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GenSeneca

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Compare McCain, Obama and Barr on Healthcare:

John McCain Proposes A Number Of Initiatives That Can Lower Health Care Costs. If we act today, we can lower health care costs for families through common-sense initiatives. Within a decade, health spending will comprise twenty percent of our economy. This is taking an increasing toll on America's families and small businesses. Even Senators Clinton and Obama recognize the pressure skyrocketing health costs place on small business when they exempt small businesses from their employer mandate plans.

CHEAPER DRUGS: Lowering Drug Prices. John McCain will look to bring greater competition to our drug markets through safe re-importation of drugs and faster introduction of generic drugs.

CHRONIC DISEASE: Providing Quality, Cheaper Care For Chronic Disease. Chronic conditions account for three-quarters of the nation's annual health care bill. By emphasizing prevention, early intervention, healthy habits, new treatment models, new public health infrastructure and the use of information technology, we can reduce health care costs. We should dedicate more federal research to caring and curing chronic disease.

COORDINATED CARE: Promoting Coordinated Care. Coordinated care - with providers collaborating to produce the best health care - offers better outcomes at lower cost. We should pay a single bill for high-quality disease care which will make every single provider accountable and responsive to the patients' needs.

GREATER ACCESS AND CONVENIENCE: Expanding Access To Health Care. Families place a high value on quickly getting simple care. Government should promote greater access through walk-in clinics in retail outlets.

INFORMATION TECHNOLOGY: Greater Use Of Information Technology To Reduce Costs. We should promote the rapid deployment of 21st century information systems and technology that allows doctors to practice across state lines.

MEDICAID AND MEDICARE: Reforming The Payment System To Cut Costs. We must reform the payment systems in Medicaid and Medicare to compensate providers for diagnosis, prevention and care coordination. Medicaid and Medicare should not pay for preventable medical errors or mismanagement.

SMOKING: Promoting The Availability Of Smoking Cessation Programs. Most smokers would love to quit but find it hard to do so. Working with business and insurance companies to promote availability, we can improve lives and reduce chronic disease through smoking cessation programs.

STATE FLEXIBILITY: Encouraging States To Lower Costs. States should have the flexibility to experiment with alternative forms of access, coordinated payments per episode covered under Medicaid, use of private insurance in Medicaid, alternative insurance policies and different licensing schemes for providers.

TORT REFORM: Passing Medical Liability Reform. We must pass medical liability reform that eliminates lawsuits directed at doctors who follow clinical guidelines and adhere to safety protocols. Every patient should have access to legal remedies in cases of bad medical practice but that should not be an invitation to endless, frivolous lawsuits.

TRANSPARENCY: Bringing Transparency To Health Care Costs. We must make public more information on treatment options and doctor records, and require transparency regarding medical outcomes, quality of care, costs and prices. We must also facilitate the development of national standards for measuring and recording treatments and outcomes.

Confronting the Long-Term Challenge

John McCain Will Develop A Strategy For Meeting The Challenge Of A Population Needing Greater Long-Term Care. There have been a variety of state-based experiments such as Cash and Counseling or The Program of All-Inclusive Care for the Elderly (PACE) that are pioneering approaches for delivering care to people in a home setting. Seniors are given a monthly stipend which they can use to hire workers and purchase care-related services and goods. They can get help managing their care by designating representatives, such as relatives or friends, to help make decisions. It also offers counseling and bookkeeping services to assist consumers in handling their programmatic responsibilities.
Bob Barr on: Health Care

Access to affordable, quality health care is an important objective. For this reason, some politicians have pushed for government programs to extend health care benefits to those who cannot afford or who otherwise do not maintain private medical insurance. These efforts come on top of taxpayer-subsidized benefits in the form of Medicare and Medicaid.

There are many causes of today’s high healthcare cost “crisis”. Medical care costs more than it should; access to insurance is more limited by government than it should be; the practice of medicine is more regulated than it should be. The American health care system desperately needs to be treated for ill health.

Our health care policy should be reformed based on the principle of consumer-oriented health care. Regulations which mandate insurance coverage and inflate premiums should be eliminated. Controls which unduly restrict competition within the health care industry, and that limit access to insurance across state lines, should be ended. Moreover, current tax policy, which is biased towards employer-provided, comprehensive health insurance, should be reformed, encouraging individual purchase of less costly catastrophic policies.

Federal health care programs, most notably Medicare and Medicaid, have become financially unsustainable. These programs need to be transformed to emphasize patient choice, focus on the truly needy, and add cost-saving incentives. Here, too, market principles should be applied to bring better quality health care at less cost.

Today’s health care problems are complex, but the solution is not socialized medicine in any form. Countries that have nationalized their medical systems inevitably ration care through the political system; costs are driven down only by denying needed care.
 
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Barack Obama's Plan
Quality, Affordable and Portable Coverage for All

* Obama's Plan to Cover Uninsured Americans: Obama will make available a new national health plan to all Americans, including the self-employed and small businesses, to buy affordable health coverage that is similar to the plan available to members of Congress. The Obama plan will have the following features:
1. Guaranteed eligibility. No American will be turned away from any insurance plan because of illness or pre-existing conditions.
2. Comprehensive benefits. The benefit package will be similar to that offered through Federal Employees Health Benefits Program (FEHBP), the plan members of Congress have. The plan will cover all essential medical services, including preventive, maternity and mental health care.
3. Affordable premiums, co-pays and deductibles.
4. Subsidies. Individuals and families who do not qualify for Medicaid or SCHIP but still need financial assistance will receive an income-related federal subsidy to buy into the new public plan or purchase a private health care plan.
5. Simplified paperwork and reined in health costs.
6. Easy enrollment. The new public plan will be simple to enroll in and provide ready access to coverage.
7. Portability and choice. Participants in the new public plan and the National Health Insurance Exchange (see below) will be able to move from job to job without changing or jeopardizing their health care coverage.
8. Quality and efficiency. Participating insurance companies in the new public program will be required to report data to ensure that standards for quality, health information technology and administration are being met.
* National Health Insurance Exchange: The Obama plan will create a National Health Insurance Exchange to help individuals who wish to purchase a private insurance plan. The Exchange will act as a watchdog group and help reform the private insurance market by creating rules and standards for participating insurance plans to ensure fairness and to make individual coverage more affordable and accessible. Insurers would have to issue every applicant a policy, and charge fair and stable premiums that will not depend upon health status. The Exchange will require that all the plans offered are at least as generous as the new public plan and have the same standards for quality and efficiency. The Exchange would evaluate plans and make the differences among the plans, including cost of services, public.
* Employer Contribution: Employers that do not offer or make a meaningful contribution to the cost of quality health coverage for their employees will be required to contribute a percentage of payroll toward the costs of the national plan. Small businesses will be exempt from this requirement, and will receive a new Small Business Health Tax Credit that helps reduce health care costs for small businesses.
* Support for Small Businesses: Barack Obama will create a Small Business Health Tax Credit to provide small businesses with a refundable tax credit of up to 50 percent on premiums paid by small businesses on behalf of their employees. This new credit will provide a strong incentive to small businesses to offer high quality health care to their workers and help improve the competitiveness of America’s small businesses.
* Mandatory Coverage of Children: Obama will require that all children have health care coverage. Obama will expand the number of options for young adults to get coverage, including allowing young people up to age 25 to continue coverage through their parents' plans.
* Expansion Of Medicaid and SCHIP: Obama will expand eligibility for the Medicaid and SCHIP programs and ensure that these programs continue to serve their critical safety net function.
* Flexibility for State Plans: Due to federal inaction, some states have taken the lead in health care reform. The Obama plan builds on these efforts and does not replace what states are doing. States can continue to experiment, provided they meet the minimum standards of the national plan.

Lower Costs by Modernizing The U.S. Health Care System

* Reducing Costs of Catastrophic Illnesses for Employers and Their Employees: Catastrophic health expenditures account for a high percentage of medical expenses for private insurers. The Obama plan would reimburse employer health plans for a portion of the catastrophic costs they incur above a threshold if they guarantee such savings are used to reduce the cost of workers' premiums.
* Helping Patients:
1. Support disease management programs. Seventy five percent of total health care dollars are spent on patients with one or more chronic conditions, such as diabetes, heart disease and high blood pressure. Obama will require that providers that participate in the new public plan, Medicare or the Federal Employee Health Benefits Program (FEHBP) utilize proven disease management programs. This will improve quality of care, give doctors better information and lower costs.
2. Coordinate and integrate care. Over 133 million Americans have at least one chronic disease and these chronic conditions cost a staggering $1.7 trillion yearly. Obama will support implementation of programs and encourage team care that will improve coordination and integration of care of those with chronic conditions.
3. Require full transparency about quality and costs. Obama will require hospitals and providers to collect and publicly report measures of health care costs and quality, including data on preventable medical errors, nurse staffing ratios, hospital-acquired infections, and disparities in care. Health plans will also be required to disclose the percentage of premiums that go to patient care as opposed to administrative costs.
* Ensuring Providers Deliver Quality Care:
1. Promote patient safety. Obama will require providers to report preventable medical errors and support hospital and physician practice improvement to prevent future occurrences.
2. Align incentives for excellence. Both public and private insurers tend to pay providers based on the volume of services provided, rather than the quality or effectiveness of care. Providers who see patients enrolled in the new public plan, the National Health Insurance Exchange, Medicare and FEHBP will be rewarded for achieving performance thresholds on outcome measures.
3. Comparative effectiveness research. Obama will establish an independent institute to guide reviews and research on comparative effectiveness, so that Americans and their doctors will have the accurate and objective information they need to make the best decisions for their health and well-being.
4. Tackle disparities in health care. Obama will tackle the root causes of health disparities by addressing differences in access to health coverage and promoting prevention and public health, both of which play a major role in addressing disparities. He will also challenge the medical system to eliminate inequities in health care through quality measurement and reporting, implementation of effective interventions such as patient navigation programs, and diversification of the health workforce.
5. Insurance reform. Obama will strengthen antitrust laws to prevent insurers from overcharging physicians for their malpractice insurance and will promote new models for addressing errors that improve patient safety, strengthen the doctor-patient relationship and reduce the need for malpractice suits.
* Lowering Costs Through Investment in Electronic Health Information Technology Systems: Most medical records are still stored on paper, which makes it hard to coordinate care, measure quality or reduce medical errors and which costs twice as much as electronic claims. Obama will invest $10 billion a year over the next five years to move the U.S. health care system to broad adoption of standards-based electronic health information systems, including electronic health records, and will phase in requirements for full implementation of health IT. Obama will ensure that patients' privacy is protected.
* Lowering Costs by Increasing Competition in the Insurance and Drug Markets: The insurance business today is dominated by a small group of large companies that has been gobbling up their rivals. There have been over 400 health care mergers in the last 10 years, and just two companies dominate a full third of the national market. These changes were supposed to make the industry more efficient, but instead premiums have skyrocketed by over 87 percent.
1. Barack Obama will prevent companies from abusing their monopoly power through unjustified price increases. His plan will force insurers to pay out a reasonable share of their premiums for patient care instead of keeping exorbitant amounts for profits and administration. His new National Health Exchange will help increase competition by insurers.
2. Lower prescription drug costs. The second-fastest growing type of health expenses is prescription drugs. Pharmaceutical companies are selling the exact same drugs in Europe and Canada but charging Americans more than double the price. Obama will allow Americans to buy their medicines from other developed countries if the drugs are safe and prices are lower outside the U.S. Obama will also repeal the ban that prevents the government from negotiating with drug companies, which could result in savings as high as $30 billion. Finally, Obama will work to increase the use of generic drugs in Medicare, Medicaid, and FEHBP and prohibit big name drug companies from keeping generics out of markets.
 
Cont:

Fight for New Initiatives

* Advance the Biomedical Research Field: As a result of biomedical research the prevention, early detection and treatment of diseases such as cancer and heart disease is better today than any other time in history. Barack Obama has consistently supported funding for the national institutes of health and the national science foundation. Obama strongly supports investments in biomedical research, as well as medical education and training in health-related fields, because it provides the foundation for new therapies and diagnostics. Obama has been a champion of research in cancer, mental health, health disparities, global health, women and children's health, and veterans' health. As president, Obama will strengthen funding for biomedical research, and better improve the efficiency of that research by improving coordination both within government and across government/private/non-profit partnerships. An Obama administration will ensure that we translate scientific progress into improved approaches to disease prevention, early detection and therapy that is available for all Americans.
* Fight AIDS Worldwide. There are 33 million people across the planet infected with HIV/AIDS. As president, Obama will continue to be a global leader in the fight against AIDS. Obama believes in working across party lines to combat this epidemic and recently joined Senator Sam Brownback (R-KS) at a large California evangelical church to promote greater investment in the global AIDS battle.
* Support Americans with Disabilities: As a former civil rights lawyer, Barack Obama knows firsthand the importance of strong protections for minority communities in our society. Obama is committed to strengthening and better enforcing the Americans with Disabilities Act (ADA) so that future generations of Americans with disabilities have equal rights and opportunities. Obama believes we must restore the original legislative intent of the ADA in the wake of court decisions that have restricted the interpretation of this landmark legislation.

Barack Obama is also committed to ensuring that disabled Americans receive Medicaid and Medicare benefits in a low-cost, effective and timely manner. Recognizing that many individuals with disabilities rely on Medicare, Obama worked with Senator Ken Salazar (D-CO) to urge the department of health and human services to provide clear and reliable information on the Medicare prescription drug benefit and to ensure that the Medicare recipients were protected from fraudulent claims by marketers and drug plan agents.
* Improve Mental Health Care. Mental illness affects approximately one in five American families. The National Alliance on Mental Illness estimates that untreated mental illnesses cost the U.S. more than $100 billion per year. As president, Obama will support mental health parity so that coverage for serious mental illnesses are provided on the same terms and conditions as other illnesses and diseases.
* Protect Our Children from Lead Poisoning. More than 430,000 American children have dangerously high levels of lead in their blood. Lead can cause irreversible brain damage, learning disabilities, behavioral problems, and, at very high levels, seizures, coma and death. As president, Obama will protect children from lead poisoning by requiring that child care facilities be lead-safe within five years.
* Reduce Risks of Mercury Pollution. More than five million women of childbearing age have high levels of toxic mercury in their blood, and approximately 630,000 newborns are born at risk every year. Barack Obama has a plan to significantly reduce the amount of mercury that is deposited in oceans, lakes, and rivers, which in turn would reduce the amount of mercury in fish.
* Support Americans with Autism. More than one million Americans have autism, a complex neurobiological condition that has a range of impacts on thinking, feeling, language, and the ability to relate to others. As diagnostic criteria broaden and awareness increases, more cases of autism have been recognized across the country. Barack Obama believes that we can do more to help autistic Americans and their families understand and live with autism. He has been a strong supporter of more than $1 billion in federal funding for autism research on the root causes and treatments, and he believes that we should increase funding for the Individuals with Disabilities Education Act to truly ensure that no child is left behind.
 
Well it seems to me both Major party canidates are looking to further increase federal power over helthcare in general while bob is looking to start removing competition controls .....

Hrmm... Might be on to something.. Wait in line for hours to get cough drops?

Ohh yeah I am all about that.. cause yes I want to be back-schueduled for my pregreant g/f to have her 3 month check up 4 months after its passed.

Well at least big brother takes care of everything for me... BTW .. federally issued butt wipers by 2015? Its POSSIBLE!!! Just keep that Social healthcare system ALIVE AND WELL and no one will have to wipe the crap from their buttocks in 10 years.. (( thou you may be on a year long wait list cause there's 400 million other americans who also need their butts wiped. ))

Can we start comparing Social healthcare to Cartmen's Mom yet?
http://www.youtube.com/watch?v=SnAviW8Z-x0
 
McCains plan...its like a bandaid on gunshot wound...may it help sure, but its not going to fix anything. I am guessing each of these is taken from there own website or platform as the McCain plan clearly was bias to McCain in the way it was written , so I am guessing a 3rd party did not type these all as one. the "even Obam a and Clinton part"

access to fast medical help in reatil stores...what a great idea ...to bad we have that? its called the Min Clinic....and its still not cheap if you dont have insurance. I have a horrible case of Bronchtus that was keeping me from being able to work ( you can say suck it up and go to work, but for what I do, you cant be hacking and puking while you work, it tends to be not go well even if wanted to try to ( and I did on the better days) It was still going to cost around 100+ to get treated there, and is low gues given that the cost of drugs these days) But I had a 2nd choice..good old black market deals...where the new American health care system is going...I was going to get some meds a freind had left over and take them, its was the same type of drug, just mabe not the one I would get from a Dr but we felt it would have the same effect...or close...this of course is not safe but I did not have 100+ bucks laying around , more so after missing some work ( that had I been able to go get meds right away I most likey would have never got so bad I could not go to work) Needless to say this part of his plan is already in place and while nice, its not going to fix the health care system. And it was also very limited in what you could get done there.

his plan for caping lawsuits...it could be fine, but what cap? and who decideds what is a bad lawsuit? I thoght we had as that judical system in place that was suppose to do that . I could be fine with a cap, but I question if its realy the issue...or if insurance companys are just useing it as a excuse to rape more profits from Dr's and Medical professionals.

"encuraging states to lower costs" what a great plan...tell states to try to lower costs....Im not sure what the states are going to do, but lets put it all on them...after all the republicans have been good at that before...NO Child Lift Behind...here states do this....and no will will not fund it we just shifted the problem to you and said look what we did....


trasnparancy ...I think all three support more of this, and I agree with this.

ReImporting drugs.....Both McCain and Obama talked about this...my question why should we have to reimport them? If they can send teh drug to the UK or Canada and then send them back to here cheaper....then something is wrong with our system or they are just raping us ...Fix that and then we dont need ti Re import.. and that should be even cheaper....I put my money on the rape part,,,,but im sure its a combo of factors.

Cordinated care....to be honest I have no idea what he is talking about here...

the smoking thing....realy people dont know there are programs? Cuz I see adds all the time for patches, clinics, Blue Cross has a program, ext....here in MN we have a new program in place..called you cant smoke at the bar...I know many who just stopped after that....

Barr....

if your health care plan is that short, I suspect it falls very short of the major issues in our system. Basicly his whole plan, let insurance compeat more, and thats it....there is not much for compeating for plans as I will just guess 90% of coverage by Americans is picked in this way....my work offers this...soi that is what I have....it sucks but thats what they offer and I am not going to pay even more for some other plan that they dont help cover the cost on, I cant afford that.

I could say more, but I dont want to type more words then his whole plan ....

Obama...

That is a Plan, real stated ideas and things I think we can do. Its not just the goverment says here this is yoru coverage,,,,but it offers evryone a chance to buy coverage, and useing the power sams club ( aka massive amount of people and thus power) get basic coverage at a lower price to anyone. And credits to help those who still fall below the set standard income to help them make sure they get coverage. And Coverage for kids I think needs to be a major focus...kids dont have a choice in coverage , they ccant choose to get coverage , and should not be punished for the fact their parents chose not to, or just simply cant. I think there is enough in the plan to try to push for them to compeate, reduce cost, and also ways for all familys to have a chance to get into a plan , and not have that plan tied to your job. Health care being tied to jobs to me, is a Giant Shackle on the leg of workers that makes movment in the job market harder and hard, even more so for someone with kids, or a illness already.

Its a huge plan, and I am sure not all of it would pass, but I think its the best blueprint to start with, and after making some moves to get a few moderate republicans to it, would be the best plan by far..

Lucky alll of them seem to see he need more then Bush does,,who has for the most part done nothing for 8 years about it.
 
Well it seems to me both Major party canidates are looking to further increase federal power over helthcare in general while bob is looking to start removing competition controls .....

Hrmm... Might be on to something.. Wait in line for hours to get cough drops?

Ohh yeah I am all about that.. cause yes I want to be back-schueduled for my pregreant g/f to have her 3 month check up 4 months after its passed.

Well at least big brother takes care of everything for me... BTW .. federally issued butt wipers by 2015? Its POSSIBLE!!! Just keep that Social healthcare system ALIVE AND WELL and no one will have to wipe the crap from their buttocks in 10 years.. (( thou you may be on a year long wait list cause there's 400 million other americans who also need their butts wiped. ))

Can we start comparing Social healthcare to Cartmen's Mom yet?
http://www.youtube.com/watch?v=SnAviW8Z-x0

where the heck to you get your cough drops? I get them at the gas station...

And I dont see how letting people buy coverage = Socialist Health Care...what is the difference between my getting my health care plan threw work becuse they get a better rate , then the goverment offering the same thing...they still dont do the health care, they just give you the means to actuly have coverage and you still are able to get it where that coverage plan is in place...just like any other company plan, where you are free to make your choices.....within there guidlines.....
 
I dont like any of the plans, but since McCains is the least change I like it best. Obama's plan would not effect me but it would effect the lady who babysits for me. She would get the big brother manditory thing for health care for her 4 kids. It would break her, and since her day care is considered a small business her taxes would go up. she is hardly making it as it is, so I feel bad for her.

Nothing in Obamas plan would hurt me personally, but nothing in any of the plans would do that. But Obama's is the only one that would directly effect her family in a negative way
 
I dont like any of the plans, but since McCains is the least change I like it best. Obama's plan would not effect me but it would effect the lady who babysits for me. She would get the big brother manditory thing for health care for her 4 kids. It would break her, and since her day care is considered a small business her taxes would go up. she is hardly making it as it is, so I feel bad for her.

Nothing in Obamas plan would hurt me personally, but nothing in any of the plans would do that. But Obama's is the only one that would directly effect her family in a negative way

they give you credit if you are low income to pay for the coverage for kids, you dont just have to pay for it. She may pay nothing or very very little for her. And trust me if something happens to her kids without coverage,

1. someone will pay for it anyway
2. it will cost her alot alot more money without insurance.
 
Who gives a rip what any of them say about healthcare? IT'S NOT THE GOVERNMENTS BUSINESS TO TAKE CARE OF YOU!!! THERE IS NO "HUMAN RIGHT" TO HEALTHCARE!!
 
IT'S NOT THE GOVERNMENTS BUSINESS TO TAKE CARE OF YOU!!! THERE IS NO "HUMAN RIGHT" TO HEALTHCARE!!

that is one perspective. Does this principle apply to the "security" too?? Seems that a populations health is a right , as if a population is unhealthy, the rest does not matter one whit.


Gov't are elected to "care for a population". Why do you think the population analyses the policies that the gov't has and how they affect them and the world at large?? If it were not the 'g' responsibility to "care" for its population,.........then all security issues should be parcelled out to private business . and the G should be left out of the equation.
 
Who gives a rip what any of them say about healthcare? IT'S NOT THE GOVERNMENTS BUSINESS TO TAKE CARE OF YOU!!! THERE IS NO "HUMAN RIGHT" TO HEALTHCARE!!

That might be true but there is no way that a single American can rectify the increasing costs of healthcare with some kinda of intervention from above.. as it stands.. If the government completely removed themselves from it.. the same or worse would continue... most insurance companies are owned by monoplies governing the price with little care to ensure cost-effitive measures are in place except to reduce their over-head.

It would be compeltley different if we had thousands upon thousands of healthcare insurers... where free market could allow us to chose the lower of them all.. but across the board rates are going up and options are going down. Even with my previous employer this was the case.. thou it was a giant corperation that actually invested millions of dollars into helping to off-set health-care costs... our premiums were still increased and beinfiets reduced while deducatables went up. It happening everywhere.. unfortunately there is no way to off-set it.

If you know of a better way that I have yet come across of.. please by all means let me know..
 
That might be true but there is no way that a single American can rectify the increasing costs of healthcare with some kinda of intervention from above.. as it stands.. If the government completely removed themselves from it.. the same or worse would continue... most insurance companies are owned by monoplies governing the price with little care to ensure cost-effitive measures are in place except to reduce their over-head.

It would be compeltley different if we had thousands upon thousands of healthcare insurers... where free market could allow us to chose the lower of them all.. but across the board rates are going up and options are going down. Even with my previous employer this was the case.. thou it was a giant corperation that actually invested millions of dollars into helping to off-set health-care costs... our premiums were still increased and beinfiets reduced while deducatables went up. It happening everywhere.. unfortunately there is no way to off-set it.

If you know of a better way that I have yet come across of.. please by all means let me know..
maybe if we ignore it , it will just fix itself...:rolleyes::)
 
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maybe if we ignore it , it will just fix itself...:rolleyes::)

ROFLMAO!!! right.. I hate to say it .. but unfortunately corprations are showing us that they don't value us as customers since they cannot regulate themselves to lower costs.

We have no one else to lean on to get the job done..

Again.. if a better idea exisists .. I'm all ears.. hell .. I am a Ron Paul supporter and I still don't think that freeing up the market will encourage the corps to "do the right thing"
 
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