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Most, But Not All, Canadians With Chronic Conditions Get Clinically Recommended Tests
Most Canadians with chronic conditions have a regular place of care, but there are some reported gaps in the management of their conditions according to a new study released today by the Canadian Institute for Health Information (CIHI). The study, Experiences With Primary Health Care in Canada, measures access to and quality of care from a patient perspective across Canada"s 10 provinces. The study is based on the responses of more than 11,000 people age 18 and older to Statistics Canada"s 2008 Canadian Survey of Experiences With Primary Health Care, which was jointly funded by CIHI and the Health Council of Canada.
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Obama, Pope Focus On Abortion, 'Life' Issues In First Meeting
In their first meeting, President Obama and Pope Benedict XVI on Friday discussed their views on abortion, embryonic stem cell research and the rights of health care workers to object to procedures and services that go against their beliefs, the Los Angeles Times reports. During a 30-minute discussion, the pope expressed to Obama his beliefs about "the defense and promotion of life and the right to abide by one"s conscience," according to the Vatican. The Times reports that the statement was a "clear reference" to debates over abortion rights, embryonic stem cell research and "conscience" protections for health care providers who refuse care on moral or religious grounds (Chu, Los Angeles Times, 7/11).According to Time, Benedict showed "no intention of papering over differences on what the Vatican calls "life" issues," including abortion rights. Vatican spokesperson the Rev. Federico Lombardi said that the pope told him how Obama "explicitly expressed his commitment to reducing the number of abortions and to listen to the Church"s concerns on moral issues" (Israely, Time, 7/10). According to White House deputy national security aide Denis McDonough, Obama was "eager to find common ground on these issues and to work aggressively to do that" (Simpson/Feller, AP/Boston Globe, 7/11). However, "[I]t may just be that there"s issues that you can"t come to agreement on," McDonough added, noting that Obama believes that "you can disagree without being disagreeable" (Los Angeles Times, 7/11).Montsignor Georg Ganswein, the pope"s personal secretary, said that Obama was given a copy of "Dignitas Personae," or "The Dignity of a Person," a Vatican document released in December detailing the Roman Catholic Church"s most recent stance on bioethics issues (Time, 7/10). The document "hardened" the Church"s opposition to embryonic stem cell research, cloning and in vitro fertilization (AP/Boston Globe, 7/11). Obama assured the pope he would read the document that day on his flight from Italy to Ghana. Ganswein said that the document "can help the president better understand the position of the Catholic Church." Lombardi noted that it "would be ambiguous to hide or minimize what we believe," adding, "It"s not meant to be divisive or polemical" (Time, 7/10).
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New York Times Editorial Lauds Appointment Of White House Adviser On Violence Against Women
"Domestic violence is a serious law enforcement and public health problem affecting as many as one in four women in this country," but "Washington has devoted too little attention to reducing domestic violence and sexual assaults generally," a New York Times editorial states. The editorial continues, "We welcome President Obama"s decision to create a new post, White House adviser on violence against women, and his appointment" of former National Network To End Domestic Violence Executive Director Lynn Rosenthal, "a seasoned advocate for victims to fill it." According to the editorial, Rosenthal will report to Obama and Vice President Joe Biden, "whose keen interest in the issue dates from his days in the Senate and his key role in enacting the 1994 Violence Against Women Act." The "challenge" facing Rosenthal and the Obama administration "will be to improve the carrying out of existing laws intended to protect women, starting with better coordination of the activities of all the government bureaucracies involved," including the Department of Justice, HHS and the Department of Housing and Urban Development, the editorial states. It notes that a national survey of domestic violence shelters released in May found "a significant increase in the number of women seeking assistance since last fall, a rise largely attributable to the stresses of the economic crisis and rising unemployment." The editorial recommends that states create more emergency shelters, establish more transitional housing for "people fleeing violent situations" and "do more to help these victims rebuild their lives." Rosenthal "will need to tackle bureaucratic and legal hurdles and find more money to help states, localities and charitable groups address those needs," the editorial states. In addition, Rosenthal must "help end the scandal of the thousands of rape kits sitting untested in crime labs and police storage facilities across the country, allowing countless criminals to escape punishment." The editorial concludes, "All of this will require strong and creative leadership" from Rosenthal, Biden and Obama (New York Times, 7/1).
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Coalition To Protect Patients' Rights Urges Congress To Slow Down Health Reform And Do It Right

Dr. Donald Palmisano, former president of the American Medical Association and current spokesman for the Coalition to Protect Patients" Rights (Coalition) and over forty doctors from across the country today urged Members of Congress to slow down health system reform and do it right. The Coalition held a press conference at the National Press Club to urge legislators to put patients first when developing a system overhaul. "The healthcare system is never closed in the United States. Hospitals never have a holiday and there are no vacations for Emergency Rooms. There are always patients who need care and we must ensure that care is always available," said Dr. Donald Palmisano. "We are very concerned about the rush to pass healthcare legislation - we want Congress to take their time and do it right. When I was performing surgery, I wasn"t worried about finishing the operation quickly, I was concerned about getting the job done right. Lives depended on it. Now, we"re asking Congress to take their time and do health reform right. Lives are depending on it." Also participating in the press conference was Dr. Todd Williamson, a neurologist from Georgia and the president of the Medical Association of Georgia. In addition to serving as a member of the Coalition to Protect Patients" Rights, Dr. Williamson is leading a group of 11 state, specialty, and county medical associations who are speaking out against key elements of the tri-committee bill. "We believe that America"s physicians deliver the best medical care in the world and we are united in our resolve to preserve the patient-physician relationship," Dr. Todd Williamson said. "Patient choice must be a key tenet of any health reform proposal. Implementing a government-backed insurance program will not give a patient added choices - it will eventually allow him or her only one option, the public option." After voicing their concern about rushed legislation at the press conference, doctors met with Members of Congress on Capitol Hill to talk about working towards a bi-partisan solution that would help the uninsured obtain coverage without negatively affecting the 250 million Americans who have health insurance. The doctors expressed their fear that a government-controlled "public option" would have an inherent advantage in the marketplace because it would ultimately be subsidized by American taxpayers and a government takeover of the American healthcare system would result. Consequently, millions of Americans would be forced from a private plan of their choosing to a government controlled plan, which would lead to long waiting lines to see a doctor, substandard care, and the slowing of medical discovery and innovation. Dr. Marcy Zwelling-Aamot, an internist from Southern California and a patients-rights advocate said, "Patients must be kept at the center of healthcare reform. As Congress takes the important steps to reform our current system, we need to remember that at the end of the day it is the patient that should be the decision maker about their healthcare, not the government." Coalition to Protect Patients" Rights


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