President Barack Obama and President Nicolas Sarkozy of France have a discussion in the Blue Room of the White House before their joint press availability, March 30, 2010. (Official White House Photo by Pete Souza))
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President Barack Obama and President Nicolas Sarkozy of France have a discussion in the Blue Room of the White House before their joint press availability, March 30, 2010. (Official White House Photo by Pete Souza))

O Presidente dos Estados Unidos promulgou hoje a lei que reforma o sistema de saúde no país e uma reformulação do sistema de empréstimos a estudantes do ensino superior, depois de alterações necessárias para conseguir o acordo do Congresso.
Depois de uma cerimónia no centro de formação profissional em Alexandria, Virginia, Barak Obama assinou as adendas que contêm uma série de "correções" à lei que tinha sido inicialmente promulgada na semana passada mas que teve de ser corrigida.
Estas correções fazem parte do dispositivo legal que permitiu a Obama e aos democratas conseguir um acordo no Congresso para a reforma da prestação de cuidados de saúde, que a termo visa alargar a cobertura de assistência na doença a cerca de 32 milhões de pessoas que até agora estavam excluídas.
O Senado dos Estados Unidos "reaprovou" também, há dias, a reforma, depois de ter sido detetada uma irregularidade processual pelos opositores da legislação.
A Lei sobre a reforma da saúde já tinha sido promulgada pelo presidente Barack Obama, mas os republicanos detetaram disposições relacionadas com empréstimos a estudantes que tiveram que ser removidas do texto.
White House Photo, Lawrence Jackson, 3/30/10
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The President puts the finishing touches on health reform and signs another major priority into law, making student loans work for students instead of banks as unnecessary middlemen.
President Barack Obama and the First Family mark the beginning of Passover with a Seder with friends and staff in the Old Family Dining Room of the White House, March 29, 2010. (Official White House Photo by Pete Souza)-Happy Easter!-edjane maps :)* Posted by Jesse Lee on March 29, 2010 at 08:12 PM EDT
President Obama makes an unannounced trip to Afghanistan, meeting with President Karzai and adressing the troops at Bagram Air Base.
A U.S. Secret Service agent looks out the window during a night helicopter flight from the Presidential Palace to Bagram Airfield in Afghanistan, March 28, 2010. (Official White House Photo by Pete Souza)
The President looks back on a week that saw the passage of two major sets of reforms: one putting Americans in control of their own health care, and one ensuring student loans work for students and families, not as subsidies for bankers and middlemen.
President Barack Obama discusses the START treaty, during a phone call with President Dmitry Medvedev of Russia in the Oval Office, March 26, 2010. (Official White House Photo by Pete Souza)
The President travels to Iowa City where the push for reform began, and has an answer for those looking for repeal. Watch the remarks and view the slideshow of the last year.
The President is traveling to Iowa City to discuss what health insurance reform will mean for small businesses and American families. Watch live at 2:00 PM EST.
White House Staff Secretary Lisa Brown describes the role of her office and explains why the President used 22 pens to sign health reform into law.
Statement of Administration Policy supports initiative to create summer job opportunities for the youth.
Jared Bernstein,Chief Economic Advisor to the Vice President, tells the story of Cree, Inc., America's foremost producer of LED lighting, and the Recovery Act.
As a result of health reform, women who are victims of domestic violence will have better access to health care and will no longer face pre-existing condition discrimination.
While the media are focusing on the political implications of health insurance reform, most Americans just want to know how it will affect them. You can find a number of resources right here on WhiteHouse.gov.
President Barack Obama and Chief of Staff Rahm Emanuel, background, laugh with Vice President Joe Biden before a meeting in the Oval Office, March 24, 2010. (Official White House Photo by Pete Souza)

The President made it official: things are going to change quite a bit between Americans and their health insurance companies. The President signed health reform into law, with a package of fixes not far behind, and in the process created a future for the country in which Americans and small businesses are in control of their own health care, not the insurance industry.
The signatures of President Barack Obama, Vice President Joe Biden, and Speaker of the House Nancy Pelosi on the health insurance reform bill signed in the East Room of the White House, March 23, 2010. (Official White House Photo by Chuck Kennedy)
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White House Photo, Pete Souza, 3/23/10
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President Barack Obama, Vice President Joe Biden, and senior staff, react in the Roosevelt Room of the White House, as the House passes the health care reform bill, March 21, 2010. (Official White House Photo by Pete Souza)
After Congress takes a historic vote to pass health reform, the President tells Americans "this is what change looks like."
POLUIÇÃO
Água suja mata mais que violência, afirma ONUREVISTA GALILEU
Telescópio captura 'botão de rosa cósmico'PROMESSA DE CAMPANHA
Objetivo é dar cobertura a 95% dos cidadãos de até 65 anos.

Pai de Nardoni e mãe de Isabella estão no fórum.

Today, the President announced that he will be issuing an executive order after the passage of the health insurance reform law that will reaffirm its consistency with longstanding restrictions on the use of federal funds for abortion.
While the legislation as written maintains current law, the executive order provides additional safeguards to ensure that the status quo is upheld and enforced, and that the health care legislation's restrictions against the public funding of abortions cannot be circumvented.
The President has said from the start that this health insurance reform should not be the forum to upset longstanding precedent. The health care legislation and this executive order are consistent with this principle.
The President is grateful for the tireless efforts of leaders on both sides of this issue to craft a consensus approach that allows the bill to move forward.
A text of the pending executive order follows:
EXECUTIVE ORDER
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ENSURING ENFORCEMENT AND IMPLEMENTATION OF ABORTION RESTRICTIONS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT
By the authority vested in me as President by the Constitution and the laws of the United States of America, including the "Patient Protection and Affordable Care Act" (approved March __, 2010), I hereby order as follows:
Section 1. Policy.
Following the recent passage of the Patient Protection and Affordable Care Act ("the Act"), it is necessary to establish an adequate enforcement mechanism to ensure that Federal funds are not used for abortion services (except in cases of rape or incest, or when the life of the woman would be endangered), consistent with a longstanding Federal statutory restriction that is commonly known as the Hyde Amendment. The purpose of this Executive Order is to establish a comprehensive, government-wide set of policies and procedures to achieve this goal and to make certain that all relevant actors—Federal officials, state officials (including insurance regulators) and health care providers—are aware of their responsibilities, new and old.
The Act maintains current Hyde Amendment restrictions governing abortion policy and extends those restrictions to the newly-created health insurance exchanges. Under the Act, longstanding Federal laws to protect conscience (such as the Church Amendment, 42 U.S.C. §300a-7, and the Weldon Amendment, Pub. L. No. 111-8, §508(d)(1) (2009)) remain intact and new protections prohibit discrimination against health care facilities and health care providers because of an unwillingness to provide, pay for, provide coverage of, or refer for abortions.
Numerous executive agencies have a role in ensuring that these restrictions are enforced, including the Department of Health and Human Services (HHS), the Office of Management and Budget (OMB), and the Office of Personnel Management (OPM).
Section 2. Strict Compliance with Prohibitions on Abortion Funding in Health Insurance Exchanges. The Act specifically prohibits the use of tax credits and cost-sharing reduction payments to pay for abortion services (except in cases of rape or incest, or when the life of the woman would be endangered) in the health insurance exchanges that will be operational in 2014. The Act also imposes strict payment and accounting requirements to ensure that Federal funds are not used for abortion services in exchange plans (except in cases of rape or incest, or when the life of the woman would be endangered) and requires state health insurance commissioners to ensure that exchange plan funds are segregated by insurance companies in accordance with generally accepted accounting principles, OMB funds management circulars, and accounting guidance provided by the Government Accountability Office.
I hereby direct the Director of OMB and the Secretary of HHS to develop, within 180 days of the date of this Executive Order, a model set of segregation guidelines for state health insurance commissioners to use when determining whether exchange plans are complying with the Act's segregation requirements, established in Section 1303 of the Act, for enrollees receiving Federal financial assistance. The guidelines shall also offer technical information that states should follow to conduct independent regular audits of insurance companies that participate in the health insurance exchanges. In developing these model guidelines, the Director of OMB and the Secretary of HHS shall consult with executive agencies and offices that have relevant expertise in accounting principles, including, but not limited to, the Department of the Treasury, and with the Government Accountability Office. Upon completion of those model guidelines, the Secretary of HHS should promptly initiate a rulemaking to issue regulations, which will have the force of law, to interpret the Act's segregation requirements, and shall provide guidance to state health insurance commissioners on how to comply with the model guidelines.
Section 3. Community Health Center Program.
The Act establishes a new Community Health Center (CHC) Fund within HHS, which provides additional Federal funds for the community health center program. Existing law prohibits these centers from using federal funds to provide abortion services (except in cases of rape or incest, or when the life of the woman would be endangered), as a result of both the Hyde Amendment and longstanding regulations containing the Hyde language. Under the Act, the Hyde language shall apply to the authorization and appropriations of funds for Community Health Centers under section 10503 and all other relevant provisions. I hereby direct the Secretary of HHS to ensure that program administrators and recipients of Federal funds are aware of and comply with the limitations on abortion services imposed on CHCs by existing law. Such actions should include, but are not limited to, updating Grant Policy Statements that accompany CHC grants and issuing new interpretive rules.
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Section 4. General Provisions.
(a) Nothing in this Executive Order shall be construed to impair or otherwise affect: (i) authority granted by law or presidential directive to an agency, or the head thereof; or (ii) functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.
(b) This Executive Order shall be implemented consistent with applicable law and subject to the availability of appropriations.
(c) This Executive Order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity against the United States, its departments, agencies, entities, officers, employees or agents, or any other person.
THE WHITE HOUSE,
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We are mere feet from the finish line to passing into law historic, fiscally responsible health insurance reform that will give more choice and security to those with health insurance, provide access to coverage to those without, improve the quality of health care for us all, and provide the most deficit reduction of any bill in over a decade.
With momentum building, it's no surprise that opponents took to the morning talk shows and the Sunday newspaper op-ed pages in an attempt to undermine one of the signature accomplishments of the legislation under consideration today: the fact that it reduces the deficit by more than $100 billion over the first decade, and more than $1 trillion in the decade after that.
Especially at this late hour, it's important to get the facts right. So let's consider their main charges one by one.
First, critics charge that the bill uses 10 years of savings to pay for six years of spending. As I have posted before, if this were what we were doing, then health reform would blow a hole in the deficit after the first decade (or the budget window). Yet, as CBO has made clear again and again and in its final score issued last night, the opposite is true with health reform. In fact, the reform would reduce the deficit by a half percentage point of GDP -- or more than $1 trillion -- over the legislation's second 10 years.
Second, we have heard that the bill is double counting Medicare savings. To put on the green eyeshade for a moment, let's be clear: the bill has been scored by using standard budget accounting – the same methods used for years. And again, CBO confirms that health reform will reduce the deficit over 10 years and over 20 years.
Looking at the budget as a whole, this bill will leave us with less debt over time, and that is what matters.
Third, critics contend that there is no way that savings and revenue adjustments put forward will actually happen. No one has a crystal ball, but we do know how Congress has acted in the past. When tough decisions were made in the past about our central benefit programs, these changes have tended to stick. As I have noted before, the Center on Budget and Policy Priorities (CBPP) has studied Medicare savings and found that: "Virtually all of the Medicare cuts enacted in 1990 and 1993, which accounted for a significant portion of the savings in those large deficit-reduction packages, were implemented...And most of the savings enacted in 1997 other than the SGR cuts – nearly four-fifths [emphasis theirs] – were implemented as well."
Fourth, some have charged that there are hidden costs not being counted in the CBO score. One source is authorizations for discretionary spending for items related to health reform. Authorizations are just that; they are not expenditures, and Congress often does not act on them -- or can do so while cutting elsewhere so the overall amount of discretionary spending doesn't increase. The other source for these alleged secret costs is the need to fix the Sustainable Growth Rate (SGR) in Medicare, which otherwise would cut physician payments drastically. An SGR fix, however, is not in this bill -- so adding its costs to the legislation posits a piece of legislation that doesn't exist. Moreover, and more importantly, the need to address the SGR is a longstanding issue that pre-dates health reform and would be an issue even if Congress didn't undertake health reform. Both Democratic and Republican Congresses and Administrations have applied temporary fixes in the past.
This brings me to a final point. Perhaps people are appropriately skeptical about some of these budget figures because over the past decade, budget gimmicks and fiscal irresponsibility became the norm. Massive tax cuts (which weren't paid for) were passed and were presented as temporary to make them seem less expensive – even as supporters fully intended to make them permanent. New health care entitlements were signed into law without any offsets. Budget windows were manipulated to blind people from true costs. It is truly, and sadly, ironic that the central critics of the fiscal underpinnings of today's health reform legislation are those who supported these policies --and led the way -- as our country spiraled from surplus down into deep budget deficits.
The legislation before the House represents the most important deficit reduction package that would be enacted in over a decade -- and, perhaps more importantly, represents the first serious piece of legislation that would begin the process of addressing our long-term fiscal imbalance by re-orienting the health system toward quality rather than quantity. We stand by its CBO score. Later tonight, we expect a majority in Congress to stand by it as well – ushering in, among other things, a new era of fiscal responsibility.Since Monday, the President has held 64 meetings or phone calls with Members of Congress on health insurance reform. Here's one:

As a key committee in the Senate takes up reforming the ways of Wall Street, the President lays down a marker.
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President Barack Obama talks to a Member of Congress while en route to George Mason University in Fairfax, Va., to deliver remarks on health insurance reform, March 19, 2010. (Official White House Photo by Pete Souza)

President Barack Obama and Members of Congress applaud after the signing of the HIRE Act in the Rose Garden of the White House, March 18, 2010. (Official White House Photo by Chuck Kennedy)President Obama signs the HIRE Act to encourage job creation.
White House Press Secretary Robert Gibbs holds his daily press briefing in the Rose Garden of the White House, March 18, 2010. Gibbs said he moved the briefing outdoors for the first time to take advantage of the warm weather. (Official White House Photo by Chuck Kennedy)

President Obama meets with Taoiseach Cowen in celebration of St. Patrick's Day.
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President Barack Obama waves to members of the crowd, following his remarks on health insurance reform at the Walter F. Ehrenfelt Recreation and Senior Center in Strongsville, Ohio, March 15, 2010. (Official White House Photo by Pete Souza)
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