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Category: SCHIP

An Appeal for a Real and Comprehensive Approach to Health Care Reform

14 October, 2009 (04:41) | Barack Obama, debate, democrats, family, government, health, healthcare, Hillary Clinton, money, news, Obama, opinion, parenting, politics, progressive, SCHIP, video, women, working moms, youtube | By: Pamela Lyn

While the US may be moving one step closer to health care reform with the passage of the Baucus Bill by the Senate Finance Committee, it is clear that a very important element in the health care discussion is being overlooked. What is making Americans so sick?

Health care costs wouldn’t be so high and there wouldn’t be so much concern about the cost of a public health care plan if so many Americans weren’t so sick.

Right?

On Monday, the New York Times reported on the hundreds of thousands of gallons of toxic waste being dumping into the nation’s water supply by coal-fired power plants. In the article, “Cleansing the Air at the Expense of the Waterways“, Charles Duhigg reported:

“For years, residents here complained about the yellow smoke pouring from the tall chimneys of the nearby coal-fired power plant, which left a film on their cars and pebbles of coal waste in their yards. Five states — including New York and New Jersey — sued the plant’s owner, Allegheny Energy, claiming the air pollution was causing respiratory diseases and acid rain.

So three years ago, when Allegheny Energy decided to install scrubbers to clean the plant’s air emissions, environmentalists were overjoyed. The technology would spray water and chemicals through the plant’s chimneys, trapping more than 150,000 tons of pollutants each year before they escaped into the sky.

But the cleaner air has come at a cost. Each day since the equipment was switched on in June, the company has dumped tens of thousands of gallons of waste water containing chemicals from the scrubbing process into the Monongahela River, which provides drinking water to 350,000 people and flows into Pittsburgh, 40 miles to the north.

‘It’s like they decided to spare us having to breathe in these poisons, but now we have to drink them instead,’ said Philip Coleman, who lives about 15 miles from the plant and has asked a state judge to toughen the facility’s pollution regulations. ‘We can’t escape.’

Even as a growing number of coal-burning power plants around the nation have moved to reduce their air emissions, many of them are creating another problem: water pollution. Power plants are the nation’s biggest producer of toxic waste, surpassing industries like plastic and paint manufacturing and chemical plants, according to a New York Times analysis of Environmental Protection Agency data.”

If the air pollution caused by coal-fired plants has already been linked to chronic asthma and COPD, just imagine the result of ingesting large quantities of the same toxins in your drinking water.

In an article for Care2.com, Melissa Breyer reported on the link between pesticides and Parkinson’s Disease.

A study by eminent oncologists Dr. Leonard Hardell and Dr. Mikael Eriksson of Sweden concludes that there is a link between “the world’s biggest selling herbicide, glyphosate (commonly known as Roundup, marketed by Monsanto), to non-Hodgkins lymphoma, a form of cancer.”

The following video clip is from the documentary “The World According to Monsanto” which took an in-depth look into the bio-chemical companies impact on agriculture, the environment and health.

And while we’re discussing Monsanto we certainly can’t forget their efforts to bury the truth about rBGH (bovine growth hormone) in milk.

There are many, many more instances of links between toxic waste and disease but I think that you get the picture.

Corporations have been dumping toxins in the water, air and food supply with impunity. The American public has grown sicker which has in turn driven up health care costs. Health care insurers are profiting from this illness. And now the corporate lobbyists and insurance industry spin machine are waging a full scale assault on health care reform.

Dear Members of Congress and President Obama,

if you really want to reform health care please take a comprehensive approach to this problem. How can you not pass health care reform with a public option when the government agencies which were supposed to protect the environment, agriculture and public health have failed us so miserably.

The previously cited New York Time article shows that the Riverhead International Coal Plant in Macon GA has been cited for 124 violations, paid $0 in fines and hasn’t been inspected since 1979. 1979 – 30 years ago.

Let the teabaggers and birthers rant, rave and spread lies about “death panels” but don’t give in to the insanity.

Americans can diet, exercise, visit the doctor and take all the pills we want. But if the biochemical and power industries continue to poision the air, water & food, we will grow sicker and sicker. Health care costs will both bankrupt consumers and increase the federal deficit. And in the end, we will die. Those without health care coverage will just die much quicker.

Congress must pass health care with a public option and if you want to reduce costs take on the corporations that have contributed to this crisis. Fine them. Shame them if you have to. Expose them for the greedy, heartless profiteers that they have become.

How dare Wellpoint sue the State of Maine to ensure that it is guaranteed a profit!

Enough is enough.

originally posted on Pam’s Coffee Conversation

Sarah Palin: How Will She Help Special Needs Children?

27 October, 2008 (11:57) | Barack Obama, children, election, election 2008, government, health, healthcare, John McCain, mommy bloggers, opinion, parenting, politics, Republicans, Sarah Palin, SCHIP, women, working moms | By: Catherine Morgan

Here is a guest post by community member Emily Kronenberger

[If you would like to be a guest blogger on The Political Voices of Women, just join our community, and start posting.]

A few days ago, I posted on my blog, New Wave Grrrl, about the gaps surrounding Sarah Palin’s purported policy priority of addressing the needs of children with disabilities. I questioned the McCain-Palin ticket’s ability to put our money where their mouths have been on the subject of more funding for people with special needs. On October 24th, Palin gave a speech in my home state of Pennsylvania, on just what she and John McCain planned to do in order to better serve children with disabilities.

Although Palin’s speech was heartfelt, and I believe she truly cares about disability issues as a parent and as an aunt of children with developmental disabilities, her speech and the so-called McCain-Palin plan for children with special needs (which comes less than two weeks shy of Election Day) still falls flat, and still lacks any real promise of change in the quality of life for individuals with disabilities.

One glaring reason for this is the complete lack of policies that support people with disabilities beyond childhood. People who live with physical, developmental, cognitive, and multiple disabilities need various levels of care and support services throughout their entire lifetimes, in order to achieve a better quality of life and live fully within their communities. This includes not just vocational services for people with disabilities who can and want to work, but actual Medicaid dollars to fund the programs that provide for independent living in the community and not in State institutions, regardless of the severity of one’s disability.

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Know where the candidates stand on Disability Issues…

23 October, 2008 (22:50) | Barack Obama, democrats, economy, election, election 2008, government, health, healthcare, John McCain, media, mommy bloggers, news, Obama, opinion, parenting, politics, Sarah Palin, SCHIP, women | By: Catherine Morgan

Here is a guest post by community member Emily Kronenberger

[If you would like to be a guest blogger on The Political Voices of Women, just join our community, and start posting.]

Many people, like myself, feel that the way in which a society supports its most vulnerable or disenfranchised citizens is a critical indicator of how healthy that society is, and where it is headed in the future.

The issue of disability policy and the improvements that are necessary to elevate the quality of life for children and adults with disabilities in this country has rarely made it into the mainstream discourse during this election. Unfortunately, this is not surprising as individuals with disabilities are typically excluded from the larger social and political environments, both by actual physical barriers and by traditional social practices in our society which make them invisible.

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Bailout Bombshell: An Opportunity to Get it Right

30 September, 2008 (19:42) | Barack Obama, Bush, democrats, economy, election, election 2008, family, foreclosure, GOP, government, healthcare, John McCain, news, opinion, politics, recession, Republicans, Sarah Palin, SCHIP | By: Catherine Morgan

Here is a guest post from community member Anita S. Lane.  You can read more from Anita at her blog Unconventional Politics.

[If you would like to be a guest blogger on The Political Voices of Women, just join our community, and start posting.]

Today, in a rare moment of representative democracy, the U.S. House of Representatives listened to voters and failed to pass the $700 billion bailout bill. While it may have been a bombshell to many, the fact is, it was American Democracy at work.

Legislators across the nation were bombarded with emails and calls from constituents saying, “Do not pass this bill.” According to the Rasmussen Consumer Index, fifty percent of Americans oppose the plan, and 63% of Americans worry that the government will do too much.

Today, legislators listened, and they responded. But this is in no way the end. The way I see it, the decision to stall the vote until Thursday is an opportunity to get it right.

Ever been in a crisis? If so, you’ve heard those you trust—whether a clergy member, financial planner or therapist—tell you, “Never make major decisions in the midst of a crisis.” And we’re all familiar with the term, “haste makes waste.”

Three days away (back home closer to their constituents) just may do our congressional leaders some good. It will allow each of them a chance to step away, clear their head.

The bottom line is, everyone in Congress is admitting that the current bailout bill is a “bad” bill they don’t want to pass but feel they must. But, what’s so wrong with having the courage to say, “This bill is bad, but I believe we can do better…and we must.”

This congress has an opportunity to not settle for the lesser of two evil bills (Paulson’s and now the enhanced version). Congress has an unprecedented opportunity to say, “We are committed to the American people. We are elected to be the best possible stewards of taxpayer dollars. We will not sell the taxpayer short. We can do better and we will.”

Come back on Thursday— huddle, compromise, study, research, write and rewrite, ask tough questions, demand answers, and compromise some more— and then come back with a plan that you can vote for with dignity. Popular legislative sentiment is that to “do nothing” is unacceptable. No. To do “just anything” lacking any real confidence in its merits or assurances of its success, is unacceptable.

Congress, please, for the sake of the American people, go back to the drawing board.

Get Over The Shock .. Stop Them Now!

23 September, 2008 (17:33) | democrats, economy, education, election, election 2008, family, family planning, feminism, government, health, healthcare, Iraq, military, money, news, opinion, politics, recession, SCHIP, terrorism, Veterans, video, war, youtube | By: Pamela Lyn

Dear Readers,

If the last few days have left you with the same feelings that you had during the run up to the Iraq War you’re definitely not alone.

Remember the WMDs that posed an imminent threat to America?

Remember the statements that implied that the Iraqi oil revenue was going to pay for the war?

Now the Bush Administration and The Fed are saying that we have a financial crisis that needs an immediate $700 billion infusion from the American taxpayer. Did you know that some of that money could be used to bail out foreign owned banks?

Within the next 24 hours, Congress is expected to make an historic choice in addressing America’s financial crisis:

Cut the Bush administration a $700 billion blank check for Wall Street
OR
demand sensible public checks and balances in the $700 billion bailout.

Well, before you let them cut that blank check think about this?

Remember the brave US service men and women who were sent to war in Afghanistan and Iraq without proper body armor.

Remember the appalling conditions at Walter Reed Medical Center.

Remember that the US embassy in Iraq which cost in excess of $600 million to build and is projected to have an annual operating cost of $1.2 billion.

Remember that President Bush vetoed a $35 billion expansion to the SCHIP program which would have provided health insurance to millions of America’s uninsured children. He said that we couldn’t afford it.

Remember the devastation caused by hurricanes Katrina, Rita, and now Ike. There are still parts of New Orleans’ 9th Ward as well as many parishes in Western Louisiana which have yet to have all of the debris removed.

Remember that five years after the worse blackout in US history, the energy grid is still “in dire straits“.

Americans, Get Over The Shock Already!

Are you going to let The Fed, the Bush Administration and Congress rush through a $700 billion dollar bailout of Wall Street and the banking industry when all of the aforementioned have put America and Americans last time after time after time after time?

Now, I’m not saying that nothing needs to be done to fix this broken economy. But are you going to let them rush to a bailout like they rushed to a war?

I just took action with the Campaign for America’s Future to weigh in for common sense solutions. I wanted to urge you to do the same. Please write an emergency letter to Congress now, and tell them: **No $700 Billion blank check to the Bush administration for Wall Street!**

Enough is Enough!

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McCain’s Health Plan…Will It Help or Hurt You?

19 September, 2008 (17:40) | Barack Obama, children, democrats, economy, election, election 2008, Elizabeth Edwards, family, family planning, feminism, government, health, healthcare, John McCain, money, news, opinion, parenting, politics, Republicans, Sarah Palin, SCHIP, video, women, working moms, youtube | By: Catherine Morgan

Will John McCain’s Health Care Plan Help or Hurt You?  With the economy spiraling out of control, it’s important that we can all be secure in the availability, and quality of our health care.  If you have a pre-existing condition, are receiving your health care through your employer, or are a woman…You may be in trouble with a McCain Health Care Plan.  Here is some of the latest information, let me know what you think in comments.

Journal Disputes McCain’s Health Care Claims

Senator John McCain’s top domestic policy adviser, former Congressional Budget Office director Douglas Holtz-Eakin, recently said in a conference call with reporters that Mr. McCain’s health care proposal would “put 25 to 30 million individuals out of the ranks of the uninsured, into the ranks of the insured.” In an article released Tuesday, a panel of prominent health economists concludes that Mr. Holtz-Eakin’s projection is off by, well, 25 to 30 million.

The article, published in the journal Health Affairs, argues that “initially there would be no real change in the number of people covered as a result of the McCain plan.” After a short-term reduction of 1 million in the number of people without coverage, the number of uninsured would increase by 5 million after five years, the authors predict. There are currently 45 million people without insurance, or 15 percent of the population, according to the Census Bureau.

On Obama’s Health Care Plan

By comparison, Senator Barack Obama’s plan, which would provide heavy government subsidies for insurance for low-income workers, would reduce the number of uninsured by 18 million in 2009 and by 34 million in 2018, according to the Urban Institute/Brookings Institution report. That would still leave Mr. Obama well shy of his goal of achieving universal coverage.

[read full article at the caucus]

Think You Know John McCain?   His Health Care Plan Will Penalize Women

Presidential candidate John McCain’s health care reform plan would have a devastating impact on women, according to a new analysis.

“Tens of millions of women would be at risk of losing their current insurance coverage even though they use health care services more frequently than men, suffer chronic illness more often than men, and require maternity care and other reproductive health services,” concludes a report by the Planned Parenthood Action Fund and the Center for American Progress Action Fund.

The aim of McCain’s health care plan is to break up the existing employer based health care coverage system and replace it with a market-oriented system funded in part by the government.

Employers that currently offer health care coverage would find fewer incentives to continue doing so under the McCain plan. Instead, individuals would be given a tax credit of $2,500 (families would receive $5,000) so that they could shop around on the open market for the best plan for them, whether that insurer is based in the same state or not. The catch, though, is that the private insurance market doesn’t treat women that well.

The study reports that if McCain’s plan is implemented, “more than 30 million women with employer-sponsored health insurance who suffer from a chronic condition could lose their coverage, find it harder to obtain coverage, or have to purchase supplemental insurance to cover their chronic condition.”

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Should Health Workers Be Able To Refuse Healthcare To Women Based On Morals?

8 September, 2008 (17:54) | Bush, family, family planning, feminism, government, healthcare, John McCain, news, NOW, opinion, parenting, politics, pro-choice, pro-life, roe v. wade, SCHIP, women, working moms | By: Catherine Morgan

Should Health Workers (ie: doctors, nurses, pharmacists, volunteers, etc) Be Able To Refuse Healthcare To Women Based On Morals?

Community member Slim, from no fish, no nuts – sent me the following email…

Health and Human Services Secretary Michael Leavitt has proposed a new rule that will limit the rights of women to receive medically accurate information and treatment. The alleged goal of the rule is to protect the rights of “conscience” of health care workers, volunteers, and trainees. The result would be limited access to birth control and abortion for women all over the country – regardless of state law.

Here is what you can do

The ACLU has a letter you can send.

Planned Parenthood has a letter you can send.

NARAL has a letter you can send.

It will take you less than five minutes to click through and sign all three.

I urge you to sign and send every one of them – and pass every one of them along to every single family member and friend you know.

We have 19 days. After 19 days this regulation goes into effect and every single health care worker in the United States will be able to refuse any woman health care based on their own personal moral views.

Thank you.

Who Deserves Health Care and Who Should Pay For It?

7 September, 2008 (22:29) | Barack Obama, Bush, economy, election, election 2008, government, health, healthcare, Iraq, military, money, news, opinion, politics, SCHIP, war | By: Catherine Morgan

It seems the questions about healthcare always comes down to, who really “deserves” it, and who should pay for it?  Here is my take…

Where do your taxes go?  Is too much going to help people who can’t or won’t help themselves?  Let’s check it out and see

This is from National Priorities.org

Ok – To make this a little easier to understand, I’m going to use $100 as the amount of taxes we break-down to see where they are going.  However, anyone can go to this site and put their actual number in and get a specific breakdown for themselves.

So, let’s check this out.  For every $100 dollars you spend in income taxes, this is where the money goes…

Of the $100 you paid in taxes:

  • $42 goes to Past and Current Military
  • $22 goes to Health
  • $10 goes to Interest on Non-Military Debt
  • $9 goes to Anti-Poverty Programs
  • $4 goes to Education, Training & Social Services
  • $4 goes to Government & Law Enforcement
  • $3goes to Housing & Community Development
  • $3 goes to Environment, Energy & Science
  • $2 goes to Agriculture, Commerce and Transportation
  • $1 goes to International Relations

chart2.png

So, 22 dollars of 100 goes to Health ($458 billion) is the federal funds portion of all health spending by the federal government, including the federal funds spending on Medicare.

And, 9 dollars of 100 goes to Anti-Poverty Programs ($179.4 billion) includes federal funds outlays on the sub-function areas food and nutrition assistance ($54.5 billion) and other income security. Other income security includes Supplemental Security Income ($38.5 billion) which provides cash assistance to disabled, elderly and blind who have very low incomes; payments where Earned Income Tax Credit exceeds tax liability ($38.3 billion); Temporary Assistance for Needy Families ($16.9 billion); payments where child credit exceeds tax liability ($16.2 billion); foster care and adoption assistance ($6.6 billion); child care spending and a variety of other small programs for children and families.

And, 4 dollars of 100 to Education, Training and Social Services ($90.6 billion) includes all federal funds outlays on the function area of the same name which includes the following subfunction areas: elementary, secondary, and vocational education, higher education, and research and general education aids, training and employment, other labor services, and social services.

And, 3 dollars of 100 goes to Housing and Community Development ($69.2 billion) includes all federal funds outlays defined by the federal government as housing assistance ($39.7 billion), and the function area of community and regional development ($29.5 billion).

Most of our tax dollars (52 dollars of 100) are going to the Iraq war and the military

Cost of the Iraq War…

    • $4,681 per household.
    • $1,721 per person.
    • $341.4 million per day.

You can go here to see what the Iraq war is costing your community.

So, do we pay too much in taxes, YES.  But, it’s not because we are compassionately providing some of our tax dollars to services for the sick, impoverished, and the hungry…It’s because the average tax payer is being forced to pay more in taxes because our government is letting multi-million/billion/trillion dollar corporations avoid paying taxes.  

Don’t be mad about how much of your tax dollar is going to help needy Americans…Be mad about all the tax dollars that are not being collected by corporations making millions and billions and trillions each year that could be reducing your taxes and subsidizing programs that could be helping the needy among us even more than we already do (which isn’t enough).  This report does not even include all the millions in tax credits our government is giving out to huge corporations (such as oil), or corporate welfare.  This is were the anger needs to be directed, not at each other.

From Marketplace

Lemme get your reaction to something here for a second. If I told you there was a report out today showing two thirds of all Americans didn’t pay any income taxes, would you be surprised? Outraged, maybe? If you are, calm down. There’s no report saying that at all. But there is a study out today from the Government Accountability Office saying something similar. It finds that between 1998 and 2005, two thirds of companies in this country had at least one year where they didn’t pay any federal income tax. So, back to the outrage. Where is it?

(AP) Two-thirds of U.S. corporations paid no federal income taxes between 1998 and 2005, according to a new report from Congress.

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McCain & Obama: The Politics of Health Care

6 September, 2008 (13:08) | Barack Obama, BlogHer, children, economy, education, election, family, family planning, government, health, healthcare, Hillary Clinton, John McCain, news, opinion, parenting, politics, poverty, SCHIP, theocracy, women | By: Catherine Morgan

[cross-posted at BlogHer Health and Wellness]

A new report is out about insurance and health care, and it’s not good. If you think the cost of health care is high now, just wait…It’s going to get even higher. Who would have thought that you could have insurance, and still not be able to afford healthcare? How is that possible? Only in America.

A few weeks ago I posted about the rising cost of prescription drugs, now it’s copays and premiums that will be increasing. Even people who have insurance and prescription drug plans, still can’t afford their medications. I thought insurance was suppose to “insure” we have quality and affordable health care? Not so much.

The United States spends more of its income on health care than any nation on earth, nearly $6,000 per person per year, more than 15 percent of our total income. In contrast, the countries of the European Monetary Union spend about $2,500 per person per year, less than 10 percent of their income.

The United States is very rich and we spend the most in the world on health care. We have a right to expect more for our money than a life expectancy outcome that places us thirtieth in the world, behind Singapore, Chile, and Costa Rica as well as Australia, New Zealand, Japan, and every Western European nation.

Our health care system certainly delivers innovations in pharmaceutical and other technologies. It leads the world in Nobel Prizes for medicine and physiology. But it does not deliver medical care equitably to all Americans. Those who can pay have access to the best health care in the world. Those with good insurance plans—a decreasing fraction of the population—get good, life-extending health care. The rest must make do. And the result is that enough people fall through the cracks to place us at the bottom of the rich country life expectancy tables.

Here is some of what other women bloggers are saying about the rising cost of health care.

From Green LA Girl

Our health care system’s so fucked up that people are getting married — and considering divorce! — simply due to health insurance issues. In the NY Times: “For today’s couples, “in sickness and in health” may seem less a lover’s troth than an actuarial contract. They marry for better or worse, for richer or poorer, for co-pays and deductibles.”

From MOMocrats

  • Under McCain’s Plan, Health Insurance Benefits Would be Taxed For The First Time, Resulting In A $3.6 Trillion Tax Increase On Working Families. McCain’s health care plan would eliminate the payroll deduction on health care benefits, which would have the effect of raising taxes on working families by $3.6 trillion. [New York Times, 5/1/08]
  • The Health Care Tax Credit McCain Offers Would Cover Less Than Half The Cost Of An Average Health Care Plan. The McCain health plan would give families a $5,000 tax credit to purchase health insurance. However, in 2007, the average family health insurance plan cost $12,000 – more than double the value of McCain’s health care tax credit. [“Employer Health Benefits 2007 Annual Survey,” Kaiser Family Foundation, 9/11/07; “‘Call To Action’ On Health Care Reform,” John McCain 2008 press release, 4/29/08; Wall Street Journal, 10/11/07]

From Just Random‘s presidential wish list…

Universal Health Care (or at least affordable health care) – Why is the United States the only modernized country with out some form of universal health care? I know an argument could be made for the U.S. having the best health care, but why can’t we have both, come on some one smarter than me make it happen. Every child in this country should have access to health care.

From Christian Liberal’s Weblog

Whatever the case, it’s surprising that so many self-professed Christians, and especially the evangelical type, are so eager to maul, mangle and manipulate those words, those lessons, so that it comes out as “every man for himself”, which of course is the exact opposite of the meaning and spirit of those teachings.

They’ll use phrases like “self-determination” or “market forces”, but it’s really just code words for “you’re on your own” and “don’t expect any help from me.” Likewise, they will use negative words to describe the concept. It’s been found that a majority of Americans favors universal healthcare, but if you change the language to “socialized medicine” the approval rating drops below 50%. And the greed-oriented apologists are quite expert at word-smithing.

The point is, any good-hearted Christian would not begrudge the care given to a needy neighbor.

Are you having trouble affording health care? Are you hoping if Obama is elected, things might get a little better? Are you worried, that if McCain is elected, things will get worse? Let me know what you think in comments.

Health Care Discrimination and the Middle Class

6 May, 2008 (13:35) | Barack Obama, BlogHer, Bush, Care2, democrats, economy, election, election 2008, family, government, health, healthcare, Hillary Clinton, John McCain, money, news, Obama, opinion, politics, Republicans, SCHIP, women, working moms | By: Catherine Morgan

Health Care Discrimination and the Middle Class – by Catherine Morgan (cross-posted at The Care2 Election Blog)

I recently wrote a piece for BlogHer on how opponents of universal health care promote healthy lifestyles as a way to decrease health care costs. Sounds great doesn’t it? The trouble is, there is a fine line between encouraging healthy lifestyles and discriminating against the sick. It would be great if prevention and a healthy lifestyle could prevent chronic illness, but it just doesn’t, it’s much more complicated then that.

And the McCain plan (if you can really call it a plan), not only blames the chronically ill for the high cost of health care, but allows the insurance industry to continue to discriminate against people with preexisting conditions. This country can not afford the kind of health care plan that John McCain is suggesting, and if you have any preexisting conditions, you are not covered under McCain’s plan.

Here Mrs. Edwards speaks from the perspective of someone recently dealing with cancer — and warns that McCain’s plan has very serious limitations and dangers for middle, modest and low income families. While protecting the wealthiest Americans, McCain’s proposals endanger the health security of those less fortunate.

Another troubling fact about the health care crisis, is that it isn’t just hurting the uninsured anymore. Now, even if you have health insurance, you’re not as protected as you might think. For more information you can read, What You Don’t Know About Your Health Insurance, Could Soon Cost You Thousands.

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