Politics and religion.

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From this patient's perspective, the current reform effort must do five things:

(1)-- Emphasize prevention, early detection and early intervention.

(2)-- Maximize online efficiencies to reduce paperwork and streamline data.

(3)-- Protect the patient-doctor relationship.

(4)-- Address the insurance/quality-of-care gap.

(5)-- Increase funding for medical research.

I believe only #2 is addressed in the current HCR bill.