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Mon Aug 17 01:05:09 BST 2009

MAJOR CHANGE IN DIRECTION from the WH.    Two MAJOR events  have recently 
occurred within the WH message on Health care reform.    First the President 
and his handlers have changed their terms from  Health  Care Reform to 
HEALTH INSURANCE REFORM.     The other is  cited below and occurred 10 minutes 
ago.   

This afternoon 8 16 09, President Obama signaled his handlers and  staffers 
to create the spin to let the public know that he will be dropping  "THE 
PUBLIC OPTION" in favor of "COOPERATIVES."      Personally, I strongly believe 
that this is both politically, economically,  and from a access and 
delivery standpoint, a major concession and a beginning  for more meaning dialogue 
between the White House, Congress, and organized  medicine.    Three MAJOR 
differences still exist in the  President's message and the Congressional 
bills:   

1.    The "HEALTH COMMISSIONER" if ever created (provably  NOT needed) must 
not report directly and solely to the President.  

2.    Both the President and Congressional bills MUST  address the 
immigration issue.   Immigration and Health Care for the  uninsured are linked at 
all levels.   To fail to address these in  the same breath is to have 
guaranteed failure

3.    Remove the veto threat statement made by the  President many times:   
"Tort considerations are not and will not be  on the table as we discuss 
health care  delivery."       At least state that this  subject is open for 
discussion at the Congressional and Administrative and  Court level.   

Organized medicine AND individuals  have a wonderful  opportunity to take a 
fantastic leadership role in making all FOUR of these  issues happen.   I 
have learned that the administration and the  inside strategists have 
suffered a significant and depressive setback on what  they thought was an air 
tight plan.   They are now discouraged and  believe that they might loose it 
all.    They are looking for  strategic partners to make something good happen. 
   I know of  at least six things which will give them, the patients, and 
organized medicine  a HOME RUN.   Four of those things are cited  above.    

k

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