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The health care reform debate is raging intensely in Washington.
Unfortunately, the debate has shed more heat than light on the matter as talking heads fill the discussion with false facts and false choices. Those who favor the status quo would like us to believe that health care reform comes down to a choice between reform and economic prosperity, or a choice between compassion and cost-effectiveness.
Nothing could be further from the truth. As progressive Paul Krugman eloquently put it in his column last week, "when it comes to reforming health care, compassion and cost-effectiveness go hand in hand." Conservative David Brooks also wrote a column last week about the negative impact health care costs have on our economy. Brooks and Krugman rarely agree on anything, yet they both agree that the status quo is completely untenable and there is an urgent need for health care reform that controls costs.
Nevertheless, there are still people fighting for a system that produces higher costs, less coverage and is strangling our families and our small businesses. It isn't that we lack recognition that the system is broken, Brooks and Krugman showed that people across the ideological spectrum agree that it is. It isn't that the idea of change is a bad idea -- very few people would dare argue that keeping our current system intact is a long term solution to the problem. The problem is that it is much easier to avoid making difficult decisions and leave the work of solving this enormous problem for the next generation.
Like you, I thought we were done with politics as usual, and I am committed to tackling the issues we need to fix our system. The only way we are going to ensure that everyone has affordable access to medical care is if we put the rhetoric aside and talk seriously about increasing competition, changing the fee-for-service system, and stopping the practice of using our emergency rooms as doctor's offices.
For this to happen, the posturing needs to stop -- now is the time to commit to real leadership to deliver real health care reform. Every option, including a public insurance option, absolutely must be on the table as we tackle this crisis. And it's high time we stopped letting insurance companies deny coverage based on pre-existing conditions.
Thanks to the many of you, like Coloradans across the state, who have shared their thoughts on this with me. The examples of your struggles with the current system have been enormously helpful as we make the case for real health care reform.
We must continue, together, making the case for change.
Sincerely,
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