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Yahoo! My Yahoo! Mail Yahoo! Search Search: Sign InNew User? Sign Up News Home - Help Navigation Primary Navigation Home Singapore Asia Pacific World Business Entertainment Sports Technology Top Stories Most Popular Secondary Navigation Africa Europe Latin America Middle East North America Search Search: Obama to make case for big U.S. healthcare changes Reuters - Thursday, September 10 By Patricia Zengerle ADVERTISEMENT WASHINGTON - President Barack Obama makes a high-stakes pitch for healthcare reform to the U.S. Congress on Wednesday, trying to bridge bitter differences over his top domestic priority by offering his own vision for change. Faced with falling public approval ratings, Obama said his televised address at 8 p.m. EDT would provide Americans with "a much more detailed plan" for overhauling the $2.5 trillion U.S. healthcare system. "They will have a lot of clarity about what I think is the best way to move forward," Obama told ABC network's "Good Morning America" show. His fellow Democrats, who have solid majorities in both houses of Congress, have struggled to craft a reform bill they can agree on, while most Republicans have fought it, arguing that it amounts to a government takeover of healthcare. The revamp of the healthcare industry seeks to make affordable health insurance available to most of the estimated 46 million uninsured Americans -- nearly one-sixth of the U.S. population -- and curb runaway medical costs. Senator Max Baucus, a key Democrat negotiating for a bipartisan deal, said he would put forward a bill next week with or without Republican support, although he hoped some Republicans would join the effort. "The time has come for action and we will act. ... I very much hope and expect that there will be some Republicans ... I am going to move forward anyway," he told reporters. He said his proposal, which would likely go to the full Senate Finance Committee for consideration the week after next, would probably be "fairly close" to a compromise healthcare plan he floated over the weekend aimed at winning some Republican support. He added it would probably not contain a government-run health insurance option that would compete with private insurers to bring down costs, because that "cannot pass the Senate." Obama's speech marks a new approach in the White House's effort to rebuild support for the overhaul after Republicans took control of the healthcare debate during the summer with a volley of attacks on the Democrat proposals. The Republican criticism resonated with many Americans worried that the $1 trillion cost of the overhaul would add to the country's mountain of debt, despite White House assertions that it would be fully paid for and mark a big step towards expanding coverage to the uninsured. White House spokesman Robert Gibbs said Obama would discuss reforming medical malpractice lawsuits, which Republicans blame for raising medical costs, and the need for a public option alongside private insurers to provide "choice and competition." "The president will talk about meaningful malpractice reform tonight. What I hope that does is cause Republicans to understand that we're close to getting something truly significant done for the American people, truly significant for those struggling with the high cost of health insurance," Gibbs said on "Fox Morning News." But Gibbs would not say whether Obama would propose capping malpractice claims, as many Republicans want. Shares of top health insurers, which have been volatile as the healthcare debate gathers steam, were mixed in midday trade on Wednesday ahead of Obama's speech. Shares of the S&P Managed Health Care stock index were near flat while the Morgan Stanley Healthcare Payor stock index was up about 1 percent. DEFINE HIS PRESIDENCY Obama's success or failure in getting Congress to pass comprehensive healthcare reform this year could help define the rest of his presidency. If he fails to push through change on an issue that was a centrepiece of his election campaign last year, he would be politically weakened and would likely struggle to get the rest of his ambitious legislative agenda through Congress. Past failed attempts at healthcare reform include one spearheaded by President Bill Clinton in the 1990s. Legislators have offered a variety of proposals, but appear divided over most of them. Baucus leads a group of six senators still trying to craft a bipartisan compromise healthcare bill. He told fellow Democrats that he would put forward his own healthcare bill next week -- with or without Republican support. "He is making clear ... it is time for action and time to move forward to get a bill done by the end of the year," the source told Reuters. Senator Ken Conrad, a member of the group of six, told reporters on his way into a healthcare meeting the idea of a bipartisan compromise was not dead. Other Democrats attending the session said they still favoured a public insurance option and wanted to see the Finance panel's full proposal before deciding. The plan includes sweeping insurance market changes and a fee on companies that will help pay to cover the uninsured, said a source familiar with the proposal. It also calls for non-profit cooperatives to compete with insurance companies but does not contain the public option sought by many liberal Democrats and backed by Obama, the source said. Obama told ABC he would use his speech to "make sure that Democrats and Republicans understand that I'm open to new ideas, that we're not being rigid and ideological about this thing, but we do intend to get something done this year." He dodged repeated questions on whether he would veto a healthcare bill that did not include a public plan. "There are principles that if they are not embodied in the bill, I will not sign it," he said. The bill should not increase the deficit, should expand healthcare coverage to the uninsured and include insurance reforms, he said. One administration official said the president would use his speech on Wednesday to articulate his vision as central to the long-term economic well-being of the country. "His plan will bring reforms that will reduce the unsustainable growth in the cost of healthcare, which has doubled in the last decade and will again, unless we act," said the official, who requested anonymity. Insurance companies, pharmaceutical manufacturers, hospital managers -- and average American patients -- all have huge stakes in how the battle plays out. "We're at the point in the legislative debate where he needs to put some things on the table and take some other things off," said Darrell West, director of governance studies at the Brookings Institution think-tank in Washington. Email Story IM Story Printable View Blog This Sign in to recommend this article » 0 users recommend Related Articles: World Obama tries to build momentum for health overhaulAP - Thursday, September 10 Venezuela's Chavez wants 'union' with ally BelarusAFP - Thursday, September 10 Hurricane Fred grows at sea, but no threat to landAP - Thursday, September 10 1st details emerge in probe of Berlusconi scandalAP - Thursday, September 10 Spain's crusading judge appears before Supreme CourtAFP - Thursday, September 10 Most Popular – World Viewed Giant statues reveal red hat secrets: study Anti-piracy equipment dazzles defence fair Hershey considers rival Cadbury bid: report Greenspan says further financial crisis 'inevitable' New Alzheimer's gene link discovered View Complete List » Search: Home Singapore Asia Pacific World Business Entertainment Sports Technology Top Stories Most Popular Copyright © 2009 Yahoo! Southeast Asia Pte Ltd. (Co. Reg. No. 199700735D). All Rights Reserved. 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