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California's Struggle With Insurance Exchanges Offers Lesson For National Reform
California"s experience with insurance exchanges could prove a valuable lesson for the nation"s flirtation with such pools for covering large numbers of people, The Wall Street Journal reports.

Sen. Grassley Pushes For Exclusion Of Abortion Coverage In Health Care Reform Legislation
Senate Finance Committee ranking member Chuck Grassley (R-Iowa) and committee Chair Max Baucus (D-Mont.) have been privately negotiating over how their panel"s version of health reform legislation will address abortion coverage, Newsweek reports. According to Newsweek, Grassley has been pushing to include measures that would prohibit what he considers "taxpayer-subsidized abortion."Earlier this month, NARAL Pro-Choice America, Raising Women"s Voices and other women"s health advocates intensified efforts to ensure that abortion access was treated like access to all other services in health care reform, according to Newsweek. The article points out, "Though usually publicly debated in the language of personal liberty and morality, abortion is a medical procedure performed by a doctor. It"s currently covered by most private insurance plans and existing government programs, at least under some circumstances. This expanded federal oversight and use of federal dollars raises several thorny issues." Grassley is urging that federally regulated and subsidized plans be prohibited from covering the procedure. Lawmakers also could weigh whether religious organizations -- such as Catholic hospitals or health plans -- could opt out of the coverage.Jill Kozeny, Grassley"s spokesperson, said the senator "is opposed to mandating abortion coverage in health care legislation." According to his office, "At one point during the recent negotiations, there was a (compromise) solution that didn"t work out." Grassley -- who is known as a staunch opponent of abortion rights -- said in March, "I take a view that there is almost anything compromisable in public affairs. Abortion is about the only issue I know of that"s not compromisable."Baucus" office declined to comment on the legislation, citing "longstanding Finance Committee policy not to discuss the specifics of ongoing negotiations." Erin Shields, Baucus" press secretary, noted that the lawmaker has a 100% approval rating from NARAL. She added, "He has always fought for a woman"s right to choose and will continue to do so."According to Newsweek, the House"s and the Senate Health, Education, Labor and Pensions Committee"s proposals do not specify covered benefits, instead leaving the decision to an independent commission or the HHS secretary. A recent National Women"s Law Center poll found that 62% of participants would oppose a provision excluding abortion and family planning coverage (Feder, Newsweek, 7/14).
News of the day
÷£100 Million Social Marketing Campaign To Encourage Responsible Drinking Announced, UK
Following Gordon Brown"s meeting at Downing Street with Britain"s top drinks industry executives he called for them to harness their considerable marketing powers to drive for change in social norm and cultural attitudes towards alcohol in the UK. This has resulted in Project "N" - a collaboration of the not inconsiderable res of top companies throughout the UK.
Endocrinology

GAO Report Finds Veterans Affairs Facilities Do Not Comply With Privacy Standards For Women

All Department of Veterans Affairs outpatient clinics and hospitals are failing to fully comply with federal privacy standards for women, according to a Government Accountability Office report, the AP/Boston Globe reports. The report comes as thousands of female veterans are entering the VA health system after returning from Iraq and Afghanistan.GAO auditors said that many VA facilities had gynecological tables that faced the door. In one instance, a gynecological table faced a door opening to a waiting room. The investigation also found cases where women had to walk through waiting rooms to use the restroom -- a violation of VA policy requiring adjoining restrooms. Four VA hospitals did not guarantee women access to private bathing facilities. In two of those cases, the facilities did not have locks.Nearly 20% of female veterans have been diagnosed with post-traumatic stress disorder, and many of them have experienced sexual trauma while serving, according to the report. The report also said that most female veterans at VA facilities are ages 20 to 29. On average, female veterans using VA facilities are much younger than male VA patients, it noted.Randall Williamson, director of health care issues at GAO, said that although top VA officials are committed to improving care for female veterans, facilities are not always taking simple steps, such as repositioning exam tables. Patricia Hayes, chief consultant for VA"s veterans strategic health care group, said that the agency recognizes issues and is making changes to address disparities in care. She noted that VA is creating a long-term plan for construction improvements to address space and building layout challenges (AP/Boston Globe, 7/15). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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