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Obama's Health Care Speech: Atul Gawande's Take

Obama's Health Care Speech: Atul Gawande's Take

Amid all the opining on President Obama's health care speech last night, TalkBack particularly likes Atul Gawande's perspective, published on the New Yorker's website today.

He did not skirt the realities that this would have to be paid for-that government would be requiring many businesses to cover their employees and most individuals to carry insurance coverage, and that he would be using money from ending subsidies to Medicare HMOs to help finance the bill. And he spoke with podium-pounding conviction in response to the absurd charges that this would involve government takeover of our doctors' offices and to the deeper fears that those charges fed into.

What's the best analysis you've seen of the speech and its impact? Share your thoughts in the comments below. You need to be a registered member of ReportingonHealth.org to leave a comment, so if you haven't joined yet, click here.It's easy, quick and free.

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i have enjoyed reading Dr. Gawande's work for years, and his piece this morning is no exception. I would add a couple other pieces that I found helpful: This Economist piece summarized the substance of President Obama's speech, covered some of the Republican behavior during it and speculated about the proposed reform's prospects for passage: http://www.economist.com/world/unitedstates/displaystory.cfm?story_id=14416706&fsrc=rss My friend and former colleague Fernando Diaz got the Joe Wilson conversation going almost immediately after the speech ended, but did so in a thoughtful way that asked where this type of behavior is leading: http://www.chicagonow.com/blogs/news-opinion/2009/09/obama-heckled-during-speech.html Finally, I would mention Bill Bishop's book The Big Sort. While not about Obama's speech per se, he and his co-author write persuasively about how increased geographic mobility has led to Americans' living in increasingly homogeneous communities-a phenomenon that Cass Sunstein says has only been accentuated with the growth of cyberspace. I wrote about Bishop's book on my blog earlier this year. He made the point in a subsequent dialogue we had that, despite Obama's campaign rhetoric and early efforts at bipartisanship, America is more partisan than ever. This might to some degree explain the stone faces of the Republicans to which the Economist article refers. http://kellylowenstein.wordpress.com/2009/01/11/pushing-through-the-blue-statered-state-dichotomy/

Great links. Thanks, Jeff!

Thank YOU, Barbara. In some ways, my favorite analysis about the speech and its impact came from my father, who next month will attend his 50th medical school reunion. Dad and I spoke shortly after the speech ended and he had the following to say: "Good speech. We'll see what happens." I hope you are enjoying the weekend! Jeff

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