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Reuters - Healthcare overhaul faces new challenges

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Healthcare overhaul faces new challenges

Monday, Mar 22, 2010 11:40PM UTC

By John Whitesides

WASHINGTON (Reuters) - Republicans vowed to fight back on Monday after Congress passed President Barack Obama's landmark healthcare overhaul, while a dozen U.S. states promised new legal challenges and health stocks rose.

The narrow vote for final passage in the House of Representatives late on Sunday capped a year-long political struggle that consumed Congress and dented Obama's approval ratings, but the biggest health policy changes in four decades still face a variety of hurdles.

Republican attorneys general in at least 12 states said they would file lawsuits challenging the constitutionality of the overhaul and contending it infringed on state sovereignty.

Health stocks rose as investors were relieved to finally have certainty about the healthcare battle and pleased at the prospect of more business from 32 million newly insured Americans.

The Morgan Stanley Healthcare Payor index of health insurers was up 1.2 percent, outpacing the broader market, although large insurers WellPoint Inc and UnitedHealth Group dropped after rising in morning trading.

The bill expands the government health plan for the poor, imposes new taxes on the wealthy and bars insurance practices such as refusing to cover people with pre-existing medical conditions.

The White House said Obama will sign the bill on Tuesday and travel to Iowa on Thursday to promote the overhaul.

LONG-SOUGHT GOAL

The approval fulfills a goal that had eluded many U.S. presidents for a century -- most recently Democrat Bill Clinton in 1994. House Speaker Nancy Pelosi signed the legislation on Monday before sending the bill to the White House.

Republican critics said the $940 billion legislation was a heavy-handed intrusion in the healthcare sector that will drive up costs, increase the budget deficit and reduce patients' choices.

Republicans said they would fight a package of changes designed to improve the bill, which will be taken up in the Senate this week, and lead a charge to repeal the bill after reclaiming Congress from Democrats in November's elections.

"We will challenge this all over America, and the will of the people will be heard," Republican Senator John McCain, who faces a conservative primary challenger in his home state of Arizona, said on the Senate floor.

Republicans said they would challenge the changes to the overhaul on parliamentary points of order that, if upheld, could send the revisions back to the House.

"Democrat leaders may have gotten their votes. They may have gotten their win. But today is a new day," said Senate Republican leader Mitch McConnell.

At least 11 states, including Florida, Michigan and Alabama, plan to band together in a collective lawsuit claiming the reforms infringe on state powers.

"If the president signs this bill into law, we will file a lawsuit to protect the rights and the interests of American citizens," said Florida Attorney General Bill McCollum, a Republican.

The Republican attorney general of Virginia plans to file a lawsuit in federal court in Richmond challenging the overhaul's mandate to force people to buy insurance.

Several constitutional scholars cast doubt on the prospects for success of the Republican lawsuits. "Congress has clear authority to pass this type of legislation," said Mark Rosen of Chicago-Kent College of Law.

Democratic Governor Ed Rendell of Pennsylvania, one of the states involved in the joint lawsuit, called it "nothing more than political grandstanding."

The healthcare revamp, Obama's top domestic priority, would usher in the biggest changes in the $2.5 trillion U.S. healthcare system since the 1965 creation of the government-run Medicare health program for the elderly and disabled.

It would require most Americans to have health coverage, give subsidies to help lower-income workers pay for coverage and create state-based exchanges where the uninsured can compare and shop for plans.

Major provisions such as the exchanges and subsidies would not kick in until 2014, but many of the insurance reforms like barring companies from dropping coverage for the sick will begin in the first year.

Hailed as a historic change in U.S. health policy, the bill passed by Congress left some Americans confused and others disappointed. But some saw it as a good start.

"By anybody's measure we desperately needed something in place. Is it perfect? No," said George Fleming, a career transition coach in Phoenix. "Bottom line is, I'm delighted we've got step one in place. What I think we're going to see in the next couple of months is ideas to refine it."

(Additional reporting by Susan Heavey, Lewis Krauskopf, Michael Connor, Karen Pierog, David Morgan and Tim Gaynor; Editing by Anthony Boadle and Chris Wilson)

Reuters - Healthcare overhaul faces new challenges

This article was sent to you from Lybolt@hotmail.com, who uses Reuters Mobile Site to get news and information on the go. To access Reuters on your mobile phone, go to:
http://mobile.reuters.com

Healthcare overhaul faces new challenges

Monday, Mar 22, 2010 4:14PM UTC

By John Whitesides

WASHINGTON (Reuters) - Republicans vowed to fight back on Monday after Congress passed President Barack Obama's landmark healthcare overhaul while states promised new legal challenges and health industry stocks rose.

The 219-212 vote for final passage in the House of Representatives late on Sunday capped a year-long political battle that consumed Congress and dented Obama's approval ratings, but the biggest health policy changes in four decades still faced a variety of hurdles.

The top legal officials in at least 11 states said they would file lawsuits challenging the constitutionality of the overhaul and contending it infringed on state sovereignty.

But health stocks increased in morning trading on Monday as investors were relieved to finally have certainty about the healthcare battle, and heartened it would extend coverage to 32 million uninsured Americans.

The Morgan Stanley Healthcare Payor index of health insurers was up 1.9 percent, outpacing the broader market, and large insurers WellPoint Inc and UnitedHealth Group rose less than 1 percent.

The overhaul expands the government health plan for the poor, imposes new taxes on the wealthy and bars insurance practices such as refusing to cover people with pre-existing medical conditions.

"This legislation will not fix everything that ails our healthcare system, but it moves us decisively in the right direction. This is what change looks like," Obama said during a late-night appearance at the White House.

LONG-SOUGHT GOAL

The approval fulfills a goal that had eluded many presidents for a century -- most recently Democrat Bill Clinton in 1994. Congressional leaders planned a signing ceremony on Monday afternoon before sending the overhaul to the White House.

Republican and industry critics said the $940 billion bill was a heavy-handed intrusion in the healthcare sector that will drive up costs, increase the budget deficit and reduce patients' choices.

Senate Republicans said they would fight a package of changes designed to improve the bill, which will be taken up this week.

"It's going to be a bumpy ride in the Senate," Republican Senator John Cornyn said on MSNBC cable network. Republicans planned to challenge the changes on parliamentary points of order that, if upheld, could send the revisions back to the House.

At least 11 states, including Florida, Virginia and Alabama, plan to file lawsuits against the legislation.

"If the president signs this bill into law, we will file a lawsuit to protect the rights and the interests of American citizens," said Florida Attorney General Bill McCollum, a Republican.

Both parties also geared up for another battle over the healthcare bill in the campaign leading up to November's mid-term congressional elections.

The healthcare revamp, Obama's top domestic priority, would usher in the biggest changes in the $2.5 trillion healthcare system since the 1965 creation of the government-run Medicare health program for the elderly and disabled.

It would require most Americans to have health coverage, give subsidies to help lower-income workers pay for coverage and create state-based exchanges where the uninsured can compare and shop for plans.

Major provisions such as the exchanges and subsidies would not kick in until 2014, but many of the insurance reforms like barring companies from dropping coverage for the sick will begin in the first year.

(Additional reporting by Susan Heavey, Lewis Krauskopf, Michael Connor, David Morgan; Editing by David Alexander)

The Times of Northwest Indiana - Bill to abolish lieutenant governor post passes early test


Begin forwarded message:

From: Lybolt@hotmail.com
Date: February 25, 2010 11:25:43 AM EST
To: Jlybolt@isbdc.org
Subject: The Times of Northwest Indiana - Bill to abolish lieutenant governor post passes early test

Bill to abolish lieutenant governor post passes early test
By Chris Essig - Lee Springfield Bureau
Feb 25, 2010

SPRINGFIELD | An Illinois proposal that would abolish the office of lieutenant governor passed an early test Wednesday.

House Speaker Michael Madigan, D-Chicago, proposed amending Illinois' Constitution to make the next lieutenant governor the state's last. It passed a House committee by an 8-0 vote. It now moves to the full House.

If the amendment is approved by the General Assembly this year, it would be placed on the November ballot, allowing voters to not only vote for a lieutenant governor candidate, but also whether the position should be eliminated altogether. The office would be eliminated in 2015 under the proposal, after the next lieutenant governor's term.

"My position is we don't need the office," Madigan said. "The office is there mainly for the purposes of succession (of the governor). That is also dealt with in the constitution."

If the office was removed, the attorney general would be next in line. Madigan's daughter, Lisa, is the current attorney general.

The office of lieutenant governor came under more scrutiny this month after Democrat Scott Lee Cohen, a Chicago pawnbroker, won his primary bid. Accusations of past improprieties and ensuing pressure from the Democratic Party forced the lieutenant governor nominee to step down just a week after winning the election.

Madigan said the episode added an incentive to push the amendment removing the office altogether.

"It clearly provided some added interest for me," he said.

Madigan also noted that the move would save the state money. In 2009, the lieutenant governor's office had a budget of $2.1 million.

State Rep. Michael Tryon, R-Crystal Lake, agreed voters should be able to decide the legitimacy of the office, but was concerned too many amendments may clutter the November ballot. Another amendment that would allow voters to recall future governors will already be on the ballot, and other proposed amendments initiated by citizens are floating around the state.

State Rep. Dan Brady, R-Bloomington, agreed with Tryon and voted "present" as a result.

Madigan's proposal is House Joint Resolution Constitutional Amendment 50.

WHEN ADVERSITY OVERTAKES YOU, IT PAYS TO BE THANKFUL IT WAS NOT WORSE INSTEAD OF WORRYING OVER YOUR MISFORTUNE.

There are few things in life that are as bad as they seem at first. Dealing with adversity begins with analyzing and accepting your situation for what it is. When you realize that things are not nearly as bad as they might have been, you have taken the first step toward working your way through the problem. It is a truism that you will never be asked to carry a heavier load than you can bear, but it sometimes helps you better appreciate that fact if you volunteer some of your time to help those who are less fortunate than you are.

This positive message is brought to you by the Napoleon Hill Foundation. Visit us at http://www.naphill.org.


Why Your Advertising Isn't Working

 


The vast majority of ads don't register with consumers. Here are seven straight-up reasons why your message probably isn't getting through

Recently, an AdweekMedia poll of LinkedIn members posed this question: "Of the ads you see in a typical day, how many engage your attention?" A remarkable two-thirds of respondents said "a small minority of them." Another quarter answered "none of them." Together, that's 91%. Only one in 100 respondents said "most of them."

Ouch. While polls like these have their limitations (we often can't—or won't—tell the truth about our own purchase behavior), I suspect few us would doubt the overall conclusion that a lot of advertising doesn't work very well. Your own advertising may even fall into that category.

If you find yourself nodding your head and wringing your hands right now, keep in mind this simple business axiom: Companies get the advertising they deserve. If your advertising isn't working, it may be you that's the problem.

The good news is that you can take steps to fix it. Certainly the economic environment is playing a significant role in how well (and how quickly) prospects are responding to your advertising, but blaming the recession is ultimately unproductive. After all, you may not like the hand you've been dealt, but your competitors are holding the same cards. It's how you play your hand that counts.

With that in mind, I'd like to suggest seven reasons why your advertising may not be pulling its weight. Use them to evaluate your efforts, but don't rely on your judgment alone. Ask a trusted and objective colleague to give you his or her honest opinion as well.

1. It's boring. Yep, boring. Why do we watch TV, listen to the radio, read the newspaper, or go online? Three reasons: information, entertainment, and engagement. Ads that fail to offer at least two of these three benefits flop. Just as nobody reads every story in the newspaper, nobody pays attention to every ad. You have to engage your prospects with something that is interesting or entertaining before they'll give you their valuable time and attention. Creativity has always been the coin of the realm, but in our time-starved culture it's truer than ever.

2. It's boorish. You shouldn't think of your advertising as being about your brand, you should think of it as an extension of your brand (see "A Practical Guide to Branding"). If it's loud, annoying, insulting, offensive, or self-centered, people will think the same of your products or services (see "The Cocktail Party Test for Advertising"). Remember the first sentence in the best-selling hardback book in U.S. history, The Purpose Driven Life: "It's not about you." What's true in life is true in advertising; if you focus only on what you can get, you're not going to get much. Instead, focus on giving, and good things will begin to happen.

3. It's safe. The first time I saw a Ford Taurus (F), I took note, and I suspect you did as well. So did a lot of other people, and the Taurus went on to become the best-selling car in America. If the Taurus had been another in a long line of boxy sedans, it probably would have been just another car. Instead, it turned automotive design conventions upside down and made history. While being different isn't in and of itself a guarantee of success, what you do is a lot more likely to get noticed if it hasn't been done before. And keep in mind that when you do something different, people may not like it—at least initially. Most of us were shocked at our first sight of the Taurus' curved lines, but it went on to have significant influence on automotive design. If you worry too much about offending someone, you're likely to not attract anyone.

4. It's trying to do to much. As the poll results above demonstrated, most people don't engage with most ads. And even when they do, for how long do they pay attention? Thirty seconds? Ten? Five? The best an ad can do is communicate one single, compelling idea, and in the age of the Internet—when people know they can go online to get all the additional information they need—it's crazy to ask an ad to do more than that. Just because you have a lot to say doesn't mean your audience will sit still and pay attention. Do your best to make a simple, singular point. Do it with flair, and given enough exposure (see next point) it might just get through.

5. It hasn't been given time. You can't rush bread out of the oven. You can't hurry a seedling out of the ground. All you can do is prepare the ingredients properly, tend the garden with care, and wait for the loaf to rise and sprouts to appear. The same is true of advertising. If you expect too much too soon (especially on a limited budget) you're sure to be disappointed. Think about your own consumer behavior—how many times do you need to be exposed to a marketing message before you take action? Depending on your prospects' level of interest in the category and frequency of purchase, it could take weeks, months, or even years for your message to sink in.

6. You like it. O.K., this one may sting a bit, but you are not the best judge of your own advertising. You can't be, because you simply know too much about your brand and have too much affection for it to remain objective. Look at Burger King (BKC). Its advertising over the past few years has been quite successful in appealing to the company's core target audience of young men, but many Burger King franchisees could personally do without it. The smart ones recognize that they're not the target and leave it alone. Your advertising is not only not about you, it's not for you. Both points seem counterintuitive, but that's why this stuff isn't for amateurs.

7. It's not an advertising problem. A common mistake many companies make is trying to use advertising to fix another problem. It may be faulty or outdated product design, an uncompetitive cost structure, customer service letdowns, or any number of other things. It's not as if they do so intentionally; it's just that it's a whole lot easier to put on a new coat of paint than it is to fix the foundation that's causing the drywall to crack. No company executes flawlessly, but until you can maintain a solid track record of excellence, spend your money on internal improvements rather than advertising. Paint may mask the problem for a short time, but soon new cracks will begin to appear.

There are, of course, many more reasons why advertising underperforms, from poor media placement to bad strategy to competitive countermoves. But the above missteps are so common—and so commonly misunderstood—that simply putting them out to the curb would go a long way in making advertising better. Not to mention making television much more bearable to watch.