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  • CNN:

    A report released Thursday commended the government for developing plans and stockpiling antivirals after the avian flu scare but warned that gaps still exist and that the health system may not be prepared in a more severe outbreak.

    The report in question is from Trust For America's Health, whose exec, Jeff Levi was interviewed on Daily Kos in Feb, 2009. See also Pandemic Challenges For Hospitals, written a year earlier.

  • Battle lines being drawn:

    President Barack Obama's hopes for a bipartisan health deal seemed in jeopardy Thursday as GOP senators protested his renewed support for a new public health insurance plan, and a key Democratic chairman declared that such a plan would likely be in the Senate's bill.

  • Two physician-written diaries of note: A physician "comes out". is a Daily Kos health care diary written by an AMA delegate with clear and valuable perspective on health reform. The Elephant in the Room: My Meeting With Senator Baucus (Health Care Series) speaks for itself.
  • Tuberculosis In Muslim World: A Chance For Cooperation discusses a health initiative that would make a huge difference:

    Now Mr. Obama must look for ways to turn this promise into a reality and in a way that reaches ordinary people. An excellent place to start would be to partner with Muslim countries in the fight against tuberculosis, especially in Afghanistan, Pakistan, Indonesia and Bangladesh, where millions are affected by the disease and where important, but fragile, gains have been made.

    To put this in perspective,

    According to the World Health Organization, there are nearly 9 million new TB cases and perhaps 1.5 million deaths from the disease annually. Even in the United States, the U.S. Centers for Disease Control and Prevention tallied up 13,293 new cases of TB in 2007.

  • On FDA regulation of smoking:

    Senate Majority Leader Harry Reid (D-Nev.) could not reach an agreement with Republicans regarding consideration of a tobacco regulation bill Thursday evening, effectively forcing the chamber to allow more time for the legislation next week after it already consumed an entire week’s worth of debate.

    Several Republicans wanted their amendments to the bill to be considered on the floor, with the charge led by Sen. John McCain (R-Ariz.), who tried to get a time agreement on his amendment to legalize drug reimportation.

    “One Senator has held this up. That’s the way things can happen around here,” Reid lamented on the floor. “We’ve worked for a couple of days to arrive at the point we are, and the sad part about it is that the Senator that has held all this up has an amendment that isn’t remotely germane to this bill.”

    More from Congress Matters:

    So far no move to invoke cloture on the bill, though the fact that they had to do it on the motion to proceed suggests that cloture may eventually become necessary for the underlying bill, too. That plus the nature of tobacco regulation, which itself suggests that the bill might otherwise face a trial of filibuster-by-amendment.

  • More autism research:

    If you're an older mother, if you're having your first child, if your child is born in the breech position - your child is more likely to be autistic. Why? No one knows...

    As happens all too often, this particular study seems to have found correlations - not causes. What that means is we don't actually know WHY an older mother giving birth for the first time to a baby in the breech position is more likely to have an autistic child. And what THAT means is... more questions than answers.

Originally posted to Daily Kos on Fri Jun 05, 2009 at 06:50 AM PDT.

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Comment Preferences

  •  Thanks for this, DemFromCT (7+ / 0-)

    ... Your collections of health-stories here are always awesome. The story about Tuberculosis in the Muslim world is especially interesting. We need to be doing more collaboration globally - if we're ever going to stop these heartbreaking diseases.

    Please support equality in California:

    by Curiosity on Fri Jun 05, 2009 at 06:54:33 AM PDT

  •  Thank You Doctors (3+ / 0-)
    Recommended by:
    panicbean, 4Freedom, Curiosity

    It's great to have you come here & take part in the healthcare debate.

    of coarse DemFromCT has been doing it for ages

  •  More on TB (0+ / 0-)

    Perhaps the most disturbing problem regarding TB is not the prevalence of the disease per se -- which has actually declined slightly in recent years -- but rather the continuing emergence and spread of what are called Multidrug Resistant (MDR) and extensively drug resistant (XDR) TB, the latter of which has been reported in 55 countries.  XDR TB is resistant to all of the main agents used to treat TB.  Tuberculosis is a disease of poverty, and it is most prevalent in India, China, Indonesia, and Nigeria.  In 2007, there were almsot 300,000 new cases of MDR TB.  

    Unlike influenza, which is generally a mild, self-limiting illness, treatment of TB, even without extensive drug resistance, takes months and is very expensive.  Any failure to adhere strictly to therapy is likely to result in the development of drug resistance.  Hence proper treatment is very challening in the poor countries, and current resources are inadequate.  The cost of diagnosing and treating MDR and XDR tuberculosis in the countries with the highest prevalence is estimated to be $4.4 billion in 2015 -- a drop in the bucket by the standards of health care spending in the U.S. but far more than these poor countries currently have available.

    Of course, this doesn't currently affect affluent Americans, so it is not nearly as interesting to Daily Kos readers as flu.

    For more, see the article by Peter Donald et al in the new NEJM.

    •  I would (1+ / 0-)
      Recommended by:

      rec this, up until the last paragraph. Sorry.

      I personally find the flu stories interesting, as a doc interested in public health. Has nothing to do with its direct relevance to me, although it might have some of that too, as I go next month to work in a Federally Qualified Health Center that serves a large immigrant population, mostly from south of the border.

      Of course, that also makes the TB story interesting, too.

      Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

      by stitchmd on Fri Jun 05, 2009 at 07:09:50 AM PDT

      [ Parent ]

    •  It should concern affluent Americans (0+ / 0-)

      because TB is still a serious health problem in Mexico.

      Rather than taking the "we need to close our borders!" route to that reality, I would much prefer the "poverty hurts everyone" approach. Mexico's problems with poverty have been American's problem too for a lot longer than either right or left winger like to admit. American political and economic involvement in Mexico has largely hurt Mexico's poor more than it has helped. Plus, like it or not, we have millions of Americans of Mexican descent, and they are entitled to have as much contact with their Mexican relatives as would any other American with relatives in another country. Washing our hands of Mexico is not an option, period.

      The reality is, if there's a serious health problem in Mexico, we Americans will feel it one way or the other. Swine flue wasn't an anomaly--just a really high profile example of what's already been going on. Health care providers in the Southwest have long been contending as best as they can with impact of Mexico's poverty here in our country. I work in a school district on the border, and we take TB very, very seriously. So do our hospitals and clinics here. We're already paying the cost of Mexico's poverty--poverty that has more than few American fingerprints on it---and it's very likely in the near future, we'll be paying more and more.

      -8.50, -7.64 "In the depth of winter, I finally learned that there was within me an invincible summer." - Camus

      by croyal on Fri Jun 05, 2009 at 07:43:52 AM PDT

      [ Parent ]

  •  At this point where are we on the bell Curve (0+ / 0-)

    (reported cases) for the Swine Flu?

    Dear GOP&Conservatives If all you have to offer are Cliches and Hyperbole then STFU. Thanks XOXOXO

    by JML9999 on Fri Jun 05, 2009 at 07:01:22 AM PDT

  •  Want to know where Congress stands on the health (7+ / 0-)

    House Yes 192 No 4    Don't know 244

    Senate Yes 37   No  6   Don't Know 56

    Members of Democracy For America and MoveOn made calls to their members of Congress and reported back the results to Stand With Dr. Dean. We have compiled the reports from those calls and combed through public statements of every member of Congress. The grid below lists every member of Congress and their position on the inclusion of the public healthcare option based on our research.

    Law is security; lawlessness invites terror. -Joe Margulies

    by mrobinson on Fri Jun 05, 2009 at 07:07:56 AM PDT

    •  thanks for this (1+ / 0-)
      Recommended by:

      as your know, the Organizing for America Health Care Kickoff begins this weekend nationwide. We are organizing on the grassroots level to influence those who "don't know". Its the only way this will get through.

      If you havent signed up for an organizing event in you area,do it now.

      Now that the president has made it clear that he strongly favors a strong public option and that democrats are fairly united on this, we are the last (and most influential) element needed to get real reform passed.

      If you're reading this comment today, make it your personal mission to get 10 others in your neighborhood to make phone calls and gather local support for reform. This ISNT a partisan issue so welcome the conservatives in your area on this. This is about Americans and our health.

  •  Oh gee, we might not get bipartisan reform! (2+ / 0-)
    Recommended by:
    wa ma, mdmslle

    It would be a real tragedy if we get actual reform without the GOP. Let Republicans marginalize themselves with their blather about socialized medicine and health savings accounts. The American people are exasperated and tuning out these corporate shills.

  •  autism (0+ / 0-)

    What that means is we don't actually know WHY an older mother giving birth for the first time to a baby in the breech position is more likely to have an autistic child.

    Do older first time mothers have more breech position babies?

  •  Supports the choice of public Healthcare option? (4+ / 0-)
    Recommended by:
    melvynny, 4Freedom, mdmslle, Curiosity

    Time to call and email, for public option
    Sen Max Baucus D MT
    Contact information:
    Phone: 202-224-2651 | Fax: 202-224-0515
    Web: | Write:
    Sen Evan Bayh D IN
    Contact information:
    Phone: 202-224-5623 | Fax: 202-228-1377
    Web: | Write:
    Sen Mark Begich D AK
    Contact information:
    Phone: 202-224-3004 | Fax:
    Web: | Write:
    Sen Michael Bennet D CO
    Contact information:
    Phone: 202-224-5852 | Fax:
    Web: | Write:
    Sen Robert Byrd D WV
    Contact information:
    Phone: 202-224-3954 | Fax: 202-228-0002
    Web: | Write:
    Sen Maria Cantwell D WA
    Contact information:
    Phone: 202-224-3441 | Fax: 202-228-0514
    Web: | Write:
    Sen Thomas Carper D DE
    Contact information:
    Phone: 202-224-2441 | Fax: 202-228-2190
    Web: | Write:
    Sen Kent Conrad D ND
    Contact information:
    Phone: 202-224-2043 | Fax: 202-224-7776
    Web: | Write:
    Sen Byron Dorgan D ND
    Contact information:
    Phone: 202-224-2551 | Fax: 202-224-1193
    Web: | Write:
    Sen Dianne Feinstein D CA
    Contact information:
    Phone: 202-224-3841 | Fax: 202-228-3954
    Web: | Write:
    Sen Kay Hagan D NC
    Contact information:
    Phone: 202-224-6342 | Fax:
    Web: | Write:
    Sen Mary Landrieu D LA
    Contact information:
    Phone: 202-224-5824 | Fax: 202-224-9735
    Web: | Write:
    Sen Blanche Lincoln D AR
    Contact information:
    Phone: 202-224-4843 | Fax: 202-228-1371
    Web: | Write:
    Sen Bill Nelson D FL
    Contact information:
    Phone: 202-224-5274 | Fax: 202-228-2183
    Web: | Write:
    Sen E. Benjamin Nelson D NE
    Contact information:
    Phone: 202-224-6551 | Fax: 202-228-0012
    Web: | Write:
    Sen Mark Pryor D AR
    Contact information:
    Phone: 202-224-2353 | Fax: 202-228-0908
    Web: | Write:
    Sen Harry Reid D NV
    Contact information:
    Phone: 202-224-3542 | Fax: 202-224-7327
    Web: | Write:
    Sen Arlen Specter D PA
    Contact information:
    Phone: 202-224-4254 | Fax: 202-228-1229
    Web: | Write:
    Sen Jon Tester D MT
    Contact information:
    Phone: 202-224-2644 | Fax: 202-224-8594
    Web: | Write:
    Sen Mark Udall D CO
    Contact information:
    Phone: 202-224-5941 | Fax: 202-226-7840
    Web: | Write:
    Sen Mark Warner D VA
    Contact information:
    Phone: 202-224-2023 | Fax: 202-224-6295
    Web: | Write:
    Sen Ron Wyden D OR
    Contact information:
    Phone: 202-224-5244 | Fax: 202-228-2717
    Web: | Write:

    Law is security; lawlessness invites terror. -Joe Margulies

    by mrobinson on Fri Jun 05, 2009 at 07:17:05 AM PDT

    •  everyone please print out a copy of this post (1+ / 0-)
      Recommended by:

      and make copies to distribute in your neighborhood.

      You can also attend a health care kickoff in your communitythis weekend or just make copies of who to call and a printout of maybe the key issues in health care reform.

      For those of you who have lots of older people in your community like I do, AARP magazine (july-august issue) has a very nice article entitled "8 health care reform myths and why we cannot afford to believe them anymore". Its an excellent article and can be reprinted with permission (or I assume attribution).

      •  Thanks for the list and the encouragement. (1+ / 0-)
        Recommended by:

        This is our fight. If we want it, we have to work on it.

        I have re-contacted my three members of congress today to gauge support. I'm very grateful that one of them is Bernie Sanders, because he's the strongest supporter of single payer in congress, and he's keeping up the heat.

        The ink of the scholars is more holy than the blood of the martyrs. ~ Muhammad

        by 4Freedom on Fri Jun 05, 2009 at 07:47:33 AM PDT

        [ Parent ]

        •  i think this is a list of the (1+ / 0-)
          Recommended by:

          people on the finance committee - which is critical.

          Also the appropriations committee is essential too.

          I got the original info form Slinkerwink's diary last week

          where he lays out the who, what and why of calling/emailing and lists just like the one posted above. Even provides a "talking points guide".

          Have fun. We can do this!

          PS I hope you'll be getting several others in your community to do the same thing. We activists cannot do it alone. It has to be the voting masses for our congress critters to get scared.  No one ever won re-election with a pissed off electorate back home. A few activists in their district who always call and write? they can blow that off pretty much. But when it appears to be lots of people back home paying attention and expressing their wishes...ignoring it is perilous.

        •  You are fortunate in your senator (1+ / 0-)
          Recommended by:

          I have Patty and Maria! Sometimes they do the right thing but need a lot of prodding.

          Law is security; lawlessness invites terror. -Joe Margulies

          by mrobinson on Fri Jun 05, 2009 at 08:11:20 AM PDT

          [ Parent ]

          •  The other Senator is Leahy, and he needs (0+ / 0-)

            a kick in the tail to wean him from positions promoted by his insurance company contributors. He's having fun being in the limelight during the Sotomayer hearings, but he's behind the curve on health care.

            He's cautiously looking at some version of the public option, but hasn't given any support or paid much attention to single payer. His staffer is going to call me back with his recent position on health care.

            The ink of the scholars is more holy than the blood of the martyrs. ~ Muhammad

            by 4Freedom on Fri Jun 05, 2009 at 10:57:23 AM PDT

            [ Parent ]

  •  Democrats: "Stand with your president." (1+ / 0-)
    Recommended by:

    Write to your senator and representative: "Stand with your president."

    "I strongly believe that Americans should have the choice of a public health insurance option operating alongside private plans. This will give them a better range of choices, make the health care market more competitive, and keep insurance companies honest." - President Barack Obama, June 3, 2009

    Law is security; lawlessness invites terror. -Joe Margulies

    by mrobinson on Fri Jun 05, 2009 at 07:27:41 AM PDT

    •  I'm up to Nelson - (1+ / 0-)
      Recommended by:

      quite tedious.

      President Barack Obama, June 3, 2009: "I strongly believe that Americans should have the choice of a public health insurance option operating alongside private plans. This will give them a better range of choices, make the health care market more competitive, and keep insurance companies honest." -

      Dear Senator,
      64% of Americans agree with the president, in support of a public option or choice between a medical plan like Medicare or private insurance. Please join 37 senators who support the president. Stand with your president!

      Law is security; lawlessness invites terror. -Joe Margulies

      by mrobinson on Fri Jun 05, 2009 at 07:56:25 AM PDT

      [ Parent ]

  •  Republican Values (1+ / 0-)
    Recommended by:
    Smoke Tobacco
    Don't smoke pot.

    Torture good, Marijuana bad.
    Doc in the Twitterverse

    by xxdr zombiexx on Fri Jun 05, 2009 at 07:28:00 AM PDT

  •  Bi-Partisan but not Bi-Sexual or Bi-Racial (0+ / 0-)

    From on CTDem to another, here is my healthcare "tidbit" for the day:

  •  Related diary pimping (not my diary) (0+ / 0-)

    This recent diary is an insider's view of how to most effectively communicate with Congressional aides.

    Ancora Impara--Michelangelo

    by aravir on Fri Jun 05, 2009 at 07:39:55 AM PDT

  •  public plan,lots of people, better than private ? (1+ / 0-)
    Recommended by:

    So if the public plan was good enough that it drew A LOT of people.  Couldn't it get past a critical mass which would in effect, make it better than private insurance ?

    big badda boom : GRB 080913

    by squarewheel on Fri Jun 05, 2009 at 07:51:20 AM PDT

    •  It will. HAHAHA (1+ / 0-)
      Recommended by:

      Neener neener.

      Law is security; lawlessness invites terror. -Joe Margulies

      by mrobinson on Fri Jun 05, 2009 at 07:57:23 AM PDT

      [ Parent ]

    •  shhhh. dont tell. that's what we're (0+ / 0-)

      thinking, eh?

      its once reason "they" dont want it.  It will force them to compete and if the public plan is lower cost but essentially the same, people will opt for it.

      I HAVE insurance and I only pay $150/month. But my insuarnce company could play willy wanky with my coverage if, god forbid, they ever have to cover anything.  For that reason alone, i'd consider switching to a decent public option even if it was more expensive.

      Its quite stressful worrying that yoru insurer could deny you if something happened or if you were diagnosed with a chronic illness. Its part of the reason i dont really visit the doctor...if something is wrong with me, i suspect my rates would skyrocket or i would be dropped.

      and that sucks. basically I have convinced myself that I am carrying catastrophic health insurance. If I get hit by a bus, i'm in good shape as far as that goes. Cancer? not so sure.

      •  I've had private, Vet, and Medicare (1+ / 0-)
        Recommended by:

        and Veterans care is the best. I've just started with Medicare which is great - so far so good. No dental or eye care, though, like with the Vets. Private care is just scary - they turned me down for everything the first time. then there was the big co-pay etc. Vultures.

        Law is security; lawlessness invites terror. -Joe Margulies

        by mrobinson on Fri Jun 05, 2009 at 08:14:55 AM PDT

        [ Parent ]

  •  Autism (0+ / 0-)

    It's in the DNA people. These small studies are not helping. Breach might be a symptom, but not the cause. And older DNA is damaged. That's just life. Aging is the tips of our chromosomes falling off. I try to imagine them hitting the floor and breaking into a million sparkly pieces. Aging is not for the faint of heart.

    Autism is in the DNA people. In some cases whole sections are missing. Breach isn't causing that, and it's doesn't help the Mom to suggest that.

    Read the December issue of Science if you really want to know the cutting edge of discovery of the root causes of Autism. And the hint to far suggests it's the male's DNA that is missing, wiped out by the female's for reasons unknown. Just the broad spectrum of autistic symptoms suggest more than one area of DNA is affected. Autism may turn out to be like so many other diseases, where severity is determined by which parent passed the defective gene, and where it is on the genome.

    It ain't as simple as breach, baby.

    •  oversimplification (0+ / 0-)

      If Autism were strictly genetic we would have found the cause(s) by now.  Similarly if autism were strictly environmental, we would have found the cause(s) by now.  Both those are relatively easy statistical tests.

      As with most difficult problems the causes of autism are almost certainly multivariate.  To be more specific, some cases are probably strictly genetic, others strictly environmental, but the majority are most likely the result of a combination of the two.

      Everyone likes simple answers (which is why the bogus vaccine link is so popular,) unfortunately, that's rarely the case.

      We have always known that heedless self interest was bad morals; we know now that it is bad economics. - FDR 1936

      by AndersOSU on Fri Jun 05, 2009 at 08:52:07 AM PDT

      [ Parent ]

      •  If it's genetic we would have found it by now? (0+ / 0-)

        Are you kidding? We don't know what most of our DNA does. Mapping the genome didn't tell us what each gene does. And then there are the switching genes, which used to be referred to as 'junk DNA' because scientists had no idea there were switching genes. And then there are the male or female genes, where scientists are figuratively tying blue or pink ribbons to each to figure out which parent contributed which gene.

        The underlying causes of autism is in the DNA, in many places. The one court case that was won was based on this science. They found that child's DNA defect was switched on by the vaccine.

        I suggest that variations of that is the norm, not the exception.

        •  you don't need to understand the entire genome (0+ / 0-)

          In a strictly genetic disease, that is a disease where if you have the gene(s) you have the disease, and if you don't, you don't (like Down Syndrome - technically a chromosomal disease, but close enough), there will be statistical differences between the genomes of the afflicted and the genomes of the healthy.  You track down those differences and isolate the culprits.

          Unfortunately, very few things are that simple, everything from cancer, to diabetes, to autism appears to have a genetic component, but we haven't been able to isolate it because it's not purely genetic, something has to activate the culprit gene (for instance an infection triggering type I diabetes.)  In other words, there are at least some people with culprit genes who don't develop the disease - if a gene only expresses a small percentage of the time, it really mucks up your statistics.

          We have always known that heedless self interest was bad morals; we know now that it is bad economics. - FDR 1936

          by AndersOSU on Fri Jun 05, 2009 at 12:22:10 PM PDT

          [ Parent ]

          •  It doesn't come from just one set of factors. (0+ / 0-)

            At this point, scientists have identified 7 sites that they believe contribute to the disease. And they have only just begun. It is VERY complicated.

            And when some outside force sets off a cascade of symptoms, that doesn't just happened in space. A switching gene has been triggered. Which one, and WHY?

            •  right (0+ / 0-)

              some outside force sets off a cascade of symptoms, that doesn't just happened in space

              Exactly my point.  Genes play a role but so do outside, environmental factors.

              If an outside force can trigger a switched gene, then it stands to reason that in some children with the same genes - twins even - the gene(s) in question will never be triggered.  And since autism is very much a developmental disease, once you get past a certain age you're out of the woods.

              Both genetic and environmental conditions are necessary, but neither on its own is always sufficient for the development of autism.  Scientists should put on blinders and not look at environmental factors - those might turn out to be easier to address.  That's why studies like this are useful, if performing C-sections on a certain population of women reduces autism, it's worth it.

              We have always known that heedless self interest was bad morals; we know now that it is bad economics. - FDR 1936

              by AndersOSU on Sat Jun 06, 2009 at 09:03:57 AM PDT

              [ Parent ]

    •  I agree (0+ / 0-)

      folks appear to be confusing causation and correlation.

      Of course this is a common problem that correlates well with lack of knowledge about such things as statistics and scientific method (and in this case I believe there may well be a cause & effect relationship :)

      "Oh bother", said the Borg. "We've assimilated Pooh."

      by slr on Fri Jun 05, 2009 at 08:52:10 AM PDT

      [ Parent ]

  •  I was just listening to the Thom Hartman Show (0+ / 0-)

    in my car  with his usual Friday chat with Senator Bernie Sanders.

    It is obvious that the scales can be tipped if enough people get actively involved in demanding a singe payor/public option alternative from private insurance.

    Beating about the bush and nitpicking about what will work or what won't work is counterproductive.  Also contemplating a 'trigger' mechanism that would kick in if the sytem proves broken will not work either.  The system is already BROKEN.

    To worry about care being rationed is ridiculous because it is already rationed.  

    Read Krugman's column today. He for once has it right.

    The system does not need reform it needs a total change of the way America views health care.  There is plenty of time for tweaking and supplemental insurance if people are not satisfied but a public option MUST be part of any change.  If they cannot find enough doctors and nurses to man the beds then open up the gates and let in all qualified medical personnel from other nations immediately. There is a shortage of primary care physicians, why? probably because it doesn't pay as well as specialist.  America needs primary basic avaialbale affordable care.

    Every single Representauive and Senator needs to have that message drummed into their thick skulls.

    I want to know now exactly what Congressional plans offer and how much they cost and I want the same privileges for myself and my family and friends.

    That is it. SIMPLE. It is time to take to the streets, picket the hospitals, picket the insurance companies. Cap ALL CEO's salaries and benefits until we get affordable health care.

  •  Public option now. (0+ / 0-)

    A public healthcare option should be created immediately and Congress and the political appointees of the executive branch should immediately be provided with that same public healthcare option in place of their existing health benefits.  This last feature will encourage them to create a system which works, and continues to work, rather than one doomed to fail.  

    --- Obama: combines the intellect of Bill Clinton and the decency of Jimmy Carter—it's good to have a thoughtful non-cynic in the White House!

    by KingBolete on Fri Jun 05, 2009 at 10:47:45 AM PDT

  •  Sacramento Bee today reports: (1+ / 0-)
    Recommended by:
    "Majority of personal bankruptcies tied to medical bills, study says"

    here's the lead:

    The cost of health care continues to burden Americans in alarming numbers, with 62 percent of all personal bankruptcies in 2007 blamed on unaffordable medical bills, according to Harvard and Ohio University researchers.

    What's more, three-fourths of those debtors had health insurance, according to a study to be published in August in the American Journal of Medicine. The study notes that more people are mortgaging their homes in a failed attempt to pay their medical bills.

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