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    Craig's BookNotes


Permanent link to archive for 12/16/04. Thursday, December 16, 2004

Health insurance problem solved 

Mandatory Health Insurance Is Urged by Jordan Rau
The concept of requiring all Californians to carry their own health insurance is gaining momentum in the Capitol, as some lawmakers and healthcare advocates see it as a politically viable way to deal with the state's 5.3 million uninsured.

With the November defeat of Proposition 72 halting efforts to require employers to provide healthcare coverage, the concept looks likely to be part of next year's legislative debate. But it faces huge hurdles over how to make it financially feasible for the poor and enforce it.

Gov. Arnold Schwarzenegger has spoken supportively of the notion in recent months, and that has spurred the California Medical Assn., as well as some lawmakers, to draft their own plans.

"We have too many people that are uninsured in this state," Schwarzenegger said in October at the Panetta Institute in Monterey. "We have to really address this once and for all, and figure out a way of how we do it, like with car insurance, where we make it law that people carry insurance and that they are really insured, because it's unfair to so many people when you have people using the hospitals for emergency, and then creating a huge cost." [more]

Similar laws could be enacted to end homelessness, hunger, illiteracy, even the inablity to swim. Just think of the possiblilties.

Paying the price of freedom 
A Flood of Troubled Soldiers Is in the Offing, Experts Say by Scott Shane
The nation's hard-pressed health care system for veterans is facing a potential deluge of tens of thousands of soldiers returning from Iraq with serious mental health problems brought on by the stress and carnage of war, veterans' advocates and military doctors say.

An Army study shows that about one in six soldiers in Iraq report symptoms of major depression, serious anxiety or post-traumatic stress disorder, a proportion that some experts believe could eventually climb to one in three, the rate ultimately found in Vietnam veterans. Because about one million American troops have served so far in the conflicts in Iraq and Afghanistan, according to Pentagon figures, some experts predict that the number eventually requiring mental health treatment could exceed 100,000.

"There's a train coming that's packed with people who are going to need help for the next 35 years," said Stephen L. Robinson, a 20-year Army veteran who is now the executive director of the National Gulf War Resource Center, an advocacy group. Mr. Robinson wrote a report in September on the psychological toll of the war for the Center for American Progress, a Washington research group.

"I have a very strong sense that the mental health consequences are going to be the medical story of this war," said Dr. Stephen C. Joseph, who served as the assistant secretary of defense for health affairs from 1994 to 1997. [more]



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