From The Atlantic:
When I reached Jonathan Gruber on Thursday, he was working his way, page by laborious page, through the mammoth health care bill Senate Majority Leader Harry Reid had unveiled just a few hours earlier. Gruber is a leading health economist at the Massachusetts Institute of Technology who is consulted by politicians in both parties...
"I'm sort of a known skeptic on this stuff," Gruber told me. "My summary is it's really hard to figure out how to bend the cost curve, but I can't think of a thing to try that they didn't try. They really make the best effort anyone has ever made. Everything is in here....I can't think of anything I'd do that they are not doing in the bill. You couldn't have done better than they are doing..."
The attempt in all these ideas to nudge the medical system away from fee-for-service medicine toward an approach that ties compensation more closely to results captures how much the health care debate has shifted toward cost-control. So far, the rise in health care spending has proven almost invulnerable to every previous attempt to tame it, like the managed care revolution in the 1990s. Even if Obama signs into law a final bill embodying all these reform proposals, many skeptics wonder if they can bend, much less break, the seemingly inexorable increase in health care spending. Reischauer understands that skepticism, but isn't able to entirely suppress a kernel of optimism that this latest reform agenda may prove more effective than its predecessors. "One never knows whether we're turning the corner or if this is just playing the same old game for another inning," he says. "But I sense there's something different out there. I think the medical profession and its leaders have read the handwriting on the wall and are trying to evolve." If so, the ideas the Senate will begin voting on tonight could mark a milestone in that journey.
From the Washington Post:
The Senate voted along party lines Saturday night to overcome a Republican filibuster and bring to the floor a bill that would overhaul the nation's health-care system...
The 60 to 39 vote marks a milestone in the decades-old quest for health-care reform, President Obama's top legislative priority. "The road to this point has been started many times," Senate Majority Leader Harry M. Reid said before the vote. "It has never been completed." The debate is expected to last weeks. Reid is aiming for final passage by Christmas.
"We know not all 60 senators in my caucus agree on every aspect of this bill," Reid told reporters. "But they agree on the vast, vast majority."
The Senate bill would provide coverage to 31 million uninsured Americans by vastly expanding Medicaid and creating insurance "exchanges" for individuals who do not have access to affordable coverage through their employers. For the first time, it would require most people to carry health coverage, although families with incomes up to 400 percent of the federal poverty level would receive subsidies to buy policies.
The legislation would also force widespread changes to the insurance industry to end discriminatory practices, including the rejection of coverage based on preexisting conditions. It would provide new incentives to encourage disease prevention and to institute the most effective treatments for chronic conditions such as diabetes and asthma...
From the Wall Street Journal:
U.S. President Barack Obama, fresh from his first presidential trip to Asia, called for the U.S. to increase exports to that region, saying even small gains would help put many unemployed Americans back on the job.
"As we emerge from the worst recession in generations, there is nothing more important than to do everything we can to get our economy moving again and put Americans back to work, and I will go anywhere to pursue that goal," Mr. Obama said in his weekly radio address to the nation.
The president's remarks follow his four-nation tour of Japan, Singapore, China and South Korea, a trip he said was prompted largely by economic interests. Now back in the U.S., he promised to continue to focus on ways to combat U.S. unemployment.
Mr. Obama warned the U.S. shouldn't return to relying on growth fueled by consumer borrowing, urging the nation to spend less, save more and get the record federal deficit under control. He also called for a greater emphasis on exports, saying a 5% increase in U.S. exports to Asia would result in hundreds of thousands of U.S. jobs.
The president touted an upcoming White House forum on jobs and economic growth, where business executives and owners, labor unions, economists and financial experts will discuss ways to spur hiring and get the economy moving again...



