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	<title>Comments on: One Degree of Separation: Obama</title>
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		<title>By: David</title>
		<link>http://minneapolis.metblogs.com/2009/07/02/one-degree-of-separation-obama/comment-page-1/#comment-7912</link>
		<dc:creator>David</dc:creator>
		<pubDate>Mon, 06 Jul 2009 16:46:57 +0000</pubDate>
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		<description>@Tipper - That&#039;s a good question. I wish I would have had it this weekend when I talked to Tom. It turns out he didn&#039;t meet Obama when he was in D.C. and he mostly worked with staff. So it make my prepared interview obsolete and instead we talked about remodeling,gardening, the Tour de France, and other issues of serious consequence. 

Maybe I can get him to address your concerns.</description>
		<content:encoded><![CDATA[<p>@Tipper &#8211; That&#8217;s a good question. I wish I would have had it this weekend when I talked to Tom. It turns out he didn&#8217;t meet Obama when he was in D.C. and he mostly worked with staff. So it make my prepared interview obsolete and instead we talked about remodeling,gardening, the Tour de France, and other issues of serious consequence. </p>
<p>Maybe I can get him to address your concerns.</p>
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		<title>By: tipper</title>
		<link>http://minneapolis.metblogs.com/2009/07/02/one-degree-of-separation-obama/comment-page-1/#comment-7910</link>
		<dc:creator>tipper</dc:creator>
		<pubDate>Mon, 06 Jul 2009 14:31:02 +0000</pubDate>
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		<description>I&#039;d love to know more about how he thinks the practice of medicine should change.

My personal soapbox is that of maternity care in the US; we have an insanely high C-section rate and an insanely high rate of interventions (such as induction, etc.), yet we have a high infant and maternity mortality rate. The combination of the pressures of potential litigation, non-evidence-based care, the tendency of professional organizations like ACOG (American College of Obstetricians and Gynecologists) and the AMA to treat pregnancy/childbirth as an illness that needs to be managed, insurance companies refusing to pay for midwives (even the CNM sort) but covering c-sections without batting an eyelash, etc. lead to this quagmire where we&#039;re spending too much money for the poor outcomes we get compared to other countries where maternity care is entirely different. So I am particularly interested in any thoughts he has on this matter. It should concern anyone who is interested in health care in the US; Cesarean section is the most commonly performed surgery on American women, and it doesn&#039;t come cheap, money- or health-wise.</description>
		<content:encoded><![CDATA[<p>I&#8217;d love to know more about how he thinks the practice of medicine should change.</p>
<p>My personal soapbox is that of maternity care in the US; we have an insanely high C-section rate and an insanely high rate of interventions (such as induction, etc.), yet we have a high infant and maternity mortality rate. The combination of the pressures of potential litigation, non-evidence-based care, the tendency of professional organizations like ACOG (American College of Obstetricians and Gynecologists) and the AMA to treat pregnancy/childbirth as an illness that needs to be managed, insurance companies refusing to pay for midwives (even the CNM sort) but covering c-sections without batting an eyelash, etc. lead to this quagmire where we&#8217;re spending too much money for the poor outcomes we get compared to other countries where maternity care is entirely different. So I am particularly interested in any thoughts he has on this matter. It should concern anyone who is interested in health care in the US; Cesarean section is the most commonly performed surgery on American women, and it doesn&#8217;t come cheap, money- or health-wise.</p>
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