And U.S. health reform

Would President Obama is locked in the health reform? Is it possible? I never imagined writing on these words. However, after watching the president deliver his State of the Union Wednesday night, the question remained in my mind. Powered by political orientation, President Obama might now be real obstruction patient-centered care reform health care?

Without reform health care issue was at the center of the national agenda of the president. But with the election of Senator Scott Brown, he no longer has the votes needed to push a reform of universal health care through the Senate. Driven by the pig, bribes and backroom dirty deals, the public has lost confidence in Washington and plan for government-run health care.
survey by Rasmussen last week showed that 58% of Americans (a record), are now opposed to his plan. In this point, it seems that even getting health legislation through the House is an uphill climb.

However, Obama is determined to continue ahead with its full agenda.
On Wednesday night we saw no course correction. There was no change in the tone or spirit of compromise on measures smile. There was no acknowledgment independent voters that have moved strongly toward less government and more fiscal responsibility. It seemed as if the president had lost the Massachusetts Senate race and its consequences together.

This raises the question if President Obama is unable to pass comprehensive health reform, are you going to keep smaller separate measures (for example, allow companies to buy insurance across state lines or terminate frivolous litigation) off the table?

Repair Complex Systems

Americans realize our health care system needs reform still serious. Twenty-five percent of patients in my emergency room are not covered. The high cost of Health care now consumes 17% of our GDP. These concerns must be better targeted.
However, Americans also understand that the setting of a system as complex as the U.S. health system should be done in small, well defined, fiscally responsible steps. This is where Obama president's health efforts care reform was very wrong.

The president and Congress tried to renew the whole system with a single bill 2000 + page, most part of which was drawn up behind closed doors. Even more worrisome, the manifesto of payment for work deals with Senator Landrieu (D, La.) and Ben Nelson (D, Nebraska) permanently tarnished the public perception of the legislative process. If the bill was so bad that the Senators needed bribes in exchange for their votes, the public is understandable lost security, both in politics and in the process.

State Reform

On Wednesday night President Obama offered an invitation open: "But if any of either party has a better plan that will lower premiums, reduce the deficit, coverage for the uninsured, strengthen Medicare for the elderly, and stop abuses against insurance company, let me know. Plans that use free-market solutions to reduce health care costs health, economy and encourage existing ones to increase employment. Briefly outlined a plan last week in the Fox piece Forum earlier this month: "Five of Health Solutions that make sense. "

With plans to compete in the table, which more clearly outlines a number of common sense reforms in stages, will owner of the subject of health care for decades to come. The political stakes could hardly be greater given the winner-take-all nature of the debate.

For example, President Obama has not explained how it could reduce 500 billion U.S. dollars from the program without compromising the care of older people.

Free market, patient-centered solutions run counter to President Obama's understanding of effective "reform of health care. However, the main difficulty of these ideas are put at risk the basis of democratic power. We have seen in recent elections when independent voters of Massachusetts elected a Republican in a blue Deep State. Given this, the question is, if we the people elected by stages, patient-centered, responsible fiscal reforms, President Obama stand on the road?

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