This is the VOA Special English Economics Report.
Obama is letting Congress write the details of his plan for what he calls
health insurance reform. Congress is now on its August break. But members have
been holding what are known as town hall meetings around the country to hear reaction.
And they have been getting an earful from crowds for and against the plan.
SOUND: "This is not health reform, this is
control! Control over our lives!"
The president, at his own meetings,
pointed back to the nineteen nineties.
BARACK OBAMA: "Every time we come close to passing
health insurance reform, the special interests fight back with everything they've
got. They use their influence. They use their political allies to scare and
mislead the American people. They start running ads. This is what they always
some objections are based on cost estimates from an independent agency, the
Congressional Budget Office. Also, some people say they have not gotten enough
details of the plan to be able to make up their minds.
Two goals are to expand health insurance to millions of
Americans who do not have it, and to control rising costs for those who do. A public
insurance plan is proposed to compete with private insurance companies. Republicans
and other critics say the Democrats' idea of reforms would lead to socialized
one of the first groups to support the administration was the Pharmaceutical
Research and Manufacturers of America. PhRMA is spending millions on
advertising to support the plan
The industry group
has already promised to cut drug costs by eighty billion dollars over ten
years. Critics want more. Some liberal lawmakers have proposed measures such as
letting the government negotiate lower drug prices. But under the PhRMA deal, the
chances for additional cost-saving measures are unclear.
Drugs that need a doctor's
prescription became a bigger part of the debate over health care costs in two
thousand three. Congress and President George W. Bush added prescription drugs to
the Medicare insurance program for older Americans. That raised the costs of
Medicare, which represented fifteen percent of the federal budget last year.
But PhRMA says drug costs are only ten
percent of all health care costs in America. It also points out the high costs
of developing new drugs.
Yet researchers from Stanford University
say new treatments are often no better than existing ones, but are almost
always more costly. Writing for the New England Journal of Medicine, they suggest
a way to lower prices. They say the government should require drug makers to
state, in their labeling information, how new medications compare with existing
that's the VOA Special English Economics Report, written by Mario Ritter. I'm