There is a lot to chew on in the new Gallop Poll: “Americans on Healthcare Reform: Top 10 Takeaways” at http://www.gallup.com/poll/ As you would think, it shows the fluid nature of public opinion at this time in the “health reform” debate. But I’d draw your attention to one of the few points where the public seems close to one mind: #3 Americans agree that healthcare costs are a major problem for the country. That makes advocacy for value based purchasing as opposed to simplistic across the board cuts more important than ever. And to be clear, from a rural point of view, access to local care must be part of the value equation.

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It’s interesting to note that the existing reform proposals do little to control costs (at least meaningfully), which means that can will be kicked down the road for another day. You’re exactly right, a proactive rural advoacy position while we wait for the other shoe to drop (cost controls) is precisely what we need!