Dear Mr. Mercier:

Thank you for contacting me regarding the health care reform process. Anyone who has battled a major illness knows the system is broken, and we can no longer wait to fix it.

The health care industry is massive and complex, and there are a range of ideas on the table for reforming it. Chief among our aims must be to rein in the out-of-control costs of care. This means a new emphasis on wellness and prevention, a recommitment to researching innovative, more effective treatments for diseases, and additional efforts to lower the cost of prescription drugs. I introduced the Medicare Prescription Drug Gap Reduction Act (S.266) to reduce the large gap known as the "doughnut hole" that occurs when Part D beneficiaries who have paid pay $2,700 in prescription expenses receive no further benefit until they have racked up a total of $4,350 in out-of-pocket expenses, despite the fact that they never stop paying premiums.

Equally important is the issue of the uninsured. Nearly 50 million Americans lack adequate health insurance, and that is unacceptable. I am working toward reforms that would make health insurance available to all Americans through an insurance exchange and would provide subsidies to those who cannot afford coverage. I also believe that Americans should never be denied health insurance or charged exorbitant fees because of a pre-existing condition.    <(Clearly supports insurance CEO's financial welfare)

Finally, we must ensure that there are enough health care providers in America and that they are adequately reimbursed by Medicare and Medicaid so they can continue providing care to those most in need. I introduced S. 973, the Resident Physician Shortage Reduction Act of 2007, to address this growing problem. This legislation would expand the number of Medicare-supported physician residency training positions, with an emphasis on funding new primary care residency slots. The number of physician residents eligible for reimbursement has not been altered to reflect changing demand since 1996. I have also fought consistently for fair Medicare reimbursement rates.

The task before us is immense, but Americans will rise to the challenge. I will be sure to take your views into consideration as the debate progresses. Please do not hesitate to contact me in the future.

Sincerely,
Senator Bill Nelson

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