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Los Angeles Times Examines Increase In Caesarean Births, Related Rise In Risk, Cost
Caesarean sections -- which are performed in 31% of births, up from 4.5% in 1965 -- often are considered an unnecessary risk and "an example of how the intensive and expensive U.S. brand of medicine has failed to deliver better results and may, in fact, be doing more harm than good," the Los Angeles Times reports. According to the Times, c-sections can increase a woman"s risk of complications, such as infection, blood clots and premature delivery. Even without complication, c-sections typically result in longer hospital stays and increased costs. Expenses related to c-section births account for 45% of the more than $79 billion in annual hospital charges that childbirth incurs in the U.S. annually. The average uncomplicated c-section costs about $4,500, which is about twice the cost for vaginal births. C-sections cost about $13,000 for privately insured patients. According to a 2008 report by Childbirth Connection, "The financial toll of maternity care on private (insurers)/employers and Medicaid/taxpayers is especially large." It also said, "Maternity care thus plays a considerable role in escalating health care costs, which increasingly threaten the financial stability of families, employers, and federal and state budgets." Addressing the Increase
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Senate Dems Prepare Contingency Plans As Finance Negotiators Grapple For A Deal

"Senate Democrats may decide to pass a U.S. health-care overhaul without Republican support if some opposition lawmakers don"t agree to a plan by mid-September," Senator Charles Schumer[ D-N.Y.] said" according to Bloomberg. Schumer said Sen. Max Baucus, D-Mont., set a self-imposed deadline of Sept. 15 to lead a negotiating team, composed of three Republicans and three Democrats within his Finance Committee, to a bipartisan compromise. ""If we cannot produce a bipartisan solution by then, you have to wonder if the Republicans would ever be willing to agree to anything," Schumer said on a conference call with reporters yesterday. "We will enact health-care reform by the end of the year. If the Republicans are not able to produce an agreement, we will have contingencies in play." ... Schumer said Democrats may invoke the practice of "reconciliation," which requires only 51 votes for Senate passage" (Rowley, 8/4). "While Republicans such as Senate Minority Leader Mitch McConnell have derided Democrats" attempts to pass a major health-care bill, the three Republicans involved in negotiations still appear interested in reaching a compromise," Dow Jones Newswires/Wall Street Journal reports. The Republican leadership has been intervening in the Finance Committee negotiations, one Democratic member of the panel said, "cracking the whip" whenever members approach a breakthrough (Yoest, 8/3). "The clout of the few - and particularly the importance of the Senate Finance working group - can be a of frustration for the many on Capitol Hill," the Christian Science Monitor reports. Aides to Sen. Mike Enzi, R-Wyo., one of the three Republicans negotiating, said the requirements for a compromise include paying for the bill without incurring new debt; covering everyone; and preserving "robust competition," meaning the public insurance plan prized by Democrats is a no-go. "It"s no secret that [House] members sometimes think: Why do I always read in the paper that they"re checking with the [Senate] Finance Committee all the time," said House Speaker Nancy Pelosi, D-Calif (Chaddock, 8/3). The Hill: Schumer said that even if a compromise discounts the coveted public option, such a plan would end up in the final Senate bill anyway. The Finance bill will have to be merged with a more liberal bill from the health committee before the full Senate votes on it (Young, 8/3). Roll Call: Enzi said he does not support the Sept. 15 deadline to cut a bipartisan deal or resort to contingency plans that would leave Republicans out. "I have not and will not agree to an artificial deadline because I am committed to getting health care reform right, not finishing a bill by some arbitrary date," he said (Drucker, 8/3). Boston Globe: As Finance members continue to grapple, other Democrats are preparing to take their messages on the road this month. Sen. Chris Dodd, the acting leader of the health committee who was diagnosed with prostate cancer last month, said "that he will spend the month of August pushing for national health care reform while dealing with his own health care issues" (Nelson, 8/3). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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