of health care while controling costs.[Truncated] Individuals nearing the end of life shold have support for health care options concerning the end of life. Health care financing should be fair to all. 24801 6/27/06 12:19 AM NY "I absolutely agree. Peoples should not have to choose between food and housing, or health care." Sounds good. Necessary and should include nursing home care for the elderly and Hospice care. "* In addition, add monies to provide educational benefits to students in the health care professionals and technical support persons.[Truncated]" ok Excellent Very well done!! Perhaps a 1% flat rate on total wages would be a basic start up place for financing health care for all. 24802 6/27/06 12:20 AM CA * Skyrocketing healthcare costs are also a function of hospitals and insurance companies increasing their profits and returns to shareholders. A prime example is a $3 tube of Bacitracin billed at $80 from a hospital - and the state insurance co[Truncated] 24804 6/27/06 12:21 AM MI "* America has always been the Leader when it comes to making positive decisions concerning best interests of the American people...why should , all of a sudden , we become followers of other countries , some who at one time or another , was any[Truncated]" Amen!! * A National Health Care System is needed in this country today to help curb the disaster taking place in the auto industry as well as setbacks to smaller business' that are taking a beating related to whiplash from all the rest of the Chaos...[Truncated] 24806 6/27/06 12:23 AM CA "The Golden Rule suggests that as I would want healthcare, others would want healthcare." Right on! "* Any healthcare program that includes private, for profit, insurance companies, losed my support. Health insurance adds a layer of expense that drains my desire for my fellow citizens to have healthcare.[Truncated]" Political realities demand building consensus. "As a Navy Veteran, I know that the government does a good job." Hospice people are better qualified to comment on this. Thank you for the opportunity to participate. "* One of the purposes of government is to provide for the citizenry. I believe that, as a taxpayer, I should contribute to the healthcare of all through government financing.[Truncated]" 24807 6/27/06 12:23 AM MA "* Americans should have a health care system where everyone participates, regardless of their financial resources or health status, with benefits that are sufficiently comprehensive to provide access to appropriate, high-quality care without e[Truncated]" 24812 6/27/06 12:24 AM IL There are many people that are working that still cannot afford medical insurance. This is definitely needed. 24814 6/27/06 12:28 AM MN "* No one should eaten alive by New Gilded Age loan sharks, simply in order to reconcile medical bills. No one should have to endure the Dickensian bankruptcy system, which was instituted by the loan sharking industry through its US Congressiona[Truncated]" "* The outlines of a ""core benefit"" package ought to be arrived at by a fair and transparent co-intelligence process [co-intelligence.org] driven by ordinary people, as described by Tom Atlee in /The Tao of Democracy: Using Co-Intelligence to Cr[Truncated]" "* Single payer. People can squeal about ""rationing"" all they like, but the corrupt money based system we have now already rations in such a way as to ensure medieval health care standards for everyone but the New Gilded Age elites who can a[Truncated]" "* Local self-reliance is a sound principle to base any sustainable system on. That means no frivolous long distance service delivery, on the false basis of Economies of Scale™. Small is beautiful. Woodwinds Health Campus [www.woodwinds.or[Truncated]" "* Before reviewing this health service topic, one should seriously revision the prevailing mind pollution mythology of commodified Efficiency™, which is euphemistic cover for fascist proto-ideology. Cost effectiveness and quality of care are [Truncated]" "* Patients ought to be given maximum discretion and autonomy in defining the terms of their own end of life care, and their wishes ought to be highest priority, whether in formally written legal instruments or otherwise. As cover against legal [Truncated]" "* As Rep. Kucinich likes to put it, we are already paying for US universal health care, we're just not getting it. Because of the systemic corruption in Washington DC, where bribery on an industrial scale has been legalized, we are paying $bill[Truncated]" 24815 6/27/06 12:28 AM CA Basic dental care should also be included. 24817 6/27/06 12:29 AM MA "* Financial assistance, if needed, is a proper function for social service, not health care. Why do you mention that here? Of course, we need a single-payer, government run system, probably an extension of Medicare which has worked remarkab[Truncated]" We don't have to start from scratch with this--most advanced industrial nations have experience. "* Universal coverage implies coverage for all, why even those low income individuals and families. ""Very high out of pocket medical costs"" have to be controlled by controls on the medical-industrial complex, which has been making inappropriate [Truncated]" "* This is very vague and sounds unduly bureaucratic to me. What we need is a national system of pre-paid multi-specialty groups, that are responsible for the care of a panel of patients, as existed in Washington and Oregon, which are not domin[Truncated]" "* A universal single payer system--similar to medicare, the VA-system--will have relatively few special concerns for traditionally underserved parts of the population, for which the public health service has some coping methods. BUT let's get r[Truncated]" "Of course, a national health care system will constitute a very ""fundamental restructuring"" of the current mess." "* Get away from the idea of ""prices"" that citizens will have to pay for health care. Sure, make everyone aware of costs that justify the level of taxation, and make taxes progressive so that those who have profited more from our economic and p[Truncated]" "* Sorry, all this is perfectly silly. Of course we need a mutual insurance system, paid for by our taxes. The transition may require payments to the government by organizations that paid for their employees health care, since it is to be assu[Truncated]" 24820 6/27/06 12:29 AM WA * This is your number one priority! Stop wasting time debating flag burning! This is ridiculous! If you are concerned about saving democracy do your jobs and do oversight and investigate the illegal spying and now looking into banking record[Truncated] 24821 6/27/06 12:30 AM OR Yes!! "Yes, this is what insurance was supposed to do for us, share the cost and the risk!" Absolutely needed; our safety net. Agreed! "Yes, without relinquishing local control, as needed, for assiteded suicide laws." "* Excellent! I would only specifically state that health care insurance should not be connected to employment; eliminating the middle man (insurance companies, brokers etc) with one payor system should be a goal; and economy of scale purchasin[Truncated]" Is the ultimate goal to have a one payor system? I believe that would be best. 24822 6/27/06 12:30 AM FL I support this. I support this. I support this. I support this. I support this. I agree. I support this. 24825 6/27/06 12:30 AM MA "* There is no reason to tolerate a condition in which those who are sick, and wish to have treatment that is available, should be denied that treatment.[Truncated]" "I support the above, and strongly urge that all should get full-quality care, regardless of personal income." Refer to my comments on Recommendation #2. I fully support the above. I support the concept of locally-based health care with federal oversight. Federal monitoring of costs and any possible abuse of the system is essential. "An essention recommendation, well-stated." This is terrific? Let's push it against those who just want to continue to make money off health care! * The goal should be universal coverage. The costs should be borne by taxes and the charges for health care should be monitored by a government agency to assure fair pricing.[Truncated] 24828 6/27/06 12:33 AM CA "Health care should be universal and paid for by our taxes, not insurance fees." "Health care should be universal and paid for by our taxes, not insurance fees." "Health care should be universal and paid for by our taxes, not insurance fees." "Health care should be universal and paid for by our taxes, not insurance fees" "Health care should be universal and paid for by our taxes, not insurance fees." 24829 6/27/06 12:35 AM AK "* Mental health parity must be included. Preventative health and dental services must be emphasized. It is necessary to honor the choice of all Americans by including alternative health care based on best practices, and not on profit.[Truncated]" Reduction of fraud and waste must be a priority. "* Every adult American can contribute something toward their health care. However, in the richest nation in the World, citizens must no longer be held hostage by the greed of the profit hungry pharaceutical and health care providers, who become[Truncated]" 24830 6/27/06 12:36 AM WI "* I agree wholeheartedly. I am retired and about to lose my health insurance because my former company was able to get the bankruptcy court to negate the contractual agreement we had with them. This is a sin, but the cost of the premium was t[Truncated]" * In theory this sounds good. In actuality I wonder what chance this group will have to create this benefit package. You can establish as many groups as you like but the lobbyists for the drug industry and medical industry will gut their prog[Truncated] "* Again, sounds great. It's what we need. But I'm reminded of what happened when President Clinton tried to get national health care. First the Republicans opposed it vehemently, then the drug industry opposed it, next the medical associatio[Truncated]" "* This could work,if you kept Federal Government out of it. In fact keep government period out of it. I believe non political people can do a better job. Why, because they don't owe everybody because they got a vote. There are millions of p[Truncated]" * After all my experiences with health care as an Union Officer and watching for the last 20 plus years the cost of that care skyrocketing year after year I am not an easy sell. I've heard most of this before and it didn't sail. I've heard ou[Truncated] * I am not willing or able to make additional financial investments in health care. If you want health care to be affordable then stop the gouging the Drug companies are doing. Why do all of you keep talking about taking more money from every[Truncated] 24834 6/27/06 12:40 AM IN * Stop playing into the hands of those who currently control health care in this country and just implement a Medicare for all program that includes coverages used by the youngest to the oldest citizens in America. Medicare is currently a Natio[Truncated] 24835 6/27/06 12:42 AM CA "* This seems to assume that something other than single payer government run, medicare type program is acceptable. It ts not! Haven't we learned yet that insurance companies cannot be relied on to provide healthcare for all of the people nearl[Truncated]" "this should specify, a majority of members citizens other than profesionals in healthcare" single payer addresses this directly single payer again this would be natural with single payer "* again, this is a national problem and a national disgrace. funding these needs at the local level will be as inconsistant as school funding and resultant quality. This seems so silly that it must have been written by thopse with a philosoph[Truncated]" * look very seriously at single payer healthcare. It is a fact almost everywhere in the world. The people of America are begging for NOW![Truncated] single payer answers these questionns simply and clearly. 24836 6/27/06 12:42 AM OR * This is so important! We have no business treating healthcare as a just another industry in a capitalist system subject to market forces and big money backroom dealing. [Truncated] "* Education and emphasis on preventative care is most important. Inclusion of alternative medicine practices is necessary. Otherwise, setting priorities and grading core benefits must be done by an independent non-partisan public-private grou[Truncated]" YES! This sounds like a wise approach. The insurance industry is the biggest drain on the nation's health care system. Recognize the right to death with dignity as practiced in Oregon. This so heartening! Don't be sidetracked. THANK YOU! * Canada and other countries in the industrial world all have efficient and effective government run health systems. There is no reason we can't too. We just have to jettison our knee jerk thinking.[Truncated] 24837 6/27/06 12:42 AM WI "* We are the richest country in the world. It is shameful that we let common folk go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one i[Truncated]" "* We are the richest country in the world. It is shameful that we let common folk go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one i[Truncated]" "* We are the richest country in the world. It is shameful that we let common folk go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one i[Truncated]" "* We are the richest country in the world. It is shameful that we let common folk go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one i[Truncated]" "* We are the richest country in the world. It is shameful that we let common folk go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one i[Truncated]" "* We are the richest country in the world. It is shameful that we let common folk go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one i[Truncated]" "* We are the richest country in the world. It is shameful that we let people go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one is say[Truncated]" "* We are the richest country in the world. It is shameful that we let common folk go without health care when countries with half our wealth take care of the basic health needs of their people, especially the ones who cannot afford it. No one i[Truncated]" 24838 6/27/06 12:43 AM MN I am an advocate for affordable health care. "* I am out trying to keep my self well on a wellness plan with my employer, beinga able to get up and go each day is important to me. I have a few medical issues but for my 60 years I do pretty well I think. [Truncated]" Total agreement "* Consumer usable information about health care services that includes information on prices cost sharing, quality and efficiency and benefits. This jumps out as me very important. [Truncated]" "* I think the end life issue is important from the standpoint it can linger on for the patient and loved ones. Rqual opportunity for the RICH , middle class and the poor. [Truncated]" "I have had to pay more to insure that I have health care, being a single woman on my own, I need affordable health care." 24842 6/27/06 12:47 AM IL Get It Done!! Get It Done!! Get It Done!! Get It Done!! Get It Done!! Get It Done!! Get It Done!! 24843 6/27/06 12:48 AM UT "We have a lot to learn from our foreign counterparts, take Canada and the European Union for examples." * I am a veteran of Operation Iraqi Freedom (Initial Invasion in march of 2003) and we have an administration that claims to be sending us to Iraq to fight for both America's freedom as well as Iraq's. Let's tell them to put their money where t[Truncated] "* Utilize current taxes to subsidize a health care plan for ALL WORKING Americans, even a slight raise in taxes would be worth an affordable and comprehensive plan, again look at the European Union's plan.[Truncated]" 24844 6/27/06 12:49 AM FL Approve Approve Approve Approve OK OK "* It should NOT be necessary to wait until 2012 to implement a fair system of health care in the U.S. We spend MORE per person than does the United Kingdom, but we have about 45 millions not covered. It is wrong for one person who works 40 ho[Truncated]" Approve 24846 6/27/06 12:50 AM MO * I have read what is proposed for every American citizen in health care. I have allways felt that it is not right for the very rich and big corporation's or any business plus all of our government Employee's have benefited from the middle inco[Truncated] 24850 6/27/06 12:54 AM NJ "* You and I know that the pharmaseuticals always position themselves to win and us to lose. But if other countries can take care ot the health needs of the people, the U.S. should be able to. Especially if we can spend 300 billion on a useles[Truncated]" 24853 6/27/06 12:58 AM OR * Every American needs to have access to high quality healthcare regardless of their financial situation. It is a sad place we live in when anyone cannot access healthcare at all or where only some have access to the highest quality of services[Truncated] "A ""core"" package must also include alterntive or homeopathic avenues in order to be truly complete." * This is essential. No one should have to bear the burden of medical costs. Healthcare is not a privelege for only the wealthier--it goes beyond the boundaries of class or race.[Truncated] * Those at greatest risk deserve to have equal access to healthcare and as it is now oftentime have the least ability or opportunity to these services. We need to do whatever it takes to ensure that these Americans can access quality care.[Truncated] 24855 6/27/06 12:59 AM CA "tax supported, single payer. period" "core services regardless of age, sex, employment or pre-existing conditions." "public, not private. period." "* California's Senate Bill 840, the "" California Health Insurance Reliability Act"" should be the model for national single payer, tax supported, uiniversal coverage.[Truncated]" "tax supporter, single payer. period" 24856 6/27/06 1:00 AM OH "* GIVE EVERYONE IN USA THE SAME HEALTH COVERAGE AS THE PRESIDENT AND CONGRESS AND SENATE HAVE OR TAKE THEIR COVERAGE AWAY. ALL EQUAL IN USA SHOULD PERTAIN TO HEALTH CARE ALSO. THAT IS THE ONLY WAY THEY WOULD REALLY UNDERATAND WHAT IT [Truncated]" "* GIVE EVERYONE IN USA THE SAME HEALTH COVERAGE AS THE PRESIDENT AND CONGRESS AND SENATE HAVE OR TAKE THEIR COVERAGE AWAY. ALL EQUAL IN USA SHOULD PERTAIN TO HEALTH CARE ALSO. THAT IS THE ONLY WAY THEY WOULD REALLY UNDERATAND WHAT IT [Truncated]" 24857 6/27/06 1:03 AM MD "* We are the only industrialized nation not to provide comprehensive health care to our people. This is a national shame, and may well be our national downfall during the anticipated pandemic.[Truncated]" "* This recommendation is especially important, particularly for the low and moderate income Americans that make up the broad base of America's workforce. Not only will catastrophic health care coverage save many families from ruin, it will redu[Truncated]" * Building on our existing network of federally qualified community health centers makes sense. These centers have long experience serving the critical needs of the uninsured and underinsured.[Truncated] * It is essential to de-mystify access to health care. The current Senior citizen prescription drug program is an example of the utter confusion that results in limited access to care.[Truncated] "* Absolutely. Doctors have been far too cautious about prescribing palliative medications and treatments, on the misguided theory that the dying person could become ""addicted"". Medical professionals should be encouraged to make dying persons [Truncated]" "* The dramatic increase in the number of Limited English Proficient persons in the US - a change that will continue regardless of any immigration reform efforts - has real implications for quality of care. Community health centers, in particul[Truncated]" 24858 6/27/06 1:03 AM CA * Many other countries are able to have health care for all but our great nation just can't get it together! Is it the drug companies? [Truncated] 24861 6/27/06 1:06 AM WA * Enormous judgements are given to those who had the luxury of a doctor or dentist and have sued the doctor or clinic and that has contributed to the high cost of health care for the rest of us so we do not get the care we need. Please address[Truncated] 24862 6/27/06 1:07 AM FL * Agree with statement - but favor taxing fat and refined sugars (especially High Frutose Corn Syrup HFCS)to help pay for fat related health costs.[Truncated] * Core medical care does not include viarga and other sexual inhancing drugs. Use herbal remedies for many treatments as Germany does now instead of ridiculally high drugs that cost pennies to make. Ex. red rice yeast instead of lipitor for ch[Truncated] * Reduce the number of heroic surgeries for terminal patients especially in cases where the pain to the patient will be greater than any benifit to that patient. [Truncated] "* Set up clinics where the doctors can practice medicine without wasting their time with paperwork, insurance claims. Remove all the unnessary paperwork such as now exists in medicare where duplicate bill and illegal charges no go undetected b[Truncated]" "* Let us follow the model of Canada and the United Kingdom, except set up clinic with good equipment in health care centers. The biggest complaint Canadians say against their system is that they have to wait up to two years for a knee replacem[Truncated]" * Agreed - do not feed terminally ill patients that have no chance of recovery. Following a stroke my mother-in law went into a nursing home - where they hand fed her and then we called in hospice and they kept her alive another 8 -months by [Truncated] * We don't want to santion any more Terry Shiebo cases where they kept a dead person on life support for 18 years. Have everyone sign a end of life statement and if they want heroists let them or their families pay for it instead of Medicaid.[Truncated] * Cut out unneccesary test ordered by doctors to protect themselves. Reduce the number of outside sources (consultants) that ad $200 to a medicare bill. Take out the drug company and insurance company profit on health care.[Truncated] 24864 6/27/06 1:09 AM CA I support this recommendation as my only health coverage is Medicare I have gone without needed dental care for years. I agree with this recommendation. * This is fine as long as the integrated concept as proposed does not take a patient's right to choose his/her own providers. Managed care is not an effective option as it does not provide adequate choices.[Truncated] "* I do not believe that financing should come from surcharges or ""sin taxes."" I believe that attempts should be made to finance the program through a decrease in administrative fees charged by private insurers and there should be centralized [Truncated]" 24865 6/27/06 1:10 AM IN "* Everyone is this great country should have access to free, or very low cost, medical services. For too many people it is a choice between going to a Doctor, or eating this week. In many cases you can feed a family for a week on what one t[Truncated]" "* As long as the board contains some experts who know the real needs of the people, not just what they think the needs ar it might work. Remember that an ""ex"" is often a has been, and a ""spert"" is a drip under preasure. And that preasure comes [Truncated]" "* The first thing to address here is the ""very high cost"" of the medical care in this country. Many other countrys have good health care at much less cost.[Truncated]" If it is run by a unit of the federal goverment I'm sure it will be a total waste of tax payers money! "* Reduction of fraud and waste is one of the keys to making the system work. We have all seen or heard of the hospitals charging $100 for an asprin, or other charges for drugs or services never rendered. There are often to many expensive and re[Truncated]" "* All reasonable end-of-life requests should be honered, when possible, including ending life, at the persons request, when all other options have been exausted. [Truncated]" "* Part of this could be paid for by taxing all employers, who would benifit from the reduced health care expense. And that includes the ones that do not provide health care for there employes.[Truncated]" 24866 6/27/06 1:11 AM CA * Absolutely!!!! Every other industrial country in the world has such a plan. It is long overdue that the United States makes such a plan possible here.[Truncated] * It is high time for this to be addressed. The health of us all is in jeopardy when there are people who do not have health care. Let's get moving on this issue now and resolve it. All of the recommendations are excellent.[Truncated] Let's get on with it!!!! We have waited too long. 24867 6/27/06 1:12 AM IN "* I believe that every American citizan should have the ability to have access to the same healthcare system as every other American citizan, without exception! This would also be good for American business, sinc e those employers who do provi[Truncated]" "* All citizens would have access to health (prevenitve, hospital, Physician, prescription drug, dental, labratory, Mental, and vision, elder care, hospice, transplant, acute care the entire range of healthcare benefits available currently to th[Truncated]" "This is a very important part of the plan, without this coverage NO PLAN would work!" I basically agree with all (4) of the above points. This is something that the plan should use as a goal for ten years down the road from its inception. * This is one of the most important parts of any plan. Individuals at this stage of their life absolutely need this coverage as an essential part of any plan.[Truncated] "* My first recomendation would be an employment tax, with credits for employeers who now provide healthcare at a minimum level for their employees. Second, we would also have employees pay a healthcare tax similar to that we currently pay for [Truncated]" 24868 6/27/06 1:13 AM CA IT IS UNTHINKABLE THAT ANYONE IN THIS NATION SHOULD HAVE TO DIE DUE TO LACK OF FINANCIAL RESOURCES. * HEALTH CARE SHOULD BE THE SAME INALIENABLE RIGHT AS FREEDOM OF SPEECH. NO CHILD SHOULD EVER EXPERIENCE ILL HEALTH NOR SHOULD ANY PARRENT HAVE TO DECIDE TO BUY MEDICINE OR FOOD BECAUSE OF THE PROFITERING OF OTHERS.[Truncated] IN OTHER WORDS PRACTICE EMPATHYAND COMPASSION INSTEAD OF GREED. THE FEDERAL GOVERNMENT SHOULD BE A FACILITATOR AND A GUIDE NOT THE ENGINEER OF THIS PROGRAM. EQUAL DISTRIBUTION OF KNOWLEDGE AND SERVICES THAT ARE NECESSARY TO LIVE A FUNCTIONING AND HEALTHY LIFE. * STATE GOVENRMENT SHOULD ENGAGE IN DEVELOPEMENT AND APPLICATION OF THIS PORTION OF THIS PROGRAM THROUGH HOME HEALTH CARE WORKERS. [Truncated] WE SHOULD NOT ALLOW THE WEALTH OF SOME DETERMINE THE HEALTH OF ALL. 24870 6/27/06 1:14 AM FL "* Nearly every other industrial nation has nationalized healthcare and provides that at a lower cost than we do. It's time for us to catch up! Health care should be a right, not a priviledge.[Truncated]" This is an excellent way to ensure that everyone has access to quality care! Absolutely necessary! No Healthcare Left Behind? Looks good on paper but may be very expensive to implement. Certainly worthwhile though.... Thank you for being concerned about the quality of care and not just the costs associated with them. "* Sounds good but may be very expensive. This one is last on my list. As long as everyone can get good care at a reasonable cost, I'll be happy![Truncated]" * Thank you for putting together this list. It addresses my foremost concerns after living without health insurance for 2 years even with a full-time job.[Truncated] * I see no reason why employers should not have to contribute a set amount of money per employee into a state or federal run health care program. It's time we stopped passing the cost on to common people. Wages have stagnated and cost of livi[Truncated] 24872 6/27/06 1:18 AM OR "As long as ""experts"" includes experts in traditional medical practices such as acupuncture and herbalism." "* If all medical facilities were government run or contracted to non-profits, this would not be an issue. Look at the Indian health service and the VA (if they were funded appropriately)[Truncated]" "* I also believe at some level there needs to be sanctions for people who choose to do destructive things such as overeat, smoke, use meth, drink excessively etc. These people are high cost users of medical services and there should be some exp[Truncated]" * The amount that is currently being paid by governments (for employees and medicaid and medicare recipients) and employers to insurance companies should be more than adequate to provide universal coverage. Just take the profit away from the in[Truncated] 24875 6/27/06 1:21 AM MO "To be productive citizens, all Americans must have access to good-quality health care." "* I believe that defining a package of benefits will be difficult but possible. It is time we had a discussion of costs vs. benefits. A drug that costs tens of thousands, yet delays death for only a month makes no economic or moral sense. Payin[Truncated]" "I believe that ""major medical insurance"" on top of basic care for all Americans is an achievable goal." * I believe that a centralized information system shared by regional health care providers will allow us to identify fraud and waste and also to spot successful programs that can be replicated.[Truncated] "* We can take and improve the services offered in the hospice model and require that those patients who apply agree to refuse expensive drugs and treatment, not including pain medicines, that truthfully offer no cure. In exchange, 24-hour high-[Truncated]" * We have seen the successes and mistakes made by other communities and countries as they attempt to provide health care to their citizens. We can learn from them. It will be especially important to engage religious leaders if this process is t[Truncated] "* There are many possible sources of revenue for health care, and due consideration should be given to finding the correct balance.[Truncated]" 24876 6/27/06 1:23 AM MI Some people will say or think that they are healthy enough to gamble or not need the expense of paying for maditory health care I like the idea but someone will make it extremly complicated to the point it won't work. It sounds complicated to me. I like this. Its simple to understand. Is $10.00 very high out-of-pocket costs? "Bad idea the public-private group would need to tell the federal goverment, not advise" "* I keep feeling uneasy every time I see the feds expand and accelerate. The only thing that the Feds do is complicate and cause frustration. Sorry.[Truncated]" "* I like this idea,but it still doesn't get everyone affordable health care. How about raising the minimum wage so people can live above the poverty level and choose on there own if they want health care. If they have a choice and choose not to[Truncated]" * This is a tough problem that needs an answer. Keep up the brain stroming. My Mom has cancer that is causing considerable cost and time for the family.[Truncated] Goverment will not want to give up the revenue they get from sin taxes 24877 6/27/06 1:24 AM NY * We as Americans should have the right to choose a traditional medical approach or a holistic approach. I want to see the core services include Holistic Medicine also.[Truncated] 24879 6/27/06 1:25 AM CA an independent group is essential. Its about time. Health costs are out of sight All Americans should have affordable health care. It is one of the most important aspects of a decent democracy. 24881 6/27/06 1:29 AM CA A FEDERAL TAX IS NEEDED TO PREVENT PITTING STATE AGAIN STATE WHICH WOULD DOOM FINANCING A PLAN FOR ALL 24882 6/27/06 1:30 AM AZ "* All Americans should have a health care system where everyone participates, regardless of their financial resources or health status, with benefits that are sufficiently comprehensive to provide access to appropriate, high-quality are without[Truncated]" "* The set of core health services will go across the continuum of care throughout the life span. Health care encompasses wellness, preventive services, primary care, acute care, prescription drugs. Health is defined to include physical, menta[Truncated]" "* No one in American should be impoverished by health care costs. Establish a national program (private or public) that ensures: Coverge for all Americans, Protection against very high out-of-pocket medical costs for everyone, and financial pr[Truncated]" * Identify the Fed. Govt Unit with specific responsibility for coordinating Fed. efforts that support the health care safety net. Need a public-private group at National level responsible for advising the Govt. on nation's health care safety n[Truncated] * I agree with every word of the above. All of these suggestions are of the essence in providing for our American people. We are a country who cares - or did care for others - let's proceed along that path if we are to remain the greatest cou[Truncated] "All of the above is essential if we care about our fellow man, woman and child." "* I think this is a marvelous paper and I hope and pray that it will have an impact on our Congress and Senate representatives, and, of course, our President.[Truncated]" "* It will require new revenues to provide some health care security for Americans who are now at great risk. The financing could draw on enrollee contributions, income taxes or surcharges, ""sin taxes"", business or payroll taxes or value-added t[Truncated]" 24883 6/27/06 1:30 AM WI "* It is long past overdue that the only major industrialized country in the world (the United States of America)which is the only major industrialized country without a ""universal health care plan or some sort of socialized medicine for all the[Truncated]" "* We could expand the current medicare/medicaide programs to include ALL people with a valid social security number. People visiting or ""ILLEGALS"" would have to make arrangements to pay and to become legal visitors for face deportation helping[Truncated]" "* A pro-rated or ""sur-charge"" could be attached to our income tax to provide for health care based on ability to pay. This would likely cost America less overall because we could eliminate insurance company overhead and profits to provide fat-[Truncated]" "* It is time to take the ""greed"" out of health care in the United States. Health care providers need to be limited to ""reasonable charges for services"". We don't need to provide fat salaries and golden parachutes for executives at corporate o[Truncated]" 24888 6/27/06 1:33 AM AZ A civilized country cares about it's cititzens. Health care ia a human right that should be available to everyone. 24889 6/27/06 1:33 AM AZ "* It must be noted that the following will never happen without eventual Taxpayer-financed Elections: A patient can choose any hospital or any doctor, if available, or substitute one as soon and as close-as-possible. Alternative practices,[Truncated]" "* Any and all benefits will be those historically available today! Future technologies, created by publically-funded medical institutions, will never be contracted to private corporations without due compensation to the US Treasury. Limit[Truncated]" "* Loss of income due to documented health problems will be shouldered by the so-called Social Security Trust Fund. (A Constitutional Amendment is needed to keep this fund separate from the general operating funds.) These monies will be paid [Truncated]" "* NO PUBLIC-PRIVATE! COMMONWEALTH-HELD DECISIONS BY THE GOVERNMENT - of the People, by the People and for the People! Remember, Tax-payer Financed Elections will eliminate the corrosive, elitist involvement in Universal Healthcare [Truncated]" Keep it simple! Just use Medicare as the Single-payer! All Public - don't be fooled! "* You all, involved with trying to advance this noble cause, better embrace Tax-payer Financed Elections or the Corporate Sector will undermine the whole shebang![Truncated]" "* The patient will notice only two things: A national healthcare card, presented as payment and a yearly, non-regressive (income-tiered), income tax contribution, virtually an extention of Medicare. [Truncated]" 24894 6/27/06 1:40 AM AZ Illegals get everything free including health care. Why should LEGAL Americans not be able to have the same benefit? Good recommendation. Please make this read all LEGAL Americans cuz the damned illegals are the ones causing the system break down. * The feds continue to do nothing to help LEGAL working Americans and I'd be urprised if they do anything about this but it is needed - desperately........[Truncated] Go for it! If all of the above were initiated it would be a great day for the health care of American citizens. "* Nothing wil ever change unless citizen groups take the initiative and push,push, push until their recommendatons are not only agreed to but IMPLEMENTED as well. THIS congress and THIS pres have a way of talking out of both sides of their mou[Truncated]" * It won't work if only the poor have to come up with revenues.....since bush has been pres there are only the poor and upper classes. The middle class ceases to exist and has been rolled into the poor category.........[Truncated] 24895 6/27/06 1:41 AM WA It is shameful that working people do not have healthcare. 24898 6/27/06 1:45 AM AR I agree I agree I agree I agree I agree I agree I agree 24899 6/27/06 1:46 AM WA * it is one of the priorities of the 21st century to ensure universal health care for all people. it is the next step in civilization's progress toward justice for all. there is no queston that universal health care is a human right. we are all[Truncated] 24900 6/27/06 1:46 AM OH * This is the most important issue facing our nation today. Too many people are dying needlessly due to lack of access to health care.[Truncated] "I am a bit skeptical about this particular plan, I don't want my life placed into the hands of an appointed ""commission""." "* Yes too many people in this country are going into bankruptcy because of astronomical health care costs, and this must stop. Everyone regardless of income level should have access to health care.[Truncated]" This is important for the nations people This is a must have in today's society. We as a people depend on these policies Yes this is the only humane thing to do for people with end of life issues. "This makes sense, as all avenues to universal care have to be reseached and explored." 24901 6/27/06 1:47 AM CA I strongly support the recommendation that healthcare be made available to all people. I strongly support the recommendation that all americans should be protected from bankrupcy due to medical costs. "* Once universal access to healthcare is in place, the government will have an incentive to fund preventative medicine since this will directly increase its future revenue. I think by investing in keeping our population from getting sick in th[Truncated]" 24906 6/27/06 1:59 AM WI * I think health care for everyone is a great idea. What would happen to the health care coverage that is provided through the work place? [Truncated] Sounds comprhensive. I agree to this statement. Good. "* It is about time someone questioned the practices of overcharging patients for drugs ane supplies used in hospitals. A tooth brush for $10.00, anticoagulates for cancer patients costing $500 to $700 dollars for a weeks worth of injections. Th[Truncated]" * I completely agree. We are one of the worst countries in the world when it comes to treating our elderly with the respect they deserve. I also think that working all my life only to have a care giving facility consume everything I own to pay [Truncated] * There are so many aspects to consider to make this plan work that I would be surprised if its implementation would occur in my lifetime but I whole heartedly agree that it is way overdue to attempt to fix our current system. [Truncated] The finance statement sounds llike it is well laid out but things dont always work like they are intended from the inception. 24907 6/27/06 1:59 AM AZ * Please STOP insurance companies from being the ones making our health care decisions. It's a conflict of interest. This will not save us money. It will destroy any semblance of quality health care. [Truncated] 24908 6/27/06 2:02 AM CA "* I would like to see ""affordable"" defined. In San Diego, ""affordable housing"" is defined as a 450 square foot, one bedroon, one bath condo priced at $ 350,000.00[Truncated]" "* I don't think we need to waste money on funding an ""independent non-partisan private-public group"". This proposal should also include emergency and urgent care.[Truncated]" "* I feel that there are financial inefficencies in the heathcare system and with all the vendors that service this industry in their marketing and sales area, that could be used to assist financing healthcare for all Americans.[Truncated]" 24909 6/27/06 2:02 AM AZ * Anything short of regulating Insurance companies and stopping them from making our health care decisons will insure the degradation of quality health care in this country.[Truncated] 24910 6/27/06 2:02 AM CA "What we need is ""single payer healthcare"" This is a bill in the California Legislature and we are working to get it passed." 24913 6/27/06 2:09 AM NY "* It's ludicrous that the USA is the only industrialized nation to deny core health care benefits to it's populace. Unfortunately, the ruling party views this notion in the light of socialization, which they equate with communism. We must take [Truncated]" "* I believe you should emphasize the prevention aspect, and that there are a lot of products being marketed to consumers by powerful corporations that make people sick; high calorie foods and soft drinks, additives to milk, etc. How many lives [Truncated]" "* I do think that the applicable word here is ""basic."" Or ""core."" I don't think that extraordinary surgeries, i.e., double-lung or heart transplants should necessarily qualify as ""core."" But recognized, reasonable therapies and treatments that [Truncated]" "* Health Centers and Clinics are all well and good, but I believe most people want to find one doctor they can trust, a primary care physician, if you will, and that trust in such an individual is a part of the process that should not be forgot[Truncated]" Reduction of fraud and waste is extremely crucial to success. "* You probably don't want to consider this, but I think what you propose should include euthanasia for patients who want it. There is nothing in God's green earth that terrifies me more than the notion of a terminal illness being prolonged by [Truncated]" "* You have a well-considered proposal here, and I wish you all the best in getting it past the ruling party which is so deep in the pockets of the pharmaceutical industry, so utterly corrupted by the corporate agenda. Your battle, as I see it, [Truncated]" "* All that you say makes sense, save for one thing; there are a lot of people now who don't have jobs, and therefore are not paying taxes. And of course, most of our tax dollars right now are going to an unnecessary war, and an administration t[Truncated]" 24916 6/27/06 2:12 AM NV "* each & every american is entitled to the same identical health care that is provided to each member of the U.S.Congress,if not we the citizens should start a movement to remove the coverage afforded congressional members. we are retired & pay[Truncated]" "* agreeable to whatever plans that would be equitable to the citizens, but not to include illegals, let their native country pay for the coverage. Charity begins at Home!!!![Truncated]" wholeheartedly agree No comments sounds like a excellent idea. excellent "Medicare plan ""D"" is a disaster,most presriptions I take are not on the formulary, over loading my Dr. with paperwork" "* we will be willing to pay exactly what we currently do for quality medical coverage,instead of paying for the excessive pay packages of the health care CEO's i.e. United Healthcare. [Truncated]" 24917 6/27/06 2:15 AM WI * Health care for all will need to include people keeping up their end of the bargain--takiing responsibility for their health--not just buying vitamins but following through on health care recommendations. Everyone needs some of the principles[Truncated] * Alcoholism needs to be diagnosed as a disease not by police. As a nurse if I diagnosied alcoholism or any disease I would have a malpractice suit filed against me. Yet police can diagnose? What if the person is a diabetic out of control with [Truncated] * Yes all Americans need to be covered but to keep the costs within reason individual responsiblity needs to be inckluded in the health care pagackage. The insured needs to have some responsibility. First you need to include emotional literacy [Truncated] "Support the public health nurses in each county. THeyu were once a driving force and can be again. " * WAY TOO MUCH PAPER WORK is the major contributor of waste and fraud--do the right paperwork regardless if you every provide the car--lay a hand on the patient and you are well paid. I know I watched nurses not do anything but chart in homes a[Truncated] "* I think EPEC is doing a great job in our community educating health care professionals andit needs tobe expanded across the state and country. Education for PHysicians ENd of life Care. [Truncated]" 24918 6/27/06 2:16 AM NY * I believe a fair way to achieve this goal is to tier the cost. The poorest pay the least and the wealthies pay the most. I already have great health coverage as a union member so my motives are surely not for myself but for the well being o[Truncated] * This core benefit should be similiar to the average package coverage that is being purchased by most companies today. The coverage should not be weakened compared to what Americans believe to be a fair heath plan for their own family.[Truncated] * Co-pays should be low or none at all ($0 - $5) for the poorest. Co-pays should be reasonable (none higher than $10) for all other participants.[Truncated] Grant money to help even out equal access of health care will be needed. OK. * Consider taking a look at a country that already has a national health care system in place and mold it to fit our country. This may speed up the process. Doctor/nurse/other salaries must not be cut. A shortage already seems to exist. We [Truncated] 24919 6/27/06 2:20 AM MO * Most developed countries have a social health program that covers eveyone equally. American needs to reform our health care system so that everyone has the chance of the same quality of care no matter their income. The program could be suppo[Truncated] 24921 6/27/06 2:22 AM GA "* I agree somewhat with recommendatin 1. However,in addition, we must not allow the Bush Administration to write off the 46 million people without insurance. It's about creating a new kind of social justice for all, which is accomplished by r[Truncated]" Agree "I don't agree with a private national program. Once we privatize, we loose control." Keep private groups out of the puzzle. Agree * Here again I don't believe private groups is the answer. We already have a corrupt governmental system which has been created because privatizing primarily leans toward cronyism and price gouging. I'm not sure I understand what you mean by p[Truncated] "* With all of these recommendations, will hospitals be restructered when it comes to over-pricing patients? It seems to me that there should be transparency and accountability in guaranteeing patients the kind of healthcare necessay for their [Truncated]" Agree 24923 6/27/06 2:26 AM IL "Great, and the key word is ""everyone.""" This seems thoughtful and principled. Great principle! Very needed and will reduce the overall cost of national health care in the long run. Okay. Good. "* This is a breath of fresh air. There are lots of very important details to be worked out, but this seems to me like a great framework for working on those details. Thank you.[Truncated]" "* All this looks good to me, except I'm concerned about how much time will be required for the transition you envision. As a high income-earner, I'd be more than willing to pay a substantially higher income tax to help make it happen sooner ra[Truncated]" 24926 6/27/06 2:42 AM CA * all the other approximately forty five modern nations have universal health care. We could afford it too if we spent less on unneeded armaments and used those funds for single payer health plan.[Truncated] some decisions will be necessary on what basic care consists of. Other modern nations plans include all three of these aspects. "If the bulk of the funds were not paid out in executive salaries and fees, ample funds weould be available." 24932 6/27/06 2:56 AM TX "* Use the model large corporations use now to enable employees to choose among 4-5 group insurance plans, where the employee contributes to the premiums and pays a small co-pay for doctor's office visits. Companies subsidize their employees' pr[Truncated]" "* As I mentioned above, just take a good corporate plan (such as Hewlitt-Packard, ConocoPhillips, or IBM) and put that into place for the entire US. Let each state function as a company does now -- where the ""employees"" choose one group policy [Truncated]" * The only way to guarantee against rising prices for medical care is to call a halt to malpractice lawsuits. Check out how many malpractice claims are brought against National Health doctors in the UK and Canada.[Truncated] Just follow the corporate group insurance model and everyone will get to see the health care professionals they need. See my comments above "* Whatever you do, please do not stick the US with the awful National Health plans that cause UK citizens to have to wait 10 years to get a knee replacement. We deserve better than that.[Truncated]" * Do not try to follow the European/Canadian model of National Health. It is unworkable because it is administered by government employees who have no incentive to be more efficient. Using the insurance companies and plans that are already in p[Truncated] 24933 6/27/06 2:57 AM CA "* Support H.R. 676 Conyers (D-Mich), the Comprehensive National Health Plan that uses the existing system of Medicare to fund care for all Americans.[Truncated]" "Core services should include mental health, dental, and vision services." "* Control costs by eliminating insurance companies. Make it illegal for insurance companies to offer health insurance. One provider for all health services with choice of doctor, hospital, etc. NO HMO's[Truncated]" "* Federal government should finance the system through the payroll tax. Choice of care should be left up to the individual consumer. There should not be any limit on care from cradle to grave.Emphasis should be on preventive care and patient [Truncated]" Excellent! Eliminate all private payers. Support H.R. 676 "* Financing should be done by payroll deduction as part of the Social Security deduction, based on a person's income. The remaining deduction would come from the employer.[Truncated]" 24937 6/27/06 3:06 AM CA * We are supposed to be the greatest nation in the world yet we lag behind many nations who provide health coverage for all. It is time that we take care of our own.[Truncated] I agree with this statement I agree I agree * This is extremely important. I feel that the private industry has run amok while the government programs have run rather well at less cost. We should look to them as our guide. [Truncated] * My father-in-law is at this stage in his life. He lived below the poverty level all his life yet never accepted any assistance until he became disabled. His only income is from Social Security. Now after selling his house in order to provide [Truncated] I would be happy to pay more taxes such as a value-added tax to cover the cost of the insurance for all. 24938 6/27/06 3:07 AM NJ "* We need a floor for everyone. We also need a ceiling because some procedures would be too expensive for national health care, like transplants, bone marrow transplants except for young people, limitless care for very premature infants & exces[Truncated]" "Yes, core services if can't afford more. Mental illness incurs huge costs on society." Don't have ideas on how to implement. Maybe limit coverage to one major item. Agree with all the above. Agree. Note how all doctors charge the maximum allowed for every procedure! Not collusion; they just maximize benefits. Employ RN practitioners & PA for routine exams. "I earnestly pray it will pass Congress; doubt that it will. May publish comments, as below, if name is deleted." "* No value-added taxes: too hard on poor people & S.S. recipients who have little other income. A luxury tax on furs, jewelry, high priced cars, huge houses,landscaping, cosmetic surgery, vacation homes, air flights, yachts.[Truncated]" 24940 6/27/06 3:13 AM AZ We should not consider not providing for our citizens. This should not even be an issue. * The system we have is not working. My poor Mother is on Medicare and is so far waited 8 months to get her hearing aids repaired. This should not happen.[Truncated] Let's fund this with all the monies we send to other countries. Charity begins at home. 24942 6/27/06 3:20 AM IN "* We help all these countries around the world with financial aid, but yet we don't help our own U.S. legal citizens who can't afford insurance bwcause it cost to much. Something is very wrong here. [Truncated]" "cover eyeglasses and dental, plus prescriptions and major medical etc." "* Put a ceiling on what Doctors can charge, and lower there malpractice insurance. Make sure they are qualified Doctors. Let us get prescriptions from Canada or Mexico where they are cheaper.[Truncated]" * Eliminate all the pork projects our elected officials push for that have no use and that would fund the program. and eliminate foreign aid to countries that the dictators use the money for there own personal gain.[Truncated] 24943 6/27/06 3:23 AM FL I agree. "No comments, I don't know enough about the issues." "If there was a financial protection for the poor as well, then I'd agree." "I think we need to allow Medicare to negotiate lower prescription costs, like the VA can." See number 4 See number 4 I agree to an extent. Many poor Americans couldn't take on any more financial costs. 24946 6/27/06 3:36 AM IN "I AGREE THAT WE NEED A CHANGE TO A NATIONAL HEALTH CARE ,BUT I'M NOT SMART ENOUGH TO TELL ANY ONE JUST WHAT WE NEED" 24947 6/27/06 3:36 AM OH I agree. I agree. I agree. I agree. I agree. I agree. Better control over the cost of drugs to make them more affordable. I agree. 24948 6/27/06 3:36 AM WA * All the senate wants to do is debatenon issues.Like gay marriage and flag burning.I watch cspan and these republicans are way off issues.When is this republican senate goning to give us the same healthcare that they have.After all whats good [Truncated] 24949 6/27/06 3:38 AM NY stop sending jobs overseas with nfts/cafta etc as well stop foreign loans and help us here in the us!! 24953 6/27/06 4:03 AM NM "YES, MOST DEFINATELY." THIS IS A GOOD RECOMENDATION. IT MUST BE DONE! "A TOUGH RECOMENDATION,BUT NECCESARY." SHOULD HAVE BEEN DONE A LONG TIME AGO! I COULDN'T AGREE MORE. * I BELIEVE THAT YOU HAVE COVERED THE FIELD QUITE WELL AND CAN SEE NO REASON THESE RECOMENDATIONS HAVE NOT BEEN IMPLEMENTED YEARS AGO.[Truncated] ABSOLUTELY. 24954 6/27/06 4:07 AM OH "* It would be nice to have universal health coverage for all, the main problem is alot of high paying Jobs went overseas, the current generation is not making as much as the past generations, Hourly workers are making less and doctors are makin[Truncated]" "* Also to help control the population if u have more than 2 kids the deductable should increase on 3 or more children for delivery charges, not after care otherwise they may not get the health care they need[Truncated]" "yes I agree with recommendation 3, this one is extremely imporant" "I think doctors should be paid a salary, equal to what they make now, this would avoid unnessasry surgeries" "* I'm glad there are still decent Americans out there that are concerned for every American, I'm glad to participate and help in anyway I can. I think Americans making a living wage is the honorable thing to do. I hope you can make this univers[Truncated]" "* Pay people a living wage and just maybe they can afford health coverage on there own, and those who make a living wage should be mandated to have health insurance and employers should be required to contribute to the plan. [Truncated]" 24955 6/27/06 4:09 AM MN * Good quality healthcare for all americans should be a right and not just for those fortunate enough to be able to afford it. We are the only industialized nation in the world that does not have national health care and it is a disgrace[Truncated] 24964 6/27/06 4:31 AM CA "Without the entire populace enrolled, paying for or subsidized by the government, we can't have true health care." "* Preventive medicine should prevail. Vaccinations, flu shots, pap smears, colonoscopy's. Whatever the AMA recommends. If we can keep people well, before they get sick, it brings the cost down. [Truncated]" "* If every single American is insured and they are paying or their employer is paying or the government is paying (for the Poor), then there should be enough money to insure ALL Americans for all problems. [Truncated]" "* No. The way to universal health care is through the Medicare program. Put EVERY American, who is uninsured, into the Medicare program. [Truncated]" * All of the above. Take the VA. They bring down the cost of RX drugs by buying in bulk. That's what Medicare should be doing too. [Truncated] "* Yes, all of the above. However, the Federal Government needs to recognize that some patients need pain drugs. If an end-of-life patient needs drugs to get past the next day, their doctors shouldn't have to worry about losing their license i[Truncated]" "* America is the ONLY industrial nation without universal Health Care. Employers have, in the past, provided that care. They are now reniging on that promise due to globalization. The federal government is intent on golobalization, they shoul[Truncated]" "* Medicare works. It's cheap, it works, and should be a working model. For the poor, it works. For the middle class, if they have the extra money, they can pay extra for coverage. For the rich, well they can afford to do what ever they want[Truncated]" 24965 6/27/06 4:32 AM VA "* I agree. It seems to me that if you aren't a foreigner, we the Americans can't get medical help. What's wrong with that picture. Alot is wrong with it. Like with me, I work alot of hours, but I cannot afford insurance. I am a EMT, and don't h[Truncated]" 24966 6/27/06 4:38 AM OH * all co-payments and deductibles should be eliminated on prescriptions and doctor visits. less red tape and forms to fill out would probably cut health costs in half. these are all hidden taxes on the public.[Truncated] * we do not need another committee or group to oversee health care at tax payer expense. thus increasing the cost of care needlessly for everyone.[Truncated] sounds like socialized medicine. have the federal government stay out of all health care issues and costs will come down. isn't all this already being done? so why duplicate it? death with dignity should be availible to all. "* why do you think all doctors and ceo's of hospitals drive big fancy cars, live in big fancy houses, with offices in new modern buildings and facilities, and belong to country clubs?? they charge too much and are paid way too much! control tha[Truncated]" i am all for improvements in efficiency with less paperwork. 24967 6/27/06 4:44 AM MI "* It disgusts me that the people, all the people, don`t have health care and their so-called representatives in government, that they pay, do. If we as a country cannot even meet our own standards with our underpriveliged, what are we doing try[Truncated]" 24970 6/27/06 4:54 AM OK I STRONGLY AGREE NO COMENT AT THIS TIME I COULDN'T AGREE MORE. LOWER OUT OF POCKET EXPENCES SOUNDS GREAT I WOULD LIKE TO BE ABLE TO PAY WHAT I USED TO PAY PER MOUNTH NOW I PAY 2X THAT PER WEEK AND GET FAR LESS 24972 6/27/06 4:55 AM IL "Why are we the only county without nationl health care> I know, Money." 24975 6/27/06 5:03 AM NY Agree. Agree. Agree. Agree. Agree. Completely agree. Univeral health care access is long overdue. Completely agree. 24978 6/27/06 5:13 AM MN "* We should have National Health care now. Drug and Insurance Companies are the main one's stopping it. Goverment should watch and control it, to prevent fraud. Putting a program in the hands of big Business would be a dumb idea. Look at our dr[Truncated]" 24980 6/27/06 5:39 AM FL "* Finacial status is routinely accessed for those needing healthcare, therefore, financial assistance should be automaticlly and routinely available to those who need it without request. If truly affordable and accessible healthcare is availabl[Truncated]" "Health is defined to include physical, mental, dental, vision and hearing." "* Financial protection that includes all income levels and especially for low income individuals and families. Comment: Low and middle income families often must broker future security, children's education vs costs of health insurance or high[Truncated]" * Sufficient numbers of Registered Nurses relative to other hands-on healthcare givers are available to assure quality care and patient safety.[Truncated] "* Improvements in efficiency will include investments and incentives for easily accessible clinics that provide prevention programs through education, social, and physical support. Support will include self care and nutritional education and fa[Truncated]" 24981 6/27/06 5:52 AM IN "* Stop working for big buisness and start representing the people that elected you. You need to stop attacking working class, the elderly and children. We need a national health care system.[Truncated]" 24983 6/27/06 6:02 AM NC Vision should also be included when defining health. 24986 6/27/06 6:10 AM SD "* We are already paying more for health care than we were if we had universal health care. It is a crime in this land of plenty, that all American's do not have access to quality health care.[Truncated]" 24989 6/27/06 6:22 AM FL * Because our 3 sons all have type 1 diabetes I'm concerned that they will not be able to afford adequate coverage when they leave on their own.[Truncated] * The time is way past due for this! Shame on any politician who has health care protection paid for by us taxpayers and denies the same for the people that pay the bills.[Truncated] * Health care access and the costs associated with it is the biggest problem we have to face in America. It's a cancer that is slowly eating away at our economy and more importantly and sadly it's slowly killing millions of Americans. God Bless[Truncated] "* We've been paying over $12,000 per year in health insurance premiums, prescriptions and co-pays and believe everyone should participate. However no one should be denied because they are employed in an industry or by an employer who can't affo[Truncated]" 24990 6/27/06 6:24 AM MI * I find the six recommendations are great and well worth considering in trying to help meet an ever increasing problem in this country. [Truncated] 24991 6/27/06 6:26 AM OH * Accomplish this without changing the parts of the system that already work. Do not allow the government to run the system or be in a position to ration care.[Truncated] "* The few people I know that have been ""impoverished"" by medical bills are those that actually paid their bills. I know people who didn't pay. How much better would we be if everyone just paid their bill?[Truncated]" * As long as the government does not ever end up with an agency that makes health care policy or makes care decisions. Imagine trading what we have for a universal Medicare program! It would be like stepping out of the pan and into the fire.[Truncated] * From what I read the hospitals and insurance companies are already doing a lot of this. Why spend government money on something the insurance companies are willing to spend their money on?[Truncated] "* What does this mean? Someone told me once that 95% of the healthcare most of us consume is used in the last 90 days of our lives. Good luck on getting our society to let people die ""without a fight."" If the ""fight"" is really that big of a [Truncated]" "* Can we make health coverage more like car insurance, good drivers are rewarded with lower rates and really bad drivers pay more. I am health and take good care of my body. Under my insurance plan the obese smoker who seems to be following [Truncated]" * We need coverage for all without single source coverage. Service consumers should pay some costs. Some of our benefits (those of us with negotiated benefits) have much richer packages than those around us. If we reduced our benefits a litt[Truncated] 24992 6/27/06 6:27 AM CA "To reduce confusion and to streamline services, I suggest a single-payer system." 24995 6/27/06 6:34 AM GA * We should be the shining light in the world in this respect. Every citizen deserves the highest quality healthcare without having to declare bankruptcy to get it.[Truncated] * I'm glad to see mental and dental health listed in this area. These areas have been totally lacking in funding for American citizens since day one.[Truncated] This section is a MUST! I believe this area is where you will have the most trouble and there is the most likelihood for corruption. This relates directly to my concern about corruption and fraud in this system. This is very necessary! "* We have needed healthcare for everyone for a very long time. Other countries are way ahead in this area. We could be a shining light for others to follow in this area - yet we lag behind, saying we don't have the money for this, yet money is [Truncated]" * I do not understand why we can give millions of dollars away to foreign governments but plead financial hardship when it comes to the healthcare of our taxpayers who provided the tax money in the first place.[Truncated] 24996 6/27/06 6:36 AM MD * I am very much concerned about our Senior Citizens. The health carer package they have now I don't even understand and the senior in my family certainly don't. It is hard to decide what action to take if you don't understand the document. [Truncated] 24997 6/27/06 6:41 AM PA * I would be willing to pay more taxes for some kind of basic health coverage which would include doctor and absolutely necessary hospital stays. Right now people saving for retirement can have that wiped out with a one week hospital hospital s[Truncated] "* I agree that no body should be impoverished by high health care costs. Right now, if i am hospitalizedI will lose my home through probate upon my death.[Truncated]" 24998 6/27/06 6:41 AM NH * Canada has a system that WORKS better than ours! What you do for work should not determine if you get health care or not. It is ridiculous and grieviously unfair to hard working Americans. If you leave a job you should not have the added burd[Truncated] * This sounds very good!We must care for those that cannot care for themselves. It is what sets agroup of persons from moral to immoral[Truncated] "We must care for those who cannot care for themselves. It is what sets us apart from moral and immoral, ethical and unethical." "* Please dont forget the people who are working very hard in jobs that just dont afford much of a lifestyle. Often, they are the ones who have to go without due to seasonal layoffs,business closings etc. They are often the ones who lose it all [Truncated]" Im am wary about the part of having the poor be worked on by medical students! That is alarming. Agreed * I do not believe abortions should be paid for by a public healthcare system though I do believ they should be available for those that make that choice.Respect for people who oppose this procedure is essential. I would guess stem cell researc[Truncated] "* People should have a part in it. There should be incentive to not smoke, eat or drink excessively-maybe you pay a little less if you live a healthier lifestyle. Many people are making a LOT of money out of healthcare and will try to preserve [Truncated]" 25002 6/27/06 6:43 AM OK "no insurance companies, no preminums, no deducables, only health care" 25003 6/27/06 6:43 AM MI I would recommend some type of copay per individual service. The amount we currently pay and/or is paid by our employer could go towards funding this coverage. * As a health care worker I cannot tell you how very important this need is for many individuals. So many people who have no insurance prolong their treatment/diagnosis because they cannot pay. It is imperative that all citizens have insurance [Truncated] 25006 6/27/06 6:54 AM NC This issue should be at the top of the list of priorities. 25008 6/27/06 6:59 AM OH I'm afraid I don't believe it should include ILLEGAL aliens though. 25010 6/27/06 7:01 AM TX "* Remove insurance companies from the health care picture to reduce costs of delivery of quality health care. If there is anyone left in government who is honest, let some government entity provide the services of administering this plan.[Truncated]" "* An essential part of core health will be citizen responsibility toward maintaining good health, monitored annually according to standards set up in the definition of physical, mental, and dental health by age.[Truncated]" "* Remove insurance companies from the financial plan. Core health will be the essence of the plan, with other arrangements for extraordinary (and privately but reasonably priced) measures. Divide the providing of medical health care delivery [Truncated]" "* Make education in health care (good first aid, nutrition, physical exercise) an essential part of childbirth, so that care at home will help deliver better health and deemphasize hospital and emergency health care. [Truncated]" "* Good recommendation. Emphasize the 5th bullet and emphasize literacy so that dissemination of information can be read. Otherwise, integrate health education into PTAs, church sermons, and other delivery systems. [Truncated]" Facilitate legally avenues for those who wish to end their lives--see bullet 3. "* Good public health is at the heart of any plan to offer universal health care plan, and public health care relies heavily on citizen responsibility--a major shift of the doctor/god paradigm. It is, however, sorely needed, and insurance compa[Truncated]" "* Establish some kind of birth-to-grave savings plan required of all Americans. Of course, a living minimum wage is imperative to such a plan.[Truncated]" 25011 6/27/06 7:02 AM IN Its' a shame on each of us that it isn't in place already. None at this time. Sounds good. "* We could finance it with the $ that is going to corruption within and without, if we can find a noncorrupt to do it. How is it other countries with lower taxes, fewer people , etc. finanance this and much more with out taxing its' citizens mo[Truncated]" 25012 6/27/06 7:02 AM MA * maybe the government could dirvet 10% of the funds it gives to foreign interests. Or maybe get Irak to pony up for their freedom.[Truncated] 25013 6/27/06 7:04 AM PA If we can afford a quaitly killing machine like our military we can afford quality health. * I think the high cost of health care is driven by profiteering insurance programs. Without these programs there would be no fruad. Keep it simple and it will work. Start implementing these complicated programs into the new system and it is do[Truncated] This sounds complicated and doomed to failure. The existing programs are the problem not the solution. Just taking the insurance companies out of the health care loop will make health care drasticly less expensive. 25014 6/27/06 7:06 AM IL Our helthcare at present is a national disgrace. "* Ther should be input from all segments of society. The ""advisory boards"" should not inculde only thjose with a vested interest. It should not be a welfare program for providers as the Medicare Plan D is now. [Truncated]" Our present plan delivers medical care to the uninsured by the most expensive method available; the Emergemcy Room. 25015 6/27/06 7:07 AM NJ The Emergency Rooms are turning away hundreds of people who go there seeking care. MIllions of people are denied care. Help provide hope for America by ensuring that the basic needs of all people are satisfied. "Health care should not bankrupt a person, the government is in a position to help." It behooves society to have a healthy populace. Good health shoould be encouraged. Subsidize health! Save the lives of millions. Health care should be covered! We need to save our country's future. 25016 6/27/06 7:08 AM MI "* We're paying for the uninsured anyway, through taxes, higher health care premiums, and diminished quality of life. All Americans should be in the same insurance pool, leading to lower premiums and increased cost-saving incentives.[Truncated]" "* We have these already, they're called UNIONS! Enforce the NLRA, which states that it is the policy of the United States to encourage collective bargaining, including on behalf of retired members.[Truncated]" No one should be impoverished because of a health care issue. "Too much info. Break it up into smaller, more manageable bites." "* Universal, single-payer, with strict price controls is the way to go. Just look at our global competitors. Manufactuers are for forcing price increases on their workers, not back on their suppliers, like they do everything else.[Truncated]" 25018 6/27/06 7:09 AM NY why wait til 2012 people need it now 25021 6/27/06 7:15 AM NY Institute full government funded coverage for all. 25024 6/27/06 7:19 AM MA "Quality, accessible health care is a right and not a privilege." "* It would be helpful to have a non-partisan private-public group decide what should be contained within the core benefit package for all Americans. It is important, as you said, to include dental and mental health benefits in this package.[Truncated]" "* I agree that every American should have financial protection against very high health care costs. However, we need to decide, as a country, what constitutes medical care that is too costly to insure. This involves moral and ethical questions,[Truncated]" "* Increased efficiency in health care delivery is important, but it would not be necessary to call much upon middle-income Americans to fund health care delivery if the tax cuts to the very rich were rolled back.[Truncated]" 25032 6/27/06 7:26 AM IL Agree affordable quality health care should be available for all Agree financial protection 25034 6/27/06 7:28 AM NJ "many people work very hard and receive no health care, in this country this is deplorable thank you frank verderese" 25035 6/27/06 7:29 AM TX Good Idea Sounds great Catastrophic coverage is a necessity It should be universal...even mid income families need help...contraceptives and abortions need to be covered Don't sell us tort reform Advanced directives and MPOA's should be part of the package "* What about stem cell research and other cutting edge science, we can't be stuck in the dark ages like the Bush Administration wants[Truncated]" Something needs to be done about costs 25037 6/27/06 7:31 AM PA "* We are the only country that does not have free health care for our people ,South Africa does not either.We are the richest country in the world and do not have free health care for our people.We pay for our Pres. and Congress to have healt[Truncated]" Full health care for all the People. A V.A.T Tax and Import Tax Plus a small Sales Tax. People that you can Trust . "Use a V.A.T. Tax it works in France ,and other country's." 25038 6/27/06 7:32 AM IN * We should have a single payer health care system. Studies have proven we spend more for health care and get less service than those more socially responsible countries that administrate their own health care systems. These countries have long[Truncated] 25039 6/27/06 7:32 AM MN "* My concern is about the financial assistance. We are asking that all Americans be provided with high quality, tax payer paid health care. There should be no need then for financial assistance. If there is a need for financial assistance th[Truncated]" * This sounds good but remember there are branches in health care where there is not enough scientific evidence to support or not support if one person's care plan is better than another because every person is different. How do we handle this[Truncated] "* Health care should be the same for everyone whether you are low or high income. Therefore there should be financial protections for everyone. If I am middle class, I should not have to pay more for my health care coverage in addition to the[Truncated]" "* I would like to see the end result be that all Americans are provided with high quality, affordable health care. My concern is that high quality will be taken out of the equation and be replaced with ""almost adequate"" health care coverage. [Truncated]" "* If there is universal healthcare coverage financed by income taxes or surcharges, ""sin taxes"", business or payroll taxes and value-added taxes then I see no need to also include enrollee contributions. If enrollee contributions are included,[Truncated]" 25042 6/27/06 7:36 AM MD * it is a sin that the richest(and so-called Christian) country in the world would not have a health care program for all of it's people.God help us. [Truncated] 25044 6/27/06 7:38 AM WI * I agree. I work for an health insurance company that has been bought out by a bigger insurance company and they have transferred more costs of my health benefits to my pocket book while the big shots pocket more salary and bonuses. I have can[Truncated] "If this can be done without bias, I'm for it." * I agree - but it isn't just the low income individuals and families that are at risk but also Middle income indivduals and families. You will also have to include Middle income to the list. [Truncated] "Again, you must include the middle income individuals and families" "* Include a national registery for all doctors, hospitals and facilities that lists their prices and also list dr, hospitals and facilites that have a bad record in regards to patient care.[Truncated]" "* I agree, I'm not too sure about what we have in place now - I have not heard of any problems with what we have, but with anything it can improve.[Truncated]" "* Any time Government gets involved in things there are always a lot of regulations, restrictions, paperwork and fraud involved. Keep things simple. If insurance companies would have done that costs would have stayed down.[Truncated]" "* I'm not sure how it would work. But something needs to be done. This country is based on greed, everyone has become greedy. I can not afford anymore costs, I have been going without groceries to pay for things.[Truncated]" 25046 6/27/06 7:42 AM NY "yes, I and my family have health care but 40 million Americans don't. I support affordable health care for all." "Of course financing is needed, but we are paying now for people who don't have health one way or another." 25048 6/27/06 7:44 AM KY * After many years of watching people without insurance tie up our Emergency rooms to get free medical care because they could not afford a Dr. I feel that it is now time to have universal health care. I feel that in the long run this would be [Truncated] 25051 6/27/06 7:45 AM NJ * There is no question in my mind that all Americans should have access to affordable health care. National policy should be set to insure this happens regardless of what party is in power. [Truncated] This should also be done. This should also be done. I agree this should be done. Cost controls are essential for anything to work. * This sounds like it should be thought through carefully because religious and community organizations would seem the best place to expand support and funding of already existing programs. [Truncated] 25052 6/27/06 7:47 AM MI "Everyone deserves access to health care, regardless of ability to pay." Integration of health programs will improve efficiency and decrease the waste of redundant services. Quality health care is a right not a privilege for ALL citizens regardless of socioeconomic status. 25053 6/27/06 7:47 AM NY "Why should one person/family have to pay more for health care than another?" "* I agree, except, I believe, the professionals',lawyers/doctors, opinions should not out weigh that of the common folk. In other words, they don't "" Run the Show"".[Truncated]" "* ""EQUAL, EQUAL, EQUAL"" Why don't we use this word more often?? Because when it is used, with its' true meaning, it takes, or should, out all the loopholes; you are no better than your neighbor, and he isn't any better than you. THE PEOPLE, th[Truncated]" "Sounds like a lot of red tape is coming at the Public again, and a lot of new ""fol-de-rol"", more of the same we don't need." I agree. I agree. "* Insurances, health policies in particular, have been reaping a harvest, raping the public, for years. Most families are paying way more than they should for a coverage that is insufficient when they need it. ROBBERY W/LICENCE !!![Truncated]" 25054 6/27/06 7:48 AM FL "My premium is now over $1,000.00 per month, I can't sustain having health insurance for my family. " Act quickly before the whole system collapses. "If we don't, I for one will become uninsured shortly (premium is now 1002.56 per month.)" 25055 6/27/06 7:49 AM MI """It's the economy stupid""" "* Health care, and fixing it is at the core of all our economic woes in this country. Before we farm out the last job in America, fix this and allow our companies to compete with countries that don't have this problem. [Truncated]" 25056 6/27/06 7:50 AM FL "* GOOD IDEA.OUR HEALTH CARE IN THE USA IS VERY BAD..YOU WORK ALL YOUR LIFE,PAY FOR HEALTH INS..THEN RETIRE,MOST PEOPLE TAKE AT LEAST ONE PILL,ALOT HAVE NO PRESRIP PLAN TO HELP THEM .NOT GOOD.ALOT OF PEOPLE CAN'T AFFORD A PLAN OR MED'S!!![Truncated]" 25058 6/27/06 7:51 AM CO "* Although this would be the fair and logical approach to this serious problem, unfortunately, as long as GREED and AVORIUS behavior prevails this won't happen.[Truncated]" "* Iagree with this recommendation. Healthcare should not be a ""privledge"" afforded by the upper echeleon. Healthcare is fundamental to society in general.[Truncated]" * This recommendation is right on the target. No one should be put in the position of whether they can have some semblance of health or shelter or food in their mouths. This shouldn't be and either/or choice.[Truncated] "* This sounds good, however, because ""GREED"" seems to be the operative working within the pharmacuetical and medical communities at large it is rather doubtful those sectors would be receptive to any program(s) that would utimately affect their[Truncated]" "* If, by chance, FRAUD could be eliminated in the healthcare business as well as price-gouging only then, perhaps would this system have a snowball chance in hell to succeed.[Truncated]" "As always the opperative working plan in place is ""GREED"". The comfort and dignity is sadly missing." "* While I personally agree that the Healthcare system in the United States needs a major overhaul I really think that any plan, after all Hilary Clinton had a good plan, will be unilaterally poo-pooed. I also believe that if you are illegally i[Truncated]" Canada has universal healthcare and it seems to be working. 25063 6/27/06 7:56 AM FL * National Health Care is a right. The U.S. Constitution says everyone has a right to happiness and being healthy is a necessary aspect of happiness.[Truncated] Health care is a right not a privilige. * Take the money out of the general fund. Put doctors on contracts working for the government. That way they will get paid and avoid suits and not have to pay for liability suits. If the government can throw away money on the Vietnam and Ira[Truncated] 25064 6/27/06 7:56 AM KY when paying for a familiy plan i would like for it to cover my spouse not just my children and self. dental ins diffently needs to pay a lot more for the coverage espicialy on braces no deductibles "we do not need deductibles if already paying high prices for ins. i much prefer my old hmo as to the ppo i have." 25065 6/27/06 7:57 AM MI Prevention is key Good but take out VERY very can mean different things to different income level people Paper work waste One Doctor 5 or 6 nurses and insurance people Keep it simple (KISS) * TRy a 1% national sales tax on all monies earned or non-earned except for a pension/SS monies less that $50K on couples but tax profits from all else[Truncated] 25067 6/27/06 7:57 AM NJ "Absolutely...I support HR 676 ""Medicare for All"" Conyers bill" Totally agree Absolutely Agree...Profit must be taken out of health care delivery "Along with a federal advisory board on health care, we should provide for a State Advisory Board as well as outlined in HR 676" I support financing recommendations of HR 676 25069 6/27/06 7:59 AM MI * Illegal aliens should not be covered by insurance and the feds should cover all the expenses for these people as it is their fault they are here[Truncated] Donnot have the insurance companys run this plan they screwed up the medicare part D people over 63 need to covered also. currently you can't buy insurance at age 63 make congress persons accountable for these actions This financing can not be passed off to the states as they are overburden now. 25070 6/27/06 7:59 AM na "* This is very important. For us to remain competitive in the world, we need a strong, healthy and well-educated work force. Whether it be small business or big business, if the costs of health care are removed from small to medium groups and a[Truncated]" "* There should also be the opportunity to purchase ""cadillac"" major medical care from the private sector, but all medical care should be available through a universal plan. If fertility treatments and infertility medications are covered, so s[Truncated]" "* This issue is often difficult, as it is not uncommon that one is faced with decisions between very costly long-term care or suffering and death. There are a lot of delicate issues involved, and there should be a humane mechanism for working w[Truncated]" "* These are good concepts, but we should do whatever possible to maintain simplicity and minimize administrative requirements at all levels. This includes malpractice protection/insurance for doctors and patients. It will also be important to [Truncated]" "* We also need to have more primary care physicians. To this end, it would make sense to provide medical school fellowships for young people who want to study medicine, have the academic skills to succeed, but cannot afford to pay for it.[Truncated]" "* It is imperative that we start behaving as a society and not allow us to be carried away with the idea that capitalism is the solution to every problem. This is a dangerous mistake, and it is especially clear in the case of healthcare for the[Truncated]" "* It is long time that we as Americans must understand that we have a government for a reason, and that reason is to put into practice what we as a society see as most important to us. Allowing the private sector to control health care has been[Truncated]" "* Ultimately, universal health care security will cost less for Americans. Take away the absurd premiums we pay to large insurance companies for ridiculously inadequate care and turn it over to a 280 million member group will result in lower pr[Truncated]" 25071 6/27/06 8:01 AM IL This country can spend billions on the war in Iraq but doesn't want to spend millions on health care for its citizens. I hope they aren't politcians Right on yes yes This is important for everyone to know 25074 6/27/06 8:03 AM PA "* Fundamentally, I feel that there should be a system of universal health care. I also believe that funding should be spent on prevention as a method of reducing costs (for example, funding needle exchange programs, would reduce the astronomic[Truncated]" 25075 6/27/06 8:05 AM WA * I agree. We don't need a sytem where people die when they can't afford health care. It is appalling that some people say you have to wait to go to a hospital is worse than not being able to go to a hospital and dieing because of the lack of i[Truncated] We need a basic health care for all americans. "* We need financial protection for all people. Even those who make $100,000 a year can be force into bankruptcy by hospital and health care bills, esp when they are not able to go back to work. people don't need that on top of their health prob[Truncated]" agree * I think that to much emphaise is being put on finding fraud instead of providing health care. Fraud can be describe as a person getting two asprins instead of one. We need to concentrate on provideing health care. Those who do fraud will be f[Truncated] "* most end of life care relies on hospice and they should be funded so that the people are not concerned and burden with money problems in their own lives, but can seek to make life more comfable for those whose life is comeing to an end.[Truncated]" * I think that all business should pay a health care tax and that the tax should be based upon the needs of all americans needing health care.[Truncated] 25076 6/27/06 8:06 AM FL Coverage should include birth control options and reproductive health The system should be financed in the same way as Medicare. 25077 6/27/06 8:08 AM NY No one can afford to pay hospital or doctor costs on their own unless they have a Getty bankroll. agree agree agree agree agree agree 25078 6/27/06 8:09 AM TX This would be cheaper than the current lack of coverage for most. Take the age requirement out of madicare. Ot the military service out of CHAMPUS. * Take the age requirement out of madicare. Ot the military service out of CHAMPUS. There are not that many people who end up that expensive.[Truncated] "This sounds ok on its face, vut Health Departments are already doing most of this." Some provision should be added to insure that those from the bottom of the graduating class should be monitored. Home based assistance should be added. "My daddy was a doctor horrified by ""socialized medicine"". I think he would chane his mind now." "* Although it would be better to go immediately to universal health care, the insurance industry would block it. We will have to find something more gradual.[Truncated]" 25080 6/27/06 8:11 AM FL "* The American principals of life, liberty and the pursuit of happiness is impossible if you don't have reasonably good health. A large percentage of American's health problems are preventable with proper nutrition and health screeenings.[Truncated]" "* Guidelines and safeguards must be in place to oversee this transition. Since it will be a public trust, the public must be brought into decision making process and allowed decide about research directions and healthcare priorities without r[Truncated]" * Wealthy American should not be able to opt out of paying into a public healthcare system. There should be one system for all Americans. [Truncated] * Local communities should be responsible for gathering information about their community's heath needs and reporting to the Federal Government. Each community should elect a public official responsible for this coordination who would be respo[Truncated] * All aspects of healthcare should move beyond profit based systems. This includes all healthcare research and development of vaccines and medicines and laboratory as well as Doctor and healthcare workers whose annual salaries should be consis[Truncated] * The American People must be assured that the move to public health will not be toward substandard care and windfall profiteering at the expense of the public. [Truncated] 25082 6/27/06 8:13 AM MN "Material things need to be earned, but health care should be a basic right." "Nutrition education needs more attention, i.e. help my kids learn Cheez-its are not a daily requiremenet!" "Go for public, socialized medicine seems to work fine in other countries." "* The profit motive needs to be taken out of health care. Affordable alternative treatments and prevention are ignored because no one gets rich from them. Meanwhile, poor people who need the high tech interventions can't always get them.[Truncated]" 25084 6/27/06 8:15 AM MA "Other first wolrd countries have universal health care, why not the U.S.A?" 25085 6/27/06 8:16 AM IL * I lost a dear friend because he wouldn't be covered by medicare until he turned 65 which would have been 6 mos. later and he needed the operation right then. He died 12 days before his 65 th. birthday.[Truncated] * I am not one to run to Drs. but would like to know if I needed care in emergency or my health declined and I need healthcare that I would be taken care of without having to lose what little I have.[Truncated] * I would like to know if there is anything at all I can do after the first of the yr. when my Cobra runs out. Believe me it is on my mind and worrys me very much. I will be 63 in April and there are no jobs for me with healthcare so I signed u[Truncated] * My only hope is that something can be done for everyone since healthcare cost has soared to where most people can't afford to get sick.[Truncated] The sooner the better. "* I hope all will be done to help the people of this great country to beable to receive healthcare in time of need, people are dying everyday because they are refused care because of their financial status and to me that is not the American way[Truncated]" I believe all Americans should beable to receive healthcare reguardless of income. * I will need some kind of coverage after the first of the yr. as I am paying for Cobra which is very costly. I am 62 yrs. old and no one hires people my age with health coverage.[Truncated] 25088 6/27/06 8:19 AM WI * I am not sure of the proper recommendation however I do know that health care cost need to come down significatly. Employers and schools are suffering. Health insurance for employees will soon meet and exceed wages. This continuous spiral [Truncated] 25090 6/27/06 8:21 AM PA "Long overdue! We can finance a war or two and not take care of Americans in need!" Excellent! Keep up the good work! "A much-needed integrated approach, combining public and private resources." Good. Good. Good idea. 25097 6/27/06 8:25 AM DC "* We need universal health care. Our system costs more and delivers less, puts a burden on big employers and is destroying working families. Get off your ideological high horse and pass universal health care.[Truncated]" 25099 6/27/06 8:26 AM MI Passing HR 676 is something which ought to be looked at seriously. 25101 6/27/06 8:27 AM PA "We lead the way in so many areas, except this one." All of these options seem a likely and viable solutions to reduce the massive number of uninsured Americans. The journey of a thousand miles begins with the first step. 25102 6/27/06 8:27 AM MO * A single payer system should be put in place and insurance carriers should not be part of the system. A centralized system would reduce cost of administration.[Truncated] * A single payer system should be put in place and insurance carriers should not be part of the system. A centralized system would reduce cost of administration.[Truncated] 25103 6/27/06 8:28 AM MI "* If you don't think America needs to have health care legislated, look at Wal-Mart who continually fights legislation for affordable health care for their employees. They are now fighting state legislation that they provide affordable heatlth[Truncated]" This has to happen because of the lack of responsility of employers to their employees. 25106 6/27/06 8:33 AM NJ Makes sense to me. Like your definitions. Sickness should not equal financial ruin. They need it most. Make it efficient. I would want it. Get started now! We need it now. 25108 6/27/06 8:35 AM LA I simply want to state my support for all you have done here in articulating a real need. I agree with your recommendations. 25112 6/27/06 8:37 AM PA "* Any society that denies healthcare to the poor is not a shining example for the world. It is not just Americans that should have access to healthcare. Every human being deserves to benefit from the scientific advances of the human race, reg[Truncated]" 25113 6/27/06 8:38 AM IN "* If we cut the DOD by 10-12 per cent we could begin a national health care system, such as medicare, now. Which is more important, the citizens of this country, or the defense contractor and there no-bid contract crooks?[Truncated]" Members appointed...the includes an EQUAL number of patients and providers and accuarial experts-- Amen! Do it now--not in 2012! "* See above, and base the deductible on gross income. The higher the income, the higher the deductable...ps...take the damn cap off SSI at 80,ooo or what ever the number is and let the rich pay back some of the easy money they're gotten in the[Truncated]" 25114 6/27/06 8:39 AM WI * America was founded on principles of liberty and justice for all and equal opportunity. Health care needs to be available to all citizens regardless of their economic status. Our country is only as strong as when every individual has access [Truncated] "In order to avoid fraud or expenditures that should not be covered, there needs to be some oversight." We need to provide for those who are at the lower end of the economic strata if we truly believe in the common good. Health networks seem a good idea. Best practices need to be observed. There needs to be safeguards against exorbitant costs. End-of-life issues are important. Palliative care is essential for incurable conditions. "* I believe in shared responsibility, but I also think that ""Sin taxes"" seem appropriate as well as taxing those in business who are making huge profits.[Truncated]" 25117 6/27/06 8:41 AM MI "* Sorry, It's not about ""affordable"" health care, that the game the insurance industry wants us all to play. It's about single payer health care, it's about refusing to treat health care as a commodity and treating it as a right. We are already[Truncated]" 25118 6/27/06 8:42 AM NY "Yes, and add especially PREVENTIVE HEALTH CARE, the cheapest form of health care of all." Definitely Go for it Fine "* Yeah. IT IS SCANDALOUS THAT THIS COUNTRY HAS A LOWER LIFE EXPECTANCY THAN CUBA, A COUNTRY WE HAVE DONE OUR BEST TO STRANGLE. IT IS EQUALLY SCANDALOUS THAT, AMONG ALL INDUSTRIALIZED COUNTRIES, WE HAVE ONE OF THE HIGHEST RATES OF INFANT MORTA[Truncated]" * How about raising the tax rate on the rich and very rich? How about lowering the threshold for an estate tax from 2 million to 1 1/2 or even 1 million? How about making sure big corporations actually pay the taxes they owe? How about - ah [Truncated] 25123 6/27/06 8:48 AM OH * Bring back the days when we had a variety of health plan choices. The premiums were much lower and the prescription costs. Make it affordable.[Truncated] 25124 6/27/06 8:48 AM MD * Government officials take care of their health care through our tax dollars. It is only right that they take care of our needs to. After all it is our money. We do not need to be sending money overseas to help other countries. Take care of of[Truncated] "Like I said above, stop giving hand outs to other countries.It would help to cover all or most of the costs" 25127 6/27/06 8:49 AM NY UNIVERSAL HEALTH CARE FOR ALL NOW !!!!! "DO NOT NEED TO DEFINE HEALTH CARE, JUST GIVE US ALL UNIVERSAL HEALTH CARE !!!" WE PAY TOO MUCH FOR MEDICAL CARE !!!! UNIVERSAL HEALTH CARE NOW !!! "* JUST GIVE US WHAT WE ARE PAYING FOR. OUR TAXES NEED TO BE USE FOR USE NOT GIVEN FOR WAR ETC. WE NEED THIS CARE NOW!!! LESS TALK,PROGRAMS ETC. [Truncated]" "FORGET SCIENCE, ALTERNATIVE MEDICINE SHOULD BE USED." "* ALL THE TALKING,PROGRAMS,PLANNING FOR SOMETHING THAT IS RIGHT TO DO. YOU ARE WASTING TIME WITH PEOPLE LIVES. WE HAVE A RIGHT FOR UNIVERSAL HEALTH CARE.(DO WE NOT PAY TAXES ???)[Truncated]" NO NEED FOR ADDITIONAL FINANCIAL INVESTMENT. OUR TAXES SHOULD TAKE CARE OF THAT. 25128 6/27/06 8:50 AM TX I absolutely agree with this recommendation. "* Great - I just want to make sure this is really fair, not not unduly influenced by, for example, pharmaceutical companies that make enough of the ""right"" political donations. I would hope there is funding for ""unpopular"" diseases.[Truncated]" Yes! I agree. Makes sense. I agree. "* Do not allow any person's private religious views affect availability of healthcare services to anyone else. All Americans should be entitled to their own beliefs, but not to force those beliefs on others. [Truncated]" "* Yes, I agree that healtcare needs to be financed fairly for everyone and that it will take revenue. My first suggestion would be to channel all the money (is it billions?) that insurance companies are spending on the bureaucracy focused on de[Truncated]" 25129 6/27/06 8:50 AM NC "* Our healthcare coverage now costs more than our house and car payment combined per month with huge deductibles and only 70% hospital coverage. Between now and age 65, we will have to make the decision whether or not to carry coverage at all.[Truncated]" "* Absolutely, the cost of healthcare should not place hard earned savings. We need at least basic care and protection to have something left for retirement.[Truncated]" * I think there are many agencies that could be pressed into service almost immediately..one of them being the Health Department etc.[Truncated] Not only end of life care but care of chronic conditions that may develop into life threatening illness. 25132 6/27/06 8:52 AM NY Single payer 25135 6/27/06 8:54 AM MI something should be done on prescription drugs also 25136 6/27/06 8:54 AM NY I am in full support of these findings. 25139 6/27/06 8:56 AM OH * This should be a top priority of our government. Cut the wasteful spending in other areas and use that money to help fund health care.[Truncated] same as those regarding the financing statement. This is a must! "* Fraud prevention could save a tremendous amount of money that could go into actually helping the needy, rather than filling the pockets of the greedy.[Truncated]" I agree. "* It's a disgrace that this country has such a health care crisis, and a health care plan is long overdue. Why is it we can finance a war, but we can't provide for health care?[Truncated]" * No one should have to spend their life long savings on health care due to catastrophic illness. Sharing the costs on a fair basis should be part of the answer.[Truncated] 25141 6/27/06 8:58 AM CT "* The only comment I have to make is that this entire package is beautiful - and I mean that sincerely. It's a beautiful thing to see. It reflects genuine care for human life. By doing so, it can be nothing other than comprehensive and practica[Truncated]" 25143 6/27/06 8:59 AM TX * I hate to say it but maybe the government shold supply insurance. Insurance companies are too greedy to be trusted! Many doctors are now promoting socialized insurance and not medicine.[Truncated] good idea! * A plan should be developed to eliminate 911 abuse. the system is breaking down because too many use the ER and the prehospital system as a transportation mode and clinic.[Truncated] * How much money would we have available if we took all the premiums currently paid to private insurance copmpanies and our medicare/medicade deductions? Remove the greed and the profit and health care becomes affordable.[Truncated] 25144 6/27/06 8:59 AM NC "* I believe everyone has a right to fundamental health care needs. The present system is grossly unfair, especially to people getting squeezed because they can't afford the high premiums but don't qualify for welfare.[Truncated]" I agree with the definition of health including mental aspects It is absolutely necessary to be protected against catastrophic health bills I agree I agree I agree with this * It is unbelieveable to me the richest country in the world is so backward in its collective thinking about the right to basic health care for all people.[Truncated] I am in basic agreement with the financing plan 25146 6/27/06 9:00 AM PA All doctors wishing to practice medicine in the US should be required to participate in this plan. 25150 6/27/06 9:01 AM MD I strongly agree - let's do this! * All of these recommendations are on the money especially establishing an independent non-partisan private-public group to identify and update recommendations for what would be covered under high-cost protection and core benefits.[Truncated] Yes! Coverage for all & protection against very high out-of-pocket medical costs for everyone!! Sounds good. "* Yes, let's make use of all of our resources and implement a quality improving strategy that will be more efficient, economical and published for easy dissemination.[Truncated]" Good recommendations! Let's do this for the health & welfare of all our people for the betterment of our country! Sounds good to me. 25153 6/27/06 9:04 AM CA "How about doing something for the American public instead of pandering to the big pharmaceutical firms? " Include vision care as well. Yes! "Seems obvious, doesn't it?" Isn't this simply logical? Why are we the only major industrialized country without national healthcare? We need this! 25156 6/27/06 9:05 AM MI "* My biggest comment here, WHY WAIT UNTIL 2012??? Americans need coverage now and all should have this coverage. I too find some problem with affordable. Why doesn't our government supply health care to all. [Truncated]" Shouldn't our government leaders have the same health care given to every american? "Create a universal hospital cost program, all paying the same throughtout the country." "NO PERSON WITHOUT HEALTH CARE IN AMERICAN. THE GOAL, THE WIN." All costs the same nation wide. * I cannot believe the richest country in the world does not supply adequate health care to all Americans. THIS IS A DISGRACE! We do not take care of our people. Almost every indusrialized nation has health care for thier citizens. We build[Truncated] "* Every American should have health care, we need national health. We are in the dark ages in comparison to other countries who supply adequate health care to thier citizens. Finance this through taxes, get rid of the over abundance of insura[Truncated]" 25157 6/27/06 9:05 AM FL * Americans deserve a national health care plan. For centuries we've toiled with strained health benefits or no protection at all. Take the burden of wellness worries off the chests of millions of hard working American men and women.[Truncated] "Independent, continuous monitoring and maintainance of a national health care system is a must." A national health system's time has come for America. "* Federal guidance is necessary, but the mainstream for an efficient working health care plan will be through local health workers, inspired by their goal to heal, not financial aspirations.[Truncated]" The federal government can oversee and govern the disciplines needed for such a national plan. Citizens deserve to choose the kind of health care treatment they are comfortable with. Let us all strive towards a national health care plan with accuracy and vigor. "* We can do this if we all pull together towards a means of financing strong health coverage, sharing the expense among everyone through our tax system.[Truncated]" 25159 6/27/06 9:05 AM NY * We must democratize health care. Everyone having access to affordable health care coupled with avenues for individuals who can afford additional services would create a system that reflects our deomcracy. The system would contain both acces[Truncated] * This will be difficult and is a necessary component. This is the line in democratized health care that spells out access and the separate and available services that individuals with higher personal financial resources can purchase. The sep[Truncated] "* I support this 100%. This is the democratization of health care. Core benefits for everyone. No one should go without, and the bottom should be good health care.[Truncated]" "* This seems like a bridge recommendation taking us from where we are to where we want to be. There should be a plan for the evolution of these goals from establishing to maintaining the networks. It would obviously be long-term, because it w[Truncated]" "* If we achieve the health care system described in the first few recommendations, this would not be necessary. This is once again a bridge, upgrading the capacity of the current infrastructure that serves marginalized groups. If we create a [Truncated]" I agree. I think this list of recommendations is both comprehensive and realistic. "* Principles of fairness should guide the structure. Fairness in the sense of access and incentive would be based on income. ""Sin taxes"" are not fair because the penalize poor people for addictions that are found across society. Addiction is[Truncated]" 25160 6/27/06 9:05 AM TX Yes. It should NOT be a convoluted and very full of pitfalls insurance scheme. I agree. No one will be excluded. "As it is, very many are excluded from healthcare, and even more are impoverished by it." * The qualit of all will be monitored and the quality will be high regardless of the smallest of towns or the largest of cities. Good care is good care for everyone everywhere[Truncated] "Do it, do it fairly and do it SOON!!" Get rid of the ever-expanding insurnace costs and the ever shrinking insurance benefits paid. 25161 6/27/06 9:05 AM NY We have to find a way to remove the cost of health care from businesses. It is encouraging them to ship jobs overseas. Keep it limited to control costs "* Any type of business or payroll tax will only encourage businesses to move jobs offshore. We must find a way to make hiring Americans competitive. A tarriff (I know, a dirty word these days) or consumption tax on retail purchases should be us[Truncated]" 25163 6/27/06 9:06 AM MA I support this recommendation I support this recommendation I agree I support the recommendation I support the recommendation I support the recommendation I agree 25165 6/27/06 9:07 AM MI "We should look at the countries that have the best health care systems and use theirs as a model for ours, such as Norway." 25166 6/27/06 9:07 AM OH Every American citizen should have access to quality health care no matter what there financilal ststus is. There should be no representation from the insurance industry they have ruined the health care for all Americans. I fully agree with this statement. THey should be all NON-PROFIT!! THis system is already set up in the V.A> all we have to do is improve on this model. No American citizen should lose all there financial net worth for long term care however we structure National Health care. I hope we can do the right thing for all American Citizens. I have no problem paying more taxes so that every American citizen can have health care. 25167 6/27/06 9:09 AM NY "* What are the core health care services that we as Americans can expect? These should include specialist care and not just primary doctor care.[Truncated]" * I think medical doctors are the only individuals qualified to determine what specific health care our population needs and is entitled to.[Truncated] "I agree, but this should be a government controlled program and not a private sector program." * After reading through all six recommendations for a national health care system it reads like an expanation of our failing welfare system. Again the brunt of the cost for this health care system is going to fall on the middle class. I am agai[Truncated] * Like with taxes I can forsee the middle class or working class bearing the brunt of the cost for national health care. I think we already pay more than our share into the system. I think a better idea is to put the people who are on welfare t[Truncated] 25168 6/27/06 9:10 AM IA AGREE 100% GIVE THE COMMITEE THE TOOLS AND POWER TO GET THIS DONE. ALL PEOPLE RICH OR POOR SHOULD HAVE ACCESS TO AFFORDABLE HEALTH CARE. NEED TO HAVE A WAY TO CONTROL THE COST FROM THE DOCTORS AND HOSPITALS. FRAUD AND WASTE WITH DRUG COMPANY AND DOCTORS AND CLINIC WILL HAVE TO BE CONTROLED IF THIS PLAN HAS ANY CHANCE OF WORKING. * A PERSON RICH OR POOR SHOULD HAVE THE SAME LEVEL OF PROFESSIONAL HEALTH CARE AND OR HOSPICE CARE WHEN NEARING THE END OF THERE LIFE.[Truncated] NONE NEEDED NEEDS TO STARTED AS SOON AS POSSIBLE 25169 6/27/06 9:11 AM NY "* This Country, if any, should have nationalized health care for all. If we can attack a nation that did us no harm and cost the taxpayers BILLIONS, then we can afford National Health Care! If we can give monies to every Tom, Dick and Harry ou[Truncated]" Go to Ottawa and get a copy of the Canadian Health Care Plan See #2 See #2 #2 again Duh! Will someone go to Canada and get their plan * Now lets piss the attorneys off.......Limit Malpractice suits. They are tthe main reason that our hea;th care costs have gone through the roof.[Truncated] See comments above 25171 6/27/06 9:11 AM IA "* This is a recomendation I can definitly back my union contributions toward health care will bypass $20,000/year soon and some members are tired of raises disappearing to health care now the talk is members want health care funds on their chec[Truncated]" * Untill we force large corporations to pony up and supply health care for employee's we will continue this trend of double digit health care increases every year.[Truncated] 25175 6/27/06 9:15 AM MI Everyone should have access to health care and medicine. A way must be found that benefits everyone. 25176 6/27/06 9:17 AM CT * I would recommend that an IMA account be made part of the Social Security Administrations's policy for all working employees. It would subsidize the cost greatly for everyone to have 'Affordable Health Care'[Truncated] * The benefits should be available and the same in all parts of the country. If one worked all his or her life in one state and retieres in another state the care should be the same there as where the individual worked all his or her life.[Truncated] * There should NOT be any surprises like the 'donut hole' that is jpresently attached to the present prescription care system in place. NO donut holes.[Truncated] * Create an Audit system where anyone receiving these services can be 'stake holders' to monitor any kind of fraud or mismnanagement. This could be done by having a person receiving medical services bring his or her 'medical bill' to an Audit g[Truncated] * If Palliative care or Hospice Care is needed let the Doctor's do their job without interference. Let them be the 'guides' for the person needing such care that theirs will be an improved Quality of Life until their END.[Truncated] * If there are any surveys out there that would require 'feed back' I would gladly be available to participate in them. I would even drop off the surveys to people in my neighborhood and collect them and send them to the appropriate agency revi[Truncated] * Develop a 'sliding scale' for dollar inputs that would be withheld weekly from workers based on income. Careful consideration should be given that those who contribute less shoul not get any less care than those who can contribute more due to[Truncated] 25182 6/27/06 9:25 AM WA * There is no way that people in this country should have to choose between food and medical care. The costs are unbelievable and access restricted to the haves and have nots. This is not acceptable.[Truncated] "* A focus on prevention is paramount. It makes no sense to cover pregnancy but not pay for birth control. To cover weight related diseases, but not support appropriate, medically supervised weight loss programs. A set of core health services[Truncated]" Absolutely. "* I agree, but there needs to be an oversight committee ... and not comprised of the cronies of politicians who then get to line their own pockets![Truncated]" Same as above. "* Absolutely. However, it should be recognized that palliative care may be different than Hospice/end of life care. Support for families and adequate reimbursement to agencies who provide these services needs to be ensured.[Truncated]" "* Fundamentally I agree with this. Realistically I would have concerns re how long before politicians would find a way to rape, pillage, and plunder the fund for their own purposes. Strong safeguards would need to be implemented[Truncated]" "* While companies should have the right to make a profit, it is a tragedy that costs go up, people struggle, and profits are at all time highs. There needs to be a financing strategy, but there also needs to be a way to control costs - not jus[Truncated]" 25183 6/27/06 9:25 AM TX "* I agree with this reccomendation. Everyone needs and should have accessibile and affordable health care. If conditions and diseases are caught/controlled with routine care then the end cost to everyone would be less-insurance companies, sta[Truncated]" I totally agree with this reccomendation. Total care for all patients especially preventive care * I agree. Perhaps we should look to Canada to begin drug cost guidelines. Out of pocket costs are sky high in many instances because this is the only way people can pay health care premiums. This is no longer an issue that just affects the [Truncated] I agree. Reduction of fraud and waste in all programs especially Medicare is absolutely essential. * Hospice and palliative care are important to the dignity of dying persons and also could provide not only a more comfortable passing but a less expensive treatment as opposed to continued hospitilization.[Truncated] * The uninsured population in America is growing at an alarming rate. No longer is this an issue that just affects the poor. As corporations scale back benefits are eliminated or decreased. The cost of private individual health insurance is [Truncated] * I agree with the reccomendation yet would go further to say that drug companies and pharmacy chains need to curtail some of their profit margins. Perhaps the billions and billions spent on Iraq could have set up a core program to help provid[Truncated] 25184 6/27/06 9:26 AM MI "* If we shifted our national focus from making war on this planet to Health Care, things would improve for the planet as well as the U.S.A.![Truncated]" I agree. "I agree with this also, but we need to make sure ""Illegal Aliens"" don't try to abuse this too!" "* I believe that everything the federal government gets into opens the gates to corruption & abuse. Therefore, an independant group of non-partisan citizens from all walks of life & from every State & territory should make recommendations for [Truncated]" Sounds reasonable....and difficult. 25185 6/27/06 9:26 AM FL "* If my tax dollars are good enough to pay for health care for members of congress and people on welfare, then my tax dollars should be able to provide me with quality health care also. And it should'nt take until 2012 to do it. Get it done n[Truncated]" 25186 6/27/06 9:27 AM GA none none none none none none none none 25189 6/27/06 9:29 AM PA * CURRENT HEALTHCARE COSTS FOR MY WIFE AND MYSELF=38% OF OUR TOTAL RETIREMENT INCOME..COSTS HAVE BEEN GOING UP EVERY YEAR BY 10 TO 15%. YOU DO THE MATH...ALL CITIZENS SHOULD HAVE SAME HEALTH CARE AS ELECTED GOVERNMENT HAS[Truncated] 25191 6/27/06 9:29 AM VA * Why should the richest country in the world not have a decent health care system? Why should poor people die at younger ages statistically than people who have health insurance? This is a moral issue. Jesus the Healer would not approve of our[Truncated] 25192 6/27/06 9:30 AM OK * Every American has a right to healthcare regardless of their income. I do not believe in the system we have now. The doctors are very greedy as well as the politicians who have been in power for far too long. Make healthcare universal.[Truncated] 25193 6/27/06 9:30 AM NY "* It is ESSENTIAL that ALL Americans have access to health care, all the time. It is unconscionable that we allow people to sicken and die when the ability to prevent it exists.[Truncated]" "* I am not a socialist. I have watched people I love have to make a choise between life-sustaining medicine or food or a roof over their heads. In a country as rich as ours, EVERYONE ABSOLUTELY EVERYONE should have basic health care availabl[Truncated]" 25196 6/27/06 9:34 AM CA * simplify: Healthcare is a human right. It is also a smart investment. The country should have universal free health care for all.[Truncated] 25198 6/27/06 9:35 AM NC AMEN! Elderly and Retirees need this now. Bill Gates! 25199 6/27/06 9:35 AM IA "* yes, I agree that all Americans should have affordable health care and I think that those who pay for their care should have just as good a care as the welfare people that do not pay for their care and get better care than those who pay. I do[Truncated]" "You bet we should have the best care in the world! Why, because we have to pay for everyone else's care in the world!!!!!!!" "* I don't think it's right that older people on Social Security have to pay to have their teeth out and the welfare and Aliens from other countries the government pays for dental care. Why, after working all our lives to we have to gum it??????[Truncated]" * The government doesn't seem to have any problems paying for care that the Aliens from other countries have. Why does it have so many problems paying for Americans care!!!!????????[Truncated] 25200 6/27/06 9:35 AM OH I wholeheartedly agree with this. "Non-partisan is a key element, as well as people from many walks of life." Yes. Yes. Yes. "From all I hear, Hospice is a wonderful entity." This is an absolute necessity. We are nearing a crisis stage in our nation. Something must be done. Yes. 25201 6/27/06 9:36 AM IA Every American should have the right to the same health care plan that congress has. The same group that regulates the congressional plan should know how to one for all Americans. Have you heard any members of congress complain? Inegrate all Americans including veterans into the congressional plan. "Samo, Samo." I don't think many Americans care if they are not buried in a national cemetary. Are there other problems you need fixed? How much do the members of congress pay out of pocket? 25203 6/27/06 9:38 AM MN * I AGREE!! People with previous health conditions should not be turned down OR have to pay a premium that is unaffordable or make them decide between healthcare and paying for food or your electric bill![Truncated] * I agree. As long as it is based NOT on the color of a persons skin. But on the need and ability to pay. Health care includes all of these services.[Truncated] No one should lose their home or family because of an illness in which they have to pay for or cannot pay for. Everyone should have quality healthcare no matter where you live. I totally agree with cutting down on waste. HOW much is spent on administrative costs? It should go to care and research. * I agree that everyone should be able to live independantly if possible. They should also have a choice if they want to continue care or stay at home a let a disease take its couse. They should have help in either decision they make.[Truncated] * This should only be made available to people LEGALLY in our country. There cannot be insurance companies making huge profits as they raise premiums to unaffordable rates. [Truncated] * I think that ALL Americans need and deserve healthcare. I would pay a tax or revenue raising tax that ENSURED it was fair and no American was left without insurance or had to pay a huge amount because of a pre exsisting or genetic condition.[Truncated] 25206 6/27/06 9:40 AM MI * President Clinton and Hillary tried thier best to institute universal Health care but the Republicans shot them down and now they(REPUBLICANS)dont know how to spell or say the word. Its a FACT >>>>[Truncated] * Most of the worlds Industrial nations have paid health care but because of the stupid Republicans they went to War under the direction Of Bush LITE and now they have BLOWN all of the money the Government HAD >>>[Truncated] 25208 6/27/06 9:41 AM NY "* “The Capital Market” Health Savings Accounts This government, as we now know it, was constituted for the most part, to provide for individual freedom, that is, freedom from the traditional, social and political restraints of a Fe[Truncated]" 25209 6/27/06 9:41 AM OH "However, as health care is a part of my pay package, once national healthcare is a fact, I want my pay adjusted accordingly." "* Usual and customary price controls for medical bills. Stiff Jail time for Doctors and hospitals that double and triple bill,bill for products and services never rendered.[Truncated]" "If we have public/private healthcare providers, rich people will, of course, have much better health care than anyone else." define fraud as something that insurance companies and providers can do not just patients. Agree Not at this time. "If the government runs it, it will be screwed up." 25211 6/27/06 9:41 AM OH "define financial assistance please. Why not just free health care, like in Canada ?" not sure "control profits of hospitals, drug companies and private insurers, if there will be any." "* every American should have access to any and all types of necessary health care regardless of race, status, income, religion, etc. Don't overcomplicate the matter.[Truncated]" "* everyone who is physically able to work, should, and everyone should pay lots of taxes. Especially those who have more. (CEOs, for example)[Truncated]" 25212 6/27/06 9:42 AM NJ There should be a single payer system throughout the country with medical coverage available to all. * I agree that there has to be core benefits including hospitalization and routine doctors appointments and check ups as basic coverage. If other care is available for individual purchase there should be a uniform cost standard for the service[Truncated] If the taxing system is done properly there should be minimum out of pocket costs. Yes Yes I agree. "* There should be control over prescription drug costs, no advertising period. Discounts for all drugs. Provide pharmacueticals with the money needed for research, not profit based. Reform of malpractice, and provide financially responsible co[Truncated]" * I believe that every employer and every employee should be taxed to provide health care coverage. The easiest is the mirror the process of Medicare. No employer gets a pass.[Truncated] 25213 6/27/06 9:43 AM TN "* Define Affordable? What's affordable to some may not be so affordable to others. Every American citizen should have craddle to the grave health care as a matter of right of being an American citizen. This coverage should not be extended to i[Truncated]" "* This sure sounds to me be another way for some bureaucrat to their hands on something they have no need to be involved in. Private-Public groups that are appointed by whom? Big Business? The Insurance Company? Simply put, craddle to grave[Truncated]" "* Here again, more bureaucracies to slow down and get in the way of what's truly needed. With what taxpayers, companies, etc currently pay into healthcare costs the plan will pay for itself if you don't let politicians get their greedy little h[Truncated]" "* Once more, way too much red tape. If a doctor, hospital, etc knew that they were going to get paid in rural areas as they would in metropolitan areas I believe more doctors would open practices in every area of the country regardless of the p[Truncated]" "* This is a very bold statement. Many, if not all, these programs listed are currently under attack. I agree, fraud and waste should not be tolerated. Under a craddle to grave health plan most of the fraud and/or waste can be eliminated. But we[Truncated]" * I completly agree. I've lost many loved ones in my family to cancer. Knowing that were dying was painful but wondering if they had received the best care possible was an entirely different pain. All Americans should be able to have confidence[Truncated] "* Keep working, never quit or give up on this extremely important issue. Keep listening to the American public, they know what they need and want. I appreciate the opportunity to voice a few of my opinions on the subject.[Truncated]" "* Look! It's simple! Wal-Mart and other companies that refuse to pay their fair share on healthcare should be held accountable and should not be optional. If you take the amount tax payers and companies that offer health insurance are curren[Truncated]" 25215 6/27/06 9:46 AM CO "* Affordable health care for all needs to be not just available, but easy to access for all citizens of this country. There are alresdy too many basic neccessities that out of reach for a growing number of the population.[Truncated]" * Core health has to include PREVENTION!!! Regular check ups. Provide people with an opportunity to be on top of issues before they become serious. If we can help people through education and exams before they become seriously or termanally ill[Truncated] "* I believe people of all races, creeds, colors and economic situations have the right to health care. Being sick should not be a one way ticket to complete financial ruin. Nor should ANYONE ever be treated as though they have less right to liv[Truncated]" "* I agree. It seems to me that this could even open the opportunity to create more jobs. The health care industry could contribute in that way as well. More jobs, more taxes, more funding for public access to health care.[Truncated]" Bravo!!! Now that's what I'm talkin' about!!!!!!!! * Agreed. The medical comunity could start to seen be as human institution and not some God like creature to be intimidated by. Let's put a user friendly face on health care for once.[Truncated] "* We, The Great U.S.A., are supposed to be leaders and set examples for rest of the world. How can anyone have respect for a country that refuses to take of it's own people? We need to start picking our battles more carefully. Charity begins at[Truncated]" "* It seems that the structure of taxing is out of balance. Why not introduce a flat tax system? That would create a little more equality among people, not to mention fainess, and generate some of the revenue needed for a more equally available [Truncated]" 25216 6/27/06 9:46 AM MS I agree that ALL Americans should have access to comprehensive health care! 25217 6/27/06 9:47 AM NM Thank you for taking on this serious issue. 25218 6/27/06 9:47 AM PA Agree Agree - preventive medicine is crucial here. Agree Agree Agree Agree It should for greatest efficiency be a single-payer system. Agree - simplifing the system shuold save money. 25221 6/27/06 9:48 AM CA "* I find it so hard to believe that health care is available in Cuba, but not available in America. So many thousands of Americans work everyday and do not have health care of any kind. This has got to change. Going to the emergency rooms [Truncated]" "Health care should medical, physical, and mental needs." It should be available to all Americans. All that is applicable should be made available. I agree. Not at this time I do not. 25223 6/27/06 9:49 AM MN "* At all times the recipient must determine and choose whatever supposed ""health care"" modality they will undertake. We are bing poisoned by our environment - cleaning it up must be mandated. Agriculture can not be done industrially. Furthe[Truncated]" 25224 6/27/06 9:49 AM MO "* Family healthcare costs have skyrocketed in my plan over the last seven years. My wife and my son have on going medical problems that make changing plans even more cost prohibitive. If action is not taken soon, Americans will be left withou[Truncated]" "* Healthcare providers and insurance companies have benefited from the current insurance system. Costs for medical care have ballooned under their supervision. The “experts” in analyzing costs, are going to resist any means of regulating [Truncated]" * There should also be a guarantee on a maximum out of pocket expense for the core benefits for all citizen. My fear is that middle class people in this country will not only pay their own healthcare costs but will be stuck primarily with payi[Truncated] "* All citizens in this country need to benefit from this plan. The middle class, many of which currently have insurance are suffering from the sticker shock of having to spend a high percentage of their income on this service. Everyone needs [Truncated]" * US businesses are facing unfair competition from forien suppliers that do not pay for health care benefits for their employees. A system that allows all Americans to pay a share will help businesses compete on an equal playing field.[Truncated] 25225 6/27/06 9:50 AM IN "* All of us should have had affordable health care by now. If policians and illegal immigrants can have it, why can't we. Too many drug company CEO'S are making too much money from health care and we have been getting the shaft. This is not fa[Truncated]" 25226 6/27/06 9:50 AM MI aok aok about time With the administration currently in office it can't happen refer to answer #4 good luck sort of simplistic.(ie) relying on efficiency gains. 25227 6/27/06 9:51 AM MN AMEN! ABOUT TIME... YES YES YES 25228 6/27/06 9:52 AM PA "* It only makes sense. Most advanced Countries provide their citizens some base of health care coverage. We are the most powerful country in the world, and yet we have people without health care. It may well lead to some control of the spiralin[Truncated]" Absolutely! Check Check Check "* If we can drum up enough reasons to go to war and spend Billions of warrantless dollars, then we should certainly be able to face the OUT-RIGHT facts that heath care is a must to assure a healthy society, no matter what the costs.[Truncated]" 25229 6/27/06 9:52 AM PA "* The current system of employer provided coverage is riddled with legislative patches and work arounds (state mandates, COBRA, etc.) aimed at trying to keep current insureds from losing coverage when they lose their job. Now, some employers a[Truncated]" Agree. Covered in 1. Agree. Agree. Agree. "* I think expanding Medicare to cover all Americans is the most fair way to go, with premiums scaled to a person's income. Deductibles should be modified so that there are no first dollar coverages... every health care choice should cost the r[Truncated]" 25234 6/27/06 9:55 AM GA I totally agree "I totaly agree. No one,just becasue they cannot affford it should be denied health care." I totally agree. I totally agree. "* I totally agree, but health care should not be limited to allopathicmedicine, psychiatry and psychology. Complementary and alternative medicine should alsobe part of the system allowing Americans to choose their own formof health care.[Truncated]" I totally agree. Let us get on with it. It is taking much too long to get this going. I totaly agree 25236 6/27/06 9:56 AM MD The American public deserves the kind of health coverage that Congress has afforded themselves at the taxpayers expense. All health anc core benefits should be covered. I agree with this statement completely This would be crucial to providing coverage but the public should be involved with the process. * People and their families who are living with incurable health conditions need all the support that is available at little or no cost.[Truncated] * If the United States can afford the cost of the invasion of Iraq then they should be able to find the money to finance health care. Even if this means that the people and the companies that provide health coverage need to pay a reasonable pay[Truncated] 25238 6/27/06 9:59 AM NY There should be some kind of sliding scale for payment according to income. * If such a group is established a specific time frame needs to be implemented so that their research doesn't drag on indefintely.[Truncated] This is pretty straightforward. * As long as the beaucracies of the above aren't bigger than the services being offered this should help co-ordinate healt-centers and practicioners in their efforts to provide care.[Truncated] The biggest advance would be to eliminate fraud and waste. * Guidelines should be given to prevent extravagant and costly life-saving procedures when a patient is nearing the end of their life. [Truncated] * I doubt if there is a way to have a seemless transition - from minimal public healthcare to real healthcare is a huge difference. It woun't happen overnight but a big leap will have to be made.[Truncated] 25239 6/27/06 10:00 AM AL None. None. None. None. None None. No. None. 25240 6/27/06 10:00 AM OH "* The Health Care Savings Account proposal is the mother of all tax shelters for wealthy Republicans. If a person cannot afford health insurance, how does the President expect that person can afford his tax shelter.[Truncated]" 25241 6/27/06 10:01 AM NJ "I am in complete agreement. If people are going to canada, mexico, and india for medical treatments then we have a problem." needs to include vision as well * I'm sure the Gates foundation would be interested in this. Possibly some aliance between the two. Something like the Gates foundation tries to find cures for diseases and this drives down the cost for persciption drugs which would in turn hel[Truncated] "* These things combined with the existing goverment spending for Medicade/ medicare,and VA should be able to finance this sort of transistion in Americas health care system. Also I think that the price of medical services should be regulated. [Truncated]" 25244 6/27/06 10:02 AM WI * I am thankful there is an organization dedicating itself to organizing a way for all of the rest of us to participate in what is going on around us. Keep up the good work. [Truncated] 25245 6/27/06 10:04 AM FL Every individual should have medical coverage as a basic right guaranteed in the constitution. Health care professionals should lead such a group. "The financing mechanism should be progressive, with those having more wealth and resources paying more of the costs." 25247 6/27/06 10:05 AM SD Absolutely everyone should have healthcare coverage Do not lower the standard of care that we now enjoy to save money Absolutely Sounds like an awful lot of suits Reducing fraud should be the number one priority! agree The financial burden--either through taxes or surcharges--should not be borne by the American workers!! 25248 6/27/06 10:05 AM PA "* Good health care must not be based on the ability of the citizen to pay. This approach has cost the United States massive amounts of money for emergency care, lost wages, and tax revenue. It is time to provide core health care protections out[Truncated]" 25249 6/27/06 10:05 AM PA All people were created equally. We should not have access denied to equal care based on our financial status. * Should have the right to choose and participate in your health care. What works for one may not be appropriate for me. Shouldn't be denied on the basis that one line of treatment is generally deemed as more effective thatn another.[Truncated] "Again, we were all created equal. I should be entitled to the same quality of care Bill Gates is able to receive." Agree Preventitive Health care and education are essential to promoting a healthier America and controlling health care cost. There is dignity in life and death. "* We need action now!!! There is all kind of opinions and agreement that something needs to be done however, that is all I see taking place. Talk and no action by this administration.[Truncated]" I agree 25252 6/27/06 10:07 AM PA "* All Americans should have full coverage health care and provided by our government, as it provided in other countries around the world. I am proud the U.S. provides medical assistance to underprivileged countries but our own country should n[Truncated]" "* This would be fair as long as the recommendations come in a timely manner, perhaps finalized within one year. There is already plenty of data to prove the need for medical attention and current debates on how to achieve the outcome. We have[Truncated]" I totally agree. Our country has the ways and means. It's disgraceful that our people are not provided for. Yes. It needs to get started right away and not debated for another 10 years. "* Yes but it needs to encompass more people. We need an across-the-board system, not where the system is divided into 10 different types of care programs. This is a huge part of the problem; everyone is categorized and divided. We need to be[Truncated]" "Yes, why not die with dignity." * Health care for all needs to be implemented NOW. Should I have to relocate to Canada or another country that our country has helped to develop and thrive in order to be medically treated and be totally healthy?[Truncated] * I would not mind an additional co-pay towards medical care or an additional tax or other tax-based incentive to achieve medical care for all. I cannot afford dental care for myself. Especially dentists want their pay in full up-front. I pe[Truncated] 25254 6/27/06 10:09 AM NY This could be best be accomplished through Universal Health Care for All. * This recomendation works for me. We must make sure that we do not srimp on mental health care. IT should receive the same donsideration as physical health care. [Truncated] * People need to be encouraged to use the health care system to remain healthy. Out of pocket costs should be minimal and should be particularly minimal for low incomepeople. [Truncated] Uninsured people whould be eliminated thorgh Universal Health Care for All. "* The best way to reduce fraud and waste is to eliminate the high cost of supporting a private employer based, insurance company system and switch to a Universal Health Care for All system. [Truncated]" I support this recommendation. * The US pays far more for health care than any other country in the world - 15% of the Gross National Product - yet the quality of our health care system is ranked only 37th by the World Health Organization. The recent proposal by the Physicia[Truncated] 25257 6/27/06 10:11 AM WI * It is a crime that we do not provide every citizen of the United States with adequate health care. This should be a basic right of every citizen. We spend much more then any other industrialized nation and the statistics show that our healt[Truncated] 25260 6/27/06 10:13 AM NY Everyone has a right to health care. Money and greed should not be the determining factor in who gets good health care. * Do not take and make it more administrative. Building another bureaucratic stsructure within a bureaucratic structure only benefits the corporate stucture that costs us even more.[Truncated] "* It sounds good. Like they said before, Rockefeller gave out a dime to people on the streets during the depression and thught that he did good.[Truncated]" "* Community health care, what a novel idea. Barefoot doctors in China revolutionized health care in China. Helath care in Cuba is one of the best in the world, and they send doctors to developing nations to train people to do it in their own co[Truncated]" All theat is being offered here is to build more and more levels to obstruct qeople from getting good health care. "* It just does not sound like a serious program to eliminaate greed and profit based on another's health needs. As long as health care remains in the consumer economy, everyone will not have access to the health care that all persons have a rig[Truncated]" I think I stated what I believe. "* Health care strategy should be prevention not maintenance. To maintain ones health is an inefficient way of health care and only benefits the corporation, not the general public.[Truncated]" 25262 6/27/06 10:14 AM TX "* I agree, but remember the core statement here. All Americans (US citizens), Stop asking americans to pay for non-US Citizen hospital, doctor and drug costs with our tax dollars.[Truncated]" yes I agree I agree "I agree, this could be handled under the surgeon generals department" I agree I agree * US citizens are citizens of the greatest nation on earth and should be provided with health care second to none. Employers of five or more employees should contribute to this care program as well as all individuals.[Truncated] "* I agree, and all moneys collected thru law suits against such sin industries should go directly into this health care fund and moneies from asbestos and other like moneies insted of be put in a general fund and used for non associated interes[Truncated]" 25264 6/27/06 10:16 AM WA "* I agree and we should be pro-active in this cause. This country needs to re-establish policy for it's own citizens first, and set the bar for others to follow. We need to regain our lost respect in the world community by establishing true h[Truncated]" "* This is a good idea if established as stated. A ""core"" benefits package can be identified to cover all Americans and I feel if you truly had qualified candidates selected to pursue this issue it would take a very short time to define. This [Truncated]" * Until this country can differentiate between free enterprise and a willingness to give back and support those of us who might be less fortunate for whatever reason(s) there will be no balance of justice that will efficiently and continuously [Truncated] * I thought we already have these types of diconnects in place!! We need qualified and compassionate people in place who truly have a passion and a burning desire to be the best at what they are supposed to be getting paid for. Professionals [Truncated] * Highly trained and highly paid professionals to manage a system such as this is imperative. It is also imperative that these same individuals never forget for a moment the compassion towards those who would be in need of their expert wisdom [Truncated] * This is a most honorable view of end life care. It should be a very high priority to all of us in this country. If we look back through our lineage we can always find evidence of this being a primary responsibility in most all family struct[Truncated] * I think I have stated my views so as to define what I feel to be the major reasons for the disconnects in this country's policy's. The lust and greed for the almighty dollar has succeeded in blinding not only individuals but in our case the [Truncated] "* Seamless and smooth transition is the perfect description of how this country's intertwined agency's should run to support research, illness, catastrophic conditions etc... but the fact remains that this country for a myriad of reasons, mostl[Truncated]" 25265 6/27/06 10:16 AM MO "* I believe the government should provide for the common welfare (as did the Founding Fathers), so it seems only right to me that they should provide equal access to good health care to all Americans. Families should not be one major illness aw[Truncated]" "* Health should also include coverage for correcting vision and hearing problems with appropriate devices or operations. Health means ""full normal functioning"".[Truncated]" I concur. "* Let's keep it simple. First, establish a short list of payers. I think a single-payer system is most efficient. Reducing non-medical expenditures in existing facilities by eliminating the many many policies in favor of a single, generous but [Truncated]" "* Don't restrict citizens who want to pay extra to get quicker service or have choices not widely available. In short, have a good system available to all, and a posh system available to those who choose to pay big out-of-pocket charges. Just d[Truncated]" "* Whenever possible, people who are dying should be kept in their homes. When death is inevitable, it is cruel to isolate the dying in a web of tubes, sensors, IVs, and other impedimenta. Help families to share in the lives and deaths of their [Truncated]" I'm glad to see that someone is thinking about the big picture. "* For American business to compete with businesses in other countries, we must provide for universal health care to all Americans. As it is now, some businesses are burdened with health coverage for employees and retirees that makes it hard for[Truncated]" 25266 6/27/06 10:16 AM FL don't forget dental 25268 6/27/06 10:17 AM NV "* I think this recommendation needs to be tailored a little. The bulk of the patients in hospitals here in the West are illegal immigrants. This issue while it is a flash-point needs to be addressed. while I am not suggesting turning our b[Truncated]" I think this is a problem for orphan conditions and gives the government even more permisson to ignore these conditions. "* You might also want to put something in there about how health care facilities can compute their costs-cost+cost+200% or more is a bit exorbitant don't you think?[Truncated]" "* Allowing the Federal government to lead anything in my estimation is a recipe for disaster. This task should be punted to an organization which will study the issues and make recommendations to the government with as much fan-fare as poss[Truncated]" "* Start using accounting forensics and use jail time for the executives of health care organizations which are found to be frauding the system. That way you have the fear of God placed in this greedy executives. You also need to investigate [Truncated]" "I agree with this tenet-dying in poverty under the current system is miserable." "* Get some health care people (workers) on this panel-not suits and tassled loafers who probably haven't been in at the bedside of a sick person in a month of Sundays!!![Truncated]" "You need to be more specific. How many more hours will the working Americans have to put in to finance this endeavor?" 25271 6/27/06 10:20 AM TX * Health care preventive check-ups have declined in my family due to rising cost of living expenses. We now go to doctor only if we are sick. [Truncated] * All families need the dental health care included. The cost of dental care limits needed work to save teeth and gum disease. [Truncated] "* When a family is faced with an adult child's mental illness, the options for medical care is non-existant. There are state programs to get help, but parents must take off work (3xmonth) to take the adult child to facility for the pre-doctor,[Truncated]" 25274 6/27/06 10:21 AM OH I agree with this statement. * I am not opposed to experimental treatment when other treatment doesn't work and/or the cost is not out of line with existing treatment.[Truncated] I agree. "* This unit or group of people should be non-political, and this should not turn into a large buracracy. It should stay small, nimble and focused as possible to keep costs down and to be able to may decisions quickly.[Truncated]" I agree. "What if the ""community"" is poor and cannot provide funding to be made available for support services?" Not at this time. "* Once a decision is made for a plan, it should be expedited quickly, not drag out. And although the source of financing may come from multiple sources, this money should be put in a single fund that cannot be used for anything else, not like S[Truncated]" 25275 6/27/06 10:21 AM NY today we have the worlds most expensive health care but sadly hardly the finest 25276 6/27/06 10:21 AM KY * My daughter has been without healthcare since she turned 25 and was dropped from my plan at work. She has cerebral palsy and can't work. Her list of health problems is long and her life will be cut short without healthcare. She has failing[Truncated] "* Please, no crony appointments. Remember the disaster of Katrina and New Orleans and what crony appointments can do (kill people) when experts are required for the job.[Truncated]" "* Doctors take an oath to first do no harm. They also take an oath to provide their services free of charge to poor people. The reason this country is so violent is because we are all so desperate, living check to check, hand to mouth, with n[Truncated]" "* Doctors should be forced to provide services where they are needed, not only where they currently live or want to live, in pricey neighborhoods with no public transportation for poor people to even get there. For example I am a programmer an[Truncated]" Look to medicare and medicaid for examples of how to do this as they are very cost effective programs. * Making a dying person comfortable is very hard since the so-called War on Drugs started and pain killers are highly monitored and doctors are afraid to perscribe a level of drugs that will make the patient's last days bearable. Please stop f[Truncated] * The healthcare in this country should not be administered according to how much money you have. If you are poor you should be able to get the same level of care that the richest person in world would receive. Treat your neighbor as you woul[Truncated] "* Most of us with healthcare now pay premiums to insurance companies that limit our healthcare choices. Those funds should be counted in any national healthcare plan, in other words don't assume taxes will have to be raised for this benefit. [Truncated]" 25277 6/27/06 10:22 AM NJ "* Congress should establish a high-level government agency to monitor the program, with ombudsman and annual reports to the people.[Truncated]" "* A step-by-step expansion of Medicare would be the best way. Medicare is already well established, efficient and cost-effective, Existing public health clinics could be included.[Truncated]" 25278 6/27/06 10:22 AM GA "* Better to cover all including primary care and preventive services, than to just cover those who meet the pinhole definitions. I care for many patients who work and contribute to our nation; but cannot afford healthcare. And because they wo[Truncated]" This should be a program strong in primary and preventive care * I would include fianancial protections for all not just 'low income'. Because again if a person is a member of the working poor but is over the poverty line by only a few dollars; they then could be further impoverished by high health care co[Truncated] "* And expanding loan repayment programs for Physicians, Nurse Practitioners, Physicians Assistants, Nurse Midwives, Social workers, and Nurses.[Truncated]" "Hospice in many studies increases quality of life for the dying and their families, and at the same time saves money." "This needs to be a legislative priority, not pie in the sky dream." "* Just expand medicare to all americans, and increase the medicare tax slightly to cover. As we should be able to get rid of medicaid if everyone has medicare universally it should not be too bad. [Truncated]" 25281 6/27/06 10:25 AM NE * Should be more than catastophic care. If that is all we are going to provide we should take the time and energy to change any of it.[Truncated] "This is the number 1 cause of american workers ""Real Wages"" declining." Get the pharmacutical companies out of the mix. Develop a budget for their R&D that does not get passed to the consumer. "* State,County, and Municipalities where there is an organization should combine HC Pools in order to lessen the impact on there employees.[Truncated]" 25284 6/27/06 10:27 AM NJ "* Just as in the protection of individual rights, it should be the duty of the Federal government to provide a baseline for health care. States may exceed the protections afforded thereby, but cannot fail to equal them. The programs already i[Truncated]" "* Recognize that the primary beneficiary of these programs is the patient, and that their purpose is not to provide manufacturers, private insurers OR caregivers with a blank check. Fair trade principles should apply.[Truncated]" "* If said program is private, clear public regulation and oversight must be required, as the majority of the funding will most likely be public.[Truncated]" "* Once again, baseline standards must be unequivocal. Every resident should have guaranteed access to care in every locality before we start building gold-plated clinics in influential communities.[Truncated]" Sounds like a plan. "The individual's choice, whether expressed in real time or legal document, should be paramount." "* In cases of socially and/or politically controversial procedures, the individual's right to choose MUST be respected, and benefits cannot be subject to community approval, provided those procedures meet the baseline standards established.[Truncated]" "* Integration of revenue streams should be balanced, allowing for a total annual payout by a given individual to be limited to a given percentage of that individual's gross income; in other words, if my enrollee contribution is ""X"", then the he[Truncated]" 25286 6/27/06 10:27 AM MN "* I agree with your recommendations, and support the fact that all Americans should have access to a set of health care services. [Truncated]" Good ideas. "Yes, no one should be impoverished due to increased health care costs." None. "Yes, agree that integrated health care is a good idea and also protection against fraud and waste." "Agree that persons needing help in their last days, funding should be made available to support these services." "Great ideas, and hope this type of plan could be implemented." I agree. 25287 6/27/06 10:28 AM ME Yes! Yes! Yes! Yes! Yes! Let's get it done! Yes! 25289 6/27/06 10:31 AM TX "* I agree that every american should not be denied access to healthcare, it is a shame that the USA as big and super as we are so called doesn't address this need.[Truncated]" "* I agree on limitations cause there are always going to be some folks that abuse a system,so physicals every 2 years for 6 thru 26 years of age unless sick, and any infant and senior should have wellness checks every six months, and free denta[Truncated]" "* the preminums should be divided by all people earning a paycheck including all immigrants and citizens. Price caps should be invoked cause doctors are out pricing medical care, they get greedy,unless he would to be a specialist of 25 years, [Truncated]" "* i think that someone should be appointed to oversee that this program is rolled out in a timely manner, and that by a certain time all americans and Immigrants have health insurance and that they validate there health card by phone such as ho[Truncated]" "* Yes I agree, but not to the point where some doctors overlook quality of healthcare over quality. I think every doctor in America should have a figure of how many patients he has seen for health care, just to ensure all people are being take[Truncated]" "* I agree that someone with a incurable disease be able to pick where they want to be cared for, but if all is beyond hope that would have to be announced so they may be able to decide if going to another facility would necessarily help them [Truncated]" "* I just wish that a healthcare reform would come as of today, right now, it is a shame that a country like ours is too greedy to even implement such a program because of greed and political crap, this president has not shown any care for these[Truncated]" * just like FICA is taken out of checks then I think we should contirbute as a whole some money from paychecks so all Americans can have health care without all the red tape[Truncated] 25291 6/27/06 10:34 AM IL This reflects my views. "Don't forget, vision is as important as dental." "Give incentives to normal weight, exercising, vegetarian, nonsmokers who keep health care costs low." I am a little unsure of what you're referencing. Electronic is fine if our privacy is protected! How will you do that? Hospice is a God-send! "* Keep everything as simple as possible, unlike the dozens and dozens of medicare drug benefit plans! Point out that people can always purchase additional private insurance, if they have the means. A national system just ensures access to the b[Truncated]" We already pay enough taxes to cover everyone. We just need to APPLY those taxes to that end! 25292 6/27/06 10:34 AM VA "* I agree with the focus of all these recommendations and the sooner we begin working toward an equitable health care system in the US, the better off we'll be.[Truncated]" 25295 6/27/06 10:35 AM NJ Everyone in America should have health insurance!!!! 25296 6/27/06 10:35 AM FL We need health care for all that is not linked to an employer. 25297 6/27/06 10:36 AM WA "America, the nation, cannot be healthy if its citizens are not healthy, are not allowed access to adequate healthcare." Health awareness should be a community concern. "* Resources should be devoted to actual healthcare and its delivery, not to a mass of bureaucrats who work constantly to not deliver healthcare.[Truncated]" "* Single-payer health insurance. Eliminate the bureaucracy that works constantly to deny health care, not to deliver it as it should be doing.[Truncated]" 25298 6/27/06 10:37 AM NY "* This is socialized medecin. . . and it will bring down this country even more than it already is. Personally, I care for the people of this country, but the government (all levels) has never cared for us, except to reach in every way into our[Truncated]" "* Who are these members? And what is their agenda? 2) Core Benefits? If someone decides not to give care to someone, they are out? This sounds like another beauracratic debouchiry to me.[Truncated]" "This sounds good, but who will pay for it?" "* Let all doctors and other health care providers, provide 10% of their time free; helping patients in their communities that paid for their practices to begin with. There is no real charity in America today.[Truncated]" "This sounds like the best of all. Yet, these programs are far from efficent in despencing proper care and aid." This is Margret Sanger answer to usless-eaters; this is the culture of death syndrom. . . "* Americans should all get their collective heads out of the sand, wake up to the reality of these programns and speak out against this travesty against the elderly which makes up 65% of our population. They have paid their dues and now they ha[Truncated]" * No more taxes! No more follish spending! Cut the PORK in government! Let our families care for our sick ones as we did many years ago. . .[Truncated] 25300 6/27/06 10:38 AM TX "England, Canada & other European countries can be used for a model of what & what not to do." 25305 6/27/06 10:42 AM IL "* Health care shold be universally funded...Financial ""assistance"" should not be given to those who ""need"" it but rather everyone gets health care on a equal basis...Financial assistance should apply to housing costs, food purchases, day care, [Truncated]" * Health care funding need not be so complicated. Fund it between employers and employees much as Social Security funded...Income and corporate taxes could be added to the fund to help cover the self employed or unemployed who would not be con[Truncated] 25309 6/27/06 10:44 AM TX "* Use the revenues that we give away to unappreciative people in other countries. That would be enough money to fund universal health care for the citizens of the U.S.A. [Truncated]" * Cover everything so U.S. citizens could live out their lives without the worry of not being able to get medical help when they need it.[Truncated] Make sure that only citizens of the U.S. are elgible .Have an well staffed oversight committee to ensure compliance. GOOD * Make sure that those responsible for (Reduction of fraud and waste) are qualified and not just FRIENDS with the drug companies or political FRIENDS.[Truncated] "GOOD " "* This COUNTRY has wasted more money trying to buy foreign friends,enough to solve a majority of our problems. Keep up the good work.[Truncated]" * Our CONGRESS wastes more money than it would take to fund a health care system for U.S.A. citizens. Then have everyone over 21 years old pay 100 dollars a year. PROBLEM SOLVED.[Truncated] 25310 6/27/06 10:44 AM CA "Doctors, not insurance agencies or bureaucrats should make the medical decisions." "Limit the pharmaceutical industry's controls, regardless of how that is done." Congress should have controls in place to update funding. 25311 6/27/06 10:45 AM CA "Doctors, not insurance agencies or bureaucrats should make the medical decisions." "Limit the pharmaceutical industry's controls, regardless of how that is done." Congress should have controls in place to update funding. 25313 6/27/06 10:46 AM OH "* I totally agree with this statement, but want to add two very important points: 1) Health care for all coverage should include mental health care coverage at parity with other health care; there should be no caps on mental health coverage[Truncated]" "* I concur (see my response to question #1). Please be visionary in thinking about the allocation of medications, since current insurance approaches exclude many needed medications; do not always take into consideration the variability among i[Truncated]" I concur (see commments to above recommendations). "* Advocating for universal health care is our number one priority. Thank you for spearheading this effort. Please keep me informed of your work. [Truncated]" "* I agree with the statement. Please prevent the development of a two-tiered system in which the wealthy end up buying better health care and everyone else gets just the bare essentials, if that. A system of finance must be developed that all[Truncated]" 25316 6/27/06 10:46 AM GA A comprehensive single payer syserm would be the best system. Health should also be defined as optical health. Eye examinations and prescriptions should also be covered. "Eliminate the current ""doughnut hole"" limitation on government payment of prescription drugs." Government should fund abortions and stem cell research as well as emergency contraception. "* Preventive medicine should also be funded by the government as well as all routine physical examinations. Gevernment funding should not be only ""sympton"" based.[Truncated]" The government should not place a lein on the property of a recipient of government funded health care. 25319 6/27/06 10:47 AM OH * I know so many people that cannot afford health/vision/dental care so they go without. They are driving without proper vision correction and have a mouth full of rotting teeth. WHY shouldn't they be entitled to benefits? They work hard for mi[Truncated] 25320 6/27/06 10:48 AM OH "* No one should lose their home because of a catastropiic illness. Not only are they sick, but they are out on the street. In one of the richest countries in the world! Ridiculous![Truncated]" * Medicines should be cheaper. Many of us have to choose our prescriptions over grogeries or vice-versa. The drug companies are making a killing as we are suffering.[Truncated] 25321 6/27/06 10:48 AM FL "* I agree with this recomendation, "" All Americans"" Not Ilegal aleins. I am 49 yrs old and recently disabled due to throat Cancer and a total Larynectomee. SS refuses to grant any benefits to me although I paid in the max for most of my life. I[Truncated]" * Sounds like a good way to begin defining the product wanted and needed. You must know the boundrys of service to establish funding goals.[Truncated] * I agree with the recomendations. In my situation I worry about having to fall into poverty before Im intitled to benefits that Ive paid into my intire life. That should not have to happen. Our current system is designed to do just that. If yo[Truncated] "* Sounds good to me, when you say low income and unisured are you speaking seperatly. Even someone who is above the precieved poverty income can be uninsured, dont make them fall below poverty level before they quailify for help. The majority o[Truncated]" Should have been done long ago. I can agree with all of those recomendations. "* Yes, Pain managment, We have created an atmosphere in this country where pain has become epedimic. It cost thousands of man hours lost each year. Not to mention the Physical and Mental cost on the Family's and the Individual. Doctors are afra[Truncated]" * I do not think burdening the middle class any futher is an option. We have lost ground for years and seem to always shoulder the load for those above and below our hard earned place in society. We need some inovative thinkers here to accompli[Truncated] 25322 6/27/06 10:49 AM PA "* Single Payer - dump the insurance companies, curtail pharmaceutical profiteering. Single Payer. Single Payer. Single Payer. NOW.[Truncated]" Can't wait forever. Do it! "Single Payer, Single Payer, Single Payer." "Single Payer, Single Payer, Single Payer. The heck with private insurance and profiteering on health care." Single Payer!! "Hospice, gentle passing, options for all. Nobody should be making so much money on death which is inevitable!" * SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER SINGLE PAYER[Truncated] Dump the insurance companies. Stop pharmaceutical corporate ripoffs. Single Payer. Single Payer. Singler Payer. NOW. 25323 6/27/06 10:49 AM ME "Agree, and medical insurance should not be tied to employmet." "See fiancing comments above also, please." "* There will need to be priorities for medical treatment, and there should be incentives for preventative measures-which includes not only individual responsibility of so-called lifestyle choices, but also corporate and government responsibilit[Truncated]" 25324 6/27/06 10:49 AM GA "* The company I work for has health insurance, but no one can afford the $50/week just for single coverage when they only make $7 to $8/hour pay.[Truncated]" Medical institutions should have to answer to someone. Their fees are outrageous. * People need someone that will advise them on their health care options who is not going to benefit from running a whole bunch of useless tests.[Truncated] * Intelligent people should have integrity enough to take care of the less intelligent people who make up the work force that is making them rich enough to afford health care.[Truncated] "* I wouldn't care if I had to pay the fees as ""health insurance tax"". I would rather pay the govt $50/week than an insurance company. At least then the playing field would be equal for everyone.[Truncated]" 25325 6/27/06 10:51 AM NY * Excellent. I write here as a geriatric social work and an adult daughter who is concerned with health care for my own 84 year old mother. Too many citizens now must put aside their own growing family needs or personal needs in order to supp[Truncated] Well said. Right to the point...once again well said. "* I sometimes think there are too many ""netwoorks"" and the idea to continue this path and integrate them I don't think address the problem. One consice network is the answer; but, maybe this is the eventual goal of your idea of ""integrated net[Truncated]" * Too many goals...I stopped commenting after a point. I think there should be fewer goals so more attention could be directed at the ones you are addressing.[Truncated] Excellent again; the current system just must be changed. 25328 6/27/06 10:51 AM PA * The horrible state of health care that we currently have in America is due in large part to the insurance industry. Any reforms should make sure they siphon off as little money and power as possible.[Truncated] 25329 6/27/06 10:51 AM GA Birth control for the poor adults and minors should also be government funded. 25330 6/27/06 10:52 AM AL agree agree agree agree agree agree agree 25331 6/27/06 10:53 AM WI "* An emphasis must be placed on preventative care which will reduce the cost of health care. Mammograms, pap tests, pre & postnatal care, prostate screenings, recommended check-ups and child/well baby care MUST be a part of this plan![Truncated]" "* Americans should pay according to a sliding scale not only taking wages into consideration, but also family size. Families should not be penalized in any way due to the amount of children in the family.[Truncated]" "* It is also important to consider that some workers with families should not be required to pay when their wages are less than $60,000.00 per year.[Truncated]" 25332 6/27/06 10:53 AM NY Support HR 676 as a begining. The right to health care is a universal issue whose time has come. HR Bill 676 deals with all of this. HR Bill 676 * It is Private health care costs that are ruining the system. Over charges for those who have...to pay for those that don't. There should be one system of payments based on location/costs paid by one source for services rendered to whomever re[Truncated] "* Definitely needs to come from a single payer. Medicare is already in place with negotiated fees, etc. This could be expanded to a full national system where the government buys over time the private hospitals, clinics and runs them like the V[Truncated]" Absolutely....but at the patient's choice. * You should seriously look at HR BIll 676 as introduced in the House. It is gaining a grass roots endorsement of support from labor and doctors for National Health. Most of what you cite is offered in this Bill. We should also watch Mass. and [Truncated] "* Financing should be done with a payroll tax putting all employers on an even field. Anyone caught paying ""off the books"" to avoid such taxes should be pentalized to such a level as to send shivers through the management arena. Over all this m[Truncated]" 25333 6/27/06 10:53 AM IL "* The canadians have solved the overcrowded ER situation by providin walk in clinics. There is tremendous waste in our system, for instance unopened supplies are, by law, discarded when the insured patients dies as are medications. There must b[Truncated]" 25334 6/27/06 10:53 AM LA "* If the taxpayers can afford to pay he Health Cre for the U.S. Congress and the Pesident and his Cabinet Members, every American should have the same. If we can not afford it, eliminate all Health Care for the U.S. Congress, the President, an[Truncated]" * Too many times the business community are appointed to many commissions and membes of labor are not included or the number of busines leaders out number members of labor. The number should be equal on both sides of the spectrum.[Truncated] "* As long as the pharmaseutical companies and he medical association are allowed to compose legislation such as the National Prscription, Americans will be paying for the bill.[Truncated]" "* Many wealthy Americans who are retired with an income of $80,000 or more should not be included in any government sponsored programs for providing health care. This is the same as corporate welfare and wealthy Americans are abusing governmen[Truncated]" 25335 6/27/06 10:54 AM OH "* We should not limit healthcare to a set of core health care services. It should be all or none. There can't be discrimination against healthcare services whether it is from Dentist, Medical, Osteopath, Chiropractor, Optometrist, surgeon, et[Truncated]" "* Use the definition of health in the dictionary to establish health. If the core services are going to encompass wellness, preventative, primary care, etc. Then all health care practioners should be in the core package, Not Emergency Service[Truncated]" Use Common Sense. Drug companies spend 16 Billion on advertising just to make 8 Billion in Profit. * There will be access to providers for individuals with fair insurance coverage. If the coverage is not fair than the problems we have now will still exist.[Truncated] Do we trust the government to set the rules in the citizens interest or the governments interest? Seek input from the health care practioners in all fields. * Please don't reduce health benefits due to money. Learn from Medicare and Medicaid who changes the rules all the times. They offer this drug prescription plan and what do you know the price of prescription drugs increase substantially. The[Truncated] 25337 6/27/06 10:55 AM IN Ihope that incluldes people who have an illness like cancer and etc. that insurance say are uninsurible or pay high price. Glad for the coverage NO but I like all of above It will be nice for achange to see all taken care of. 25339 6/27/06 10:56 AM CA I run an HMO myself. Our current system is inefficient and wasteful. We must be realistic and we must set up our health care system to drive for cost-effectiveness or it too will cost us too much. No one should be forced to choose between paying the rent or paying for needed health services. We should tax all of us -- individuals and businesses -- to pay for this shared beneit. 25340 6/27/06 10:56 AM CO "What is good for congress, ought to be good enough for the people who employ congresspersons." Prescription drug prices are set by the federal government. Pharmaceutical companies are not allowed to make profit over 100%. All American citizens should have health care equal to that which is enjoyed by congress and the president. Nationalizing health insurance providers. Total reimbursement of the tuition for the top 10 in their class for those who study medicine. * The ultimate decision about the end of life should be left to the individual and his/her doctor. Politicians and bible thumpers should not be allowed to influence either one.[Truncated] Like the Nike says: just DO it. * We may have to cut congressional wages as needed. We may have to cut presidential wages as needed. We may have to reduce overblown military budget and we MUST take Halliburton off the people's payroll.[Truncated] 25341 6/27/06 10:57 AM NY * Health care is a basic need and thus a right. All of the weathier nations have it. The US lacks way behind when it comes to ensuring the well being of all its people.[Truncated] 25342 6/27/06 10:57 AM CO We can no longer leave out so many people and claim to be a first rate Nation. Universal is not an option any longer 25345 6/27/06 11:03 AM LA "* Particularly important is inclusion of mental health services, not only because it is a legitimate health issue, but because treating mental illness has been well documented to SAVE ON CLAIMS FOR PHYSICAL AILMENTS. [Truncated]" 25347 6/27/06 11:05 AM MN * It's disgraceful that a nation this rich allows other to become wealthier at the cost of basic health care for the people who struggle the hardest.[Truncated] 25348 6/27/06 11:05 AM OH * #3 is the least difficult to understand.I think this is basically what all americans want.We don't care how you do it just do it as soon as possible especially for elderly people.These are our veterans & they are not being taken care of medic[Truncated] 25349 6/27/06 11:06 AM MI "* This happened to someone I was close to; he had end-stage Lou Gherig's disease, and my aunt could not get someone in to help care for him, not without paying someone high out-of-pocket expenses. They were frustrated, and it just made his pas[Truncated]" "* I have seen the way an emergency room doctor can render care based on insurance plans. The person had Medicaid, and because Medicaid did not pay what they like to get paid, apparently, they sent the patient away three times before her child [Truncated]" 25351 6/27/06 11:11 AM MI "Yes, we need expand Medicare for all people in the US." "* We need a single payer system like Canada and the U.K. We need to take the for-profit insurance companies out of the process. [Truncated]" 25352 6/27/06 11:11 AM MI "Yes, we need expand Medicare for all people in the US." "* We need a single payer system like Canada and the U.K. We need to take the for-profit insurance companies out of the process. [Truncated]" 25356 6/27/06 11:13 AM AL "* As a nurse of 30 plus years, I've never made a difference with the haves and have not's although I've found fewer test are ran on the have not's unless there's a life threatening situation. This is wrong because if test had of been run sooner[Truncated]" "Bravo, this should've been done eons ago!!" * This would cost Gov programs much less in the long run. An ounce of prevention is worth more than a pound of cure. Also DR. and hospitals are overcharging at an alarming rate. They need caps placed on how much they can charge anyone. They're [Truncated] * This is a must because without prevention techniques it's going to cost far more in the long run. Example: Diabetics without proper teaching on certan medications and exercise will eventually require extensive treatments such as dialysis for [Truncated] * I've found in my years of nursing very little consideration is paid to families of the terminally ill. It's mostly directed to the patient while family members sit by the wayside and watch. Most nurses and DR. have this idea families wouldn't[Truncated] 25357 6/27/06 11:13 AM TX "* I worked for Mobil Oil. I retired with a good health care program because I was disabled. My Medicare Supplement has been cut to nothing. They pay after you pay $3,000 after you pay the $250. deductible. The drug program is nearly as bad. [Truncated]" 25358 6/27/06 11:14 AM TX * It is about time that the struggles against those in power that use obligated collective insurance as their base money for investment in their private business are stop. Health is a human right. [Truncated] "Once again, consult Ralph Nader, he has all the figures and studies." "Consult with Ralph Nader, he has all the numbers and studies. He should be our President." 25359 6/27/06 11:14 AM MO "A system of health care, much like that in Canada or the United Kingdom would give us this." see #1 see #1 "* see #1. This would eliminate the profit motive of health insurers, also eliminate private health care insurance. All funds could go to support the health care system. [Truncated]" * See #1. This would end huge donations to congressional members to influence voting in such measures as concern the health care insurance industry.[Truncated] See #1. Funding could be better applied to health care rather than the profits of the private health care insurance industry. * My daughter in law is covered by the U.K. health care system and as she relates the system is not as bad as we are made to believe. Price could be controled in a regulatory manner in keeping with cost factors. Cost factors could be controll[Truncated] see #1 25361 6/27/06 11:14 AM MO "* Health care coverage for my son (who received Health Care Plus), increased from $59. 00 to $129.00 a month. This is 90% of the support check. I receive a Child Support Check for $162.00. There are so many other neccessities of life, and [Truncated]" 25363 6/27/06 11:15 AM KS * There is no reason other than simple greed or stupidity that the wealthiest and most powerful nation on earth should not be able to provide health care to all of its citizens.[Truncated] 25364 6/27/06 11:16 AM FL "* I am a 70 year old Ph.D., demi-retired & struggling to remain in the middle class (whatever that is these days). My adult son can't work. He receives SSI & the approximately $660.00 a month even with Medicare/Medicaid/Prescription RX, etc. d[Truncated]" It sounds good. "* My 36 year old son was born diabetic. Blue Cross cancelled my policy after his first hospitalization at age 14 months. Eventually I was able to join a HMO, but it took me years to pay off the huge medical & related debts I'd run up when BC/BS[Truncated]" "* This would be a God send. Just be sure the blumbling idiots in charge now don't screw this up by placing imcompetent ""buddies"" to run the show as the Bush administration has. I give you FEMA, the Ports deal, Iraq as just a few examples.[Truncated]" "* This looks good , but again put good, well-qualified professionals in regardless of political party. We the people deserve this.[Truncated]" Some of us could use this help now. "* Yes, I am probably not the only American citizen who is sick and tired of hearing the president, his minions, senators, and congressmen saying over & over: ""We are doing this or that for the American people."" If you really are, you are missin[Truncated]" * I am opposed to any Republican plan. The Bush administration has made it very clear that they do not care for the Middle or Lower Classes and/or they don't have a clue. Democrats need to make certain any financing is workable/attainable and [Truncated] 25368 6/27/06 11:18 AM CA "* Everyone pays for the healthcare of others already, whether we are ""openly"" taxed for healthcare or not. When the uninsuranced (such as Walmart employees) receiv care at a Medicaid facility, our taxes are paying for it. A nationwide governmen[Truncated]" Don't give up! These changes are needed desparately. * Businesses should be held more responsible in providing health benefits coverage. Plans like the one instituted in one of the New England states (Mass. or RI) should be seriously considered. [Truncated] 25369 6/27/06 11:18 AM OK "* In a country that is one of the richest in the world, why should we have citizens who do not have health care? I displays total selfishness and greed by our leaders. Kinda like: ""I got mine you get yours"".[Truncated]" 25370 6/27/06 11:18 AM WI Yes Absolutely This should be non-partison. Not politicized OK Yes as long as each individual and family has the final say. Quick action is needed Needs to be affordable for all 25371 6/27/06 11:19 AM NY "yes. yes, yes!!!!" "* National program should be public Protection for middle-class americans who keep getting the short end of the stick in everything that president Bush does.[Truncated]" Stop the rediculous practice of hospitals over-charging patients. Example: Charging $8.oo for one aspirin!! 25373 6/27/06 11:19 AM PA "I heartily support these principles. We will need to guard against those who would demand the right to ""opt out""." * This is a very tough issue in a nation where the popular culture fears and loathes old age and death. If we decline multi-organ transplants or any other extraordinarily expensive with little likelihood of success expect weeping widows and mo[Truncated] We should also include protections against property seizures by banks due to loss of income during illness. * Limit the ability of NGOs (pseudocorporations) to be involved in and drive the agenda. Their ideas are important but they will act as clacks for the private sector. Exclude all corporate interests.[Truncated] Excellent * A very complex issue. Do we continue to have health care linked to employment?? I am convinced some sort of mandatory employer contribution must be required to keep the playing field level between responsible and irresponsible employers.[Truncated] 25374 6/27/06 11:21 AM WI "* Many of today's health problems are preventable. Too many people are victims of contaminated air (indoors and outdoors), contaminated water, poor or negligent health care providers protected by weak laws or no laws.(sic.self regulation)Unsafe[Truncated]" 25376 6/27/06 11:24 AM IL This is a very wealthy country. There is no excuse for all Americans not having basic health care. The items you stated above and just what we need now. "* The suppliers of health care in this country are presently controlled by those with money who want more money. Get hospitals back to non-profit, buy drugs from countries that will provide them at a fair price, and graduate many, many more s[Truncated]" Sounds good. Excellent plan. Wonderful! "* There is no excuse except GREED for the state of medical care in America. It really is time to get some of those ""Christians"" in political offices to start behaving like Christians.[Truncated]" * There is really no need for additional revenues to support basic health care for everyone. Presently we have a government of people who only want to make the rich richer and the big companies bigger. War is big business for the rich and [Truncated] 25377 6/27/06 11:25 AM CA * this sounds like health insurance..I do not think the Insurance companies should be involved. we could aford doctors and hospital before the companies cut themselves in for some of the healthcare money. when the [Truncated] "* Well this sounds like we ,the nation, will talk ourselves right out of everything. After the expenditure of all this energy we may find some ambitious pols have us in another war.[Truncated]" "* The medical world had a chance to help provide universal care and instead taught the people that it was comunisim..hard to get that out of their heads. Public will can be changed the same way.. all the pars[Truncated]" Of course this is good housekeeping .. I hope they get my mother to do it. I have found hospice care great. Letting people know about servie available most likely what is lacking. * recsap..seconday stages on the road to Universal health care seems a boondoggle. The cheap way has been put forth many years ago..shot down by the medical and perhaps Insurance companies...We need to use m[Truncated] * I think the statement fair. Advertising or Madison ave can help solve the problem of lack of will. we already know that universal health coverage can save money next to the patchwork care provided today. I beli[Truncated] 25378 6/27/06 11:25 AM NJ "* I support HR 676, a bill to proved comprehensive health coverage for all U.S. residents. The bill was introduced by Rep. John Conyers, has 72 cosponsors, and has been endorsed by more than 1000 union and community organizations.[Truncated]" I support the benefit package proposed in HR 676. I support a public national program as proposed in HR 676. I support the plan proposed in HR 676. "I support one federally funded program, as proposed in HR 676, to provide these services and develop these strategies." "I support a publically funded national program, as proposed in HR 676, to provide these services and training." Please support HR 676. I support financing universal health care as proposed in HR 676. 25382 6/27/06 11:30 AM IN * There should be no instances of people in this country going without proprer health care or medicines because of costs. It does not make sense for the US to have the knowledge and services to treat medical issues and for us to help other cou[Truncated] This sounds like a good basis to start from. "As I said above, I sully support this. No One should go without health care coverage because of cost." We want the same care the members of Congress have! This sounds good. "* Absolutely! It can be more cost effective to servie the needs of the patient in their home, etc. Why shouldn't they be able to live their lives in a location that is comfortable, familiar and of their own choosing. We will have more elderl[Truncated]" "* I think that everyone is willing to help. Make sure that it is fair and that you don't put the greatest burden on the working poor. kIf something isn'tg done, we will be paying huge amounts in Medicare and Medicaid because peole cannot get [Truncated]" 25383 6/27/06 11:30 AM MO "I agree, every American should have access to affordable health care." Execellent. Should have been established and controlled a long time ago. Agree. Re-open closed medical facilities. I agree. What took so long? "Sin-taxes, payroll taxes--$5.00 deducted each pay period." 25384 6/27/06 11:32 AM NJ "* The whole health care system in the US needs restructuring. There is something desperately wrong with a system whereby people go without medical coverage as they can't afford it, but then executives of health care companies receive wildly ex[Truncated]" "* Totally agree with the concept of cradle to grave care, and preventative services. Far cheaper to prevent illness than treat it. If we all had a stake in paying for the illnesses related to, say, obesity, I truly believe people would take m[Truncated]" * No one should have to sell their house to pay for health care. It is stressful enough when someone is facing life threatening illness without worrying about bankrupting yourself and your family.[Truncated] Totally agree. "* Also, there needs to be a reduction in the vested interests within the healthcare system - eg, pharmaceutical and insurance companies who have 'bought' themselves political representation.[Truncated]" This is a totally laudable recommendation and desperately required. "* Please get the policymakers to think sensibly about this. I have lived abroad, and it is disgraceful how every country I could name takes care of and values its citizens except the US - here, if you don't have pots of money, you're deemed not[Truncated]" * I do not mind paying more tax if I know that is going to pay for my healthcare and that of my dependents. This is a burden that should fall on the government to provide and administer. Although it's great if an employer offers private healt[Truncated] 25387 6/27/06 11:32 AM TX "* I differ on the premise that we have ""affordable"" healthcare. I firmly believe that we must have citizen-paid tax dollars apportioned from the US Treasury cover the cost of healthcare for all Americans.[Truncated]" "* A ""core"" benefit package should have no limits on what is covered. Being well will continute to be a problem unless the issue of eating organic food, clean air, pure unadulterated water is and other environment issues are addressed. The mas[Truncated]" "* I have addressed this in both previously stated recommendations. I want my tax dollars to support the well-being of every member of this society. We have plenty of money, provided we do not spend 80% on the destruction of other societies.[Truncated]" * The first cost to control is cost of medication. Pharmaceutical companies are the biggest benefactors of the poor health of people everywhere. Most drugs have so many ill-effects that it is better not to take drug. Alternative therapies mu[Truncated] "* A Federally funded campaign through print, and all electronic media avenues educating citizens of all ages must be the first step in changing the mentality of health. The medical field is a fix-it approach and should be used as the last reco[Truncated]" "* Once again, financing must come from our previously paid income taxes. It seems to work fine for every member of Congress. I recommend that we reduce the allocation from the Department of Defense, where trillions of dollars have been wasted[Truncated]" 25388 6/27/06 11:33 AM TX the charges by insurance co.for the administration of the present plans would probably pay for univ sersal health care.. 25392 6/27/06 11:38 AM WA Basic affordable health care should be available to all U.S. citizens. "* YES. Do it. The core package should also include research, or at least data collection, into occupation based health needs so that industries that place the most burden on the health care system provided, support it in a proportional way.[Truncated]" "* I agree. Plus, industries that place the greatest burden on the health care system should pay proportionaly for this. Joint problems in construction workers: general contractors/construction industry - respiratory problems for smokers: tobac[Truncated]" "* Yes, this sounds good. Religion and politics MUST be kept out of the networks and providers. The health care provided must not become part of some ugly moral b.s. it must meet the true needs of our citizens.[Truncated]" Sounds good. I Agree. No. * I want this for all our citizens and would be willing to pay some for it. What I would really like to see is my tax dollars taken out of Iraq then put toward health care and alternative renewable energy development. How about we invest in our[Truncated] 25393 6/27/06 11:38 AM IL "* Why do costs have to be so astronomical? Can't Dr's, hospitals and all diagnostic tests be on a set fee? The same with prescriptions!!!![Truncated]" * Let all American citizens have the same health insurance coverage that members of Congress have!!!! They are no better than ANYONE else!!!![Truncated] "Quit starting ""NEEDLESS"" wars and use the billions and billions generated for war for healthcare for all American citizens!!!!" 25395 6/27/06 11:40 AM CA "Focus, too, on prevention and good health habits. That can save a bundle. People should be responsible to stay healthy." 25396 6/27/06 11:40 AM FL We need this more than ever since all these companies are tryingto take our insurance away frim us. 25397 6/27/06 11:40 AM TN * HOW WILL FINICIAL ASSISTENCE BE EVALUATED. WE SEE EVERY DAY PEOPLE TURNED DOWN THAT TRULY NEED IT AND OTHERS THAT DO HAVE THE MEANS TO PROVIDE FOR THEMSELVES GET THE HELP.[Truncated] "* DO NOT ALLOW THE PAY FOR ""EXPERTS"" TO GET OUT OF HAND, AS THE CEO'S OF COMPANIES HAVE. THE PARTICIPANTS SHOULD HAVE A VOICE IN THE ""HIRING"" OF EXECUTIVES THAT WILL REPRESENT THEM. [Truncated]" "SOUNDS GOOD BUT NEED TO SEE THE ""HOW TO"" OF THIS ONE." * DON'T MEAN TO SOUND NEGATIVE BUT WHENEVER THE FEDERAL GOVERNMENT GETS INVOLVED THE PEOPLES RIGHTS SEEM TO BE LEFT BEHIND. WE ONLY HAVE TO LOOK AT RECENT DEVELOPEMENTS--THE STRIKEDOWN OF MINIMUM WAGE FOR ONE.[Truncated] * I'M NOT SURE TOO MANY SENIORS CAN PICK UP THE TAB FOR MUCH MORE OUT OF THEIR SOCIAL SECURITY CHECK. WE AREN'T GIVEN A CHOICE THE FEDERAL GOVERMNENT JUST TAKES OUT WHAT THEY FEEL LIKE IS NEEDED.[Truncated] * HAVE A PLAN OUTLINED AND PRESENT IT TO THE INSURANCE COMPANIES THAT HAVE A FAIR REPUTATION AND ONE THAT WILL WORK WITH THIS NEW ORGANIZATION.THEIR EXPERTIESE CAN BE USED TO PREVENT ROADBLOCKS THAT A NEW ORGANIZATION MIGHT NOT REALIZE.[Truncated] 25398 6/27/06 11:41 AM WI * I am a registered nurse and have come to believe that health care is a right that all Americans deserve and must have. We need a simple yet cpmrehensive plan that covers everyone; this is not only good for the people but good for business an[Truncated] 25399 6/27/06 11:41 AM MI "* In providing health care to all of our citizens, we are behind and belated. Canada has a health care system that takes care of all of its citizens, and should be a role model for a system for the United States. It seems to work there, so we s[Truncated]" 25403 6/27/06 11:42 AM DC "Affordable Health Care for all should be regarded as a right, and not a privilege." 25405 6/27/06 11:43 AM CA "* That was a lot to digest when I'm not familiar with exactly what those practices mean, but I am very impressed with the thought and study that have gone into these recommendations. Reading them makes me feel that there is a light at the end [Truncated]" 25407 6/27/06 11:46 AM PA "* We need universal health care for all americans now. The 300,000,000 americans together can tell insurers that we are asking for better prices for everyone together under one health care plan, the same one that senators and congressmen have.[Truncated]" No health care coverage should be denied whether for wellness or sickness visits. "Health care for everyone is my objective regardless of health, welfare, socio-economic status or any other categorization." * I am in favor of providing more money to fund research for all diseases and illnesses even at the expense of raising the national debt.[Truncated] "All care should be inclusive and of high quality despite age, health or socioeconomic status." * The financing of health care for all Americans should be done by the government bartering for universal health care for all. Take the burden of paying for health care away from individuals and companies so that America can compete in today's[Truncated] 25408 6/27/06 11:47 AM WI fully support support recommendation fully support in agreement in agreement let's get moving on this headed in the right direction 25409 6/27/06 11:47 AM NY make sure that mental health coverage - as close to parity as possible is included. Can you lobby for mental health parity? 25410 6/27/06 11:47 AM CA "* I agree that only all US Citizens born or naturalized (with the exception of deadwoods or lazy bums); legal immigrant should be entitled to government financial assistance. Affordable health program should be provided to all including illega[Truncated]" "* I agree of having a core benefit package with all of the above. Although the total amount should be equal to all, I feel that it should be tailored to individual needs. Plus the system shall provide earned credit to those who remain healthy &[Truncated]" Financial assistance for low income individuals and families shall be strictly enforced to ensure legitimate illegibility. "* All of the above are great, but why not also provide free but limited access to health club's through contracts such as with; 24 Hours Fitness, YMCA, etc. [Truncated]" * All pertinent records without jeopardizing individual’s privacy shall be open to public & private sectors for check & balances.[Truncated] "* Again, I feel that if the individual does not elect to make use of any of these end-of-life services then it's only fair that the benefits be shifted to burial & memorial services.[Truncated]" "* In order to get into the core of the rising cost of health care, I feel it's only appropriate that we have law enforcement agencies be looking into fraudulent activities concerning medical malpractice, pharmaceutical pricing, & phony lawsuits[Truncated]" "* I agree that new revenues shall be in place for health care security provided that its funding should be garnished from excess government spending on other programs such as EPA, Welfare, & support to other countries.[Truncated]" 25411 6/27/06 11:47 AM NY "* The waste in the current system in monumental. Patients waste time figuring out benefits, which doctors are in their approved group, selecting insurance policies, and need an advocate to help if anything serious occurs. Doctors need staffs of[Truncated]" "* Expand Medicare to cover younger people. It has proven to be relatively efficient compared to other plans, and there is no need to reinvent the wheel.[Truncated]" "* Patients should see their medical bills so that they can stop the system from paying for duplicative and unneeded lab tests, ekg's, etc.[Truncated]" * I recently had my first real experience with a health problem that took me to the hospital on an emergency basis and then required follow-up care from an orthopedic specialist and a family practitioner. This experience demonstrated that the h[Truncated] "* By streamlining and simplifying, major costs can be cut, avoiding the need for much new financing. There must be negotiation with drug companies to bring medication prices down. [Truncated]" 25412 6/27/06 11:48 AM NJ * We currently spend a fortune on health care in this nation yet so many people are left out. It is not beneficial to the nation as a whole to leave anyone without proper health care. The uninsured overtax the emergency rooms in desparation w[Truncated] "* As a working person who can only afford marginal health care I have no prescription coverage. Yesterday I was told an eye drop I needed would cost $98.00. This is outrageous, first of all because their is no reason and such product should b[Truncated]" 25413 6/27/06 11:49 AM CA "* ""It's about time"" that all Americans had affordable, appropriate health care services. ""Better late than never"" that we, the taxpayer, have access to quality health care without being at the whim of corporate profits. ""What's good for the goo[Truncated]" "* There is no risk to ""wealthy"" Americans in this plan. They can and have always been able to buy their way out of trouble. This is a safety net for all Americans, nothing more. Addendum care can always be available for those of us lucky enough[Truncated]" "Negotiate, high numbers - good bargaining chips for holding costs down." "* Seeing as HMOs have failed miserably at servicing the vulnerable and failed at controlling costs, I am a bit skeptical. Social Workers, and those interested in citizen well-being should be involved in providing the framework for this network.[Truncated]" "* Federally-funded programs are a good start, but long overdue corrections should be examined and implemented. Slow response and lack of choice have always been an issue with these programs.[Truncated]" "* Amen! No one cares for the dying like hospice - even more than the palliative arm of medicine. Education should be available to our citizenry to inform them of their choices. Death should be an open discussion, not kept under the rug as it ha[Truncated]" Get on with it! "* With 250,000,000 citizens, a very large pool is formed from which to draw funds. The cost of care can be controlled and, when our government negotiates pricing with the pharmaceutical companies, the cost of prescription drugs can be controlle[Truncated]" 25417 6/27/06 11:50 AM OR All of these look pretty good to me 25421 6/27/06 11:52 AM FL * Privatized health care is not the answer to protecting Americans from high health care costs. Privatization would only allow for big corporate profits.[Truncated] No to private networks. Opens the door to rampant abuse. 25423 6/27/06 11:54 AM MD "* We should not have older people, seniors, unable to have the medicene they need to be healthy. We revere our mothers and fathers and this is our honor and our legacy. We have come so far finding cures and medicenes to make our lives better, [Truncated]" * We are spending billions to fight a war. We need to find a way that we can afford health care for everyone. Our health and the health of our The health of ourselves and our loved ones needs to be of primary concern. This is our survival. St[Truncated] 25425 6/27/06 11:55 AM MA We need broad span coverage and less bureaucracy and paperwork; socialsecurity is a policy to focus on. bravo and onward or upward a.s.a.p. Let's implement a universal single-payer healthcare plan now! Medicare could serve as a model for uniaversal care. 25426 6/27/06 11:55 AM IA "* ""Health care for all"" is certainly more supportable, more humane and more American than ""Health care for some"" -- which is our current model.[Truncated]" * A glaring weakness in the report is the lack of any mention of including multiple forms of long term care in the definition of core services. We have a long term care crisis in the making with the aging of the baby boomers and the lack of wor[Truncated] Agree. Any program should have catastrophic protections included. "* If we establish health care coverage for all in this country the need for free and federally qualified health centers will not disappear, but it should certainly diminish. Let's be honest and acknowledge that free clinics, community health ce[Truncated]" "* Let's insure that quality of care definitions and payment methodologies are based on a premise that our main goal is to keep people well rather than treat them when they are sick. We treat our cars better than we treat ourselves. We change[Truncated]" * A thorny issue but one that MUST be addressed. Reducing the cost of health care in this country cannot be done if we continue to spend exorbidant amounts of money on patients in their last 3 to 6 months of life.[Truncated] Thank you for your work to date. Full speed ahead!!! * This is a weakness in the report. I believe that you need to be more specific about your proposals for financing IF this is to get serious attention.[Truncated] 25428 6/27/06 11:56 AM IL * It is unconscionable that the most powerful nation on earth can not provide affordable health care to all its present and future citizens. A sane health care policy that makes such care available to everyone should get the highest priority of[Truncated] 25429 6/27/06 11:56 AM NY * Some in today's more myopic America would say that we have a right to equal opportunity but that does not necessarily translate into equalwealth. I would suggest that we view the imperative of universal health coverage as FDR viewed the need[Truncated] 25430 6/27/06 11:57 AM CA * I agree. The world's richest nation can and should demonstrate its ability to provide quality medical services to all its citizens rather than put them at the mercy of tiers of profit makers.[Truncated] I agree. Excellent! I agree. "ood plan, I agree." I agree. I agree. I agree. 25433 6/27/06 11:59 AM DE * I agree. People should have benefits - but everyone should have to work towards those benefits - if they are capable. Life should not be a free ride for anyone. [Truncated] Mental and dental health as well as a wellness plan is very important. * A national program - coverage for all - is way past due in America. How can we continue to help every other country except our own??[Truncated] Do it now!!!! * Principles of fairness is very important. Just as the working people should pay their fair share - so should the elected officials. Who's paying for their free ride if not the working people?[Truncated] 25434 6/27/06 12:01 PM MD I approve -- our current system is a barbaric travesty. Sounds good to me. Sounds perfect. Good. Good. Particularly difficult part of the challenge of re-vamping the system -- the recommendation sounds good. No further comments. * The statement generally covers the issue well. I might point out that our tax dollars are currently helping to defray costs for indigent patients who receive care at emergency rooms for critical matters -- they might avoid the critical probl[Truncated] 25435 6/27/06 12:01 PM MA "* Every American Citizen should have access to the same health care sevices with the same level of benefits as the President, the Representatives, the Senators, the Supreme Court Judges and the retirees of these positions. No citizen should exp[Truncated]" "* Tis step is not neccessary, if the same overage is provided. The core benefits have already been ""defined"". This process will be very costly as well as delay any implementation.[Truncated]" I agree I agree I agree I agree * Any financing strategy must first include some reallocation of our current resources such that investment are made in providing solutions to health care issues rather than investing in stratgies that increase the number of people needing heal[Truncated] 25439 6/27/06 12:04 PM UT * We are not really a caring and good nation for the most part. We are a very self-centered people and will get our just reward @ the proper time.[Truncated] "* I think an education program(mandatory) about the problems associated w/overindulgence,life on the sofa, improer diet,etc would serve us much better.Who knows how this private-public group could be stacked!!!Sounds like the current admins. en[Truncated]" * WE can go broke trying to help those who choose not to help themselves. There needs to be some criteria to establish those eligible for certain types of benefits. [Truncated] "Again, an educational program(mandatory) to inform people of their responsibilities should be a prerequisite to any of this." Works for me "WE are responsible for these people,so i agree whole-heartedly." I say take from those that have-not those that don't. Sin taxes etc. will only hurt those we would be trying to help. 25441 6/27/06 12:05 PM CT By spreading the financial risk of health care over a large pool of individuals costs are minimized for all. Malpractise needs to be figured in here also both in terms of compenstation and reducing events. * Procedures should also be put in place to identify waste and eliminate it. You also don't want to limit compensation by artificial means otherwise quality will suffer.[Truncated] Careful how man layers of beuracracy you install. "* This is not a matter of if, but when. The health care a society provides for its citizens is a measure of the quality of that society.[Truncated]" "* Privatize HMO's and you solve the problem. Profits going into the pockets of a few is not an optimal method to distribute health care. Freeze the HMO's stock price, take all the profits for the next few years to pay off the investors and yo[Truncated]" 25442 6/27/06 12:05 PM VA "* Healthcare is not just for the rich, but for everyone. More should be done to help Americans realize that lifestyle has a lot to do with their health. Dollars spent on would turn into dollars saved later.[Truncated]" All licensced physicians should practice evidence-based medicine and most up-to-date guidelines. "This sounds great, but be careful that we don't make a bigger mess than we have now." * Up-to-date health information systems should be mandatedso that wherever one goes access is available to their records. This would save money. Less likely of patient mix-up and identity theft of health insurance.[Truncated] 25443 6/27/06 12:06 PM ME * Medical establishments and Insurance Corps need to understand medicine is about saving lives and not dipping into 401K's for the affordability of Life saving treatments.Also the Health Freedoms Act needs to be available to all new alternative[Truncated] Yes all needs to be included as well as Alternative Healing Practitioners "* No one should have to decide if they should eat, pay their rent or buy gas, instead of the costly medical intervention to make ends meet I mean this is America[Truncated]" * The FDA is under attack concerning their approval to known cures that are kept under secret so that we are led to beleive that the Government has our best intentions. I beleive that cost effective cures are kept away from the main stream pub[Truncated] Don't you realize that most Americans believe the Bush ADMINISTRATION HAS SOLD OUT AMERICA. "* We already have a health clinic for all( the uninsured) the above that you are suggesting right here in Maine and other towns they receive in kind donators MD related. I[Truncated]" "* DO NOT POST THIS AREA BUT YOU CAN POST THE OTHER ABOVE ADDITIONAL COMMENTS yes " All for ONE and One for ALL 25445 6/27/06 12:07 PM MA * Bring US health care costs down to European levels - thousands of dollars a year less per capita! And bring our outcomes UP to EU levels.[Truncated] 25446 6/27/06 12:10 PM OR Agreed Don't reinvent the wheel. Look to other systems and for common services covered using the above stated methodology. "* Agreed. However, having a 2 tiered system based on income puts those low income persons at risk. Social Security is not means tested and is probaly the most politically stable as well as its recipients the most secure in their benefits. [Truncated]" Agreed "* I would expand greatly the services mentioned in the last bullet. Health care costs are sky rocketing in part due to poor health habits and preventable diseases. Also incorporate the recommendations created by the task force that identi[Truncated]" "* Absolutely. The medical community should be applauded for their heroic efforts to prolong life, but when it is time to go, most people would rather be peacefully at home with their loved ones than in an exensive hospital bed. [Truncated]" "* Multinational corporations must pay thei fair share. Wxample Wal-Mart. There must be a relationship between their profits and their respp\onwibilities. The US is the only ""first worrld"" country that allows its citizens to fall into homeles[Truncated]" 25448 6/27/06 12:12 PM IL "* I feel strongly that this great nation of ours, should be compassionate enough to provide affordable, high quality health care for all, regardless of economics, or their status.[Truncated]" 25449 6/27/06 12:12 PM MO Remove the word AFFORDABLE. As soon as you say affordable we exclude people. The non-partisan group should have members who have no access to health care All employers must participate at the same level. 25450 6/27/06 12:14 PM MS * Americans are suffering because of lack of affordable health care including ones that have health insurance that doesn't pay the full amount of the medical bills. Doctors are living like Kings on the backs of the sick and elderly. Something[Truncated] * This could mean that if this board doesn't feel your treatment is necessary you could be denied treatment. This may not be a good idea. It is like putting your life in someone else's hands. [Truncated] * This is overdue. I never understood why hospitals & doctors charge such ridiculus fees knowing that the average person has no way to pay them. This is why so many end up in bankruptcy. I don't expect them to work for nothing but medicine i[Truncated] "* This sounds real good but after being a part of the Hurrican Katrina fiasco with FEMA I'm not sure about the Federal Government being involved with anything. [Truncated]" "This sounds wonderful if it can be implemented. Again, there is so much red tape when the FEDS are involved. " * This sounds ok as long as it doesn't lead to doctor's having the power to euthenize the elderly and terminally ill. I know this isn't a problem today but the way our society is headed it won't be long. [Truncated] * Financing has to come from somewhere but it should not become the responsibily of one single income group such as the middle income earners. We get hit with it all. [Truncated] 25458 6/27/06 12:20 PM KS "* Universal affordable health care is essential for everyone. I didn't realize when I was young and gave birth to my third beloved child that he would be gay and would, in time, get HIV-AIDS from his first committed relationship. Nor did I real[Truncated]" Recommendation 2 sounds like an excellent plan. This is essential to the health and well-being of our entire nation. "Well thought out. Specifics are always hard, but experience will lead the way." "* The federal government is the only organization that can efficiently do these kinds of things, as it does not have to make a profit, and health care should never ""make a profit"" from people whose lives are shattered by their illnesses. The pu[Truncated]" * End-of-life care is scary at best. Nursing homes are problematic for people who have no money left at the end of their lives. Why should this be so? I approve of this recommendation.[Truncated] Thank you for your efforts on behalf of all Americans. "* Since many of the costs of HMOs and similar plans include vast armies of people doing cost control studies (my physician-assistant sister was one of those people), and advertising for their plans, costs will come down dramatically. Money can [Truncated]" 25459 6/27/06 12:21 PM CA "* This is a overwhelming concern, for example, my mother who is a US CITIZEN born and raised here, daughter to a WW2 vet, ex-wife to a Vietnam Vet is now insulin diabetic. The 3 part time jobs do not offer Health insurance and she is forced to [Truncated]" How about if we focus on Working Americans who just can not afford health insurance? How about if we quit rebuilding IRAQ and dumping billions of dollars there and help out our own CITIZENS? 25460 6/27/06 12:22 PM FL "* Rather then address each issue, I would prefer to just get you my opinion on the total issue. We need change in this country; the current health-care system is obsolete. Medicare and Medicaid are the most abused systems you can imagine. They[Truncated]" 25462 6/27/06 12:23 PM OR "* Yes. How can we guarantee ""health care for all"", when ""ALL"" represents out-of-control population increases.Whether from natural birth-rate or from runaway immigration,We're in an out-of-control situation in this country and on this planet...[Truncated]" 25465 6/27/06 12:24 PM CA "* Hello, I'm currently serving as the vice chair for California Democratic Party Progressive Caucus and on our Heatlh Care committee we are currently working with state Senator Sheila Kuehl who authored California Health Insurance Reliability [Truncated]" 25469 6/27/06 12:26 PM MN * Absolutely.We needo to recognize that the system we have now rations care for most people. But it rations it on the wrong end of the delibery spectrum. We ration primary and preventive care and effective medical (drug) treatment. But once a p[Truncated] "* The core benefit set should stress the establishment of care management processes to coordinate care across delivery sites. A recent study by Paul Ginsburg illustrates how the evaluation and management functions of primary care, the tradition[Truncated]" "* In the relationship between poor health status and poverty, causality flows both ways. Its not just that poverty causes poor health but it is equally true that poor health causes poverty. And its not just medical costs that cause poverty. Poo[Truncated]" * The concept of integrated community networks should include the need to develop collaborative networks that can support care coordination. This is a particular problem in rural areas where no provider has sufficient resources or authority to [Truncated] "* You are probably aware of the work of Elizabeth McGlynn and also the NCQA and the Dartmouth Atlas group in defining ""efficiency"". But you should also be alert to the fact that efficiency is often in the eye of the beholder.[Truncated]" "* Agreed. Palliative care needs to be better integrated. Better care management for patients with chronic conditions is needed. One of the ways to encourage that development will be to find ways to integrate financing between primary, acute, lo[Truncated]" "* Excellent, and I think realistic, recommendations given where we are today. You are aware of the magnitude of the growing crisis in health care financing. We may be watching a train wreck in slow motion. Health insurers are no longer trying t[Truncated]" * Financing must be such that savings from reductions in inpatient care can be used to promote care coordination and secondary prevention for people with chronic conditions. The British system has been successful at using pay for performance to[Truncated] 25471 6/27/06 12:27 PM NY "* You mean I dont have to worry about getting sick, or hurt and losing everything. I dont have to be stressed out that Im going to make to much money(not even $30k) and lose my sons child health plus benefits. It will be a luxury to have healt[Truncated]" 25472 6/27/06 12:27 PM CT "* ""A system which everyone participates"" Does that mean being forced to buy insurance like the law passed in Mass? Not good.......Gov't should pay the full cost.[Truncated]" * Leaving design of care to a group maybe dangerous. I would like to see the best coverage. Look at the best possible heathcare available cuerrently as a model and use that.[Truncated] Again should be no cost. "Low income, no income or rich, we all should be treated the same." Continue reasearch as we are and expand to look at practices in other industrialized nations. This should fall under a no pay service. We should be able to walk into a care center/hospital and have any heathcare issue addressed at no cost! * We should have to pay nothing. If we can finance trillions for war we can provide our people with heathcare. Paying will only lead to increases in the future and ruin the basic idea of heathcare for all.[Truncated] 25473 6/27/06 12:28 PM IN this needs to be for u.s.a. citizens only and aforadble it seems to be good just for americans only not sure i under stand sounds good needs to be passed i hope it passes it needs to be cheep 25477 6/27/06 12:32 PM OR Sounds great! Very important for the dying as well as the families of those folks. "Very impressive. Hope those in authority to implement such a program would be impressed, too." * Health care for everyone saves the tax payer money in preventing diseases . Prevention of disease is more cost effective than treating chronic diesease later at the public's expense.[Truncated] 25479 6/27/06 12:34 PM GA "* Adopt the best practices from the healthcare systems in Canada, Denmark, and Sweden. Universal healthcare means healthcare for ALL, no exceptions![Truncated]" "* Whatever, sounds like yet another bureaucratic nightmare waiting to happen because Americans are too short-sighted and too stupid to REMOVE PROFIT FROM HEALTHCARE! That's how you achieve high quality healthcare for ALL![Truncated]" This national program better be public and not private. This will never happen as long as Bush is in office. Reduce fraud by eliminating profit from healthcare! * None of this means anything if you don't legalise and decriminalise euthanasia. Release Dr. Jack Kevorkian and quit using him as a political pawn. Stop playing politics with Human lives! Saving lives at all costs without addressing quality-of[Truncated] "* 7 Basic Human Rights guaranteed for ALL Human Beings: 1. Food 2. Shelter 3. Clothing 4. Healthcare 5. Education 6. Safety 7. Security Absolutely NO taxes or profits derived from any of these 7 Basic Human Rights. Abolish ALL incom[Truncated]" "* Bullshit! Implement the best practices from Canada, Denmark, and Sweden without delay. Forever abolish the profit motive from all healthcare![Truncated]" 25483 6/27/06 12:34 PM CA "2nd word ""should"" needs to be stronger--not wishy-washy! I prefer ""need to or must""." ok ok ok ok ok "* I believe that patients who refuse to follow advice of health care professionals and programs available to them give up their rights to expensive emergency solutions. For example, an obese patient unwilling to lose weight via supportive prog[Truncated]" Ok 25487 6/27/06 12:38 PM FL "* It is a disgrace that even one citizen of the United States might lack competent health care. When you observe the vast amount spent on the invasion of Iraq so that the energy industry might profit while the nation's debt soared, while child[Truncated]" 25488 6/27/06 12:38 PM TX "* Vote, Vote, Vote, in November and remember who was not their for your health care security............ Give you one hint.....GOP VOTE FOR A NEW DIRECTION [Truncated]" "* VOTE FOR A NEW DIRECTION VOTE DEMOCRAT[Truncated]" "* VOTE FOR A NEW DIRECTION VOTE DEMOCRAT[Truncated]" "* VOTE FOR A NEW DIRECTION VOTE DEMOCRAT[Truncated]" "* VOTE FOR A NEW DIRECTION VOTE DEMOCRAT[Truncated]" "* VOTE FOR A NEW DIRECTION VOTE DEMOCRAT[Truncated]" "* ONLY VOTE FOR A NEW DIRECTION VOTE DEMOCRAT[Truncated]" "* VOTE FOR A NEW DIRECTION VOTE DEMOCRAT[Truncated]" 25490 6/27/06 12:39 PM CA "* This would seem to be common sense. We need universal healthcare coverage. Also, various studies have shown, and my personal experience supports, that healthcare practitioners spend way too much time doing paperwork and not enough time tendin[Truncated]" "Yes, good. Evidence-based science should include more than just evidence from pharmaceutical manufacturers." "Well, this would be why we would have universal coverage." "* I don't have a lot of trust in ""public/private"" partnerships. I find that ""the public"" often gets screwed. In fact, the whole ""public/private"" partnership is one of the main problems with our system. The profit motive is inherently incompatib[Truncated]" No arguments here. This is all rational. "* I do not believe that we need the ""private"" end of this. Corporate healthcare (insurance and HMOs) have created the convoluted medical hell that we have in this country. For all the talk of the ""efficiency"" of the private sector we see the op[Truncated]" "* I also agree with this statement. Rolling back some of the ridiculous tax cuts that the current administration has made would go a long way toward financing health coverage, as would actual taxes on many of the corporations that pay no taxes [Truncated]" 25491 6/27/06 12:39 PM MN "* A major reason for most people not having health insurance is rates that we can't afford. The definition of ""affordable"" needs to be realistically defined in any program that mandates participation. It would be wonderful to have a system th[Truncated]" * If you are going to rely on evidence-based science you need to allow for new forms of treatment that work - and not require a 20-year span of evidence before the treatment is accepted as proven. There also needs to be some kind of allowance [Truncated] "* This would be perfect. I suspect the cost involved may put this into a ""future"" catagory rather than an immediate existance, but it would be a boon for everyone. I also believe that ""nursing home care"" should fall into this same catagory. [Truncated]" "* This is a necessity. I don't know how we can fund enough clinics and/or emergency facilities in rural/underserved areas but we need to address this issue. At the least- looking at creating a larger, nationwide system of transporting emergen[Truncated]" * Do not let the evidence-based test practices make access to new treatments so difficult as to prevent needed treatment. Perhaps including a more thorough and intense health education program in the secondary education would increase patient [Truncated] "* I have lived through both of my parents facing these ""end-of-life"" choices. My major complaint is that long before they reached the point of having no other medical options - their healthcare provider had taken the point of providing only th[Truncated]" "* As you might tell, I have dealt with healthcare systems in relation to my autistic (borderline) son and with both of my elderly parents. One was in a nursing home, the other had expensive at-home private care until the final week-end before [Truncated]" "* Take a look at how the Canadians, British and European countries manage their national health programs. There should be something we can learn from them that would enable us to make an effort at an efficient and workable system to finance he[Truncated]" 25493 6/27/06 12:42 PM OR "* How could any rationale person not agree with this statement. We are all the same no matter how much money we do or do not have. We all want to feel safe, healthy and live our lives the best we can. At some point the chances are we will al[Truncated]" "* It is imperative that ""core"" include the areas as stated above, i.e., physical, mental and dental health. We must understand the need of mental health services and place equal importance on providing needed care for those who need mental hea[Truncated]" "* We need to realize that while there is a great and valid concern over the cost of providing healthcare to everyone, in the long-term there should be great benefits to society as well. There has to be many things we can all do to make the syst[Truncated]" 25495 6/27/06 12:43 PM AZ Having a pool of people without healthcare is a serious public health risk and a moral outrage. "* The ""core"" benefits package must be created people with expertise in the health needs of people and not based on religious, racial, or ethnic considerations even if those considerations represent a majority of the population. I am very conce[Truncated]" * Providing medical care to all individuals irregardless of ability to pay is in the public interest. Leaving poor people out will create potential population pools where serious communicable diseases can grow to potential epidemic levels.[Truncated] * Matching health care services to the cultural requirements of the local community is essential if people are to use the services. People in need of health care should not be alienated by the providers.[Truncated] * The adaption of a single payer federally funded system will bring savings by the law of economy of scale and will elimated the excessive administrative costs of the current system.[Truncated] * People of all ages must be treated with respect as human beings not cattle. This is doubly so for those in their twilight years who have earned extra respect for their life long contributions to society. The value of a person must not be me[Truncated] "* It is vitally important that the health care system be free from discrimination due to gender, race, sexual orientation, gender identity, ethnic, class, criminal history, etc. Safeguards must be included to ensure that this does not occur - [Truncated]" "* While several options exist, the experience of other countries show that a single payer system is the most cost efficient method. The current multi-payer system is an unbearable burden on small and large businesses, is making us uncompetitiv[Truncated]" 25496 6/27/06 12:43 PM VA It is deplorable that all Americans do not have access to health care. 25498 6/27/06 12:45 PM TX "A solid idea, everyone should have health care." "* Well thought out and inclusive, not at all like the current system in place where a group of wealthy, healthy doctors decide who gets what and why for how much.[Truncated]" Finally some common sense in America's health care system. We should all pay in for the betterment of all. 25499 6/27/06 12:46 PM MI It works in other countries and it's needed here. People without health care are breaking the back of our hospitals. * Ever since Congress changed the bankruptcy laws more people have had their lives ruined by high health care costs. We know more and more young adults who do not have any health care coverage (including our own son) even though they work.[Truncated] 25500 6/27/06 12:47 PM CA * As one of the millions of Americans who can not afford health insurance I strongly urge a program of universal health coverage for all Americans. Emergency Rooms are in crisis because people without coverage use them as their only health car[Truncated] "* I belive preventative medicine could save millions of dollars! Poverty is probably the largest killer disease in the world. With proverty comes poor diet, terible physical and mental stress. Could not mental health care (not to mention the[Truncated]" * I suggest that part of the funding would come from the individual on a sliding scale according to income. It is not a abd thing formpeople to feel they are contributing to their own well-being if they can.[Truncated] 25501 6/27/06 12:47 PM TN Having the best Health care in the world doesn't mean much unless it is accessible. 25502 6/27/06 12:48 PM MN * It saddens me to see so many people in America with no insurance and the hardwoking people barely affording or just can't pay to affor it. The Government helps other countries that are really are not trying to help their ownselves and the on[Truncated] 25503 6/27/06 12:50 PM PA * I support high quality health care for all people not just the rich. I am currently helping a loved one who recently had a stroke and I am witnessing first hand the crisis that our health care system is in and how it affects peoples lives who[Truncated] * I support high quality health care for all people not just the rich. I am currently helping a loved one who recently had a stroke and I am witnessing first hand the crisis that our health care system is in and how it affects peoples lives who[Truncated] * I support high quality health care for all people not just the rich. I am currently helping a loved one who recently had a stroke and I am witnessing first hand the crisis that our health care system is in and how it affects peoples lives who[Truncated] * I support high quality health care for all people not just the rich. I am currently helping a loved one who recently had a stroke and I am witnessing first hand the crisis that our health care system is in and how it affects peoples lives who[Truncated] * I support high quality health care for all people not just the rich. I am currently helping a loved one who recently had a stroke and I am witnessing first hand the crisis that our health care system is in and how it affects peoples lives who[Truncated] * I support high quality health care for all people not just the rich. I am currently helping a loved one who recently had a stroke and I am witnessing first hand the crisis that our health care system is in and how it affects peoples lives who[Truncated] * I support high quality health care for all people not just the rich. I am currently helping a loved one who recently had a stroke and I am witnessing first hand the crisis that our health care system is in and how it affects peoples lives who[Truncated] 25505 6/27/06 12:50 PM NY healthcare is a right that must be provided for by the federal government. 25508 6/27/06 12:51 PM CA * I'm a 30+ year Type 1 diabetic & have only had health insurance for 2+ years.I pay more than $350 month for my insurance. We need universal health insurance in the worst way...I cannot tell you how many times I've done without in crucial area[Truncated] 25509 6/27/06 12:53 PM WI "I totally agree that everyone should have health care, not just the rich." I feel this would be the best thing to do for everyone. No one should have to lose everything they have worked for because of medical problems. As long as we get the right people in charge of the programs. This would be great but would have to be strictly monitored. "I agree, all to often when someone is approaching their last days they don't know where to turn for help." "Let's get started on this huge healthcare program, the sooner the better." It's about time we start working on this huge problem the sooner the better. 25510 6/27/06 12:53 PM VA "* It is a disgrace that this richest country in the world does not provide for its citizens the way other advanced countries do. I don't think we will ever see it during the pathetic, selfish administarion which is now in power. [Truncated]" 25512 6/27/06 12:54 PM MA Agree...expand Medicare if necessary to cover those who have insufficient income for medical expenses. Having wellness and preventive services paid may prevent more excessive medical expenses later Sounds fair Sounds fair Important to monitor fraud and waste as part of the plan Sounds fair "* As someone who receives Medicare due to disability, I have found that not all my costs are covered, even though my only income is Social Security (SSI) disability income. Is this because I am 64?[Truncated]" Appears to make sense 25513 6/27/06 12:56 PM MO I concur with Recommendation 1 I concur with recommendatin 2 Yes This plan has abviously taken a great deal of time and effort. I congratulate the Commission on a very through piece of work. "* A surcharge equivalentto a core package should be charged to employers, additional expenses should be financed through other revenue streams and mandates on expenses.[Truncated]" 25515 6/27/06 12:59 PM TX * All Americans indeed. I am one of those Americans who does not have health care because I can't afford it. Yet if I pay out of pocket it is outrageous! I am too responsible to just show up at the ER because of minor illnesses but what does a [Truncated] All the fines from big business pollution should be used for health care since they're causing the health risks. 25520 6/27/06 1:02 PM PA "Everyone should have the chance to live a healthy life as our elected Employees ( Congress )" Absolutely get everyone including the uninsured to make the plans. We must rein in the insurance companies to lower the cost. We will need a major change in Washington to accomplish this. We are working on doing that in Pennsylvania now! Efficiency is the key. Let people die with dignity. "* We have to fix this mess. Even though I have decent health insurance, anything can happen. I can't bear to see a child in misery because their parents can't afford a doctor or prescription.[Truncated]" Take from the richest and give to the poor. 25522 6/27/06 1:05 PM PA "* We all worry about the poor in other countries, which is a worthy cause to be behind, however I wonder how many Americans are in need of health care, are unable to get medicine because of exorbitant charges. My grandson was just starting a n[Truncated]" 25526 6/27/06 1:06 PM CA Please provide health care for all citizens. There should be a core benefits package provided as outlined above. I agree with every American being covered by health insurance. Integrated community health networks are important to making this plan work. Efficiency in implementing health care is very important to cost and quality of care. I agree with the above statement. Please provide fair and equitable health care paid for in a fair and equitable way. 25527 6/27/06 1:06 PM NY I fully support this recommendation. Please help us implement it. Thank you. Yes. 25529 6/27/06 1:06 PM CA "make sure no one is discrimanted against, such as gender, race, and sexual orientation,." should include vision care as well. every one needs basic healthcare! 25530 6/27/06 1:06 PM TN "* Every American who enters this country ""legally"", should be covered under the same health care as everyone else, including all members of congress. Congress should share the same coverage as all Americans and this goes for Social Security as[Truncated]" "All Americans should have the same coverage in health care and pension benefits, including the President and Congress." "* Fiscal responsibility of this program should be twofold. First, the health care industry needs to be brought under control. Health care cost have risen at 2.5 times the rate of inflation until the year 2000, when they began rising at 4 time[Truncated]" "* I don't believe this will work. Our nation cannot compete globally with nations that have a federally funded health care system. All Americans should have the same coverage in health care and pension benefits, including the President and Co[Truncated]" "* Americans are paying the most for health care of any developed nation, but the quality ranks near the bottom of all developed nations, yet congress only wants to limit lawsuits instead of pushing for higher quality.[Truncated]" All Americans should have the same coverage in all types of health care. "* It's time that we quit having a double standard in this country, where the President, Congress and the other people of priviledge have the best of health care and retirement benefits, while the working middle class and poor carry the load and[Truncated]" "* Fiscal responsibility of this program should be twofold. First, the health care industry needs to be brought under control. Health care cost have risen at 2.5 times the rate of inflation until the year 2000, when they began rising at 4 time[Truncated]" 25531 6/27/06 1:07 PM IN "* If other countries can have (England) universal health care, why can't the U. S.? We are always sending money outside the country when there are so many people need help here. [Truncated]" no comment Right some citizens are having to take out loans to pay the co-payment part of their insurance when they are hospitalized. no comments no comment no comments no the monies that each state is spending on medicaid can go to the unversal health care. 25532 6/27/06 1:07 PM MN "I have a brother who lives in Germany, and I don't see why America shouldn't have a health program like Germany's. It works." "* I am an American and through a series of circumstances beyond my control, I have been depending on my State's health care program for some years. Employers either haven't offered health care or the cost is prohibitive. I'm currently unemplo[Truncated]" "* Due to a very bad accident, I would have been impoverished by hospital bills if not for my state's health plan. I live in fear of another freak accident. [Truncated]" We don't need committee after committee to establish this network. Do it! * Germany is proof that health care for all will not bankrupt the country. America needs to stop listening to the PACs and corporate Fat Cats who are against Universal Health care.[Truncated] 25534 6/27/06 1:08 PM PA let's get it done! 25535 6/27/06 1:08 PM GA * Jesus Christ would absolutely support a single payer national health care system for all American citizens. People without health insurance are not going to the doctor until their health problems cannot be ignored. This is costing us far more[Truncated] "* I like the provisions of HR676 by Congressman John Conyers (D-Mich.) and the provisions set forth by Physicians National Health Plan (pnhp.org) and the way Alberta Province, Canada covers people. Each Province in Canada varies coverage.[Truncated]" "I think it is a National SIN before God, that most bankruptcies in the U.S. are directly attributable to Medical Costs." "NO !! Stop playing around with Health Care and take the direct action of providing quality, affordable, health care for all." Yes !! Put all Health care under ONE single system with ONE single payer for all services. "* Yes, churches and philantropic organizations cannot meet the needs of our people. The government should take care of it's people.[Truncated]" * How can you sit in church and claim to be a Christian while denying a basic human need to over 46 million of your brothers and sisters?? Why don't the churches get off thier backsides and do something Christian about National Health Insurance[Truncated] "* Health care costs should be deducted from their paychecks based on what they make just like social security. Congressman John Conyers (D-Michigan) has it pretty well laid out in HR 676, a bill to provide expanded Medicare coverage for all Ame[Truncated]" 25537 6/27/06 1:15 PM CA "As any civilized, industrial nation should." No duh Double no duh Seems like a no brainer That seems logical Agreed "* Agreed, but the portion that should & would come from taxes is jeopardized so long as the bushwhacker's idiotic tax breaks for the wealthy are in place; i.e., the tax base has been so eroded that it has been difficult to maintain many basic p[Truncated]" 25539 6/27/06 1:16 PM TX I strongly agree. I strongly agree I strongly agree I strongly agree. I strongly agree. I strongly agree. I strongly agree. 25540 6/27/06 1:17 PM TX Adequate health insurance and health care for all is a necessity and will strengthen our economy. 25541 6/27/06 1:17 PM OH Okay with this recommendation. Good. Absolutely! Good. A must.. Good. Good sense ideas! Good. 25542 6/27/06 1:20 PM TN * Provide health care for obese people once they have been fired because of theri size. Push for better protection for obese workers and better antidiscrimination laws reguardign obese workers. Push for preventive measures for people so as to h[Truncated] 25543 6/27/06 1:21 PM TN I sure hope this works. Too many people are suffering. 25544 6/27/06 1:22 PM CA "* It seems much too interwoven to maintain coordination and efficiency. It appears to be open to federal assistance to private agencies claiming to bring health benefits. I fear more of the politically favored contracts will be the result, an[Truncated]" 25547 6/27/06 1:24 PM CA * I urge Canadian style single payer socialized medicine for all without exception. It works and ought be imported here. No one benefitting from the current health care system ought stand in the way of social progress for a more perfect union[Truncated] "* Core benefit is complete health treatment for conditions, and preventive health maintenance and training of patients in how to maintain their health and prevent illness, home medical treatment, etc. Also physical exams, checkups etc. Core t[Truncated]" "* Get the capital costs (i.e. capitalism, profit, high costs) out of medical treatment. Everything free, grad nite at disneyland, etc. for one $10 copayment. The populace jointly with the government would be mandated to eliminate risk factors[Truncated]" "* All people have an enforceable right and they've had it for a long time, many years. The federal government must comply or be lawfully compelled by order of the court. It entirely isn't a matter of what you think they can and can't have, no[Truncated]" "One simple health care system which treats all. People have their choice of doctors, etc. of course." "* Most palliative and other similar care is designed for high profit. Cure them all virtually for free using natural medicine and basic medical notions. Common sense: let there be public health, not mass recurring regular critical illness an[Truncated]" "* What is the underlying philosophy of this socialized medicine: altruistic. No economic pharoahs may enslave, oppress, even mass kill so-called have-nots. For we are all as gods, not one to the exclusion of all others, there is no scarcity [Truncated]" "* Canada and Scandia have socialized medicine financial schemes and they work. Similar design can and ought be set up here. Capital profit taken out of all aspects of medicine, including costs of office visits, exams, treatments, drugs, tests,[Truncated]" 25548 6/27/06 1:25 PM IA Completely opposed to recommendation 1. Universal healthcare will destroy the high quality healthcare available today. "* Completely opposed to recommendation 2. Universal healthcare will destroy the high quality healthcare available today. When you charge a small group with running such a large part of the U.S. economy, i.e. healthcare, corruption will be ram[Truncated]" "* Completely opposed to recommendation 3. Universal healthcare will destroy the high quality healthcare available today. Health Savings Accounts currently available provides this ""protection"" if persons will actually use it in the absence of [Truncated]" * Completely opposed to recommendation 4. Universal healthcare will destroy the high quality healthcare available today. This is a direct transition to the federal government trying to control a large part of the free market. There is no con[Truncated] * Completely opposed to recommendation 5. Universal healthcare will destroy the high quality healthcare available today. The programs mentioned which will be used by the feds will abolish any semblance of high quality/good outcome healthcare.[Truncated] * Completely opposed to recommendation 6. Universal healthcare will destroy the the high quality healthcare available today. The end of life issues are highly charged and personal. Having the government force the healthcare providers to kill[Truncated] "* I am completely opposed to universal healthcare for a number of different reasons which result in a drastic cut in the quality, availability, and access of healthcare as it is today. [Truncated]" * Completely opposed to the financing statement. Universal healthcare will destroy the high quality healthcare available today. There is no reason for society at large to pay the bills for everyone who chooses not to work or hold coverage in [Truncated] 25549 6/27/06 1:25 PM FL * I agree with recommendation 1. Allowing 40 million Americans to be without health care is a disaster and the American government should be ashamed of its self for letting so many people be without health insurance. The programs they have no[Truncated] agree Agree agree agree agree I agree 25551 6/27/06 1:27 PM TX * yes I BELIEVE ALL AMERICANS SHOULD BE ABLE TO AFFORD HEALTH CARE. ALSO BELIEVE ITS A CRIME NOT TO GIVE IT TO PEOPLE MAKING MINIMUM WAGE SINCE ITS A CATCH 22 THEY WONT RAISE MINIMUM WAGE SO HOW CAN THEY AFFORD TO GO TO GET HELP.THATS ONE REAS[Truncated] 25552 6/27/06 1:28 PM TX "* There be no cut off of or ceiling to mental heath treaments, they continue the same as physical treatments without penalties or discrimination.[Truncated]" "All americans have the same wait list, no one can pay to jump the line." "* There needs to be Goverment suport by putting new updated equipment not only in cities but also in outlying towns, so that care is timely and assessable without long travel. Reasearch has shown out dated equipment, long lines and traveling fa[Truncated]" Go 25554 6/27/06 1:28 PM MD good agree agree agree agree agree agree 25555 6/27/06 1:29 PM NY * The American system has changed from heavy industry to light industry and many service sector and part-time jobs. The time will come when many uncovered individuals will need health care. Please allow health care for everyone.[Truncated] 25556 6/27/06 1:29 PM MD * Single payer system administered by the Federal Government with everyone under what is now Medicare. It would be much cheaper than the current private and govt system. But as long as the present admin wants to continue its war the possibili[Truncated] 25559 6/27/06 1:31 PM PA "* No American Should have their Life Savings or Houses and Property Taken away because they get Sick. The System is a Totle Discrace, and It is just Politics and Big Business taking American Prople for everything they own. They are no better th[Truncated]" "* I don't think the Plan should Cover every Scratch your kids get, but it should cover all Hospital and Care needed for the real Medical Problums and Accidents that happen that could threaten our lives and Livelyhoods. Heart or Deseases or O[Truncated]" This is a Number one Priority. "* Everybody should work together to provide care to all Americans. Illeagle Imagrents get faster care then I would, just because I have no Health Insurance. I would pay a Small Co Pay, but I can't afford to give up $500 or $600. a month for Ins[Truncated]" "* Just make sure that all people can be taken care of, and Stop all Fraud and double Dipping , and make it a Crime that can be really Punished, and not swept under a Rug.[Truncated]" "Just take care of America first. We spend so much in every other country, but don't care at all if our Sitizens have anything." "* To all Politicans and Big Business. Start Investing in Americans again, and if you have anything left over, then we can help out the rest of the world. In the last 15 years, I have sat here and watch the leaders of this Country Sell us right [Truncated]" * I think that all the CEO's and Rich in this Country can help. Why should we lose all out belongings because we get sick and need something. I am sure thte Big Shots don't have anything to worry about.[Truncated] 25562 6/27/06 1:32 PM CA "* living in both england and denmark, i had excellent healthcare that was paid for by the taxes of all citizens. we need a national healthcare policy like the majority of the european nations and canada. [Truncated]" "* i watched my parents, who planned carefully for their retirement with insurance policies to cover whatever medicare did not, gradually lose their savings and their sense of security, as their health care costs went up, up, up, and their insur[Truncated]" i want to see a national health program like canada's or england's or sweden's. there's no reason why it can't work here!!! "* i'd be willing to pay a lot more taxes if i knew it was going to finance the health care of not only myself and my family members, but everyone in the country!![Truncated]" 25563 6/27/06 1:33 PM KY "* (FROM KUCINICH.US) Our health care system is broken, and H. R. 676, the Conyers-Kucinich bill, is the only comprehensive solution to the problem. It is also the system endorsed by more than 14,000 physicians from Physicians for a National He[Truncated]" "* (From http://thomas.loc.gov/cgi-bin/bdquery/z?d109:H.R.676:@@@L&summ2=m&) H.R.676 Title: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. Sponsor: Rep Conyers, John, Jr. [MI-[Truncated]" 25566 6/27/06 1:34 PM GA There is no reason in the world why the richest country in the world cannot afford health care for all. Just do it. 25567 6/27/06 1:34 PM NV "* We the people want the same health care as our politician's have, For all American's. The poor & rich. We are supposed to be a nation of equal's!!!!![Truncated]" Again i say bring in some expert's from place's such as Canada. Bottom line is we need a National Insurance program period..... * The United state's & South Africa are the only Country's That don't have National Insurance program's. Let's go to these other country's & and find out how they make it work so well.[Truncated] 25568 6/27/06 1:35 PM NY Very Important that sick people do not lose their homes or reasonable assests as a result of catastrophic illness costs. 25569 6/27/06 1:36 PM WA "* My grandson has horrible front teeth, and my daughter and son in law don't make enough with two incomes even to pay for the anesthesia he would need and to pull them.....my granddaughter needs glasses, they can't afford those....my daughter's[Truncated]" 25571 6/27/06 1:38 PM WA I am all for it-its about time we address this problem. I think this is a very ideal proposition. I'm for it. Yes-this should be done. Again-this is very fine. Good one. This is a worthwhile goal for end of life care. I think you've covered it all. This is a very good start. I do hope it will go to completion. 25573 6/27/06 1:42 PM DC "* This affordable health care must include preventative care (an ultimately cheaper way to do health care than the ""crisis only"" model), and ""Americans"" must include everyone in the States, whether or not they have Social Security cards. [Truncated]" Good. This should include protection of people's homes being seized in the case of high medical debt. "* This health care should be culturally competent, taking into account differences in norms and conceptions of acceptable and needed health interventions from population to population. These networks must also have clear mechanisms for accounta[Truncated]" * Those at higher income levels should pay a higher level of tax. There should be a system for ensuring that large employers such as WalMart are either providing free and comprehensive medical insurance to all employees working 20 hours a week[Truncated] 25574 6/27/06 1:42 PM CA This is such a basic human right as well as a basic human need - why must this be something that we must FIGHT for? See above. Our taxes to work for us -- not just corporations and special interest groups. 25576 6/27/06 1:45 PM NY * When I see my own married hardworking children going without proper healthcare and medicines because they can't afford it -- it makes me sick. Our politicians and lawmakers certainly don't go without health care & continued salaries even when[Truncated] 25578 6/27/06 1:47 PM KY * It is an ethical imperative to offer universal health care to all Americans. This is a fundamental difference between us and the rest of the developed world. This is directed related to the disparity between the cost of our system (the most[Truncated] * I believe that much savings could be offered by giving everyone a very limited and evidence based core benefit. No brand name drugs with generic alternatives need be offered (although supplemental insurance could cover these things). There [Truncated] * Improving the primary care physician network is important in this regard. This is another area where many other countries have much more developed primary care systems and put less emphasis on specialty care. Having more specialist in an ar[Truncated] "* Improvement in quality will come with covering proven benefical and cost effective interventions very well, and not covering unproven services.[Truncated]" * This is important. Related to this is the enormous percentage of the health care budget which is spent on people in the last 6 months of life. We need to realize as a society that just because something can be done doesn't mean it should be[Truncated] "* Increases in efficiencies, both in structure (computerization, etc.) and services (not paying for expensive, unnecessary tests and medicines) could offset much if not all of the increased costs. Moving the uninsured out of the emergency depa[Truncated]" 25579 6/27/06 1:47 PM MI national health care 25580 6/27/06 2:00 PM CA "* Aside from making us a more healthy society, it would stop penalizing employers who do offer insurance to their employees. Also, more people could own start their own businesses because they would not have such overhead. Finally, we owe it t[Truncated]" "* A group like this will make rational decisions that many insurance companies do not cover now: preventing diabetes and treating it at the onset, the same with high blood pressure, addictions, and cancer detection. [Truncated]" See my comments forecomendation 1: taxpayer supported--eceonomic benefits for all. * I agree. Some areas or peoples have different health needs than others and the federal government can pass information and help get treatment to those groups.[Truncated] "* I believe these programs should be joined together. If everyone had health care, we would not need the Healthy Kids programs, Medicare, Medical, Veterans' Health Administration, free clinics in the counties,etc.[Truncated]" "* Yes, I think many people do not want to end their days in hospitals, they would rather be at home or a home-like enviornment surrounded by people who can manage their pain and take care of their physical needs.[Truncated]" "* Thank you for doing this. I HOPE that policy makers will listen and realize that our economy depends on inexpesive health care for all.How many strikes, layoffs, and plant closings result from excessive health care costs?[Truncated]" "* I believe the taxayers should pay--business, too--because it will benefit us all. Costs should be less than now if we exclude the profits that insurance companies make (and saleries for salesmen and the office workers who disallow so many exp[Truncated]" 25582 6/27/06 2:01 PM MO "* When it is stated ""set of core health care services"" it smacks of different sets according to what one can afford even though it is loosley stated above that healthcare will be for all. It should be EQUAL healthcare for all! No differentiatio[Truncated]" Vision care should also be included. EQUAL protection... not based on various levels of healthcare but the same healthcare for ALL! "* Nursing homes should not take everything the person has saved over a lifetime in order to care for the elderly, disabled, and terminal patients. People should be allowed to end their lives in financial dignity![Truncated]" * Anything short of EQUALITY for all will resemble the changes in Medicare debacle currently implemented the the Bush Administration. Simplify!!![Truncated] "* I'm sorry, but the above all sounds like doublespeak and political rhetoric. Again, I read nothing of EQUALITY of healthcare for ALL Americans. The only financial aspect that makes any sense would be to raise taxes slightly for everyone in or[Truncated]" 25584 6/27/06 2:03 PM NY "* A recent report showed time spent at the ER in Hospitals has increased. I believe it is in part due to people not being able to afford a Doctor's visit and or, the waiting time for a Doctor's appointment. In some cases time is a factor gettin[Truncated]" "* Most important are ""Preventive Medicine and ""Diagnoses"" Receiving the correct Diagnose is the key to all health. Getting the correct care for the correct illness, will keep all costs down. Yearly Check ups are sufficent for younger groups. Ol[Truncated]" * Any Health Care program will be costly. It will be the responsibility of the people not to abuse the program and the responsibility of the Health Care professional to keep the costs as low as possible without any danger to the patient and not[Truncated] "* I feel this is the most important aspect, once the plan is in effect. There are too many ways for abuse to occur, both at the patient and health professional level. One dishonest person is One too many. A safe and efficient Checks and Balance[Truncated]" "* Having Universal Health Care is very important to myself and family. I am disabled with a rare disease. I am unable to work and have been for the past Ten years. My spouse is working and we have been able to adjust to One salary. We have Two[Truncated]" "* Regardless of the way Universal Health Care will be paid for, the Medical community must also find ways to keep the cost of services and medications as low as possible. During a Hospiltal stay then after receiving the Bill, paying $5 or $10 f[Truncated]" 25585 6/27/06 2:13 PM CA "* All Americans, regardless of ethnicity, socio-economic status, or religious beliefs, should have access to any medical treatment necessary, without being scrutinized for personal choices.[Truncated]" * Insurance companies should not be included in the decision-making process of benefit packages. Licensed medical experts should devise comprehensive care packages based upon annual check-ups and preventative health on a time scale to manage th[Truncated] Independent monitoring of pharmacutical and insurance companies by non-partisan entities. Set price caps on both. What is the incentive for working in low income areas for medical professionals? "* Give every American a maximum annual expenditure for health care depending on age, sex, and statistical data on what medical needs might be necessary. Include in this amount, possible emergency needs, on-going medical treatment, and prescript[Truncated]" * Senior and long-term care is a growing concern with extended families. More choices should be provided and educational programs focused on facilitating choices for families as well as individuals.[Truncated] "* In an EMPIRE such as ours, where fascism rules disguised as democracy, what does it take to get every American to understand humanism is not socialism? Until our Congress and Senate truly exercise the will of the people and not the will of co[Truncated]" "* Most middle and lower economic classes of Americans are overly taxed, while Americans with the most wealth, avoid taxing. There should be a stipulation, whereby a choice is given to the most wealthy to contribute to universal health care as a[Truncated]" 25586 6/27/06 2:16 PM NY * Under our current system if you work for a living you now pay not only for your health care but for all those who do not even try and for those who come to this country illegally.[Truncated] The term expert here conserns me. Who will decide whom are the experts. Why are the middle class not mentioned when you talk about finacial protection Why must it be at the federal level. I think we should take care of our own per say at the local level. Can this be done at the level of funding or are we looking at more taxes on the working class. All these ideas are good but they all lean towards the working middle class again paying for the brunt of your ideas. "* We are taxed at every turn. There should be a contributory system from the rich to help those whom ""Honestly"" can't help themselves.[Truncated]" 25587 6/27/06 2:19 PM TX "* this would be great, so long as we did't have to pick up the costs for illegal aliens and their familys. the company I work for is more dangerous than most. they are putting more and more of the cost of health care on the employees, because o[Truncated]" "* this all sounds very good, but every time the govt. gets involved in something the general public (usually whites) get the short end of the stick, because the govt. wants to be politicly correct and end up leaning toward the minority's side.[Truncated]" what is low income? "* If the govt. is going to handle our health care they should just put us on the same plan that congressmen and senators have, that way the govt. wouldnt have to figure out a new way to implement a new health care plan.[Truncated]" 25588 6/27/06 2:20 PM CA "* The reality is that not ensuring that all Americans have adequate, affordable health care costs much more in the long run than ensuring that they do. In addition, it has caused an overcrowding crisis in our ERs which many are forced to use as[Truncated]" "Again, limits on malpractice awards." "* In addition, the insurance and pharmaceutical companies are gong to have to get on board and be willing to let go of some of their extreme profits. And, ther ewill need to be a cap on malpractice awards.[Truncated]" 25589 6/27/06 2:22 PM MI "i am a firm believer in a ""socialist"" health plan. i think everyone should be able to seek the medical attention they need." "* you know, i am a single parent of 3. my kids have healthy kids delta dental. my dentist accepts this. this past year when they gave benefits to adults, that was great...except my dentist nor any in our area will accept it. i have to pay alot [Truncated]" * why don't we come out with a lottery for health. although the lotto now is suppose to fund education...so much money and so many cuts...i can't believe the funds are being properly distributed.[Truncated] "* here we go again, everyone is human. there shouldn't be ""class"" health care. everyone should be treated as equals. it must of been a republican that suggested this![Truncated]" "* a basic plan should be introduced to all-the RICH,MIDDLECLASS, and POOR. i think that the public should be mapped out into areas of care closest to their residence. this is to include dr's, dentists, specialists, etc. it would just be more lo[Truncated]" * this should be paid for out of our social security. people work their whole life. this should just be a given. i had the chance to work with the seniors while i was practicing insurance. i was appalled at the present situation of our seniors.[Truncated] * it's about time! canada has this plan in action. but i don't think we should be taxed to death for it. i still think a health lottery is a perfect solution! or what about half of the campaign funds for government officials? that would be bill[Truncated] i think the government body is over paid. we should put OUR money towards the PEOPLE! 25591 6/27/06 2:25 PM CA "* It is crucial that this core service be provided to *all* Americans, regardless of employment status. However, a graduated system of increased levels of flexibility needs to be incorporated which mirrors the selection of multiple health care[Truncated]" * 1) Prevention is much less expensive than letting an illness get full blown - the core services must stress prevention (and regular checkups) over heroic 'saves'. 2) I'm extremely glad to see mental health included as a core service.[Truncated] "* Right now the health insurance business is a significant portion of the total cost of health care, while at the same time they *do* help to keep health care costs in check. Disturbing this tension must be done carefully. Simply having the i[Truncated]" 25592 6/27/06 2:33 PM ID * All Americans should have access to health care services. Health care is not only for the rich or those with jobs that provide good benefits.[Truncated] "Health care must encompass wellness, prescription drugs and treatment of dental and mental issues, besides physical issues." Absolutely 25593 6/27/06 2:35 PM CO "* I have not had regular medical care since I was a small child, and even at those points when I had insurance coverage during college I certainly could not afford basic preventative care with the high deductible policy that was all I could get[Truncated]" I fear being wiped out financially by a medical catastrophe. This would prevent that kind of risk. Anything that can make healthcare affordable for those of us that can't afford it at any level would be a great improvement. 25594 6/27/06 2:37 PM FL * We are the only civilized country that advocates for profitable companies without protecting their workers with insurance to cover their health needs. We have to incorporate the means within our country that already supports multimillion dol[Truncated] 25595 6/27/06 2:39 PM CA Sounds great!! It would also be nice to include vision and hearing care. * Ultimately I would like to see all Americans covered exactly the same way our Congress members are covered. I fell our elected officials need to use the same system as our so they will advocate for us. [Truncated] I agree with this. * I think it is most important to have wellness check-ups and wellness education covered and broadly distributed. I also think for cost containment we need to have national discussions and decisions about who gets priority when it comes to heal[Truncated] * I don't understand this part. I hope that money being wasted by our government will be found and moved into healthcare for the people. I think individual responsibility is very important in that people are living less healthy life styles and [Truncated] 25596 6/27/06 2:39 PM MN "* This should apply to everyone living in this country, citizens or not. It makes no sense to deny health care to people who come from countries where diseases like TB are still prevailant.[Truncated]" "* Health education should be included in this as well. There should be a committee apointed to determine the curiculum of health education in schools, voted in in each state by the public... and only health care practioners and educators are e[Truncated]" "* Public funds for cancer patients should be should be provided by the highest polluters... coal burning plants, nuclear power plants, corporated agrobusinesses. etc.[Truncated]" "* The Federal government can provide funding, but the initation should be from the communities themselves... in other words, the community should have to apply for it, to make sure that they want something like that in the first place.[Truncated]" WOMEN'S HEALTH! needs to be included in these centers. Working women suffer more than anyone else. WOMEN'S HEALTH!! did you forget about us? "* Large Corporations, because they are ""owned by the public"" should provide a significant amount of financing for this project. If they have just as many rights as I do, they should pay just like I have to.[Truncated]" 25597 6/27/06 2:42 PM OR "* If Congress can make affordable health insurance available to themselves they can certainly make it work for other Americans, too. IMO, they have not done that, because they are bribed (a.k.a. campaign contributions) by the corporations.[Truncated]" Model a U.S. health care system after the German health insurance and fund/run it like U.S. Medicare. 25599 6/27/06 2:42 PM OH "* Health care for all is a right not a privilege. The current system is inadequate, the current administration has done NOTHING to help people without healthcare, or bring down the cost of healthcare. I demand healthcare for all Americans. [Truncated]" 25600 6/27/06 2:42 PM FL "* My son is once again working full time without health care coverage. I am very concerned, but he cannot afford to buy private coverage and does not qualify for government help. His jobs with benefits paid poorly and had no hope of advanceme[Truncated]" Prevention of disease and early treatment is cost-effective and should be a priority when possible. "* Consider lower cost of prescription drugs using generics whenever possible, buying in bulk, packaging efficiently, and importing from Canada if needed.[Truncated]" Include the local community in planning of local programs and offerings. "* Public transportation is another consideration. If they cannot get to the facility, treatment will not take place. Taxies should not be the only transportation available to conveniently reach local of facilities.[Truncated]" "* Dignity at each stage of treatment is needed, including end-of-life. If a patient needs to be in-home, but has no family, companions should be made available as needed. [Truncated]" "* Dignity of people also needs to be considered. Some are too proud to ask for help and are embarassed to accept public aid. If all pay as they can on a sliding scale, that may help make it easier.[Truncated]" 25603 6/27/06 2:48 PM MA "* Expand Medicare to serve all Americans. Medicate actually works well!!!! Medicare systems and infrastructure already exists! Take Advantage of it![Truncated]" "* Expand Medicare to serve all Americans. Medicate actually works well!!!! Medicare systems and infrastructure already exists! Take Advantage of it![Truncated]" "* Expand Medicare to serve all Americans. Medicate actually works well!!!! Medicare systems and infrastructure already exists! Take Advantage of it![Truncated]" "* Expand Medicare to serve all Americans. Medicate actually works well!!!! Medicare systems and infrastructure already exists! Take Advantage of it![Truncated]" "Just as I suggested above!!! Its the smart, efficient, and most economic solution! Do it!!!" Do this also! Just do it all! Do not reinvent the wheel! Build on what is already working. "* Expand Medicare to serve all Americans. Medicate actually works well!!!! Medicare systems and infrastructure already exists! Take Advantage of it![Truncated]" 25605 6/27/06 2:50 PM MO I support this strongly! "This is an ambitious proposal, but long overdue." "* We can do this. America should be a country that takes care of all of its citizens. Politicians need to step up and soon, or we voters should ease them out the door![Truncated]" I agree. This makes sense to me. 25606 6/27/06 2:50 PM na "* After a masectomy, women can get prothetics to be covered, and that is becoming limited, but when you are like me, blind/deaf, my needs are not considered health related to be part of the plan. To need a leg to walk is in the same category a[Truncated]" "* Historically the underprivledged suffer the most, it needs to the equal across the board for all Americans. My medicare coverage is not adequate enough for people disabled as I am, but my husband has good coverage, without him and his employ[Truncated]" "* Working class families are struggling more and more these days, the care that I have seen people receive because of their financial status is unexcuseable, let us fight for the rights of all Americans to have equal health care coverage.[Truncated]" 25607 6/27/06 2:50 PM na "* After a masectomy, women can get prothetics to be covered, and that is becoming limited, but when you are like me, blind/deaf, my needs are not considered health related to be part of the plan. To need a leg to walk is in the same category a[Truncated]" "* Historically the underprivledged suffer the most, it needs to the equal across the board for all Americans. My medicare coverage is not adequate enough for people disabled as I am, but my husband has good coverage, without him and his employ[Truncated]" "* Working class families are struggling more and more these days, the care that I have seen people receive because of their financial status is unexcuseable, let us fight for the rights of all Americans to have equal health care coverage.[Truncated]" 25608 6/27/06 2:51 PM ID * I absolutely support that all Americans should have affordable health care regardless of finances or health status. Politics on either side has to stop. Representatives need to care more about our country than the pay off by special interest[Truncated] "* If you can find a truly INDEPENDENT Non-partisan group then hats off to you. Kenneth Starr was supposedly ""independent council"" and he spent a fortune over who our president had sex with. If you can truly find honest representatives that aren[Truncated]" "Here, here...this is money well spent. I agree completely." "* Within these vulnerable populations, emergencies should be treated as such and be able to be handled AT ONCE. Time can make the difference in whether someone gets healthy or dies, we need to manage these so that enough doctors are on hand to [Truncated]" "* I think that if it is really watched, much fraud and waste could be eliminated with such a large national program. A look at what works and what doesn't in countries that already have health care for everyone would be a good idea. [Truncated]" "* I think that patients should also have the right to die with dignity. If you know you are terminal and do not want to rack up huge bills only to feel worse and worse, why not be able to leave the earth with dignity while you still have your p[Truncated]" "* This is the number one priority for our country. People are dying because they cannot afford proper care. Please, please, make the right choice for our country and implement a national health care program for all. Our current program, ""Don'[Truncated]" "* I am so sick of hearing about programs that help the average citizen being cut, minimum wage raises being denied, student grants and loans cut back, and then congress gets a raise, Halliburton subsideraries are given no-bid contracts and forg[Truncated]" 25611 6/27/06 2:53 PM CA Agreed. Emphisis on prevention and using less expensive technology. Agreed. Agreed. Make acceptance of medicaid/medicare by doctors mandatory. Agreed. Take some of the profit motive out of the Health Care business. Put some of profits back into the system. 25615 6/27/06 2:57 PM GA * If the health care (Insurance) did not give so much money and free bees to the politicians with lobbying and other perks the insurance would not be so high. Also giving away free health for the illegal immigrents. Frankly I am tired about hea[Truncated] 25617 6/27/06 3:02 PM MN "* A Single payer healthcare is Humane,is of a higher evolved Society, and would help American Business (Automotive!,etc.). Let's REALLY save America![Truncated]" 25618 6/27/06 3:02 PM CT those that have aquired vast fortunes should pay their fair share. i agree i strongly agree i agree i agree this should be available to all regardless of wealth we should only finance those people who cannot afford quality care 25620 6/27/06 3:06 PM FL "* My 20 year old son works full time. His employer does not provide health care benefits because it is a small business and not financially feasible. Because he is not a full time student, we cannot cover him under our family health care plan[Truncated]" "* Leave insurance companies out of the decision making process on treatment options for an individual. If this program is offered as a service to all citizens, then it should be non-profit to eliminate lesser services so a company can realize [Truncated]" * Decision makers of this protection should make responsible decisions as if their loved ones lives depended on this protection. There should NOT be separate and better insurance to members of Congress - we are all Americans and taxpayers and [Truncated] Well put! Let's do it! * My biggest concern is that it is near impossible to reach a live person when calling a doctor's office. Everything is recorded and many times you are channeled in wrong directions when all you want is a simple answer to a simple question...s[Truncated] We should all have dignity and love as we experience end-of-life and strive to offer as much individual support as possible. Thank you for the opportunity to share my thoughts and suggestions. "* I recommend that all members of Congress accept the same level of pension that the average American receives for a lifetime of work. If it is true that members of Congress retire with a $15,000 a month pension, I recommend the repeal of this[Truncated]" 25624 6/27/06 3:12 PM MO * I feel the working poor are hit very hard with health care. I am a working poor. This is truly a society where the rich are able to pay and those that are at the poverty level with no job or government assisted income are able to get decent[Truncated] I can support this recommendation. I can support this recommendation. "* This should be a non-political department of government. No politician should be able to use this as a campaign platform. This is about people and that is the core responsibility. I can support this recommendation.[Truncated]" "* Again, I will emphasize that this should no be handle in no way by politicians. This can not be used to get vote. This is a good recommendation, I can support it.[Truncated]" I can support this recommendation. "* All of this looks and sound good on paper. Can we make it work? I say yes, if we choose to do the right thing, the morally right thing and not let politics get in the way.[Truncated]" Same as the first comment.I 25625 6/27/06 3:12 PM OR "* I have no idea why in the USA, where we have the best technology and a very high ratio of doctors to patients, we have so many people that are not allowed to access because of lack of money. That is beyond just sad because when we ""opened ou[Truncated]" 25626 6/27/06 3:13 PM NY * We are now in a health care crisis which will only explode into a catastrophe in the very near future when Medicare and Medicaid run out of money. What is happening now and what will happen in the future if we don’t implement a quality hea[Truncated] * Core health benefits are those you need to lead a happy and healthful life. I can see limiting benefits to exclude certain types of cosmetic surgery which people need to feel “good” about themselves and other types of health services whi[Truncated] No question about the validity of this one. Whatever means is necessary should be created to insure all people no matter their income are assured of quality health care. A no brainer. People deserve to die when they decide the time has come and in a setting of their choice. "* We need a single payer system whereby everyone, businesses included, contributes to a progressive health care tax based on his or her income and ability to pay. If you make more you contribute more. Why have we gotten away from the notion t[Truncated]" 25628 6/27/06 3:14 PM AZ Thank you for committing the time and effort to tackle this huge issue 25629 6/27/06 3:15 PM KY Good Idea YES Thealth care cost under this is the only way we will ever get health care cost under control 25631 6/27/06 3:16 PM TN I believe that everyone in the US should be entitled to some form of health care. Our country is rich enough to cover the cost. 25634 6/27/06 3:19 PM SD agree agree agree agree agree agree * It is way past time that something is done to assure all bonafide citizens of the United States receive equal health care regardless of income or financial stability.[Truncated] agree 25635 6/27/06 3:19 PM HI "* Preventative and regular health care is necessary and in the long run much more cost effective then allowing thousands of people to have no care, which leads to lost productivity, and higher emergency care costs.[Truncated]" * My belief is that the insurance and pharmacutical companies need to stay out of the process of determing what core benefits will be specified. [Truncated] There are many excellent models in other countries for this system. I highly support Community Health Centers. * The current system of determing costs is ludicious. I have had the same policy for two years but through two different employers. Under the first employer my cost was $350 a month to cover my family. Under the second employer my monthly costs[Truncated] 25636 6/27/06 3:20 PM OR * This is a wonderful goal but I'm not sure it is that realistic--where will the funding come from? Any estimates as to the cost?[Truncated] * I do not believe there is a reference to long term care services such as those provided by Medicaid. These services vary from shopping to housekeeping to meal preparation to personal care and are necessary since a disabled individual cannot [Truncated] Same answer as previous question. This is a good goal. I think the emphasis on support for the family and friends is critical. * I have received long term care services in my own home for 13 years and will continue to receive these services as long as I can. These services are currently covered by the Medicaid program. I am concerned that universal health care may no[Truncated] "* Many people have very little, if any, income they can dedicate for health care. Some of these individuals have very high health care costs, for example, those receiving long term care services in their own home in a community-based care sett[Truncated]" 25637 6/27/06 3:21 PM AZ . . . and regardless of their age!!!!! "Including ""natural"" and ""homeopathic"" remedies, vitamins and supplements." This is great. Thank you for the opportunity to submit my two cents. "* Preventive medicine needs to be addressed, as well as use of auxillary health care workers, nutritionists, etc. In other words, we need medical ""teams"" where all professionals add their expertise to health care. We need to eliminate hospitals[Truncated]" 25638 6/27/06 3:22 PM FL I totally agree with this recommendation. I think it should also include dental bebefits. Sounds like a plan. Sounds like an excellent plan. Sounds good also. * I would want to make sure that there is good follow-up on all cases so as to not cause fraud to be gotten away with as it has in Medicare cases.[Truncated] I totally agree. My husband and I used Hospice care for our mothers when their time was near and they were fantastic. "* Well, it would be nice if Bill Gates and his wife would help the American people with their health care as much as they do for health care, etc. in other countries.[Truncated]" * I totally agree and would be willing to pay my fair share. I think it is totally wrong for the Mexicans and African-Americans to get free health benefits when the hard-working middle class american has to pay out over and above the funds the[Truncated] 25639 6/27/06 3:23 PM MO It is a good recommendation and essential for the health and well being of families. This woud be a good start to solving the problems. This is the type of program that we need. "Even with good insurance, it is difficult to find good health care in rural areas." This would work. "* We definately need better, more sensitive care for the old and cronically ill. I feel that this is the most abused area in health care today.[Truncated]" "* We need closer monitering of facilities that care for the aged. These people are often neglected and even abused. They hire minimum wage, untrained people as care givers and often the patients can not speak for themselves or are not listened [Truncated]" "* Why not form a non-profit health care provider with premiums on a sliding scale ? I feel that medical costs would go down if every hospital was assured that bills would be paid. A sliding scale would balance itself out, if you make more you c[Truncated]" 25640 6/27/06 3:23 PM OH "* I have a health concern that requires considerable consumable heatlh items as well as medicines. This is my life. It cannot be reversed or changed. I am a teacher who is under paid, teaching jobs are lost by the hundreds every year because[Truncated]" 25642 6/27/06 3:27 PM MO * I FEEL THAT WE SHOULD ALL HAVE ACCESS TO TO AFFORDABLE BENEFITS BUT I ALSO THINK THAT WE NEED TO GET IN INTO PLACE ALOT SOONER THAN THE YEAR 2012..MY REASONING FOR THIS IS THAT IN THE MEAN TIME THOUSANDS EVEN MILLIONS WILL SURELY DIE DUE TO T[Truncated] "* I FEEL THAT IF WE ARE ONE OF THE RICHEST NATIONS WHY CAN'T WE DO THE SAME AS MANY OTHER PLACES WITH ALOT LESS RESOURCES HAVE ALREADY BEEN ABLE TO IMPLEMENT SUCH AS CANDA ALL OF THEIR CITIZENS HAVE COVERAGE...""SO WHY CAN'T WE?"" WE CAN FUND A B[Truncated]" 25644 6/27/06 3:30 PM MN * Free unlimited healthcare and perscription drug coverage with no deductables for all legal Americans should be mandatory and a constutional right.. [Truncated] EVEZRYTHING MUST BE COVERED EXCEPT for cosmedic surgury such as sex change operations and breast enhnacemet surgury. AGAIN ... completely free healthcare for all legal Americans... NO FEDERAL ENVOLVEMENT AT ALL Finace it with a healthcare lottery such as the POWERBALL lottery.... 25646 6/27/06 3:38 PM IN "* Yes we do need affordable health care,but the only way that will ever happen is for congress to get off their backsides an really try and get it done,or better yet act as if it was for Congress and it would have already been done.[Truncated]" "* Why do you even have this section on here,the leadership could give a shit if goes or not because it doesn't have anything to do with any of them![Truncated]" NO COMMENT. No Comment. NONE none "Yes,I am glad to see that at least the person that made this site is getting a paycheck for it." 25647 6/27/06 3:39 PM NY * I'm tired of the USA lagging behind other 'developed' nations. We must have a Single Payer National Health Care System without being dictated to by the Drug Companies.[Truncated] "* As a senior citizen, I ask that the over-medication of this population be put under scrutiny and that 'Alternative Protocols' and Vitamin and Mineral Suppliments be considered as part of the Core benefits.[Truncated]" "* I do not believe that 'private' corporations will ever put patients above profits. It must be under one comprehensive plan run by the government. Take a clue from the more 'socialist' nations with a higher standard of living, better quality[Truncated]" "* Yes, come to grips with the sprawling ghettos and blighted urban and suburban areas. Don't forget the small farmer that agri-business has forced onto welfare! Make provision for documented and undocumented workers and their families.[Truncated]" "* With this obscene war, fund the necessary increases needed to care for veterans that are coming home with the effects of depleted uranium and PTSS and other related mental and phsical illnesses. Health education must include all forms of cont[Truncated]" * I am a Hopsice volunteer. We have a 'free-standing' Hospice House' end of life facility. The 'hospice concept' must get much wider funding. Hospitals run by religious institutions must not be allowed to perpetuate their religious restriction[Truncated] "* I do believe 'race' is the hidden card in this deck. It's as if 'white America' does not want to pay for comprehensive health care for those 'others'! Whatever has kept us from a National Single Payer Health Plan for All Americans, it is a [Truncated]" "* The burden must fall on the richest US citizens, not the middle class or the working poor. It is time for them to pay their fair share.[Truncated]" 25653 6/27/06 3:46 PM NY Please extend Medicare to cover all citizens. It wiorks fine foir the oldsters and the staff has been helpful and supportive. Adding dental would be great for all to Medicare. Amen. Please simply expand Medicare to all. Great. Yes. Single payer please. "* Since Medicare is already in place , expanding it to all citizens would not be impossible and most of us would be more than willing to assume a greater tax burden for this purpose.[Truncated]" 25655 6/27/06 3:47 PM CA "* I DON'T WANT TO END UP LIKE THE CANADIAN HEALTH CARE SYSTEM. IT IS NOT WORKING! MANY PEOPLE IN REAL NEED OF MEDICAL CARE HAVE A LONG, LONG WAIT, I DON'T WANT TO HAVE TO WAIT WEEKS AND MONTHS TO HAVE A SURGERY PERFORM, THAT SHOULD ONLY TAKE 2[Truncated]" "* IT ALL SOUNDS VERY NICE, BUT; I WANT TO KNOW THE FINANCIAL IMPACT TO ALL THE TAX PAYERS OF THIS COUNTRY. DO NOT WANT TO HAVE TO WAIT FOR AN APPOINTMENT 2 TO 5 MONTHS. OR TO WAIT IN THE EMERGENCY ROOM 1 TO 2 DAYS TO BE TREATED.[Truncated]" "* COVERAGE FOR ALL LEGALLY IN AMERICA, SHOULD BE INCLUDED IN THE WORDING. WE DO NEED PROTECTION AGAINST THE EXTREMELY HIGH-OUT-OF-POCKET MEDICAL COSTS. AGAIN, ONLY FOR LEGALS IN THIS COUNTRY. DO NOT INCLUDE ""ALL PEOPLE"". FINANCIAL PROTECTIO[Truncated]" "* AGAIN, ONLY TO LEGAL IMMIGRANTS AND AMERICAN CITIZENS. BUT; I DON'T WANT TO PAY HIGH TAXES ON TOP OF WHAT I ALREADY PAY, TO MAKE THIS POSSIBLE. WE PAY EXORBITANT AMOUNT OF TAXES ALREADY. WHERE, OR HOW IS THE GOVERNMENT GOING TO GET THE FUN[Truncated]" "* THE GOVERNMENT SHOULD HAVE ALREADY BEEN PROMOTING TO IMPROVE THE QUALITY OF CARE AND EFFICIENCY. APPARENTLY IT HAS NOT BEEN WORKING! SO NOW ARE WE GOING TO BE ASKED TO PAY MORE TAXES, TO FORCE THE HEALTH CARE AGENCIES TO ENFORCE THE RULES A[Truncated]" * LEGAL CITIZENS ONLY SHOULD BE INVOLVED IN ALL THE PROPOSED PROGRAMS. I AGREE THAT WE NEED HEALTH SERVICES THAT CAN AND WILL PROVIDE THE NECESSARY AND ADDECUATE CARE NEEDED. AT WHAT COST? NEEED MORE INFORMATION.[Truncated] * I DO WANT A HEALTH CARE PROGRAM THAT WILL BENEFIT EVERYONE ACCROSS THE BOARD. ONLY LEGAL IMMIGRANTS AND AMERICAN CITIZENS. I DO NOT WANT TO SEE MY HARD EARNED WORK PAYING FOR MILLIONS OF ILLEGALS IN THIS COUNTRY WHO ARE ONLY TAKING AND NOT [Truncated] "* ILLEGAL IMMIGRANTS SHOULD NOT HAVE THE WRIGHT TO OUR HEALTH SYSTEMS EVER! NOT NOW, AND NOT LATER. THAT IS ONE OF OUR GREAT PROBLEMS IN THIS COUNTRY. SPECIALLY IN CALIFORNIA. WE TAX PAYERS HAVE BEEN, AND ARE PRESENTLY PAYING FOR THEIR HEAL[Truncated]" 25659 6/27/06 3:51 PM IL "I believe it should read, "".. have access to afforadable health care.. "". This should be a voluntary NOT a required program." """..funding should be made available.."" sounds like another entitlement. Poeple should pay for their care when they can." * I believe the gretest part of the financing should be from enrollee contributions. This should NOT be another entitlement program.[Truncated] 25660 6/27/06 3:51 PM MO "* Sounds good! Alternative medical treatments should be included, such as prayer. I pray as part of my medical, dental and vision care, and go to doctors, if my prayers are not effective or to get preventive care check-ups and diagnosis tests[Truncated]" Sounds good. Hopefully preventive care will save everyone money and that savings can go to this program. "As for all of these recommendations, the exsisting programs in this and other countries should be considered." "* Health education in schools, colleges and universities to include: nutrition, sex education, prenatal care, and helping people stop smoking, drinking and using recreational drugs.[Truncated]" Sounds good. Keep up your good work. I support you 100% "Sounds good! Yes, financing from many sources." 25663 6/27/06 3:54 PM FL "* Seniors have Medicare; however, with most seniors also carrying a supplemental plan the cost for primary and secondary, plus prescription plans the cost amounts to almost $300 per month. Does that sound like a good deal for seniors? [Truncated]" No American should have to deal with catastrophic costs that deplete all their assets. Why not service areas near already established medical facilities in U.S. army/navy/marine posts. "* If the U.S. health services treated only AMERICAN CITIZENS there would be enough money to take care of every man, woman and child in this country. Start thinking of Americans first. Get serious about eliminating fraud in the system.[Truncated]" "* Let individuals make the decision about their right to die, instead of government regulations making them continue with a quality of life that is painful and disgusting for them.[Truncated]" "* Yes. This improvement with health services should be for American Citizens only. Why should Americans do without while people falling across our borders are getting better health care than poor Americans. If you, as union persons, are advo[Truncated]" * If this administration can come up with billions of dollars to finance the Iraq war it surely can find the money to pay for health care for all AMERICANS. [Truncated] 25665 6/27/06 3:57 PM CA Let's get going! 25670 6/27/06 4:01 PM IL * I disagree with the financing statement. I think it is essential that we have a single payor health care system similar to Medicare for seniors. The patchwork Medicare drug insurance is a mess and wasteful. [Truncated] 25671 6/27/06 4:04 PM OR "* ...and must include what we peculiarly refer to as ""alternative"" treatments, which are frequently more effective, less expensive, and promote health, rather than throwing chemicals at isolated symptoms.[Truncated]" "* ..preferably a public plan...removing the profit motive...dedicating the available dollars to care, rather than CEO enrichment.... [Truncated]" "* ....meanwhile back at the clinic, plain old health care would be good... rather than this confab of make-work in the name of alleged improvement [Truncated]" "* ...with ""evidence-based best practices"", who provides the evidence? Corporations? The compromised FDA? Our government which hates government......and by extension, we peons who fund it? [Truncated]" "* Hospice/palliative care have earned massive kudos for decades. More emphasis there, and assistance for people with advanced incurable conditions which doesn't leave family/partners destitute[Truncated]" * Keep it simple. Hillary Clinton's ludicrous attempt at modification during the 90's is evidence of the excessively white-tower impulse to complicate even the smallest issue. Charge all we workers a pro-rata fee. Pool the money. Spend it w[Truncated] "* Knowing the enormous waste in processing medical claims, the only acceptable solution is a ""single-payer"" plan, modeled after Medicare, which has managed to avoid these excesses.[Truncated]" 25672 6/27/06 4:04 PM NY "* The fact is, if you want to see a fair and comprehensive health care system at work, take a look at Japan. The US government should provide health care for all Americans, plain and simple. [Truncated]" 25674 6/27/06 4:09 PM TX "* Most of my working life, I have had jobs with no health care. I have had to pay for much of my numerous hospitalizations, therefore I became very aware of ""alternative healthcare"" and doctoring my self in most illnesses. I believe that ""alter[Truncated]" * Alternative healthcare should be included in any healthcare package along with mental and dental health care. All citizens should be covered. Insuring just the children does nothing if their parents are ill and can't take care of them financi[Truncated] "Once again, include preventative healthcare programs in all of these costs." "* Health education, disease prevention and health promotion has to begin in early years within our educational system. Chemistry and science should be taught starting with kindergarten. Our society is becoming very complex and full of chemicals[Truncated]" Caring for our elderly and infirm shows young people that we should culturally respect and take great care of our elderly. 25675 6/27/06 4:09 PM CA " This is ""the richest country in the world"", and we don't have National Health? Where is the outrage?" 25676 6/27/06 4:09 PM NY * It is important to include preventive care. This way many expensive procedures and prolonged drug use can be eliminated.I appre[Truncated] A good presentation. * This is a difficult subject. It is hard to define what is care to make the end of life comfortable and what is keeping someone alive as long as possible regardless of the quality of life.[Truncated] "Thank you for emphasizing that the transition will not be easy or fast. Setting goals and then slow implementation will hellp." 25681 6/27/06 4:13 PM CA "* Every american should be able to get health care when they need it. Other, much less wealthy nations, would be ashamed to lock their citizens out of available health care. How can the greatest and wealthiest country not feel ashamed? Let's [Truncated]" 25682 6/27/06 4:14 PM AZ "* Separate ""financial assistance"" should not be necessary, and only adds another layer of bureaucracy. All necessary medical services should be funded by a National Health Care Program accessible to all tax-paying citizens.[Truncated]" "* The national program should NOT be private. Health care cannot be the exploitative business venture it has become: it is a social service that must be placed in the hands of elected representatives, not CEOs accountable to no one.[Truncated]" "* Having just returned from the Netherlands, and having travelled throughout Europe for over thirty years, I find Europeans largely content with their system: in fact they laugh or look aghast when they hear the urban legends about having to wa[Truncated]" "* Let's start by 1) closing corporate tax loopholes so that those making billions begin to pay their fair share; every year there are major corporations that pay NO taxes. 2) increasing taxes on corporations, so they become responsible membe[Truncated]" 25683 6/27/06 4:16 PM PA These are excellent points! "* I am not seeing ""vision care"" in the definition of health; is that added to the general ""physical"" category? Physicians should also be given some ways to be relieved of some of the inordinately high malpractice insurance rates in certain [Truncated]" "* ""Against very high"" is too vague. It should be connected to income (a percentage of net income, with dependents, etc. perhaps taken into consideration.[Truncated]" "* The problems in this area is at least in part due to the high rates of juries finding for plaintiffs in malpractice suits, creating insurance rates doctors are unable to pay in some states. [Truncated]" "There could be a benefit attached to verified regular participation in exercize and wellness programs such as health clubs." "* There could be ways in which family members could be trained, when they volunteer as capable and having the time, to assist in care for specific equipment or routines of care for those living at home with a chronic condition or debilitating[Truncated]" Thank you for creating this document. "* There could be a way that some state lottery revenues and state and funds people could get tax benefit from contributing to are additional possibilities for building and maintaining the dollars for a national health-care institution. [Truncated]" 25684 6/27/06 4:17 PM CA "* Good recommendation. Needs to be clear that ""appropriate, high-quality care"" needs to start with everyone having a primary care provider...not just access to emergency care.[Truncated]" "* Looks good, especially the inclusion of ""physical, mental and dental health"" and the emphasis on preventive and primary care. Needless to say, the devil is in the details.[Truncated]" "* We need to design and implement a financing mechanism that is fair in terms of ability to pay. There should be no need for out-of-pocket medical costs, except for elective treatments that are not part of the core health services. Need to turn[Truncated]" "* Yes, yes. There should be coordination from the federal level. But it needs to be an agency with accountability to the public, and accountability to a health care plan (a plan we currently don't have)...not an agency that just distributes f[Truncated]" "* Pretty hard to improve efficiency when federal law prohibits bulk buying of pharmaceuticals, the fastest growing part of hc costs.[Truncated]" "* Perhaps it is implied in the recommendation, but we need to fund and provide services in the community and in individuals' homes so that they do not need to be institutionalized.[Truncated]" "* As a whole, the recommendations and work that went into them deserve much appreciation and broad disssemination to individuals and health care advocacy groups around the country. Since we live in a world where health care is financed and pro[Truncated]" * This section of the recommendations is disappointing. Cost control has to be a big part of the solution. Cost control should be achieved by controlling costs of pharmaceuticals by national or state bulk purchasing. We pay double what many ot[Truncated] 25690 6/27/06 4:24 PM CA I strongly support this recommendation. It seems okay. Agree Agree Agree Agree "* Big bussinesses should pay their fair share by financing health care for all Americans. There are way too many of us who work for private, big businesses that offer ""health care coverage"" that covers only a portion of real health care cost. [Truncated]" 25691 6/27/06 4:25 PM IN "The cost of any health care owed beyond coverage,should not exceed one percent of the assets of the immediate family." Core benefit should be anything required to stay alive and well. No more than one percent of total family assets per person. We should be able to go wherever we want for any type of treatment. Limit the amount that can be charged for anything. "This should be covered by social security,if the government would quit spending it for something else." We would have had this when Bill Clinton was in office if the rich people's party hadn't voted against it. "* Financing should be paid through federal income tax,not to exceed the amount contributed per family with accrued interest added.Any additional charge should be no more than one percent of total family assets.[Truncated]" 25692 6/27/06 4:25 PM IN "The cost of any health care owed beyond coverage,should not exceed one percent of the assets of the immediate family." Core benefit should be anything required to stay alive and well. No more than one percent of total family assets per person. We should be able to go wherever we want for any type of treatment. Limit the amount that can be charged for anything. "This should be covered by social security,if the government would quit spending it for something else." We would have had this when Bill Clinton was in office if the rich people's party hadn't voted against it. "* Financing should be paid through federal income tax,not to exceed the amount contributed per family with accrued interest added.Any additional charge should be no more than one percent of total family assets.[Truncated]" 25693 6/27/06 4:25 PM MI "* We must have a system of national health care, with everyone participating and with everyone eligible for high quality preventive health care and health care when sick.[Truncated]" These core services are crucial. A public program is best. I don't want private companies organizing health care to increase their profits. Make sure that low income people can receive high quality health care. Hospice type palliative care is essential at the end of life. Thanks for taking leadership on health care. Keep on pushing for your program! "* I am eager to pay more taxes to support health care for all. In the long run, this will save money. People won't have to forgo necessary care - and will stay healthier. [Truncated]" 25694 6/27/06 4:25 PM IN "The cost of any health care owed beyond coverage,should not exceed one percent of the assets of the immediate family." Core benefit should be anything required to stay alive and well. No more than one percent of total family assets per person. We should be able to go wherever we want for any type of treatment. Limit the amount that can be charged for anything. "This should be covered by social security,if the government would quit spending it for something else." We would have had this when Bill Clinton was in office if the rich people's party hadn't voted against it. "* Financing should be paid through federal income tax,not to exceed the amount contributed per family with accrued interest added.Any additional charge should be no more than one percent of total family assets.[Truncated]" 25699 6/27/06 4:29 PM AL "* Where there areless wages to take home and less money in the home we tend to have more roberys and killings. This happens when those that have to pay a high wages for quality health care and, those that do not have the money to pay for health[Truncated]" 25700 6/27/06 4:29 PM OH Amen we need to be able to fund state of the art treatments as well affordable coverage for all Americans Any federal support must be independant of any political party influence * When the federal governmenbt is involved the outcome usually isn't a good one. National health care must stand on its own without being pulled this way and that by whatever party is in power. [Truncated] * Americans deserve to die with dignity. It shouldn't take every cent a person has worked their entire life to build up to afford to have health care at any stage in one's life. Most everyone would like to leave something for their children [Truncated] * Sounds like a good plan if it can fly. Take a lesson from Canada. Don't model it on their system. This is a tremendous undertaking but we have the technology available to make it work [Truncated] * If the estimated 30% waste in our health care costs was eliminated health care would be more affordable for everyone. How can the most expensive health care system in the world rank 30th 0r 31st as far as quality of care. Wew used to be #1.[Truncated] 25701 6/27/06 4:29 PM CT * I'm surprised so many people feel this way. I thought conservatives would be against something like socialized medicine. But I am glad people feel this way. We need better services for the poor. America is not a 3rd world country.[Truncated] I support evidence-based decisions "coverage for all Americans means no coverage for illegals, I presume." yep 25702 6/27/06 4:30 PM NY The simplest and most efficient mechanism is a Medicare extension to all. Please do get lost from the goal of a single payer plan for all. The financing should besimilar to Medicare with no private insurance. 25703 6/27/06 4:31 PM WA "* Good health should not be just a privelage for the rich, Each person in america should be entitled to quality health care and doctors should recieve stipends instead of wages to reduce the obvious corruption in our medical care system.[Truncated]" 25704 6/27/06 4:31 PM CA "* It is a sin that my son has to pay half of his salery a month for medical insurance for a family of four. Affordable health care is needed by everyone. And so few have or can get affordable coverage. Please help get fair affordable health [Truncated]" 25705 6/27/06 4:31 PM NJ "Lets keep America working, but give them something to work for(higher wages and health benefits) Dorian" 25707 6/27/06 4:33 PM CT I agree! I agree! I agree! I agree! I agree! I agree! That's it. I agree! 25711 6/27/06 4:44 PM GA Agree Agree Be sure those applying are really low income Doubt is the federal government will cooperate. they have been bought by too many lobbyists. good luck Agree Agree * As a health care professional I can atest to the present inadequate health care system. Until we have everyone in Congress be made to operate in the same system as the everyday american citizen I doubt if anything proposed will come to flour[Truncated] Agree 25713 6/27/06 4:52 PM AZ * I hope this plan is more help to people who need it than the current Medicare Drug plan. Than is a joke!!! I my self am in this plan and I still am going deeper in debit to afford my medication.[Truncated] 25714 6/27/06 4:53 PM CA * I know of a local waitress who died a few months ago of pneumonia. She had waited too long to seek medical help because she had no insurance. She was 25 years old. I fell only shame that this can happen in our country. [Truncated] 25716 6/27/06 4:56 PM CA Core health care services will be of the highest quality available to the rich. "A group that can act without racial, religious, educational and/or socioeconomical bias or discrimination." Yes! This should not be necessary of Recommendations 1-3 are met. "* Currently federally-funded health programs such as Medicare, Medicaid, CHC, etc. LIMIT health care services and decrease quality and efficiency. I feel that recommendation 5 will not be achieved by expanding current federally-funded systems.[Truncated]" Provide services so family members have help allowing their loved ones die at home. Health coverage for all Americans is the number one need of our nation. The range of services will be as broad as those services available to the rich. 25717 6/27/06 4:56 PM MI * The USA is the last remaining developed nation without universal health care. This is a shame and a disgrace. Recommendation 1 must be urgently adopted.[Truncated] "* Physicians and patients should define necessary care without the nihilism of ""payers"" who go to extreme lengths to profit by not paying.[Truncated]" "As a Family Physician seeing mostly impoverished patients, I heartily endorse recommendation 3." This will only work with LOCAL empowerment to devise programs which fit the individual communities being served. "Sounds nice, but specifics are missing. HOW will you eliminate fraud and waste?" "I would recommend deferring to Hospice here, rather than spending another 100 million bucks re-inventing the wheel." "* Study systems which work- Canada, France, Germany, and other countries have a lot to teach those who are willing to learn. Don't make the same historic mistakes of the Nixon and Clinton administrations by trying to write up a comprehensive sy[Truncated]" "* The above is too pessimistic- my experience as a family physician indicates that with universal care we will see patients earlier in the disease process, when treatment costs much less. Most indigent care today is delivered in expensive emerg[Truncated]" 25719 6/27/06 4:59 PM CA * The only way to cover everyone - the ONLY WAY -is national single payer health care. You are ducking your responsibilities if you don't acknowldge this fact.[Truncated] * We can only afford to provide comprehensive health care to all Americans if we switch to a national single payer financing system.[Truncated] This would be unnecessary under a national single payer health care system. * The federal government should definitely lead the drive to get national single apyer helath care. Then we wouldn't have a special case of uncovered vulnerable populations. Everyone would be covered.[Truncated] "* All this can be accomplished only if we switch to a national single payer health care system. With the fragmented multiple payer system we have now, which wastes up to one third of every dollar spent on health care, it is impossible to have a[Truncated]" "Agree, but in the context of a national single payer health care system." "* There should be no private payers, who are both wastefu and totally unaccountable to consumers. A publicly funded single payer system, while still retaining private health care services, will create a health care system accountable to Americ[Truncated]" The only way to afford this - the ONLY WAY - is national single payer health care. Nothing else controls costs. 25720 6/27/06 4:59 PM WI "* health care is a right, not a privilege!!!!!!! See my letter publsihed in the 5/1/03 edition of the New York Times and in the June, 2005, edition of Oprah's magazine, page 26, for more information![Truncated]" 25721 6/27/06 5:01 PM WI "* The USA should be ashamed of itself--the richest country in the world, and we are on the bottom of the scale in providing healthcare to our citizens compared to many other countries, and far over cost expended in those same other countries.[Truncated]" * This group MUST have equal representation across the board--none of this stacking it in favor of one side or the other. And that includes all medical services.[Truncated] Another blemish on our reputation--forcing people into bankruptcy. Sickening. Endorse this. I endorse this as well. AMEN! "Good work--let's force this down every throat in Congress, and strangle Bush/Cheney with it." I'm sick of all the discrimination against Americans who don't happen to be wealthy beyond the the height of their eyeballs. 25722 6/27/06 5:02 PM CA All Americans will have access to COMPREHENSIVE health care services. Care must be COMPREHENSIVE. All care except elective cosmetic. "* Single payer can do that if it is insulated against the medling of politicians. What governments pay now plus what is paid now by patients and employers will cover every resident with comprehensive coverasge. The trick is ""how to keep the [Truncated]" "* Eliminate health insurance companies. Universal, single payer like medicare is the only way we can afford universal health care.[Truncated]" 25728 6/27/06 5:08 PM NY * In this day and age it is vital that all American's have Health insurance coverage from the baby born tomorrow to the eldest Senior.Our government doesn't care about the working people or retirees just the big management . We pay plenty for o[Truncated] 25730 6/27/06 5:08 PM PA Health care should be a benefit for all. It should be a basic right. "* Look to the HR 676 and Physicians for Social Responsibility for an effective model. Get the insurance companies, HMO's and lobbys out of the process. Health care includes elder care also including care at elders' homes and nursing homes. [Truncated]" "The program will not work if it is based upon profits and privatization. It should be like an extension of Medicare." Expand Medicare to all people. Work with hospitals but not as centers competing for profits. * Medicare not Medicaid. Medicaid emphasizes the poor at the exclusion of rich thus insulating or excusing the rich from their obligation to help support the nation's health. Keeping away from the HMO's and insurance industry will in itself pro[Truncated] "* As partially mentioned or enumerated in a previous comment, these services should be part of an expanded medicare. Eldercare should be part of a single payer health system divorced from accounting battles or turf battles involving insurance [Truncated]" "* We are waking up the the enormous problems produced by the insurance industry and privatization of medical care and organizing locally to promote HR 676. Our awareness of U.S. healthcare crisis is heightened by the unfolding situation with G[Truncated]" * We need universal single payer health care as espoused in U.S. House of Representative's bill HR 676. Let's take the insurance industry and the HMO's out of the distribution chain. If the transition is seamed and rough for these coporate enti[Truncated] 25734 6/27/06 5:14 PM NJ George doesn't care about the poor or the middle class all he thinks is about his rich friends. 25737 6/27/06 5:18 PM HI "* i believe that we should have a universal / national catch-all type of health care along the lines of medicare, veterans administration health care for veterans, etc., and so i will support a public policy that includes all americans, includi[Truncated]" * core benefit package should also include effective bargaining power authority within group to be able to bargain for drugs prices globally/internationally. [Truncated] "* i support enrollee contributions, income taxes, business or payroll taxes. i will support a universal/national program similar to medicare / va programs that has shown proven efficiencies over time.[Truncated]" 25741 6/27/06 5:34 PM IN "* Frankly, this recommendation is far too timid. ""Affordable""? Try _free_. Our descendants will shake their heads when they read in their history books that we did not consider health care to be a right.[Truncated]" "* This ""core"" must be expansive enough to include mental and dental health. We should also be able to muster enough compassion to fund some cosmetic surgeries for burn victims and children with genetic defects.[Truncated]" "* Once again, the only really ethical way to provide universal coverage is to have NO pay-per-service; everyone pays into the health fund with their taxes, nobody ever gives you a bill for medical care, everyone gets the care they need, PERIOD.[Truncated]" Fine. Fine. Yes. * We need to think big on this. Half-measures and compromises will build us a system that continues to guarantee that the poor get sick and the sick get poor.[Truncated] "This makes sense, as long as it is not a delaying tactic." 25743 6/27/06 5:37 PM MI "* With the job loss in the United States, more individuals have been dropped from their health benefits. These hospitals build elaborate buildings. They make many mistakes in their billings. Many people are struggling just trying to pay their[Truncated]" 25745 6/27/06 5:40 PM AL "* I believe this is absolutely a basic right of all Americans. To me this is just as basic as the need to have clean air and water. It is not possible for all Americans to have the right to life, liberty and the pursuit of happiness without ac[Truncated]" Agree. Agree. Agree. Agree. Agree. * I think it is absolutely necessary to revise the level at which doctors are compensated. They make entirely too much money. That is one of the key reasons why health care costs are out of control. I believe that also contributes the propen[Truncated] The system recently adopted in Masssachusettes bears close scrutiny with the eye toward implementing this system nation-wide. 25746 6/27/06 5:41 PM WI Agree I agree 100% with your recommendations 25747 6/27/06 5:45 PM GA We are the only industrialized nation in the world with out a complete health care system for it's citizens. 25749 6/27/06 5:49 PM NY I agree I agree I agree I agree I agree I agree I agree 25750 6/27/06 5:49 PM PA * We pay more for health care than any other industrialized nation. Why must we wait? Is is not the insurance companies that should wait for bloated profits or the lobbyist that should refrain from being the provocators of greed?[Truncated] 25751 6/27/06 5:50 PM MI Good Luck! This is long overdue. 25752 6/27/06 5:50 PM NY Every other industrialized country offers this to thier citizens. The government program should cover everything but elective surgery. Why would we need this? "* Why the ""public-private"" thing? What do you mean? We don't need any corporations in on this. My sister is a doctor and she got her student loans paid off by working for a certain number of years in the backwoods of Montana.[Truncated]" "Sounds good. It works for other countries, why not for us?" * I don't understand this public-private thing you have going. No corporations. No privitization. This should be a government project and the advisors should come from professionals in the field and the public. No corporations.[Truncated] "* I have lived in several countries where there is a public health service. It works well. The current US system not only makes the people in the US less healthy, but it also makes them more cruel and makes that cruelty even seem acceptable. [Truncated]" * The US currently spends over half its budget on military. No other country spends even half of that amount on military. This is crazy. Cut the Pentagon budget. The public health system should be financed also by luxury taxes and will cert[Truncated] 25753 6/27/06 5:51 PM MO "* The insurance business is obsolete. Corrupted and useless for more and more and more of us, the american public. The insurance we can afford doesn't ever pay for anything! And when it does the rates go up or they drop you. That's pretty usele[Truncated]" 25754 6/27/06 5:51 PM CA "* Health Care for all should be a right, not a priveledge. Also with the globalization of the economy and fierce competition of U.S. companies against foreign, the future of employer funded health care plans is ending. If we want to compete wi[Truncated]" I agree I agreee Ii agree I agree I agree " I agree, refer to above comments" 25755 6/27/06 5:53 PM OR Absolutely neccessary for a productive society. I agree. I agree. I agree. I agree. I agree. I agree. 25757 6/27/06 5:54 PM WI We're behind the world in this area and it can only be a bad thing for this nation. Everyone deserves access to health care! 25759 6/27/06 5:56 PM FL I firmly agree with this statement. We are the only civilized nation whoe does not provide universal health care I agree I agree I agree I agree I agree I agree 25760 6/27/06 6:00 PM OH "* Your recommendation 1 should read: Americans should have a health care system where everyone participates, regardless of their financial resources or health status, with benefits that are sufficiently comprehensive to provide access to approp[Truncated]" "* Who defines the ""experts""? How would a patient access health care beyond the ""core"" benefit package for EACH American? And given the big uproar about ""illegal aliens"" who have worked and lived in the US for years, who defines ""Americans""? Ben[Truncated]" "* Again, back to definitions and subjective terms here. You will never know unless you can at least mentally walk in their shoes...[Truncated]" "* Very lofty; doctors cannot communicate with each other when they are all caring for the same patient. Nurses do better at coordinating care, especially nurse practitioners - who by the way are fast becoming the general practitioners of health[Truncated]" "* What are these evidence-based best practices, what do they include and what if there is none done to date??? Will current medical practices, quite a few that really out of date but still done, be compared to other alternative, complementary, [Truncated]" "* We all need to be fully informed about these services. My mom never wanted to suffer but because of her doctors and their views about pain medication, she did. I found out that there is liquid morphine available by prescription that works alm[Truncated]" "* You know that Bush and his buddies are going to disregard these recommendations - for they will help control costs of their big businesses supporters, including the drug companies. If countries are judged on how well they take care of their p[Truncated]" "* Sounds good on the surface and you've no doubt formulated this based on feedback - BUT remember that you are not getting feedback from each segment of the population. My mother, rest her soul, would have been in this ""unheard from"" group. She[Truncated]" 25761 6/27/06 6:00 PM WI * Requires clear definitions of who is eligible for assistance and what benefits will be required. We need a fundamental change in health care policy and thinking to move away from a free market approach to solving the American health care sy[Truncated] "* This may allow for a tiered approach, basic benefits; however, there will still be challenges to allocating resources for basic benefits when supply and demand type environment may make individual providers choose to provide services to other[Truncated]" "* Realistc? At defined levels it may be affordable but as we have seen from other insurance type programs, there are not endless resources to cover ""all"" financial risks relative to healthcare. The issue of who decides who gets what and how [Truncated]" * Coordination of care at a community level should be encouraged. The current regulatory and economic environment do not allow for this vision to be executed.[Truncated] * Education and reality that we need to treat people at the end of life compassionately and with respect and pay appropriately for comfort and palliative care.[Truncated] * These are extremely complex issues and need to be discussed at numerous levels in our society to begin the process of change. It is clear the current system is broken and tweaking it will not result in any significant change. All Americans[Truncated] 25762 6/27/06 6:05 PM MI WHY NOT?????????? What the heack are we working for. "If we don,t take care of each other who will. (It could be you or your children or there children or there childrens children)" 25764 6/27/06 6:10 PM WA I agree. I agree. I agree. I agree. I agree. I agree. These reforms are long overdue. I agree. 25766 6/27/06 6:13 PM PA "* It should be for all legal citizens,especially for cancer and any other serious sickness. So you don't have to lose your life savings or home.[Truncated]" "If the govt.can find money for a war,they can sure find money for this." 25768 6/27/06 6:22 PM KS We are the only major industrial nation without National Health Care. The emphasis needs to address critical needs for all. * Health Care needs to be public. Any program that requires insurance companies to be involved will increase the costs and further enrich these companies at the expense of the public. It will also limit the options for the poor.[Truncated] * A national Health Care system will ensure that all Americans have fair access to medical services and end the disadvantage US companies have when they pay for employee health care.[Truncated] 25771 6/27/06 6:29 PM TX * It's sad that we don't take as good of care of our own citizens as we do of our politicians. They should be no more priviledged that anyone else in America. [Truncated] * We should rely on valid scientific evidence and not money hungry privat insurance companies who are more interested in saving money for the top level of their staff than saving lives. [Truncated] This is the very least we can do in the the name of justice and mercy. Advisory groups should have no involvement with the profit hungry side of the industry which totally clouds honest judgment. "* Health education is a must and it must be open and honest and not dictated by fairy tale ideas of enforced morality. In other words, sexual issues must be based in reality and not what some group wished were the morals of the world.[Truncated]" "* Positive end of life care should be available to all who desire it. We must learn to embrace a ""good death""and not hang on to meaningless ""alive"" at any cost.[Truncated]" * We shuold spend more on domestic issues such as health care that we do on military and war issues which only generate more war and hate for America.[Truncated] 25773 6/27/06 6:32 PM WA "* Until and unless the American people become angry and fed up enough with this Conservative philosopy of robbing from the poor to enrich the wealthy, it is futile to discuss universal medical care. Those people are deliberately running the co[Truncated]" 25774 6/27/06 6:33 PM CA This should be the top priority of all elected officials. I am in total agreement with this recommendation * This is paramont! I have seen first hand how bad our current health and hospital care has become. I fear for anyone who has to deal with our health system who does not have family members or others to be wathchdogs for them.[Truncated] * A healthy population is a highly productive socitey. This is the best and most important investment that our country can make.[Truncated] 25777 6/27/06 6:36 PM NY "Universal, single payer, health plans are A MUST." SEE COMMENT ABOVE. 25778 6/27/06 6:36 PM CA "It is an inexcusable that all Americans do not have health care coverage. A national disgrace. " Of course. "* Universal health-care coverage for Americans will be provided one day. It is inexcusable that it has not been done yet, especially when we see it provided in the other developed countries. [Truncated]" "* Let's get started! Surely we have enough intelligent people in this country to develop a workable, economically-feasible system, especially when we have so many health care plans in other countries to learn from. [Truncated]" 25779 6/27/06 6:38 PM MO * THE COMPANY I WORK FOR CHARGE'S ME $618.00 A MONTH.I HAVE GOTTEN A RAISE EVERY YEAR FOR THE LAST 6 YEARS AND EACH TIME MY COMPANY HAS IT APPLIED TO COVER THE RASIE MY INS.HAS EACH YEAR.THEN 2 WEEK'S AFTER I GET THTHIS I GET A LETTER FROM MY I[Truncated] 25780 6/27/06 6:39 PM AL "* This country has the worst health care system in the world. Special care and provision are always given to the rich. This country currently has an unspoken caste system - The ""Haves"" and the ""Have Nots"" A person should be given the opportu[Truncated]" * That is an excellent idea! It is about time that we had input from ALL sides. The only stipulation is that EVERYONES input has the same value and weight. That is to say that a payer or patient can override a medical board member and or prov[Truncated] * Yes. The pharmaceutical companies have been robbing the poor and the elderly blind for a number of years. Out of pocket expenses should be substantially lower. Some countries even have elective plastic surgery that everyone is entitled to.[Truncated] As long as input from everyone is considered. We don't want the power of a few to dominate the voice of the multitude. * There should definitely be safegaurds against fraudlent usage and abuse of the program. Offenders should be severely dealt with.[Truncated] I have no comment since I have no experience with this issue. No. "* The money is there. Just quit giving money to all of those unnecessry grants such as ""the effects of cows farting and the atmosphere."" Cows have always farted and we are not dead yet. There is no need to search for money. With the cease o[Truncated]" 25782 6/27/06 6:46 PM VA I agree I agree I agree I agree I agree "* I have a high functionig type of autism and have faced all sorts of discrimination concerning jobs, medical costs, schooling and life in these United States. [Truncated]" I agree 25785 6/27/06 6:56 PM AZ President Bush and his administration and all members of Congress have excellent health care. We deserve the same! Use the aame ideas that the federal employess insurance companies have to keep costs down! * We all pay for people who have no health care. It would be cheaper for them to have a standard heath care system rather than paying for them to go to the hospital for their care after they are sick.[Truncated] * Ask the best doctors to help organize the methods for health care. Many of them are tired of the way insuance companies control their profession.[Truncated] "* Limit the pay of any executive to a reasonable amount. If possible, eliminate CEO's all together and have a syswtem like some health care providers taht are owned by the people who get the care.[Truncated]" * I would feel much better if I knew I could tell a doctor that I no longer have quality of life and that I want my family around me to say good-by. Then allow the doctor to let me die peacefully and without a long extened time of pain and gri[Truncated] * Greed and corruption can only be stopped in any sector of our lives if we control the huge amount of money to fund the incumbents. Ninty-eight percent of the incumbents are relected becuase of their influence to get money from special intere[Truncated] "* Finance and educate people before they get sick. Pay for preventive measures rahter than an expensive treadtment after they are sick. Educate in schools, send CD's, DVD's etc. to all families about how to stay healthy. [Truncated]" 25790 6/27/06 6:58 PM UT Thanks for your work on this issue. I support all of the recommendations. 25792 6/27/06 7:01 PM NJ "* My husband pays out $240 a month to cover us. We just had to change providers because the rates went up. Most copays are $40 a visit. Four years ago, I had to have an operation. My doctor ordered 1 month of physical therapy 3X a week but we c[Truncated]" "* Eve Glasses are a necessity not a luxury! The prices are so high we have to put off getting an exam & new glasses. We just paid off a $3,000.00 dental bill that insurance did not cover.[Truncated]" "The poor has Medicare, The rich have their money but the middle class do not quality for any help!" 25796 6/27/06 7:05 PM TX * cut gov.waste. stop sending billions to all of the countries that are going to hate us anyway and start taking care of our legal americans.[Truncated] 25797 6/27/06 7:07 PM NC Sounds like the right plan We need that We need that We need that The definitely need to do that We need that Low income people need all the help they can get!!!!!!!!!!!!!!! Great benefits 25800 6/27/06 7:13 PM IN "* define americans is it citizens, or anyone who gets into the United States, the later would create a health care dump for other countries.[Truncated]" impoverished is a relative term. is it a percentage of assets . or a floor limit for assets * there are too many people getting rich in the health care industry that don't accually provide health care services to patients. [Truncated] It should be impossible to play the system to gain competative advantage in the bussiness world. 25801 6/27/06 7:15 PM IL I support a single-payer system. I especially like this recommendation. Will it include an effort to make abortions available in every county? 25802 6/27/06 7:17 PM WA I firmly agree "Yes please, no more ""faith-based"" science." "This should not include health savings accounts combined with $1,000 deductible policies." Get the profit movite out of Healthcare delivery systems. Good * Also allow effective pain relief by not prosecuting Doctors who prescribe pain control medications for elderly and dying patients.[Truncated] * This is one of the most pressing problem most people have to deal with. It is shameful that the richest nation in the world can't provide it's citizens affordable health care.[Truncated] * US citizens pay more for healthcare administration than any nation in the world. A single payer system like Social Security would provide more benefits at lower cost than the current system. Negotiating national contracts for pharmacuticals w[Truncated] 25803 6/27/06 7:19 PM NY We need care for everyone 25805 6/27/06 7:22 PM MA * Can't we learn from the British and Canadians on what works and what doesn't and improve on their models for universal healthcare? I can't believe that it could be any more expensive then the system we have now that doesn't work well for anyo[Truncated] * I don't mind paying additional taxes to cover healthcare if I am then able to drop the hefty deductions from my paycheck that currently cover my family's healthcare insurance. I don't know that I'm able to keep paying that and pay a lot of ad[Truncated] 25806 6/27/06 7:25 PM PA support hr676 Support hr 676 support hr676 support hr 676 support hr676 support hr676 support hr676 support hr676 25807 6/27/06 7:29 PM OH "* It is totally unacceptable that the most affluent nation on earth can not see fit to provide basic health care for all its citizens. If I hear just one more case of a senior citizen losing their house to health care costs, I will never vote f[Truncated]" Excellent! 25808 6/27/06 7:32 PM MD No one should go untreated. All healthcare groups should provide the same coverage. All healthcare groups should have a base cost. Preventative care is the cost saver for health care groups. Perhaps a portion of the funding should be deducted for costs. Everyone pays. Healthcare for everyone. Our future depends upon how healthy and strong we are to survive. Healthcare is our way to a prosperous long life. Everyone should participate based on a set percentage of their base salary. 25809 6/27/06 7:34 PM NY Every American citizen should have health insurance. No American citizen should go broke paying for uncovered medical expenses. 25816 6/27/06 7:49 PM IL "Lack of healthcare affects all Americans, not just those who can't afford it." * Too many times well meaning intentions do not translate into real benefits for those who need them. Who decides on the members? [Truncated] "* Sounds wonderful if it was actually done. Pitifully, we lag behind all other major nations in providing our citizens healthcare. [Truncated]" * Federal government?!! You just lost me. They have been against healthcare for all for years. Or have they found a way to profit from this and make the poor people pay for it. [Truncated] "Again, this government is trying to ABOLISH these programs, not expand them." "Again, sounds good, looks good on paper. I have my doubts on the actual product." * I don't like the fact that it is non-specific in its statement of financing and deducting taxes from those who cannot afford healthcare today seems like adding additional burdens to those who can least afford them. [Truncated] 25821 6/27/06 7:54 PM CA "* My main concern is that it will be for Americans only, with the possible inclusion of legal immigrants, but not for illegal immigrants, whose presence has overburdened our welfare rolls, schools, etc. I am not a Bush republican, but a libera[Truncated]" "* Although I haven't made this recommendation in previous comments, I think we should use as a model Canada's system, that evidently works as well as any system in America, and possibly better. [Truncated]" "* Again, how is it paid for in Canada? Use their system to figure out the how-to's and where-for's. Why reinvent the wheel, especially for an issue that is as important as national health care?[Truncated]" "* If this isn't done relatively soon, we will all miss the benefit of expanded health care facilities and services. It's only a matter of time before a pandemic happens. Our current system, which is in decline, cannot handle a normal flu epid[Truncated]" "Again, see Canada for what works and what doesn't. (See #4 above)" "Again, see Canada for what works and what doesn't. (See #4 above)" * I believe this will require a change in the administration that has shown it is not willing or able to handle such a task. That is where the hard work will begin. Analyze what obstacles prevented the U.S. getting universal healthcare off th[Truncated] "* There is a vast revenue stream that qualifies for the ""sin tax"" that has so far remained untouched, with smokers paying the lion's share of ""sin taxes"" that currently fund many programs. That is the liquor industry. I don't understand why t[Truncated]" 25822 6/27/06 8:00 PM NY "* Quality health care, not just emergency but preventative care should be a basic human right not something you get if your lucky enough to have a good job.[Truncated]" The fact that a large amount of Americans faceing bankruptcy because of medical costs is a black eye for the entire nation. This is very important as the Baby boomer generation ages. * Currently American's pay the most per capita of any industrialized nation however we have the least number of people with access to quality medicine. If the switch cost more in the short term I am sure it will be worth the eventual savings.[Truncated] 25824 6/27/06 8:01 PM CA I'm for this! I'm especially concerned. As you've stated we're including mental health which I think is a priority. "Yes, this is necessaary. I've read that most bankruptcies are due to high health care costs." Very good! Good! I don't see much that you've mentioned about PREVENTATIVE HEALTH CARE. I'd like to see more of that! 25825 6/27/06 8:02 PM TX * Access to good health care should be a basic human right. Our current system is leaving more and more people without this basic need being met. Non-medical personnel are making life-and-death healthcare decisions based on one's level of ins[Truncated] It is essential for the well-being of this nation to provide comprehensive univeral health care. * No one should be financially ruined because of health care costs. No one should have to make health and wellness decisions based upon the financial cost they will have to bear. No one should be denied coverage.[Truncated] 25826 6/27/06 8:02 PM MI * I believe it is very important for the health of this country for all citizens to have access to basic & necessary health care; almost all developed countries offer this to their citizens and since we are one of the richest countries in the w[Truncated] * This is a good idea to appoint a wide ranging panel of people to identify a core benefit package. I am concerned about the seperation of a core benefit package vs high cost protection. This could become a very devisive issue if some citizen[Truncated] "* I agree. If a broad enough package of sources can be brought together to contribute to a health care fund, then everyone should be able to be protected from going in to poverty to cover health care costs.[Truncated]" * The federal government needs to play a leading role in this initiative but I also think that the State government also needs to play a role at a more local level since they are aware of the specific needs of the people in their State and wher[Truncated] * Improving the quality & efficiency will be paramount. Involving all citizens to improve their own health care status will be vitally important.[Truncated] I agree very much. "* I am very excited to see that something is finally being done to begin addressing this issue on a national level. This needs to be publicized & made known to more people. More people need to be involved in this debate and, as much as possib[Truncated]" * No doubt a number of funding mechanisms will need to be brought together to be able to adequately fund health care on a national level. A seperate payroll deduction of a certain percentage could be added to help cover the individual cost tow[Truncated] 25828 6/27/06 8:04 PM KS "* health INSURANCE does not!! equal health CARE I would love a system that provides better health care for more people, but I DO NOT want to subsidize an already bloated health insurance industry!![Truncated]" "* health COVERAGE does not equal health SERVICE If pharmaceutical companies and insurance corporations are guaranteed income regardless of the services they provide or the number of people to whom they provide those services, we are setting [Truncated]" "* I agree. But tax-payer subsidies of the health""care"" industry are a dangerous precedent. Make sure we're subsidizing the PATIENTS instead of the industry.[Truncated]" More specific accountability metrics would make me feel more comfortable with this Recommendation. "hear, hear!" "just to re-reiterate: Health COVERAGE does not!! equal health CARE." "* universal health COVERAGE does not!!! equal universal health CARE again, packing insurance coffers with extra dough does not in any way translate into more effective or available care for anyone, especially not the most underserved in my c[Truncated]" 25829 6/27/06 8:08 PM MO * My son has Cystic Fibrois and has been through cancer. I can not imagine how families without insurance can handle it. It was tough enough with good insurance and a good job. The poor working have to afforded the same peace of mind that I [Truncated] 25832 6/27/06 8:15 PM IN "* Yes, All americans should have affordable health care and I think one way to assure that all have insurance is to include coverage thru employment every man women and anyone working is to pay along with every employer X amount per hour. Thi[Truncated]" Thats a good idea keep the lawyers out of picture.All they do is add to the problems. * I asked my congressman about raising the minimum wage and he said that he opposed it for one reason such action would destroy the jobs of the very people it seeks to help. What would happen to these jobs would they just go away no one would h[Truncated] "* Some of these programs need to be looked into because they have been designed by the lobbiest, let the average person get involved in the design, people that have been thru the hospitals and insurance companys and have found the large holes a[Truncated]" Sounds good "* Its like everything it comes down to money and the people who control the money, its not the people that need the insurance, hospital or RX's that makes the laws.The people that make the laws (congressman and senators most of them lawyers sh[Truncated]" "* Yes, All americans should have affordable health care and I think one way to assure that all have insurance is to include coverage thru employment every man women and anyone working is to pay along with every employer X amount per hour. This [Truncated]" 25834 6/27/06 8:23 PM IL I agree I agree I agree This is essential "* I don't beleive that the cost will be as great as some may say. With a larger insured base, the administrative, and other costs will go down. As the system is now, the people who have insurance are paying for the uninsured anyway. Right [Truncated]" 25835 6/27/06 8:24 PM WA "* I've worked in health care for 30 years, and firmly believe that the only just and cost-effective solution to our nation's health care dilema is a universal, single-payer system. Several studies have shown that this type of system could cove[Truncated]" "* This will also be a difficult process. Again, there are many existing examples in insurance products now on the market. I believe it should include all medically necessary care that is evidence-based.[Truncated]" "* Since half of our nation's bankruptcies are due to medical bills, this recommendation is essential. A single-payer, universal system would alleviate this problem.[Truncated]" "* The best safety net would be a single-payer, universal plan. If we spend time and money on piece-meal, BAND-AID approaches that tinker with the HEMORRHAGE of health care problems in this country, we may preserve profits and jobs, but we will[Truncated]" Wonderful ! Wonderful ! "* It was a privilege to attend the community meeting in my area. We are a nation of the people, by the people, and for the people.[Truncated]" "* I realize that this will be a difficult transition, but we're not re-inventing the wheel. There are many industrialized AND non-industrialized nations who have already travelled this path. Their systems could serve as templates for our study[Truncated]" 25836 6/27/06 8:26 PM PA This is swound policy. Only if everyone participates we can generate the economies of scale we need to make it affordable. "* For behavioral health, the fit between consumer expectation and treatment appears a major contributor to treatment effectiveness and care needs to be taken to maintain diversity, especially in a system that covers everyone[Truncated]" The key to managing medical cost is prevention. * We should look to the international community - no system is ideal but ours seems to be singularly expernsive and ineffective. We need a systematic analysis of what we are doing wrong.[Truncated] "* All the financing avenues mentioned above should be used. Enrollee contributions should be set at a percentage of pre-tax income. People who use preventive services (regular exercise, no smoking etc.) could get additional benefits. [Truncated]" 25838 6/27/06 8:30 PM NY Let's catch up with the rest of the developed world. I hope I live to see universal health care in the U.S.A. "* I look forward to preventive care which will include such basics as flu shots and physical exams. It's a crazy system that will pay to treat pneumonia but not to prevent it. Also, doctors should determine the prescription for a disease, not[Truncated]" "* I favor public funding of health care. Tax the rich and multinational corporations. Make them pay their share for a change. Private means corporate to me, and I've had enough of corporations overseeing health care. [Truncated]" Ensuring that the vulnerable receive the health care they need can only help the country as a whole. "* Insurer-imposed limits on hospice care, etc. is shameful. Patients shouldn't be expected to die within an arbitrary time limit. The only people who aren't subject to this situation are the rich. [Truncated]" * Congress should have to experience the medical care crisis as their constitutents do. Then they'd know why things have to change. [Truncated] * There's lots of money out there for health care. The U.S. never says we don't have money for war! Why? We need to refocus so as to care for people more and the Pentagon less. Also end tax breaks for multinational corporations which in some [Truncated] 25839 6/27/06 8:32 PM NM Suggest wording to encompass single payer system reconstitute FDA nad get pharma and politics out of it incoporate a core education plan covering nutritution Incoporate all insurance companies into one super agency. 25840 6/27/06 8:32 PM NJ I'm for a good plan like this. I'm all for it. This will be good for all. Good start. OK Sounds good. "* I like the idea of health care for all Americans. I will gladly pay more taxes to support a good fair plan. I make only 20,000 a year, and I'm willing to pay a few grand a year. How about the rich? No more tax cuts.[Truncated]" Good start. 25841 6/27/06 8:40 PM IN "* These are all excellent recommenditions. I just really wonder how much mine and everybody's taxes are going to go up to finance all this. And from what I've heard and read, Canada and England have government sponsored insurance and tryin to [Truncated]" 25842 6/27/06 8:43 PM AK "* People who knowingly place themselves in ""high risk to need catastrophic care"", ie; smoking, uncontrolled obesity, excessive drug and/or alcohol use should be required to pay much more for their health care then those who strive to maintain [Truncated]" "* Similar to police and fire protection, health care should be shared by everyone by removing the huge profit incentive to all those entities that currently are in it for the money.[Truncated]" * I heard a piece on the radio today and it was mentioned by one of the guests that the average cost of health care works out to about $8000.00 per person for the entire country. A lady called in and suggested that if that money bought insuran[Truncated] 25845 6/27/06 8:46 PM WA Yes! Take leadership from poor people of color. Let them choose the process. 25846 6/27/06 8:47 PM MO "* I will only vote for a candidate who agree's with this policy until I can no longer vote. This is as least as important as Social Security. To spend as much money as this Administration has on terrorism in such a short period of time, the he[Truncated]" 25847 6/27/06 8:56 PM NJ "People should not need financial assistance, unless the cost is going to be high and unaffordable." Sounds too restrictive. This says it all and should become enacted ASAP! Does nothing. This is a waste. This does basically nothing. Need more info to make a judgement. "Health care for all Free of charge financed by a National Tax (2%-5%?), big business, and the Federal Government." "* Businesses who make outrageous profits should be required to help finance health care for all Americans, not be given a tax break.[Truncated]" 25848 6/27/06 8:57 PM IL "* I agree with everything said. The health care services really do suck for people who can't afford it. Something should be done to take care of our own, instead of everything else that isn't even our problems.[Truncated]" 25850 6/27/06 9:01 PM TX * America is the only industrialized country left that doesn't provide national health care for all. Congress keeps voting themselves higher and higher salaries yet they will NOT pass a higher basic wage law for the common man. None of that m[Truncated] "Yes, all three branches (physical, mental and Dental) should all be included." Yes. * I don't think the present Government is capable of carrying forth this task. You have but to look at Hericane Katrina to see what a mess they made of that! How can that be prevented from happening again? Is this really the Administration w[Truncated] Amen. 25851 6/27/06 9:04 PM NY "* A recent New York Times article reported that the single largest group that filed for bankruptcy was middle class working people with some form of health care insurance. They were done in by catastrophic medical costs that were not covered, [Truncated]" 25854 6/27/06 9:12 PM MD * I'm concerned about those with life-threatening rare diseases who are unable to access the health care system for APPROPRIATE care. Instead of being referred to specialists all one gets are shrugs from one's PCP. Had my fatal rare lung dise[Truncated] 25860 6/27/06 9:18 PM WI "* I believe every American should have Health Care. As much as I believe in helping Our Allies and 3rd World Countries, I believe that should come AFTER we have taken care of our own.[Truncated]" See above comment!!!! See above comment!!!!!! See above comment!!!! SEE ABOVE!!!! SEE ABOVE!!!! SEE ABOVE!!!! See above comment!!!!!! 25861 6/27/06 9:20 PM IL It should be public policy that all Americans have affordable health care. 25868 6/27/06 9:28 PM CA "Absolutely! Health care should be a right, not a privilege." Sounds good. Agreed. Spreading the risk and the participation among all Americans is the only logical way to go. Sounds good. "* Good. For-profit health services should be minimized. They have been grossly inefficient by adding layers of costly bureaucracy. They have proven to give higher priority to investor desires than to patient needs. The mention of teaching ho[Truncated]" I am glad to see this issue given an important place in design of the system. "* We should welcome information on the health care systems of other developed nations, none of which spends as much as the U.S. on health care, and all of which provide more comprehensive protection to their people as a whole. Health care i[Truncated]" "* It is a good idea for people to contribute reasonable amounts towards their own health care to discourage possible frivolous use but, aside from that, I would like to see public funds used to cover health care, supported by fair taxes on all.[Truncated]" 25869 6/27/06 9:29 PM TX This sounds real good if it could be implemented. "I like this, because citizens would be involved." Amen "sounds good, too" "this sounds awesome, too." 25870 6/27/06 9:32 PM NJ We are the only industrialized country barbaric enough to deny universal healthcare to all who live here! Forget defining a core. Just cover everybody for everything. We can afford it -- let's just do it! "* Any costs should be minimal; perhaps a token $1 or $3 charge for an initial appointment, waived for the destitute or very poor. Everything after that: tests, medications, hospitalization, etc. must be free. If they can do it in France, su[Truncated]" "* Leave the private group out of the evaluation process! If they have any finger in the process, they will turn it to their own, not the national, advantage.[Truncated]" There should be NO private payers involved in any part of the process. "* Like the disgusting lies used by the Republicans to try to persuade Americans that we couldn't afford Social Security, the same is true for their statements about universal healthcare. Enough already![Truncated]" 25871 6/27/06 9:32 PM PA "* America has been lacking in it care for it's people, especially in health care, many working families who do not have health care are only one health problem away from financial disaster. It is not right, but a must that we have health care f[Truncated]" "* By bringing people from different walks of life, we are able to get full spectrum of opinions and ideas, plus these people will also bring their own health problems into view giving an even better insight into health care. [Truncated]" "When countries like Canada, England and others have national health care it is an embarassment the this country does not." We must reach out to all people in order for this plan to be a success. "* Fraud and cost-control have to be in the forefront, because you will have the nay sayers that will say this is another program where goverment spending is out of control. [Truncated]" * One of the most heart-wrenching feelings is seeing a love one who is dying. We must allow death with dignity and the family knowing that a loved one was provided with confort and respect prior to their passing. [Truncated] "* If we do not provide a single payer program within the next four years,it is my belief that every member of Congress, the Senate and the White House should have their health care and long term care benefits suspended until this country has a [Truncated]" It is the only way this plan can be put into action. 25872 6/27/06 9:34 PM NM Absolutely! * It's imperative that the group that defines core benefits be as ethnically diverse as the county is so that the needs of minorities are not overlooked.[Truncated] "Excellent idea! If more people got good preventative care, some of the expensive treatments would be less necessary." School-based health care centers should be included. "* As long as we're going to take a look at teaching hospitals, how about abolishing the horrible practice of having residents and interns work unending shifts in the ER until they are completely sleep deprived. Even the medical community recogn[Truncated]" "* Absolutely! But we also need to consider how we treat those who take care of our elderly and dying. PBS will air a documentary in August (""Waging a Living"") where a certified nursing assistant points out that, while she handles people, garbag[Truncated]" "* This past January the company I worked for went out of business. My primary concern was not how I would pay my mortgage, it was how I would keep my health insurance. Since my employer was no longer in business, I did not qualify for COBRA. Fo[Truncated]" * I think the best way to pay for health care for all is to get rid of the middleman -- the insurance companies. They're the ones who drive up the costs because they need to make a profit. Access to health care should not be a commodity! It sho[Truncated] 25874 6/27/06 9:36 PM CA "* I think we should have universal coverage under a single-payer system, like Canada and every other industrialized nation except the U.S. It is a myth that other countries have poor quality health care. National health insurance will cost le[Truncated]" 25875 6/27/06 9:37 PM GA "* I think all Americans know people who do not have health care insurance and would not mind contributing on a voluntary basis. Therefore, a charity fund should be set up allowing all who care to contribute what they can and those in need of h[Truncated]" 25876 6/27/06 9:38 PM MI I agree. Health care takes more time to negoiate than anything else. sounds great. this is very important. ok fraud seams to be part of our government.too many people trying to make money from the government. this is long over due. health care should be something you don't worry about. * If companys dident have to worry about health care employes would find it easer to get raises. because a raise is something a company knows the cost of. Health care is anybodys guess.[Truncated] 25878 6/27/06 9:39 PM NY "* Yes, we need to have universal coverage for all basic health needs. Stop pussy-footing around with this pay-what you can stuff; Where ever there is red-tape there are un-met needs. Prima-donnas can spend all they like on extra or special c[Truncated]" "* My husband and I were crippled by health care costs, some of which we were supposedly covered for...but who can afford to fight the insurance companies? If the citizens have to climb a mile of indecipherable legaleese, no one will benefit. [Truncated]" 25880 6/27/06 9:48 PM MO I am very much in favor of health care for all. 25881 6/27/06 9:48 PM MI "* amen I have been with out insurance for years and in no way can afford to use the money I live on to pay for this , for there is none left over to do this with.And to get state help you might as well just kiss that goodbye becuase if you work[Truncated]" fair enough BRAVO! sounds good. great idea. again great idea. * again I believe this can and will work if some of these medical peolpe wouold get off thier high horses and work for the people who are know paying for thier educations.[Truncated] 25882 6/27/06 9:50 PM IL single payer single payer single payer single payer single payer single payer single payer single payer 25884 6/27/06 9:53 PM PA This is a basic human need. * Studies have shown that end of life medical care often costs more than a person's entire lifetime medical costs. Perhaps education would help set realistic expectations of quality of life. Living Wills should be required.[Truncated] Education needs to be offered regarding hospice care and services related to home hospice. Perhaps the drug companies could divert some of their profits to health care instead of campaign funds. 25885 6/27/06 9:55 PM FL * Some of us older workers are on a fixed income aand can't afford the meds necessary to let us live.I'm sure G W will never fall in that same place!!!!! [Truncated] * At least some type of coverage to ensure that the poor minimu workers that can't afford insurance or meds should have something that is called dignity and not welfare![Truncated] G W willnever approve a new increase that would benefit the working class or us olders !!!!! 25887 6/27/06 9:56 PM GA * We should follow Canada's example. All citizens get free healthcare regardless of their financial resources or health status. We need to study other countries and maybe we can get it right for a change.[Truncated] 25888 6/27/06 9:58 PM CO agree "* While I agree with the core concept, I am also wholeheartedly for holistic care, and use many alternative forms of treatment that have worked better for me. I cannot count on my physician to give me this option, though it works better in most[Truncated]" "* many people suffer financially and emotionally from catostrophic events such as layoffs, illness, injuries, and accidents to no fault of their own. I agree we should try to share in that, much like life insurance.[Truncated]" "* I agree that the fundamental elements of providing services should be handled by the government, but overseen by a private group who will not be influenced by lobbyists or greed.[Truncated]" "* definitely prevention is the best course of action - through education, immunization of youth, more exercise programs (schools) etc.[Truncated]" yes "This is a huge issue, and appreciate the efforts made in tackling it." "* The first step is reducing unnecessary costs, and unrealistic costs like prescriptions. Do we have to get them from another country, or hold our own companies accountable. Every employer should pay a part too[Truncated]" 25890 6/27/06 10:05 PM IN "* we need health care for all working american,that work at least 30 hrs a week,or retired,this is the most important thing the american worker need,and a utility adjustment according to income,thanks chester cupp[Truncated]" 25891 6/27/06 10:06 PM MD "* This is a no-brainer. The current employment-based system leaves too many people without coverage. It is unfair to employers who provide health insurance who must compete with the lower labor costs of those who don't. Also, workers must w[Truncated]" 25892 6/27/06 10:06 PM MI We should all have healtrh care if congress that works very little and usually messzes up things does! sounds good but that don't make it so that would be good none none soundsz alright none Where do they get the money for congress and the senate to get their golden parachute. 25897 6/27/06 10:12 PM IL * Please please please make this happen. The patients who need it the most are the ones who are least likely to be employed at a job with good health care benefits. Everybody has a right to high quality of life if they so choose. Please cut [Truncated] "* A MUST!!! Why do hospitals negotiate with insurance companies, but not with the uninsured cash paying patient? The access to good healthcare need not break the patient.[Truncated]" 25898 6/27/06 10:14 PM OH "* No American should have to do without medical treatment for an illness for themselves or their children, but that is the situation in our country today. This is wrong.[Truncated]" This appears to be a reasonable and common-sense way to determine the health care needs of our citizens. No American should be forced into poverty because of medical expenses for himself or his family. "* We need to get our priorities straight. Health care for our citizens is a necessity, not a luxury. We cannot afford not to fund it.[Truncated]" 25900 6/27/06 10:17 PM OH Do it. Do it. Do it. Do it. Do it. Do it. Do it. 25907 6/27/06 10:26 PM WA "How does congress create a health scam? They complicate things. Make health simple, and you will have a superior Republic." "* What would you expect for your kids? How about your best friend's kids? People have needs. Give people what they need, and you will see a huge return when people's health needs are met proactively, rather than letting things go until only an [Truncated]" Like America? How about Americans? Prove it! Do the right thing. "* To get the biggest bang for the buck, put the water on the fire! Bring the most to the areas with the least care and perform a 180-degree maneuver. Instant payback.[Truncated]" "* You know, it's a shame we have to go to extremes like this to say one simple thing: Everyone deserves health care, especially regular ""preventitive maintenance"", vaccinations, tests and education.[Truncated]" "* Do what you can to enhance life-extension, without an accompanying death-extention. In other words, don't force people to stay alive and suffer, just because we have some machine that will do that, in order to satisfy some religious nut.[Truncated]" "* Sick people create a sick society. Sick people are created by inequality in wealth. Inequality of wealth is sustained by politicians. Stop creating a sick society, politicians![Truncated]" 25909 6/27/06 10:30 PM OH We all have a right to the dignity and need for health care for everyone. The government should set up an affordable health plan for all to be able to share. 25911 6/27/06 10:31 PM MO "include vision care, eye exams, eye surgeries, and glasses and contacts with all of this." 25912 6/27/06 10:31 PM IL "* I believe the USA can well afford efficient socialized medicine for all of it's citizens , the same quality care for everyone regardless of their economic status. [Truncated]" * Preventive health care should be part of the core benefits. Teach people how to prevent illnesses not wait until they are sick and about to die and say oh you shouldnt have done that. Start with kids in elementary school making wise choices[Truncated] I agree totally with this recommendation. * Get the best and the brightest and for once implement a program withlout a lot of double talk and no action. And for God's sake eliminate the waste from the start.[Truncated] Right "* This is good but I want to see something done to enhance the quality of life for the living, especially the children. Too many children in this country have no health care. I know because I raised my children without it[Truncated]" no * The USA government has enough experts on it's payroll to restructure the way it spends or tax dollars. The can stop wasting money and throwing it away on wars that they are not really trying to win and finance uelth care for the citizens of [Truncated] 25913 6/27/06 10:33 PM IL "* What are the core health care services that you refer to? What determines theneed for financial assistance? The ""common message"" you mention sounds reasonable.[Truncated]" "Now you have identified some of the corehealth care services. However, they are still, somewhat,vague." "* An important idea. What would ""very high out-of-pocket costs"" be? The idea is goodbut would it be on a sliding scale according to a person's income? Who,or what,determines ""low income""? Sliding scale?[Truncated]" "The best, and most solidly written recommendation, so far." "* All recommendations in this category are good. However, how will you reduce fraud and waste in administration and clinical practice? Who will identify what is, and is not, fraud and waste?[Truncated]" "* These are good recommendations. Will this kind of a plan necessitate local branches of government haviong to increase taxes to make the ""community level"" part of the program work?[Truncated]" * What are your political plans when it comes to selling this idea? Who have you approached about the idea? This would require a lot of education before the general public willbuy into the plan. Do you have a plan for approaching BOTH political[Truncated] * Improvements in efficiency and investment in health information technology sound good. One thing that has to be done for health care costs is to make it possible for the health care agency to be able to bargain with the pharmaceutical compani[Truncated] 25914 6/27/06 10:35 PM WA "* The United States of America should not come second to any nation. With all the disasters that have been hapening and the unexpected financial burden that has been unexpected, we as a powerful nation should not be without a medical plan for a[Truncated]" 25917 6/27/06 10:45 PM CA "* I completely agree. All people residing in the United States of America should have access to core health care services. As the mother of a child with Type I diabetes, who has health care soverage through my job, every month I spend hours b[Truncated]" I agree. "* Health care should be guaranteeed to everyone, and should not be a privilege for the few who can pay for it. Access to core health services should be an inalalienable right, not a priviledge.[Truncated]" "* Vulnerable populations should include people with chronic diseases such as people who have Type I diabetes, who can live a healthy life if provided with the basic health services and any person who suffers from a chronic disease.[Truncated]" "* I will gladly support paying additional taxes with the purpose of providing universal health coverage. Everyone living in the United States should have access to health services, especially those who are at risk.[Truncated]" 25918 6/27/06 10:46 PM OH i feel we need a health care system before its to late. "i feel something need to be done, if the government cam spend billion on the war, they can get health care," "health Insurance should be for all americans not only the poor, or the middle class will become poor if nothing is done.." "i feel we need health care, just get it now." yes the federal government should fund all americans health care "yes private and public programs should support training," "i feel the federal govenment tax americans enough, now they can put some of that money for some good use" "i feel we need a health care system, if other country can do it we can do it," 25919 6/27/06 10:46 PM TX "* The recommendations listed here may provide a stop gap healthcare improvement. However, as long as long as healthcare is int heprivate sector, profit will always take precedence over healthcare (i.e., minimum cost of product, maximum price t[Truncated]" 25920 6/27/06 10:48 PM CA "* Every American should have access to basic health care, regardless of ability to pay. This country has the financial resources to provide these basic services.[Truncated]" "Health is defined to include physical, mental, VISION and dental health." Agree * I believe in universal health care under a public system. Private systems compromise the health of everyone by their primary need to turn a profit. All health care should be not-for-profit.[Truncated] Regulations on the current drug industry so they stop pushing drugs and controlling doctors. And government needs to stay out of the decision making. "* We have a disease-oriented culture in America, with government agencies promoting unhealthy practices, limiting comsumer choices, and preventing the free flow of health and alternative medicine information. What steps are being recommended t[Truncated]" "* Health, and life-and-death situations, should not be commodities that people can profit from. Health care should, in all cases, be a not-for-profit endeavor where only the health care providers themselves are reimbursed. Shareholders and CE[Truncated]" 25923 6/27/06 10:54 PM CA * I am concerned about this I would like to retire at 59 and I will not have any health coveraGE i HAVE WORKED 28 YEARS AND HAVE PAYED TXS. wE NEED AFFORDABLE HEALTH INSURANCE[Truncated] 25924 6/27/06 10:56 PM TN * I'm in complete favor of this recommendation and want to see it become the law of the land. Our law makers should be ashamed of themselves at letting Americans be without health care in this the riches nation on the planet. It's time they sto[Truncated] This has to be a bipartsian thing and doesn't need polltical posturing by the ruling party. Perfect No pollitacal pork can be added toany such bill. fully support fully suport It can and should be done. 25926 6/27/06 10:59 PM TX "* This policy should have been in place 50 years ago. Instead, what we have is outrageously shameful: In the richest country on earth so few Americans have health insurance or can afford the astronomical premiums and deductibles without going [Truncated]" "* YES! If Canada and England can do it, America certainly could -- if taken out of the venal hands and consciousness of those whose only consideration is making money as if health care in all its forms were a commodity.[Truncated]" "* It must be a public program. Whenever privitazation occurs, the bottom line is profit, creating the need for the least quantity and quality of care for the greatest fiscal return[Truncated]" "* There must be an absolute insistance that the very same quality of facilities and care be available to the poorest and most vulnerable communities as that of the wealthiest; otherwise it is doomed to failure, just like the extraordinary inequ[Truncated]" * Pharmaceutical companies and their powerful lobbies should be banned from any attempt to influence Washington as well as medical schools. An integrated health care system should include all of the proven natural healthcare models with a weig[Truncated] I cannot improve upon this. "* Many of the proven natural therapies and medicine, such as chiropractic, naturopathy, homeopathy, acupuncture, and several others have restored health, while allopathic medicine has miserably failed. A thorough study and understanding of the[Truncated]" "* First and foremost stop the tax breaks and loopholes handed out like candy to corporations and the superwealthy. Those billions of government sponsored ""stolen"" dollars would virtually pay for a new system.[Truncated]" 25929 6/27/06 11:08 PM FL "* It is about time that we have universal health care, health care that is affordable for all americans no matter who they are or how much they earn. Quality Health Care should be a right of all human beings and we owe it to our citizens to in[Truncated]" "A set of core benefits is the start to quality, affordable health care for everyone." * We must insure fair health care coverage for all Americans and we must first protect the moist vulnerable amongst us: the poor and working poor.[Truncated] "* I totally agree, It is the federal government, which must lead the way fror affordable yet fair Health Care that will include every single American.[Truncated]" The only way to make the systemn whole again is for the federalmgovernment to control the costs of Health care. I totally agree. "* Employers, indeed all entities must finally pay their fair share. If everyone pays a fair share the burden of cost than everyone can truly have access to affordable quality health care.[Truncated]" 25931 6/27/06 11:14 PM CA benefits should not be tied to employment as they are now. Please include eye care. "national program should be public, not private" "* Please do not make us wait until 2012. Some of us are dying right now. A friend of mine, 55 year old male and uninsured, let a cold turn into bronchitis into pneumonia with resulting chronic heart failure. He now needs lots of medicine and[Truncated]" 25932 6/27/06 11:15 PM IA "* I think that everyone in America should have health care coverage, including a prescription plan, that is reasonably priced. I pay 327.00 per month for medical, prescription, and dental coverage for just me. If I had a family that would cost [Truncated]" "* Health care should be availabe to everyone. For instance, look at Germany, all of their citizens working or not, have healthcare coverage. This would help tremendously, especially for people who are working for minimum wage and a good portion[Truncated]" 25936 6/27/06 11:20 PM CA "* This must include visitors and even those here illegally: everyone within our borders. The benefits need to be determined by professional medical societies, not by government officials, insurance companies, or lay people. The exact details of[Truncated]" "* See above: natinal professional organizations have the best expertise, and the leastbias, in deciding from year to year which benefits are necessary for everfyone/anyone, how to deal with ""exceptional cases"", and which procedures are either l[Truncated]" "* Absolutely. Without this, ther is no health care. At the same time, methods that cut large costs but provide quality care need to be available everywhere. This particularly includes multi-disciplinary palliative care consultations and geriat[Truncated]" "* This probably would be much more effective if each separate region of the country, such as cities, their suburbs, and the countryside that is their patient catchment area, were given the opportunity to develop their own network in ways that s[Truncated]" "* Evidence-based best practice needs to be by the definition of the Institue of Medicine, not the perceptions of medical school/university hospital departments. Quality begins with teams of health care workers helping patients articulate their [Truncated]" "* Palliative care saves money even when people are not terminally ill and should be available 1) to everyone admitted to hospital and 2) by consultation to outpatients in the community. Hospice laws must be brought up to date, the ""6-month"" rul[Truncated]" "I would be happy to participate in further discussions with your working group. " "* Despite the arguments of vested interests, a single payor system would serve us well, would be fair and just, and would remove the great disadvantage our companies have in trying to compete in a ""flat earth"" against companies in every other c[Truncated]" 25937 6/27/06 11:21 PM NY Fine "* Consumers or insurers must not continue to be gouged for things like the $100 box of Kleenex, or being charged $4000 for a private room just for asking if one's available. [Truncated]" Great ideas--please try to re-package to minimize repetition and simplify them. Too much verbiage and people will glaze over. "* What's also needed is more transparency in medical billing and strong anti-gouging protections, so consumers or insurers don't continue to pay for things like the $100 box of Kleenex, or being charged $4000 for a private room just for asking [Truncated]" 25938 6/27/06 11:24 PM NY "* What happened to single-payer government-sponsored health insurance? Medicare works, why can't it work for all of us? This administration has done what it can to sully its reputation with the stupid Medicare Part D prescription costs to gua[Truncated]" 25939 6/27/06 11:26 PM MA The current system has given us the best healthcare in the world. please leave it alone 25940 6/27/06 11:27 PM OH "* As I am about to face losing my health care due to the reduction plan at Delphi, I am requesting that you take a serious look at providing health care for everyone, not just the rich and poor.[Truncated]" "* I am trying to figure out my budget to propare for my job lose, and I would like to think that I won't go bankrupt trying to cover my health care costs.[Truncated]" 25941 6/27/06 11:29 PM WI * We are at the point that where we can not afford not to cover everyone. The cost shifts for those without coverage are totally unfair to everyone.[Truncated] Mininum standards should be available to everyone. * Catestrophic care should be a right. How do you feel when you go into a gas station and are asked to contribute to some childs chemo? Do you contribute???[Truncated] Just do it. This quality issue is key to controling costs. * the US and only Soth Africa are the ONLY two industrialized countries that don not have universal helath care coveage. Funding is not really the issue.[Truncated] 25942 6/27/06 11:29 PM FL "* AS of now, it is required that you have to be disabled to qualify for Medicaid. Indepedant contract/seasonal workers don't make enough to carry even a 100.00/month coverage. Our society has overlooked the 40'ish group. This is uncoscionable a[Truncated]" "* Make it a comprehensive policy where you can choose any doctor/dentist you want, instead of being required to be w/n a network. Alot of really excellent dentist won't participate in networks and as a result loose out on clientel/capitol, desp[Truncated]" Intermitant low cost person such as the seasonal contractor. "Have a compulsory Minor/Urgent care center operating 24/7, attached to all emergency centers." Agreed. 25943 6/27/06 11:31 PM KY "* I believe that all Americans should have healthcare available to them without draining their budget. No one should have to decide whether to go to the grocery or see a doctor/prescription. Like wise, any worker who was covered by a company [Truncated]" "* I think that an awful lot of medical problems could be lessened by a meaningful wellness program. Why not take steps to prevent problems before they exhibit themselves. The program should encompass the physical, mental, and dental as well as[Truncated]" This hits the nail on the head! I agree with these statements. Makes sense to me. "* I lost a loving and wonderful friend due to the ravages of Cancer. Her family made sure she was comfortable,seen by in-home nurses, hospice care in her home and all of this with family and loved ones at her side daily. This was the most com[Truncated]" 25944 6/27/06 11:32 PM RI American must be defined as a group. Does this include refugees and immigrants? """expert concensus"" is vague" """ very high""? guarantee helath care cost either based on income, or as pasrt of the national budget" excellent excellent "agan, the phrase ""expert concensus"" is a problematic phrase" good luck. "Long, and actually unrealistic, i.e. ""seamless"" transition." 25947 6/27/06 11:51 PM WI "* I agree that everyone should have access to health care services. How do we prevent health care providers from taking advantage of the system for the sake of making more money. For example, today we hear of instances where people on medicar[Truncated]" What about mental health? What about help with addictions? Sounds good! Sounds good. Sounds good. Sounds good. * Perhaps this was already done -- learn about health care in other countries who provide better care than we in the U.S. and who provide free health care to senior citizens. How do other countries manage to do a better job than us and for les[Truncated] * The other side of the coin is how to keep costs down - not by cutting personnel but by cutting waste and unnecessary items. Do away with disposable items when possible. Laudering or dishwashing must be cheaper than buying everything new. [Truncated] 25948 6/27/06 11:54 PM NY Our tremendous national financial resources make it incredibly difficult to believe that this goal cannot be secured! Agree with the text of Recommendation 2. "Do""able"" goal...I agree!" Approve. Concur. Concur. No * There are single payer health care systems in place to use as rough models - in smaller nations. We have these to modify and build upon.[Truncated] 25949 6/27/06 11:56 PM MI "* The entire health care delivery system in the U.S. is very broken. In a country of wealth and freedom there are millions without health care, and the situation would be far worse with privatizing and high deductibles. This is the right idea a[Truncated]" "* Don't let it look like an HMO. That's a mess already which is becoming more apparent every day. It should look like a PPO. It should include physical, mental, dental and vision as well as preventive maintenance and wellness aspect. It should [Truncated]" "* It's well known in the insurance community that the cost depends on the population. If the entire population were covered will the best care possible, including preventive maintenance and wellness support, in the long run it would cost less r[Truncated]" "* The government has already spent money which belonged to Social Security and Medicare recipients. Can't we find another group, such as the Blue Cross association, a non-profit, to run this program. It is already Government regulated, but if w[Truncated]" * You just started moving in the wrong direction. Get the government out of the running of it. We'll end up like Social Security and Medicare--in a mess. Let's try to find someone honest to organize this.[Truncated] "* I work for a health care insurance company. I'm also a union employee. I would be happy to be involved in discussions or suggestions based on my background, knowledge and experience in addition to observed experiences with friends and family.[Truncated]" "* If a commission is organized to address the problem, it needs to consist of experts who have the public good as their goal--not those who can line their pockets with more money. There is too much of that going on right now. Social Security [Truncated]" 25951 6/28/06 12:04 AM MD 100% RIGHT! SOUNDS GOOD THIS SHOULD BE STARTED TODAY! AMERICA HAS WAITED LONG ENOUGH FOR THE BASIC RIGHT TO HEALTH CARE! Yes yes Yes "NO, Let's just stop talking about it and start, TODAY!" GOOD IDEA 25954 6/28/06 12:12 AM WI "* We already have a form of national health care for the elderly, it is called Medicare. It is not perfect but it works better than the privatized system we now don't enjoy. It is also more efficient in that administration costs are only 3% of [Truncated]" * We don't need to re invent the wheel. There are many plans working very well in many other countries. There is no reason we can not develop a system that mirrors the most successful countries plans. Canada has a plan that works very well and [Truncated] What is wrong with the Medicare system? Expand it to all Americans. Don't reinvent the wheel. We need to get it done ASAP. * If all employers had to pay their fair share we wouldn't need to pay anymore than we already pay. In fact it would probably lower health care costs for those employers who are currently paying for good plans for their employees.[Truncated] 25956 6/28/06 12:20 AM FL "* Its time to stop Bush and First from raping the good peiople of the Umited States. The biggest problem with the economy is health care going wild and getting away it. To be the richest nation on earth, its a crime that Congress/prez doesn't t[Truncated]" "This is America, we take care of the world and the common people of the U.S. are ignored!" Put the insurance people out of business! Health care financing should be a crime- its nothing more than robbery and that SUCKS! 25957 6/28/06 12:20 AM NC Please help the people that can't help themselves. We must get started to ever get done. 25959 6/28/06 12:22 AM WA "* The poor don't deserve to suffer illness, dental problems, and pain because they can't afford quality care. It's ridiculous that the wealthiest country in the world somehow is incapable of caring for its own citizens, while endless funds are[Truncated]" 25961 6/28/06 12:30 AM AZ "* There is only one reason we don't have a universal health plan...Republican Party! Why do we have to wait until 2012. This matter should be the number 1 item on the next congress! I whole heartedly support Recommeation 1.[Truncated]" make it truly universal a must a must a must would be great * time for the the greedy Corporate America to give back what they have stolen during the Republican controlled congress. We either spend tax dollars on war or on social/economic programs for our people[Truncated] * Financing needs to come from the tope 2% of the American public and from all Major corporations. They have stolen billions from regular American working class. It is time to take it from them. They can afford it. We cant afford more out o[Truncated] 25962 6/28/06 12:40 AM OR "* I, also, believe that congressional members are no better nor do they deserve better health care than the ""lowliest"" American citizen. Nor should I have to supplement their health care.[Truncated]" 25965 6/28/06 12:53 AM OR "Decent health care should be a right for all Americans, like education." "Yes, care from cradle to grave. No worrying about whether a person can afford the necessary care, or the necessary pills." I said it all in 1 and 2 This would not be necessary if health care were handled properly "* Health care must be financed by a simple tax on all Americans, this tax will be offset for those who have insurance today by reducing their premiums. One of the biggest costs for Americans today is the complexity of the system. ALL health m[Truncated]" 25969 6/28/06 1:01 AM TX agreed agreed agreed agreed agreed agreed agreed 25970 6/28/06 1:12 AM WI "* We need a nation-wide coverage plan. Right now, 46 million Americans don't have any health insurance. For supposedly being one of the wealthiest nations, we are doing a poor job of taking care of our citizens.[Truncated]" * Health should also include eye exams and eye glass prescriptions. The cost for this is getting to be a big burden for a lot of people.[Truncated] Yes! "* My only concern is how is this going to cover the illegal immigrants that are in our country. Since they don't contribute anything to this service, how are they going to be covered? I don't want to be taxed more to cover them. We have to come[Truncated]" 25971 6/28/06 1:17 AM CA Absolutely! "It is better to move towards fewer ""need based"" programs." 25972 6/28/06 1:19 AM OH "* We are the only developed nation that does not have universal halth care although we are if not the wealthiest nation, then one of them. what a sad comment on our values as a society.[Truncated]" * The inclusion of mental health benefits is essential.Studies have repeatedly shown that a large percentage of visits to physicians are for problems tht are psyhcological in origin.[Truncated] To provide these protections will protect not only the most vulnerable but the rest of us as well. "* The more integrated our health care system is the greater the likelihood that people will get the care they need. I would guess that the wider our health are networks the easier it will be to implement preventive measures. This could, in th[Truncated]" * I agree on the whole. Evidence-based care is very important but should be applied in a way that nonetheless allows for innovation.[Truncated] Hospice care is one of the most important ways a society can provide respectful treatment for those who are terminally ill. "* I am a retired clinical psychologist who spent many years in an inner city health center where we were able to integrate physical and mental health care with social services. We used an interdisciplinary approach that, I believe, provided gre[Truncated]" I agree with the above comments. 25973 6/28/06 1:27 AM NH "* Financial security? Ya right - I'll be lucky if they can have me creamated for I know the grave is out of the question. Life insurance - food - clothes - gas to go to work - electric - what to pay? If our healthcare costs keep going up we [Truncated]" WE NEED IT TO BE FAIR FOR ALL LEAGAL AMERICANS ............ PAY ATTENTION ......... USA IS FALLING APART 25974 6/28/06 1:46 AM GA "* I have a friend who recently lost her life due to lack of insurance coverage. This is someone who lost her job and was unable to maintain the Cobra coverage. When she became ill, she was vastly underemployed. She acquired a catastrophic illne[Truncated]" * I am a licensed practical nurse. I have seen firsthand the choices that people are making due to lack of healthcare. I feel strongly about this issue. If you need a volunteer in the Atlanta area[Truncated] 25975 6/28/06 2:03 AM TX "* An affordable co-pay should be encouraged to keep hypochondriacs from burdening the system. Drug discounts from drug companies should be employed. Find some way to use the expertise of insurance cos. in the new system, so they won't all go b[Truncated]" 25976 6/28/06 2:10 AM GA * I recently had a friend die because of lack of insurance coverage. She worked all of her life in a job with low wages and no insurance coverage. She was unable to afford a personal insurance policy. A catastrophic illness required major surge[Truncated] No one should be in jeopardy of losing their home because of exorbitant medical expenses. "* I feel strongly about the need for change in the current healthcare situation in the U.S. If you need a volunteer in the Atlanta area, please feel free to contact me.[Truncated]" 25977 6/28/06 2:17 AM NC * i think health care should be for every american and the government should provide health care for those individuals who can't afford it.[Truncated] i think this a great idea. another geat idea. i feel the government should take as great a role in this plan as it has taken for other nations i agree with your recommendation on five "i think that if the american government would take these recommendation as a top priority, then this would be a great nation." i believe the american government should finance this package. 25980 6/28/06 2:37 AM TX "* If the politicians who vote on health care for the rest of us were the last in line and had to survive without theirs until every person in this country was covered, there would be no problem. Shame, shame on us, the richest country in the w[Truncated]" "* When all Americans have health care from birth on, there will be much less 'emergency care' needed, which is the most expensive and occurs because the uninsured don't get any care until it is an actual emergency, and then we all pay for it at[Truncated]" "* Such a great idea. We should all be willing to help bear the costs of catastrophic illnesses which strike our fellow citizens, knowing that we would be extended the same help should we need it.[Truncated]" "* Government programs have historically caused health-care practitioners to drown in red-tape and paperwork requirements. Again I say, look at the Canadian program; much cheaper to run and many fewer forms to fill out.[Truncated]" "* Hospice care in many communities is a very good program already. There is much to learn from them that should be applied community-wide.[Truncated]" Canada has a great system. Look at theirs to get ideas. 25981 6/28/06 2:45 AM AZ "* Our country, the richest, most powerful in the world, should lead in organizing the mechanisms for making affordable health care for all, with no exceptions. Why is there such reluctance to do the right thing, other than greed and corruptio[Truncated]" Defining a core of benifits that would take priority is a start. * If we all share the expense we can afford to provide care and financial protection for all. Sacrifice for a common cause is of the highest civilized impulses. It is a pity that so many members of our government have been so limited by the s[Truncated] "Sounds good, as long as more cumbersome bureaucracy doesn't get the process bogged down." All such changes are part of the natural evolution of a great undertaking. Of course restructuring is necessary to provide for care that can be taylored to individual needs and cases. "This could take forever if the process gets too complicated. Action is key, change of consciousness. Less talk more action." "* We can do it. All we need is the will, the recognition that all humans are valuable, and none should have to suffer lack of the basic health safeguards and services.[Truncated]" 25982 6/28/06 3:00 AM NJ "* Because I have a serious chronic disease my Health insurance is very, very expensive and I live on a fixed income. My monthly health insurance premium is higher than my rent: I pay $892 a month for a traditional Blue Cross Blue Shield plan [Truncated]" 25983 6/28/06 3:06 AM OK All business's with over 50 employees must provide a minimum of healthcare coverage. All business's with over 50 employees must provide a minimum of healthcare coverage. All business's with over 50 employees must provide a minimum of healthcare coverage. All business's with over 50 employees must provide a minimum of healthcare coverage. All business's with over 50 employees must provide a minimum of healthcare coverage. "The tax cuts put in place since President Bush got in office must be repealed, America can not continue deficit spending." All business's with over 50 employees must provide a minimum of healthcare coverage. 25984 6/28/06 3:07 AM CA "You have done a very comprehensive job! Thanks!" 25985 6/28/06 3:08 AM NC I agree with this "If you have been working in the US all your life and paying taxes,you should get all benefits coming to you at a low cost..." "* yes low income families should be protected,but at the same time they do not get a free ride. The hospitals are full of people who cannot pay so that makes it cost even higher for those who do pay.You must pay some time set up a payment plan,[Truncated]" * We don't neet to make more goverment jobs to run the cost of the program.What we need is a limit of how mush the doctors and healh care instatutions can charge.The doctors and drug companies have a good thing going and are not going to give u[Truncated] * Put a cap on what the doctors and drug companies can charge.This is why everything is so out of sorts. It is nothing but greed on the part of the drug companies and doctors.Also the doctors have to charge a lot because of the stupid laws of w[Truncated] * All the services are good for those people who have paid taxes all thier lives. I think one should have been in the system for at least 15 to 20 years before they are elegable to recive the services descrrbed above.[Truncated] * All I am saying is we the people who are long term citizens that have paid their taxes all their lives are surely elegable to receive any benefits for health care.All these foreilgners are taxing the system down to nothing and it's not fair f[Truncated] * If you pay the taxes and have been a citizen for at least 5 years and not for those who cross the border just to get on the bandwagon...[Truncated] 25986 6/28/06 3:28 AM WA "* Yes. When any universal care program is begun, a MASSIVE, national, PROFESSIONAL public relations program needs to be begun as well, in order to offset the conservative political rights inevitable shrieks of ""Socialized Medicine"" and ""If you[Truncated]" "* NOBODY should be required to pay Medicare premiums IN ADDITION to any universal care premiums. At the point where any universal care plan kicks in, Medicare premiums should be discontinued -- PERIOD. I don't care how relatively ""short"" any [Truncated]" 25987 6/28/06 3:30 AM WV just do it 25988 6/28/06 4:02 AM CO I agree. * Public programs are usually more effective and cheaper than private. I am not aware that any country has ever established a private program that guaranteed everyone health care.[Truncated] * The private part of the private-public community networks should be non-profit. The sale of non-profit health care providers such as hospitals should be illegal.[Truncated] "* Generally, if the other recommendations are followed, this should be easy. This recommendation would be very difficult to achieve on its own.[Truncated]" I hope your efforts are successful. Efforts should be made to redirect money that now goes to insurance industry bureaucracy toward patient care. 25990 6/28/06 5:22 AM MI I absolutely agree * Please consider including alternative treatments for those of us who don't respond well to traditional medications. I usually get sicker when I get medicated. [Truncated] agree agree agree agree 25991 6/28/06 5:29 AM MN "We can do it; we want to do it; let's get it done! Assure that the ""core health care services"" are comprehensive." YES YES "* I'm not clear about details of some of these recommendations. Integrated community health networks will help us focus on prevention and, over time, save money and improve health.[Truncated]" YES YES * We know what we need to do and can adapt models from other industrialized countries. We need the leadership to get this done. It will be complex and difficult; but we can do it.[Truncated] YES 25992 6/28/06 5:45 AM CA "* Coverage would be ""transferable, movible,common to all"", along the lines of other health systems. In Japan all have a record of their health status. [Truncated]" "Health education should be part of the program, Wellness, from pre-natal to ageing issues." Perscription drug advertising should be banned "* Financing could be simplified by charging all a set percentage of their income, this would include all business income, and even govt. ""income"".[Truncated]" 25993 6/28/06 5:51 AM NY This should be a basic right. Good * I have seen so many families impoverished by cancer treatments or unable to get those treatments and have lost loved ones. My students are not wealthy and most one medical emergency away from poverty. This is absolutely necessary.[Truncated] Excellent Excellent Yes. "* It seems with the wealth we have in this nation, this should be a no brainer! If we want an efficient economy, we have to have healthy workers. If we want a just society, this is one of the core elements of basic justice. And I think we ha[Truncated]" "* Your proposal is common sense. I do think however that ""sin taxes"". ie. people who engage in risky behaviors need to pay more than those who engage in healthy living.[Truncated]" 25995 6/28/06 6:20 AM TN "* In this great country we have the need for a national health Liberty and justice for all! Not just those who can afford it. I believe health care should be for all citizens. [Truncated]" 25996 6/28/06 6:33 AM NJ "* AS WITH EVERYTHING ELSE IN THIS COUNTRY; COST IS GOING UP AND SERVICES ARE GOING DOWN.IT'S TIME WE STOP SENDING OUR MONEY TO SUPPORT THE WORLD, AND SPEND IT ON THE PEOPLE THAT MAKE THIS COUNTRY WHAT IT IS!!!! [Truncated]" 25997 6/28/06 7:06 AM MI Is the plan going to be the same for every American? Are we talking about insuring people who come to this country illegally? "* Core benefits will be specified by taking into account whos evidence based science-the real world or the religious rights? High cost benefits- is this for the elite 2%[Truncated]" "* Congress and this administration did the exact opposite of what you are mentioning here. The pharmaceutical companies do not have to negotiate their prices, therefore putting the burden on our senior citizens and they made sure that people co[Truncated]" "* The federal government should not be trusted with someones health. This administration and congress do not take the advise of any expert, they have proven that time and again. [Truncated]" "* Are we to assume that if a procedure that could save a life is not evidence based than, it wont be allowed? In this day and age of the government illegally wiretapping and monitoring financial records, in addition to identity theft, I am n[Truncated]" * So the government gets to decide if you have life saving procedures or if you die. I would prefer that my health decisions are made by my doctor and myself. The federal government should not be involving itself in the decisions of any persons[Truncated] I read the entire plan that you provided and I am not at all comfortable with what was documented. "* I have insurance and I know that I cannot afford out of pocket costs for new insurance. So would that leave me in the core benefits group, with whatever these so called experts decide I should have? It sounds as if I will be going from great [Truncated]" 25998 6/28/06 7:13 AM MD "* Remove the lobbyists and their money from the debate. The insurance companies, as they currently exist, should be run out of this country on a rail for the misery, financial ruin, and death they have caused.[Truncated]" 25999 6/28/06 7:16 AM IL All med. would be covered!!!!!!!!!!!!!!!!! Bring this run away med. problem under control and you wouldn't need protection from high costs. * I think if you would take the money from med care & cade all the med. benies from all the company's the med part of worker'd comp. we would have enough to pay for med for everyone. We the people would have a handle on the cost because if the [Truncated] 26002 6/28/06 7:25 AM GA Please implement this policy immediately ! It's more important than war ! 26003 6/28/06 7:31 AM PA I agree with it. It agree. I agree. I agree. I agree. I agree. "* I'm under the impression that value-added taxes are harder on the poor than on the rich. Otherwise, I agree with everything mentioned.[Truncated]" 26004 6/28/06 7:51 AM OH "* As a registered RN with a Bachelors degree, I wish you could here from some of us. Our primary reason for becoming a nurse is patient advocacy. In the last 19 yrs, many of us have become so burned out trying to manage the care of anywhere f[Truncated]" "* Wellness is a huge expense. Instead of catastropic healthcare why not encourage preventative health and wellness. Something needs to be done with all the chemically dependent patients that enter our doors to receive their ""fix"". How are [Truncated]" "* When the young moms who are left to raise kids alone are unable to get the care they need for themselves and their children, yet we spend thousands of dollars testing addicts that enter our doors working them up for various complaints, only t[Truncated]" * Let us look at the City level where each city can provide affordable healthcare for those that are underserved. Back in the 80's we had access to this. Where did they go? Expand at this level. They can keep a better handle on those that d[Truncated] "* Again, who is making all the money here. Not those that struggle to care for the sick, injured and dying. Let someone else mandate what is acceptable annual increase and what is safe nursing by mandating safer patient nurse ratios. [Truncated]" "* From what I've seen over the years, this is hospice care and palliative. I think little improvement needs to be made here. You don't find better advocates for the patients and families. There wishes are always priorities. I speak from exp[Truncated]" "* I have been in many areas over the last 19 years, seeing healthcare at its worst and its best. More psychiatric stablilization needs to be done and not in an acute care setting. I support private healthcare companies that are trained to car[Truncated]" * Why are we giving these huge companies tax abatements in our cities. Why don't they share in the cost of healthcare and taxes in our cities?[Truncated] 26005 6/28/06 7:52 AM OH "* I am one of those who work evey day and do not have a health care coverage. It should be a LAW that all employers have to offer Health Care insurance,that we can offord.and the government help should not only be for womwn with children other [Truncated]" 26006 6/28/06 7:57 AM CT Sounds good. no lawters or politicians. Good. fine. OK good. * revenue should come from everyone so that everyone has a stake in the system. Sin taxes would not be appropiate; A sales tax maybe.[Truncated] 26007 6/28/06 7:58 AM NJ * I agree with this policy. Financial status has nothing to do with the fact that if one is sick they should have a right to medical services. We work hard here for the rights of everyone else but what about our rights.[Truncated] This is not a bad idea if the input from all parties in the group are viewed equally. * This has been needed since the beginning of time. A person should not be deprived the right to quality health services because they can't afford the high cost. All Americans should be covered. This should not include those who migrate here f[Truncated] * This idea is okay but what normally happens is that the services are not as efficient as in private networks. The facilities are normally overcrowded and understaffed. The customers are left to feel less important opposed to in the private e[Truncated] "* Excellent recommendation which should not be optional. This should have always been the case, maybe things wouldn't be as they are have this recommendation been in effect.[Truncated]" "Again, a much needed recommendation. People should have choices." "* If the additional contribution from the working class is equitable, in that those making the most money will absorb the greater cost, maybe this is not a bad idea. It seems that the only way the Government remedies problems though, is to take[Truncated]" 26010 6/28/06 8:08 AM KY Good. Very much needed. "* Very good alternative. Many families have hiden expenses that causes healthcare to be shelved to absolute emergencies while they, the working class, support many that go to the ER for a meer sinus headache or other minor syptoms.[Truncated]" 26011 6/28/06 8:12 AM WI If South Africa has universal health care I am sure America can too. Total health care is essential Everyone has to be included Seems reasonalbe Yes Why is there not more news about this and what is taking congress so long? I agree 100% 26012 6/28/06 8:12 AM NC This is a must. It is dragging down the economy. Health care is a right for legal residents of the US. I think preventative care is a must. I also feel smokers should pay more for health insurance. I agree with the statement. I agree but only for legal residents of the US. I agree. I agree. I agree. * Pharmaceutical companies need to give the same deals on drug prices to Americans that Canada and other countries get. Doctors prices have reached the rediculous long ago. Price controls need to be set. $150 for a regular office visit with a g[Truncated] * The medical establishment is guilty of price gouging. We are not getting enough bang for our health care buck. I would be willing to make some sacrifices after health care providers gouging is fixed. Smokers should pay more for health insuran[Truncated] 26013 6/28/06 8:16 AM MN Yes! Yes! Yes! Yes! "* The employment-based financing system is broken. Replacing this with universal health care financed in other ways will help not only provide health care, but also put employers on an even footing with global competitors.[Truncated]" 26014 6/28/06 8:20 AM NJ "* Health insurance and health care is becoming too expensive for even middle income Americans. We are for a universal single-payer system. We very much appreciate the work you are doing, but why should it take six years to set up. Why not expan[Truncated]" We support comprehensive coverage. * People are dying prematurely because they can not afford health insurance or doctor visits. This is also a quality of life issue.[Truncated] "* Everybody has to have access to the same affordable high quality coverage. There should not be a two or three tier system, that is, one system for those who can afford to pay more and another system those who can not pay as much. [Truncated]" Do more to control costs. "End of life care is insanely over-priced, there has to be a better way." * Our country can and must develope a universal single payer system. Use Medicare as a model. We were really pleased to hear about the work of this commission. And we are grateful somebody is doing this work. The need to provide affordable for [Truncated] "* We are willing to pay higher taxes to finance a universal system. Yes, do increase ""sin taxes"" on cigarettes and alcohol. Increase the Medicare tax we already pay.[Truncated]" 26015 6/28/06 8:20 AM IN "* We(US)take have so much care and concern for other nations. This is one way to take care of our own. The old saying can be applied her...""charity begins at home"".We can't have a strong ""united"" states if the health of our most valued resource[Truncated]" I concur "IHA Those in the family that are working should be allowed to cover non-working family members for a fraction of the cost." Excellent Some caring physicians of low-income communities should be sought out for their input. "* Additonal funds in the form of grants to attend school, can be given to increase the availability of long-term care and hospice workers. [Truncated]" "* Tax of imports should be look at to be used forthe good of the nation. I know this is a strech, but portions of a persons individual income tax paid (or pre-tax) each year could be given back in the form of an Individual Health Account. IHA..[Truncated]" 26020 6/28/06 8:38 AM CT * I do believe that the US should have a healthcare policy that offers core health services to all it's citizens regardless of their health history and financial resources.[Truncated] * I think by developing a core benefit package facilitated by an independent group would give a more clear voice over what Americans experience when it comes to basic healthcare( how doctors assess and treat illness) and serious health problems[Truncated] "* I agree with establishing a healthcare program that would be affordable & provide the needed coverage for preventive health. As someone who experienced a brain injury following a car accident I did not have any financial protection, which lea[Truncated]" I believe much attention should be paid to people in vulnerable populations for they have the least amount of resources. I believe that creative financing strategies could allow for all Americans to have universal coverage. 26022 6/28/06 8:47 AM OR "* America is the ""Land of Opportunity"", not just for the rich, but for everyone! Health care should be an inviolable right of all citizens and residents of this country.[Truncated]" 26024 6/28/06 8:53 AM UT * It should also cover prexisting medical problems. If you have diabetics you are unable to get health care. If you come down with a cold or anything else they link it to diabetics and no insurance will pay for it because you already have it.[Truncated] 26026 6/28/06 8:57 AM OH * People working for minimum wage or slightly over don't always qualify for help with health care. There is no way with the cost of living that there is any money left over for meds or Drs. Too many people are falling into cracks and left beh[Truncated] * Many acute illnesses could be caught early if basic wellness Dr office visits were more affordable and available for everyone. If illness caught early treatment may be cheaper and more effective [Truncated] * No one should go bankrupt over medical bills. To many families lose their homes over an illness. Affordable payment plans need to be put in place to protect both patient and care giver.[Truncated] "* Hopefully with all these ""groups"" the $ raised to fund this program are not used as payroll. Too many $ wasted with no result. I base this on what I see in our government both local and national.[Truncated]" * If the consumer usable information is any thing like Medicare Part D too many people will not be able to make an informed decision. Fraud and waste shouldn't even be an issue. Any person in an administrative job who wastes should be prosecu[Truncated] Hospice is the best group ever put together. More groups like this should be available to all communities. * My biggest concern is the government. Seems like those elected forget where their paychecks come from. If they treated tax $ like it was their own household expenses there would be less $ wasted and more progress made. [Truncated] "* If all companies with any employees pay into a health care plan with the help of their employees, including government employees(Congress), maybe on a sliding scale based on gross receipts for companies and rate of pay per hour for employees [Truncated]" 26028 6/28/06 9:03 AM CT I agree with this Natural and holistic care need to be covered. "The insurance program shoul dbe public and a significant fraud staff should be hired to minimize waste, fraud and abuse." Undrserved areas need this program of support. This should be done by now. I support this "* While having mutliple sources will probably be necessary for financing co-pays should be utilized and based on each persons personal responibilty. Smokers, drinkers, those who are obese should be higher co-pays. Dis-incentives need to be put [Truncated]" 26031 6/28/06 9:09 AM WI * The recommendations of this group are more responsible then those of Bush's. they obviously try to take care of the Americans who need it the most. [Truncated] 26033 6/28/06 9:16 AM MI Free health care for every American I want free heath care for every American 26037 6/28/06 9:18 AM VA Agree - Born American or legal American Citizen Glad to see dental health included " equality at it's best" "Reach out to the elderly and the poor, especially children" " good" absolutely a must * The American working class is becoming the American poor. Until our wage increases and medical benefits parallel those of Congress or the CEO's of Corporate American this disastrous downward sprial will continue for the working class. Much [Truncated] " tough work, but necessary" 26038 6/28/06 9:26 AM NY "* So many of our social problems (especially in cities; domestic abuse, homelessness, etc. are linked to mental health concerns of our citizens. PLEASE be sure that this core of appropriate care includes mental health care! I find it reprehensi[Truncated]" "* OPen up medical schools more. By making medical schools so competitive, the profession ensures its limited pool of providers, thereby, insuring its high salaries. There are many intelligent, qualified, compassionate people that should be in t[Truncated]" YES! "* THANK YOU, this is one of the most pressing issues affecting our nation and its people...its about society's health, look to Finland for a model, they prove that all of their citizens have value...we must do thath as well![Truncated]" "* Our whole community benefits when we have physically and mentally able citizens and like public education, it should be funded by all...its our responsibility to one another[Truncated]" 26039 6/28/06 9:27 AM PA "* it is appauling to me that the wealthiest country on the planet has such extreme deficiencies in it's social benefits, adversely affecting an obscenely large number of the population.[Truncated]" 26040 6/28/06 9:27 AM MO "All persons should have equal access to quality mental health care, also." People should have equal access to nytritionally sound food. Prosecute providers that defraud. "* It is imperative we stop bombing and going to war. The resources are there, they are being wasted on killing others, and enriching defense contractors.[Truncated]" 26042 6/28/06 9:37 AM NY Absolutely okay "Yes, yes, yes!" Fine Good idea. We should care for one another. "We should have single-payer, universal health care." 26045 6/28/06 9:51 AM TX "* We need good health care for all Americans but especially the children. Right now the American health care system is guided only by profit for the for-profit hospitals, insurance and drug companies. People are forced to leave the hospital b[Truncated]" 26047 6/28/06 10:01 AM KY "* An equal competitive national healthcare plan to force the privite sector into providing better health care insurances to all. Everyone must be able to demand a insurance rate and can not be turned down. [Truncated]" Lifetime coverage. Can not put anyone into debt unreasonably. Both privite and social program competes. "Veterans can use privite medical systems or units when schedules are prelonged or not available." No restrictions on religious grounds. "Demand such a competitive system or force a temporary federal contol and investigation on insurance and medical managements." "* Everyone pays something nobody can be covered for less than 75% most will be covered for 80-90%.Average or customary cost only allowed.[Truncated]" 26048 6/28/06 10:04 AM MN * I have insurance through work but I can only afford the cheapest plan available which means I have high co-pays for doctor visits and prescriptions which means I avoid going to the doctor as much as possible![Truncated] 26049 6/28/06 10:04 AM PA "* I am in thorough agreement with this position. Of course, I recognize that it will require some careful expert analysis to determine what constitutes ""core health care services."" For example, I don't believe we need to fund cosmetic surgery.[Truncated]" This looks reasonable to me. KI prefer a public plan but it might have to be more stringent than a private plan. "* I like this idea. I worry, though, that doctors may prefer the rewards of a private system (though they're apparently not faring so well in their cut from the insurance industry).[Truncated]" All worthwhile. * I approve. I get the impression that this would be both more cost-efficient and more patient-friendly than excessive referrals to nursing homes.[Truncated] "* Healthcare reform is the issue that matters most to me. Unfortunately, there are too many interested parties (e.g. insurance and pharmaceutical companies) who prefer the present way of doing business.[Truncated]" "* My own preference is for a system similar to the universal health coverage provided in European countries, financed and administered by the government (with a parallel private system available, as it is not in Canada). I have no idea of how [Truncated]" 26050 6/28/06 10:05 AM WI America lags behind all other developed nations in providing health care for all. Good! It's about time we catch up to other industrialized nations. OK Reduction of all the present red tape and competition we now have is essential. Sounds reasonable. This proposal sounds reasonable as long as it does not get bogged down by special interest groups. 26051 6/28/06 10:08 AM IL medicare for all single payer is cheapest comprehensive is best "medicare, medicare medicare" ok ok ok single payer or medicare for all single payer is cheapest 26052 6/28/06 10:13 AM MA "* There should be a National Health Care Plan for the US where the care is private but paid for through taxes as is Medicare--a Medicare for all.[Truncated]" * I think all medical costs should be covered including routine eye and dental care and prescription drugys etc. I would not include strictly cosmetic procedures except for burn victims or others who have had a problem beyond their control--no[Truncated] "* Under a single payer national health plan all medical costs should be covered. Savings could come from negotiated bulk prices for drugs as the VA does, following a health committee's recommendations for tests--only using expensive ones when [Truncated]" Best done by National regulation under a National Health Care Plan that is not private except for the choices of MD's etc. "* Price should not be something the patient should be conserned with. When you need emergency surgery as I did for an intestinal blockage, all you care abou is getting rid of the pain ASAP and there is no time to do comparison shopping. I thin[Truncated]" "* I agree with all of this. My mother died after a year of hospice care that was professional, kind, caring and gave excellent care. It was in NYC and run by Visiting Nurses. I would wish all could have that quality of care and sympathy.[Truncated]" "* Our health care system ranks very far behind other developed nations in terms of life expectancy and infant mortality, two common health measures, and yet we spend more. We have about 46 million uninsured. We must dramatically change the syst[Truncated]" "* Taxes could include income taxes and taxes on alcohol and cigarettes. Personally, I believe it is time to take the health care costs out of business as this developed during WWII as a kind of pay and is hurting some industries. I think the i[Truncated]" 26054 6/28/06 10:26 AM AZ "* Instead of providing financial assistance to those who need it, establish a proper national healthcare system, whereby everyone is assumed to have coverage and only must demonstrate citizenship to access healthcare professionals.[Truncated]" "Include several wellness policies as well, to further the process of preventing problems in the first place." "* Require all elective and/or surgery to carry a co-payment, to discourage abuse. Require all steps be taken to eliminate non-citizen abuse.[Truncated]" "* Focus on eliminating the free-market style of insurance. Eliminate the falsely inflated premiums. Eliminate the excessive denials. Eliminate denials of coverage. Focus on eliminating insurance companies who routinely post the excessive profi[Truncated]" 26056 6/28/06 10:33 AM NY Health care is a human right and one that should be available to ALL Americans with EQUAL access. "* Benefits should cover all medically necessary services including primary care and preventive care, mental, dental, eye and long term care.[Truncated]" "* This is crucial to any system - high deductible, bare bones policies with HSAs will not provide affordable and comprehensive care. We need a Single Payer system which will truly get at the root of the problems of our current system ie.a for [Truncated]" * The federal government needs to lead a national initiative to change the system so it is truly all inclusive and contains the ever rising cost of health care.[Truncated] "* All of these suggestions are more effective under a Single Payer system - such as expanded and improved Medicare, and VA. The latter allows negotiation of drug prices and has prices for 30-50% less than Medicare D. plans and other private [Truncated]" * This is crucial as our population ages - it is important to use hospice care models which are working well around the country as models to provide more support for home care which is much less costly than nursing home care and much more suppo[Truncated] * We know that a Single Payer system such as HR676 would save money and provide more inclusive care. With the amount we are currently spending we could provide the kind of care which I feel Americans are asking for. We can't wait until 2012 -[Truncated] "* We do not need NEW REVENUES to finance an inclusive health care system - we are already paying twice as much per capita for health care than any other industrialized country - we need to have ONE RISK POOL AND HAVE A PUBLICLY FINANCED, PRIVAT[Truncated]" 26061 6/28/06 10:55 AM TX Agreed "Definitely, preventive care should be covered (and will in the long run also save money)" Yes yes Agreed That would be great "Great proposals, best of luck" "Yes, in fact I believe that a single payer system will in fact save the most money, by reduction of the paperwork alone" 26063 6/28/06 11:02 AM WA "* What about vision care? Bad eyesight can have a huge physical and mental component. Especially in a child. Public/Private?? We've already seen what happens to vulnerable people when the private sector gets it's hands on government services.[Truncated]" "* Public/Private?? We've already seen what happens to vulnerable people when the private sector gets it's hands on government services.[Truncated]" "* Public/Private?? We've already seen what happens to vulnerable people when the private sector gets it's hands on government services.[Truncated]" "* Public/Private?? We've already seen what happens to vulnerable people when the private sector gets it's hands on government services.[Truncated]" "* We should tax ""risky"" behaviors at the point of purchase. We should tax employment-related risks at the company level. That way, paying for increased risk factors becomes an INDIVIDUAL choice. You run a factory with unsafe conditions: you pay[Truncated]" 26069 6/28/06 11:21 AM CO * Like the rest of the modern world we need a national Health Care system. That requires all taxable entities to contribute to it. Corporations and individuals.[Truncated] Whatever their Health issues are we must address them. National Health Care system that taxes every taxable entity at the same percentage with no loopholes for the wealthy. * A National Healthcare system that is implemented thru local community Doctors and specialists to help people with whatever ails them.[Truncated] Local community health care centers that help people to be fit and healthy. A National Health Care system that provides for all stages of life and health National Health Care is the solution A National Health Care Tax for all taxable entities Corporations and Individuals 26070 6/28/06 11:24 AM GA * I believe that every American should have access to affordable health care. I urge the commission to implement some kind of affordable benefits that allow all citizens regardless of their ability to pay access to medical covrage. Thank you.[Truncated] I agree I agree I agree I Agree "* I believe that the program should be supported on a proportinate level of income. Anyone living below the ""poverty level"" should not be burdened by health care. Neither should the wealthy have loopholes that would allow them to pay reduced [Truncated]" * We should also strive to reduce the burded placed on our citizens because of exhorbant profits by the prescription industry when drug research is funded by tax dollars received through grants from the American public. Any person who qualifes[Truncated] 26071 6/28/06 11:25 AM MT I concur. I concur. I concur. I concur. 26072 6/28/06 11:26 AM IA "* The need for health care in the US is essential. While 40 million Americans have no health care, the rest of us pay the price. Almost every other industrial country in the world has a form of health care that covers ALL their people. The U[Truncated]" * In attacking a health issue before it becomes a large problem will decrease the overall cost of insurance and cost to the patient. Preventive measures are of utmost importance.[Truncated] * This need was developed many years ago. The time to act is now. The measures in front of Congress now do nothing to stem the high cost of health insurance for the ones who have coverage already.[Truncated] "* In some states, (Pennsylvnnia, Minnesota, Iowa, Wisconsin, and South Dakota), there are employee/employer coalitions working on health care issues. Their immediate attention has been in the area of quaility. These organizations are set up t[Truncated]" "Again, the coalitions in some states have a huge head start on this initiative." "* I have heard, as recently as last week, the call against universal health care is the older citizens and what they ""deserve"" as far as care. These Americans should, at least, have the option to the care they need. Is their life any less val[Truncated]" * We need to start moving to universal health care now. Many companies are no longer even offering a plan for their workers. And many more will not in the future. The need for the business community to ally with their workers in the push for[Truncated] "* The quality of health care and it's providers has been in the froefront recently. While this will make a difference in cost, it will not be the cureall.[Truncated]" 26076 6/28/06 11:34 AM NH "* Annual physical exams and vaccines ,eye exams and glasses, and dental cleanings and exams and prescriptions should be a core item for all citizens from the day they are born till they die, at no charge out of pocket. Payment should come from [Truncated]" * A flat rate should be set for each core item. Caps should be put on all high cost treatments. Non essential items should be totally at the expense of the individual. How much you pay towards the bill should be determined on a sliding scale. T[Truncated] "* This is not something that doctors and health centers can opt out of. Universal health care means just that, everyone participates, everyone benefits.[Truncated]" * Current government funded programs can be phased out with the creation of a truely universal health care system. Keeping the rules simple and the paperwork basic will prevent most fraud.[Truncated] "* If you knew you were dying, wouldn't you want to go on your terms? Caring for the terminally ill isn't a chore or a burden, it is our final gift to them. They should be allowed to die on their terms even if we don't agree with them. Assisted [Truncated]" "* A national health care tax. Everybody pays the same percentage, based on gross earnings, into the health care fund. Everyone has access to those funds regardless of what they contribute. Government standards capping the amount that doctors ca[Truncated]" 26077 6/28/06 11:36 AM NY "* It should be public policy that all Americans have full equal quality health care regardless of income.Expand Medicare and Medicaid with no premiums, deductibles or co-payments to cover all Americans regardless of income or assets. [Truncated]" "* Expand Medicare and Medicaid with no premiums, deductibles or co-payments to cover all Americans regardless of income or assets.[Truncated]" "* Establish a national public program. Expand Medicare and Medicaid with no premiums, deductibles or co-payments to cover all Americans regardless of income or assets. NO private insurers.[Truncated]" "* Establish a national public program. Expand Medicare and Medicaid with no premiums, deductibles or co-payments to cover all Americans regardless of income or assets. NO private insurers.[Truncated]" "* Establish a national public program. Expand Medicare and Medicaid with no premiums, deductibles or co-payments to cover all Americans regardless of income or assets. NO private insurers.[Truncated]" "* Expand Medicare to include 100% coverage for long-term care, hospice care, etc. Establish a national public program. Expand Medicare and Medicaid with no premiums, deductibles or co-payments to cover all Americans regardless of income or as[Truncated]" "* The existing health care system in the United States is one of the major contributing causes of poverty and a serves as a major obstacle for US citizens to receive adequate quality health care. [Truncated]" "* It should be public policy that all Americans have full equal quality health care regardless of income.Expand Medicare and Medicaid with no premiums, deductibles or co-payments to cover all Americans regardless of income or assets.[Truncated]" 26078 6/28/06 11:50 AM KY "* Those who have health problems related to poor health choices (smoking, alcohol or drug use, obesity, and lack of exercise) should have to pay more for health coverage. Those who are making efforts to improve their health should be rewarded w[Truncated]" * Ensure there is adequate representation of the members accross all people groups represented in this vast USA. In this core health services we must be realistic in what is defined as core. Examples would be that not everyone needs a PET scan [Truncated] * I work in health care and I am very concerned about the government being responsible for this piece. I think that in of itself would drive the costs of supporting these networks out of sight. Maybe look at giving oversight to some non-profit [Truncated] "* I agree with this totally. Also, people with chronic illnesses need to have access to care not only when they become terminal, but if the access is there prior, then maybe they won't become terminal.[Truncated]" "* Healthcare needs to be realistic. If I as an individual have abused my body by smoking, chewing, dipping, over-eating, not exercising, drinking, or using drugs, then I should not expect when I have lung cancer, stoke, heart attack, liver fail[Truncated]" "* The costs for health information technology need to be sure to incorporate ways for small, rural hospitals to have access to funds to keep up with information technology so as to be able to provide the same services as the larger facilities. [Truncated]" 26079 6/28/06 11:51 AM WA * I don't believe that the payers (for-profit companies) have any say in what core benefits should be. That's best left to patients and doctors.[Truncated] "* Health Care insuance companies have, for too long, profited at the expense of the American public. This is one industry that screams for regulation, if not outright government takover. Canada manages to do it, why can't America?[Truncated]" 26080 6/28/06 11:56 AM NH "The recommendation should read: It should be public policy that all Americans receive affordable, quality health care." "It must include dental and vision as core. Otherwise, we open teh door to interpretation during diagnosis and treatment." "* Medicaid can be merged into the health package here. Again, keep costs down by offering the same package Congress receives and pay what they pay.[Truncated]" * It should be a public system with assistance and reccomendation authority from the private sector. A major reason the healthcare system has run amok is due to corporate board interests within the healthcare industry itself. Take a look at H[Truncated] * As long as they are fully funded! Look at what has happened over the last 3 years. The problem the aforementioned programs are great when funded. A fruad deterent is needed. Merging all the programs is well and good if additional resource[Truncated] "* The only comment I have here is that families should not have to go broke while their loved ones are near the end of their lives. Public home hospice programs and nursing homes are viable solutions. Remember, if you want fraud, private care[Truncated]" "* Merging of all healthcare programscan work. However, whatever is decided, Congress must be made aware several times during the presentation that the national healthcare decision and reccomendation should be fully funded no matter what. Othe[Truncated]" * All Americans get enrolled into the system that Congress is enrolled in; Federal Health Benefit Program. Small businesses and individuals buy in to the program with tax cuts and incentives. Businesses that like what they have already can k[Truncated] 26081 6/28/06 12:00 PM IL A wonderful goal! "If we can afford to engage in a costly war, then we can afford health care for every American." "* Federally fund the education of doctors and nurses, who would then serve this program at reduced salaries for a given length of time.[Truncated]" 26082 6/28/06 12:04 PM NE I agree with this as long as it is equal to or better than insurance that I already have. I agree. It seems as though #5 is trying to make things more effiecent. This is something that really needs to be adressed.The currentsystem does not work well at all. This could work as long as alll parties involved work together and keep the public well informed. 26084 6/28/06 12:08 PM NJ * We need to protect those most in need. Society as a whole benefits when everyone in the society is well. We cannot continue with a system where only those rich enough to afford decent care are the ones who can get it.[Truncated] 26086 6/28/06 12:09 PM NJ Absolutely. We need to join the other democracies in the world and provide health care for our citizens. 26087 6/28/06 12:13 PM MI "This is far overdue. Most, if not all, have some kind of coverage for all their citizens." I agree. I agree. I agree. I agree. I agree. "I think there are enough funds for this at the Federal level, and if not I would agree to higher taxes to fund this program." 26088 6/28/06 12:13 PM VA "I believe that should read ""...high-quality BASIC care....""" "* In the area of prescription drugs, generic drugs, when available, will be substituted for non-generic drugs unless the physician can show reason why the generic drug cannot be given. Otherwise, the difference in the cost of a prescription for[Truncated]" "* Also, that all patients PAY, not billed or charged, but PAY, the same for the same treatment. That is, everyone pays the same for an uncomplicated live birth whether they are insured by company A or company B or Medicaid.[Truncated]" * The federal government should have the right to bargain with the pharmaceutical companies to procure drugs at the lowest reasonable cost to the above-mentioned federally-funded health programs.[Truncated] * You may have noticed that I have a problem with the prices charged by the large Pharmaceutical companies. I believe a good start would be to forbid them from advertising to the general public.[Truncated] 26091 6/28/06 12:19 PM NY "* I believe the problem with the current basic health care system is the demand by the insurance companies that all solutions must include privitization via their corporations, rather than a federally based free basic benefit program for all re[Truncated]" * This suggestion makes the most sense and it is the kind of program I would publicly organize around and bring to the public's attention.[Truncated] I agree with this view as well. Such an intergration is necessary to the success of providing health care for all Americans. I agree 100%. Yes this is needed because these services are not being provided appropriately. * Such a plan to be implemented must be put into action. It is going to require the same kind of effort that was made when Social Security was first established under the Roosevelt Administration. We need to work actively in the community organ[Truncated] I agree 100% with your points as stated above. 26092 6/28/06 12:21 PM TX "* To have a fair and equitable health care program. It should be only for US citizens. France, England and Germany make proof of citizenship a requirement for free health care thus reducing the enomous cost and making non citizens pay for the[Truncated]" * Health prevention is core to this plan. As they say a stitch in time saves nine. In order to reduce costs we need to set up preventative health care programs first then define the core important medical issues in reguard to level of importan[Truncated] "* Again you have to make it US Citizens only or the program will not succeed. We have over 20 million Illegal aliens in America costing tax payers billions of dollars for free medical while our own citizens go with out. We cannot become a wel[Truncated]" * In order for this to become effective you have to remove the political bosses from appointing the Private-Public health group. Instead use a volunteer list of those that want to serve and select thru lottery and limit the time to serve on th[Truncated] Tricare is very effective in preventative health care and should be used as a guide. * In order for the elderly to have a equitable health care program. It will be necessary to have a program where a nurse can have a select route of elderly citizens where she can visit monthly and do prelimary medical checks and up date record[Truncated] "* The United States and South Africa are the only two industrialized countries in the world that do not have national health care for its citizens. Due to the AMA, Drug Cartel, and Republican Party. We will never have a nationl health program[Truncated]" "* VAT tax is a just avenue for financeing health care. It taxes those who consume the most expensive items at a fair rate. Use a tax rate on income, all income, such as medicare uses on payroll taxes. That then will make the wealth pay their [Truncated]" 26093 6/28/06 12:22 PM IN * My husband worked for General Motors for 31 years and now he is retired and now they just keep taking what he already earned. You sure can't expect the companies you worked for to keep up on their end of the bargain because the government do[Truncated] Not sure about this. 26094 6/28/06 12:23 PM TN I fully support this proposal. I fully support this proposal. I fully support this proposal. I fully support this proposal. I fully support this proposal. I fully support this proposal. "* The United Nations organization which monitors and evaluates health care in every nation on earth has ranked health care in the United States as 39th. from the top (or best in the world). This very poor rating for an industrialized ""First Wor[Truncated]" "* We need to examine the health care financing stratigies that are used in other countries which provide universal coverage to their citizens. [Truncated]" 26095 6/28/06 12:28 PM PA "I agree. Too many retirees(that are not 65)and young people are without health care. We need this desperately. " "I agree. " This is the most important. "Sounds good. " "Dounds good. " "A must! " "I don't mind sharing in this as long as there is no loop-holes for the rich. " 26096 6/28/06 12:30 PM NY "* Includung all Americans from birth to the grave. Should cover all necessary medical needs. Surgery, inpatient and out patient, rehab, etc. Should provide benefits that the Congress, Senate and President enjoy. If one item is not offered t[Truncated]" "* All healthcare should be provided through a Federal Medicaire tax shared equally as the one in place is now, only everyone would be covered.[Truncated]" 26097 6/28/06 12:31 PM SC "* It should be public policy that all Americans have affordable health care,” and calls for the government to define a “core” benefit package for all Americans,[Truncated]" "* It should be public policy that all Americans have affordable health care,” and calls for the government to define a “core” benefit package for all Americans,[Truncated]" "* It should be public policy that all Americans have affordable health care,” and calls for the government to define a “core” benefit package for all Americans,[Truncated]" "* It should be public policy that all Americans have affordable health care,” and calls for the government to define a “core” benefit package for all Americans,[Truncated]" 26098 6/28/06 12:31 PM IN "* This is not a recommendtion that a private resource could provide. Only government can and should work for ALL citizens, not just policy owners.[Truncated]" "* Yes, we need to be careful here, getting input from a variety of sources and counting on negotiation and fairnessby those expert in their fields. We need to get serious about the kinds of preventive care we mandate, in order to keep the fund[Truncated]" "* A Democracy is known for its care of its weakest members. No one knows in advance the kind and extent of medical resources that one may need. As long as the word ""appropriate"" is attached to very costly procedures, supplies, equipment,etc., [Truncated]" "* Again, only government, with its concern for all and its broad based coverage, can accomplish this recommendation. Cooordinating every resource in sight is a must![Truncated]" "* This recommendation breaks through the existing confusion of insurance based health care, providing a base for coverage of health care needs. It's a challenge for sure, but we are a talented people. We need only ""political will"".[Truncated]" "* End of life health issues need prompt, competent and comprehensive overview, benefiting from ongoing research into successful, sensitive modes of help. Putting together both research and funding into a single source makes this possible. [Truncated]" "Not right now, thank you!" "* The benefits of universal coverage far outweigh the cost requirements. Yes, we do need to be patient and try out differing funding strategies, until we have enough experience to know which are truly efficient and effective. [Truncated]" 26101 6/28/06 12:36 PM TX I prefer recommendation 1. 26102 6/28/06 12:37 PM MI "* Our nation is absolutely capable of providing access to to healthcare for all Americans. Although any system can be improved, it's important to know our country already has a couple of forms of ""national healthcare"" that successfully provide[Truncated]" 26103 6/28/06 12:38 PM TN "* Forget the complications. The system needs to be radically simplified, red tape eliminated and medical staffs relieved of the clerical morass they have to deal with.[Truncated]" 26104 6/28/06 12:38 PM SD Agree Agree "Agree, You should not have to pay more than 10% of yearly income toward insurance." "Agree, Do not provide insurance for illegal aliens." Agree "Agree, A person should have the right to decide when they no longer wish to be hooked up to machines to prolong life." Make America's wealthiest pay more. 26108 6/28/06 12:53 PM KY I agree fully with the above statement in recommendation one. "* I would urge this area to include psychological aspect of health and that consideration be given as to what is okay now may not be in the future regarding some ""habit"" an individual may have. The other option is to be inclusive of all throug[Truncated]" "* On either extreme, we need to be clear and fair about guidelines realizing that no one will be fully satisified. Also, genetic factors need to be taken into consideration with prevention to best avoid certain illnesses but realize that it is[Truncated]" "* This will be a God send to many areas. However, we still need to keep in mind the quality of life in these communities due to environmental conditions that contribute to health as well as others.[Truncated]" * I was wondering where the division in health will come and it looks as though it will be in areas with medical residents who are being trained. I would hate to think that this would portray a different class of healthcare based on these indi[Truncated] * I am wondering why I feel as though the elderly and those near the end of life are not as embraced as the uninsured children and adults. In rural areas those services are difficult if not omitted from the reality. If they are included it is[Truncated] * I have nothing against calling people to accountability for their actions but some drugs that we now have on the market impart added health care costs and risks that patients are unaware of. How will this fit into the picture of universal he[Truncated] * The financing statement appeals to me and all health components need to be included as in recommendation one therefore there will be no supplemental insurance for this or that. I agree that the amount paid should be acquired in a fair and ju[Truncated] 26111 6/28/06 12:59 PM NJ * We should have learned by now that a privatized health-care system is not the best way to go. Mix in the politicians and lobbyists who own stock in our medical companies and we end up with a system whose costs are soaring out of control and [Truncated] 26114 6/28/06 1:09 PM OH This to be for true born Americans This is to be for true born Americans This is for true born Americans This is to be for True born Americans This is to be for true born Americans This is to be for true born Americans "These securities should be for the ""Natural"" Born Americans not in coming future citizens from other countries." This to be for True born Americans 26115 6/28/06 1:11 PM AZ "* I would have no problem with a sliding payment scale. What bothers me is the inability to afford health insurance coverage. I have to choose between paying my rent or having health coverage. I chose to have a roof over my head, and pray I [Truncated]" "* We could start with physical health, and build dental and mental as the system starts working. National healthcare should work for the majority of people. How the business community or medical community views it should be secondary to the n[Truncated]" ABSOLUTELY! "* Proactively, we as a nation could do much to reduce obesity by having food manufacturers use less oils, fats, and salt in the making of the food. Truth in labeling/packaging needs to be upgraded, and restaurants need to make healthier meals[Truncated]" "* Stop talking about ""national healthcare/universal coverage"" and start implementing the necessary moves. We could find money to invest in healthcare by plugging loopholes such as offshore tax evasion by American companies or leaving Iraq (cur[Truncated]" 26116 6/28/06 1:16 PM CA Seems perfectly reasonable to me! "* Once again, this makes so much sense that there will be a minimum of a dozen special interest groups that will be scrambling to gut it, and BOTH Democrats and Republicans will be pandering to those groups, rather than loking after the interes[Truncated]" "* Wonderful idea! Again, this recommendation would depend on the honesty and integrity of the insurance industry -- now there's a laugher! -- as well as an overwelming interest on the part of BOTH parties in the good and welfare of the ppulati[Truncated]" Doable -- but never under a republican administration or under a republicancontrolled Congress! Ditto comments under Recommendation #4 "Again, no such program would ever get off the ground under a Republican Presidency or under a Republican-controlled Congress." "* I find all these recommendation to be well-structured and well thought-out. However, it should be obvious to anyone that as long as corporations call the tune and a totally corrupt Republican Party dances to that tune like puppets on a strin[Truncated]" "* My, my! Won't the insurance companies and Big Pharma just love this? Until the influence of those two rapacious groups is either blunted or totally eliminated this will never happen -- it has about the chance of a snowbal in Hell, given the[Truncated]" 26118 6/28/06 1:22 PM NY It's a national disgrace that our health care system is the least comprehensive and most costly of any in the Western World. 26119 6/28/06 1:24 PM NY * I currantly am paying $814 per month for my health care which is $200 more than my Trico pension. Plus deductables and co-pays of over $50 per month THIS IS INSANE AND THE GOV'T COULD CARE LESS!!!! All of the politicians who could afford thei[Truncated] 26120 6/28/06 1:31 PM CA * I have worked with low-income to the poorest of the poor populations for the last twenty years and it has been my experience that people do not expect a total hand out and or totally free health care services. Many of the farm workers that I[Truncated] 26122 6/28/06 1:31 PM NY * I couldn't agree more. This will relieve the human spirit from undue and excessive stress and ailment from fear of where the next dollar is going to come from in re: unexpected illnesses and rapidly spreading diseases. [Truncated] "* I believe in the good-old Yankee igenuity. If our Congress thinks and acts with its ""heart"" more than it does with its ""greasy pocket"" in mind, all of the above is doable.[Truncated]" 26124 6/28/06 1:38 PM OR I agree with all the recommendations. 26128 6/28/06 1:55 PM OH "* Health care insurance (like all insurance) is based on statistics. Profits from organized gambling is also based on statistics. Many a ""poor person"" invests a buck in a lottery ticket, hoping not to have to spend it on their health ca[Truncated]" 26131 6/28/06 2:01 PM MA I agree. I strongly agree with all of these recommendations. These points are all very important and need to be incorporated into our health care system. "Yes, we need a fair and affordable method of changing the current system to provide quality services for all." 26133 6/28/06 2:05 PM MO "* the rich an the poor and boarder invaders already have health care, it it the working lower and middle class who have very little or no health care[Truncated]" trust our doctors and ask them to be the advisory panel. after all they have the education at least protect all americans against catastostrpic problems once again involve our doctors. the veterans used to have a good system hang the bastards that abuse the system * this is important to help people live and to die when it is time be helping the family get through tough times. Stop the long dragging out of this experience by doctors and legal systems.[Truncated] * the sin taxes such as on alcohal and tobacco products which are now used for pork belly projects could go along way to pay for part of the care and then the big oil could use their huge executive bonuses[Truncated] 26134 6/28/06 2:05 PM WI "* This is non-sense. The world needs single payer health plan covering everything and every person maybe transportation to medical workers, good pay, benefits, working conditions,and job security paid for by 1% of the wealthy. for by the we[Truncated]" 26135 6/28/06 2:10 PM NY This is much needed and long overdue Right on!Much in favor Excellent! IN favor Essential Wholeheartedly agree I agreeIt sounds realistic and necessary 26136 6/28/06 2:14 PM OR * I just lost my brother and feel that his untimely death was due to the lack of quality health care for all. He put off going to the doctor because he had no insurance and no money and then when he did the tests that he needed were so expensiv[Truncated] 26137 6/28/06 2:18 PM CA "Again, single-payer" "* Pharmacuetical companies should not be part of an public-private parternership, because their interests are too focused on the bottom line instead of caring for individuals' health.[Truncated]" The solution: single-payer 26138 6/28/06 2:19 PM CA "* lifestyle, wellness, preventative, couseling about diet excersise etc, especially for lower income people who eat a lot of bad food. low cost access to physical training.[Truncated]" "maybe use medicare as a starting point. revamp and streamline, then expand." "Taxing things that make us sick is a good idea. cigarettes, alchohol, etc less dependant on pharmicuticals." 26139 6/28/06 2:19 PM IL "* What I see here is ""socialized medicine"". I'm not judging if it is good or bad. I am aware that Europe's efforts have seen poor quality of medical care. Why would we expect to do a better job? Is poor care really better than no care? May[Truncated]" * Before we move on this we should see what happens to the illegal residents of the country. Any program should eliminate any non-citizens.[Truncated] "What are ""vulnerable populations""?" 26144 6/28/06 2:27 PM OR "* The United States is the only industrialized First-World nation totally lacking in such a program. This is unconscionable for ""the richest nation in the world.""[Truncated]" 26146 6/28/06 2:33 PM WA "* I think it's time our leaders started thinking about all our people. I notice they are very quick to vote themselves nice wage increases. Plus they all have very good health insurance. They are no better than the rest of the people of Amer[Truncated]" Where is the compassion the republicans talk about? "* Lets just raise the income tax to cover it. I think all this self centered interest that the republican party are pushing must stop. Jesus sure didn't teach this. [Truncated]" 26147 6/28/06 2:40 PM IL "Yes, and it should be a universal system based on a single payer model." 26148 6/28/06 2:49 PM TX "* considering the fact that the food and pharmacutical companies are ruining our health and killing us, I believe it is essential that these industries and our government, who works for us and not just the rich, should bear the cost and provide[Truncated]" bravo! A must! "* Exclude the private sector operating for profit and expand the use of good, principled,altruistic people who really want to serve others. And pay them fairly.[Truncated]" agreed instead of wasting resources on war! Gad you are bold to advocate caring about the citizens and especially the elder. good luck and keep pounding away! The government skull is thick. "* And to this end, get private enterprise out of the health care delivery business and re-establish our community hospitals which should be well monitored and regulated.[Truncated]" 26150 6/28/06 2:55 PM OR "* Nations who offer their citizens basic health care have a healthier work force, spend far less on medical care over all compared to the US. Our current insane patchwork system means financial ruin for many because of high medical bills and th[Truncated]" * We are no better than a third world banana republic until we do some serious revamping of the health care system in this country.[Truncated] * It is becoming increasingly apparent that the conservative principles we have seen put forth by the Bush Administration and the Republicans in Congress do not work for governining a nation the size of the United States. We need to look at ide[Truncated] 26151 6/28/06 2:56 PM NY * This is a problem long overdue to be rectified .The U.S. is the ONLY industrialised nation WITHOUT basic medical care for all it's citizens[Truncated] none yet this i could go on for days with respect to some medical conditions the big issue is getting federal support anything is better than the HMO's now running the health care industries 26153 6/28/06 3:14 PM NY It is time to start to thinking about how to include dental care in the plan. Expanding Medicare seems to be a good start. Taxing the rich to help the poor should be the principal philosphy. 26154 6/28/06 3:17 PM PA "* It was noted when asking for my support of more affordable health care, ""Bush’s plan would actually cost consumers more, provide less care and encourage more employers to dump workers’ health coverage."" Well, Duh!, when has most anything [Truncated]" "* Government, just as it has in Europe and Canada, should regulate health care. Hilary Clinton advocated this when Bill Clinton came into his presidency...but the ones in control wouldn't let it happen. Too much lobbying by big pharmaceutical c[Truncated]" "* Regulated government agencies can fall into the quagmire of overcomplicated document processing causing a lack of quality care. But we don't have to let that happen. By setting standards to prevent such quagmires, we can move forward with our[Truncated]" "* I go back to the Flat Tax suggested by then presidential nominee Steve Forbes...don't let the rich get out of paying their fair share, like they do today. If we all paid our fair share, it would be easier for us all. But then, the average Ame[Truncated]" 26155 6/28/06 3:20 PM NJ We must have this in our democracy. "* Alternative medicaine and new technologies that do not come with traditional credentials are healing people where standard medicine cannot. We must consider meridian therapies, hypnosis therapy and energy work if we really want to heal peopl[Truncated]" "The use of drug-less internentions, new mind technologies will save billions of dollars a year in health-care costs." "Please, we must have this for all." 26157 6/28/06 3:27 PM CA "* Pharmaceutical companies' claims must not be used as basis for ""necessary treatment."" Medical studies not sponsored by pharmaceutical companies should be used to determine what would be covered. Well care and preventative services as well as [Truncated]" "* A Single-Payer universal health care plan will be a painful change but is the ONLY long term solution that gets to the core problems and does not merely cover them up with a bandaid. Everyone should have access to affordable health care. No[Truncated]" Integrate non-traditional medicine and advice where communities are suspicious of US Traditional AMA medical advice. "* Medicare and the VA are excellent examples of low-administrative costs and high efficiency/quality care. Expand Medicare for all Americans, for example. Single Payer system makes doctors, hospitals and patients happy. Makes insurance companie[Truncated]" Yes! Expand Hospice coverage and home health nursing options. "* Careful attention should be paid to wasteful spending in administrative costs. Already, the US spends a tremendous amount of money on health care for Americans. If the money that is currently spent by the gov't was combined with the amount pe[Truncated]" 26158 6/28/06 3:31 PM FL "* The problem as I see it is less about access to affordable care and more about lack of access to comprehensive, affordable health care insurance! With everyone having equal access to insurance there should be less of a market insentive to li[Truncated]" Sounds like a good start. "* There should be NO out-of-pocket expenses. ""Protection"" against impoverishment due to medical expenses should be the basis of comprehensive insurance. The cost of this insurance should be progressively distributed.[Truncated]" "* With comprehensive insurance no part of the population should be more more (financially) ""vulnerable"" than any other part. (I'm open to local, state, or federal suggestions yet on solving health care availability in rural areas.) [Truncated]" "* The complexity here could be reduced considerably. ""Integration"" of multiple systems will be best achieved by consolidating them into one comprehensive system. (Is single umbrella health security less desirable or important than single umbr[Truncated]" "* Again, access to these services is limited by the market system! Equal access will come when providers are unable to distinguish good markets from bad based on ability to pay. [Truncated]" Adequate financing of care will come from adequate financing of insurance. 26159 6/28/06 3:32 PM FL "* I totally agree! This is the #1 nation of the world. Other nations such as Canada,for example,have already such a health care program for all of their citizens!There are others which are not necesarily world powers that offer such services to[Truncated]" * I am definitely a preventive medicine advocate. I also believe in allowing import of medications(drugs)from other places such as Europe which appear to have a wide variety of natural medicine and drugs far more efective than the ones offred [Truncated] "* Excellent! Totally agree. This, I believe goes hand in hand with what I expressed earlier. I The USDA would allow imported medication,it might allow for the prices to come down. [Truncated]" * I experienced a similar Community based Health Centers during a visit to France about 15 years ago. They divide the cities in boroughs/sections and assign so many doctors per clinic to a section. People living withing the section will visit t[Truncated] Agree! Excellent! It sounds good. * Every thing exposed above appears good in paper. It always does. I really wish that fair healthcare program is established in this great country of ours to make it even greater......[Truncated] 26160 6/28/06 3:33 PM PA "The current employer-based; non mandated system is failing. " "* We are losing many high paying and good fring benefits jobs to other countries due to the huge increases in health care premiums. [Truncated]" 26162 6/28/06 3:43 PM OH * There should be a law which would make a list available for the public to read on the number of mishaps which are settled by either hospitals or doctors out of court. We were involved in the emergency room where the patient was left unattende[Truncated] 26164 6/28/06 3:44 PM MD * I believe that all people should have Health Care Service and that the wealthy should pay for their Health Care to help keep the service going and to make sure there is equal treatment.[Truncated] Preventative care could also be part of this system then keeping extreme medical conditions lower. Think about that! Those who have the money (wealthy) pay more and this will offset the loss for low income people. "* Please make sure that each person requesting health care services, be treated fair and equal. Very important to make this system work. [Truncated]" * Will our doctors still want to stay in the healthcare system - what should be done to make them want to be part of this advancement in healthcare for all Americans.[Truncated] * Remember these individuals are all humans and they should be treated the same way as each and every person would like to be treated if they were these individuals. [Truncated] * Health Care is a vital part of an America coming together to bring about a much needed change that will be benificial to everyone. Thanks for helping with this vital work.[Truncated] I believe that Canada has an operational sturcture that we might want to copy. 26166 6/28/06 3:46 PM CA I strongly agree. Sometimes our eyes are left out of the equation.Other wise this sounds good. True. Great * Right now health care is near impossible for the eldely person to negotiate. They need help from someone that can tolerate all the red tape and explain their options. I feel very sorry for the many people that can not handle their own health [Truncated] * I am very fortunate to have health care. My parents also have decent health care. My children that have recently graduated do not have health care because they can not afford it or it is not available. This worries me tremdemdously.[Truncated] I have no idea what all this means. 26168 6/28/06 3:46 PM NV * It is imperative that everyone have access to affordable health care.The system as is costs everyone more than necessary and the insurance companies continue reap huge profits and CEO's ridiculas overinflated saleries. When everyone has equal[Truncated] * the plan should contain both payment for major health problems but also provide for maintance type health care which in the long run will save money that would need to be spent on treating serious problems because they were not caught early[Truncated] "* We all end up paying for this in one way or the other so why not a central plan that everyone takes part in far more cost effective. This type of plan should only be available to legal residents and citizens though and some other plan mad[Truncated]" * Unfortunitly the only way to do this is through a govt. agency (not the most efficient)as the private sector is more concerned with making huge profits rather than being reasonable and looking after the public welfare. Private insruance is to[Truncated] * All fine ideas but we have to be very careful here as effenciency can be construed to mean more to bottom line and less to the patient[Truncated] * WE have to limit the stampede to the bottom line when it comes to one's health care we all deserve the best. If we all contribute a little all will benifit and all will save.[Truncated] If we would all contribute a little for the common good than we would all save on medical dollars we spend. 26170 6/28/06 3:48 PM PA "* This is a simple solution! The government needs to have the CEO's use some of the hugh profits that they are getting from the working people's jobs and pay for all the workers health care. Because, if it was not for the working class people[Truncated]" "Again, see the response for Recommendation #1" "Again, see the response for Recommendation #1" "Again, see the response for Recommendation #1" "Again, see the response for Recommendation #1" "Again, see the response for Recommendation #1" "Again, see the response for Recommendation #1" See the response to Recommendation 1. I believe it says it all!!!!!!!!! 26171 6/28/06 3:49 PM TN I agree. "Yes, dental health is finally recognized as a true need. " "* Split the finacial protection responsibility between public and private. Each should bear some of the burden. Utilize medical/nursing students by paying tuition/educational expenses in exchange for work committment to underserved areas fo[Truncated]" "* States should contribute to any federal health plan. State income taxes could be implemented in states where it is non-existent, to supplement any federal program for universal health care. Estate tax could be a resource for health care as [Truncated]" 26174 6/28/06 3:58 PM NC "* America should be a world leader in ensusring that its citizens have the most accessible and affordable healthcare. Sadly and shamefully, that is not the case. [Truncated]" "* If one congressman or senator spent one night in the nursing home that my grandfather was temporarily required to be admitted to, these facilities would all be outlawed.[Truncated]" * Billions of dollars are wasted by this administration each year that could be better utilized to ensure we are all healthy enough to be productive taxpayers.[Truncated] 26175 6/28/06 4:06 PM MO "* We definitely need to have an affordable health care program. We need a program that is servicable, affordable, and equal to all. Our health care programs now are not to the advantage of those who need them. Persons who are in need of heal[Truncated]" " Good ideas!" This is what we need. "* We just need to remember that all of the health care should be efficient, thoroughal, done with care, and be accessable outside of emergency rooms.[Truncated]" "* This will be great, once we have a governement that is of the people, for the people, and by the people. This administration will not advocate for such services.[Truncated]" This should not only be available but the people need to educated on how to get suce services and when they are available. * I think that we should have a good universal health care system and there should be some costs to those who can afford it in a resonable and fair amount.[Truncated] 26176 6/28/06 4:06 PM TN * I think that bi-weekly (nonsexual) massage for everyone in the country who wants it would work wonders to improve our national health.[Truncated] "* We need to come to a societal understanding that it's ok to die, and best to die at home, with family, and without the use of heroic, technological, ""life-support systems."" We need to cultivate the art of dying, as detailed, for example, in [Truncated]" "* Promoting healthier lifestyles sounds easy, but it could create a social revolution--less fast food, driving, and tv, more gardening,cooking,walking, appreciating our neighbors and neighborhoods, and entertaining ourselves and each other[Truncated]" "* I think an important part of financing health care is reigning in the exorbitant profits generated in many sectors of the health care industry. ""Health care for people, not for profit.""[Truncated]" 26177 6/28/06 4:14 PM CA This appears to be a very sane and comprehensive compilation of recommendations. 26178 6/28/06 4:16 PM TX "* IF WE HOLD OUR COUNTRY IN SUCH HIGH REGARD THEN WHY ARE SO MANY OTHER DEVELOPED COUNTRIES LIGHT YEARS AHEAD OF US IN EDUCATION, HEALTH CARE AND SOCIAL SERVICES?[Truncated]" WE ARE THE RICHEST COUNTRY IN THE WORLD SO WHY CAN'T WE HELP OUR OWN NEIGHBORS AND BROTHERS? 26181 6/28/06 4:31 PM FL "* Why should Bush and his administration, and the Congress, who are not looking out for the American people receive quality health care and not the Tax paying Americans. We know the Ones who just received the huge tax cut have health care or c[Truncated]" * There is no way that a saving plan will be able to work because one serious illness and you are broke. But when you have the money that the Bush family have there is no problem. I do not know why I am writing these comments no one really car[Truncated] * I wish the Congress would think about what is good for every American and not just the corporations. Jesus looks to help all people not just the rich. [Truncated] The money that is being spent in Iraq would sure go a long way toward health care for every American. 26184 6/28/06 4:35 PM ND * The ammount of in pocket money for the indevigals should be faised sugnificantley! So they can take care of their famileys better![Truncated] "We also need to involve the ""natural cures for all!""" The amount for estabilishing low income families should be raised! The standards a way to low. Any tipe of help needs to be equal for all!nomater of race colur or creed! make sure the Naturar ways to Cure are involved also!!!!!!!! Take away the death tax!!!!!!!!!!!!!! It should not take this long we need something like the Canadians have What is so hard about that? 26185 6/28/06 4:35 PM NY "* We should have universal coverage with only small co-pays as an expense to the patient. This is needed even more with today's job insecurity, anti-worker economics.[Truncated]" Include eye care. "Universal, single-payer system!" Public only. Quit pussy-footing around and support a single-payer system! This should be paid through a progressive income tax on both individuals and corporations with no write-offs. 26186 6/28/06 4:38 PM TX "* The Gov. can use it's ability to buy in bulk to cut the cost of all services,materials and meds across the board in way it has not done for Medicare Medicine for the Elderly. They can put their heads together for the good of mankind instead [Truncated]" 26187 6/28/06 4:39 PM OH EVERY AMERICAN SHOULD BE ABLE TO ACCESS SOME FORM BASIC HEALTH CARE SERVICES AT A REASONABLE COST. * I AGREE WE WOULD NEED PROFESSIONAL PEOPLE NON PARTISAN PREFERABLY DOCTORS TO RECOMMENT AND OVERSEE WHAT WOULD CONSTITUTE A CORE BENEFIT PACKAGE.[Truncated] "* WHEN BLUE CROSS WAS THE ONLY GAME IN TOWN, THEY INSURED BOTH ABLE TO PAY AND THOSE UNABLE TO PAY, I'M SURE THAT APPROACH WOULDN'T BE POPULAR TODAY CAUSE THEIR ARE MANY MORE FOR PROFIT INSURERS NOW.[Truncated]" * MOST PROGRAMS THAT ARS SUCESSFUL HAVE TO ELIMINATE THE BURACRACY AND GET THE HEALTH CARE DOWN TO A LOCAL LEVEL. IF NOTHING ELSE KATERINA SHOULD HAVE TAUGHT US THAT.[Truncated] OUR GOVERMENT DOES AN OUTSTANDING JOB WITH SUCH MASSIVE PROGRAMS. "HOSPICE IS A BLESSING, FUNDED BY THE GOVERNMENT." GOD BLESS AMERICA AND PARTICLARLY ALL OUR MEN AND WOMEN WHO VOLUNTEER TO KEEP US SAFE FOR THESE I GIVE THANKS. "* THE US GOVERNMENT IS THE LARGEST SUPPLIER OF HEALTH CARE WITH MEDICARE AND DOES AN OUTSTANDING JOB. CAN IT BE MORE EFFICIENT? SURE, THE QUESTION IS DO THE POLITICIANS HAVE THE WILL TO TACKLE THIS TOUGH ISSUE AND SOLVE IT.[Truncated]" 26189 6/28/06 4:44 PM CA The best way to have a pool of sufficient size is to have everyone participate so that risk is spread over a large pool. Coverage for all Americans spreads the risk over a larger group to help keep costs lower. "* It is critical to have easily accessible information on prices, quality and efficiency. Comparative information is essential on: o number of procedures performed o cost for the procedures o comparitive outcomes[Truncated]" Providing transparency of provider costs should also be considered. 26193 6/28/06 4:52 PM IL "yes we need insurance that everyone can afford.the premiums low,deductables low so that can afford it.i can afford it." 26194 6/28/06 4:55 PM MI "* Please develop and implement a real system of universal health care including both preventive and healing services, available to all residents of the US.[Truncated]" Yes to all the above. A universal health care system would cover this. Yes. Yes. * This should have happened 16 years ago. How can we plan a new function for all the medical insurance providers which should become unnecessary?[Truncated] "* Please eliminate the multiple billing, insuring and reporting of medical costs for what should result in huge savings. How about directing tax revenue away from production of nuclear weapons which cannot be used and contribute to an insecure[Truncated]" 26195 6/28/06 4:58 PM NY We need basic health care similar to Canads. which has worked better than our costly system in saving lives. * Ok! But one must be careful in that we perform many procedures that add tremendous cost to the medical equation. Basic general practitioners should and could take care of many of the illness. We as a society must also realize that we can't sm[Truncated] "* Once again we must talk about basic health care, if any & all proceddures are intended than the plan will implode. For example many people could be less depressive if they ate fish or took Omega 3 oils, instead we look for a pill to solve thi[Truncated]" "* The american people must be educated in living a healthier lifestyle. Exercise, what not to eat, what not to drink in excess. Eating good healthy natural food. Stop putting antibiotics & DES in our cows, chicken, turkeys, which add to many,ma[Truncated]" Yes yes "* Once a national health care plan emerges, it must be constanly monitored and kept at it's original intent. Any medical procedure not in the plan must be paid for out of pocket. We have seen how medicare & medicaid have paid for viagra, which [Truncated]" "* By combining medicare,medicaid,free health care for illegals and uninsured certainly would cover a large portion of basic care. All citizens and business's would kick in and then if need add medical cost to cigs,gasoline,plant pollution etc.[Truncated]" 26197 6/28/06 5:02 PM OH * Health care must be regarded as a basic right of all human beings. We have an administration that uses American tax dollars to provide health care to all Iraqi's. We have an administration that wants billions for health care for Africans. Whe[Truncated] * Members ot the group should be appointed to specific positions with a specified term of service. If the independent insurance system such as we now have is to be retained the regulatory board will need to be in place to oversee and regulate t[Truncated] * This is the very premise to have health care and to provide any type of insurance. The cost of catistrophic health crisis care must be borne by all who are members of the program or by the greater resources of the government. [Truncated] * If the public monies now going to fund health care were redistributed to universal care then rural and sparsely populated areas would recive the same care as urban or city dwellers.[Truncated] * I have long been an advocate of using the federal health benefits insurance system to provide benefits to all local and state employees. The economies of scale savings would be great because the cost of any care would be spread over a larger [Truncated] * End of life care must be local and maintain the greatest dignity possble so that the individual retains the comfort of passing at home with loved ones.[Truncated] "* The Congress must look very closely at every tax dollar now being used to fund health care. Take into consideration every local dollar paid by school boards, every dollar paid for township city and county workers. Next we look at every tax do[Truncated]" 26198 6/28/06 5:06 PM na "* There is a need to change the way patients are billed by Docters and Hospitals.If you have a health care issue or procedure you can be billed many times for one procedure.The hospital,Docter, consulting Doctors, anethesiologist, xrays, radiol[Truncated]" 26200 6/28/06 5:18 PM OH "* To a point, I agree. Unless one pays into the Health Care System, (through taxes or premiums) one should not be allowed to participate. If you think we have a border problem, just offer ""free"" health care to every one and every one will cros[Truncated]" "* Keep the lawyers and elected officials out all together. Make it a law that to be on this board, an elected official would have to resign their elected post. No worker can serve two masters.[Truncated]" "* Limit lawsuits and amounts paid out for suffering. It may not be right but it would limit the cost that push health care higher and higher, malpractice insurance.[Truncated]" Give them the choice to end their life with dignity. "* I could see different levels of cost dependent upon risk factors. As an example, smokers should pay higher costs into the health plan than non-smokers. It is not fair for the non-smokers to have to pay more because they choose a healthier l[Truncated]" 26204 6/28/06 5:30 PM FL "* I feed a worker is worthy of his hire. An employer should be required to provide healthcare. My wife works in an ER and they are required to provide care, even though they do not get payed. Since they are required to give care, there needs[Truncated]" This should be priority for any plan. * There needs to be a plan to share the cost by extending Midicaid and Medicare to those who loose there jobs due to health or other reasons. [Truncated] 26205 6/28/06 5:32 PM CA Sounds good to me. "As the old adage says ""An ounce of prevention is worth a pound of cure""" "No one should be bankrupt because of an illness or injury, agreed." "* We need a strong citizenry for a strong nation. Other countries see the wisdom of this and do very well by their citizens, and so should we.[Truncated]" These are all good ideas. We are fortunate to have a good hospice care network here in Davis. It should be available everywhere. * The most powerful country militarily should also be able to take care of the least of its citizens much better than we do. We have the resources and we should use them to that end.[Truncated] "* When you eliminate the money taken out of the system by the insurance companies, that frees up a substantial amount for direct health care. It also frees up time and personnel for health care for people.[Truncated]" 26206 6/28/06 5:33 PM KY "* Your statement about financial assistance is one of those things that gets lost in translation. When the government needs money, this group will lose their financial assistance. There has to be some better way to bankroll this important ide[Truncated]" "* I think that waiting until 2012 is too long, especially since big business is using health care coverage as a bargaining cip for retirees and there are so many employed that are not covered withhealth care. It can move faster if everyone was[Truncated]" * The first thing that needs to be done is: every employer needs to cover his/her employees with medical coverage. That will take care of the great majorit of people that do not have medical coverage. Then we look at those who are not working[Truncated] 26209 6/28/06 5:37 PM CA I Agree. I Agree. I Agree. Yes! "* More Nutrition Education in Schools! More Physical Education in Schools! More Outdoor Activities (hiking, nature walks, etc.) for schools![Truncated]" Okay. Those with greater incomes should contribute more. 26210 6/28/06 5:40 PM MN "Agree. But who decides, what services are ""core?""" Sounds reasonable. There would be a battle re. abortion and other politically charged procedures. That's right. You forgot using the government's buying power to negotiate lower prices on prescription drugs. Yes. "* We should aim for excellent, comprehensive coverage for everyone provided by private medical practioners and not-for-profit hospitals and clinics, paid for by the government, with low administrative costs (like Social Security and Medicare), [Truncated]" "* Revenues to provide essential services for all Americans should be raised based on ability to pay, i.e. through the income tax. That's fairest for everyone.[Truncated]" 26212 6/28/06 5:48 PM TX "* Yes, all Americans should have affordablhealth care and the doctors should stop adding so much on top of what Blue Cross will pay. Even good insurance is not protection fromt them and the pharmaceutical companies and the AMA anymore.[Truncated]" 26214 6/28/06 5:49 PM CA One need not reinvent the wheel. Just look at Cuba. They're doing it right. 26218 6/28/06 6:00 PM MN Government should provide health care to all citizens not pick and choose who gets care. * The panel should be required to include representatives of workers generally (AFL-CIO) and health care workers specifically (SEIU).[Truncated] Only as part of a national single payer system. Only as part of a national single payer system. Only as part of a national single payer system. * Be bold. A national universal single payer system is the best policy and the best politics. Compromise models are too complicated to inspire workers. Our health care system is the world's most inefficient because it is dominated by insuran[Truncated] * I completely disagree. The United States already spends 50%-100% more on health care than other industrial nations. Moving to a national single-payer system will save huge sums of money. Any increase in tax revenue should be more than offs[Truncated] 26219 6/28/06 6:03 PM CT absolutely essential in a civilized country. Necessary to ensure truly equal access to health care. Additionally services should be provided by non profit agencies. Profits have no place in end of life care. 26220 6/28/06 6:04 PM NV "* My comment would be that the system should be a tax-payer-funded, single-payer system, in which all Americans are enrolled.The kind of privately managed, insurance company-administered private system we have now is, if anything, more bureaucr[Truncated]" "* A means of including, and emphasising, preventive medical and dental health must be found, put into the proposals, and fully implemented if the proposals become policy. Also, mental health therapy, including both doctor-patient counseling[Truncated]" "* To be a skipping CD here, only a taxpayer-funded, single-payer health care system will guarantee this. It isn't in the interests of private insurance companies to do this, nor should it be. They are profit-making institutions whose purp[Truncated]" "* Good ideas all. However, any recommendations that these groups might make will, in the absence of a taxpayer-funded, single-payer health care system, either end up as being effective only on paper, half-implemented, if at all, or severely [Truncated]" "* Again, good ideas all. And, yet again, if the present health care system and its administrative policies and practises are allowed to continue, they will be either weakly implemented or not at all.[Truncated]" "* To repeat myself, yet again, good ideas all, but they won't mean anything unless a taxpayer-funded, single-payer health care system isn't adopted in this country. The current system has proven itself to be far too unwieldy, bureaucratic, u[Truncated]" "* None, except to say thank you very kindly for allowing me to make whatever small comments and suggestions I can on this very important and vital issue.[Truncated]" "* Again, a taxpayer-funded, through a combination of income, ""sin"", business and payroll taxes, single-payer health care system is the best and fairest options for Americans, especially lower-middle-class, working-class and poor Americans.[Truncated]" 26221 6/28/06 6:09 PM MI "* 1) Thank you for including MENTAL health, which has been almost completely ignored in this debate. Access to quality treatment of this type is *essential.* 2) All treatments, whether for depression or diabetes, should be strictly confi[Truncated]" "* 1) Re: low income Americans, those on very limited incomes should not be required to pay anything out of pocket. My father, who died on June 6, 2006, was living alone on about $1000/month in NY state, which has a fairly generous program. [Truncated]" "Can we wait till there's a new administration, b/c these ideas are going to be twisted and gutted otherwise." Confidentiality. Confidentiality. Confidentiality. "* Emphasize better *cleanliness* in nursing homes and hospitals -- including such advanced ideas as fresh air!! Windows that open! Quiet, i.e., not having TV blasting![Truncated]" "* You are to be commended for a job well done, for taking on this work, and for drafting a simple, effective design for a national health care program. This is an idea whose time has beyond come. One thing I think needs to be more emphasize[Truncated]" 26222 6/28/06 6:14 PM PA "* To provide good health care to all Americans especially the elderly and those who worked all their lives and contributed the most to support the system. And to stop just randomly handing out of medical care and other ""freebies"" to all the fo[Truncated]" 26224 6/28/06 6:17 PM OR "I like this, but want to see preventive, pro-active, health care also stressed." "This seems vague to me, and how is this paid for? Are we followuing a model that is doable?" 26225 6/28/06 6:22 PM OH We should have access to the same quality health care as our Senators and Representatives. 26227 6/28/06 6:26 PM CA "* Yes, we are long overdue for it! It works for Congress and the President doesn't it? If we can't get it they shouldn't have it either! [Truncated]" Amen!!!! You should't have to pay your retirement or any other money thats been saved on healthcare!!!! and have plenty of alternative care and prevention. "Find out how it is managed with Congress and the President and do it the same way, dah!!!!" 26229 6/28/06 6:38 PM MI * Any effort to improve quality and efficiency of care that does not support and facilitate long-term home health care fails at the most fundamental levels. [Truncated] "* Profiteering on human suffering and disease is morally and ethically reprehensible. Any ""financing mechanism"" that entitles a continuation of for-profit health care institutions is morally bankrupt.[Truncated]" 26230 6/28/06 6:40 PM MD "Yes this is a good idea this is something that should of been done yrs!!! ago all others have it why can't we all have it," "Have the FDA and the people dicide on what staderd be set and every think be equel to everyone." Yes this will make more jobs and more 13% 5 docs + 5 scint. + 5 nureses + 5 prescibtion + so on this would be good everyone buryed the same like getting dressed one leg at a time! do it right the frist time other countrys take up to 13% of a persons income.but a family pays a flat 13% 26231 6/28/06 6:49 PM PA amen!!!!!!!!!! medicine also needs to be covered "hospice care is the best. during difficult times that it is needed, it should be more accessable and encouraged" amen!!!!!!!!! 26232 6/28/06 6:51 PM OH "* In a country as great as ours, people die everyday as a result of not being able to afford health care. This is a travesty that can't be allowed to go on.[Truncated]" "* The government should negotiate prices with drug companies. I understand they need profits to operate and do research with, but most of them seem to think a patent on a drug is a ""license to steal"".[Truncated]" "* I think that this benefit should be provided by a public institution. Our current Social Security system operates at a 3% cost of operation as opposed to current health care plans opperated by insurance companies at 10, 12, and 15% administra[Truncated]" Any National Health Care System should include promotion of efficiency overviews on regional and national levels. * I have been involved closely with two people who have had terminal illness that were able to spend their last days at home through their ability to pay for that type of service. I have also had the opportuniy to work in a Hospital that is a P[Truncated] * A great part of the additional financial burden should be offset by charging premiums to companies that employ thousands of people without providing affordable health coverage to them.[Truncated] 26234 6/28/06 7:03 PM NY "* Health care for all is the minimum a civilized society should be expected to provide to its citizenry. Universal single-payer is the most sensible solution. Health care is a right, not a privelege.[Truncated]" 26236 6/28/06 7:03 PM NY Shouldn't this be standard for any developed country? 26237 6/28/06 7:10 PM MI * half of bankruptcy filings are for medical costs from working people with health insurance. this in the richest nation in history? obscene. [Truncated] cut the fda's ties to big pharma and pay attention to alternative medicine. "* let's cut out the crap. i concur with george mcgovern who said we need single-payer health care, nothing less: direct government payments to the medical providers, bypassing insurers. call it medicare. let medicare administer it. institute it[Truncated]" 26241 6/28/06 7:37 PM SC I agree 100%. "I agree 100%," I agree 100%. I agree 100%. I agree 100%. Let people die with diginety. I agree 100%. 26242 6/28/06 7:56 PM FL You have great health care why shouldn't all Americans. Do it. Do it. Study the best health care program in Europe and copy it. Study the best health care program in Europe and copy it. I believe that I should be able to end my life when the situation warrants. With dignity. It is a disgrace that richest country (who knows how long with deficits)does not have health care for all Americans. "* You wasted all that money on the immoral and illegal Iraq war, we could have uased it for universal health care. What do you care you got yours.[Truncated]" 26244 6/28/06 7:57 PM OK * they monthly cost of premiums has sky rocketed to high universal health care make since and makes citens less worried and more productive[Truncated] should be limite dto us born or legal imigrants only recomendation 3 yes * if all companies paid in to healthcare like union operated craft contractor companies affiliated with local 216 millwrights this system could pay for all workers[Truncated] 26245 6/28/06 7:58 PM HI I concur I concur I concur I concur I concur I concur I concur 26248 6/28/06 8:24 PM CA "* Decent healthcare system means biting the bullet and getting rid of HMO's except for rich people who will then get good service by following the ""boutique"" medical care concept...That will get rid of a humongous overhead. All the premiums pai[Truncated]" "* What is necessary to cover the new system can easily be determined by reviewing the experience of the Medicare system (of course, ignoring the Medicare Part D fiasco also visited upon us by the destroyer of democracy in America, G W Bush. [Truncated]" "* By establishing some participation in valid medical research in order to control the huge costs of equipment providing the miracle breakthroughs of modern day medicine, and controlling runaway costs of hospitals and physicians, the very-high [Truncated]" See comment on #3. Covered in my previous comments. * Also get rid of the reactionary impediment to assisted suicide under conditions as practiced in the state of Oregon. All the objections stated by the weeping-hearts who have continually preventing these measures from passing based on religio[Truncated] No. See comments on last subject 26250 6/28/06 8:39 PM CA "* I agree with all your recommendations. It can be done without turning universal health care into ""Big Brother""--that is, it can be done with respect for the privacy of all our citizens.[Truncated]" 26251 6/28/06 8:47 PM OK * Decent health care should not cost the average citizen more than they earn in 5 years to have one procedure. It is a crime US citizens must seek affordable health care in India & other foreign countries.[Truncated] 26252 6/28/06 9:01 PM OH "* I agree we should have it, when hillary clinton was for it years ago. as the same the Repblicans shot it down just like the mininm wage they have no shame..[Truncated]" what happen to the vision plan? will that be included ??? I have to see it to believe it?? "yeah, right.." it sounds confusing already the Repblicans will not pass it they will not spend money on working class they are greedy all they give you is lip service 26253 6/28/06 9:01 PM CA "* This recommendation is so vague that it says nothing. How will you define ""affordable health care""? Does having your emergency treated at the local county hospital count? Most Americans would not consider this adequate affordable health ca[Truncated]" "* For the group defining the core benefit package, everyone's conflicts of interest need to be clearly identified since that will affect their recommendations. Also you should include vision care along with physical, mental, and dental care[Truncated]" "* This recommendation is very cumbersome and confusing. Don't waste money having advisers for a safety net. Insure everyone together in a single national health insurance plan which is federally funded, and pay your providers a little extra f[Truncated]" "* Even better is to expand Medicare to everyone and take notes from the VA, which currently works better than any other health care system in America. Why is there no significant discussion of a national health care plan in these interim recom[Truncated]" This recommendation seems sound. "* Your interim recomendations have some very conspicuous, concerning holes: 1. The provision of health care should be a non-profit business. Or you should argue for why for-profit health care is not incompatible with cost-effective care that p[Truncated]" The last paragraph is confusing and seems unnecessary. 26254 6/28/06 9:10 PM IN "* We need a single payer insurance system similar to Canada's. Thirty percent of costs are now going for paperwork, and a large portion is going to the insurance industry. To be able to affordably cover everyone, we have to do away with priva[Truncated]" "* There might have to be some limitations on reproductive technoligies, such as when an older female with high-risk health problems wants to use IVF to get pregnant. Elective cosmetic procedures should not be covered unless there is genuine dis[Truncated]" "* It must be public. A private plan will not work, because private insurance companies are in business to make a profit, and they will find ways to exclude the sickest people, those who are likely to cost the most, because they need the most c[Truncated]" "* We do need to be sure that care is available in underserved areas. However, nobody should be forced to get their care from a particular network. People need free choice of providers, as they have in Canada. [Truncated]" "* Again, scrap the private, it won't work. Capitalism has it's place in the marketplace, but it doesn't belong in the hospital room, or the death bed. A couple of years ago, my husband was hospitalized due to massive clotting in his lungs[Truncated]" "* The only reason we can't have a single payer system is because the insurance companies are spending huge sums of money in Washington to keep the current system the way it is. Do you know how it makes us feel to see our country sold out, year[Truncated]" "* A critical issue is that employers should pay based on total employee hours worked, not on the basis of how many employees they have. The current ""system"" discourages companies from hiring adequate numbers of workers. Instead, they operate [Truncated]" 26255 6/28/06 9:13 PM WI "* I strongly support universal national health insurance, and I oppose privatized Health Savings Accounts and high-deductible, limited benefit plans. I find the working group's interim recommendations heartening. Please keep up the good work.[Truncated]" 26259 6/28/06 9:29 PM MI * Health care for every American is most important to the overall health and well being. You will have a population of people who will focus more of their energies toward being productive than worried about the financial burden of getting dent[Truncated] 26260 6/28/06 9:35 PM MI "* GIVE all Americans the same health care we give our elected Federal officials, or cut their coverage to the level of the average American. Also, before congress can get a raise it should be voted on by the American voters![Truncated]" "Same as above, just like Congress has decided to give themselves!" "Same as above - Hello, Congress should be the least of the American people. So, we deserve at least what they have!" "Same as above, just as it is for Congress!" Same as above - just like medical coverage for Congress! "Same as above - whatever WE PAY for Congress, we should have for ourselves!" "Same as above, and Congress STOP wasting our money!" "* Same as above, especially the part where WE decide if the Congress deserves a raise - one criteria would be DID they or DID they NOT make our country, that means the people, a better organization. Maybe then they would think of American's fi[Truncated]" 26261 6/28/06 9:35 PM WA "* Every citizen in the United States should have health insurance. It should be a fundamental right for everyone, irregardless of their ability to pay. Please make it a reality![Truncated]" 26262 6/28/06 9:35 PM MO Sounds good. Who gets to decide what is needed? Should be the physician not a bureaucrat. The middle class gets caught again. "Sounds good for others, not for me. My ""raise"" is entirely eaten up by higher copays." The middle class isn't mentioned here................... yes...... The middle class is not addressed. I will have to move out of the country in order to afford to live. No more payroll taxes or income taxes. Period. 26263 6/28/06 9:37 PM TN I agree. this is one of the most important issues facing our country Sounds good. YEs. Yes. #4 is particularly important. Very important!!!! "* Employers should be required to pay into the system. Taxes should be used. The health ncare system in the US should NOT be based on profit.[Truncated]" 26264 6/28/06 9:37 PM MI "* It doesn't matter which party has the majority in the House, Congress, Or the Senate, if these politicians are only interested in their party. It is time to get dedicated men and women that are more concerened about the American people, inste[Truncated]" "* I could comment on each of the above recommendations, but I feel we are talking to deaf ears. The politicians in Washington are too interested in their own party,and not interested in the American people. Corporate America, does what ever the[Truncated]" 26266 6/28/06 9:44 PM TX "It's our Christian duty to provide decent healthcare for all. " It's our Christian duty to have decent health care available to everyone. It's our Christian duty to have decent health care available to everyone. It's our Christian duty to have decent health care available to everyone. It's our Christian duty to have decent health care available to everyone. It's our Christian duty to have decent health care available to everyone. It's our Christian duty to have decent health care available to everyone. 26267 6/28/06 9:45 PM TX * I believe that we should strive to do this because as it stands now we are going to force companies to decline to make this benefit avaiable. reulting in individuals obtainig care at the more expensive emergency room or becoming a catastroph[Truncated] * I believe that people making these decisions not on feel good recommendations but recommendations that actually help all citizens equally no matter how rich or poor they may be. In Texas they have insurance that is guaranted to insure anyone[Truncated] * everyone should be on the same health plan including congressman and senators. All companies employing individuals should pay and amount according to the income of the company and individuals should pay an ammount also and the federal govern[Truncated] 26268 6/28/06 9:46 PM AZ That should be access to health care -- and not health care insurance. No third parties meddling in doctor/patient decisions. It also includes mental health services and non-cosmetic dentistry. Increase hospice care for the terminally ill. "* No more private insurers for basic health care. Our health care system should be non-profit, coordinated, and designed to make care as stress-free as possible for both doctor and patient.[Truncated]" * Public/private is not a priority in my opinion. We have enough corporate welfare as it is. Let the people's company - our elected government - administer our health care. I strongly oppose a profit motive in health care. This only leads to cu[Truncated] I agree. Involve patients more in decisions regarding their health care through better education. Best-practice over profits. This is going to be critical in our future. "* The health care system should be non-discriminatory and support a reasonable work ethic among practitioners. No more sleep deprived doctors and nurses, etc. Include public funding to support education and training for doctors and nurses since[Truncated]" * The US already spends more than any country in the world per person on health care. It is a fallacy that providing health care for all will cost more -- it just needs to be made a non-profit system with a single payer (the government) for ser[Truncated] 26272 6/28/06 10:03 PM NM "* Health care is a basic human right, and is therefore not appropriate to be delegated to free-market economics. Luxury goods are appropriate to the market, but health should be universally guaranteed.[Truncated]" * The definition of core services must be fair with respect to gender. That means that contraception used by women must be covered.[Truncated] "* Health care is a basic human right, and nobody should have his or her life placed in jeopardy because of his or her lack of material assets.[Truncated]" "* The byzantine nature of the health-care industry has gone truly out of control. The documents that patients have to wade through to settle the financial side of their treatment are not written in English, and even experts have trouble underst[Truncated]" "* The way that the current medical system treats people at the end of their life is an absolute disgrace. We must honor living wills, and not allow financial constraints to worsen the quality of life patients have in their final days.[Truncated]" "* The capitalist design of our health care system is resulting in a massive amount of financial resources being wasted by companies on administrative costs and advertising, often for unneceesary vanity or lifestyle products that are not truly ""[Truncated]" 26274 6/28/06 10:05 PM PA tired of you scumbag republicans holding us hostage to health care qqq q q q q q q 26276 6/28/06 10:19 PM PA "This already exists in the US, please do not tamper with the health care system!" Insane idea this will bankrupt the US! Insane idea this will bankrupt the US! Insane idea this will bankrupt the US! Insane idea this will bankrupt the US! Insane idea this will bankrupt the US! LEAVE HEALTHCARE ALONE! Go after the lawyers to limit lawsuits and damage awards 26277 6/28/06 10:22 PM PA "* We live in the richest country in the world, and we should not tolerate the fact that any of our fellow citizens go without affordable health care.[Truncated]" Good. "* People should not face bankruptcy because of catastrophic medical bills. There should be a cap on expenses, and any expense above the cap is insured separately. These policies are generally lower-cost because they have no claims under the cap[Truncated]" Be sure there is a watchdog for the costs/fraud prevention. "* The Medicare system, with all of its problems, is still the best mechanism for delivering widespread, affordable health care. A payer of that magnitude is also able to negotiate favorable terms with insurance companies and to utilize economi[Truncated]" 26278 6/28/06 10:27 PM TX The entire plan is well thought out and should be adopted. I agree. 26281 6/28/06 10:33 PM CT "More money for public health prevention services, including occupational and environmental health" "* Divorce health care access from employment! Take health care provision off the backs of small business and workers via a single payer, Medicare for all plan. Finance this through payroll and business taxes and augmented by other taxes like [Truncated]" 26282 6/28/06 10:50 PM WA "* Health care costs, and with them health insurance costs have risen so that most people will have to work just to cover this cost. This can be fixed by having NATIONAL HEALTH! Please consider this.[Truncated]" 26284 6/28/06 10:55 PM AL This is long overdue. * It's insane that people have to go into bankruptcy in this country to cover a medical procedure. Financial protection is imperative.[Truncated] 26285 6/28/06 10:59 PM OR Agree "N0 disagreement " 26287 6/28/06 11:01 PM CA "I endorse Recommendation l, wholeheartedly." I am in agreement with this recommendation. This recommendation speaks for itself. I agree. I agree. I agree. I think every important aspect has been covered. "If military expenditures could be reduced, it would be a real boon to financing health care." 26289 6/28/06 11:22 PM MO You need to control the mediacation companys for the amount of profit that they are making. 26291 6/28/06 11:41 PM WV "* Congress, We ALL deserve the same health care benefits that you have for yourselves and your families !!!!! After all what is the difference?? The difference is 'you're up there and we are down here'.....just remember how you got there an[Truncated]" very good !! 26293 6/29/06 12:13 AM IA "Health care should be a right all Americans have, not just the wealthy." "It needs to make common sense, too many ""experts"" can ruin the process." Wew need to regulate the insurance industry by the federal government not by the indivdual states as it is now. 26295 6/29/06 12:18 AM CA Absolutely right;how will it be financed? "* Forget dental health as that is not a life and death issue like physical and mental health. Sorry, but as you said, there is no optimal solution. Define and insure that catastrophic occurences are paid for, then worry about the routine issues[Truncated]" See above and define 'financial protection for low-income individuals and what defines 'low income'? "* Public/private groups is the best way to get feedback and transition to a single payer system;as I recall, this is what the Clinton administra-tion tried to do in the early '90s.[Truncated]" Take care of the fraud and bureaucratic issues first. "* As controversial as this is, remove assisted suicide and euthanasia as much as possible from acceptable treatments, particularly the latter as it cedes control to someone other than the patient.[Truncated]" "* The whole thing sounds like a measured,evolutionary approach to a simple yet complex issue;don't forget about the insurance companies, who aren't going to be a big help.[Truncated]" * Let's go to a single-payer system like Canada rather than socialized medicine such as exists in Great Britain. The government provides the money but the medical facilities ought to be like Kaiser.[Truncated] 26296 6/29/06 12:25 AM MA * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] * Health insurance companies need to be reined in. They should not make decisions for patient care. That belong to Drs and patients[Truncated] 26297 6/29/06 12:25 AM AZ I agree. "* Very high out-of-pocket medical costs might have to have some kind of ceiling, or a stated percentage of coverage that would still facilitate care. [Truncated]" OK! ABSOLUTELY ESSENTIAL! "* I don't think ""sin taxes"" should be included because if these are high enough to help the program, more ""sinners"" will desist, and that expected revenue will be lost[Truncated]" 26298 6/29/06 12:28 AM CA * I agree with recommendations. No one should have to be without quality health care. I can't think of a better use of tax dollars than for we as a society to put our arms around each other in this way. I think it is shameful we haven't already[Truncated] 26299 6/29/06 12:30 AM NY I agree. Extraordinary measures to keep people alive when all hope is gone should be rethought. "* To keep health care affordable we must become realistic: 1- There should be limits to health care given based on the science of outcomes. (i.e. when babies are born below a certain weight and before a certain term the outcome of saving them [Truncated]" 26300 6/29/06 12:39 AM OH "* It is shameful that my country, the wealthiest in the world, does not have universal health care for all. If we threaten to end the health care benefits that the members of the administration in D.C. and our Congresspersons enjoy unless they [Truncated]" "* Defining a ""core"" benefits package should be left to the health professionals (Doctors and nurses) who are awre of the needs of persons since they work with them daily. Insurance companies should have NO part in drawing up this definition. [Truncated]" * No one in this country should be reduced to living at or below the poverty level due to costs of healthcare. This is especially shameful since we know that the CEO.s of insurance companies and pharmaceuticals are raking in millions of dollar[Truncated] "* Government must be involved, as we have seen that ""privatization"" schemes benefit big companies and corporations, but do little to ease the burdens of individuals.[Truncated]" "* Quality of care should not depend on a person's financial status. Efficiency would be furthered if the system would not send out so many papers. After a medical procedure,a person currently on Medicare, my receive as many as four EOB's re t[Truncated]" Proactive and preventive care make sense in that they may prevent much more serious and costly care later. "* Though all should share in the financing of this program, a great deal of the necessary capital would be available if Congressw rescinded the brainless, heartless, ridiculous tax breaks given to the wealthiest ones in this country. Reducing [Truncated]" 26301 6/29/06 12:48 AM CA The standard mentioned above should be a minimum standard. "* Again, I agree in principle but vision care, hospice care and dependent patient maintenance should be included also. I favor a more expensive format which is conclusive to one that is inadequate. No patient should be subjected to inferior car[Truncated]" * Coverage should be government funded for all below a given individual income level. This would necessitate higher taxes across the entire social spectrum. No part of the funds should be subject to government manipulation at any time. [Truncated] * Recommendation 4 would require extensive auditing for the suggestions made above to be viable and to suggest where adjustments in policy are needed as the total health care policy develops.[Truncated] * Some of my comments made on previous recommendations address some of the concerns mentioned above. Efficiency and productivity is as important in health care as in any other enterprise and should have a high priority.[Truncated] * The above are all important and worthy goals and should be fully incorporated into any high quality and comprehensive health policy.[Truncated] "Not at this time, thank you." "* I agree in principle with the health care financing methods mentioned above. But first all medical practitioners should be employed by government agencies and stratified according to training levels, experience and skills. The idea being that[Truncated]" 26302 6/29/06 12:52 AM AL "* My German mother told me how Kaiser Wilhelm decreed in 1899 that healthcare would be a right of all Germans from then until forever. In the end we hit only what we aim at. So, let's set our sights high. Comprehensive, universal healthcare - q[Truncated]" * We need the same quality and quantity of healthcare for all citizens regardless of status or income - no exceptions. If no one can purchase healthcare that is any better than the care the poorest citizen is able to get then the wealthy will g[Truncated] "* The poor and working class are maimed and killed protecting the moneyed elite's ""investments"" in strange and remote places. The working class and the poor must not be allowed to suffer further because they are in their situation in life in Am[Truncated]" "* We want comprehensive, universal healthcare. No one deserves any better healthcare than anyone else just because they have been able to game the system at the expense of others.[Truncated]" "* Quality healthcare must be a right of all Americans regardless of class, race or anything else. I happen to be striving to conduct myself as Christ would have us all conduct themselves. I believe Christ wishes this of us. We cannot morally do[Truncated]" * Our founding fathers intended for business taxes and corporate taxes to pay all the nation's expenses. That was one of the few reasons for granting business licenses and corporate charters - to raise needed revenue and to create jobs. END ALL[Truncated] 26303 6/29/06 12:54 AM MI "GOOD, seems comprehensive enough!" does this include eye care? amen brother OKAY like the educational aspects end of life choices are very germaine to this age "Alot of people have done alot of work, now le's get going to implement these provisions" well thought out 26304 6/29/06 12:56 AM WA Yes All Americans. Not a Health Plan as outlined by Bush...Not health savings accounts...But Health Care Coverage for all... "* However, make sure that language is not intended to exclude lifesaving efforts medications and medical interventions by using ""experimental"" ""evidence based""? as a means of exclusion to lifesaving care.[Truncated]" * Americans can't afford to pay more than their rent or mortgage for health insurance....the current system is bankrupting americans across the board change is needed now![Truncated] Yes for all "* Yes I agree, Reduction of fraud is needed across the board....Including billing practices...and extrordinary fees and waste is a huge problem within Hospitals and Medical Facilities...Make billing and medical errors costly to the provider. M[Truncated]" "* Yes, De-Commercialize Drug Companies who drive drug costs up with heavy commercial advertising, bribing politicians and Physicians with lucrative incentives crossing all lines a outrageous conflict of interest...such practices should be illeg[Truncated]" * Health care for All. A new plan for all.. Canada and others are making it work...we can too. The current system is out of control and only getting worse year by year...This needed to be done yesterday.[Truncated] 26305 6/29/06 1:21 AM CO "* We have the ability to provide health care for all for less than we spend now, if we just remove profit as a motive for health coverage. we have the means; what has been lacking is the political will to bypass the influence and money of the f[Truncated]" People should be able to access the health care they need. "Under a single payer (public payer, private provider) system of health care, everyone would have access to health care." "* Dr. James Kahn did a study published in 11/05 (and reprinted in March 2006 American Medical News stating that one-third of health care dollars do not go to health care, but to high overhead costs and profits of private insurance companies. Pr[Truncated]" * A report in the August 2003 JAMA stated that $300 billion of annual health care dollars in America don't go to health care - they go to profits and duplicative administrative costs of for-profit insurances. Changing from a system of over 1300[Truncated] 26308 6/29/06 1:53 AM OK "* Make it a law that all companies operating in the U.S. or originating in the U.S. or that employ workers in the U.S., MUST PROVIDE health care for all of it's full and part time employees. The Law should further set the minimum requirements [Truncated]" see comment #1 * This is already covered by medicade and medicare but private individuals or companies could be ask to set up and donate to a fund for paying part or all of premium payments for the Vulnerable parties mentioned[Truncated] see #1 see #1 "* In some euro contries people have to wait a long time for care on things not considered ""emergencey"" by the national care plan, many of these individuals must endure pain for months just get a tooth pulled. This form of health care will not [Truncated]" * Since the people I listed above are working then they would have to take some of the cost but atleast 80% or more should be taken by the employer.[Truncated] 26311 6/29/06 3:55 AM NY "* This presentation appears in the June 23, 2006 issue of Executive Intelligence Review. The LaRouche Plan for a High Technology New World Economic Order by Lyndon H. LaRouche, Jr. Here is Lyndon LaRouche's opening statement to a June[Truncated]" "* This presentation appears in the June 23, 2006 issue of Executive Intelligence Review. The LaRouche Plan for a High Technology New World Economic Order by Lyndon H. LaRouche, Jr. Here is Lyndon LaRouche's opening statement to a June[Truncated]" "* This presentation appears in the June 23, 2006 issue of Executive Intelligence Review. The LaRouche Plan for a High Technology New World Economic Order by Lyndon H. LaRouche, Jr. Here is Lyndon LaRouche's opening statement to a June[Truncated]" "* This presentation appears in the June 23, 2006 issue of Executive Intelligence Review. The LaRouche Plan for a High Technology New World Economic Order by Lyndon H. LaRouche, Jr. Here is Lyndon LaRouche's opening statement to a June[Truncated]" "* This presentation appears in the June 23, 2006 issue of Executive Intelligence Review. The LaRouche Plan for a High Technology New World Economic Order by Lyndon H. LaRouche, Jr. Here is Lyndon LaRouche's opening statement to a June[Truncated]" "* This presentation appears in the June 23, 2006 issue of Executive Intelligence Review. The LaRouche Plan for a High Technology New World Economic Order by Lyndon H. LaRouche, Jr. Here is Lyndon LaRouche's opening statement to a June[Truncated]" "* Wake up! You all have continued to think so small for the last forty years, that we in the USA have now lost all credit with the rest of the world! The credit built over two hundred years of our republic to the good of this world, by serving [Truncated]" "* This presentation appears in the June 23, 2006 issue of Executive Intelligence Review. The LaRouche Plan for a High Technology New World Economic Order by Lyndon H. LaRouche, Jr. Here is Lyndon LaRouche's opening statement to a June[Truncated]" 26312 6/29/06 4:46 AM IL * The price of medication should be controlled by the government so that health services can be available for every one. I would encourage a health and wellfare tax system that the general public would have to pay every year which would be affo[Truncated] * Each state should have a health care committee with board members that would represent each level of need. Example. from Homeless people right up through the ranks of society. Everyone will always have a basic aggenda for there own health car[Truncated] "* Hey! it's only money, the government will print more tomorrow. If a person has to worry about money that will only cause stress which will complicate the healling process.[Truncated]" A health co-op sounds like an idea. "* Maybe we should implant a chip with new borns with information such as DNA make up, possible genetic defects for this person in the future. The chip could also have information regarding the dollar ammount the person has accumulated throught [Truncated]" * I tried to encourage my mother to stay around a little longer but she lost interest in life when my oldest brother lost his life in a motorcycle accident two years before. That momment of her life really took the wind out of her sail. I lived[Truncated] * If possible I would like to participate with organizing this new endevor. I have very many talents that I could contribute. Thank you.[Truncated] * We might as well start this new heath care system as soon as possible. I think most people under the age of 30 yrs. old have no clue of what their future holds for them so we may as well lead the way for them before we are gone.[Truncated] 26314 6/29/06 5:28 AM IL "* Legal residents of the U.S. should have a national health care system available to them. Those who can pay anything into it, should. Those who cannot, should nontheless be covered.[Truncated]" Why not? Catastrophic health crisis is the Number 1 reason people declare banktruptcy or have no savings. "The ""genius"" of the American system should be able to find a way." 26315 6/29/06 5:37 AM NV "* Whom are we talking about here, very poor or middle class. Without doing something drastic, you cant afford to assist the growing numbers of people with jobs and who are un/unerd insured.[Truncated]" "* This sounds like a good start, except some lawyer wrote it. We have a real crisis in health-care, and it's got nowhere to go but the wrong way. Who knows the real figures, but a lot of us cannot afford to see a doctor. And more and more every[Truncated]" "* Yes- every American should have health insurance. It should be a companation of private and government. But with rising costs and global competition, employers cant afford it. My idea for a long time has been this- get 5-6 of the best health [Truncated]" "* Dont like this much- very low income people can get free or cheap health care now, but you wouldn't want to go there!! It's the middle class that is being effected the most. Rural areas need health care, too, but a group advising you of the p[Truncated]" "* Sounds great, but again you mention low-income people. Most Americans are not low-income but either cannot now or soon willnot be able to afford healthcare. I like disease prevention, I am sure it would be cost effective to give everyone in t[Truncated]" "* Dont like community level- some communities aint so hot at this sort of thing. Other wise, that too is a real problem, however I dont know why. It seems to me that the limited amount of service and care they offer and the small rooms and bad[Truncated]" * I think this problem is going to skyrocket if we dont do something drastic. What will happen when two thirds of us cant afford healthcare.What will happen when milloins of us have lost loved ones that could have been saved. As the costs go up[Truncated] "* Agree on multipal financing sources, hate sin taxes. While you sit in your nice homes or at the pool and smoke or have a drink, you dont mind paying a little more for it. But think about the poor slobs living in a ghetto and really needs that[Truncated]" 26316 6/29/06 6:05 AM OH we should all have the same plan that congress has ! fair enough same as what congress gets regulation of health cre industry "* tax corperate america , they seem to have endless billions to squander on themselves , and stop the useless invasion of iraq , that alone would cover the cost[Truncated]" 26317 6/29/06 6:36 AM NY COMPLETE OUTPATIENT MENTAL HEALTH CARE COVERAGE A MUST!!! 26318 6/29/06 6:47 AM ME "Yes I agree. Thank you for caring. Sincerely," 26320 6/29/06 6:56 AM NY Given the strength of the US economy I believe that every American should have access to affordable health care. * This needs to be kept out of the political arena to ensure that the services are delivered and that this not become another way for waste and graft to grow. [Truncated] * More money needs to be funnelled toward the manufacturing process and less toward the advertisement and giveaways related to medications and health care.[Truncated] The more services that can be combined and provided with less administrative duplication the better! * Presently Hospice is underfunded for the myriad of services that it provides. Hospice generally provides more for less than other health care agencies. [Truncated] "Perhaps some of the ""fat"" that now finances irresponsible and unnecessary ventures could be diverted to the health care area." 26323 6/29/06 7:55 AM TX * Health care should be thought of as a common good - like police and fire protection - not a commodity. Emphasis should be placed on prevention and health promotion and primary care which should be evidence-based. Some complementary and alte[Truncated] "Perfect. It should be basic health care, not cosmetic, not for the worried well." * Health problems shouldn't bankrupt people. That is inhumane after people work hard to build a life for themselves and their families. I like this one.[Truncated] * This is great but it will be so hard to implement - I think. One concern I have - I have worked in public health clinics before and my concern with this is that some people in the public sector are not the best workers. There would have to [Truncated] Patient ed has to be in appropriate language and at a readable level - like 6th grade. "YES,YES,YES" "* These are wonderful!! I am a nurse practitioner and I see every day the effects of our health care ""system"" on our citizens. Something needs to be done. It is a colossal waste of human potential to not take care of people and it is literal[Truncated]" "* We need to be prepared for very high expenses - maybe for a decade or longer - until the pent up demand for care is met. This should be considered an investment in our future collective health - and financial health. Eventually, this system[Truncated]" 26325 6/29/06 8:01 AM MN "* Taxpayers are funding health care for Congressmen and women, no reason why all of America can't have affordable or free health care if we used our money wisely. tax-payer funded Corporate welfare alone would more than cover it along with the [Truncated]" 26326 6/29/06 8:16 AM TX "* Americans are strange--they are generous, and yet when it comes to public policy it seems that they are self serving, and or remarkably obtuse with regard to miliary spending, interventionism, support for stupid leaders, Every [Truncated]" These recommendations make eemminently good sense. * Why6 not? Good Lord. How utterly imcomprhensible that a country that prides itself on its religious faith is so grotesquetly insinsitive to what the social gospel obsiouly preaches. [Truncated] "Well thought out. " All these recommendations are a single superbly well thought out plan. "* the only reservation Ihave here is that we alos need a way to prevent the utterly wasteful attempt to preserve life at any cost, and under any circumstances. A right to die should be incorporated into these excellent recommendations. [Truncated]" "* Only on the last item. The prime beneficiaries of the laws against the right to die are those who provide, at grtesquely inflated prices, th means for extending life at any cost. [Truncated]" "It is sound, and should be acted upon." 26328 6/29/06 8:39 AM GA "* I am not a proponent of having the governmnet provide health coverage. A few simple laws could resolve our healthcare issue. They made a mess out of welfare and public housing. The last thing I want them to supply is health coverage. 1)[Truncated]" 26329 6/29/06 8:40 AM MD "This care should be furnished by the Federal Government, or some non-profit arrangement." * Some limits should be p[laced on availability of really expensive procedures such as organ transplants. Casual use of expensive procedures with imaging devices should also be discouraged.[Truncated] "* (See above comment.) However, some assessment based on ability to pay should be required from individuals in order to discourage unnecessary demands on the system.[Truncated]" 26330 6/29/06 8:48 AM SD agree agree long overdue end the private insurance crap ok * ive often thought the current federal drug prescription plan is crap meant to feed hundreds of corporations. Medicare could do it better with far less confusion[Truncated] agree "* business need a health care tax in the same mold of a payroll tax. malpractice awards need to be controlled, there is too much unneeded testing to avoid malpractice suits the testing is very expensive[Truncated]" 26331 6/29/06 8:48 AM MI * Too many Americans endanger their lives because they simply do not have the money to cover doctor expenses. They let something that would be easy to take care of until it grows to emergency care level and lots more expensive.[Truncated] Wellness programs are very important in educating people on preventative measures. There should be a cap. People should not lose everything they have to cover medical expenses for themselves or their family. 26333 6/29/06 8:56 AM na * Speaking as a Canadian citizen with a national health care plan...I think the U.S. should have adopted a similar plan long ago...Health care for all and very few if any private hospitals. All private institutions could and should be taken ove[Truncated] 26335 6/29/06 9:22 AM IN * Corporations like Mc Donalds and Wall Mart should not be allowed to push the medical obligations they have on the tax payers. They should pay their fair share. America is the only industrial country that does not have national health care. We[Truncated] 26336 6/29/06 9:22 AM MI I agree. All segments of society should be represented. I agree. I agree. I agree. I agree. The U.S. government should provide for the health and welfare of all its citizens. "Have both Drs. and pharmaseudicals help pay for health services for all and encourage preventive health." 26337 6/29/06 9:27 AM IN I support it 100%. AGREE! * It would be a dream come true for everyone. No one is immune from health problems and the cost financially and emotionally of not having it.[Truncated] Sounds workable. Reduction of fraud is most important. AGREE! Universal health care is the most important issue to me in the next election. It must happen soon! AGREE! 26338 6/29/06 9:41 AM OH "* It seems to me, this country doesn't know how to go about implementing a National Health Care Plan. Other countries have and are doing it successfully, and have done so for years. A committee needs visit and these countries and study how t[Truncated]" "* Why do we need to define a ""core"" benefit package for all Americans? Health care covers all: wellness, preventive, primary care acute care, prescription drugs, dental, etc. It covers all care provided and offered to maintain a health exist[Truncated]" "* Naturally, a national healthcare system will ultimately control costs. Just like medicare/medicade -- they let the providers know the customary and reason prices they will pay. This way if the providers want to survive under the National He[Truncated]" "* Here again, other financing a National Health Care System doesn't seem to be a factor in providing quality care. Why is it a focus here in the U.S.? It's not about profit, but doing the humane thing.[Truncated]" 26339 6/29/06 9:45 AM NY There is no more important domestic issue facing our nation than the state of health care and the need for universal coverage. "* I agree that any core health care plan must include mental and dental care. As research uncovers the underlying causes of mental illness, more can be done to stabelize sufferers and avoid more costly long term interventions.[Truncated]" Catastrophic medical costs are the major cause of bankruptcy in the nation and must be dealt with. Common sense dictates that coordination is the best approach to medical care. "* Our government has historically been the source of major research into health care issues (cancer, heart health etc) and must return to being free of corporate influence and bias.[Truncated]" * End of life issues are treacherous and a balance between compassionate care and enormously costly interventions must be found. [Truncated] Do not sell our nation's health to the corporate interests--their focus on the bottom line blinds them to best practices. "* The responsibility of government to provide protection for its citizens must be a high priority in any civilized society, and the distribution of risk when it comes to providing health care is essential. By focusing on fairness, rather than [Truncated]" 26340 6/29/06 9:49 AM GA AMEN! "Include chiropractors, podiatrists and all other specialties." "* I would rather have a public national program that is much more than just a ""catastrophic"" plan. Sweden and Germany are prime examples of good healthcare systems.[Truncated]" "Put the Bill Gates family, the Warren Buffet family and the Jackie chan family on these boards." Let's start now. This would be a godsend for American families. * I would pay more taxes gladly if all Americans had equal access to quality healthcare. I believe Americans have a right to quality healthcare. I would not pay more taxes for pork or for the war.[Truncated] 26341 6/29/06 9:58 AM WA "* I think you need balance....someone already is paying for the unemployed and why when they could do community service in exchange for care. Nobody should be loafing on the system unless warranted. This will get people to work. Also, I real[Truncated]" "* Again, all people that are working and trying in this country should not be penalized for those that are not. Now, this is touchy as we all no that some people have bad luck and some have great luck. It must have a balance possibly accordin[Truncated]" * Yes. I agree yet you can sit at home and eat bon bons it there is community work to do and you think that the state will support you indefinitely. Balance....[Truncated] "* Again, depends on the circumstances of the state and individual to what the Federal government lays out. Mke the pharmicutical company's take a back seat for a while.[Truncated]" Absolutely... "Absolutely, without a blink...." "* Get balanced, see what is urgent see what is not. Plastic surgery providing it is effecting one's mental health and self esteem can be as important as losing 200 lbs and still feeling not good about themselves with skin hanging...judgement a[Truncated]" * Company's like waltmart should not be able to push the burden on the state which in turns puhes it on coorperate america which in turns pushes to corperations employees that make almost the same as a Walmart employee...do the numbers and forg[Truncated] 26342 6/29/06 10:01 AM NE "* This is TRUE FAMILY values: When a society espouses the health of the individuals that make up that society, it strenghtens that society. [Truncated]" "* The major benefit derived being the addressing of any illness in a timely manner, thereby, maintaining the general health of the society at its optimum level. [Truncated]" * This ensures that people have the greatest opportunities for success in our society because of the policies of the society. This is in stark contrast to the current situation.[Truncated] * The checks and balances that helps to establish and maintain a truly beneficial healthcare system for the individuals of the society. [Truncated] * Continous efforts at optimizing the healthcare system to ensure that the services it provides meet the needs of all members of the societal group. [Truncated] "* Truly, respecting life: an Act of Celebration of Life while the person is still ALIVE. This is a reciprocal act between the individual affected and the society (community). [Truncated]" "* Every word, sentence, and paragraph, that is this document is saying, SHOUTING, we truly LOVE OURSELVES. Do unto others as you would have them do unto you![Truncated]" I see the financing of universal health care as a necessary component of the infrastructure of our Nation. 26343 6/29/06 10:29 AM NY I agree "This should not become a long, drawn out, expensive process. Let's establish a project plan and stick by the time frame" I agree * The federal government has proven itself to be inefficient when it comes to project coordination. This should be outsourced to an organization that has experience in health care management and organization.[Truncated] okay although I don't believe that these organizations have a great track record when it comes to efficiency. Agree I agree 26344 6/29/06 10:50 AM IN I believe all Americans should have access to some type of health care. A core benefit package should be developed for all Americans. I believe a National Health Plan should be developed. 26345 6/29/06 11:07 AM AZ * We subsidize medical education and pharmaceutical research. We expect a return on our investment. At the same time the private investors burden the system with their unnecessary existance. The cost of private finance is the most easily elimin[Truncated] "Our present triage is insane. Throw it out and start over, with today's con artist managers out of the picture." Eliminate the unnecessary mouths at the trough of health care dollars. Eliminate profit from the health care system. "The community needs to rid itself of corporate parasites, before it can function for the common well being." Eliminate profit and the private corporate superstructure that burdens basic health care. "* Destroy the corporate tyranny to allow families to reassemble. Without the element that's destructive of extended family existance, most of our problems will solve themselves as they did for millions of years before we built these unecessary [Truncated]" RemoveK profit to free the community from slavery to the rich. "* Profit is unnecessary cost burden on the health care system. Eliminate corporate profit from insurance, pharmaceuticals and corporate providers. Then health care will be affordable.[Truncated]" 26347 6/29/06 11:29 AM IN "IF WE CAN SPEND BILLIONS ON THE WAR, THE POLITICIANS SURELY THINK OUR OWN AMERICAN CITIZENS ARE WORTH THE SAME CONSIDERATION" 26354 6/29/06 12:28 PM CA * This policy is long overdue and we wish to see it implemented. It should not be left to employers to pick up the tab. Medicare and VA care is MUCH more efficient and both deliver a good product. Insurance companies are for profit and have hi[Truncated] "* As long as the benefits such as acupuncture, and other notso main stream procedures are included. I have benefitted from these at a pain clinic at Kaiser.[Truncated]" Agreed. Agreed. Yes. Yes! We have experienced Hospice care and it is wonderful. Just a desire to help see this happen. "Agreed! The prescription plan is a nightmare and should be scrapped when a simple, more effective plan is in place." 26355 6/29/06 12:29 PM TX "* The first question a person that now enters a medical facility is ""Do you have insurance"". That should never be the first question. Another plus is that with universal care a hospital will not refuse a patient because of the lack of insuran[Truncated]" "* In my opinion each state....or region....should have a group representing the best interests of its citizens. The reason is that each section of the country has a different set of problems. Who should serve on these boards? 1. An equal nu[Truncated]" "* One of the provisions should be that surplus monies in the health care field should not be used to finance the debt of states nor the country. These funds should be used strictly for medical purposes. Right now the politicians are ""borrowin[Truncated]" The Medicare workers and office staff would be a great first step towards setting up a national health care network. * One of the most important steps that must be dealt with is the cost of prescription drugs. A national board should be set up to negotiate drug prices. The Veterans' Health Administration does this as does Canada. It is incredible that righ[Truncated] All citizens should be allowed to die with dignity. "* 1. A certain percentage of money should be set aside for research & development. 2. Money should also be set aside for the training of doctors and nurses. The amount of debt incurred while in school may deter some talented people if we d[Truncated]" With a universal health care plan the amount of money spent on administration should be reduced significantly. 26358 6/29/06 12:48 PM NY * In the wealthiest nation on earth....with access to advanced thechnologies on every front ...that there are people....CHILDREN.....without benefit of appropriate health and emergency care is an unspeakable obscenity. I cannot bear the idea t[Truncated] The scientists should use science...not religion and/or politics...to obtain their evidence. Public.....not private. * Safeguarding against purely political appointees is essential. The status of FEMA under the current administration and Homeland Security DEPT officials are cases in point....think Katrina.[Truncated] I agree. I agree. 26360 6/29/06 1:08 PM OH i think this is a good idea everything sounds good that is the best idea yethe you guys are on it everything still sounds good i think you are absolutely right none i think this is a good idea also 26361 6/29/06 1:10 PM FL "* Yes!!!!!! If the people who work for us ( all the government officials) have free and very expensive health care, why do the people who pay taxes to pay for their healthcare doesn't?[Truncated]" "* All must be covered!anything that is covered on the policies of the government officials, senators, representatives, president....same coverage for the people![Truncated]" "Yes, it is disgusting that many families are broke from the bills from hospitals....disgusting!" Health insurance is and must be a right for all!!!!!!!!!!!!!! Control those insurance companies getting their primiums to give the worst care and the least..... Less tax money for the political campaigns and put it in health care..very simple! 26362 6/29/06 1:15 PM NM Totally agree Agree Agree * Addition: Provide education and encourage basic self care information so that person avoids using ERs for non emergency visits [Truncated] Great emphasis on education for wellness! Good not today Agree 26363 6/29/06 1:18 PM IL "* all Americans should have health care, paid for by their taxes, if we can pay ss taxes for retirement and taxes so that elected officials can have the best care at the top hospitals with the top doctors at our expense we can devote some of ou[Truncated]" "* as long as the core benifit package is for all americans equally and not with exceptions for classes core benefit for all americans, I agree.[Truncated]" agree * government and community organizations are a must to work together to service and educate the public on health care and preventive measures.[Truncated] education in the communities provided by agency that perform and there is an income/output that measures quality not quanity. I agree. "* A systems that does not creat red tape and is created to serve and educate the communities so that we are not spending our life on pills and in hospitals should be what we are striving for, and not just limited to communites but in our school[Truncated]" "* We are always looking for more ways to create another mass giant of confussion, we need to colllect the funds that are being wasted in our government and direct them to the people. Where are all the funds that are left unclaimed in banks and[Truncated]" 26364 6/29/06 1:23 PM NC "* this is good and essential, we have way too many people with out access to health care, let alone quality health care in this country. Jesus calls us to have campassion with the poor and oppressed, but instead we give tax cuts to the financia[Truncated]" sounds good these are extrememly important "tax the rich, and take it from tobacco taxes and others such things." 26366 6/29/06 1:40 PM CA "Not Government Run and not from Tax Dollars. No eligibility for Illegal Aliens." Non-partisan private group Private National Program...not Government run or funded. No Federal involvement. Keep it private. "* Leave Medicare, Tricare and VA Health systems alone. Do not take away from those federally funded programs for more government [Truncated]" "Not Government Run and not from Tax Dollars. " 26367 6/29/06 1:58 PM MA Absolutely! "* As long as you include so-called alternative treatments, such as acupuncture, homepathy and herbal treatments prescribed by a physician, the recommendation seems acceptable.[Truncated]" Bravo! "This approach could work, but if the current crew tries to run such a program, I have grave doubts." "Again, it all depends upon who is minding the store." Absolutely! Your plan makes sense. 26368 6/29/06 1:59 PM MI Everyone should be entitled to good health care good idea...by defining a core benefit package you can set the groundwork for what is needed for all I agree...maybe some money can be taken out of defense and put into health care 26369 6/29/06 2:11 PM MO "* It is becoming increasingly apparent that government is taking care of the special interests instead of the public interest. When a national public health program exists for all citizens, we will know that government has started representing[Truncated]" "* These plans should be shaped primarily for the public good avoiding professional rip offs that have too often shaped policy, especially in the current administration.[Truncated]" "Anything less than this is not moral, ethical, or humane." "* Cordination of extreemly costly equipement avoiding needless high costs for duplicated services in the same area has long been needed. Also, government directed health care could assign medical service locations with rural needs and urban ne[Truncated]" "* Sophisticated systems for detecting fraud should exist with penalties so threatening as to deter fraud. Automatic incarcaration for a decade for significant cheating should be in place. Cheaters can work free in prisons, medical centers for[Truncated]" * Our aging populations will require visionary increases and changes for geritological services. We simply have to bite the bullet and make these changes. If our younger generations can make the right choices and sacrifice for health and elde[Truncated] "* We absolutely should not borrow funds to support a national public health program. We should get out of Irac, get rid of pork, and raise taxes consumerate with objectives. This tax should be increased for the affluent and be greatly increas[Truncated]" 26371 6/29/06 2:27 PM WA "* We have some of the best health care in the world, yet 46 millions of us can't access the majority of it. That's criminal and should be redressed immediately.[Truncated]" "Defining what is *not* ""Core benefits"" will be the difficult part here. What is someone ""entitled"" to vs. what is ""luxury""?" I agree. "* I want to see any Federal efforts informed by an independend board of medical care providers in such a way as to require their advise be acted on by the feds. It is health care providers that best understand what is ""necessary"" and what is ""[Truncated]" "* If this can be done without regard to religious preference defining our practice (that is, no one's religion gets to restrict someone else's access to Honest, Accurate, Useful information) and if this is available to all who ask, then this is[Truncated]" I agree. Please see above :> "* It is in the interest of any good business to keep it's employees healthy. To that end, I believe that a combination of ""Sin Tax"", Business/payroll tax and enrolee contributions make a lot of sense in terms of funding a madate such as this. [Truncated]" 26372 6/29/06 2:37 PM CA "* If the people who are on govenment aid and not working have health care, then how can I work, pay taxes nad be without healthcare? There should be a government minimum coverage. [Truncated]" "DOn't forget vision coverage, many people need glasses and or surgury." Lets start with working Americans 1st. Keeping them healthy is keeping the economy healthy. "* Like local government, they can be local coverage and that can be moved into specialty areas and experts at higher levels to prevent paitent surges.[Truncated]" Health education needs to be include as part of a daily cirruclum in primary education. working Americans should have healthcare that they can choose and afford. "* If I sign up through work for health care coverage, the money that the my compnay pays should go for a government sponsored plan as well if I do not want compnay coverage.[Truncated]" 26374 6/29/06 2:44 PM VA "* For a democracy to succeed, we must care about each other enough so all citizens can participate in the whole of social activity. Assuring availablility of high-quality medical services for ALL is the most basic commitment we can make to supp[Truncated]" "* Only when ALL of us (all income levels, employment statuses, race, age, family status) can communicate about the needs and implications of various options can we start making rational decisions about what will and won't work. When setting soc[Truncated]" * I am watching my sister exhaust the savings she so carefully accumulated during her 30 year working life as she adjusts to a traumatic brain injury that has left her unable to work...or to sustain her life as she'd created it. As her savings [Truncated] * Art Buchwald has inspired me as he approaches his end to life...but it has only been available to him because of his financial resources and social status. We must recommit ourselves to respect for each other and life...and allow each of us t[Truncated] "* If we want to save our democracy, we simply HAVE to accept the joint responsibilities to assure that ALL of us who live here can contribute fully in decision-making and life-supporting responsibilities. We can do this only by assuring health [Truncated]" 26376 6/29/06 3:00 PM MT "* Since there is a whole recommendation for end-of-life care, I would like to see some recognition for the beginning of life preventive care to include a variety of choices for pregnant women and their families.[Truncated]" * This process is very exciting especially for those of us in small cities far from large metropolitan areas. I am very hopeful that some result will come from this.[Truncated] 26378 6/29/06 3:04 PM TN strongly agree strongly agree strongly agree strongly agree "* health care costs have become a huge burden for business.it is in their best interest to help us in this effort.if we can sell these ideas to them,get them to help us lobby the government,we can get this done by 2012.we need to act loudly,agr[Truncated]" strongly agree-should also consider wealth tax to help with financing 26379 6/29/06 3:06 PM OH I fully support all these recommendations 26380 6/29/06 3:11 PM KS * The American Academy of Family Physicians has been on record since the 1980s in support of health care coverage for all. The American Academy of Family Physicians (AAFP) policy is that ALL people in the United States should have health care [Truncated] "* The American Academy of Family Physicians agrees that everyone should have coverage with a defined benefits package emphasizing preventive and primary care, and “catastrophic” protection from financial run as a result of major health care[Truncated]" * The American Academy of Family Physicians agrees with Recommendation #3 and advocates for catastrophic cost protection for all as part of a defined benefit package. No one should face financial ruin as a result of major health care costs.[Truncated] "* In the view of the American Academy of Family Physicians, while in the current system it is important to have ""safety net"" providers, this need should diminish as we reach a time when everyone is covered. In order to assure access to appropr[Truncated]" "* The American Academy of Family Physicians aggressively supports deployment of health information technology and in the past two years the number of family physicians using electronic health records has tripled, to 30 percent. Utilization of[Truncated]" "* The American Academy of Family Physicians agrees with Recommendation #6, noting the importance of appropriate care at the end of life that is respectful of individual preferences.[Truncated]" "* The persistent problem of the uninsured in the US is a symptom of a health care system in disarray, requiring fundamental restructuring. The United States requires a health care system that has a primary care physician workforce sufficient t[Truncated]" "* At this time, the American Academy of Family Physicians agrees that a financing mechanism should be identified and supports funding through a broad-based taxing mechanism. As noted below in response to Recommendation 5, the AAFP aggressively[Truncated]" 26381 6/29/06 3:12 PM CA * Health care should be available to all legally residing residents in America. Right now it is the opposite and that must stop! Insurance premiums should be paid for by the employer as well as the employee and subsidized for the unemployed. Th[Truncated] I agree with the establishment of the above health services. * All Americans should be able to receive the necessary treatments without fear of financial ruin. I agree with your recommendation.[Truncated] This recommendation is very important. Health education and reduction of fraud and waste is very important! My answer is a resounding yes on this recommendation. * Health care should be available to all Americans and legal immigrants. Our system punishes those who work and have no insurance ( they must pay exorbitant fees or not seek medical care) and rewards those who are here illegally and receive fr[Truncated] 26386 6/29/06 3:40 PM OH "* Why is it the congress and senate have free health care? It is taken from our tax money.We pay for theirs and can't afford our own---- They need to start paying for their own. They do nothing to help us,so we should not have to pay for their[Truncated]" "* This should have been put in place, when the congress and senate received theirs. We need a new congress and senate that are decent and not so greedy.[Truncated]" 26389 6/29/06 3:53 PM GA "* The President, vice President, cabinet members, congress, senators,their family members, etc... all have healthcare paid for with my tax dollars. Yet they don't feel that I should have the same. What hypocrites. Every living and breathing US [Truncated]" "* I agree that healthcare should go continue throughout a US Citizens lifetime. Til death do we part! Wellness, preventive services, primary, acute care, prescription drugs, etc..[Truncated]" * Guaranteed financila proptection. There are more have not's than have's. Just because a person is without wealth does not mean they should be given the best care possible.[Truncated] "* If the US would mind their own business and stop getting involved in the countires policies there wouldn't be a problem. Then, we should take care of those on earth and leave the heavens/space, Mars, Pluto, etc.. to God. The moneis being spen[Truncated]" 26390 6/29/06 3:54 PM MI "* Along with this, products that promote destructive behavior, such as cigarettes and alcohol should be banned from being shipped anywhere other than the place of production (ie, tobacco only in North Carolina, etc...)[Truncated]" Stress preventive medicine as a routine service in people's lifestyles. "* Use the media to stem the tide of low age births, having too many kids (over two), competition based sex and other malignant forces in the world today.[Truncated]" Use media to try to strengthen young people's mind to not continue needless children at a young age. 26391 6/29/06 3:55 PM OH * As a registered nurse since 1972 I have worked in a inner city medical/trauma center and I have seen this with my own eyes. No one should have to suffer needlessly because of lack of insurance. Prevention is the key to most disease entities a[Truncated] 26392 6/29/06 3:59 PM PA "* Health care is an entitlement. Corporations like Walmart, Target give health care to a select group. All employees should be covered immediately. We should not have to wait until 2012. This is ridiculous. Make the big companies pay their [Truncated]" "* People don't want national health care because they feel that they won't get good care and will have to wait too long to see a doctor,etc. The people who are used to always having health care do take it for granted and don't care what it cos[Truncated]" 26393 6/29/06 4:00 PM VA * ALL AMERICANS SHOULD HAVE AFFORDABLE HEALTH CARE. IT IS A SHAME THAT WE ARE SUCH A WEALTHY COUNTRY WITH SUCH A HIGH COST OF MEDICAL CARE. MAKE HEALTH CARE AFFORDABLE AND FREE FOR THE WORKING POOR.[Truncated] 26395 6/29/06 4:03 PM NV "* Why should ""only"" the rich have the best medical available. Everyone in the USA, ""excluding illegal aliens"" should have the same medical care. Because of these damn illegal's that Drunken Bush won't do anything about in deporting every singl[Truncated]" "* Keep ""ALL ILLEGAL ALIENS FROM THESE PROGRAMS, REGARDLESS OF WHETHER THEIR BASTARD KID ARE BORN HERE OR NOT. THEY ARE NOT AMERICAN CITIZENS. DEPORT ALL THESE DAMN MEXICAN'S & MEDICAL WILL BE AFFORDABLE FOR US ""TRUE AMERICAN'S""![Truncated]" DEPORT ALL THE ILLEGAL MEXICANS THAT WILL LOWER OUR MEDICAL COSTS!! "* DEPORT ALL THOSE DAMN MEXICAN ILLEGALS THAT ARE LEECHES ON OUR MEDICAL SYSTEM, THAT IS WHAT IS MAKING IT UNAFFORABLE FOR ""TRUE AMERICAN'S"" TO HAVE GOOD MEDICAL CARE.DEPORT [Truncated]" "* AGAIN, DEPORT EVERY ILLEGAL MEXICAN THAT IS SUCKING AMERICA DRY OF ITS RESOURCES & ESPECIALLY MEDICAL CARE. ROUND THEM UP & SEND THEM OUT OF THE COUNTRY & YOU WILL SEE THAT ""TRUE AMERICAN'S"" WILL BEABLE TO GET MEDICAL CARE THAT THESE LEECHES[Truncated]" DEPORT ALL THE ILLEGALS & HEALTH CARE WILL BE AFFORABLE TO US. IMPEACH THAT DRUNK BUSH & DEPORT EVERY ILLEGAL MEXICAN & THEIR BASTARD KIDS & WE WON'T HAVE THE PROBLE WE HAVE NOW. "* Set up a government health care program, like Medicare. Ban all ""illegal aliens"" from being included & deport them out of the country. Then ""We True American's"" can have the needed medical care & drugs we desperately need. [Truncated]" 26396 6/29/06 4:14 PM SD i agree i agree i agree i agree i agree i agree i agree 26397 6/29/06 4:38 PM WA "* Medicare with increased benefits for ALL! Medicaid for the needy. Add dental, vision, hearing, and presciption drugs to the current medicare/medicaid package. No supplemental health insurance should be needed. Get employers out of the hea[Truncated]" * The public should decide the core benefit package with the help of experts to describe the costs and trade-offs associated with alternative plans.[Truncated] * The cost of health care (other than through taxes) should be as low as possible -- just enough to prevent consumers from abusing the system with frivolous complaints.[Truncated] "Public Tax Supported Health Insurance. Private Health Care Providers." "Publish outcome and cost statistics on health care providers and hospitals. Put these statistics on the web." "* Counseling for patients and family members should be available for end-of-life situations. Death is part of the human condition. We should be no more afraid of death than we are afraid of birth![Truncated]" We need National Health Care now! "* Health care for all should be financed primarily through taxes, plus a small deductible ($250 per year), and small co-pays ($5 per office visit and $2 to $5 per prescription). Keep it simple! Medicaid help for the poor.[Truncated]" 26398 6/29/06 4:45 PM TX "* Nationalize the health care system. If Sweden, Denmark, Finland, England and Canada can do it, why can we not take the best of all those systems and have a nationalized health care system that benefits EVERYONE. Getting obscenely rich off of [Truncated]" No comment needed. No comment. No comment. * Do not use the poor as human guinea pigs. One-size-fits-all healthcare does not benefit the populus. I am all for reducing fraud and waste from the TOP on down. Healthcare should not and need not cost what it does today in this society--it's [Truncated] This is a good concept. "* How about instead of nay-saying alternative health care practices as is going on, to integrate alternative practices into the overall healthcare system. I prefer alternative care to allopatic care any day of the week. However, everyone should[Truncated]" * You are still not 'getting it'! You are basing everything on money and who can pay! Most working class Americans do not have the money or any extra money to put into a health savings account or can take much more of the endless 'surcharges' t[Truncated] 26400 6/29/06 4:58 PM CA * Health care being a privilege for the lucky few in this the richest country in the world is just wrong. After losing my job of 33 years because American Airlines bought T.W.A. promising to keep us the employees then laying all of us off. I ha[Truncated] 26403 6/29/06 5:11 PM MI "* I do support unversal health coverage but only to those that are LEGAL americans and also don't put their bodies at risk for more disease such as smoking, excessive drinking, fatties and druggies, etc. [Truncated]" 26406 6/29/06 5:22 PM OH "* As a taxpayer, whose money supports federal employees health care benefits, I believe that all Americans deserve the same type of quality health care benefits that our leaders receive.[Truncated]" "* I agree, as long as the members appointed represent a true non-partisan group. No corporate executives, insurance company executives or drug company reps please.[Truncated]" I agree with these recommendations. I agree with recommendation 4. "* I agree. In addition, must protect privacy of patient medical records. Shouldn't be a free-for all regarding access to patient records. Teaching hospitals and staff must also be JCAHO regulated.[Truncated]" I agree with recommendation 6. What is the earliest reasonable time frame for something like this to get started? It is important to move forward with this. I agree with this statement. 26407 6/29/06 5:26 PM NH "* I agree with the following at the minimum:CORE BENEFITS: Americans will have access to a set of affordable and appropriate core health care services by the year 2012; IMMEDIATE PROTECTION FOR THE MOST VULNERABLE: Action should be taken [Truncated]" "* This is the minimum plainly: CORE BENEFITS: Americans will have access to a set of affordable and appropriate core health care services by the year 2012; IMMEDIATE PROTECTION FOR THE MOST VULNERABLE: Action should be taken now to better[Truncated]" "* Of course. Only those committed to greed and a hatred of taxes and democracy would object. Coverage for all Americans; Protection against very high out-of-pocket medical costs for everyone; and Financial protection for low income individua[Truncated]" "* Identifying within the federal government the unit with specific responsibility for coordinating all federal efforts that support the health care safety net; Establishing a public-private group at the national level that is responsible for a[Truncated]" "* Public care has generally almost without fail has proven to be high quality and more efficient in most ways and specially economically.:Using federally-funded health programs such as Medicare, Medicaid, Community Health Centers, TRICARE, and [Truncated]" "Look, just copy the Swedish or French system and you've got what's needed." "Put these ideas in place not by 2012 but the sooner the better. How about beginning working on it right now, state by state?" Financing is really not the problem. The problem is much more closely related to a sense of having a Social Conscious. 26408 6/29/06 5:32 PM CA "* Taking control of the health care for Americans is of paramount importance. Our tax dollars fund research via the NIH, State Teaching Hospitals, etc...we should be able to access some of those tax dollars in our own names since we funded the [Truncated]" "* Physical (including visual), mental and dental all need to be included. Hospital coverage is necessary but the focus should be on preventative care to interceed on an health issue before it becomes chronic.[Truncated]" * In addition to the above Americans need to have access to bankruptcy just as the corporations do in order to cover families who have lost the earnings of their breadwinner or contributor. [Truncated] * Getting the pricing of prescription drugs by negotiating prices similar to what other countries have done will go a long way to reducing costs. Taking the administrative costs from the institutions and insurance companies will also mitigate t[Truncated] 26409 6/29/06 5:42 PM NH Every American Citizen should have affordable healthcare. They should not have to pay those outragous healthcare costs. * Healthcare costs would go down considerably if the large drug companies would be brought to terms about cheating Americans out of their hard earned money.[Truncated] Coverage guaranteed to all Americans is what we should have had all along. * My only comment on this is that the federal government should get off their duff and do something about the healthcare system that we do not have yet.[Truncated] "* I hope this is not going to be like the new Medicare Prescription package, we want something that is going to work for all citizens.[Truncated]" * This should be a priority because all Americans should be able to live the last days of their lives with dignity and with little pain.[Truncated] We do not have time to waste. There are people dying daily who have not had the proper healthcare. 26410 6/29/06 5:44 PM OR "* I believe that every american should be able to afford health care. The United States spends millions on vaccines for other countries and while I believe that is worthy of mention there are millions of children, seniors, and people in the Uni[Truncated]" Something that has been needed for a long time I support any type of tax increase that ensures Americans have affordable health care. 26411 6/29/06 5:59 PM AK "* As a senior citizen, my income is limited to Social Security and a small pension. Disposable income is less than $100 per month. A recent emergency hospital stay of six days produced a hospital bill of $30,000. There must be some kind of p[Truncated]" 26412 6/29/06 6:11 PM CA * I feel that healthcare should be free to at least everyone who makes twice the poverty level (since the poverty line is not accurate).[Truncated] * Mental health care is important and should not be forced. What I mean by this is that short term mental health services may not be in the best interest of the patient or tax payers.[Truncated] No one should go bankrupt. More funding for mental health services as part of end-of-life services. This should be paid for with progressive taxes. 26414 6/29/06 6:16 PM TX * It is obscene for the richest country in the world to offer no health care to the working middle class and poor. My own health insurance for myself & spouse costs $712 per month. It is not good insurance but all that I could purchase through [Truncated] * Prevention is a cornerstone to fiscally responsible health care management. Home health nursing emphasizing family wellness should be available to all participants in a national health plan.[Truncated] * Taxing windfall profits from energy giants could be a partial stream of revenue. Fairly taxing the rich rather than offering them such hefty tax breaks would be another revenue stream.[Truncated] 26417 6/29/06 6:53 PM WI "* Expand and improve Medicare and Medicaid to cover ALL US Citizens, including all Politicians, CEO's, workers, homeless, etc. Get Insurance companies out of the health care business, that one of the reasons it's so expensive.[Truncated]" "Again, read and implement fairtax.org and we will have few problems for funding." "* at present our Health Care in the USA is the most expensive in the world, but it is rated at 37th in Health Care quality, I think we all deserve our money's worth!!!![Truncated]" "In my area, the reports I hear about Hospice organizations are already doing a terrific job on this!!!!" "* It must be the same program for all. Not better for the rich influential people that think they deserve better than everyone else, and then leave the poor people with less care. and I feel fairtax.org has the solution for the funding of this[Truncated]" "* If the USA would go to fairtax.org and implement what they are advocating most of our taxation problems would be solved, including how to finance a universal health care plan.[Truncated]" 26418 6/29/06 7:03 PM MA "Yes, I agree...why can't we tax restuarant meals, like Nova Scotia does and have the money go DIRECTLY to health care." * I suppose some of that is reasonable but it should not be too large a group or it will get bogged down. I should also have authority to do the job without someone else controlling decisions.[Truncated] Of course Sounds right Makes sense "See above, plus I'm not sure that we should be giving money to other country's health care issues until we fix our own." 26420 6/29/06 7:28 PM CA "* Yes AND no moral health care system would permit companies to profit from people being sick. Unfortunately, we have allowed that to happen here in the United States. Of course doctors, nurses, and health care professionals deserve to be com[Truncated]" "* Well expressed and laid out. Again, what the priority should be is what has been said as what ""health care encompasses."" I might stress that ""wellness"" and ""preventive services"" have been sorely lacking in this societ for decades. ""healt[Truncated]" Absolutely. Sounds excellent: very solid. :) FANTASTIC! "* This is crucial. It touches just about everyone (if not everyone), and I am very pleased to see that you have addressed this very important issue. (Thank you.)[Truncated]" "* Thank you so much and again for all your dedication and hard work. We dearly hope it will lead vast inmprovements in the health care system of the Unites States. I will try to do my best to assist even in my small way. :) By the way, al[Truncated]" * Also in agreement. There are trillions of dollars available if the priority is set and if certain people cease blindly believeing that the socialist bogeyman will swallow up free enterprise in this country if we achieve universal health care[Truncated] 26421 6/29/06 7:51 PM FL "* The sub-standard health of the American public is a statistic known around the world. This is shameful! The quality of our lives must include good health as well as individual freedoms, opportunities, and equality. If we can not all be affo[Truncated]" "* Our society has become more and more separated by class. i.e., the haves and have-nots. I believe taxing the wealthy (and having caps on salaries earnings, etc.) is a fair option when it comes to providing basic human needs such as health ca[Truncated]" 26423 6/29/06 8:11 PM MD "* How can this country afford to pay for it with the huge deficit caused by this administration and an ongoing, costly, unnecessary war seemingly without end. I am all for every CITIZEN of this country having decent and affordable health care [Truncated]" "* This sounds good, but shangri-la doesn't exist. There are still going to be people who will not exercise, will eat junk food to excess, smoke, take illicit drugs and act irresponsibly. [Truncated]" "* Sounds good to me, but where will the money come from? My husband was recently diagnosed with an incurable form of cancer. We are average middle class seniors--I just turned 68 this week and he'll be 68 in October. He smoked cigarettes in[Truncated]" "* From the articles in today's local paper, there is a huge need for the emergency care centers in hospitals to be upgraded. I know from experience that people have to wait for hours in the waiting room to be seen even though they may have an [Truncated]" "* My comments on recommendation 4 were premature since you covered those in recommendation 5. However, if you think you can reduce fraud and waste in administration and clinical practice you must be living on the moon.[Truncated]" "* Doctors should also be made to realize that just because someone is elderly, they have a right to live as much as someone younger, if they are curable.[Truncated]" "* Sounds possible but will take a lot of dedication and work. Are there actually enough honest, hardworking and dedicated people without personal agendas to manage to do all this?[Truncated]" 26425 6/29/06 8:33 PM SD agree agree agree agree agree agree agree 26428 6/29/06 9:11 PM CA Single payer healthcare costs less than the current system. Single payer healthcare. Single payer healthcare. Single Payer. Single payer. Single payer healthcare. Look to the Lewin report on single payer healthcare. Single payer healthcare costs less. 26431 6/29/06 9:36 PM WA "* Since quality of life has intrinsic value for individuals and public value for safety and productivity, it is imperative that affordable and quality health care be made available to all Americans.[Truncated]" * If insurance companies refrained from charging such high malpractice insurance premiums to doctors the charge of going to the doctor would be less. We should have a governmental regulatory agency that sanctions and removes licenses of poorly[Truncated] "* We, as Americans, should not only have quality and affordable health care, but, we should also be allowed to see physician's of our choosing and seek treatment that is in line with our values and beliefs.[Truncated]" 26432 6/29/06 9:37 PM FL All should be treated equally! State by State. "Again, Insurance companies need not have a monopoly!" Good Good You have outlined it beautifully! Insurance companies are not the answer! 26433 6/29/06 9:38 PM MI "I agree with this, and have long thought we should have universal health care." 26435 6/29/06 9:55 PM KS Let's stop talking and start REAL health care for all Americans. 26436 6/29/06 10:07 PM IL "* As soon as the members of Congress are placed under the same retirement and health care plans as the average Amercian citizen, there will be change. The ""BIG"" question is why aren't American citizens outraged by all the of ""perks"" Congress h[Truncated]" 26437 6/29/06 10:08 PM PA "* Absolutely! I am a social worker who has seen the devastation of no helath care for the children of the poor! I worked in Philadelphia and saw the struggles. Even in small communities where jobs are leaving, there is struggle to pay for hea[Truncated]" * Heard of Human Rights? This should be a given in a free country such as ours! What terrible that one child in this country may die just because he/she does not have health care coverage. The average American wants to hold his/her head up an[Truncated] As above! Agree Agree Absolutely! "* As a social worker I have seen firsthand the horrible results of no health care. It affects every area of a person's mental, physical and spiritual well-being. Please for America's sake make the right choice ASAP. No time is too soon!!!!!![Truncated]" 26438 6/29/06 10:27 PM IN Agree Agree Agree Agree Agree Agree Agree 26439 6/29/06 10:27 PM ME "* Medicare for everyone, please. The Medicare system handles the members of our society who need the most care, yet costs next to nothing compared to the for-profit system. Expand Medicare. It works best.[Truncated]" Fine. Great! Good. Absolutely necessary. Fine. "You mention revenue sources, but where does the money go after that? To the health care providers, please. Not Wall Street." 26440 6/29/06 10:30 PM GA Who is going to pay for this? Possible good idea. * Absolutely not. The health care that is available in this country is to expensive to give away. The taxpayer would be too burdened. This would be a disaster. [Truncated] Absolutely not. No government in health care. This sounds a little better. "* I think no one should get anything for free. If a person who doesn't work gets health care, they should have to do something in return for a taxpayer. [Truncated]" * I think it is horrible to suggest that hard working people should have to pay more taxes to insure people who elect not to pay or work. [Truncated] 26441 6/29/06 10:30 PM IL "* Health care is a basic human right. Obviously, everyone in our country shoud be covered. My question was only how to do this. I used to believe it best to build on the present employment-based health care system. But that system is now br[Truncated]" This sounds like an equitable way to assure needed health coverage for all. "Again, health care is a right. Government has a duty to enforce that right as part of ""promoting the general welfare.""" "Are we talking about community-based health clinics? An excellent idea, and probably very cost-effective!" AMEN!!! "* I couldn't agree more! The choice of how to die, for example, should be the patient's and the family's. A national health care system has to respect those who wish no extraordinary measures to keep alive, and those who want everything done [Truncated]" "* I've been in an HMO for at least 33 years. I consider the quality of medical care excellent -- but co-payment costs are soaring. I had to pay $156.51, a 25% co-pay for a series of knee shots (a form of synovial fluid for a knee without cart[Truncated]" "* I believe in progressive income taxes based on ability to pay as a main source of revenue for health care and other government purposes. ""Sin taxes"" are fine as a secondary source.[Truncated]" 26442 6/29/06 10:50 PM NY * The public cost of our present system is astronomical. Our businesses are at a severe disadvantage to their foreign competition whose nations provide health care to all citizens. The tens of millions with no health coverage are sicker and pro[Truncated] "Research, deliberations and decisions of the group must be free of undue influence from powerful corporate interests." * The unconscionable cost of management fees by insurers under the current system must be reduced to the level of Veterans Administration or Medicare levels.[Truncated] 26443 6/29/06 10:54 PM AZ * Our nation has been made great by its collective peoples. We need to -- NO MUST -- improve the basic life/health care necessities and elimenate the have vs have nots in medical care.[Truncated] "* We are the greatest nation in the world... Almost everyone wants to be American, yet behind the facade -- we trail other industrial nations in our health care. We must retake the lead and show our concern for all.[Truncated]" "* The ineqities existing now, allow too too many to fall through the gaps and causes them to suffer and face the ""health vs food/lights"" trap. We must fund a system that will be based on realistic personal costs -- that will not bankrupct indiv[Truncated]" "* We need to refocus on our people not dollars. We all know that profit is needed for the companies to exist and to thrive, but as we have seen, we need to basically force a social conciousness on the business community.[Truncated]" "* We have demonstrated in our history, by Presidents who were true leaders, we can have a concern for our people, and programs that will promote protections for all. We need to revisit what that takes to make things happen.[Truncated]" "* We need to make government programs more modern and more responsive. Those in need of these programs have often been the shoulders upon which we the rest of us stand and we must not forget that, and ensure we provide whatever is needed to hel[Truncated]" * We need to stop all the give-aways to the haves in our society and the balancing of costs on the working class. We MUST demand they help ALL -- to ensure funding is there for cradle to grave health care. We must not accept less.[Truncated] 26445 6/29/06 11:12 PM FL "* It should indeed be public policy that all Americans have affordable health care. Personally, I think the affordability issue is stonewalled by the medical societies, which support a system of price- fixing. They should be subject to the la[Truncated]" "* Defining a core benefits package is fine as long as those needing the various types of health care that do not fall into the core benefits are still able to obtain health care. Break the medical society price- and fee-fixing monopolies fir[Truncated]" * Break the fee-fixing and price-fixing monopoly power of associations of physicians. Institute true competition among the members of the medical profession. Free enterprise and medical entrepreneurship means competing with other medical entr[Truncated] "* Great idea. Just make sure the concept does not involve the mere subsidization of physician monopolistic control of prices, fees and services. POWER TO THE PEOPLE![Truncated]" "* Hear, hear! I had to take my wife twice to the Cape Coral Hospital emergency room. One visit was billed at $600.00. The other visit was billed at $900. If we had simply been allowed to see our physician, the cost could have been around $1[Truncated]" Amen. * The fundamental problem is that our physician groups and associations are not subject to the Federal laws governing monopolies and price-fixing. This laissex-faire outlook toward health care costs is eating us alive. My wife had a herniated[Truncated] * Break the medical price-fixing and fee-fixing monopolies first. Otherwise all such financing reforms will become not just meaningless but positively harmful.[Truncated] 26453 6/30/06 2:47 AM NY "* Of course all Americans should be provided with proper health care. This country supposedly cares about all its citizens. If only the rich can afford basic neccesities, how are we different from the middle ages or other systems where only a s[Truncated]" "I agree with the concept of ""from those who can to those who need""." 26455 6/30/06 3:43 AM NJ Great Idea! "Good, but needs more." Find a way to smell out Fraud from Medical providers. May not need it. Too much Control to the government. Do something about Fraud and Misrepresentation Good Idea! 26456 6/30/06 5:48 AM MO "Yes we do need this. We can give aid to all these other countries, but neglect our citizens here." This sounds good. We cannot allow congress to mandate how this should be implemented. It would never to fair to all. This federal government aspect scares me lots. "I agree that there is lots of fraud and waste, but how can it ever be monitored." "* I am willing to pay my fair share. Let's implement a tax system that is fair to all. I am sick and tired of having no debt, but am penalized at tax time. [Truncated]" 26457 6/30/06 6:37 AM SC should add must be able to prove citizenship in the USA. need more than a drivers license. * Don't pay the board who oversee's these programs more than the mimiunm wage of our country. base all fee's on the mimium wage people are paid while they are working.[Truncated] 26458 6/30/06 7:34 AM MN "* I agree, but what about the other side of the issue? Huge profits by drug companies, insurance companies, providers of health equipment, etc. have no apparent controls. What can be done at that end -- it seems those high costs are at the ex[Truncated]" Love the sound of this! Excellent way to provide checks and balances. Fully agree. And no one should have to die or suffer grave harm because they cannot afford health care "* Health need aren't going away. I like the idea of ""shared responsibility"". That should mean the health care business, too (see comment in Recommendation 1.[Truncated]" 26460 6/30/06 8:23 AM WI "* The U.S. Government has changed over the years how they calculate ""unemployment"" statistics. The net effect is grossly inflated employment numbers and understated unemployment rates. Americans deserve the truth. Many ""created"" U.S, jobs are h[Truncated]" 26462 6/30/06 8:43 AM NJ Everyone in a highly industrialized civilized country deserve access to affordable and reliable health care. 26463 6/30/06 9:16 AM NC "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" "* The ERISA Act is not protecting citizens who become disable. The Long Term Disability Insurance Companies are denying people with legitimate claims and placing the burden on Social Security Disability. [Truncated]" 26467 6/30/06 9:37 AM IN All of Western Europe has Universal Health care. It's been long over due in the USA. Sounds correct. Coverage for All Citizens. "* Look at how Canada, England, Sweden and other European countries pay for Health care. It's paid through taxes I believe. look at how All Congressmen have paid health care. we citizens pay for it.[Truncated]" 26468 6/30/06 9:53 AM AR I agree. "* I agree with all that you have said, but I'd like to include vision health in the definition. I have worn glasses for over 30 years, but I can't yet finance the new surgery that might put an end to that.[Truncated]" "* Please recognize that middle income individuals also need financial protection. We have many programs for low income, but very few for the hard-working middle class, many of whom are helping on a private level to assist family members on low[Truncated]" I agree. I agree. "* While any program can be improved upon, my experiences with hospice indicate they're doing a good job. I'm not familiar with other programs.[Truncated]" "* I would like to see every small town have access to a health fitness facility or a gym similar to what we have in schools for our children. I would also like to see these include some type of water arobics, especially for the older populatio[Truncated]" "I agree, but please recognize it is the middle income, hard-working Americans that are suffering most at the moment. " 26474 6/30/06 10:30 AM OH yes I Want Health Care For All Americans. This sounds good. This should get rid of a few ins. co's. This sounds good. Yes. Yes. Cutting Out Umpteen Insurance Companys Involved In Healthcare Should Cut Down On Expenses And Help Finance It. 26475 6/30/06 10:34 AM IL "* Several years ago I was part of a group who travelled to a ""third world"" country. One woman broke her ankle, which required emergency room service and a cast. When she returned to her regular doctor he commented on the great work. All she [Truncated]" "* Yes, I agree that there should be a non-partisan private-public group of volunteers to make recommendations. This group must include people from all socio-economic levels to better understand the issues that each group has.[Truncated]" "* We are living in the 21st century and there is absolutely no reason why people in a ""developed"" country should be without health coverage. [Truncated]" "* If the community healthcare networks will end up working similar to school funding, then I say no! Will this mean that lower income communities receive less funding than higher income communities? Exactly how will this work? [Truncated]" A well informed patient is critical. Reducing fraud and waste is equally important. I believe that this is a wonderful idea. "* I understand that health care costs are high. I do however, believe that our government is not spending money in the most appropriate way. I believe that there should be a cap on medical malpractice law suits which would then mean lower ins[Truncated]" 26477 6/30/06 10:53 AM OR This is good. no comments no comments No comments 26478 6/30/06 10:56 AM MI * Quality health care. It will never happen. For quality health care you must have caring doctors. I can't find one. For quality health care a caring doctor should have the freedom to order test that he needs to take care of you. Insurance [Truncated] * I just don't think anyone is going to listen to you espically our representitives in Washington. They have the best health care already. Maybe if they had to live with what I have they would change a few things. [Truncated] "Again, you will never get it through Washington." You will never get it through Washington. Keep dreaming. This one is a dream. Good Luck "There are a lot of people out here just dying, I have no more time to waste on this." "* Forget it. These people didn't become doctors not to make money. A clinic is given money, a contract, to take care of a group of people. The more the doctor does to take care of the people the more money he spends the less money he make[Truncated]" 26482 6/30/06 11:10 AM MA "* All Americans need and deserve healthcare, as do millionaires who may not even have to work hard for it and they oftentimes, get free to them, healthcare, courtesy of the poor taxpayers. Who knows? From among the poor may come another Alber[Truncated]" I agree. "Treat others as you would have them treat you and your family. " * The government needs to talk to the health care facilities to give us a reasonable price rather than gouging the worker bees in the country.[Truncated] 26489 6/30/06 12:41 PM CA WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! WE NEED SINGLE PAYER HEALTH INSURANCE FOR ALL AMERICANS! 26490 6/30/06 12:41 PM PA "* Other federally-funded programs to be added here are the nurse-managed health centers, providing primary care, health promotion and disease prevention services to 2.5 million un and under insured people. Many of them have been or are funded [Truncated]" 26491 6/30/06 1:07 PM KY "* The thought of universal health care scares me. If you look at how Medicare is handled - the confusion, fraud, etc., how can we even think of a national program? No, I don't have a better idea. I just feel such a program would be a major t[Truncated]" 26497 6/30/06 1:33 PM CA I work in a County Facility. I know that the government would save a lot of money if it provided quality healthcare for all. * I hope this will also cover all medications and an unlimited amount. I have Kaiser and I know they only cover inexpensive meds. There are newer meds out there that have fewer side effects. [Truncated] * It's imperative that you also cover mental health. Mental Health is continually left out of these programs. Depression is one of the top three reasons working people are out sick.[Truncated] * I just hope the process doesn't take as long to get services. We don't know the amount of people dying while waiting for healthcare financing. [Truncated] * Our healthcare system is the most expensive. However we are near the bottom of every healthcare measurement against even 3rd world countries.[Truncated] 26498 6/30/06 1:33 PM NM "* The community health center system should be used as a successful model for increased access, preventive and primary care. We don't need to reinvent the wheel, but rather to look to community based programs that already work well.[Truncated]" * Often people cannot afford to take exercise classes because they are tied to gym memberships and/or cost too much for low income people. Perhaps there could be some form of preventive care vouchers which people could use to do the things that[Truncated] 26499 6/30/06 1:54 PM AL "It is another thing I think overall would make this country better, lessen unnecessary suffering and loss." Best thing to do about this is survey everyone that is paying. "Sounds great. " "* A health center in each local community, several spaced on population density in metro areas, and for rural areas, could help with transportation.[Truncated]" Certainly should be overseers and watchdogs. Probably one of the greatest needs. "Can help with people having a variety of health problems, including substance abuse and mental health. " "Everyone contributed, depending on their income, could be the best for everyone." 26500 6/30/06 1:59 PM IN "* We could all have health care for free if the money they stole from Leo E. Wanta was given to us. We could also have social security money and pay off the national debt. Politicians are crooks, give themselves raises besides pocketing money[Truncated]" 26503 6/30/06 2:18 PM AZ "* The essence of what it means to be a society is the sharing of common traits, aspirations, and interests. This whould have to translate into things that promote health and cohesion amongst our neighbors. A social sytem and economy that is str[Truncated]" * There can be no sector of society that should be able to ellude their responsibillty to contribute to the cost of healthcare. Ther must be ironclad pay as you go policies to assure costs are shared equally. In recent years we have seen the sh[Truncated] 26506 6/30/06 2:45 PM MA PROOF OF AMERICAN CITIZENSHIP SHOULD BE A REQUIRED QUALIFICATION. OTHER COUNTRIES HAVE TRIED SOCIALIZED MEDICINE WITH MIXED RESULTS. CERTAIN MEDICAL PROCEDURES AND TESTS ARE EXPENSIVE NATIONWIDE. * DOCTORS CHOSE AREAS WHICH HAVE THE BEST CAREER OPPORTUNITY UNLESS THERE IS A IMPROVEMENT IN INCENTIVES PROVIDED TO MED. SCHOOL GRADS.[Truncated] A REDUCATION OF FRAUD AND WASTE IS A BIG PROBLEM. MEDICAL MALPRACTICE MUST BE INVESTIGATED WHEN REPORTED. * THE RIGHT TO LIFE ARGUMENTS APPLY EQUALLY TO BOTH BIRTH AND DEATH. THERE IS CONVINCING ARGUMENTS FOR VERIOUS MED. PROCEDURES AND SOCIAL DECISIONS.[Truncated] * IF FINANCING HEALTH CARE REQUIRES AN INCREASE IN INCOME TAXES THEN IT MAY BECOME MORE OF A BURDEN ON WORKING OR RETIRED AMERICANS.[Truncated] 26509 6/30/06 3:39 PM MI "* Canada has a health care plan for all their citizins,regaradless of financial resources or health status,with benefits that are sufficiently comprehensive to provide access to appropriate,high quality care without endangering individual or fa[Truncated]" A great idea. I agree. I like this one. A Great Idea. I Love this one. God's Speed on these. We really need them. I agree with the financing statement. 26510 6/30/06 3:46 PM MO "* Unfortuantely, this set of comments fails to make any meaningful and strong statements. It clearly restates the obvious and does not seem to reflect the opinions expressed in the only meeting I attended, the initial meeting in Kansas City. I [Truncated]" This is NOT what was said at the initial meeting in Kansas City. One mechanism was clearly identified as optimal. 26513 6/30/06 4:05 PM WI The US needs health care provided as a right. Europeans and Canadians have it. Why don't we? 26516 6/30/06 4:31 PM OH That is like making it law that all Americans will go to heaven. "* In reality core benefits will comprise what the ""Super Fair Group"" (the independent non-partisan, private-public, transparent, scientific, diverse group) decides it will be based on their experience and connections with ""approved"" interest gr[Truncated]" * What about ensuring the financial security of those actually giving out healthcare. Or some type of contractual agreement about how much a lawyer can gain off of the error of a medical worker. No one should be impoverished by healthcare tax[Truncated] "* This all sounds well and good, but there need to be protections built in to ensure that small groups do not impose their view of the ""greater good"" on entire populations that negate freedom of choice. I believe one of the best things regar[Truncated]" * I believe that investing more in preventive healthcare and education with motivational tools for personal responsibility for ones own health is most effective. I am completely for health information technology utilization to provide equal ac[Truncated] * Individuals should have freedom of choice in this area when possible. This is a highly charged area which requires a great deal of sensitivity. I'm not sure how much this lends itself to another government program.[Truncated] "* I have been involved with the American and other healthcare systems all of my life. I have seen the good, bad and ugly of it. Bottom line the type of healthcare a person gets is dependent on who they get. Just like in education no matter h[Truncated]" "* I see this statement as a play on words. Statements such as ""require new revenues"" means (enforce new taxes). ""Dedicated revenue streams"" means multiple avenues for tax by law that cannot be revoked by ""the people"". Instead of ""sin taxes"" [Truncated]" 26517 6/30/06 4:37 PM CA I agree with these recommendations. 26518 6/30/06 4:43 PM GA "* It is very discouraging to NEED health care, and stand in line behind many many pregnant illegal Mexicans at the health department and be denied coverage. DO SOMETHING!!![Truncated]" 26522 6/30/06 5:27 PM PA I agree with the above Recommendation 1. I agree with the above Recommendation 2. I agree with the above Recommendation 3. I agree with the above Recommendation 4. I agree with the above Recommendation 5. I agree with the above Recommendation 6. I agree with the above statement. 26524 6/30/06 6:13 PM IL "* My husband and I have three people living with us, none of who can afford to live alone because of the high cost of rentals. One lady, who has been on a disability income since the 1980s was deprived of all her SSI health care as if, by gett[Truncated]" Sounds good. Absolutely! "* Watch that expansion of government! It's not good for our national health! Also, will HMOs still exist? I believe they can be blamed for the increased costs of health care -- they and they alone![Truncated]" "Please, please limit the size of the national government; otherwise, again, expense to all will get out of control..." 26525 6/30/06 6:14 PM IL "* Yes, we have one of the best systems in the country right under our noses. Why can't congress inact a health care system similar to that of the Veteran's administration? We take care of all veteran's in the country with good care. We could[Truncated]" 26526 6/30/06 6:22 PM CA "* Would this program be limited to U.S. citizens ? I think that it should be limited to native-born, and naturalized citizens.[Truncated]" 26527 6/30/06 7:03 PM DE * this country has the highest standard of financial health. There are those folks in our country that do not have the security of health care. We must find a way to provide that for individuals that do not have the ability to provide it for [Truncated] 26529 6/30/06 7:28 PM OH I agree. I agree. I agree. I agree. I agree. I agree. "* Hopefully, will this eliminate the insurance lobbyists, etc and the cost and monies that those insurance companies reap at the public health care loss?[Truncated]" I agree 26531 6/30/06 7:46 PM TX I cannot agree more. Can we get this going by the end of the year? How about alternative medicines being included? Sounds great to me - let's do it. Good luck getting health care for everyone out of this government. "The feds again, huh?" This should absolutely be decided by the individual. "* Just remember that there are many alternative styles of medicine out there that clearly help people, and don't let the AMA keep them out. People deserve to receive the care they choose themselves.[Truncated]" "* How about large contributions from gigantic employers who will not have to worry about having insurance for their employees? (Assuming, of course, that they do worry.)[Truncated]" 26536 6/30/06 9:09 PM CA "* Absolutely, the cost of the illegal war in Iraq and the increase in Congress' salaries is an abomination. Yet those same people refuse Universal, single payer health care for all and it should be the No. 1 priority for everyone in Washington[Truncated]" "Absolutely, lets pray that when a bill gets to congress that our representatives will find the courage to support it." Absolutely Absolutely Absolutely Absolutely "Absolutely, single payer, universal health care for all Americans should be now." "* Absolutely, single payer, universal health care is the only thing that can save America from becoming a 2 class society: those who hyave and those who have not.[Truncated]" 26539 6/30/06 10:54 PM NY "* Thank you for including preventive measures in your core benefits. The three HMO's with which I've been involved would not cover nutrition or weight loss programs, orthotics, compression stockings, though they were willing to pay for surgery[Truncated]" "* *Reasonable* co-payments would be all right. My pharmacy co-pays have gone up from $5 to $20 over the past four years, while my doctor's co-pay has remained at $10. I also believe that the co-pay for a prescription should be the same whethe[Truncated]" * I've heard too many complaints from Medicaid clients who tell us that doctors don't show them any respect because Medicaid can't afford to pay the doctors as much as health insurance companies do. This in unacceptable. A patient is a patien[Truncated] "* I work for the Ulster County Department of Social Services in Kingston, NY. It seems to me that if universal health care becomes a reality, there will no longer be a need for the Medical Assistance (Medicaid) program. If my reasoning is cor[Truncated]" 26543 6/30/06 11:38 PM NY My relatives ineurope hav Healthcare Why shoud American not have healthcare? 26544 6/30/06 11:51 PM CA "Basically, a single payer system." """Core"" suggests a basic first-tier level of care. Benefits should be comprehensive for everyone." "* Protecting against ""very high"" health care costs seems to support high-deductible coverage (HDHP). HDHP was not supported by individuals who were well informed on the adverse impact of high cost-sharing by those with significant health care n[Truncated]" "* Although community health centers serve a very important role, they should not be considered as a substitute for universal health insurance. The CHCs also would benefit by having all of their patients insured.[Truncated]" * Consumer information on prices and cost-sharing implies support for the consumer-directed health care reform movement which shifts costs to those with the greatest health care needs. Financial barriers result in welfare loss according to the [Truncated] Humane medicine should prevail. "* An efficient, equitable, comprehensive system for everyone is affordablee and does not require trade-offs. We can have it all at our current level of spending if we adopt a single payer system.[Truncated]" "* A single payer system is clearly superior to a fragmented system of multiple financing sources. A transition over time implies incremental reform, a view not supported at the meetings.[Truncated]" 26545 6/30/06 11:53 PM WA "* Currently, anyone who would die without care gets that care regardless. So anyone has access now, if they really need it. This is also how things get so expensive and broken... if you don't have coverage, you wait until you're terribly si[Truncated]" "* This is a fair recommendation. Things like dental and mental health are generally underappreciated in overall health. It's very important to concentrate on CORE benefits for all gov't sponsored care. I see a core benefit as one needed to m[Truncated]" "* The patchwork of programs protecting people is especially bad at keeping people from lifelong impoverishment. This used to be just 'bankruptcy', but thanks to the new rules, it's far more than that now. The way forward is federal universal [Truncated]" "* The focus here should be results. If it works, encourage it, if not bail out. Preachy idealogues will want religious-based centers or AIDS hostels, or narrow-focusd schooling about whatever. They must be judged on their actual results, w[Truncated]" * I'm shocked that you can make this recommendation without one word about information security. The VA might as well have performed secret plutonium experiments than loose the data they did. Patients own their information like they own their[Truncated] "* I think palliative, open-ended, as-requested care is the wrong way to go. We all want supportive end-of-life care. The more we want, the more we should be prepared to pay for it. The government's job should be purely practical. There's no[Truncated]" "* We dump trillions into the current system, far too much of it spent helping nobody and doing nothing useful. Medical coders, insurance experts, billion-dollar CEOs. Worthless. Clearly a new system would have a huge transition cost, and wou[Truncated]" 26548 7/1/06 1:02 AM WI "* It's time the wealthy start paying to help people get medical care. Right now it's the middle class via their income tax that pays for the poor and those who can't cover their medical costs if something catastropic happens. [Truncated]" 26550 7/1/06 5:13 AM GA * this is ridiculous. medical care is not a right. it is a priveledge. a person needs to be responsible for the cost of their care. 3rd party payers like business and the government have ruined healthcare in the united states. we need to g[Truncated] * this is socialism at it's best. it does not work. look at canada and great brittain. i bet the members appointed will get whatever they want and the others have to make do. old people on medicare are robbing the younger generations blind.[Truncated] * cost and charges are way out of line. everyone should be responsible for the real cost of excellent healthcare. the charges that are present today represent the problem of third party payors.[Truncated] * the federal government has no business in any initiative to expand networks of healthcare providers. get the government out of healthcare!!!!!!!!!!!!!!!![Truncated] * there is no model of quality and efficiency in the government. there are plenty of models of increases of fraud and waste when the government is involved.[Truncated] ok get the government out of healthcare!!!!!!!! "* the people you heard from that were willing to make additional investments in the service of expanding the protection have no problem with spending my money. let them spend their own money, donate to charities and let the physicians that wan[Truncated]" 26554 7/1/06 9:07 AM NC For recommendation 1. "Core group should not copy practices of existing manage care system, but learn from their failures." How will your address immigrants when their health poses a treat to health of legal citizens? "* This plan indicates federal group makes final decision. Need health care to be in the final decision process, beside advising.[Truncated]" Program should not be hendered by a region infra structure. Plan must be mobile (travel) to the needy. For recommendation 6. "* First plan should cover all children from infancy through college, senior citizen, economical and social depressed people and proverty families.[Truncated]" 26555 7/1/06 9:28 AM MN * We are living in a society that says that an ill unemployed male is of less value than an ill unemployed pregnant female because she will readily qualify for public health care but he won't on the basis of preliminary applications for public [Truncated] We have to start somewhere. This soonds like a rational approach. * I feel the current system has gone as far as it can go. Right now even the few people who still have employer participant plans have a difficult time making coverage decisions when they establish their personal buget priorities.[Truncated] "* When we are talking about the cost of health care we need to consider that in the long run, someone who is diagnosed in earlier stages of illness may be easier to treat and hopefully cure than someone in later stages of illness whose treatmen[Truncated]" 26557 7/1/06 10:16 AM IL "* If universal coverage is implemented, I hope it does not look like the Medicare reform that confused so many senior citizens. I am hoping that one day soon legislation will be proposed that will take into consideration the affect of corpor[Truncated]" 26558 7/1/06 10:28 AM OR "* On the State level: we must have strong enforcement (phased in over a 3-year period) of anti-trust statutes, against anti-competitive practices of INSURERS, PHARMACEUTICALS, and HOSPITAL SUPPLIERS. Fines collected from violators will then[Truncated]" "* On the State level: we must have strong enforcement (phased in over a 3-year period) of anti-trust statutes, against anti-competitive practices of INSURERS, PHARMACEUTICALS, and HOSPITAL SUPPLIERS. Fines collected from violators will then[Truncated]" "* On the State level: we must have strong enforcement (phased in over a 3-year period) of anti-trust statutes, against anti-competitive practices of INSURERS, PHARMACEUTICALS, and HOSPITAL SUPPLIERS. Fines collected from violators will then[Truncated]" "* On the State level: we must have strong enforcement (phased in over a 3-year period) of anti-trust statutes, against anti-competitive practices of INSURERS, PHARMACEUTICALS, and HOSPITAL SUPPLIERS. Fines collected from violators will then[Truncated]" "* On the State level: we must have strong enforcement (phased in over a 3-year period) of anti-trust statutes, against anti-competitive practices of INSURERS, PHARMACEUTICALS, and HOSPITAL SUPPLIERS. Fines collected from violators will then[Truncated]" "* On the State level: we must have strong enforcement (phased in over a 3-year period) of anti-trust statutes, against anti-competitive practices of INSURERS, PHARMACEUTICALS, and HOSPITAL SUPPLIERS. Fines collected from violators will then[Truncated]" "* On the State level: we must have strong enforcement (phased in over a 3-year period) of anti-trust statutes, against anti-competitive practices of INSURERS, PHARMACEUTICALS, and HOSPITAL SUPPLIERS. Fines collected from violators will then[Truncated]" 26559 7/1/06 10:38 AM IL "* No matter if you live in a big city or rural area, clinic should be near by. Should provide prenatal care for ALL pregnant women, care for ALL children. Include dental and eye glasses. Cover all illnesses including mental illnesses and alcoho[Truncated]" "* Insurance companies and pharmaceutical firms with profit motive can't make fair decisions, only bottom line decisions. Must be based on what people need, not profits. People want health care not insurance that doesn't cover what they need.[Truncated]" * If you can't afford it for your child or yourself you should die? Prenatal care and other preventive and maintenace and treatment for chronic conditions will help prevent some serious illnesses. But also need to deal with enviro factors: air [Truncated] "* Not sure where to include this comment: must provide family planning info and supplies (""birth control"") to all. Must provide medical and surgical pregnancy termination (""abortion""). Must provide education and supplies (condoms) for preventio[Truncated]" "* Seriously ill people need and want access to treatments and medicines. But once they are starting to die, then nobody should have to die alone stuck full of tubes and wires. Hospice is totally different from other healthcare. Need best train[Truncated]" "* Why should pharmaceutical and insurance companies get filthy rich when people can't afford meds for chronic conditions, can't get treatment that is not 'covered'? Base it on what people need, not on profits. Make the wealthy pay more taxes no[Truncated]" 26562 7/1/06 11:39 AM NY "* Excellent idea. The emphasis, it seems to me, should be on preventative care and testing. It is easier (and less expensive) to deal with a problem early on. Or better yet, not develop the problem in the first place. An annual physical wit[Truncated]" I agree. I agree. "* As the parent of a developmentally disabled young adult, I worry about her health care in the future. When I am not arould to oversee her care and her health insurance is only Medicaid (or less), how can we guarantee her long-term health and[Truncated]" Excellent ideas. "Knowing hospice workers, this is a great idea and needed." * I only wonder why this group was not better publicized. The proposals are logical and doable. They somewhat exist in other nations already. Why has it taken so long here?[Truncated] "* I agree. A ""for profit"" health care system is not working in our area. The key becaomes profit for the company and not care for the individual.[Truncated]" 26566 7/1/06 12:12 PM IA "The term ""ALL AMERICANS"" should be better defined to ""AMERICAN CITIZEN'S Family""" "Where will or how will items like birth control and viagra drugs fit in.I,m an advocate of both?" Creat options for DEATH with DIGNATY Business and Income tax only 26567 7/1/06 12:20 PM NY * It's time to do the right thing instead of the profit oriented elitist approach. We are the only developed country without a health care system that cares for all its citizens. [Truncated] A broad specteum of established and newer scientically proven benefits are essential to a comprehensive care plan. * A sick person should not have to also deal with the stress of he/she and/or his/her family lossing everything else they have earned in their life time.[Truncated] "* We used to have public health clinics in many urban areas, perhaps this approach could be revised on a more modern scale. Another suggestion would be to require Doctors, nurses,etc. to spend some free time in these clinics as a way to maintai[Truncated]" A much needed addition. * All licensed health practioners should have to spend some time during each week in a health clinic etablished for the public as part of their licensing requirements. They could volunteer or receive a payment for this work.[Truncated] I think almost all americans are willing to pay more for direct service not for insurance company profits. 26568 7/1/06 12:45 PM NM "* As a recent Breast Cancer survivor, most people want to know how I found the lump in my right breast. When I say 'annual mamogram', it amazes me how many women say: ""I've never had a mamogram."" It's usually due to 'out of pocket' payments for[Truncated]" 26569 7/1/06 1:22 PM WA I whole heartedly agree with this. "* As I mentioned earlier I am very concerned about the obtaining the cooperation required to make the plan work. I believe your recommendations are right on track. Is there any information from the earlier effort in the 1990's to get univ[Truncated]" "* I believe that this will be the hardest part to make work. I am concerned about the cooperation of the government, big businesses, and individuals. The cooperation of all parties is essential for the plan to work.[Truncated]" 26570 7/1/06 2:12 PM NC "* It is unconscionable, that in our nation, which stands for liberty and JUSTICE for all, there are persons who must chose betwween needed meciations and food, because they cannot afford sufficient health care insurance. I meet people on a reg[Truncated]" "* Including preventive health care services, will in the long run be much more cost effective than ""trying to lock the barn door after the horse has been stolen."" That is what we do when we limit the kinds of care offered to those less fortuna[Truncated]" "It seems obvious that simple justice requires that we offer these protections to all, regardless of their ability to pay!" * These administrative measures will help to safeguard the integrity of the health care service is preserved and that all will reciev just and fair access to needed services.[Truncated] * It is my hope that these measures may insure the best quality of service to all and that care will be taken not to let administrative costs become so overwhelming that they interfere with funding for diredt patient care![Truncated] "* At this ost difficult time for patients and their loved ones in the care of patients, it is essential that compassionate understanding of the individual needs be of prime consideration. [Truncated]" "* This may seem like an impossible dream, but it is really at the core of our values. We must be sure that all persons, regardless of social or financial status, have equal access to health care services. In the long run a healthier nation wi[Truncated]" 26572 7/1/06 2:28 PM NM "* Affordable with a single payer and a single payment, ie health tax, tack it to income tax or a vat tax, or petroleum tax that would hit all for their fair share, employers and employees and unemployed, with continuing coverage like medicare.[Truncated]" exactly Also some protection from suit for hospitals and health care professionals Let a division of the government be responsible for paying all the bills for health care and a group to help set rates. "* Yes this kind of care for everyone, either with deductibles or without deductibles. Inter-grate all these into one and benefits should equal what they get. That means all would receive all health care at no fee.[Truncated]" "All this should be included in health care, how it is charged for as it is now- no charge to the dying." Medical care should be a right of America not a privilege Other countries do it why no us. "* Affordable with a single payer and a single payment, ie health tax, tack it to income tax or a vat tax, or petroleum tax that would hit all for their fair share, employers and employees and unemployed, with continuing coverage like medicare.[Truncated]" 26573 7/1/06 2:29 PM NM "* Affordable with a single payer and a single payment, ie health tax, tack it to income tax or a vat tax, or petroleum tax that would hit all for their fair share, employers and employees and unemployed, with continuing coverage like medicare.[Truncated]" exactly Also some protection from suit for hospitals and health care professionals Let a division of the government be responsible for paying all the bills for health care and a group to help set rates. "* Yes this kind of care for everyone, either with deductibles or without deductibles. Inter-grate all these into one and benefits should equal what they get. That means all would receive all health care at no fee.[Truncated]" "All this should be included in health care, how it is charged for as it is now- no charge to the dying." Medical care should be a right of America not a privilege Other countries do it why no us. "* Affordable with a single payer and a single payment, ie health tax, tack it to income tax or a vat tax, or petroleum tax that would hit all for their fair share, employers and employees and unemployed, with continuing coverage like medicare.[Truncated]" 26574 7/1/06 2:45 PM IL Universal Health Care paid for by the government. * Many American's are working and can not afford to put money into saving's accounts or have extra for health care. ANd their employers do not offer any health care to them either. I know working couples that just manager to feed and paid the[Truncated] 26576 7/1/06 3:16 PM TX I believe in this statement.All U.S.citizens should have health care services to ensure their well being. A national public program should be expanded. Not to get tied down by goverment infrastucture. See Above ! New revenues should not include changing the core of social security or any savings plan. 26579 7/1/06 4:01 PM CA * I heartily agree that all Americans should have affordable healthcare but this doesn't sound like the Universal Coverage Single-party Payer system that we need to eliminate the huge amount of waste that goes into the insurance industry!!! We[Truncated] * This sounds like a sound recommendation as long as the private part of the independent task force doesn't include health insurance middle-men!!!![Truncated] "* Yes, guarantee financial protection against very high health costs but do it through a PUBLIC NATIONAL PROGRAM - not another private scheme for middle-men to get rich!!! Health care is a right not a privilege!![Truncated]" * We need puclicly funded community networks of health providers - let the private groups sell supplemental coverage to the rich. The rest of us just want the government to serve the needs of all of us by having puclic universal healthcare wit[Truncated] "* Yes, it is much more cost-effective to allow people to have the financial support and services to stay in their own homes. It is also much better for quality of life of the people needing services. [Truncated]" * Please listen - we need publicly funded universal healthcare with the government as the single-party payer. This is the only way to really finance coverage for everyone and eliminate middle-men insurers who take about 1/3 of all of our healt[Truncated] "* Again, this doesn't go far enough. The research I have read says that we can pay for Universal Coverage by the savings of eliminating private health insurance and having Government run Single-Party Payer Insurance. We waste about 30 cents o[Truncated]" 26581 7/1/06 4:38 PM FL * All Americans should have access to health care services. Individuals with chronic diseases should not be excluded or expected to pay higher rates.[Truncated] * Excellent recommendation as many people with chronic diseases are finding it hard to pay the high payments for maintenance drugs just to stay alive.[Truncated] 26584 7/1/06 5:30 PM SC * Universal healthcare is good for the US economy. Taking this expense away from employers will help us compete in the world market. GM wouldn't have problems if it wasn't for healthcare costs.This would help small business also.[Truncated] This is the biggest cause of bankruptcy. Your plan sounds good to me. * If we looked after our own people instead of trying to be an empiore we could easily take on this cost.Our priorities are all wrong.Stop subsidsing foreigners and look after our own people. The billons wasted in handouts to foreign nations is[Truncated] 26586 7/1/06 5:40 PM TX * How can our taxes pay for protection against other countries but not against diseases and ailments directly threatening our health and lives every day? The lack of access to health care diminishes our productivity as a society. If we all ha[Truncated] Mental health IS physical health as it greatly affects our ability to function in the world. "* I wonder if our representatives in Congress have ever experienced poverty or being uninsured or underinsured. Republican or Democrat, if we do not have jobs with excellent benefits, which is probably most of us, then we are insecure in regar[Truncated]" * I have a friend from an underserved rural area. She actually became a nurse but because of past experiences battles drug abuse and depression. I wish she would have access to mental health care to help her overcome her mental health problem[Truncated] "* Health promotion would be necessary because of the poor health practices of many people, especially the low-income and less educated. Many of these people use large amounts of resources by overcrowding emergency rooms with preventable diseas[Truncated]" "* As a college student, my European friends were shocked when hearing me express concern over getting a job that provides health insurance. Many jobs need to be filled in this country and they do not all provide health care. Are these workers [Truncated]" "* I would be happy to pay more taxes and know that I, my mother, and the rest of the uninsured or the insured whose insurance won't pay for their needs would be able to access health care. [Truncated]" 26587 7/1/06 5:42 PM WA IN A COUNTRY SO RICH IN CAPITAL AND RESOURCES IT IS A DISGRACE NOT TO PROVIDE EVEN BASIC HEALTH CARE TO PEOPLE IN NEED. I THINK WE SHOULD USE THE I.R.S. TO EQUITABLY COLLECT FUNDING AND USE MEDICARE TO IMPLEMENT BASIC HEALTH CARE FOR THE NEEDY. 26588 7/1/06 6:36 PM WA I agree. Health care is not a luxury item. "Prevention and early detection provide the least expense and best quality in the long run, even in the no-so-long run." This is the only humane way to go. It is also important that remote areas and low-population areas have accessible coverage. Let's not have anything like the Medicare Part D boondoggle! "Negotiating prices for drugs and services is essential. Revenue should include a consideration of ability to pay." 26589 7/1/06 6:58 PM FL Nationalize health care. Nationalize health care. Nationalize health care. Nationalize health care. Nationalize health care. Nationalize health care. Nationalize health care. Nationalize health care. 26591 7/1/06 8:43 PM AR "* I am in complete agreement with these recommendations. All Americans without regard to race, gender, national origin, social standing, and the like must have reasonable access to quality health care. [Truncated]" 26594 7/1/06 10:01 PM PA "* My husband Edwin and I, and our son Walter agree with Recommendation 1. We have seen too many instances in our our families where affordable would have made a huge difference--even life and death decisions have been made just because of high[Truncated]" "* It is important that politics and lobbyists do not imfluence this process. This must be done for the good of everyone in the country, old and young.[Truncated]" Take the best points of programs used in other countries and expand and improve upon them. "* We agree. Once again, in our own families, we have seen people die of cancer and lose everything in the process. Presently, Karen's aunt Joyce has Altzheimer's and the family is auctioning off her home and possessions, facing nursing home c[Truncated]" "* The Health insurance problems is probably, if not THE most important problem for our citizens, then one of the most important. it is something most people actually worry about even in their thirties and forties. It is ludicrous to assume th[Truncated]" * We need to do whatever it takes to solve this problem. Most people will understand that measures will have to be taken to set a workable system up.[Truncated] 26595 7/1/06 10:03 PM FL I can agree with this. "* Certain people should be barred from participating in this endeavor. Anyone who is working for or at the behest of an insurance enterprise, drug company, medical device manufacturer, hospital or clinic operator or who otherwise has any finan[Truncated]" "* Private should be off the table from the very start. Profit making organizations are dedicated to making the largest possible profit, while any other considerations are distant second or third order priorities. The intersection of capitalis[Truncated]" "* It's very simple: People have a health care ""budget"". Let them seek the services that they need at the providers that they choose, and the facilities will arise or migrate to meet the need. If you let market forces actually work, without ma[Truncated]" "* Quality of care and efficiency will be enforced by consumer choice. Care providers will implement whatever record keeping technologies they need. A system should be implemented, however, that allows the patient to carry his/her records wi[Truncated]" Simply include these services in the core set. "* Insurance companies are an inefficient, parasitic middleman in the care delivery system. If people have a government implemented care system, paid for by taxation, and without any financial or other incentives to limit care, most of the prob[Truncated]" "* A state of the art comprehensive health care system could be provided at existing taxing levels simply by our not pissing away half of all our tax revenues on a bloated, wasteful military/industrial complex perpetuated by campaign funding, lo[Truncated]" 26596 7/1/06 10:04 PM CA "* You people are really sad. It is a ""no brainer"" to everyone except organizations such as you together with our corrupt lawmakers and the corporations with whom they are in bed, that we all should have the right to basic national health care,[Truncated]" "* You people are really sad. It is a ""no brainer"" to everyone except organizations such as you together with our corrupt lawmakers and the corporations with whom they are in bed, that we all should have the right to basic national health care,[Truncated]" 26599 7/1/06 10:50 PM MI Everyone should have access to high-quality health care. Financial assistance should be available to those who need it. "Health should be defined to include physical, mental, dental, and vision health." I think a person's right to die should be spelled out! * Place much greater emphasis on prevention and healthy living. That's the best way to keep costs low and support longer independent living.[Truncated] "* A progressive-scaled tax should be used to pay for it, and there should be no cap on income level that is taxed. The wealthy, who have greater assets for their own optional care, should not be excused from participating in assisting those who[Truncated]" 26600 7/1/06 11:51 PM WV * It is past time for all working Americans to have health care for themselves and thier families. We are the only industrialized country without it and it is past due. The time for it is NOW!!!!!![Truncated] "* This problem has been studied enough, it is time to act. Everyone knows the right thing to do, and that is to force the freeloading corporations to provide health care for thier employees. [Truncated]" "* The congress has stripped average Americans of thier protection against high medical expense through thier so-called bankruptcy reform, but they were sure to leave intact the option of bankruptcy for corporations to escape thier responsibilit[Truncated]" "* The multi- national corporations have such a hold on this congress and the executive branch, that no person could believe that real health coverage for all Americans is possible. [Truncated]" * All employeers should pay thier fair share of the cost. It is not fair that some employers are at a disadvantage because they provide good health care and other employers are freeloading on the system and are the problem. this country can not[Truncated] 26605 7/2/06 4:16 AM OH "* I agree that all should get affordable healthcare, but I believe that we must tie health care to high risk behaviors like smoking.[Truncated]" "* Wellness care should be most highly emphasized, but this administration has, I believe, made it easier for health care providers to eliminate these programs. Health care should be through the most effecient providers. We should not pay for [Truncated]" "* With our current federal government it doesn't matter what is suggested. If Bush and his cronies don't profit from this, it isn't going anywhere.[Truncated]" * There can be no elimination of fraud and waste without lengthy prison sentences for those who commit fraud but who also happen to donate most generously to political campaigning.[Truncated] * There must be some limit on the amount of health care resources that will be provided for the terminally ill. Far to much money is wasted on individuals who gain nothing but afford hospitals the opportunity to squeeze profits from expensive e[Truncated] "* I'm all for the above recommendations, but I don't believe that suggestions like these can make any impact on those in federal and other government. Better that clearly described and well thought plans should be brought to the attention of th[Truncated]" "* I think that the sin taxes should be tied to health robbing substances like cigarettes and fast-food. I do not drink and so I do not have a personal interest in alcohol related tax, but I do not think that it should be raised unless a clear r[Truncated]" 26607 7/2/06 5:21 AM GA * Care should be taken to present realistic a income/eligibility ratio. Current income limits are unrealistic and sexist. Men have fewer eligibilities than women; the income cut off for help is around 20K. For a parent with one or more child[Truncated] * This MUST be a public program. The major cause of bankruptcy is unmanageable medical bills. Why should the rich be the only people who can afford an illness?[Truncated] Medicare has worked very well. A National Health Care plan should be modeled on Medicare and funded appropriately. "* 45 million Americans with basically no access to health care because of cost is shameful. No one in this country should go without treatment of chronic disease or basic health care. This ""program"" ultimately costs our health care system an [Truncated]" * A reasonable system simply has a minimum contribution from each citizen. It should be handled in the same way that Social Security is: a payroll deduction. Spreading the cost over the entire population will create a system that works. NO [Truncated] 26611 7/2/06 9:19 AM MI "* There should be choices, not all can be acceptable, however, health care is in crisis. The need for a fair program would relieve finacial pressures from employers and the people. I have my doubts that corporate America would be willing to sha[Truncated]" "* To force individuals into programs w/out some fair choices is un-American. ""All men are created equal"", certainly some have more than others. A fair system would be a good system, put some unity back in the country.[Truncated]" 26612 7/2/06 9:25 AM MN "* No, we don't need it. This is already in place and doesn't need more. If more people would stop smoking and drinking and excercise regularly they not only wouldn't need this added benefit but wold have more money to eat healthier. [Truncated]" "* Yes, spend money on educating people as to the evil of current unhealhy practices. Reserach has proven that sugar paralyzes white blood cells (t-helper cells) that fight infection. So for a cold and flu what do people drink? high fructose fru[Truncated]" * There is already protection for this. I don't want to pay for someones health care so they can leave their house and money to their children[Truncated] Good idea...do it without funding everyone's health care. * I think these are already in good position and do these things. It wold be a waste of money. You can't legislate this kind of thing anymore than it is and get results[Truncated] They already have very good acess to this. Where are you coming from. I see it available to who ever needs it. "Not a good idea. People need to quit spending money on tobacco, alcohol and eat halthier" 26613 7/2/06 9:29 AM CT "* In the Preamble of our U.S.Constitution, it states that ""We the people in order to form a more perfect Union, Establish justice, ....promote the general Welfare..."". It is a moral right to have access to affordable health care and a moral obl[Truncated]" "* Consider some genetic testing to be included with core benefits; identifying genetic problems can prevent more costly health problems. Also consider eye and dental care--these are basic needs too![Truncated]" "* We need a national health care system; some people are self-employed, are part-time workers, or may not be able to afford health care premiums at today's rates. No citizen should feel that taking care of their basic health needs will impoveri[Truncated]" "* Develop a standardize, electronic system to coordinate total health care. Look at the military for another example of how to do this. Promote mobile units to go to areas where older people live and where they cannot easily use transportation[Truncated]" "* Standardize forms and documentation; purchase medication in bulk; promote and replicate and centralize consumer health tools such as the VA, My healthy Vet tool (also suggest expanding the functions and making this tool more robust). [Truncated]" "* Look at ""Best Practices"" and take the lessons learned to develop a new national health care model. Some models worth examining to replicate on a national level: VA medical care (to include bulk perscription purchases and electronic records/da[Truncated]" 26616 7/2/06 10:39 AM MA "There should be single-payer, government health insurance for all US residents." "* There should be single-payer, government health insurance for all US residents. It should be funded from government general tax revenues.[Truncated]" 26617 7/2/06 11:02 AM MI "* To save the system money, I'd like to see most doctor visits performed in a doctors office, not in the emergency room or at Ready-Care. People without insurance often are without a family doctor, and so ALL doctor visits are taken to the eme[Truncated]" "* I see too much regulation going on, which is costly. Are you seriously saying that people would seek out some type of health care that isn't needed? Do you know anyone who would ask for surgery that they didn't need? I think we should pay [Truncated]" "* I am appalled at our current bankrupcy standards that make no exceptions for medical care. I have two friends that have lost everything because of serious medical problems, and still haven't come close to paying all the medical bills. And, [Truncated]" "* Once again, I see the national bill for this health care growing by three or four times what the original cost would be because of over regulation. This sounds like a whole lot of coordinating, developing, expanding, identifying, and very li[Truncated]" "* The only thing I know about the Veteran's Health Administration is that all veterans that I know agree that they will kill you if you go there. The quality of their care is abysmal. Hopefully, that isn't the standard of care that we are aim[Truncated]" "* Hospice has done a wonderful job of providing end-of-life services. I have seen personally how well they do the job, and have heard from others that their experience was as positivie as mine. Why not let Hospice lead the way in how we, as a[Truncated]" Please don't kill this wonderful idea with too much government regulation. "* I am adamently opposed to ""sin taxes"" such as cigarette or liquor usage; we base our national health care system on the presumption that a certain number of Americans will endanger their own lives to pay for health care for the rest of us? I[Truncated]" 26620 7/2/06 11:36 AM MI * A nation that readily spends billions to promote democracy in foreign countries should be able to muster the resources to care for it's own citizens.[Truncated] * I would think that a deductible clause based on one's financial ability to pay should be factored into any coverage for serious illness.[Truncated] * The greatest challenge in creating a national health care system will not be that of financing the system. The greatest challenge will be to prevent the bureaucracy from draining away the resources. [Truncated] The national taxation system must be revised to comprehend national health care. 26621 7/2/06 11:54 AM WI * I'm so angry about this country's ignorance about mental health. I want there to parity for mental health care including drug and alcohol treatment. The lack of drug and alcohol treatment is tearing our communities apart. There is a mental h[Truncated] and opthalmic * Everyone has to make the sacrafice the insurance industry the hospitals clinics and the providers. We have to move towards PREVENTION. [Truncated] 26623 7/2/06 12:20 PM MN "* We need affordable health care that guarantees high quality care for all people in the country. It really shouldn't be that difficult, because other countries have it already. It may help you to be aware of what Samaritan Ministries is doin[Truncated]" "* Please learn about what Samaritan Ministries is doing, and consider instituting something similar for everyone. However I recommend that you not have the requirement that people regularly participate in a local church, because I know people [Truncated]" 26624 7/2/06 12:22 PM OH "* Insurance costs are too high for a middle class, working family too afford without either their employer, the state, or the country helping to allay those costs. People should not have to choose between food or the doctor.[Truncated]" "* Core benefits should include all necessary treatments and prevention, not withstanding mental, vision, and dental care. ""Lifestyle"" prescriptions and evaluations, such as erectile dysfunction medications, should not be allowed unless there is[Truncated]" Medical costs should not be allowed to bankrupt anyone. * Access to health care in rural and impoverished areas needs to be one of the top priorities of any plan to expand health care coverage.[Truncated] "* Any entity commiting fraud in these areas should know that they will be prosecuted and, in found guily, punished with more than a ""slap on the wrist"" approach. Health education and preventative care programs need drastic expansion.[Truncated]" "* Business does not pay nearly enough, but it's hard for small buisinesses to offer health insurance because of increasingly absurdly high costs from insurance. The latter should be limited on how often and how much they can raise rates. The sm[Truncated]" 26625 7/2/06 12:32 PM MO "* I totally agree. I don't know how people can ""pull themselves up by their own bootstraps"" if they have health problems and can't access healthcare.[Truncated]" "* I agree with the statement--especially recognizing that mental health and dental health are integral to physical health. I was impressed with the process Oregon used several years ago, and approve the idea that healthcare should be rationed [Truncated]" "* I agree but don't think this statement goes far enough. It sounds like catastrophic coverage, and I think that basic healthcare is at least as important as catastropic. I think the core services and financing recommendations above make this s[Truncated]" * Absolutely. A single payer system would accomplish this more easily than trying to integrate a system with the current melange of payers.[Truncated] "* Again, a single payer would help accomplish this. My career was in mental health. When we became involved with the Medicaid system, our paperwork and administrative costs mushroomed. We will never have a standardized electronic paperwork sy[Truncated]" "* I have cared for my mother and father thru their end-of-life illnesses, and I can't imagine how people could cope without family members to help. And I watched as my mother was virtually forced to have surgery that only extended her life a fe[Truncated]" "As I said a couple of times above, I strongly support a SINGLE PAYER SYSTEM, for all the reasons I've stated above." "* I am willing to pay higher taxes, but I also recommend that we adopt a single healthcare funding system--like Medicare. Too much of our current healthcare resources are being spent on multiple insurance systems administration and profits. A s[Truncated]" 26626 7/2/06 12:33 PM CA * We lag behind other developed countries in health care dispite having the most expensive health care in the world. It is a crime that 46 million Americans don't have health care.[Truncated] * Get the pharmasudical companies out of the driver's seat. They are pillaging and reaping in enormous profits pushing pills on everyone.[Truncated] Take the profit out of health care. It is a right and should be universally available. We need a universal health care system like the one (SB 840) going thru the California legislature. 26627 7/2/06 12:46 PM CA * health care is not a privilege reserved just for the rich.....more than 80% of famexpectation of good healthcare thru their daily contributions to this country ... the rich and damn near rich steal from the poor everyday and then get the be[Truncated] * let the rich pay their fair share based on a standard percentage ..... let's say 1% of everyone salary should go to healthcare for the next 10 years ....[Truncated] 26629 7/2/06 1:04 PM IN "* I agree. I have three children who are 30,27, and 25. They need affordable health care. They all work but the pay is between mimunum wages and eleven dollars an hour. They cannot afford to continue to pay high premiums for limited coverage. T[Truncated]" * Do not allow the insurance companies to dictate health coverage for their patients. They are not doctors and the bpttom line with trhese companies is the cost. They want to force us to use inferior drugs and do without needed treatments. The [Truncated] I agree. Read comments on recommendation 2. I agree I agree I agree * Continue to strive for universal health care coverage for all Americans. A country should take care of its own citizens before spending money on everything (war) and everyone else. [Truncated] "* I am uncertain how this program should be funded but I believe it should be fair and the cost distributed among all economic lines. Do not place the burden on the already over taxed lower middle income families. Often, these people make ""too [Truncated]" 26634 7/2/06 2:06 PM OH "* As a society of freedom loving people, we must insure that all members of our society have health care so no matter what their financial situation they do not have to go without medical care for their physical and mental conditions. Far too[Truncated]" * The independent non-partisan private-public group must be accountable to the public. Their recommendations need to be communicated in a manner that the public has an opportunity to comment before changes are implemented. Information on what [Truncated] * The national program to guarantee financial protection against very high health care costs so no one is impoverished should not just be through private funding sources. [Truncated] "* When community networks for health care are developed, they need to include systems in the community that currently exists, such as Alcohol, Drug, and Mental Health Services Boards and agencies, so duplication and bureaucry are minimized. [Truncated]" "* Recognizing best practices and lessons learned from existing programs such as Medicare, etc. and implementing them into a National Program of Health Care makes a lot of common sense. It will be extremely important to follow through in such a[Truncated]" "* There needs to be improvements in the way palliative care, hospice care and other end-of-life services are financed and provided. There needs to be more support and finances available to allow people to continue living in their own homes lon[Truncated]" "* Health care consumers need to have better information readily available so they can compare physicians, clinics, hospitals, specialists, hospitals, nursing homes, etc. when making choices of service providers. There should be minimal interfe[Truncated]" * The availability of comprehensive Health Care must be a shared responsibility across our entire society. The financing of Health Care must be fair for all income levels. Along with efficiency improvements mentioned must be an increase in the[Truncated] 26635 7/2/06 2:25 PM AZ I strongly affirm this recommendation 26636 7/2/06 2:27 PM OR * There needs to be a shift in how medicine is practiced. Prevention is cheaper than curing illness. We should so more to educate the public on the importance of healthy lifestyles. Preventing chronic illness like diabetes will save billions[Truncated] "* States should be able to negotiate low cost purchasing programs with our drug companies. If our drug companies won't cooperate, states should be able to bulk purchase from Canada. Also consider collaboring with the Archimedes Movement, a g[Truncated]" "Practioners, insurance and drug companies, individuals all must change their focus from profit to promoting health." Public education and health promotion needs to be emphasized at all levels of government. Amen to all the above. "* I agree that increasing ""sin taxes"" is one of the things we must do. People must understand that if they choose to gamble with their health by smoking and drinking excessively, they will pay more for their health insurance. [Truncated]" 26638 7/2/06 2:59 PM FL "* I agree. We are one of the few industrialized nations whose government does not provide health care security to all its citizens. Health care is a form of security, and it is definitely a function of our government to provide health security[Truncated]" "* Many other nations who care about the security of their citizens have been able to define core benefits in a satisfactory manner. The recommendation is reasonable, in that it would cover services that most Americans would agree would provide[Truncated]" * This would be an unnecessary concern under a properly managed universal health care security plan that covers all Americans. It certainly is a huge concern under the current haphazard means of coverage. [Truncated] "* It was this rivalry among geographic areas, as well as public and private interests in the health care arena that torpedoed earlier efforts to provide Americans with health care security. I do not think our government can pussy-foot around b[Truncated]" See comment on 4 above. Good idea--many do not understand the very real need for these services. "* Studies have shown that the elimination of insurance companies from provision of health care services will save on the costs of administration. In the area of health care, the competition model does not reduce consumer costs. That is becaus[Truncated]" 26639 7/2/06 3:02 PM OR We lose too many lives through lack of access to healthcare in this wealthy country! 26640 7/2/06 3:48 PM FL "* This set of core health core services should be gender-free and religion-free. Birth-control services should be available to men and to women also. If Viagra is available to men, sex enhancement pills should be available to women AND birth [Truncated]" * I would like to see an equal distribution of the 3 groups with the providers (who are most likely to be the split voters) are unbiased toward the payers as possible.[Truncated] "* Maximize the use of qualified nurse practitioners in these networks and increase the amount of federal funding to educate them. Increase high-speed networked computer access to rural and underserved areas so that, if a doctor or specialist i[Truncated]" "* I live in Naples, Florida, and have helped 3 people to die through Hospice. This RECOMMENDATION is sorely needed to be implemented throughout the country. I hope when I am ready to die, many more professionals will be available in the count[Truncated]" Thank you for offering this opportunity!!! "* I feel that the present system works unfairly against the retired middle-class. I have worked very hard since I was 13, often at 2 jobs at once. My husband died at age 47, and I continued working. Now, I am retired with sufficient money th[Truncated]" 26641 7/2/06 4:08 PM IL "* Until we are all in said shoes, we'll speak differnt words.With hope we would possibly be a greater community of wishfulness, nobody wants to have less, but possibly with inclussion we can care for the humble with our good intensions and our [Truncated]" 26645 7/2/06 6:13 PM CO I couldn't agree more. Excellent recommendation THis is perhaps the most important recommendation. * I think every individual must take more responsibility for their state of health. We have an epidemic of obese and sedentary people who unfairly burden the system with illnesses directly relating to their poor eating and exercise habits. We[Truncated] Ok as an interim fix. 26647 7/2/06 6:23 PM CA "Yes, every advanced country in the world except ours already offers this sort of health care, or better." "I think preventive care is especially important. And mental health as well as physical health MUST be covered." * Some high percentage of individual bankruptcy is caused by huge medical bills. We have to prevent that happening in the future--especially if congress is determined to take bankruptcy protection for residents. [Truncated] "* Incentives may be given for health care professionals to work in underserved areas. Everyone deserves QUALITY health care. I'm not as sure about the private part of public-private, how that works. [Truncated]" "* Savings should be able to occur just by getting the overpaid CEO's of PPO and HMO type organizations out of the picture. Government should have some control over how much individuals in the ""private"" part of this equation are paid. [Truncated]" "* ""Have those choices honored"" is especially important. In my reading, I understand that women's wishes are often not honored in end-of-life choices, if they aren't what the medical establishment wishes to happen. [Truncated]" "* I strongly support universal single-payer health care for our country. It's shameful that we in our misguided attempt at ""individual freedom"" have neglected to provide for our own people. Health care is as essential as food, water, housing. L[Truncated]" "* It's true that this will take diligent planning but there IS a way to provide financing. We've seen it with Medicare, and it can be worked out for the rest of our people. We need both political parties backing this proposal so that they aren'[Truncated]" 26648 7/2/06 6:24 PM GA * I think that if people that really need health care that it all should affordable. Which means to me that they shouldn't have to pay millions of dollars a year just to get like some cough syrup and something. I went to the store to get someth[Truncated] 26649 7/2/06 6:24 PM OR * An ounce of prevention IS worth a pound of cure. Non judgmental education processes would almost certainly increase good health practices.[Truncated] "* This is often seen as relating primarily to elderly and poor people, but working families all face this potential disaster every day. To fix it would be wonderful.[Truncated]" "* This sounds as if it might lead to another bloated, inefficient government department, but I don't have a better idea. I support the concept.[Truncated]" Favorable * I support the notion that those of us who have health care should be willing to pay a little more to help provide it for those who don't. Aditional income tax or a surcharge on health insurance premiums might work. A small amount on EVERYON[Truncated] 26650 7/2/06 6:28 PM PA "* National Health Care should be a priority. This cannot be truly accomplished within the Insurance System. It must be its own project, outside of the for-profit arena. [Truncated]" "* Experts must be checked against conflict of interest, i.e. an ""expert"" on the payroll of a pharma-industry is doing double duty and should be excused because of it.[Truncated]" "* I would like to see community support for new families based on this system: http://www.plunket.org.nz/ which is known to be amazingly successful for the health, safety and well-being of both children and their parents. [Truncated]" * Health Care that addresses prevention will add value almost immediately. Free Health Care for children will reap the biggest benefits both immediately and in the long run. Cost savings from alternative and preventative measures must be includ[Truncated] 26651 7/2/06 7:23 PM NJ "* It is ironic that huge sums are being spent on elective (cosmetic) surgeries and procedures, while many cannot afford the most basic treatment or preventive care.[Truncated]" "The smaller the group, the more likely that timely action will occur." "* This should definitely be an option for those who choose to seek such insurance. There are already many remedies for the poor, but middle-class citizens can be wiped out financially by a major health crisis.[Truncated]" "* With a national health insurance program, there would not be anyone unable to receive appropriate treatment for ailments and injuries.[Truncated]" * The greatest areas of fraud involve those using national programs such as medicare and medicaid. The providers should be thoroughly and agressively audited for fraudent billing.[Truncated] The aptients should be allowed to have dignity and attentive care in their last days. * There is already enough money spent on health-care in America. The truth is that much money is mis-spent. A redirection of asset allocation and treatment review would be most helpful.[Truncated] "* The health-care providers should be more concerned with basic health care, not with areas such as erectile dysfunction and infertility, which are being paid for by insurers.[Truncated]" 26652 7/2/06 7:47 PM CO * I want health care for all American citizens without having to worry about being pushed aside because a person actually has something wrong with him or her.[Truncated] We should keep our money in America and only support those countries who support us. 26655 7/2/06 8:26 PM MI * This should be among the first things including our enviroment that our Congress works on at EVERY MEETING! WITHOUT OUR HEALTH AND A CLEAN ENVIROMENT WHAT ELSE DO WE HAVE? AN UNCORRUPT AND INTELLIGENT CONGRESS WOULD WANT THIS FOR AMERICA!!!!![Truncated] 26661 7/2/06 10:05 PM MI "* As Americans, we should provide for the complete needs of our own first. Recommendation 1 will go a long way to accomplish this task.[Truncated]" Great! We need to make a workable program that covers all who have no insurance now. "* Exporting well paying manufacturing jobs that covered health costs for many and providing tax breaks that kill funding for social programs does not help, in my opinion.[Truncated]" 26666 7/2/06 11:42 PM GA * It should be a matter of shame and disgrace that the USA is the only major industrial nation without guaranteed health care for its citizens.[Truncated] "* I don't believe you can find any ""non-partisan"" PRIVATE group members to participate in this process. All private providers in every segment of the health care system have a bottom-line of profit that supercedes the well-being of our citizen[Truncated]" "* Again, private providers have a for-profit agenda which is incompatible with the actual provision of health care being the number one consideration. There is a big difference in health CARE and health COVERAGE.[Truncated]" "* If we had true progressive taxation, without loopholes through which corporations and the super-wealthy can avoid being taxed like the rest of us, along with reduction in milatary wasteful spending, we could afford to take care of our citizen[Truncated]" 26669 7/3/06 12:33 AM OH "* as with local free clinics, the can be a system set up that will allow a level of payment that is commensurate with your degree of income.[Truncated]" "Quite a few countries have socialized medicine, where everyone has the same level of care. Why can't we?" * doctors and hospitals have become the extreme wealthy of our nation; only second to the insurance companies. Look at all the large buildings in your local area that are the newest and most decorated-I bet you will see an insurance office.[Truncated] 26670 7/3/06 3:14 AM AZ * Absolutely! So many people have no safety net. And so many people stay in jobs they don't want to be in simply because they need the employer-provided health insurance. It is criminal to have so many people left out of the current health-care[Truncated] Thank you so much for including end-of-life concerns in your recommendations. This truly is crucial! "* Thank you very much for the work you have done, particularly for involving the public throughout the process. That is the only way we'll ever get the kind of health-care coverage you have described here.[Truncated]" 26674 7/3/06 8:26 AM MI * This needs to be addressed immediately and no studies need to be taken. We already know what the problem is Now Solve Health Care for everyone![Truncated] 26678 7/3/06 8:54 AM NC I AGREE. I AGREE. "I AGREE. ALSO, AMERICANS MUST HAVE LEGAL CITIZENSHIP!" I AGREE. I AGREE. I AGREE. I AGREE. 26680 7/3/06 9:14 AM NC A healthy nation is a strong nation! The economy would benefit from having healthy citizens. "People should not have to choose between living a subpar life with sickness, or dying because they could not afford healthcare." "* Sickly people are a drain on the economy. Resources that could go into more productive, proactive good for the nation now go into medical emergencies that could have been prevented.[Truncated]" 26681 7/3/06 9:26 AM MT This is the least that the richest nation on earth should ensure for her citizens. "Again, this constitues the minimum reequired for a civilized society." Necessary This is a forward thinking proposal that will help foster quality health care with modest expense. Good "Once again, the civilized minimum." Correct 26685 7/3/06 11:49 AM NY * As President of a Local Union and a negotiator with Employers I see year after year that health and welfare issues are negatively impacting our ability to keep our working members' wages in step with inflation. Most of our bargaining is now [Truncated] "* This public-private group must be a standing commission which will include members of many ECONOMIC GROUPS, not only educated and wealthy individuals. Communication with the public on the consideration of issues and on their resolutions must[Truncated]" * National (or international with partners in other nations) insurance plan for families with employer and individual input. Coverage for two-worker or three-worker families will reduce annual cost.[Truncated] "* Please, please please minimize the bureaucracy. Recommendation 2 sets a commission of varied participants which will bring a viewpoint to this type of public service. That commission should be the advisory group discussed in this recommenda[Truncated]" "* Public exposure and prosecution and punishment of medical fraud must be paramount in strategic implementation. Once indicted, the public must be advised of their identities through whatever information services are available to guide that pu[Truncated]" I cannot agree more fully. "* While we see the health care system's inability to serve the public need as a financial one, shoveling dollars at the problem will solve limited problems for a short time period. Any true solution must involve consideration of the ""social co[Truncated]" "* ""Health Care that Works"" also places responsibility upon health care providers, and that includes not only front-line providers but also the huge conglomerates that own the patents and trade marks for todays technology and pharmacology. A ""r[Truncated]" 26686 7/3/06 11:51 AM MO basic services should be free i agree but would include eye glasses i agree "i agree, with education offsets that would include mandatoru rural committment of at least 2 years" i agree * i agree with provisions to provide family income of at least one direct relative or a rotation of direct relatives so that a family member can be there during the death expierence and a guarentee of job security for returning to work after th[Truncated] we are the richest country in the world and it is a shame not to use our wealth in the pursuit of compassion i agree 26687 7/3/06 12:01 PM NY "* Justice requires that a democratic society provide health care for all. Enabling our work force to be more productive will benefit all segments of society. [Truncated]" * Identify specific populations or areas where the incidence of illness mong infants and children is greatest. Begin by providing core benefits in such places. [Truncated] * The percentage of americans with high incomes has increased measurably. Financial protection should be provided on the basis of income[Truncated] This proposal is highly creditable. Reduction of fraud and waste in the Federal drug Administration I support restructuring and improving end-of-life care * I would be willing to pay a contribution to a fund dedicated to reporting and disseminating unbiased health information. I would support a surcharge on liquor and cigarettes.[Truncated] 26688 7/3/06 12:04 PM AZ "* After reading your ""Interim Recommendations"", I am optimistic that Congress will take this information and commit to a bi-partisan process between political parties, business, government agencies, health care experts, financial experts and mo[Truncated]" 26689 7/3/06 12:23 PM AL AMERICA SHOULD LEED THE WORLD IN HEALTH CARE FOR IT CITIZENS IF WE CAN SPEND BILLIONS ON WAR WE SHOULD BE ABLE TO SPEND MUCH MORE FOR HEALTH CARE. 26694 7/3/06 12:42 PM OH Health care should be affordable and poor should not suffer with poorer quality health care. As long as the decision is based on need and not on cost or profits. Enough said. * Make prescription drugs affordable for all and make research for new drugs based on diseases and not on profits. We see a lot of drugs for erectile dysfunction and baldness because the profits are there. Also regulate drug companies to work[Truncated] "* Those who pose a greater risk for health problems that they have control over, such as smokers, should pay more. The cost of increased risk should not be borne by all.[Truncated]" 26696 7/3/06 2:08 PM CA "* If this is how it has to be done in order to accommodate the biases of Republicans, so be it, but I would prefer a single-payer system that emiminates all the insurance middlemen. What a waste of money![Truncated]" "* I'm happy to see concern for preventive care. I'm concerned about the expression ""evidence-based science"" because conflicting studies could result in decision paralysis as well as a failure to provide choice in ALTERNATIVE healthcare approac[Truncated]" "* Good idea, but does this address limiting the high cost, rather than just paying whatever exorbitant charges the medical system comes up with? There should be a limit on how much is charged in the first place. There needs to be some rationa[Truncated]" "* With a single-payer system, you wouldn't have to make any special identification. If a person needed medical help, he/she would get it -- end of story. You are proposing a costly bureaucracy and probably doomed effort that would be unnecess[Truncated]" All this sounds great. How it would be implemented remains to be seen. "* As long as this includes the option of assisted living AT HOME (which is cheaper than institutionalized living but currently NOT an option under Medicare), the ideas sound good.[Truncated]" "* It deeply saddens me that we have to go through this song and dance to satisfy the died-in-the-wool, inflexible capitalists among us. It would all be SO much simpler with a single-payer system. Surely we can learn from countries that have o[Truncated]" The greatest efficiency would be to cut out all the insurance companies! 26702 7/3/06 5:57 PM NY "* “PROMOTE THE GENERAL WELFARE” Single payer is the way to go, it saves money for all except the middleman. Proof is easy to find for those who care to look.[Truncated]" Same as above. Ignoring the simple truth makes all this a farse. 26703 7/3/06 6:13 PM IN I support single-payer universal health care. I support single-payer universal health care. I support single-payer universal health care. I support single-payer universal health care. I support single-payer universal health care. I support single-payer universal health care. "For now, just thanks!" "* I support single-payer universal health care. I believe that the U.S. could have better health care--and have it for everyone--for what we now spend on health care, if we stopped looking after the short-term economic interests of executives [Truncated]" 26706 7/3/06 7:00 PM CO "Thank You," "Thank You," Yes! 26707 7/3/06 7:41 PM PA "* I feel we should always take care of our own first. We are always sending aid overseas to help out which is fine. However, we have Americans in our homeland who need help also. Let us help them first.[Truncated]" * Make sure everyone has access to a doctor. Do not make it obvious who is getting the financial help so as they aren't looked down upon by the medical field.[Truncated] Put limits on what a doctor can charge. * Crack down on the extortion of prescribition medication and the cost of health care would go down. The drug companies call the shots because they help line the pockets of the politicians. Stop them from having so much influence.[Truncated] 26709 7/3/06 8:02 PM GA "* This is the only recommendation that I feel is really viable. None of the others fixes the health care system. My comments are below. TAKE THE PROFIT OUT OF HEALTH CARE! NO ONE SHOULD BE EARNING A PROFIT ON SOMEONE ELSE's ILLNESSS. QUIT [Truncated]" 26710 7/3/06 8:02 PM OR I agree I agree See comments regarding Financial Statement "* Yes, we need to stop the gouging by rural non-competitor medical institutions. We need a controlled cost system. It should not cost twice as much for Health Care just because a individual lives in a rural location.[Truncated]" "Yes, thanks for answering my comments on Recommendation 4" Yes I agree I appreciate all of the effort and thought that has benn put into these proposed recommendations. "* Yes, we need to stop penalizing employers who provide Health Care by overcharging to pay for individuals who do not have Health Care coverage through employment.[Truncated]" 26711 7/3/06 8:04 PM WA "* All services for all people, no this one and that one exempt. All monies will be collected baised on a persons income, the richer the more you contribute to the plan. No deductable or co-pays,[Truncated]" "* Also Chiropractic care and Acupuncture should be included. All newly brought on line such as scanners, prescription drugs just developed. On the first day they are marketed.[Truncated]" All medical procedures should be covered in their entirety. * By properly funding the care it will not be like the present social plans that are going broke due to lousy management. Fund the process and if it is not working create additional funds.[Truncated] "No insurance forms, time wasted and expenses created, the present method needs to end." Be human to all. "Do it now. No bickering, argueing or political foot draging. All activity should be for the greatest benefit to all." "* Like a flat tax. Plus a tax on every product that comes into this, that is in this country based on value. Luxary items pay an extra tax.[Truncated]" 26715 7/3/06 10:59 PM FL "* Early health care prevents escalation of the condition to a state requiring more time, effort and money to cure. Eg. Vaccinations, tests for diabetes, mammograms, etc. should be available to all for whom they are appropriate.[Truncated]" Dental care is an area largely left out of coverage for many. Vision care should also be included. OK Big job - don't make the paperwork so burdensome that no one has time to provide the medical services! Livng wills need to be honored. "* We have had the benefit of insurance from employers which continues in our retirement, now with Medicare first payer. Without this help we would have been unable to afford care necessary to preserve life.[Truncated]" "* Payment for care for those who can not pay the true cost should not be left to the hospitals and clinics, but shared by all through the government programs.[Truncated]" 26718 7/4/06 2:44 AM IL "* No doctor should be allowed to refuse treatment to someone just because their only coverage is through medicaid. The current system allows most doctors to refuse to treat the poor, leaving only a handful of doctors who will treat them. This[Truncated]" "We the people should receive no more, but no less coverage than the people we hire to work for us-our elected officials!" "* Universal health coverage must become a reality in this country. In the long run, businesses would save money, and the people of this country would be healthier.[Truncated]" Let Social Security handle it. They do a great job with medicare! * Doctors and hospitals hate medicaid. People who have coverage through medicaid are treated like DIRT! Switch this coverage to medicare.[Truncated] "* The only religion that should be considered in end of life decissions is that of the patient, not the doctor, not the hospital, and especially not the patient's senator![Truncated]" Roll back the Bush tax cuts for the wealthy. Increase the Paris Hilton Tax. 26719 7/4/06 5:50 AM AL "* i currently pay $584 for my wifes healthcare, and i pay $175 for my medicare presciption drug plan, this is killing me, and i have to decide everyweek to buy food or buy medicine i need my medicine as i am mentaly ill, but i am still an ameri[Truncated]" it would be nice to have dental insurance as well as health insurance "whatever you have to do, then do it. my family deserves decent and good insurance" 26721 7/4/06 7:10 AM NY "* I feel that all Americans including Congress and the President, should have the same health care benefits after all, they do work for us.[Truncated]" "A lottery should be established to help financing, similar to the New York State Lottery." 26724 7/4/06 9:47 AM NY We can expand the Medicare system to cover all people and children. The same for all recommendations--expand a system already in place--the Medicare system--can cover everyone. "Again, we have a system in place, expand the Medicare system to cover everyone." 26725 7/4/06 10:05 AM NC "* The care mentioned should be wellness/nutrition/lifestyle based as much as possible, and not pharmaceutical based as a presumption. If we want this plan to work we need public campaign financing because, as it is, the insurance and pharmaceut[Truncated]" "* Nutrition oriented patients and physicians should be included in defining core benefits. Again, if the insurance and pharmaceutical industries hold the cards (via our legislators ) then the ""solutions"" will be the same old ""disease"" vs ""welln[Truncated]" "* Why is the middle class always left out? We need financial protection too. Oh, I see ""financial protection for low income indidividuals AND families""? So if you're middle class and SINGLE (a huge demographic) there is no financial protection?[Truncated]" * I already pay too much for my health insurance. Why should we citizens make more of a financial investment when you don't even mention the huge costs incurred via costly administration by hundreds of redundant health insurance companies. Mak[Truncated] 26727 7/4/06 10:32 AM CO * There should be strong oversight and authority to control costs. As we all know increasing the size of the barrel will only increase the size of the scoops dipping into the barrel. Controlling costs does not mean providing less care; it means[Truncated] Some of what I said above... 26728 7/4/06 10:34 AM MO * A city on the hill takes care of everyone's health as well as their happiness. Universal health care is one step toward that goal.[Truncated] 26729 7/4/06 11:30 AM WA "* With 8.6% of the U.S. population self-identifying as limited-English-proficient on the 2000 census, the goal of providing access to care will be unreachable without a coherent national policy on and federal financial support for language acce[Truncated]" "* Again, any package of core health services will remain inaccessible to those 50 million people in the U.S. who speak limited English, unless one of those services includes access to trained, qualified interpreters. There is ample research to [Truncated]" "* The use of trained, qualified interpreters is a fundamental underpinning for any quality assurance program for services being provided to limited-English-proficient patients. I would like to see this recommendation reference the need for qual[Truncated]" * The lack of reference to language access services in this important report represents a signficant limitation to its relevance to almost 10% of the U.S. population. If the commission is interested in following up on these suggestions regardin[Truncated] 26730 7/4/06 11:32 AM KS "* It's a laugh that so many people spent so much time and effort to come up with these completely worthless recommendations. It's really not a laugh, it's sad. Why am I so negative? Because none of the recommendations will work. For examp[Truncated]" 26731 7/4/06 11:36 AM CO "* It has always seemed shameful that the world's most powerful and richest nation has upwards of 40 million citizens without health insurance, and thus, often, without proper healthcare. Recommendation 1 is a step that should have been taken l[Truncated]" YES. "* Yes! When Americans have to choose between paying for healthcare versus feeding their families -- well, there's something dreadfully wrong. [Truncated]" "* Great. One of the ways in which to do this is perhaps to make reimbursements to medical providers realistic and reduce the amount of paperwork (single-payer?). We presently have Medicaid, which supposedly helps to provide health care to som[Truncated]" See above. Yes. "* The main thought which I'd like to share has been interated above under Recommendation 1. We need universal coverage, preferably under a single-payer system that would put more money into health care and less into administrative costs. In a[Truncated]" * One definite means of increasing efficiency and decreasing administrative costs -- to facilitate financing of universal coverage --is to go to a single-payer system. My husband programs for a company that handles medical billing and we daily[Truncated] 26735 7/4/06 12:26 PM PA "* I believe this is a right, not a privilege. It should focus on life-long health practices and illness and injury care when that is necessary.[Truncated]" * The process must be very visible and require citizen feedback frequently so that the plan can evolve around input from experts and recipients. Providers will need to be compensated for care according to compliance with evidence-based practice[Truncated] "* These models are a good beginning. Access to care and equality of care delivery, and the contingent health outcomes, must not be obstructed by a failure of qualifed language assistance, orally and in translation.[Truncated]" "* More education for healthcare providers is needed so that defining patients, including pediatric patients, who would benefit from these services is not delayed by provider discomfort and inexperience. [Truncated]" * Thank you for the opportunity to respond. I would suggest advertising the initiative and the period of public comment more widely.[Truncated] * I believe that individuals who ignore evidence of health risk should bear the costs of care made more expensive and likely by their behaviors.[Truncated] 26740 7/4/06 1:27 PM TX "* By removing the FICA cap, the Social Security system will be financially sound and could HELP provide, say about 60% of the cost, to persons making less than the poverty level of income.[Truncated]" "* Non-partisan group is ok but, the controlling party partisans should have the least number of members to avoid a ""RUBBER"" stamping of the controlling political party. [Truncated]" "* This could be done by protecting 80% of retirement income from being legally ATTACHED. Unfortunately the individuals/families will lose all houses/land and material inheretance, but there has to be a cost. The country cannot give away unlim[Truncated]" no comments. I have no comment. Remove FICA cap to HELP pay for this. Convince Congress to remove the FICA limit and make it the same as MEDAID in that you are taxed on all wages. 26741 7/4/06 1:29 PM HI * I have been an advocate of this for my entire adult life. I believed/hoped that this would become public policy at least 40 years ago.[Truncated] special effort should be made to include individuals with a public health orientation. I support this recommendation no comment "I would probably drop ""Using...Administration"" from this recommendation." Some form of a death with dignity statement would be desirable. * I do not see as much emphasis on prevention/public health model as I would like. Disease reduction rather than treatment is the only solution to our health care crisis.[Truncated] The financing system should include incentives for disease prevention efforts. 26742 7/4/06 1:41 PM MO "Other country's have a base health care plan. Why don't we? " Our citizans deserve to have afordable health care! 26745 7/4/06 2:59 PM IN We should have a health care system for all Americans We need a set of core health care services for all. I agree with the above. I agree. I agree. I agree. I would like to see a National Health Care Program developed for all Americans. I agree with the above statement. 26746 7/4/06 3:10 PM KS * I agree. EVERY American should have excellent health care. It should be funded in such a way that each of us pays as we have the means to pay. And I believe that means we fund it through taxes. [Truncated] "* The ""independent, fair, transparent and scientific process"" must not be liable to be influenced by the politics or the idiology of whatever party or person is in power in the federal administration or congress.[Truncated]" "Yes. Agree. And no ""donut holes"" please, as in Medicare Part D." Agree. Agree. "* Again, end of life issues must not politicized (as they have been in recent years), nor should any one religious viewpoint be allowed to hold the rest of us hostage to its beliefs. [Truncated]" "* Our present political aversion to taxes must stop. There are things that only government can do on our behalf, and those things must be ""pay as you go."" We, the people, must pay for them as the debts are incurred, so that our government wor[Truncated]" "* The new system should be a single payer system, and that single payer would be the US Government, much like Medicare is today. No insurance companies in between. Please, NOTHING like Medicare Part D. I think we should simply raise taxes so[Truncated]" 26749 7/4/06 4:51 PM FL * You need to include preventative care and complementary alternative medicine. Acupuncture should be a covered expense. It is relatively inexpensive and very very effective.[Truncated] "Again, don't leave out complementary alternative medicine." Essential. "Looks good in theory, but can the established programs change to become efficient and high quality that they are not now." Acupuncture should be a covered service. 26750 7/4/06 5:32 PM WA * I Am 58 Years old and stil working with medical problems.at this time i have good healthcare thru my work . but what happens when i can no longer work . where do i go for affordable insurance ? no one should suffer and go without in this gre[Truncated] 26751 7/4/06 7:56 PM MT * It is a disgrace that all U.S. citizens do not have health care. We need it. The medical system is broken. This would eliminate all the silly arguments about gay marriage benefits and other issues on who can include who on their plan...or [Truncated] "* I would suggest treatments that are effective all over the world, not just the FDA approved treatments and medications confined to the U.S.A. There are many effective treatments that are not allowed here due to fearmongering and manipulation[Truncated]" "* We should take care of our own...not let them drown in a sea of individualism, greed and indifference. Let's be ""us"" not ""glad that's not me"".[Truncated]" "Good luck in getting all of the greedy,territorial medical giants to stop their turf wars." Heaven forbid that a health issue gets tied up in government red tape. End of life care is extremely important. High hopes and good luck! Sounds good. 26752 7/4/06 8:21 PM NY "* I think universal medical coverage should be enacted eliminating the ""profit factor"" from the health insurance industry, standardizing cost of medical services, regulating drug costs and eliminating from coverage ""elective"" medicines as priva[Truncated]" See 1st comment - I think we should have national health coverage! Absolutely agree! * If you had national insurance coverage and regulated the cost of services it would lessen the concentration of services in wealthy communities and increase services in poorer communities.[Truncated] * Again see comment #1. That uninsured I pay up to 400% more for a paticular service (and medicine) than an insurance company would pay if I had coverage is ridiculous![Truncated] * Why not roll over the savings that would exist from reducing the huge public deficits that currently cover the uninsured? Eliminate all the unfair tax credits afforded businesses that allow them to pay less than they did decades ago! Eliminat[Truncated] 26755 7/4/06 8:58 PM MO I agree. No core benefits by evidence-based science and expert consensus. It should be by individuals own doctor. I agree I agree I agree. I AGREE * Let our so called leaders Washington stop wasting tax dollars and supporting illegals that send money home and contribute nothing to the benefit of this system.[Truncated] 26756 7/4/06 9:08 PM CA "* Everything that is published here is adequate verbage. The time is now and no more discussions are needed. We all need to stop talking and start implementing these basic human rights. We are the United States of America. Today is ""Indepen[Truncated]" 26762 7/5/06 12:08 AM NY All should have health care. Like the members of Congress I agree Yes agree yes. this is dignity I agree. Also roll back the tax breaks for the top income earners. 26763 7/5/06 12:17 AM CA "Citizens should have complete coverage provided by the government, just as citizens of every other industrialized nation do." "* Everyone should get relief from preposterously high health care costs, not just the poor. Any program that squeezes the middle class is bound to be unpopular (and to fail). [Truncated]" Single-payer is the only way to significantly increase efficiency. "* Single-payer health care is the most efficient. Insurance companies add costs for administration and profits. Money currently paid by individuals, businesses, and government agencies will buy far more health care with a single-payer program[Truncated]" 26766 7/5/06 4:07 AM VA "Sounds OK, but vague." Sounds good & complete. OK * I'm against private insurers - the people pay for them to make big profits & dividends to investors. Health insurance for all should not be under a for-profit system.[Truncated] till sounds like private health insurance companies. NO (see above). "OK, but is this still under private health care entities?" "* It should also include the option that Oregon has - Death With Dignity. Under a dmoicracy, this should be an individual choice.[Truncated]" "* In 2000 there was on the MA ballot an item for single payor health insurance. It almost passed. If it had passed, by the second year, once the system was set up, not only would ALL people in MA have had health insurance, but, less would have[Truncated]" 26767 7/5/06 6:43 AM PA "* Other countries have a comprehensive Health Care Plan. Why doesn't the richest nation in the world? We have lots of our money to spend on wars, etc., but not on our own people.[Truncated]" I agree. I agree. "It's high time we convert our ""war machine"" with the outside world into a ""health machine"" for our own people." I agree. It's about time that this country starts to finance a program that works for the good of all & all are treated the same. 26769 7/5/06 7:57 AM ME "* assess to basic health care is a right. I heard from Surgeon General Everet Koop say that he felt health care could be considered a right under the 14th Amendment in terms of equal access. Caring for one another is a measure of decency in a[Truncated]" "* this will be hard because technology can offer so very much, it will be a type of rationing. Again, how much profit is it ok to make when essential items must be rationed? Somehow the concept of ""public interest"" needs to be brought back in[Truncated]" * with risk spread over an entire population something should be possible. I do not think that people should lose everything because they get sick. [Truncated] "* however things are structured there needs to be ""balance of power"" as in perhaps the gov't collects the money but it goes to private providers with choice for the patient/consumer. The patient/consumer needs to be provided with power. Care mu[Truncated]" "health promotion, disease prevention is critical, mental health services, substance abuse treatment are critical too." "* I believe that we can develop a health plan that will provide quality, cost and access to care. We need to be extremely careful of the ethical implications of our actions and also to extremely careful of power so that people are not subject [Truncated]" "* If health insurance were not tied to employment, it would allow a great deal more job mobility and allow more people to work part time if they chose. I think one really needs to look at pricing. Most health reform has cut costs by either de[Truncated]" 26772 7/5/06 9:54 AM MI "* The first priority must be to reduce the cost of healthcare. Until this is achieved, nothing else makes much difference. Everyone should have access to basic services, but ""means testing or bracketing"" should be a seperate initiative, and p[Truncated]" * Individuals must share the fiancial burden for the cost of healthcare. There should be no new revenue - taxes on a portion of the population. Individuals must share the rosponsiblity foir their opwn health and well being. Federal plans lik[Truncated] HSA's are a brekthrough. Care should not be FREE. Cre that is FREE will increase in price. Federal intervention should be minimal. The states should be the focus for change. "* Too mucg fgederal intervention. Individuals must be made reponsivle for their own health. This should be a proirity. The remmendations soulds like another MEDICARE which made the ""healthcare system"" wealthy, thisa from a person who was a h[Truncated]" Indiciduals should be reponsible for extraordianry services. "* This soulsds like another Federal social program to redistribute wealth that ignors the basic problem, ""the increasing cost of healthcare"".[Truncated]" 26773 7/5/06 9:56 AM MA Yeah! 26774 7/5/06 10:00 AM IL Strongly agree Don't forget vision benefits! Give incentives for a healthy lifestyle so very high health care costs are more unlikely! agree agree strongly agree. Hospice access is vital! We can keep taxes low by making sure the rich pay their fair share. 26775 7/5/06 10:01 AM MD * Health care is a basic international human right. The U.S. should lead other nations in the world regarding this right and be a trailblazer rather than a negative statistic and poor example among industrialized nations.[Truncated] * Draw on WHO definitions of health and the excellent work of Healthy People 2010 and the Surgeon General's reports to help define core benefits.[Truncated] THIS IS AN URGENT PRIORITY. No family should have to choose between health care for a very sick child and bankruptcy. "* This sounds wonderful on paper, but it painfully recalls how mentally ill patients were sent out from institutions supposedly to find care in such community networks, which ultimately failed to care adequately for the profoundly mentally ill.[Truncated]" "* How can quality and efficiency of care take place when language barriers prevent adequate communication? Add a bullet that says the federal government will promote: quality language assistance for Limited English Proficient patients through[Truncated]" "* [spelling error: CONSENSUS, not concensus] No clear communication is possible with most Limited English Proficient patients in the absence of trained, professional medical interpreters. In addition, it is difficult if not impossible in m[Truncated]" "* Title VI of the Civil Rights Act of 1964 requires that federally funded agencies, services and programs take reasonable steps to ensure equal access to their services, which for Limited English Proficient patients of health services is taken [Truncated]" * Countries with successful universal access to quality health care have some established variation on the theme of a single payer system. This approach is economically far less costly and systemically less burdensome and complex than any alte[Truncated] 26776 7/5/06 10:18 AM IL * Bankrupcy will decrease if all have medical coverage. Medical costs would decrease if they didn't have to write off millions of dollars every year.[Truncated] * Be careful not to tie the Doctor's hands when caring for your health. A non-Physician sitting behind a desk should not decide your healthcare.[Truncated] 26777 7/5/06 10:19 AM GA It's an embarrassment that the richest nation on earth does not provide health care for its citizens. I support this recommendation. This is just common sense. I support this. "Again, common sense." U.S. citizens deserve the best care possible at the end of life. "* Currently, insurance companies make huge profits at the expense of U.S. citizens. Unreasonable profit should be removed from the health care system.[Truncated]" 26778 7/5/06 10:39 AM FL * Americans should have immediate rights to health care benefits. A safety net should be set up to take care of the health needs for any human being within the borders of the U.S. without regard to costs involved!!!! All insurance should be w[Truncated] * Have a job fair all over the country and enlist recent college grads to run the program. An Insurance professor can consult with the new managers until they get it going.[Truncated] * Costs can be kept down if all those drug companies caught overcharging will be prosecuted. All CEOS PROSECUTED WILL BE SENT TO PRISON. Any person convicted should be ostracised and extradited. [Truncated] * The structure of the health care safety net will start with the Federal government at the top and authority and responsibility will be delegated to the lower levels. Compliance with guidelines will be strictly enforced. All providers and hea[Truncated] * In order to use the federally funded programs stated above. These programs themselves must be upgraded. How does one use a corrupt system to promote a new health care system.[Truncated] * Public and Private payers should be integrated and all information will eminate from one source. Private payers will be made part of the government system.[Truncated] * No enrollee contributions will be necessary!! The financing will come from the Richest Americans and American companies. Refusal to comply will justify extradition to some other country with only the clothes on their backs. After all the rich[Truncated] 26779 7/5/06 10:42 AM WV "Health care for all and all for Health care. Thanks," "* Be diverse and fair with independent non-partisan private-public group, really lets get all walks of life. Some senior citizens, working men and women, college students and college graduates, maybe even some senior high school students, some[Truncated]" Agreed. We all need some type of Health care affordable to all and I mean all. Be careful about who and what you use here could make or break you. Remember look at the big picture. This sounds good. This also sounds good. Remember all involved. Keeping in mind ALL. "* Please utilize a diverse group not all from one state, area, coast line and be super open minded and willing to agree or agree to disagree. Be honest and open. Honesty is the best communications ever. thanks[Truncated]" "* When making a decision over all lets look at the entire big picture and not just the rich, the poor needs more help and support then the rich. Look at the entire big picture. thanks ,[Truncated]" 26784 7/5/06 11:40 AM NJ I THINK THIS IS A GREAT IDEA this would be a releaf for all americans 26786 7/5/06 12:02 PM AR * I agree with recommendation 1 with a couple of conditions #1 every able bodied worker should be required to make some kind of contribution to the health care system and #2 some measures should be taken to coerce people to change unhealthy lif[Truncated] I agree but I also hope that there will be incentive for research and developement "I agree, refer to rec #1 for comments" sounds good I agree I agree I hope that we can achieve these recommendations. sounds great 26787 7/5/06 12:15 PM MA "* The main source of financing should come from a restructuring of the system that involves the elimination of multiple private insurance companies as the gatekeepers and managers of our health care system, and the adoption of a single-payer sy[Truncated]" 26788 7/5/06 12:15 PM IA "* It is very important that health care be affordable so that patients receive preventive medical care. When medical problems are not attended, patients often use the ER as their primary source of medical care instead of a family which is much[Truncated]" These are very good things to include in this core benefit package. * I completely agree. The working poor are hit hardest for high health care costs and lack of insurance. It is a very unjust system.[Truncated] * Community health centers have been seriously underfunded and understaffed under the current system. This is especially bad in the area of mental health. It is estimated that at least 20% of people in prisons are mentally ill and unable to f[Truncated] * I especially like the idea of implementing these systems in teaching hospitals and clinics with underserved populations. I think it is very important that doctors are aware of the importance of this issue as well.[Truncated] * Many people financially have been abandoned by society in their last days and left to fend for themselves without financial resources.[Truncated] "* The current health system is sick if it can not provide quality, preventive health care to all people. People should not be further improvished when they are ill and are forced to seek urgent medical care instead of preventive services.[Truncated]" * The number one reason for bankruptcy in America has been unpaid medical bills. A high percentage of Americans are uninsured even though they are working.[Truncated] 26792 7/5/06 1:06 PM MD "* I agree. Health care is not something we can decide whether we want it or not. We must have it to survive. Unlike cars, TVs and other comsumer goods, health care, quality health care, is mandatory. You can't shop for the best price and th[Truncated]" "* Universal care should be universal. Perhaps the deductable for dental could be higher than for medical and mental care, but all should be covered.[Truncated]" Yes Yes Yes. Medicare does this far better than private insurance. We know from extensive experience with both systems. Yes It's time. * This is actually the easiest part. Medicare works. The system is in place. It is much more efficient than private insurance. Simply apply the Medicare model to everyone in the country. The savings in private insurance premiums will much [Truncated] 26793 7/5/06 1:17 PM KY "* Although well intentioned, this recommendation fails to adress the millions of patients who are limited in their English proficiency. They constitute one of the largest groups of uninsured in the country. Lack of effective communication is e[Truncated]" "* Not easy to accomplish. Again, because of the large uninsured LEP population, and the notable health and health care disparities, Language access and Culturally and Linguistically appropriate services should be considered a core benefit and i[Truncated]" Please see my comments to the Financing statement. * It is critically important to develop a model that is able to effectively integrate Public Health and individual health measures as well as a substantial ammount of patient and provider education as to the importance of making an adequate and[Truncated] "* The consumer-usable information this recommendation refers to should be published in the most common non-English languages, to assure acces for LEP patients/clients.[Truncated]" "* One strategy that seems to work for countries having a National Health Care System based on the Chilean Model is to establish a scale differential pay-rate according to the patient's income, so that everyone's contribution is directly proport[Truncated]" 26799 7/5/06 2:23 PM NY "* I agree that it absolutely should be public policy that all Americans have affordable health care but I am not comfortable about ""financial assistance"" being available to those ""who need it"" because the drug companies and the monetary politic[Truncated]" "* I agree that healthcare should include physical, mental, and dental; but I would also include vision since the use of computers and diabetes both have increased.[Truncated]" "* I agree and again I repeat - a Federal healthcare tax with a cap on how much the drug companies can charge as well as a cap on how much hospitals and doctors can charge would solve a great deal of problems. However, the cost of living too sh[Truncated]" "* I agree, but still firmly believe that it can only work if a cap on medical and drug charges is also put into place. It is the only way to reduce fraud and exploitation of insurance.[Truncated]" I repeat my comments as in Recommendation # 4. I repeat my comments as in Recommendation # 4. "* I cannot afford to make additional financial investments towards the service of expanding the protection against the costs of illness and the expansion of access to quality care. Put simply, I just don't make enough money at my hourly rate a[Truncated]" 26800 7/5/06 2:27 PM OR "* Health care should not be tied to employment. My experience has been that each time there was a job change we also had to change health insurance, creating a very unstable and inconsistent health care. My young adult children have had to go[Truncated]" 26802 7/5/06 2:35 PM WA "* Free clinics in the hood don't cut it. Not everything medically needed is available there. What America needs is health insurance for all on a sliding scale fee, an affordable one. If we don't take care of our own people, what gives us the[Truncated]" "* Bankrupt America! It's on the news how this country has credit problems. Not all from medical, sure, but one serious illness or sick child could be the breaker for millions of families.[Truncated]" "* Everyone deserves peace of mind. What right does this country, who is run by millionaires who profit from our hard earned money, have to make such an important part of life a privilige?? We all need the medical coverage that can save and im[Truncated]" 26804 7/5/06 2:55 PM GA * I have recently watched one of my university students withdraw from school to work full time to pay off a hospital bill. The completion of his education has been delayed by at least a year because of his lack of health care plan and need for [Truncated] 26805 7/5/06 3:04 PM NY test; disregard 26810 7/5/06 4:27 PM TX * I used to work in the health care field and I saw many things that disheartened me. In Dallas County we have Parkland Hospital which provides health care to Dallas county residents that do not have any health insurance. The cost is staggeri[Truncated] 26813 7/5/06 4:52 PM OR "* This should be a FUNDAMENTAL RIGHT of every person in America, not just for those who can afford quality health care. Wait a minute, it is a fundamental right in every industrialized nation in the world except America. It is time for Americ[Truncated]" * I have a terrible problem with my teeth that requires dentures. I have no health care and it is my burden to be a student with horrible mouth disease. I can only eat soft food and although I experience ulcers in my mouth constantly there i[Truncated] This should be a fundemental right. * The governments role would be all inclusive in establishing the network encompassing the uiversal health care across the United States. This is the way it would work.[Truncated] "* The governments role would also include not allowing profitering by corporations or individuals. This is a common right, not a profit generating busseness. [Truncated]" "* for recomendation # 6 the right of ending life should be the patients choice and the choice would be honored with proper documentation and witness by both family or other intimate advocates, as well as official documented professionals.[Truncated]" * please make universal health care a reality so others who have made decisions in thier personal lives that lead to being profoundly poor can still have some dignity in their lives. [Truncated] "* In countries where universal care exists ( or the equivalent) they have incorporated the cost in a variety of ways ( I suspect including a higher rate of tax to all ( including the corporations, many of whom pay very little in the way of taxe[Truncated]" 26818 7/5/06 5:24 PM CA I whole heartedly agree. It is shameful that in this country anyone has to go without healthcare. Don't deny any treatment to anyone that needs it. Fully agree. Agree. The program needs to be closely regulated to ensure there is no fraud and abuse as happens with Medicare. Use windfall profits taxes on drug companies and oil companies and tax tobacco and alcohol heavily. 26830 7/5/06 7:22 PM WA "* As someone who would like to see a national healthcare system like those in place in most Western European countries, I support this recommendation as a step toward a national healthcare system. My concern is that the phrasing ""core health c[Truncated]" "* This seems preferable to recommendation 1 in that the language is more specific and thus cannot be interpreted to rule out very important health care services that might be excluded from recommendation 1, given the vague terminology of ""core [Truncated]" "* I oppose this recommendation as long as the possibility that a national program would be private remains. There should be a national health care program, but it should most certainly not be private. It is because health care is monopolized [Truncated]" "* I oppose this for the same reasons that I opposed recommendation 3: as long as the advisory group is partially private, there will never be an adequate system. [Truncated]" * This is nothing but a lot of rhetoric that conceals the fact that this recommendation is business-friendly and anti-consumer. The poorest individuals do not have the time to sit through classes on more wisely using health care services and u[Truncated] This would be a good idea as long as there is a national health care system that is entirely public. "* I support a much higher national income tax that specifically targets the top 10% of income earners as a means of establishing a national healthcare system. I do not support ""sin taxes"", which unfairly penalize those who engage in certain ac[Truncated]" 26832 7/5/06 7:52 PM CA "* It is criminal to have any individual or family,to not have medical coverage. If the senate & congress so believe then why don't they for once, put their money where their mouth is an ""give up"" all of their benefits and perks, and oh yes put [Truncated]" "* I'm very sorry that I also expounded upon more than one subject, but they are all interconnected. I should also have added the Mexican and Chinese illegal aliens coming here and taking everything that you the US citizen has worked for and ant[Truncated]" 26835 7/5/06 8:01 PM PA "This is an excellent recommendation. The best way to achieve this is through a model like HB 676, The Medicare for All bill." "* Agree with non-partisan, private group. Core services need to address the issue of long term care as aging population dramtically increases.[Truncated]" * This seems like a type of oversight function that is important for any system that is established. Totally agree that health care costs should not impoverish anyone as a guaranteed right of citizenship.[Truncated] A special focus on vulnerable populations is definately necessary. Totally agree with this recommendation * I support this recommendation. It ultimately could also help with regard to reducing costs if less heroic measures with no hope of success are employed.[Truncated] * How do we make sure this report becomes part of the debate for the 2008 presidential election?? It is crucial that this happen or all this excellent work will have been for nothing!![Truncated] "* The system can be financed through progressive income taxes as well as taxes on tobacco, high fat and sugar laden food and drinks. This would replace the current need for private health insurance premiums. Our savings from private insurance [Truncated]" 26838 7/5/06 8:31 PM OH * Have a quasi-governmental agency (representing both public and private constituents as well as consumers; structure similar to the Federal Reserve Board) offer a universal basic health care package. Provide tiers of higher levels of benefits[Truncated] Provide parity for mental health services in a universal health plan. "* Greatly expand the supply of generalist physicians. Reverse the ratio of 2/3 specialists/ 1/3 generalists. Through CMS, adjust the payment schedules for physicians so that there is equitable pay for generalists (they are currently grossly [Truncated]" "* Health promotion/disease prevention should be the primary focus of our healthcare system, followed by appropriate uses of specialty care. [Truncated]" "* Ration care for end-of-life individuals and for extremely ill/disabled newborns. Give families the option to pay for futility care if they want, but avoid having others pay for it.[Truncated]" "* The three most important changes needed for US healthcare are: 1.) universal coverage, 2.) a single-party payor, and 3.) higher proportions of generalist providers vs. specialist providers.[Truncated]" "* Convert to a single-party payer, preferably a quasi-governmental agency. End the waste of ~20% of our health care dollars going into administering a fractured insurance system. Use large bulk-buying collaboratives (e.g. CMS, or state-to-sta[Truncated]" 26839 7/5/06 8:59 PM FL "* Congress gets free health care when they retire (prob. while they are in Congress too ... I'm not sure); my father fought in WWII - he should get free health care, actually, we all should get free health care. How about 5 or 10% of yearly in[Truncated]" 26840 7/5/06 9:07 PM OH * I am sick and tired of paying exorbitant health care premiums that continue to increase year after year! I cannot afford to retire because I cannot afford the premiums in the gap before I turn 65 and can be eligible for medicare!! Do somethi[Truncated] 26841 7/5/06 9:08 PM TN * We are the only industrialized nation that does not have core health services available to all. Those of us who do have jobs that include health care plan to hang on as long past 65 as we can.[Truncated] "* In addition to dental health, vision and hearing health should also be covered. Hearing aids are rarely covered now because everybody needs them sooner or later.[Truncated]" John Kerry had a very fine plan for protection against catastrophic loss. It is one that should be studied. "* An integrated network is definitely necessary. I currently enjoy one for most of my health care needs, and it is a real blessing.[Truncated]" Fraud is common and waste even more so. Sometimes it seems private providers will do anything to avoid paying a claim. "* Yes, hospice care is wonderful and such a relief to the whole family. I've lost both parents in the last five years, and I am deeply appreciative of these services.[Truncated]" * I know that Assigned Risk insurance programs are available in all states for mandatory Workers' Compensation and auto coverages. Perhaps we could expand on this model.[Truncated] "No one financial strategy will work, but we can certainly study what other countries are doing and how it works." 26842 7/5/06 9:11 PM FL "* Congress gets free health ins. when they retire, prob. from the day they are elected; my father fought in WWII, he should get free health care. We all should get free health care. Maybe we should pay 5% of annual income all our lives and ha[Truncated]" 26848 7/5/06 10:59 PM DC "* I am dissappointed that you did not recommend a federal single-payer health insurance plan, as most Americans seem to want (see Appendix C to your report). Also, Americans want government price controls on medical spending.[Truncated]" Health care should also include family planning (i.e. birth control). "* Given that we spend about 15% of our health care dollar on overhead (more than any other western nation), it is curious that you failed to recommend a single-payer system, which would reduce overhead tremendously.[Truncated]" 26849 7/5/06 11:10 PM IA * tierd.of no taxing imagrants when a third of my pay check goes to them so there kids can drive around in sports cars my mother is more diserving of some eye care whoevers running the circus shame on your respect! [Truncated] help the people who put you where you are 1st help imagrants 2nd! help us whats the hold up were not all rich like you thats right earn some respect 26850 7/5/06 11:12 PM FL * This should be the basic core of are revap health care system. All americans should have accress to health care this could be done by giveing every one a set amount of money per year to go to buy health insurnce.[Truncated] yes yes * this issue is very large but i belive if the US govt took the time and set up induaval accounts giveing set amount per year to give to each citizen to buy there own health care. this can be done by giove a large deductiable to insurce [Truncated] * This should be done at once not over time. the system can work in the private and public sectors if by taking money and giveng to each person to buy there own insurce thru set amouont of deductables and back by ths US govt [Truncated] 26853 7/5/06 11:30 PM AZ "* access is a basic requirement, but ""timely access"" is even better. To have the right, but no place to use it when you need it is essential.[Truncated]" "* there needs to be some reasonable process for the use of ""experimental"" treatments. To simply call a treatment ""experimental"" without a path to ""expert consensus"" is not helpful. There must also be acknowledgement of the fact that simply be[Truncated]" "* by removing the insurance companies or the ""private sector"" from the financial equation would be VERY helpful. The monies spent on administrative costs alone could ""insure"" many of the currently uninsured. Having recently gone through a can[Truncated]" "* by nationalizing the healthcare system we would be able to make ALL the doctors available to the patient population. Allowing doctors to remove themselves to a ""private"" practice would only prepetuate the two-tier healthcare system. The fol[Truncated]" * standardization on forms and processes will reduce the costs of everyone. Ensuring IT security should be paramount for any technology based records systems. [Truncated] "* all end of life decisions should be UNCHANGEABLE by anybody other than the individual involved...not family, outsiders or legislators. The circus-like environment created by the personal/legislative interven-tion in the case of Terry Shaivo [Truncated]" "* A nationalized health care systems such as Canada or Great Britian have is the only type of system that will not be corrupted by the ""entreprenerial"" spirit. Spiraling insurance, procedure & pharma-ceutical costs MUST be stopped or no one wi[Truncated]" not too much time I hope. The encorporation of the entire population needs to be expeditious. 26855 7/6/06 12:33 AM AZ "* Medicare seems to be administered with far less cost than private insurance companies. It seems that if all the money now spent by employers, the government and individuals on health insurance premiums was funneled into a single fund, all of[Truncated]" "* I have read that the Kaiser Foundation has achieved dramatic improvements in the health status of it's most vulnerable members by encouraging and providing preventive care programs, while keeping costs down. That win-win combination should b[Truncated]" * The situation as it exists now leaves many of us too frightened to leave jobs we dislike or start our own businesses due to fear of getting sick and losing everything. What a boon to the economy it could be if people felt more free to pursue[Truncated] 26856 7/6/06 12:46 AM OR Affordable health care for all people should be considered a basic human right. "The ""core"" package must truly meet the realistic continuum of health care needs of all people." I strongly agree! Integrated Community Health Care Networks are critical!!!! Accountability for performance is also a must... Proactive steps to encourage wellness and prevention strategies must be part of a universal health care system. I support strongly death with dignity which should include a wide variety of options. * Privatized health care accounts and high deductable health plans are unacceptable answers for a democracy...The U.S. still claims to be a democracy so we should do a whole lot better!!![Truncated] * The political will to have universal health care is way overdue...all levels of government need to be accountable for the real cost of the U.S. war in Iraq and U.S.support for other military interventions that hurt the poor in Central and Sou[Truncated] 26861 7/6/06 6:58 AM CA Sounds like a good start! Amen! "* Pattern future programs after innovative existing ones that WORK - the clinic I use hires nurse practitioners who are very well-qualified to handle the normal, general-type ailments that walk thru the office door at a considerably reduced cos[Truncated]" * Dying patients MUST be given the right to die w/a level of dignity they are currently not allowed to do -- it's a real shame the way we force terminal patients to stay alive and suffer excruciating pain; to become mere shells of their former [Truncated] 26863 7/6/06 8:01 AM MI "* This is important. Considering we're one of the ""richest"" nations in the world our health care system is a bad example to set.l[Truncated]" 26865 7/6/06 8:40 AM FL * We need financial protection for everyone from high cost healthcare. A median income family will use all of their savings often to pay for a serious medical event. A family is required to use all of their assets until they are considered l[Truncated] 26892 7/6/06 9:59 AM MD We agree to this. This is important Good OK This is important especially the reduction of fraud We like this We aupport 26896 7/6/06 10:18 AM CA "Health care, like education, should be considered a right for all who reside in the U.S." "Excellent, but should be changed to all who reside in the United States." "Excellent, but should be changed to all who reside in the United States." Yes! Agree. Yes! The single payer plan seems to be the only one that makes real sense. 26900 7/6/06 10:31 AM AZ Not in favor No No No I am totally against a National Health Care program. I am not in favor of National Health Care - it does not work well ie Canada and England! 26904 7/6/06 10:56 AM NC This is what many of us have been asking for at least as far back as the beginning of the Cllinton administration "The comprehensive ""core"" package should produce benefits to the health of the public as well as to economic ""health.""" * Only a national program can provide a broad enough base of support for the costs of universal health care. Don't let it be watered down.[Truncated] "* The federal government MUST coordinate and integrate any system for general coverage, but it should not stifle local and state agencies already in the field. [Truncated]" My comment on recommendation 4 applies here. Perhaps Emergency care should be recognized as potentially end-of-life care or beginning of restorative therapy. "* It is probably premature to suggest that some patients may be allowed the option to ask in advance for and receive the blessing of death with dignity, at least where laws allow it. [Truncated]" "* We realize the problems inherent in financing a broad system are complex, but it is past time when we should have started to deal with them.[Truncated]" 26908 7/6/06 11:17 AM CA "* I am appeals process with Healthy Families, they are denying my daughter Healthy Families because I made too little money last year. They referred us to Medi-Cal but we didn't fit the critieria for their program. I have been requested to do a[Truncated]" 26914 7/6/06 11:40 AM CA Anything else is just dumb. "* So much money is wasted in this country by big government and big business, not to mention ridiculous tax breaks for the very wealthiest people--why should the consumer have to shoulder the bulk of this burden when so much of this country's c[Truncated]" 26916 7/6/06 11:49 AM AZ I agree. "* I am concerned whether ""preventive services"" and ""prescription drugs"" would include chiropractic, alternative therapies and herbal remedies. I believe these lower cost alternatives should be included.[Truncated]" I agree. I agree. I agree. "* Having been a hospice volunteer for four years, I would hope that hospice care would be available to all, but on a sliding scale.[Truncated]" * We need to move faster than 2012. I believe we are vulnerable to major epidemics that put us at even greater risk than terrorists crossing our borders. [Truncated] I agree. 26922 7/6/06 12:23 PM MI It's the right thing to do!!!! Agree. Must have the three above items in any plan. Agree. Agree. Agree. It's time we do this! I agree with the above statements. 26926 7/6/06 1:06 PM KY all americans should have assess to good and affordable health care yes yes yes yes tes let's get busy equal for all 26932 7/6/06 2:19 PM IL * The richest country on earth can afford to provide health care for ALL of its citizens. Certainly the same coverage and cost it provides to the members of Congress.[Truncated] Whatever is offered to the American people likewise should be implemented for members of Congress. 26941 7/6/06 4:23 PM NC "Our Health needs, payed for with our money, are more important than your wars and desire to kill people." We could win the people in Iraq to democracy a lot more cheaply by helping them than killing them. "* The best protection against high health costs would be putting caps on the pharmasutical company robber barons, but them the politicians and lobbists would miss out on some of the big bucks--couldn't you steal some place else?[Truncated]" This is a good plan but where are you going to find enough honest people in the government to make it work? Reduction of fraud and waste--dream on. You could always ask Sen. Frist to make a diagnosis--as he did for the poor young women in Florids. Ah--such a physican! "You have an excellent, well thought our program but not a chance in hell of getting past the current government." We could use the money you spend(our money) on killing people in Iraq. 26944 7/6/06 4:39 PM WA "* We do not want a government run program such as Canada or Mexico. We should help and encourage participation in options offered by the insurance industry and non-profit insurance companies. Those who can't afford, could perhaps get vouchers f[Truncated]" "* ALl insurers should be required to offer the same core benefits as the government programs. For example, currently medicaid patients recieve free health and dental services. Middle income families trying to pay for their own healthcare can't [Truncated]" * Perhaps tax breaks for those that pay premiums for long term care or catastrophic care would encourage the market and save the government money in the long run. [Truncated] "* Language assistance must be a part of any program to improve quality and efficiency. Studies have shown that if patients and providers have a language barrier, unnecessary tests are ordered, treatment plans are not followed, medications error[Truncated]" "* It is very hard on middle income families with both parents working to afford insurance policies that have adequate coverage for medical, dental, and vision care. Even more difficult who are self-employed or working for small companies, or wh[Truncated]" 26954 7/6/06 6:20 PM OR "* As a health care professional, I fully support the provision of palliative, hospice and EOL services for those individuals who desire this approach as their plan of care. While I am in agreement with the content of the recommendation, I have[Truncated]" 26957 7/6/06 9:47 PM TX I AGREE COMPLETELY. MENTAL HEALTH PARITY MUST BE INCLUDED! CATASTROPHIC COVERAGE MUST BE INCLUDED AS WELL. I AGREE COMPLETELY. I AGREE COMPLETELY. * REDEFINE NEXT OF KIN SO THAT DOMESTIC PARTNERS AND/OR LGBT PARTNERS ARE RECOGNIZED AS LEGAL SPOUSES FOR THE PURPOSES OF MEDICAL DECISIONS.[Truncated] "* SUPPORT THE TRAINING OF MORE PHYSICIANS AND MEDICAL PROFESSIONALS. SO-CALLED ""ALTERNATIVE MEDICINE"" IS NONSENSE AND SHOULD NOT BE SUPPORTED UNDER ANY CIRCUMSTANCES.[Truncated]" I AGREE. 26960 7/6/06 10:57 PM IL "* I don't think anyone should be denied health care, but I don't think everyone's health care should be paid for on the backs of the middle class.[Truncated]" "* A core benefit package for those not working, for whatever reason, should be confined to very basic/as needed services. If a broad spectrum of services are provided throughout an individual's lifespan, there will be those in society who will [Truncated]" "* Again, I don't know what the plan is for guaranteeing reasonable coverage for all Americans (does that mean only legalized Americans?) and offering financial protection for the low income, but it should not be in the form of more taxes heaped[Truncated]" "* The federal government needs to have a plan for funding this by soliciting contributions from affluent citizens,large corporations, and businesses who could take advantage of tax breaks for doing such. [Truncated]" "* There should be some clause that those who are not paying for their health care are not allowed to bring suit against medical professionals unless their is evidence of gross malpractice. I think many clinical tests, etc. are done needlessly s[Truncated]" "* There should be more done to teach, encourage, and require people to be healthy. If the focus was on being healthy, maybe the tide of high health care costs could be reduced. There could possibly be a reward system for those who take care of [Truncated]" "* This seems like a daunting task. There are millions of monies that are sent outside of this country for non-American use. We should focus on taking care of the people in this country, first and foremost, and then divert less monies to other c[Truncated]" "* Your ""dedicated revenue streams"" sounds like another means of taxing the working middle class American who should not be expected to pay for the poor, illegals, and non-working people in this country.[Truncated]" 26961 7/6/06 11:14 PM OH "The government should fund research on promising natural, low cost. and low profit cures." 26965 7/7/06 5:00 AM CA "* I am chronically ill. I am soon to be presented with the choice of food for our family and the extensive drugs I need just to be ""comfortable."" When this becomes greater (health care/out of pocket expenses) and food, I will then have to end m[Truncated]" 26973 7/7/06 10:08 AM DC "* Consumers Union, publisher of Consumer Reports, comments on “Interim Recommendations of the Citizens’ Health Care Working Group” July 7, 2006 Consumers Union, the independent non-profit publisher of Consumer Reports, congr[Truncated]" 26976 7/7/06 11:52 AM IL "Health care should have no class barriers. Everyone, rich or poor is entitled to have health care....period." 26981 7/7/06 1:51 PM CA "* This is flawed since financial assistance will only be available to those who meet a certain financial criteria, once again leaving the hardest most dedicated American workers having to pay. Everyone should have the same cost for medical etc.[Truncated]" 26985 7/7/06 2:51 PM MO "* I believe the only solid answer to our overpriced, profit driven system is to adapt a Single Payer Canadian model to the US population. Anything short of that is window dressing and band-aide medicine.[Truncated]" 26992 7/7/06 6:05 PM CA "* Surely a health care system where everyone participates, regardless of financial resources or health status, with benefits sufficiently comprehensive to provide access to to appropriate, high-quality care without endangering individual or fam[Truncated]" More attention must be paid at every stage to wellness and prevention and to management of chronic health problems. The chronically ill are under served. This is an important recommendation. "* Those now at greatest risk must be provided with access to high-quality health care. The ""second-class care for second-class citizens"" currently available to them is a shame and a blot on America.[Truncated]" 26993 7/7/06 6:05 PM WA I agree with this recommendation. I favor this recommendation. O agree with this recommendation. I support this recommendation. "* I support this, but hope the federal government not take the meat out of the recommendation by stallling too long or putting a harsh minimum of payment.[Truncated]" I very much support this recommendtion on pallative care and end of life care. * Thank you for this great effort. I notice it has much of what Hillary Clinton's group had in their recommendations a dozen years ago. Maybe the climate is more favorable this time around. I pray so![Truncated] I support this recommendation. 26995 7/7/06 6:27 PM CO Should factor in elements of individual responsibilty including such basics as # of children and personal health care. Excellent concept but this is where both fairness and constraint must be employed. Again factor in elements of individual responsibilty. Admirable. Fairness in health worker compensation. Promote family responsibility. Don't endlessly prolong life and allow doctor assisted suicide. Good Luck! The most difficult problems are the ones we sweep under the carpet. Must be some kind of public system because private health insurance has proven to be profit oriented and exclusionary. 26996 7/7/06 7:12 PM MO * Health care is a right not a privilege. I have noticed that there has been a shift when discussing health care to couch it in terms of privilege versus a right for all.[Truncated] * I am in full agreement with this recommendation and as a Master's prepared nurse am glad to see that health includes mental and dental as being equal with physical health.[Truncated] "This makes such ""good sense"" so whose ox is being gored if it is done?" Absolutely agree. I have worked as a Hospice nurse and know first hand the benefits of the care. * I have given 40 years to health care as a Registered Nurse. At this point in time I am unable to get health insurance that helps pay for medication. This is incredulous to me.[Truncated] * I believe the cost of medications needs to be addressed in discussions about health care. Taking on the pharmaceutical magnates is a crying need.[Truncated] 26998 7/7/06 11:09 PM SD * All people should have high quaility health care. But how do you do that. Unwed mothers have babies and no incearance. They can't be refused. Doctors and staff demand high wages becuse they save lives and get it. Drug companys say it's the re[Truncated] SEE ABOVE SEE ABOVE SEE ABOVE SEE ABOVE SEE ABOVE SEE AVOVE SEE ABOVE 27003 7/8/06 4:38 AM CA A basic human dignity issue. I'm not sure a private program will ever do what is needed in health care. Single payer universal health care will work if we are careful and take the greed out of our health care system. 27005 7/8/06 8:13 AM CA "* I strongly support this recommendation. Furthermore, in the interest of fairness, a system that requires all employees to pay into it(similar to Social Security) for general health care coverage may be the best way to go (this approach works[Truncated]" * It is important to keep the process independent and fair and therefore citizen participation (and not merely industry lobbying influence) is very important.[Truncated] A very good recommendation! Immigrants (legal U.S. residents who aren't citizen) should also be covered by such guarantess. Sounds good! "* Please insure that all Americans receive access to affordable and high-quality health care. If we can afford the world's most powerful military, then we can certainly afford health care for all!![Truncated]" "* I also support this statement. Income tax, business, payroll or ""sin-"" tax increases with revenue dedicated and reserved for a health care fund (like Social Security) would be a way to go. Better yet, cuts to the bloated military budget wou[Truncated]" 27007 7/8/06 8:36 AM NM I agree with this recommendation "* I worry about a system which limits availability to health care, especially where a board of whoever decides that this health problem deserves coverage but this one does not. I think if my doctor thinks something is necessary it should be co[Truncated]" agree agree * agree. You need to understand that federal and private long term care insurance excludes people with any soft of serious health condition. In other words only the healthy need apply. That is not rightl.[Truncated] "* We badly need a health care system in this country that covers everyone, not just the very wealthy who can afford the best health insurance coverage. Also, just to repeat an earlier comment, federal and private long term care insurance exclu[Truncated]" agree 27008 7/8/06 10:32 AM IL "* sounds good, but, will never happen. Our country only cares about the wealthy, has been proven over and over, I don't forsee that as changing.[Truncated]" "* I am a Veteran, I have to drive over two hours one way for medical treatment, which is far from being good care, while prisoners get free medical, mental, and dental, from the nearest facility at our cost, this is right??? I have low income[Truncated]" "Good luck, dreams and prayers is all we have left." none none none none same as 1st statement 27010 7/8/06 1:21 PM MD "* All Americans should have access to affordable health care. The U.S. provides money to other countries for their improvement; however, it should take care of its own people FIRST. There is enough money to cover all Americans if the Governme[Truncated]" "* I agree there should be an independent, non-biased group to identify and recommend core benefits and protection for all Americans. [Truncated]" * I absolutely agree with this recommendation. The health insurance companies should be non-profit and should not be able to drop people when they are sick. The Federal Government needs to step-in and regulate the Pharmaceutical and Health Ca[Truncated] * The Federal Government needs to lead a national initiative to develop an integrated public/private community network of health care providers. [Truncated] The Federal Government should continue to provide quality of care and efficiency in the health care system. I strongly agree with this recommendation. People should be able to die with dignity within their own homes. "* I agree that financing health care for all Americans should be a priority for the United States. There is enough money to cover everyone so there is access to a basic health care system. The Government should cut the fraud, abuse and waste [Truncated]" 27011 7/8/06 1:34 PM NY "* Conyers --- HR 676 --- Single payer: Expanded and improvedm Medicare for All bill would provide comprehensive health care for the entire nation as a basic human right. There are 72 co-sponsors in the House, though , to the shame of the en[Truncated]" 27012 7/8/06 2:32 PM KS "* It should be a basic right for all basic American citizens, not illegal people of any nationallaty, not foreigners here on visa, passports, going to school or whatever, to have sufficient health insurance. It is within our heritage and our[Truncated]" 27016 7/8/06 5:18 PM AL I am totally in agreement with this recommendation!! * Thank you for recognizing the importance of mental health as well as hospice care. Certainly transparency will be key in the process. I do hope that there will be safeguards against the kind of fox in the henhouse approach to government agenc[Truncated] This is very important. This was brought up in our community meeting - the importance of community health centers and community health liaisons. Prevention efforts are essential in my view. "* I just lost my father-in-law (June 30), but he was able to die at home with his loved ones around him because of excellent hospice care. My own father died alone in the middle of the night in a hospital room. The difference in their comfort a[Truncated]" Thank you!! * I agree that some measure of tax increases (or rolling back the tax cuts to the wealthy of late) and other methods will be necessary. I personally do not object to my own taxes being increased for a non-defense related social program that's s[Truncated] 27019 7/8/06 6:18 PM CA "* First, my thanks to the committee for taking on this daunting task. The public is obviously polarized on this issue. However, neither socialized medicine nor the free market alone will provide needed reforms. Nor will a huge federal bureau[Truncated]" 27020 7/8/06 7:37 PM CA "* Recommendations for Citizens Healthcare Initiative The results of your study clearly indicate that Americans want comprehensive healthcare coverage for all citizens. As a healthcare provider for 30+ years serving the poor and middle [Truncated]" 27021 7/8/06 8:34 PM KS I would also incude a vision plan in the core health services. "* The spouse should not have to sign over their house, the family farm, or lifetime savings to ensure care for the ill spouse, nor should a nursing home be able to continue to require this for admittance to one of their facilaties. [Truncated]" 27026 7/9/06 1:37 AM NY All Americans should have affordable health care that is not tied to employment and not paid for my employers. * People must be guaranteed confidentiality of their medical records; this has been taken away by HIPAA; patients' records should not be shared without their specific permission.[Truncated] "* I think it is absolutely imperative that managed care companies and HMO, both of whom make a profit by taking money from premium dollars, not be involved in any way in the health care industry. We need a Medicare like system that has low ad[Truncated]" 27033 7/9/06 1:18 PM VA * This is the minimum that citizenship in the richest country in the world should bring in terms of health care. People in need of medical care shouldn't risk becoming a burden to society in other ways if they become financially unstable as a r[Truncated] There should be parity for all diseases described as mental health issues/ "* I don't think we should be afraid of change that will cost us quite a bit in the short term. Many other nations tax their people more than US citizens are taxed, but the result is basic health care for everyone. [Truncated]" 27036 7/9/06 3:14 PM OR "* No where on this document do I see provision of language access services. If ""Americans should have a health care system where everyone participates"" then we must provide language access so that people can participate. Thank you. [Truncated]" 27037 7/9/06 3:23 PM MI "* I find it shameful a country as wealthy as this one, does not provide universal health care for its citizen. At the same time, it provides free medical care to ILLEGAL aliens! And, to persons who are incarcerated. Where's the motivation to do[Truncated]" "* If insurance companies have anything to do with determining the benefits, you might as well forget providing anything for citizens. They're more interested in their pocketbooks than helping people. When in the bottom line going to be compassi[Truncated]" "* As I said before, universal health care should be provided to all of its citizens. Why should only the wealthy have quality care?[Truncated]" "* Universal health care should be provided through some other means than an employer. As a citizen, you have a right to expect health care. Canada does it! Why can't we?[Truncated]" 27039 7/9/06 7:50 PM CA * I favor only one system; a single payer health system administered through the Social Security Administration or Medicare. All others systems like England's socialized medicine and any that include the insurance middlemen are inefficient and[Truncated] "* Anyone who needs care must have access. Cosmetic type care shold be put before a panel. Vanity work, no, but reconstruction due to auto accidents, birth defects that may be psychologically damaging, etc., yes. The tricky part is age relate[Truncated]" "* If this is single payer, fee for service, where would be the problem? For all we who seldom get ill, our friend who has AIDs or some crippling high maintenance disease will pick up the difference. Everyone should be covered at the same cost[Truncated]" No safety nets. EVERYONE is covered. Period. No chance to fall through the cracks. * All this worry can be eliminated if all health care is administered through one agency like Medicare. Health care should be handled like our public education system. [Truncated] Everyone deserves hospice care if they and their families want it. "Only this: Get the middlemen out of this. EAsy to say, hard to do." "* In the long run, health care costs will go down with single payer. The Federal government must make a one-time buyout of all insurance companies. Of course, with the squandering of our national assets to pay for defense contractors' bloated[Truncated]" 27041 7/9/06 8:17 PM TX "* I believe that this participatory health care system should be a single-payor system, i.e., a national health care program. Gov't. has a low-percentge of funds that go for administrative costs and one form would surpass the myriad of insuranc[Truncated]" "* As stated in my first comment, most of these questions would be addressed with a national health care plan vs. a national insurance plan. A large number of citizens think that this would be a good option contrary to what was spun in the medi[Truncated]" 27042 7/9/06 9:37 PM CA "* If the other western nations can do it, so can we. And we should--getting health care must not depend on whether or not a person has money. Our system is archaic and needs overhauling. Now.[Truncated]" "* If we weren't paying for a war that shouldn't exist there would be no problem finding money for our people's healthcare. But, again, if the other western countries can afford it, so can we.[Truncated]" 27044 7/9/06 11:06 PM MN "* I think that the committee should be made up of all classes of citizens like the people who cant afford any health care/singles/single parents and what use to be the middle class which now is bordering poverty. Try asking the people who ar[Truncated]" "* It seems that you work all your life and now many companies do not want to cover medical insurance. They want you to pay for it because its to expensive. Corporate greed is all there is these days. They want to cut your wages force you t[Truncated]" 27045 7/9/06 11:24 PM TX * I thought at this point in America everyone would have afforadable health care and/or insurance. None of my 3 adult childred can afford to buy insurance. My son supports a wife and a baby and works full times as well as attends college. Not[Truncated] We need this sooner rather than later. "* I cannot believe even people who work full time sometimes cannot afford health care or insurance. Plus, I am especially put off by the fact that many children are without health care or insurance. We need to quite talking about family value[Truncated]" To accomplish afforadable health care for all I assume taxes will go up. But it is worth the price. 27048 7/10/06 12:51 AM OH * i just think the united states needs to get with the program with helping their own people first. i don't mind when we help other people from other countries that need surgeries.but i have seen people here in the united states that have been [Truncated] 27055 7/10/06 9:32 AM IN I agree also fine plan is sound plan is sound plan is sound plan is sound This plan sounds well constructed 27062 7/10/06 11:10 AM SC "* I was pleased to see the inclusion of integrated community health networks in the document. Over the years, our community has had to find an effective option to increase access to care for the low-income uninsured. This option has been the [Truncated]" 27063 7/10/06 11:23 AM CA "It's done in other countries, WHY not the UNITED STATES. " "* Do away with the HMO's and people would be healthier. Give people a choice. Have a persons financial status not be the determining factor on care they receive. " * The drug companies need to stop buying the health care professional. I believe some physicians decide what drug to prescribe by who has bought them and their staff lunch and given them kickbacks. Drug companies need to invest in HEALTH COVE[Truncated] YES. MAKE IT EASY TO ACCESS THE PROVIDERS. Someone with nothing to gain from the services provided to patients is the right person for the job. Patients need a better understanding of what hospice care and end-of-life services really mean. 27067 7/10/06 12:35 PM MI * I recently applied for Medicaid and was denied. I was told that I would have to pay $380 per month out of my pocket before I would receive any help from the state. Our family of 4 is trying to live on my unemployment of $800 a month and my hu[Truncated] * How fair is it that the people in this country that make the most money have the best health care and the people who make the least have none?[Truncated] * It is ridiculous that we live in one of the richest countries in the world and our gevernment can send aid to all these other countries but there is no help for people here who need it.[Truncated] * I would be happy to contribute to health care financing if it was done in a fair way. I was laid off from a job two years ago when my employer started having financial problems. My health problems were under control because I had good insuran[Truncated] 27068 7/10/06 12:49 PM OH * There should be emphasis placed on preventive health care and this should not be creating another system that will be more beneficial to big business that to the welfare to all Americans.[Truncated] "* There has to be adequate funding for this program for it to work - it cannot be another underfunded program like ""No child left behind""[Truncated]" That should be a basic right of every American ciizen "While this should be federally funded, I am leary of anything that is administered by the federal government" * I have no confidence in the federal government effectively and efficiently administering anything especially under the current administration.[Truncated] "* I do not agree with companies who are only watching their ""bottom line"" (like HMOs) making decisions for people in these situations. There is no ""one size fits all"" for these cases and provisions should be made for sensitive individuals trai[Truncated]" * It is a national disgrace that the richest country in the world does not provide basic health care to all it's citizens and this is a direct result of greed on the part of corporate America and the federal government not caring anything about[Truncated] "This sounds to me like just another way to insurance companies, HMOs and pharmaceutical companies to continue rob us blind." 27069 7/10/06 1:04 PM TX * I agree. I would rather pay higher taxes instead of insurance premuims so that all Americans can have decent affordable health insurance. [Truncated] * It's high time we include mental health in health care coverage. I haven't had dental insurance since leaving my parents insurance coverage because the price is too high. Luckily we have the means to pay for regular visits to the dentist for [Truncated] "* Everyone should have health care coverage. Those that are not able to pay for it and those who are self employed, employed by businesses that don't provide health care and anyone who can only afford minimual coverage. [Truncated]" "* We pay close to $8,400.00 yearly for insurance with a $5,000.00 deductible. We have no dental, mental or pregnancy health coverage. I would love to have at least minimual coverage offered at a reduced cost by the government. The insurance com[Truncated]" 27076 7/10/06 3:09 PM NV * The emergency rooms are so crowded with illegal immigrants with minor problems because they don't have insurance to go to a clinic. I resent that because I sat with my father who had cancer for 8 hours in an emergency room before he got move[Truncated] 27079 7/10/06 3:35 PM OR "* Instead of looking to increasing payment for service goals,we should look at cost containment processes [ie. increasing efficiency of services and developing less costly means of providing services...such as setting a cap on specific prescrip[Truncated]" 27080 7/10/06 3:42 PM MN "* I agree- All Americans should have access to quality, affordable health care, like many European nations provide for their citizens![Truncated]" I support a set of core health services as stated above. * I agree with this idea. There should be some limits imposed and rationalize somehow the potential for length and quality of life.[Truncated] I agree with the statements made above. I agree with the statements above. I agree with the statements above. "* Some European nations provide comprehensive care to all citizens. Research about these systems, how they work and what they provide should be conducted and the best aspects of other systems incorporated into our own.[Truncated]" "* Those at greatest risk should have access to care, but not be able to break the bank or damage the system for wider use by all. There should be limits or special programs that apply specifically to high risk individuals.[Truncated]" 27087 7/10/06 6:51 PM WA Definitely. "* definitely include wellness and prevention, as well as addiction treatment. This is often the cause of other illnesses. Must treat the cause.[Truncated]" "I do think some very high costs could be exempted, i.e. certain transplants shouldn't be presumed." A great idea. "* Health Promotion is very important... alternative methods should be supported. Many people get lots of help from acupuncture, healing touch, massage, chiropracors, etc. Cheaper and very effective. Vitamins during pregnancy is better than prem[Truncated]" "* Very Important part of health care. Good professional help can comfort people so they don't panic and insist on high-priced, ineffective surgeries and other treatments.[Truncated]" Im very glad you are doing this. Yes. It's a shame that the richest country on earth has so many citizens in sickness that can be easily treated. 27088 7/10/06 7:19 PM CA * I would also like to see this include undocumented immigrants as failure to provide them with high quality health care can lead to epidemics and be harmful to the halth of all. These are the people who often grow our foods and it is ridiculo[Truncated] "* I would be interested in knowing the definition of broad spectrum. I would also like to see youth participants in this group as they should have a say in their own health care. Also, the services should incude holistic medicine and other [Truncated]" "* Because Americans no longer have the job security of the past, most Americans are in danger of losing their health care (whether they know it or not). With the new bankruptcy laws, all families are in danger if any member has a catastropic i[Truncated]" Government officials invested in pharmaceuticals should not se4e this as a money-making proposition. Statistics should be anonymous. The government has no right to personal information. Elderly patients should receive as much in=jome care as possible. * I believe that the revenue distribution should be based upon ability to pay. Large corporations and the rich have taken advantage of the masses for years and it is time they paid back what they owe.[Truncated] 27091 7/11/06 12:06 AM CA approve approve approve approve approve approve approve 27092 7/11/06 12:15 AM OK "* Put a cap on lawsuit amounts. Make it illegal to have different prices for groups (insurance companies)than for individuals. Encourage competition by easing ridiculous residency requirements that may prevent otherwise skilled medical profes[Truncated]" * System for patients to rate the treatment they receive with the statistics made publicly available. The system must include a way to identify doctors who take on the though cases which may lead to a higher incidence of treatment failures or u[Truncated] "* Some allowance for those with chronic diseases to acquire certain medications without another doctor visit for a prescription refill. For example; I have psoriasis, a lifelong skin disease that is often treated with topical steroids. There a[Truncated]" Remove restrictions on purchasing non-narcotic prescription medications from international sources. "* Lawsuits are undoubtedly the most important factor in the soaring cost of medical care. A lack of supply will raise the cost of any commodity, this includes health care services. Increase the number of health care practitioners by relaxing li[Truncated]" 27096 7/11/06 7:53 AM WV this must be the foundation of a new system yes...this is common sense i agree 27097 7/11/06 8:37 AM NC "* Because of the billions of dollars private HMOs and insurers have in the current system, removing them from the system (which must be done to make it truly universal) wil be extremely difficult, They can buy any politician with their million[Truncated]" "* The current health care ""middle-men"" of insurers, HMOs, etc., must be removed from the system. If the government is to pay the health care bills, they must pay the provider directly, not through a business structure that will extract its sha[Truncated]" 27100 7/11/06 10:06 AM OH "I would add ""publicly financed"" with no role for insurance companies except as contractors working for finance agency." "* Cost is not an entity independent of the ""system;"" it depends on it. The current system inevitably generates high costs and growth rates. A single-paer system would reduce costs and their rate of increase by 1) getting routine care ouit of ER[Truncated]" "There should be one standard of care, publicly developed and updated through a transparent process." A single-payer system would permit efficient assessment of quality. All this could happen under single-payer much more efficiently. "* Unfortunatley, the discussion agenda promoted by this public process treated health care costs as a given with little or no examination of the incentives within the current system that drive these costs and how they would differ under alterna[Truncated]" "I believe a single-payer system IS optimal; it works well in other countries, why can't we do it here?" 27102 7/11/06 11:12 AM IL This should be a federal law if not a constitutional amendment. * Will this recommendation specifically target long-term care costs and facilities? It should look at how to finance nursing and convalescent care. [Truncated] "* 1) You should specify that a broad-based advisory panel include consumer advocates, corporate benefits representatives, benefits consultants, economists and non-experts. 2) A specific agenda item should discuss ""de-linking"" health care fro[Truncated]" "* There should be some statement about revising the US tax code to finance this safety net, i.e., providing tax credits to individuals or removing deductions from employer groups.[Truncated]" 27104 7/11/06 12:48 PM MO "* America should not only have a policy in place for all citizens, but there should be government guidelines in place. If all Americans are not insured, at least for routine care, it puts all of us at risk. We were the number 1 country i[Truncated]" "* Will this come with a lot of documents for consumers to fill out that would only cause mass confusion, like the Medicaid Plans or will it be easy for the average educated American to understand? I am sure that it will have to incorpor[Truncated]" "* Not only should multimillion dollar corporation share some of the expeditures, the health care insurance policies, that are being provided through jobs and the private sector are charging rediculous rates for co-pays and deductibles, pri[Truncated]" 27107 7/11/06 3:31 PM WI * some family needs are more excessive than others where either a disease or injury will cost money for the person to feel well again. i agree all people should get the same amount of health care in a country for my life is just as important th[Truncated] "* physical, mental, and dental health should all get the same respects. the appointments and drug perscription costs should both be taken into consideration.[Truncated]" i gree. "* if a percentage of pay for each home goes to the medical community, some percentage of the appointment and drug cost should also be taken into consideration.[Truncated]" "* to determine a evidence-based practice, a suvey given to a patient during the appointment would be effective. i don't think a lot of time, effert and money should be spent to determine what is defined as ""best.""[Truncated]" * funding for the funeral ceremony can also be taken into consideration since a family doesn't want to deal with money at a time when a family member moves on into a different dimension.[Truncated] "a percentage of a persons pay role should be subtracted, how it is now. this percentage should be the same for all americans." 27109 7/11/06 5:01 PM AZ This is an excellent place to start. "Please include vision, chiropractic and gym membership." Sounds good. Additional bullets needed to further integrate system into local communities and neighborhoods. A good start. Good start. * No American should have to go without medical care. All of us would be healthier and the cost would be more controllable if we had a federally funded program.[Truncated] Let's start with all children and the elderly. 27111 7/11/06 5:07 PM FL "* I fully support universal healthcare for American citizens. I also believe that anyone on US soil should receive, at least, emergency health care services without risking their safety or freedom. This includes those who may be undocumented.[Truncated]" I support. I support. No one should have to sacrafice their life savings and/or become destitute to receive necessary medical services. The federal government has a duty to protect both the financial and physical health of US citizens. * People should be required to contribute to the cost of their healthcare based on a sliding scale proportional to income. No one should have to sacrafice their life savings and/or become destitute to receive necessary medical services.[Truncated] 27114 7/11/06 5:46 PM MI * I absolutely agree with this..I still don't see how this will work. Somehow there needs to be individual accountablility. people need to be empowered to take good care of themselves. They need to know what preventative things they can do.[Truncated] yes! Just where are the high costs coming from? Everyone seems to point their fingers at someone else. This seems an integral part of the plan Patients should have freedom to go to the doctor of their choice. * I think this is one of hte bigest probelms we face today. It has to be tackled and I like the fact that this has been an independent commission and that the politicians are accountbale to the people. It seems such a highly charged political i[Truncated] 27117 7/11/06 6:17 PM MO I agree whole heartedly. I agree. I agree and think a public system would be best. I agree. These programs should be integrated andexpanded to include all under a single- payer system. I agree. I agree and I support a single payer system. 27119 7/11/06 7:06 PM WA * We should have in the United States what every other industrial nation on the planet has: universal health care. The fact we do not have this is no accident: it is a telling reflection of the savagery inherent in capitalism. Indeed it has lon[Truncated] "* The definition should also include some alternative medicine such as chiropractic. A good model to follow in this regard is the alternative medicine policy of Group Health, the consumer-owned Puget Sound health care cooperative. [Truncated]" Universal coverage -- ADEQUATE universal coverage -- would be its own guarantee against medical impoverishment. See my comment above regarding Group Health as a model. "* Again see my comment above regarding the Group Health example, which could provide a model of single-payer, universal health care for the entire nation. [Truncated]" "Once more, the Group Health model for dealing with these matters is both humane and effective." Thank you for the opportunity to participate in this discussion. * Universal health care should be financed through a graduated tax deliberately structured to penalize the rich -- precisely the Bad Bosses who in their infinite greed have methodically and maliciously withheld universal health care from the re[Truncated] 27120 7/11/06 7:20 PM DE "All Americans, not the illegial immigrants." All Americans should have basic healthcare. Bankruptcy caused by medical expenses should be exempt from law. Americans with limited income should be required to pay what they can. 27123 7/11/06 8:00 PM OH its about time someone did something about health care very good 27125 7/12/06 1:37 AM AZ * It is a travesty that the richest country in the world has so many with no access to health care. This must be changed. Adequate preventive care for all would reduce health care costs now wasted on emergency room visits by those who wait unt[Truncated] "* The people deciding whi gets what level of care should NOT be in a position to profit financially from their decision to deny care, as is currently the case. [Truncated]" "* Do away with ""for profit"" healthcare and everyone benefits, except maybe the insurance and drug companies, andthey are a huge part of the problem. They need to be told that their obscene profits are a thing of the past. [Truncated]" Too many layers of beaurocracy in the above. Simplify it to a single payer plan with accountability at the local level. " Reduction of fraud and waste alone could provide billions of extra dollars for actual health care, and is worth investing in." "* We need to get business and profits out of health care, and get back to the needs of the people. A profit driven system has been proven to be a dismal failure. The legislators who vote against government provided healthcare ironically themse[Truncated]" "* Only a single payer plan, like those of all other industrialized countries in the world, will eliminate the wasteful beaurocracy we currently have in our system, where more money goes to paperwork than to actual care. [Truncated]" 27129 7/12/06 8:04 AM NH "* one of my cocerns is that when we talk ""community"" for some reason i'm not aware that other health care agency's are communicating with each other and duplicate programs. it would be more cost efficiant to try and work together and forget c[Truncated]" 27135 7/12/06 2:13 PM CA "* A 1% tax hike for individuals earning more than $100,000 or a couple earning more than $175,000 could pay for health care for millions of US Citizens who currently have no heath care coverage. Also any businees with more than 10 hourly employ[Truncated]" 27138 7/12/06 4:00 PM VT "Health Care should be a basic right of all citizens and paid for similarly, that is with tax dollars based on ability to pay." * We have never paid for prevention. We have never supported research to assess effective prevention programs. We should. Our current mental health services are dreadful.[Truncated] Establish a national program that covers all health care for everyone. * The biggest and simplest efficiency would be to remove private insurance from the mix. It hasn't worked. We are paying millions and millions of dollars to support an industry that fails. Let's have a single payer system and save a boat loa[Truncated] "Single payer, publicly funded universal health care solves this problem too." "* Financing should be through fair and progressive taxation. Fair taxes imapct people similarly. Right now, low income workers pay 25%-30% of their total compensation on health care insurance while the wealthy pay much, much less. This isn't[Truncated]" 27140 7/12/06 7:12 PM UT "* would somebody please define ""affordable""? I fear that most in this Country want more than we can be taxed for without harming the economy.[Truncated]" "* Core benefits should include: dental cleaning and x-rays, once per year. 80% of cavities filled. No other dental benefits. 100% immunizations. This is cost effective. 80% of pregnancy. 80% of BASIC hospital expenses. 60% of menta[Truncated]" "* I'm not sure we can afford to do these high cost things in the first place. Ultimately, we all pay. We need to be willing to let people die. Very high cost procedures should not be done. Period. They should not be paid for by the t[Truncated]" "* We need to be willing to let people die. We need to stop being obsessed with preserving life, no matter the cost. Cost is important. National coverage should not cover high cost items. (High cost items should only be paid by private in[Truncated]" 27143 7/12/06 10:18 PM NJ "* Compensate physicians for their services appropriately and health care can become more widely accessible. However, their must be an acceptance of responsibility of Americans to keep their part of the bargain, to keep appointments, to follow [Truncated]" "Consider the Israel basket of services. For everything else, cash. Keep the insurers from dictating what is in the basket." * We deliver Health Care very inefficiently right now. We need to get primary care out of the emergency rooms. We need to have diagnostic capabilities for those uninsured. We must also address end of life issues learning to accept death as a[Truncated] "Encourage formation of medical colleges in those underserved areas to provide enrollment, care and development of physicians." "* Patients must be active participants in these programs. Obesity reduction, smoking reduction, alcohol and drug reduction are the responsibility of patients. Physicians can treat but can not stop destructive behaviors.[Truncated]" "* Ties into # 3. We must deal with end of life on a moral basis. Consider the costs of end of life dialysis, life support, etc. that prolongs life without quality.[Truncated]" * The Kurtzer Plan as I call it is an optimal plan. All Americans are given a health plan credit card. This card is issued by insurance companies or by the Feds. or the States. The cost of the card is paid by a premium. When a client visits[Truncated] 27145 7/13/06 4:21 AM NV "* Yes, I obviously support this type of system. Will this system help with the people, who are in the poverty bracket, control how many children they are willing to concieve?[Truncated]" "* Over crowded Emergency Rooms, people unable to receive any wellness care. Looks like this abismal, 20th century, Darwinian, psycological social standard of care is rolling on strongly down the rail road. Our Capitalist system make Communism h[Truncated]" "The reason this gets brushed aside is because there is no ""Buy In"" from our elected officials in Washington." "* Establishing federal efforts is only a position of employment that cost controllers fight against. And besides, aren't we suppose to follow those who ""Don't Get Caught Up?"", as in being selfish in a way of distinguishing one's self from othe[Truncated]" * This must be the communicative work of federal defcit increasing Republicans; program expansion and acceleration...controlling costs across the entire health care system. This is where it gets cycled into the circular file.[Truncated] "* Start this Recommendation in the State of Nevada, particularlly in Oncology. Not everyone wants to die just cause we live in desert State that has a certain amount of legal gambling. I am ready to start knocking people down who presume I hav[Truncated]" "* If you need some help creating a ""Buy In"" for the Elected Officials, send me an E-Mail. It would be like doing a job for Christiananity.[Truncated]" * Our Emergency Rooms are over crowded and here are those same Broad Definition terms; Financing strategies...principles of fairness. They probably are being used to create legislational language in order to make it attractive for profit orient[Truncated] 27147 7/13/06 9:42 AM GA "* Let's cut out the ""financial assistance"" analysis. It does nothing but add administrative overhead. Why not have everyone pay in 8% of their income (no loopholes) and receive comprehensive health care when needed with no copay or deductible[Truncated]" Why not use the guidlines already established by the Veterans Administration as a starting point? "* Why not have everyone pay in 8% of their income (no loopholes) and receive comprehensive health care when needed with no copay or deductible? This ""automatically"" provides financial protection.[Truncated]" * NO COST SHARING. Why not have everyone pay in 8% of their income (no loopholes) and receive comprehensive health care when needed with no copay or deductible?[Truncated] HR 676 would start us in the right direction! "* Why not have everyone pay in 8% of their income (no loopholes) and receive fully comprehensive health care when needed with no copay or deductible? What could be more straightforward and ""automatically"" fair?[Truncated]" 27154 7/13/06 11:40 AM TN Healthcare coverage should be required of all Americans just as liability insurance is required by states for all drivers. * Preventive services and health education must be a basic benefit so that healthcare is focused on prevention in addition to reacting to disease.[Truncated] "* I heartily support this and am willing to pay higher premiums, fees, or taxes so that this can occur as long as efficiences, quality assurance, and preventive measures are part of the process.[Truncated]" I also support this. see comments on recommendation 3. I heartily support hospice care. * Everyone should be large pools so that the least healthy people are not in a pool by themselves where insurers refuse to cover them or make coverage impossible to afford.[Truncated] 27155 7/13/06 11:41 AM MI * I absolutely agree with this recommendation. I believe it is shameful that such a prosperous country is so far behind other countries in the world in providing quality health care to ALL its citizens. Health care should be a right. I can t[Truncated] "* I believe that our federal government should return to the days when pharmaceutical companies were not allowed to market directly to the public. Despite the claims of the companies, there is no doubt in my mind that the costs of pharmaceutic[Truncated]" "* The amount of waste in the federal administration of its health care programs is outrageous, and should be the first to be examined and streamlined.[Truncated]" "* I absolutely agree with this recommendation as well. And I believe that it should be a REQUIRED element of medical school training to learn about end of life care, palliative care, and the dying process. Physicians are generally not skilled[Truncated]" 27157 7/13/06 11:57 AM IN "I love the premise, but am uncomfortable unless the financing is included as to how it will be acheived." The goal is ideal. The trick will be in obtaining funding without sky high taxes. Would love to be a part of this. * I beleive these are the current programs functioning and these are also the programs that are missing a great deal of the population who are currently uninsured. This does not address filling the need.[Truncated] This also appears to be a no brainer and should be included. "* The recommendation is correct in the fact it will take time that I am unsure we have in order to safe guard the health of the nation, especially in the light of possible bioterroism.[Truncated]" 27164 7/13/06 4:07 PM NY Strongly in favor...an absolute necessity. "This core benefits package should be provided by the government, not private health insurers." There should be no room for privatization of health care services. "* Businesse would be reieved of providing health care for emplyees, thus making funds available to contribute to universal health care.[Truncated]" 27165 7/13/06 4:07 PM NY Strongly in favor...an absolute necessity. "This core benefits package should be provided by the government, not private health insurers." There should be no room for privatization of health care services. "* Businesse would be reieved of providing health care for emplyees, thus making funds available to contribute to universal health care.[Truncated]" 27166 7/13/06 5:53 PM KS "* Recommendation 1 sounds so nice, but will not work. Who pays for all this??? Who pays for all this??? That's the problem, you do not deal with that anywhere, even below.[Truncated]" "* Again, the problem is: who is going to pay for all this? And if you define a treatment as not a core benefit, someone will sue to make it core, and you will end up calling it core, and the bills will start piling up. I don't think you will[Truncated]" "* No one in America should... ever be impoverished (but there will always be poor people), ever go without a meal (but this is not a perfect world). Your pie in the sky idea will cost trillions, and will lower the quality of health care overal[Truncated]" "This is just so much B.S. None of this recommendation even makes sense, or would work. Committees, committees, for ever." "* So much B.S. Put it into common words and see if it says anything. It doesn't. Private doctors, hospitals, etc. try to save money and be more efficient every day. Government is obviously the last organization you would ever choose to inte[Truncated]" "Hospice care is working now, don't mess with it." "* You have one adjenda: to try to justify socialized medicine. It isn't what the country wants, and it will not work. All your recommendations are very long on sounding nice, and very very short on making sense. I dare you to publish my com[Truncated]" "* Additional financial investments"" is just a B.S. way of saying tax the middle class and rich some more!! I don't believe ""most people"" are willing to pay for other people's health care. I believe your committee is not objective but has the[Truncated]" 27171 7/13/06 10:12 PM WI We agree that all Americans should have affordable care with access to providers of choice such as APNP's. PREVENTION should be the number one emphasis and driven by NURSES. * We agree. We also would recommend that the burden of access to care also would be looked at if a problem existed regarding care and costs.[Truncated] We agree and we wish the group to consider the advanced practice role. "Increased health promotion efforts lead by APN's. Utilization of the EMR. However, the data must be used in good faith." Adoption of unconventional methods. Look at the end of life care/death with dignity. "Please, Please contact us if you have questions." "* Please consider unconventional healthcare models, eg. alternative healthcare methods, advanced practice models ie. APN's, CRNA and Master's prepared Nurse educators.[Truncated]" 27174 7/14/06 1:32 AM CO There should be some limits on high cost-low benefit procedures especially at end of life. Limit heroic/expensive measures. Must limit corporate influence which will try to sabatoge or veer it towards self-serving interests. One payer system with some private elements in its implementation. There should be some checks and balances in it. Prevention should be #1 focus Get away from heroic measures at end of life. Make sure the corporate health care industry doesn't hijack this effort if it comes to fruition. * Keep the financing and managing of the system from over-complicating the insured/patients lives (unlike the new mediare drug plan).[Truncated] 27178 7/14/06 11:00 AM MN "* There must be a system in place which provides healthcare for all, regardless of their financial status. Their must also be financial protection from financial ruin due to incurred medical expenses. The emergency care people without medical i[Truncated]" 27182 7/14/06 2:32 PM MO "* I have recently heard that the date of 2012 will be removed from the revised recommendations. This greatly concerns me as we need adequate, affordable health care for all NOW and a definite completion date needs to be stated. I personally l[Truncated]" 27183 7/14/06 3:02 PM CA "* This is a physical and financially impossibility. Anytime government takes charge of any government program, the program is doomed to failure and bankrupcy. More Billions of dollars thrown down the government buracracy. [Truncated]" * A one size fits all will not work. This just another government giveaway program and another social program that is doomed to failure.[Truncated] * Current health care services in America is working and working too well. We have anyone and everyone who needs healthcare service receiving service being paid by the public. Eliminate all illegal healthcare services may be a good start toda[Truncated] Solve the current waste and fraud in the healthcare system first before driving more debt and fraud. * Take the word federal government out of the equation and drive it into the local communities any you may have a chance of success.[Truncated] "Leave it to the private sector. If all of these programs are profitable and viable, these problems will be solved." * More nebulas government programs that will drive even deeper in debt with absolutely no hopes of actually delivering any kind of service to anyone. Corruption and fraud will be rampant as usual. [Truncated] 27189 7/15/06 6:04 AM OK "* I read in the 7/9/2006 issue of the Sunday Oklahoman about your meeting in Oklahoma City on August 1st. I will try to attend. Do I need to make reservations? I do have a couple questions that I would present now. 1. How will the ""g[Truncated]" "* Another one of your proposals is ""PROMOTE EFFORTS TO IMPROVE THE QUALITY AND EFFICIENCY OF AMERICA'S HEALTH CARE DELIVERY SYSTEM"". (This could also be a part of Recommendation #5). Again I ask ""what is your definition of ""Delivery System""[Truncated]" 27192 7/15/06 11:36 AM OK "* I agree. Further, I believe that ""right to health care"" is tied to a ""reponsibility to health care"". Providers, payors and consumers are all abusing our health care system with wanton waste, fraud and overuse! We reward the wrong behaviors[Truncated]" * Care should be taken to assure that participants are free to be nonpartisan. Tunnel vision will be a concern. If participants are working in a reform group on this issue while on the payroll of any entity (and this will often be the case) whe[Truncated] "* I agree. However, I believe certain ethical issues must be addressed first. For example, we have to have some sort of criteria for deciding how much is done. For example, end of life care, etc. There are times when medicine can't ""fix"" a p[Truncated]" "* I agree. I have a concern about the issues of health care manpower in the above scenario. Currently, providers and trained personnell do not want to live in these deprived areas where they will earn less income and have no help in after hou[Truncated]" "* YES!!!!!! Also, develop a model that the provider is financially responsiibile ( not reimbursed) for the care that injures a patient in those extreme cases where medical error leads to extra costs to the patient. Currently the patient is of[Truncated]" "* Yes, but also hold public discussions on the process of dying. We need to talk about the taboo topic of death so we could truly learn more about death with dignity. Death is still a taboo topic. Do we not spend trying to DENY death rather [Truncated]" "* Yes, I have great passion for this cause. Nothing less that TOTAL TRANSFORMATION is acceptable. We have a national tragedy that is long overdue for resolution. Lastly, if we can find a way to cut the waste, the fraud and the extreme overus[Truncated]" "* Our current percapita investment in American,(which is more than 2 times any other industrialized nation) should be enough to pay for a reasonable basic health care plan. What is reasonable? That is the tough question! The bottom line is t[Truncated]" 27193 7/15/06 12:02 PM WA "We all matter. If some are unhealthy, it affects us all, economically and culturally and in humanitarian ways." Costs need to be reasonable so health care is accessible to all. This needs to be coordinated well so all are reached. There need to be safeguards so all are cared for with efficiency and compassion and fairness. "People deserve a choice about their health care, especially when they are dying and family stress is high." 27194 7/15/06 12:42 PM WA "* This is very important. We need to get back to the concept of a community (national) risk pool, so that risk is spread widely and affordably.[Truncated]" "* I agree with this in general, however our knowledge base is lacking in many areas. Where treatments have been proven neither ineffective nor effective due to lack of research funding and attention, there needs to be flexibility in coverage de[Truncated]" It is a disgrace that we still allow people to be ruined by medical bills. It is high time that we fixed this problem. * This is a good recommendation. Community health centers are critical to strengthening the safety net. They meet the needs of diverse populations that are often not well served by more traditional health establishments.[Truncated] "* The focus on evidence-based practice, while nice in theory, is problematic when there is so little research on certain aspects of health care. We need to improve funding for developing the evidence base, in order to be able to rely on it. I a[Truncated]" "* As a society, we spend an incredible amount of money on expensive and technology-rich end-of-life care that many people say they would not actually want for themselves. This recommendation provides a good approach to begin addressing these is[Truncated]" Thank you for your work on this! * Much money and many resources are wasted in duplicative administrative and billing systems. The result is confusing and wasteful. Streamlining care and administration are critical for efficient use of resources and effective access to health [Truncated] 27195 7/15/06 1:30 PM WI POLITICIANS CERTAINLY DO. "* IT seems health care cost keep spiraling out of control and this system is failing to curb spending.Doctors,HMO's,insurance companies all blame each other, but the real tavesty is the medical consumer gets the end bill. They say giving privat[Truncated]" STOP SENSELESS SPENDING. 27196 7/15/06 2:24 PM PA "* I am tired of watching drug advertisements on the television. I donot need to know this information, this is why I have a doctor. this is a practice that drives up the cost of perscription drugs. make them put the money into research and brin[Truncated]" 27199 7/15/06 3:09 PM TX * This recommendation shouldn't be turned into another medicare government-run bureaucracy. What we all want is affordable healthcare that isn't denied to someone with a pre-existing condtion nor to be out of reach to anyone else. [Truncated] "* Keep the government out as much as possible and let the real experts, doctors and medical personnel, make medical decisions at local level. Everybody else would be consultants.[Truncated]" As private as possible. Too much government involvement. "Straighten out Medicare, Medicaid and VA before taking this on." "* And make sure euthanasia isn't part of this recommendation and will be considered always unethical. Can communities really afford this? Probably not. [Truncated]" * The concern of many is that the government will take control of our healthcare system which will then be too expensive to maintain just as medicare and medicaid have become. Every nation with nationalized healthcare has too many problems and[Truncated] "* I don't know exactly what is best other than a marketplace-based structure because government-run medical programs (medicare, international medical care) never work efficiently. They are slow to pay doctors and they run in the red. [Truncated]" 27202 7/15/06 7:30 PM CT "* Large Employers like Wal Mart, McDonalds, Dunkin Donuts, Target etc. need to be mandated by Federal law to pool employees of those companies and cover All full time and part time employees into a large group health plan. Here in[Truncated]" * Dental care for children amd young parents. Basic health preventative(Yearly checkups) care for all. This is needed to forestall people with no health insurance going to public hospital/emergency rooms when they become sick with [Truncated] * Require large employers Wal Mart Etc. to pool their plans in a private industry version of the F.E.H.B.P.. As a Postal Federal employee I and other Govt. workers have this type plan. Private industry should be rquired to set up a simi[Truncated] * Have a Federal plan to help students pay for Medical school in exchange for service (3 to 5 years) in Urban and rural underserved areas. Work with Catholic and other religious and non profit hospitals to provide medical care for nee[Truncated] "* Coordinate FEHBP, Veterans and private group plans and non profit hopitals to provide health care fopr the most citizens as possible.[Truncated]" Bar starvation killing of ill patients like Terri Schiavo. A dog would not be killed like her(Starvation)! "* A import tariff on USa and other international corporations that have fled the country taking USa jobs out of the country. A tax on Non USA web sites and internet connections. This would encourage USA High Tech , Internet companies to stay [Truncated]" 27203 7/16/06 1:17 AM PA "Where you work should not matter in getting health care, as it does now. Human resources people like the status quo." "Cover dental health, so many people need it!" "Yes, you should not have to have a potluck dinner to pay for cancer treatment." Wouldn't this mostly be Medicare? "* Please end the way we get health insurance through our employers. The hospital I do work for has a lot of unhappy people who are there only for the health insurance. Business owners may not like the high cost of insurance, but I think human[Truncated]" "* If there is a fight about this, it will come from Human Resources executives, who want to ""hold health care over people's heads"" to keep employees at their companies. [Truncated]" 27206 7/16/06 10:42 AM MD "* Look at other national health care programs for useable models.Negotiate reasonable costs guidelines for care, meds,procedures that are more in line with average person.Promote plans that are humane and win-win in long term.In consort with ot[Truncated]" "* Reasonable criteria with timely review of facts should be to allow a person to have basic needs met,housing and utilities,food,transpotation, clothing,miscellany income left before having to pay over costs for health needs.[Truncated]" "* Money collected from tobacco companies have not been earmarked,used for low/no cost smoking cessation therapy,yet we are so adamant about smoke free environs.Where are the publicized acupunture,hypnosis and counseling sessions available for a[Truncated]" * Nursing homes are not required and usually do not have defibrillators.I was appalled to learn that this proven life saver is not standard.[Truncated] 27208 7/16/06 2:20 PM CA * IN the 1950's Americans HAD affordable health care though very few had HEALTH CARE INSURANCE. The insurance industry is the largest industry financially in the country. It got to be this way because politicians got paid by the industry to st[Truncated] Scrap it and let the market pressures reduce the cost of health care for all Americans. "* Bring the costs down by freeing medicine from government mandates that drive up costs. Currently when you visit a doctor, you not only have to pay him, his assistant, and his receptionist, but also a couple of insurance specialists, and liter[Truncated]" "BASED ON ALL I HAVE PREVIOUSLY WRITTEN, GET THE FEDS OUT OF THE HEALTHCARE INDUSTRY." The only way government can improve costs and efficiency is to free it from the current mandates. Get government out. "* As insurance participation in healthcare deminishes, costs will go down thus making healthcare more affordable (you won't be paying all those insurance execs) and American Medicine will be free to gradually reclaim it's prominence. [Truncated]" "* Government should stay completely out of health care. What government program works the way it's supposed to? The more government gets involved in education, the lower ou education system sinks. Government housing projects have all been di[Truncated]" 27209 7/16/06 3:38 PM TX agree more info be made available to those who need these services 27211 7/16/06 4:49 PM MI "* Medical care for acute or chronic medical conditions is implicit in ""Core Benefits"" Preventive care should be in a separate category with provision for distribution through both pubic and private systems, specification through a technology a[Truncated]" * HIS (and reimbursement) should be structured in a way to provide incentives for development of multispecialty group practice/disincentives for solo and small group single-specialty practice (in both urban and rural areas). [Truncated] "* An ersatz single payer system could be provided by requiring claims processing to be outsourced through a single (regional) public claims system, in which universal EOBs would be provided, and basic (universal)benefit plans supported, and pra[Truncated]" 27212 7/16/06 8:36 PM OH I support these recommendations. 27218 7/17/06 3:21 AM MO "* I fear that the working class, who pay a large portion of their income for health care benefits, will sacrifice quality of their care if this plan goes into effect.[Truncated]" * Why should people continue to work hard for services that can be gotten regardless of income? Clinics are already available for children of uninsured citizens. What will motivate people to take on responsibility for themselves when the gover[Truncated] * There are already programs in place to assist the working poor provide health care for their families. The overall quality of care would plummet. Take a look at Canadian Health care.[Truncated] "* Public/private community networks! I see lines of people waiting in noisy, government facilties to see a doctor they may have not even had the chance to choose. I believe in democracy. I want to be able to pay as much as I want to see the b[Truncated]" "* I pay for and already receive excellent medical care. If I want something better, I will find it and pay for it. Doctors are human, there are bad ones and good ones. Is it not fair that I may receive better care because I can pay for a be[Truncated]" "* This is one point I can support. People who have worked throughout their life, or CANNOT work, should not lose health care benefits as they age. Usually, when a person needs the care the most, they will not be able to work. The elderly and[Truncated]" "* Try to embrace the differences in our citizens. There are economic classes This is not a classless society, Is the American Dream now ""I don't have to do anything, because the government will provide for me. I don't need to work any hard[Truncated]" "* The money that I spend on health care for my family constitutes approximately 21% of my yearly salary. I work hard for the opportunity to take care of my family's health care needs. I can barely get by now, why should I be forced to take on [Truncated]" 27219 7/17/06 9:11 AM MI "The system requires a form of rationing, but no one wants to establish this necessity." "* The realistic time for palliative care alternatives can be taught now, and may be the lowest cost change for high costs available.[Truncated]" * The lack of accurate information regarding health care costs is one of the largest barriers to improving efficiency. The high administrative costs associated with insurance will be the hardest costs to eliminate. Real procedural cost data str[Truncated] 27222 7/17/06 9:49 AM CA "* it should be mandatory that the medicare deductible and co-insurance de ductible have the same yearly start date. Companies & unions could agree to this, and it would make it a lot easier on retirees who have high out-of-pocket expenses ongo[Truncated]" "* As a nation we should collectively hang our heads in shame for what has happened to our healthcare system. We are seeing the gap between the ""haves'"" and ""have nots"" widen daily. Healthcare should be available to all, and if the only answer [Truncated]" 27223 7/17/06 10:37 AM VA Manage-care hasn't worked to reduce health-care costs. Too much money has gone to CEO's and others. I'm glad you are including mental health. I would pay higher taxes for universal coverage and a single-payer system. 27224 7/17/06 11:10 AM PA * We need to take care of all U.S. citizens health care needs. Health care should not depend on one's financial ability to pay. A projection for the year 2012 will be too late for millions of people. Why wait until all the babyboomers retire[Truncated] "* Today would be too late. So, get the ball rolling. Meanwhile millions of good Americans will parrish because of no proper hea;th care.[Truncated]" * Regulate the current health care providers and pharmacy companies from gouging the American people. Healthier people will save the taxpayers billions of dollars. The working poor can not be taxed further. The rich need to contribute their [Truncated] 27231 7/17/06 12:37 PM FL "* There is no logical reason why all Americans should not have access to a set of comprehensive core health care services that are accessible, thoughtful and focused on prevention.[Truncated]" * Evidence base science and expert consensus must be used to specify benifits. Insurance providers and for profit agencies should no longer be permitted to determine what health care can be provided.[Truncated] I agree with all of the above. "* Yes, focus of intervention needs to be on the patient, not on the institution that should be designed to serve the health care needs of the patient.[Truncated]" "* Tax cuts to the rich must stop. That would be a good start in financing health care. Additionally, if our taxes pay for our elected officials health care, they should pay for the rest of the American people as well. Unless comprehensive ca[Truncated]" 27233 7/17/06 12:57 PM TX "* One of the key factors in providing quality care is communication. If you are unable to communicate with your patient because of a language barrier, how can you provide quality care? If you attempt to communicate using limited foreign languag[Truncated]" 27235 7/17/06 4:43 PM OR "* I fully agree with this recommendation, but 2012 is too long for this to take place. We should have a single payer to simplify regulations and payments. As it is now we are all paying for everbody whether it is through insurance, company ben[Truncated]" No one should be deprived of health care because they are poor. Same as recommendation #2. Sounds as though the services will be scattered with this. That diminishes efficiency. This recommendation should be heavy on the integration facit. Fragmentation will not provide the results I desire. "* Keep the religious ""wrong"" out of people's lives and decisions. Again, I believe #6 fragments the concept; there are too many entities with their fingers in the pie.[Truncated]" "* This idea is well past its time. Most, if not all, the industrialized countries have a form of more comprehensive health care than the U.S. Hillary Clinton had the beginnings of a workable system and she was stopped in her tracks. We could[Truncated]" Also agree. 27236 7/17/06 5:01 PM MI * There is power and strength in numbers. The more participants in a program will keep costs down and offer more to it's recipients.[Truncated] "Minimal or base coverage must be defined, and more can be available based on one's needs and financial means." "People need protection from health care costing their life savings, there must be limits set." Keeping a plan that meets the needs of the people enrolled will require monitoring those needs. "* Whether one is working or not, whether one has financial means or not. This plan must be inclusive and be offered to all people at an affordable rate.[Truncated]" 27237 7/17/06 5:06 PM CT "* Absolutely! The current system is in an alarming state of melt-down. EVERYONE needs to be included, no matter their circumstances. Anyone who is left out (and I have one in my family) is highly vulnerable to becoming sicker, suffering more[Truncated]" "* We need top-quality primary care, aimed at prevention and wellness; and, for those with serious and/or chronic illness, vigorous intervention to head problems off from going undetected or escalating, as is the case in the current system. [Truncated]" "* Absolutely. Yes! With a family member who is(1) uninsured, (2)chronically ill, (3)constantly going without medical help he needs to stay as healthy as he can be and (4)standing at the brink of medical bankruptcy, I KNOW what can happen. [Truncated]" "* YES! Health networks need to be deeply-embedded in EVERY community. EVERYONE needs to have prompt access to TOP QUALITY medical care that focuses on prevention, wellness, and stick-to-you-no-matter-what care should they become ill. [Truncated]" "* As a Licensed Professional Counselor, I will have NOTHING to do with the current system of reimbursement. If I did, I would go crazy with it. And I'm sure that this is what happens to doctors everywhere -- at a staggering administrative cos[Truncated]" "* Having recently been the designated health care over-seer for both my parents until their deaths (both in their nineties), I would have welcomed the kind of informed support and programs recommended here. [Truncated]" "* I believe that we MUST have universal access to health care through a single-payer system administered by an independent, non-partisan, private-public entity. THERE IS NO MORE URGENT AGENDA FOR AMERICA TODAY! Without it, we are crippling ou[Truncated]" "* I long ago concluded that we need a national, single-payer system of financing. This will probably involve additional taxes -- and that is fine. It will cost us less in the long run, anyway, because we're already being taxed in the form of [Truncated]" 27238 7/17/06 6:54 PM PA "Affordable healthcare is not a right; however, it is something that we should strive toward." * Good idea. Set-up core coverages for basic services and establish an HSA style account for all other non-basic services (patients must be responsible for their health and healthcare). Tier deductible amounts by income and make it tax deduct[Truncated] "* Checks and Balances; This must include a means of checking to insure that the patient is doing their part and taking responsibility for their health to the extent possible, rather than relying on providers to ""fix"" them.[Truncated]" * Expand Heal loans to providers. Consider requiring temporary service from providers who receive grants or forgiveness for a $ amount of federal loans for each year served by providers in underserved areas.[Truncated] "* Limit use of high-tech, high costs tests, use lower cost physical exam, history and experience, but also limit provider liability and retro-active insurance review. Outcomes based care is a definite. Open access to research dollars to provi[Truncated]" "* We must begin to allow terminally ill and morbidly aged people to die with dignity. Healthcare designed to prolong these people's lives should be considered carefully and without emotion, in regards to the quality of life that is possible an[Truncated]" "* More significant than establishing new sources of revenue is the need to establish a ""common sense"" approach to limiting costs. A few of the steps that I believe are necessary: 1. Shift responsibility for a patient's health back to the pati[Truncated]" 27240 7/17/06 9:56 PM WA "* YES!!!!! Third world country have more available free health care than the US. We started out a nation that had companionate people who cared about the needy and sick and took a oath now that Wall Street saw where the profits were and hos[Truncated]" "* OVER WEIGHT IS PER POUND OF BODY FAT. using A FAIR BODY FRAME. PEOPLE IN DESK JOB PAY MORE THAN CONSTUCTION WORKERS. we HAVE CREATED A SOCITY OF DOCTOR JUNKY. EVERYONE PAYS A FLAT 40 DOLLAR OFFICE VISIT EACH TIME WITH A 2000 DOLLAR MAX[Truncated]" "* FOR SURE. ALL AMERICANS THAT DO NOT HAVE A CERTAIN DOLLARS AMOUNT IN BANK. HOWEVER THIS WOULD EXLUDE ANY ONE WITH OVER A NET WORTH OF A COUPLE MILLION DOLLARS. SINCE THEY WOULD BE THE FIRST TO SIGN UP IF THERE ALLOWED. ALSO NO ONE CREDIT SH[Truncated]" "* THIS IS A MUST. WE HAVE YOUNG ADULTS WITH NO MEDICAL OR DENTAL AND NO JOBS OFFERING THIS TOO THEM. TODAY FEW SELF EMPLOYED JOBS HAVE MEDICAL AND NO DENTAL. WE NEED PRICE CONTOLS SET AND WE NEED OPEN DOOR CLINICS THAT CAN HELP THOSE WHO[Truncated]" * WE HAVE LESS AND LESS PEOPLE WHO CAN AFFORD TO START RUN OR OWN A CLINIC DO TO MAL PRACTICE AND THE CONFLICK OF INTEREST OF allowing insurance industrie to have owner ship in hospital and clinic. we need to have a cap on malpractic but also h[Truncated] "* yes also a person wish to die should be honored with out religous over tones. Also parents should be given more say so in there childs treatment.[Truncated]" "* I SELL HOUSES. THIS MONTH I HAVE TWO CLIENTS LEAVING THE USA TO LIVE IN MEXICO BECAUSE THEY KNOW THEY CAN GROW OLD THERE AND HAVE MEDICAL. WE NEED CHANGE NOW WE NEE PRIORTY NOW WE NEED TO TAKE PROPFITS OUT OF MEDICAL AND PUT [Truncated]" "* NO TO GOVERMENT FORCING AMERICAN TO BE INSURED GOVERMENT EMPLOYEES SHOULD NOT GET MEDICAL FOR FREE. ALL BUSINESS AND CORP SHOULD ALSO BE ALLOWED TO PAY SAME FOR THERE EMPLOYEES ON A SET PRICE THAT ALL AMERICAN CAN BY INTO. A GOVERMENT INS[Truncated]" 27242 7/17/06 11:27 PM AZ "* In this day and age, in this county, having low cost affordable health care should be a birth right. Every single american citizen should have health care benefits, if they cannot afford it due to very low incomes, unemployment, or disabilit[Truncated]" 27247 7/18/06 3:13 PM NY I agree! "* If it's complete, a core benefits program will work. If it's bare bones, it's not much better than our current options, especially for the lower middle/working class.[Truncated]" Catastrophy clause would be very beneficial. Sounds great as long as it doesn't create too much bureaucracy and red tape. "I would think this should be a given, but identifying it makes sure that it is a priority." "* I agree as long as some form of budget maintenance is included, either in the form of a cap, maximum daily allowance or some similar plan.[Truncated]" Sounds reasonable. 27250 7/18/06 4:18 PM NY "* I agree everyone should have access to health services regardless of your status. However, we must think of finanicing the system which will not be a burden on anyone or those who have must pay for the lesser. It brings the argument of illel[Truncated]" "* Health should be defined as TOTAL HEALTH and not fragments of parts of the body. Who will appoint these members. As always people bring to the table their believes and make decisions based on those believes. Therefore, it is important a good[Truncated]" "* Protection against very high out-of-pocket medical cost for everyone is sufficient. There is no need to add 'Financial protection for low income individuals and families. If we are asking for Universal Health Care for all, why are we repeatin[Truncated]" * Who will be managing the this unit? Access to quality care is needed everywhere especially when reducing hospital beds is New York state is main focus presently. [Truncated] "This will be great. If all the funded programs are used to promote and integrate the health system." "* Preparing the families and individuals for their end of life is very important. Also, the care is valuable to the total well being of the families and the individuals. [Truncated]" * I would like to see Universal Health Care in the US take form. Every human being can say I have a place to go for treatment or check up without having to choose between my health or paying my rent. Compassion and unconditional love are needed[Truncated] * Universal Health Care-the definition needs to be more sxplicit. Many has the understanding Government will pay for all medical bill-no out of pocket cost.Financing strategies will have to take into consideration those who do not use prescript[Truncated]