This is a hot topic which is much talk and too little information, all media, but few speak of the holder report in question, and it is clear that the lobby to have the merchants of health in the U.S., is better for them that most will not know the subject well, but this article written by columnist Manuel Rodriguez C. describes simply and clearly on this issue, so I leave there so that they learn and draw your own conclusions: Marcela Serrano in the novel Gone With this in my heart tells the death of Pauline’s grandfather, both natives of San Cristobal de Casas (Chiapas), due to leishmaniasis who could not be arrested because her family had no resources to buy an affordable choice. ‘Pauline would not hear anymore of this misery and I swear never again happen to its people die of non-fatal disease for lack of medicine’. The drama of Pauline, with different connotations, is present in the daily lives of nearly 50 million Americans who lack access to health care. And the same indignation as the novel moves Pauline to fight for anyone to perish for lack of medical attention, has motivated the pre-President Barack Obama to lead the fight to drive health reform and establish a health care system and universal coverage, including the excluded. In the U.S. health care is based on private insurance companies or by covering 65 of people of working age. However, hospitals, mostly private, are obliged by law to attend emergency services to the uninsured. These benefits are paid by insurers by 50 and the State covers the other half. In parallel to private insurance, the State assumes the health care of vulnerable sections of the population: people without resources have the state Medicaid coverage, retirees and the disabled are cared for by Medicare, and other programs for children, military and veterans. But had fifty million without the right to health. Obama’s approach to health is universal that ‘there is a single American who does not have access to care and to never again break a citizen to address their health’. Rests on two pillars. First, the creation of a National Health Exchange (National Health Exchange), which include the creation of a new public health insurance entity to provide workers and their families active, coverage similar to that enjoyed by Members of Congress, with low costs, with subsidies for those unable to pay and are not poor enough to qualify for Medicaid (insurance for the poor). A state insurer to compete with private ones. For another, all children would have insurance and companies assume an obligation to contribute to health insurance, either ensuring its employees or bidding on a percentage of its personnel costs to the new public insurance as part of the National Health Exchange. Against reform Republicans have risen, and the owners of the business of health. Added to these are undecided Democrats and consumer sectors benefiting insurance companies and think they will lose the quality of their coverage. The Republicans have made reform spearheaded an offensive ‘decisively’ against Obama. Verbal violence and the strategy of fear have taken to drive extra funding and violently offensive content. The Congress is the field of battle. Their results appear even slightly predictable.