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Discussion
Pages 9-16

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From page 9...
... It's sort of his way of trying to prime the pump, if you will, for saying we don't really need to offset all of it as a way of not having that little redistribution chore that everyone knows is going to be so politically perilous. Immediately today after this meeting Chuck Grassley walked up right 
From page 10...
... This was something that John McCain had wanted to change in his health plan and President Elect Obama basically said over my dead body. Well, the problem with that is that there are an awful lot of Democrats who think that maybe that would be a good place to get some of this money to finance health care.
From page 11...
... There was a small move toward it last year when Congress mandated e-prescribing but that's just the tip of the iceberg on getting to full electronic medical records. Unless the country goes toward a full single-payer plan, there's going to be duplicative administrative costs and as long as there's private insurance there's going to be administrative overhead and administrative burden.
From page 12...
... So that's yet another level of political complication and of course the Obama plan did have both an individual -- well, I guess it didn't have an individual mandate but it had an employer mandate. Certainly if you're going to mandate coverage for small business, you're going to have to have very large subsidies and I think that goes pretty much without saying.
From page 13...
... One of the first things that President Clinton did was pass the Family Medical Relief Bill that had been kicking around in the Bush administration and had, again, gotten through the Congress but just couldn't override the veto. So that was sort of a slam dunk, get something popular and bipartisan through the Congress, get it signed, have an early victory.
From page 14...
... AUDIENCE QUESTION: One big question is whether improving coverage, whether through mandates or universal coverage, will actually improve health outcomes and the health status of the American people. Are there any lessons to be learned from the Massachusetts example or other vehicles that might give us some insight?
From page 15...
... She's a working woman and with the announcement of today, there's a lot to try to tie up in a neat little bow for tomorrow and I am very impressed that someone who is professionally equipped to ask questions is so adept at answering questions. It is truly a great advantage for all of us, Julie, to have someone with your experience and talent in exactly the position you are, helping to keep all of us informed and alert to developments for health policy.


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