62 Practice Trends S KIN & ALLERGY N EWS • August 2007 Democrat Seeks to ‘Wyden’ Health Coverage

BY ERIK L. GOLDMAN no longer be burdened with having to find ment, and individual wellness programs. the expense of primary care, an inequali- Contributing Writer and manage health care plans. To this end, the Wyden plan would ty he hopes to reverse. Under the Healthy Giving employers an honest exit from eliminate individual copayments for all Americans Act, primary care physicians WASHINGTON — With the introduc- the health care arena is fundamental to preventive health care services as well as would be reimbursed for time-intensive tion of the Healthy Americans Act earlier Sen. Wyden’s vision. “There’s a general ongoing disease-management programs preventive medicine and chronic disease this year, Oregon Sen. Ron Wyden (D) be- awareness that employer-based health care for people with chronic disorders. His management. The regional HHAs would came the first major political player to pro- is already melting like a popsicle on a plan would encourage insurers to offer fi- rate competing health plans, in part based pose significant health care reform since summer sidewalk,” he said. nancial incentives for participation in well- on how well their disease prevention and the Clinton administration. The other central tenet of Sen. Wyden’s ness programs, nutrition counseling, to- disease management programs perform. Sen. Wyden’s plan calls for federally vision is to realign the value placed on bacco cessation, and exercise. “Insurance companies will ultimately be mandated, federally subsidized, portable medical services to support meaningful He believes current payment structures competing to keep Americans healthy,” health insurance coverage for all Ameri- preventive medicine, disease manage- unduly favor procedure-based acute care at the senator said. ■ cans. The plan is designed to break the na- tion’s reliance on employer-funded health insurance, a dependence Sen. Wyden be- DERMATOLOGY FOUNDATION 2006 The lieves has become detrimental to the well- of t being of many American citizens and crip- $2. pling to American businesses. Annenberg Circle & Leaders Society futu Speaking at the fourth annual World

Health Care Congress, a conference spon- Lawrence L. Bushkell, M.D. Vincent A. DeLeo, M.D. Frederick S. Fish III, M.D. Daniel S. Groisser, M.D. Richard A sored by the Wall Street Journal and 2006 ANNENBERG CIRCLE MEMBERS David A. Byrne, M.D. Jerry E. Dickson, M.D. Richard E. Fitzpatrick, M.D. Alexander S. Gross, M.D. Timothy M Jeffrey P. Callen, M.D. William Dorner, Jr., M.D. Helen Flamenbaum, M.D. Karyn L. Grossman, M.D. William D CNBC, Sen. Wyden outlined his vision for Paul W. Becker, M.D. Valerie D. Callender, M.D. Jeffrey S. Dover, M.D. David N. Flieger, M.D. Victoria Gunn, M.D. John B. Ka SUSTAINING MEMBERS Eric R. Berg, M.D. Douglas Canfield Howard V. Dubin, M.D. Michael J. Franzblau, M.D. John C. Hall, M.D. Ralph M. Paul R. Bergstresser, M.D. Robert G. Carney, Jr., M.D. Dan A. Dunaway, M.D. Irwin M. Freedberg, M.D. d Ronald D. Hall, M.D. Robert Ka reform, emphasizing that he is most defi- Thomas W. Andrews, M.D. Gerald G. Krueger, M.D. Alan R. Berlin, D.O. Rebecca J. Caserio, M.D. Karynne O. Duncan, M.D. Alvin E. Friedman-Kien, M.D. George W. Hambrick, Jr., M.D. Valda N. K Robert B. Ash, M.D. Albert M. Lefkovits, M.D. Karl R. Beutner, M.D., Ph.D. Gabriella Castillo, M.D. W. Christopher Duncan, M.D. Phillip Frost, M.D. X John R. Hamill, Jr., M.D. Matthew R nitely “trying to upset the apple cart.” Eugene A. Bauer, M.D. Gregory G. Messenger, M.D. Jag Bhawan, M.D. Jennifer C. Cather, M.D. Madeleine Duvic, M.D. J. Harvey Gardner, M.D. Jon M. Hanifin, M.D. David N. K David R. Bickers, M.D. X Warwick L. Morison, M.D. Kenneth B. Bielinski, M.D. S. Wright Caughman, M.D. Gary A. Dyer, M.D. Lisa A. Garner, M.D. C. William Hanke, M.D. Arnold W. The Healthy Americans Act (S. 334) Roger I. Ceilley, M.D. Dennis E. Newton III, M.D. Joseph B. Bikowski, M.D. Johanna Chapel, M.D. William H. Eaglstein, M.D. Jacquelyn B. Garrett, M.D. John M. Haraldsen, M.D. Jeffrey A. Clay J. Cockerell, M.D. would guarantee all Americans access to Glenn A. Oclassen John Q. Binhlam, M.D. Marvin E. Chernosky, M.D. X Michael J. Ebertz, M.D. Maria C. Garzon, M.D. Thomas D. Harris, M.D. Jay C. Kle William P. Davey, M.D. Margaret E. Olsen, M.D. X Jay E. Birnbaum, Ph.D. Neldagae S. Chisa, M.D. Peter G. Ehrnstrom, M.D. Bryon L. Gaul, M.D. N. Patrick Hennessey, M.D. Albert M. Richard L. Edelson, M.D. private-sector health plans that provide Thomas G. Olsen, M.D. David E. Biro, M.D. Lani E. Clark, M.D. Boni E. Elewski, M.D. X John K. Geisse, M.D. Gavin S. Herbert X Thomas K James O. Ertle, M.D. Neil S. Sadick, M.D. Kay Bishop, M.D. Richard A. Clark, M.D. Charles N. Ellis, M.D. Paul Getz, M.D. James J. Herrmann, M.D. Marilyn S Anita C. Gilliam, M.D., Ph.D. benefits equal to those currently provided Daniel M. Stewart, D.O. Marshall L. Blankenship, M.D. X Stephen W. Clark Melvin L. Elson, M.D. X Barbara A. Gilchrest, M.D. Warren R. Heymann, M.D. Walter G. Gloria F. Graham, M.D. Leonard J. Swinyer, M.D. Jean L. Bolognia, M.D. Mark G. Cleveland, M.D., Ph.D. Paul E. English, M.D. Michael Girardi, M.D. Juliana Hicks, M.D. Thomas J. James H. Graham, M.D. to members of Congress. It would do so Patricia S. Walker, M.D., Ph.D. Glen M. Bowen, M.D. Lisa M. Cohen, M.D. John H. Epstein, M.D. X Robert F. Godwin, M.D. Edmund R. Hobbs, M.D. Ira Lawren Harley A. Haynes, M.D. Bruce U. Wintroub, M.D. Ronald R. Brancaccio, M.D. Steven R. Cohen, M.D., M.P.H. Ervin H. Epstein, Jr., M.D. Michael H. Gold, M.D. Julie A. Hodge, M.D., M.P.H. Gerald S. L Waine C. Johnson, M.D. without increasing taxes, and—more im- Mitchell Wortzman, Ph.D. Martin Braun III, M.D. Brett M. Coldiron, M.D. William L. Epstein, M.D. d David J. Goldberg, M.D. Jean M. Holland, M.D. Phil LeBo Robert E. Jordon, M.D. Jonith Y. Breadon, M.D. Kevin D. Cooper, M.D. David D. Fadness Michael T. Goldfarb, M.D. Mark J. Holzberg, M.D. Stanton S. portantly—without obliging employers to Robert A. Briggaman, M.D. Thomas W. Cooper, M.D. Wayne A. Fagan, M.D. Harry M. Goldin, M.D. Maria K. Hordinsky, M.D. Mark Lebw David M. Adelson, M.D. Lawrence L. Anderson, M.D. Robert T. Brodell, M.D. X Michael E. Cormier, M.D. Janet A. Fairley, M.D. Mitchel P. Goldman, M.D. Michael S. Howard, M.D. Francis C. pay more than 25% of health care costs for Susan K. Ailor, M.D. Diane R. Baker, M.D. Christine D. Brown, M.D. Lynn A. Cornelius, M.D. Patricia Farris, M.D. Lowell A. Goldsmith, M.D. Nathan R. Howe, M.D., Ph.D. Robert G. their employees. The bill would create in- D. Edgar Allen, M.D. Phillip B. Bandel, M.D. Clarence W. Brown, Jr., M.D. Gregory J. Cox, M.D., P.C. Patrick R. Feehan, M.D. Ernesto Gonzalez, M.D. Amy A. Huber, M.D. David J. L Tina S. Alster, M.D. X Joel R. Barkoff, M.D. Forrest C. Brown, M.D. Judith E. Crowell, M.D. Steven R. Feldman, M.D., Ph.D. Kenneth B. Gordon, M.D. Michael J. Huether, M.D. Barry Lesh centives for both individuals and insurers to Douglas D. Altchek, M.D. Matthew D. Barrows, M.D. Marc D. Brown, M.D. Ponciano D. Cruz, Jr., M.D. Kathy A. Fields, M.D. Lillian R. Graf, M.D. Stuart I. Jacobs, M.D. Stuart R. L Jeffrey S. Altman, M.D. Rodney S.W. Basler, M.D. X Stuart M. Brown, M.D. C. Ralph Daniel III, M.D. Marian C. Finan, M.D. Michael A. Greenberg, M.D. Coleman Jacobson, M.D. X Stephen B bolster disease-prevention and wellness pro- David A. Amato, D.O. Leslie Baumann, M.D. Karen E. Burke, M.D., Ph.D. James Q. Del Rosso, D.O. Robert M. Fine, M.D. Robert D. Greenberg, M.D. Marie-Louise Johnson, M.D., Ph.D. Gary D. L grams, Sen. Wyden emphasized. Richard L. Detlefs, M.D. Alan Freedman, M.D. Steven K. Grekin, D.O. Larry D. Hudson, M.D. Hazle S. K He said that he believes this is attainable 2006 LEADERS SOCIETY MEMBERS Luis A. Diaz, M.D. Michael J. Freeman, M.D. Scott C. Grevey, M.D. Robert H. Huff, M.D. Mark D. K Daniel B. Dietzman, M.D. William E. Freeman, M.D. Robert D. Griego, M.D. Myra Barker Hull, Ph.D. Robert A. K in a fiscally responsible way that would not Matthew K. Abele, M.D. Bruce Bennin, M.D. Amy B. Cardellio, D.O. Vassilios A. Dimitropoulos, M.D. Michael Fretzin, M.D. Edmond I. Griffin, M.D. John M. Humeniuk, M.D. Neil J. Kor Edward Abell, M.D. Scott D. Bennion, M.D. M. Kathleen Carney-Godley, M.D. James G. Dinulos, M.D. Bert C. Frichot III, M.D. Thomas D. Griffin, M.D. David M. Huntley, M.D. Bruce W. K require any spending beyond the $2.2 tril- Timothy G. Abrahamson, M.D. Teresa J. Bentley, M.D. Ivor Caro, M.D. Irving H. Distelheim, M.D. Richard G. Fried, M.D., Ph.D. Robert D. Griffith, M.D. Mary E. Hurley, M.D. Stephen O Beatrice B. Abrams, Ph.D. Bruce J. Berger, M.D. William A. Caro, M.D. Allison K. Divers, M.D. Ilona J. Frieden, M.D. Pearl E. Grimes, M.D. David L. Hurt, M.D. Alexander lion currently spent on health care. His Fuad Abuabara, M.D. Robert S. Berger, M.D. Marc R. Carruth, M.D. Andrzej A. Dlugosz, M.D. Sheila F. Friedlander, M.D. Ronald E. Grimwood, M.D. Sam T. Hwang, M.D., Ph.D. James V. K Daniel S. Achtman, M.D. Timothy G. Berger, M.D. Alastair Carruthers, M.D. Glenn A. Dobecki, M.D. Robert J. Friedman, M.D. Victoria Gross, M.D. Francis W. Iacobellis, M.D. Nomate Kp plan would save the government roughly A. Bernard Ackerman, M.D. Wilma F. Bergfeld, M.D. Meghan M.S. Caruso, D.O. Elizabeth Dolan, M.D. Charles S. Fulk, M.D. Douglas Grossman, M.D., Ph.D. J. David Igelman, M.D. E. Michael Cheryl D. Ackerman, M.D. Kelle S. Berggren, M.D. Michael G. Caruso, M.D. Helene C. Dombrowski, M.D. Toni Funicella, M.D. James B. Grossweiner, M.D. Rosemarie Ingleton, M.D. James M. K $1.48 trillion over 10 years, and these sav- Mary Z. Adams, M.D. Mark A. Berk, M.D. Lisa M. Castellano-Howard, M.D. Peter Donelan, M.D. Loren S. Funt, M.D. Sajiv Gugneja, M.D., Ph.D. Tim Ioannides, M.D. Douglas W Donald J. Adler, D.O. Evelina A. Bernardino, M.D. Albert C. Cattell, M.D. Heidi B. Donnelly, M.D. Francesca J. Fusco, M.D. Jere D. Guin, M.D. Brandith Irwin, M.D. Lincoln Kr ings would be reinvested in new preven- Max F. Adler, M.D. Jordan H. Berne, M.D. Julide Tok Celebi, M.D. Michael A. Dorman, M.D. Josephine M. Futrell, M.D., Ph.D. Joan Guitart, M.D. J. Mark Jackson, M.D. Alfons Kro Michael J. Adler, M.D. Jeffrey D. Bernhard, M.D. M. Basem Chaker, M.D. Thomas F. Downham II, M.D. Jay N. Gade, M.D., Ph.D. Terry P. Hadley, M.D. Robert L. Jackson, M.D. Paul A. Kr tion-oriented initiatives. Robert M. Adrian, M.D. Diane S. Berson, M.D. Dan K. Chalker, M.D.d Susan E. Dozier, M.D. Kevin J. Gaffney, M.D. Rebat M. Halder, M.D. Carolyn I. Jacob, M.D. George H. “We’re currently spending enough on Kent S. Aftergut, M.D. John L. Bezzant, M.D. I-Ja Chan, Ph.D. G. Scott Drew, D.O. Sheila S. Galbraith, M.D. Russell P. Hall III, M.D. Elizabeth Sanders Jacobson, M.D. Kevin B. K Neera Agarwal-Antal, M.D. Michael A. Bharier, M.D. Karen L. Chapel, M.D. Beth A. Drolet, M.D. Sharon A. Galvin, M.D. Christiaan P. Hallman, M.D. Gail Tenikat Jacoby, M.D. Carol L. K health care that we could have a doctor for Kim M. Albridge, M.D. Robert D. Bibb, M.D. Robert L. Chappell, Jr., M.D. Ana M. Duarte, M.D. Jerome M. Garden, M.D. Shelley J. Halper, M.D. David F. Jaffe, M.D. Amal K. K Ross A. Alexander, M.D. Christopher K. Bichakjian, M.D. Tamela L. Charbonnet, M.D. Janet C. DuBois, M.D. Sharon F. Gardepe, M.D. Alan J. Halperin, M.D. Pierre Jaffe, M.D. Dennis Ku every seven families in the U.S., and pay Mireille Claude Algazi, M.D. Brian P. Biernat, M.D. Philip Charney, M.D. Raymond G. Dufresne, Jr, M.D. Michele E. Gasiorowski, M.D. Katherine R. Hamlet, M.D. Michelle A. Jahnke, M.D. Joseph C. K Kenneth S. Alpern, M.D. Elizabeth M. Billingsley, M.D. Debra L. Chernosky, M.D. Booth H. Durham, M.D. Anthony A. Gaspari, M.D. Iltefat H. Hamzavi, M.D. Sumayah Jamal, M.D., Ph.D. Pui-Yan Kw them $200,000 per year. We’re spending Emily M. Altman, M.D. Craig S. Birkby, M.D. Katarina G. Chiller, M.D. Lady Christine Cheng Dy, M.D. Rosemary J. Geary, M.D. S.L. Husain Hamzavi, M.D. William D. James, M.D. James Laht Richard T. Ameln, M.D. Paul S. Birnbaum, M.D. Cynthia Tseng Chow, M.D. N. Fred Eaglstein, D.O. Robin Gehris, M.D. Ruth Hanno, M.D. Christine Jaworsky, M.D. Stanford I. more than enough money; we’re just not D. Brad Amos, M.D., Ph.D. Robert J. Bitterman Richard A. Cirelli, M.D. Karen E. Edison, M.D. Ellen C. Gendler, M.D. C. David Hansen, M.D. Kraig K. Jenson, M.D. W. Clark L John P. Anders, M.D. John S. Blake, M.D. Martin D. Claiborne III, M.D. Lawrence F. Eichenfield, M.D. Howard B. Gerber, M.D. Bhushan D. Hardas, M.D., Ph.D. Joy D. Jester, M.D. Robert J. L spending it in the right place,” he said. Thomas F. Anderson, M.D. Wayne J. Blaszak, M.D. Holly H. Clark, M.D. Craig J. Eichler, M.D. Marguerite A. Germain, M.D. Christopher B. Harmon, M.D. Bernett L. Johnson, M.D. Shoshana M Grant J. Anhalt, M.D. Andrew Blauvelt, M.D. Justin W. Clark, M.D. Arthur Z. Eisen, M.D. Brian J. Gerondale, M.D. Allan C. Harrington, M.D. Beverly A. Johnson, M.D. Alfred T. L Under the Wyden plan, uninsured indi- Todd S. Anhalt, M.D. Nina C. Blumenthal, M.D. Robert A. Clark, M.D. Selig Eisenberg, M.D. Roy G. Geronemus, M.D. Laurie H. Harrington, M.D. Carl A. Johnson, M.D. Nikolajs A John C. Ansel, M.D. Michael Bobrow, M.D. Cynthia O. Clegg, M.D. Jack Eisert, M.D. Larisa J. Geskin, M.D. David R. Harris, M.D. John J. Jones, Jr., M.D. Alan E. La viduals would choose health insurance cov- Richard J. Antaya, M.D. Erin E. Boh, M.D., Ph.D. David J. Clemons, M.D. James E. Elder, M.D. Garry B. Gewirtzman, M.D. Robert Hartman, M.D. Joseph L. Jorizzo, M.D. Dana L. La Takashi Aoyagi, M.D. James R. Bond, Jr., M.D. Debra A. Coats-Walton, M.D. James T. Elder, M.D., Ph.D. Ruby Ghadially, M.D. Aubrey C. Hartmann, M.D. Aaron K. Joseph, M.D. Anne E. Lau erage from a variety of plans in their states. Prapand Apisarnthanarax, M.D. Anneli R. Bowen, M.D. Linda J. Royall Coffey, M.D. Rosalie Elenitsas, M.D. Manish J. Gharia, M.D. Allen D. Harves, M.D. Lawrence M. Joseph, M.D. Sancy A. L Jack L. Arbiser, M.D., Ph.D. Angela G. Bowers, M.D. Ivan S. Cohen, M.D. Darrel L. Ellis, M.D. John J. Ghidoni, M.D. Patrick M. Hatfield, M.D. Kastytis A.V. Jucas, M.D. Susana M. Federally funded but state-specific Health Joseph A. Arena, M.D. Kathryn E. Bowers, M.D. Jack B. Cohen, D.O. Craig A. Elmets, M.D. Vincenzo Giannelli, M.D. Richard J. Havens Kathleen W. Judge, M.D. Leslie S. Le Cheryl A. Armstrong, M.D. Paul H. Bowman, M.D. Joel L. Cohen, M.D. P. Haines Ely, M.D. Irma Gigli, M.D. Curtis W. Hawkins, M.D. Jacqueline M. Junkins-Hopkins, M.D. Glenn N. L Help Agencies (HHA) would be created to Kenneth A. Arndt, M.D. John D. Boyer, M.D. Kenneth A. Cohen, M.D. Anne Epstein, M.D. Stuart R. Gildenberg, M.D. Sarah A. Haydel, M.D. Steven M. Kahn, M.D. Patricia A. Iris K. Aronson, M.D. Michael W. Braden, M.D. Michael S. Cohen, M.D. Beverly A. Epstein, M.D. Philip W. Giles, M.D. Christine M. Hayes, M.D. Kays H. Kaidbey, M.D. Delphine J provide citizens with meaningful compar- Peter J. Aronson, M.D. Linwood G. Bradford, M.D. Daniel W. Collison, M.D. Marc I. Epstein, D.O. Amy E. Gilliam, M.D. Paul G. Hazen, M.D. Lenore S. Kakita, M.D. Jason B. Le isons among the various competing plans Ercem S. Atillasoy, M.D. R. Ralph Bradley, M.D. Marcus A. Conant, M.D. Tanya Ermolovich, D.O. Hayes B. Gladstone, M.D. Adelaide A. Hebert, M.D. Richard S. Kalish, M.D., Ph.D. Ken K. Lee James H. Auerbach, M.D. Thomas R. Brander, M.D. Michael W. Condie, M.D. Mary-Lou Ernst-Woodhouse, D.O. Edward Glassberg, M.D. Karen A. Heidelberg, M.D. Michael S. Kaminer, M.D. Wei-Li S. L and to guide them through the enrollment William Aughenbaugh, M.D. Fredric S. Brandt, M.D. Patrick J. Condry, M.D. Nyles Richard Eskritt, M.D. Stuart A. Glasser, M.D. Edward R. Heilman, M.D. Hideko Kamino, M.D. Won K. Le Howard P. Baden, M.D. Dominic A. Brandy, M.D. Suzanne M. Connolly, M.D. Nancy Burton Esterly, M.D. Scott D. Glazer, M.D. Stephen E. Helms, M.D. Madhavi Kandula, M.D. Mark D. L process. The HHAs would also be able to Jerry Bagel, M.D. John B. Brantley, M.D. James B. Connors, M.D. Rebecca L. Euwer, M.D. Lynn A. Benson Glesne, M.D. W. Dean Henrichs, M.D. Bryna Kane, M.D. Nancy A. L David A. Baird, M.D. Alicia D. Braun, M.D. Lucius P. Cook, M.D. Lydia M. Evans, M.D. Linda M. Globerman, M.D. Richard S. Herdener, M.D. Sewon Kang, M.D. Craig L. Le negotiate sliding-scale premium reductions Amir A. Bajoghli, M.D. J.B. Braun, M.D. David Cooksey, M.D. Matthew P. Evans, M.D. Richard G. Glogau, M.D. Ann E. Hern, M.D. Grace F. Kao, M.D. Julie A. Let Timothy E. Baker, M.D. Gary J. Brauner, M.D. Gerald E. Cooley, M.D. Mark A. Everett, M.D. d Hugh M. Gloster, Jr., M.D. James H. Herndon, Jr., M.D. Jeffrey E. Karaban, M.D. Donald L. to ensure that monthly costs are within the Rhonda R. Baldone, M.D. James L. Brazil, M.D. Raymond L. Cornelison, Jr., M.D. John H. Exner, M.D. Ronald L. Godbold, M.D. Christina A. Herrick, M.D., Ph.D. D. Scott Karempelis, M.D. Jay A. Levi Hilary E. Baldwin, M.D. Allison Britt Kimmins, M.D., M.P.H. Jody A. Cornelius, M.D. Russell W. Eyre, M.D. Leonard H. Goldberg, M.D. Ngo Thanh Hien, M.D. Scott B. Karlene, M.D. David J. Le reach of working families. HHAs would Arthur K. Balin, M.D., Ph.D. Bruce A. Brod, M.D. William F. Cosulich, M.D. Warren G. Eyre, M.D. Orin M. Goldblum, M.D. Michelle M. K. Higginson, M.D. Candace S. Kasper, M.D. Stuart R. L Marina A. Ball, M.D. David G. Brodland, M.D. William F. Cothern, D.O. Vilma C. Fabre, M.D. Jeffry A. Goldes, M.D. Ann C. Hill, M.D. Seth G. Kates, M.D. Vicki J. Le also provide financial assistance for low-in- Mark R. Balle, M.D. Harold J. Brody, M.D. Jenny Cotton, M.D., Ph.D. Lester J. Fahrner, M.D. Jonathan N. Goldfarb, M.D. Deborah C. Hilton, M.D. Albert A. Kattine, M.D. Tehming L David E. Bank, M.D. Darryl M. Bronson, M.D. Mary L. Courrege, M.D. Sharon I. Fairbee, M.D. Glenn D. Goldman, M.D. Howard Hines, M.D. Arielle N.B. Kauvar, M.D. Lester F. L come individuals and families. Julie A. Barber, M.D. Walter S. Brooks, M.D. Gary F. Cox, M.D. Louis D. Falo, Jr., M.D., Ph.D. Peter M. Goldman, M.D. Peter D. Hino, M.D. Donald M. Kay, M.D. Nancy C. L Victoria Holloway Barbosa, M.D. Timothy S. Brown, M.D. Peggy S. Crawford, M.D. Erlinda S. Fang, M.D. Ronald Goldner, M.D. Ranella J. Hirsch, M.D. John D. Kayal, M.D. Lawrence M People who have health insurance Walter Barkey, M.D. Suzanne Bruce, M.D. E. Patrick Creehan, M.D. Lori M. Fedoronko, M.D. Norman Goldstein, M.D. Catherine A. Hoffman, M.D. Amelia H. Kaymen, M.D. Susan Lieb Ronald J. Barr, M.D. M. Francine Bruyneel, M.D. Thomas G. Cropley, M.D. Herbert S. Feinberg, M.D. Loren E. Golitz, M.D. Mark D. Hoffman, M.D. John T. Keane, M.D. Mark A. Li through their jobs would undergo a 2-year Bonnie Barsky, M.D. Vivian W. Bucay, M.D. David L. Crosby, M.D. Neil A. Fenske, M.D. Herbert S. Golomb, M.D. J. William Holtze, M.D. Timothy F. Kelly, M.D. Merrill G. Garin D. Barth, M.D. Laura Buccheri-Zappi, M.D. Christopher P. Crotty, M.D. Lawrence J. Finkel, M.D. Herbert P. Goodheart, M.D. Antoinette F. Hood, M.D. Charles D. Kennard, M.D. Debra C. L transition during which their employers John O. Barton, M.D. Jerome T. Budz, M.D. Eileen Crowley, M.D., Ph.D. Michael Fisher, M.D. Ellen M. Gordon, M.D. Deidre O’Boyle Hooper, M.D. Julie R. Kenner, M.D. Fu-Tong Li Geoffrey C. Basler, M.D. John L. Buker, M.D. Margaret A. Curry, M.D. Z. Charles Fixler, M.D. David C. Gorsulowsky, M.D. Richard H. Hope, M.D. Jeffrey S. Kezis, M.D. Jenifer R. L would “cash-out” the annual total of the Jonathan Bass, M.D. Michael Bukhalo, M.D. Mark V. Dahl, M.D. Ivan D. Flint, M.D. Scott L. Gottlieb, M.D. Janine O. Hopkins, M.D. Suzanne L. Kilmer, M.D. Jason L. Lo individual’s health insurance premiums Evan G. Bauer, M.D. Cheryl M. Burgess, M.D. F. William Danby, M.D. Scott R. Florell, M.D. Lee H. Grafton, M.D. Terrence T. Hopkins, M.D. Timothy M. Kilpatrick, M.D. Thomas P. Louis Bauman, M.D. Elizabeth M. Burke, M.D. Michael J. Dannenberg, M.D. Alexander A. Fondak, M.D. Donald J. Grande, M.D. Thomas D. Horn, M.D. Laura A. King, M.D. B. Jack Lon and pass this on to employees as real Saida Baxt, M.D. William Burrow, III, M.D. Donald R. D’Annunzio, M.D. Jerry Foote, M.D. Sergei A. Grando, M.D., Ph.D., Sharon L. Horton, M.D. Lloyd E. King, Jr., M.D., Ph.D. David A. L Karen L. Beasley, M.D. Jyoti B. Burruss, M.D. Ronald S. Davis, M.D. Brian P. Ford, M.D. DSc. David A. Horvath, M.D. Robert S. Kirsner, M.D. Leon E. Lu wages, which, of course, would be tax Frederick Beddingfield, III, M.D. Beth Buscher, M.D. Steven A. Davis, M.D. Diane S. Ford, M.D. Richard D. Granstein, M.D. Stephen N. Horwitz, M.D. Edward N. Kitces, M.D. John R. Lu Monica K. Bedi, M.D. David F. Butler, M.D. Thomas L. Davis, M.D. Scott W. Fosko, M.D. Jennifer Gray, M.D. Jeffrey C. Houin, Jr., M.D. Paul A. Klas, M.D. Frederick A sheltered once applied to individual or Kenneth R. Beer, M.D. Kimberly J. Butterwick, M.D. Janice L. DaVolio, M.D. Theodore N. Fotopoulos, M.D. Leslie C. Gray, M.D. Nancy S. House, M.D. Lawrence Klein, M.D. Jamie L. M Robert E. Beer, M.D. David R. Byrd, M.D. T. Wayne Day, M.D. John A. Fountain, M.D. Charles H. Greenbaum, M.D. Stephen D. Houston, M.D. Lester Klein, M.D. Julian M. M family policies. After the 2-year transition, Betsy B. Beers, M.D. Thomas H. Cahn, M.D. Fernando R. DeCastro, M.D. R. John Fox, Jr., M.D. Joseph H. Greenberg, M.D. F. Lester Howsden, M.D. Marla M. Klein, M.D. Stephanie A Ralph T. Behling, M.D. Andrew S. Calciano, M.D. Susan D. DeCoste, M.D. E. William Frank, M.D. Donald R. Greene, M.D. Susan M. Howsden, M.D. Gail A. Kleman, M.D. Kathi Mad employers would begin to make shared re- Michael W. Bell, M.D. Robert W. Calcote, M.D. Marie-France Demierre, M.D. David F. Frankel, M.D. Richard S. Greene, M.D. Catherine M. Hren, M.D. J. Matthew Knight, M.D. Edgar Mae Linda M. Benedict, M.D. Turner M. Caldwell III, M.D. Jau-Shyong Deng, M.D. Ellen H. Frankel, M.D. Lawrence J. Gregg, M.D. Carol L. Huang, M.D. Ronald C. Knipe, M.D. Randall R. sponsibility payments—meaning they Jaye E. Benjamin, M.D. Charles Camisa, M.D. Liang Deng, M.D., Ph.D. Hayden Franks, M.D. James F. Gregory, M.D. Christopher R. Hubbell, M.D. Caroline S. Koblenzer, M.D. John C. M would pay up to 25% of the average pre- Daniel D. Bennett, M.D. John S. Cantieri, M.D. Lawrence J. Desjarlais, M.D. Lorna J. Fredrikson, M.D. Roy C. Grekin, M.D. Charles I. Huddleston, M.D. Robert V. Kolbusz, M.D. Susan L. M mium for essential care—but they would