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Such an expansive application would have significant implications for health policy—involving issues separate from the other legal and practical concerns raised by the proposed regulation, such as how it conflicts with conscience rights protections, or provisions of the Administrative Procedure Act, or federal laws governing relations with Indian tribes and the operation of the Indian Health Service.[4] The practical effect of the Administration’s expansive interpretation of section 1557 would be to subordinate coverage and treatment determinations about what is “medically necessary” or “medically appropriate” to new, and evolving, determinations by federal regulators of what constitutes prohibited “discrimination.” In essence, the Obama Administration is asserting that, under the guise of enforcing “non-discrimination,” the HHS Office for Civil Rights has the power to impose coverage mandates on private health plans and to determine what constitutes appropriate medical practice. For example, this new regulation includes provisions that would explictly govern the coverage and treatment of gender dysphoria.

By using the force of law to impose on others its opinions regarding one specific, contentious area of medical practice, this regulatory overreach would establish a troubling precedent for future federal intervention on similarly contentious coverage and treatment issues.

Now here we are in September, counting down the days until we get to cast our votes for the next president.

David from Health Business Blog has written an article comparing how the health care proposals from Mc Cain and Obama handle requirements to obtain coverage.

Differing Estimates Analyzing proposals based on campaign documents and media accounts is inherently difficult, as these materials lack the level of detail necessary for a rigorous econometric analysis.

However, in the proposed regulation the Obama Administration further expansively interprets that already broad, statutory text to also apply those prohibitions to the benefits covered by health insurance plans, the treatments provided by medical professionals, and the health insurance coverage of tens of millions of Americans enrolled in private, unsubsidized plans.

"Right now everybody in America, just about, has to get auto insurance.

Nobody considers that a tax increase."Obama faces an enormous political and communications challenge in selling his health care plan as Congress debates how to pay for it all.

Obama’s idea was to mandate coverage for children, but not for adults.

Still a lofty goal, considering 12% of the nation’s children are currently without health insurance (that figure rises to 14% here in Colorado).

Private employer-sponsored coverage would decline by 13.9 million, and private non-group coverage would decline by 7.7 million.

Meanwhile, 18.6 million employees would buy into the new public plan through their workplace (as their employers switched to this plan from private coverage), 13.1 million individuals would buy into the public plan in the non-group market, and 16.6 million individuals would become newly enrolled in Medicaid or SCHIP.

He told CBS' "Face the Nation" that he will keep his pledge not to raise taxes on families earning up to 0,000, and that much of the final bill - hundreds of billions of dollars over the next 10 years - can be achieved from savings within the current system.

Coming up with the rest remains a key legislative obstacle. Obama put his support behind the idea of taxing employers that offer high-cost insurance plans."I do think that giving a disincentive to insurance companies to offer Cadillac plans that don't make people healthier is part of the way that we're going to bring down health care costs for everybody over the long term," Obama said on NBC's "Meet the Press."Obama's network interviews were taped Friday at the White House.

I’m just not sure how well that’s working out for families who can’t afford 0,000 earrings.

(As an aside, what Cindy Mc Cain wears is pretty far down on the list of things that matter to me.

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