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12:01:04 pm

The Health-care Debate Hasn?t Changed In 20 Years, New Clinton Documents Show

(William J. Clinton Presidential Library)

(AP) The Clinton Library on Friday released thousands of pages of new documents from the Clinton White House, including about 850 pages on its failed effort to pass health reform. The documents are especially interesting for how they seemingly parallel the debate around Obamacare. The Clinton White House, in a 1993 memo, spells out perceived messaging attacks on the bill from conservative Democrats and moderate Republicans they had hoped to win over. These points should sound familiar (and we apologize for the White House's use of caps): (William J. Clinton Presidential Library) The White House also pointed out where it thought its messaging strategy was especially vulnerable. These points, too, should sound familiar. (William J. Clinton Presidential Library) There's also plenty of discussion in the documents about the sensitivity of the employer mandate, a main feature of the failed Clinton plan. Of course, the Affordable Care Act does include a mandate for businesses with at least 50 employees, but its implementation is as politically tough as ever. That provision has already been delayed twice. My colleagues, who have a comprehensive look at the new documents, also point out that Clinton , before a 1994 interview, knew the public would worry about being able to keep their health plans.
The health-care debate hasn?t changed in 20 years, new Clinton documents show

Rail workers' health issues are a growing safety concern -

911 calls describe chaos in aftermath of deadly bus crash

As it turned out, Hall was colorblind. The National Transportation Safety Board 's subsequent probe of the June 2012 wreck faulted the engineer's deteriorating eyesight and inadequate medical screening that failed to fully evaluate his vision problems. But the Goodwell crash underscored a far larger concern: Railroads are the only mode of U.S. commercial transportation without national requirements for thorough, regular health screenings to identify worker ailments and medications that could compromise public safety. Crash investigations have linked train accidents to railway workers' health problems. The Goodwell crash and a rear-end collision in Iowa in 2011 that killed an engineer and conductor are among those that authorities believe could have been prevented with more rigorous medical testing of train crews. Federal investigators are examining whether an engineer's severe case of undiagnosed sleep apnea a condition that can cause fatigue contributed to last year's derailment of a New York commuter train that killed four passengers and injured 59. Union and legal representatives of the engineer have said he either nodded off or went into a daze before heading into a 30-mph curve at 82 mph. The NTSB found that the engineer's doctors never evaluated him for the condition, and medical guidelines provided to employees by the Metro-North Railroad did not mention sleep disorders. "The problems are not getting fixed, and more significant risks could occur as the population of railroad workers ages," said Mark Rosekind, an NTSB board member. In contrast, airline pilots, truckers, bus drivers and maritime professionals must undergo medical examinations with stricter requirements annually or every few years.
Rail workers' health issues are a growing safety concern -

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