Booster Shots

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Could they be on some kind of medication?

3:50 PM, May 5, 2008

Healthcare reform is the kind of issue that manages to be both numbingly complicated and rabidly partisan at the same time.

But now a group of senators -- six Democrats, seven Republicans and one Independent -- have gotten behind a bill that would provide private coverage for all Americans, take employers out of the business of directly providing health insurance and generally nudge all participants in the healthcare marketplace to be more thrifty and quality conscious. Note: It would not change Medicare.

Although the sponsors of the Healthy Americans Act (S.334/H.R. 3163) have managed to bridge their partisan differences, the bill is still pretty much of a mind bender. Suffice it to say that it connects something like the financing idea that GOP presidential candidate John McCain espouses with something that resembles the kind of healthcare delivery system sought by Democrats Hillary Rodham Clinton and Barack Obama.

Indeed, Clinton on a campaign swing in Oregon told reporters she'd sign the legislation as president, if Congress put it on her desk.

But what might be even more amazing is that congressional budget estimators recently ruled that the bill would not break the bank. The bean counters agreed with sponsors Sens. Ron Wyden (D-Ore.) and Robert Bennett (R-Utah) that the nation can provide coverage for all at roughly the same cost of the current, much-maligned system.

In fact, the Congressional Budget Office and the Joint Committee on Taxation projected the legislation would be roughly a break-even proposition for the government -- "budget neutral" -- a year after its hypothetical implementation and would help reduce the deficit in future years.

Wyden and Bennett were ecstatic. (How many times can the superlative "historic" be applied to a clunky worded budget estimate?)

"This is the first independent evidence that the healthcare system can be fixed without massive tax increases and boatloads of new federal spending," said Wyden.

"This is the basis for a bipartisan coalition to break the gridlock," said Bennett.

But outside a small circle of economists and healthcare wonks, the cost estimate generated hardly a ripple of interest.

Wyden, as indefatigable as pitchmen come, has set up a website -- careyoukeep.com -- complete with a nifty video (see above) to try to break through into the public consciousness with news about his bill.

The CBO's positive read on costs "is very substantial news for the presidential campaign. It ought to transform the discussion," said Wyden. "The conventional thinking doesn't make any sense any more."

In addition to Wyden and Bennett, the other unconventional thinkers sponsoring the bill are Sens. Lamar Alexander (R-Tenn.), Bill Nelson (D-Fla.), Judd Gregg (R-N.H.), Debbie Stabenow (D-Mich.), Charles Grassley (R-Iowa), Mary Landrieu (D-La.), Norm Coleman (R-Minn.), Joe Lieberman (I-Conn.), Mike Crapo (R-Idaho), Tom Carper (D-Del.), Daniel Inouye (D-Hawaii) and Bob Corker (R-Tenn.).

-- Ricardo Alonso-Zaldivar

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Tami Dennis, who takes the word "skeptic" to previously uncharted territory, is the Times' Health and Science editor. She's adamant that pitches promoting awareness days, weeks or months are, by their nature, non-stories. And, because she's an adult, she refuses to use words like "veggies," "tummy" and "yummy."
Rosie Mestel, deputy Health and Science editor, studied genetics before abandoning flies, fungi and DNA for health/medical writing. Her hero is the biologist Ernst Haeckel, whose jellyfish paintings inspired snazzy chandeliers. Her favorite toast-spread is Marmite, a British delicacy made of yeast extract. Her least-favorite word is "millenniums."
Melissa Healy is a staff writer for the Health section reporting from Washington D.C. Healy's a veteran of The Times' National staff, having covered the Pentagon, Congress, poverty and social welfare, the environment, and the White House before shifting to Health in 2003. She writes frequently about mental health and human behavior, about federal health policy, prescription medication and ethics in medicine. More wonk than wellness freak, Healy chooses to believe in the health benefits of coffee and wine, and considers water a better work-out medium than beverage.
Karen Kaplan covers genetics, stem cells and cloning. She and colleague Thomas H. Maugh II comprise about 25% of the unofficial MIT-Alumni-in-Journalism Club, and she is proud to have taken more math (5) than English (0) courses in college. Her contributions to Booster Shots will, she hopes, appear more frequently than postings to her mommy blog.
Thomas H. Maugh II has been a science and medical writer at the Times for 23 years. Before that, he was on the staff of the journal Science for 13 years. He has bachelor's degrees in English and chemistry from MIT and a doctorate in chemistry from UC Santa Barbara.
After a brief stint as a sports writer, Shari Roan turned to health journalism and has covered the topic for The Times for 18 years. She is the author of three books and the mother of two daughters, both teenagers who refer to her as a "health freak." She likes to jog, watch baseball and is very happy that dark chocolate contains some health benefit.
Jeannine Stein writes about fitness, sports medicine and obesity for the Health section. She’s a gym rat from way back and never met an elliptical trainer she didn’t like. Well, maybe one or two. She tempers exercise with a steady diet of reality television because she believes it’s all about balance.