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House Committee Approves Reform Bill; Full House Debate Scheduled For After August Recess
The House Energy and Commerce Committee on July 31 approved its health care reform bill (HR 3200) by a 31-28 vote that was mostly along party lines, the AP/Seattle Times reports. Among the many amendments considered during the markup, the committee rejected an amendment offered by Reps. Joe Pitts (R-Pa) and Bart Stupak (D-MI) to prohibit government subsidies to any insurance plans that offers abortion coverage, effectively prohibiting abortion coverage for customers eligible for public premium assistance. The amendment was rejected by a 27-31 vote. Another provision approved on July 30 would neither require nor prohibit insurance companies from providing coverage for abortion services.The approved bill includes provisions limiting how much insurers can increase premiums and gives the federal government the power to negotiate with drug companies for lower prices under Medicaid. The provisions were part of an effort by Democrats on the committee to reconcile the demands of liberals and conservatives, the AP/Times reports. The bill also would require insurance companies to sell coverage to anyone seeking it, regardless of pre-existing conditions. The government would provide subsidies to lower-income families to help them afford policies. In addition, the legislation would establish health insurance exchanges offering a variety of insurance plans, where consumers with or without subsidies could purchase health insurance (Espo/Werner, AP/Seattle Times, 8/1).Five of the committee"s Democrats joined all 23 Republicans in opposing the measure, the Washington Post"s "Capitol Briefing" reports. The five Democrats who voted against the bill were Reps. John Barrow (Ga.), Rick Boucher (Va.), Jim Matheson (Utah), Charlie Melancon (La.) and Bart Stupak (Mich.) (Kane, "Capitol Briefing," Washington Post, 7/31).The committee was the last of three House panels to take action on the legislation, although the vote comes several weeks after the White House and Democratic leaders originally wanted, the AP/Times reports. The full House is expected to vote on the bill after policymakers return from their August recess.Although the House"s agenda has moved slower than party leaders had hoped, it still was faster than the action in the Senate, according to the AP/Times (AP/Seattle Times, 8/1). Senate Finance Committee Chair Max Baucus (D-Mont.) on July 30 announced that the panel will not mark up a health care reform bill this week after Republican negotiators urged that the speed of discussion in the Senate be slowed, the Post"s "44" reports. The announcement means that health care reform legislation will not be out of committee in both chambers before the summer recess (Pershing, "44," Washington Post, 7/31).Catholic Bishops Say That House Bill Could Expand Abortion Coverage In related news, the U.S. Conference of Catholic Bishops in a letter to members of the House Energy and Commerce Committee voiced its opposition to the reform bill, arguing that it could be used to require private health insurance plans to cover abortion services, the Post reports. The bill has been opposed by conservative Christian groups for weeks, with the groups arguing that it could be used to expand abortion rights, the Post reports.In the letter, Cardinal Justin Rigali -- chair of the Committee on Pro-Life Activities -- said the bill could increase federal funding for abortion services because some government funding would not be covered by the Hyde Amendment, which currently bans the use of federal Medicaid funds for abortion services. Rigali also said the bill could overturn state laws that restrict access to abortion services, such as parental notification laws. In addition, Rigali said the bill should continue to ensure provider conscience rights to protect Catholic health care workers who refuse to provide abortion services based on their religious or moral beliefs (Washington Post, 8/1).
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Institute Of Psychoanalysis Awards Honorary Fellowship To Actor Simon Russell Beale
Joining a prestigious group including Anish Kapoor and Bernardo Bertolucci, acclaimed Shakespearean actor Simon Russell Beale was welcomed as an Honorary Fellow of the Institute of Psychoanalysis at a presentation on Sunday 21 June 2009. The award was made in recognition of Russell Beale"s "contribution to psychoanalysis through his exceptionally thoughtful work as an actor, especially in major Shakespearean roles and through his reflections on them."
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First Novel H1N1 Influenza Cases Confirmed In Baldwin, Colbert And Dale Counties
The Alabama Department of Public Health has confirmed its first novel H1N1 influenza cases in
Oncology

Help For The Silent Sufferers

A unique research project into the highly sensitive problem of domestic violence towards older women is being carried out by researchers from The University of Nottingham"s Division of Nursing. 12 participants have already taken part since the project started last year for this valuable study aimed at helping those who have experienced abuse and health professionals deal with the problem. One participant who has already been interviewed, Ann aged 63, told the researchers: "A lot of older women stay in the abusive partnership, and remain in it, because they don"t know there is any support out there. A lot of women never talk about it. I think it is the "hiddenness" of it that is the problem actually, and I think that needs to stop. I think we"ve got to give permission to women, to get people to realise that it is very wrong that they have been abused." Leading the study, Dr Julie McGarry, says: "Older women who suffer domestic abuse are historically a silent section of our society. This research aims to give them a voice and break the taboo surrounding the problem. We are finding older women may be too ashamed to come forward but we can reassure them that our work with them will be completely confidential and they can even contact us anonymously to help our study." Domestic abuse is not just about physical violence. Verbal abuse such as belittling, malicious ridicule, shouting and unreasonable demands also have adverse effects on women"s mental health and physical wellbeing. Up to now, there has been little research into the experiences of older women because most domestic violence surveys tend to exclude women over 59. Dr McGarry says: "The circumstances and experiences of older women who"ve been abused, either physically, emotionally, sexually or financially, are often very different to younger women. Cultural and social factors have to be examined older women may have been brought up to believe that what happens behind closed doors in the family home is private and they just have to put up with it and suffer in silence." The one-year project will use its unique insight into this complex and largely secret phenomenon to create an online learning re for healthcare professionals. It will give advice and training on how to identify and support older women who they suspect may be suffering abuse, physical or emotional, by their partner. Healthcare professionals such as district nurses are well-placed to spot cases of abuse among their older patients but in the past have lacked the awareness or training to handle the suspicion. The researchers are working with Age Concern and Women"s Aid with funding from The Burdett Trust for Nurses, an independent charity which supports nursing"s contribution to healthcare. Nottingham University


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