White House Trying to Woo Small Businesses on Health Care Reform
With opponents of health care reform raising questions about what the impact might be of a federal mandate requiring businesses to cover their employees, the White House has started wielding a new study by its own Council of Economic Advisers to make the case that small business owners and employees will benefit from health care reform.
"The vast majority of small businesses, they'll see their burdens absolutely lessened by the expansion of coverage," said Dr. Christina Romer, chair of the President’s Council of Economic Advisers and author of the report, in a conference call with reporters. "So they are absolutely going to be more competitive." She said reform would make small businesses “more able to compete with the big boys” and "able to compete fairly on a level playing field with big businesses to attract the best workers.”
The report states that due to the current state of health care – with high broker fees, fixed administrative costs, and adverse selection for smaller businesses — small businesses pay up to 18 percent more per worker than large firms for the same health insurance policy.
On LinkedIn right now, Romer will “pose a question” about the report to solicit questions and comments from others in a sort of comment thread. LinkedIn officials will then choose five questions to be the primary focus of an online chat with Romer on Wednesday.
“Some of these higher costs are passed on to small firm employees in the form of lower wages, and some eat into the profits of small businesses that could otherwise be used for research and development and for much-needed investments,” the report states. “This implicit tax disadvantages small firms in both the market for the best workers and the market for their products.”
Calling this “unsustainable,” President Obama in his weekly address Saturday said that because “mom and pop stores and restaurants, beauty shops and construction companies that support families and sustain communities” are “getting crushed by skyrocketing health care costs” they’re “much less likely to offer health insurance. Those that do tend to have less generous plans. In a recent survey, one third of small businesses reported cutting benefits. Many have dropped coverage altogether. And many have shed jobs, or shut their doors entirely.”
According to the Kaiser Family Foundation, the number of small businesses of 3 to 9 workers offering health insurance declined from 58 percent in 2002 to 49 percent last year.
But the leading advocacy group for small businesses, the National Federation of Independent Businesses, opposes the House Democrats health care reform legislation, which would require any company with more than $250,000 in payroll to provide insurance or face a payroll tax of at least 2%, rising to 8% for companies with more than $400,000 in payroll.
The NFIB states that the House bill “focuses solely on coverage, overlooking the dire needs of America’s small businesses to address spiraling costs and have more affordable choices in healthcare. Instead, this legislation levies new burdens during trying economic times, harmful penalties on the firms that can least afford them, and new taxes on businesses struggling to create and maintain jobs.” The NFIB also refers to a “punitive payroll tax for employers who can’t afford to offer insurance to their employees.”
Romer countered that “small businesses absolutely are being disadvantaged by the current system. The numbers are quite striking." She said that the House Democrats’ bill would allow a hypothetical firm with 8 employees that pays an average $20,000 per worker in wages and $8,000 per worker in health insurance premiums to receive a tax credit of $32,000.
And the president heralded that small businesses will be able to purchase the health insurance plan that works best for them and their employees through insurance exchanges. Those small businesses that opt to provide coverage will receive a tax credit to help pay for it.
-jpt
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On LinkedIn right now, Romer will “pose a question” about the report to solicit questions and comments from others in a sort of comment thread. LinkedIn officials will then choose five questions to be the primary focus of an online chat with Romer on Wednesday.
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If there is anybody I trust to manage the health care debate, it is LinkedIn.
Posted by: MayBee | July 27, 2009, 12:35 pm 12:35 pm
If this health care program is so good why has congress exempted themselves and all government employee They’re also trying to exempt union employees
They want us on but not themselves If this bill pass the only one’s that’ll get good medical care will be the rich Those are the one that wants it past Does that tell you anything
Posted by: Wayne | July 27, 2009, 12:35 pm 12:35 pm
Come on into my web said the spider to the fly. I won’t eat you!!
Socialized Medicine is “NOT” Health Care Reform!!
Government has “NO” business touching 1/6 of the American economy. Barry certainly does not know one thing about business much less how to run a country and you can to that to the government run banks!!
Posted by: American Infidel | July 27, 2009, 12:48 pm 12:48 pm
Why don’t they present a understandable scaled back proposal that has broad support. One little discussed issued that those that wish to reward those that have violated and provide incentives for continuation of high levels of illegal immigration have generously provided health care to illegals.
The public generally does not support this but the special interests and elites once again have hijacked legislation.
Posted by: merchantilist | July 27, 2009, 12:48 pm 12:48 pm
Beth: Interesting analysis, but I see why you don’t bother to give the actual number: “As discussed in CBO’s letter of July 17, we estimate that the proposal as a whole would increase federal deficits by $239 billion over the 2010–2019 period.”
So that’s $24 billion a year to deal with the uninsured problem and rein in the unsustainable growth in health care costs. Hardly an insurmountable cost to fund in the next draft.
Know how much health care costs have risen for businesses in every other first world nation over the last 10 years? 0%. As your boss about how much of your paycheck goes to health care.
Posted by: jhw539 | July 27, 2009, 1:05 pm 1:05 pm
American Infiedel:”Come on into my web said the spider to the fly. I won’t eat you!!
Socialized Medicine is “NOT” Health Care Reform!!”
Status Quo! Fear! Uncertainty! Doubt! SOCIALISM!!1!!
I have no facts whatsoever, and every other first world nation on Earth has government involved in health care, but FEAR SOCIALISM!!!
Posted by: jhw539 | July 27, 2009, 1:07 pm 1:07 pm
Posted by: Wayne | Jul 27, 2009 12:35:26 PM
Wayne,
Sacrifices are for Other People. As is public education, AGW indoctrination/policies, paying taxes and so on. Now please behave and be a better subject. And take your pain pill…
Posted by: Burnout | July 27, 2009, 1:09 pm 1:09 pm
“have no facts whatsoever, and every other first world nation on Earth has government involved in health care, but FEAR SOCIALISM!!!”
Ask the Eastern Europeans about that….
Posted by: Bela | July 27, 2009, 1:11 pm 1:11 pm
Bela:”Ask the Eastern Europeans about that….”
That’s absurd. Eastern Europe is socialist now? Why not look at the last half century in Western Europe – you know, compare the US to first world nations rather than the second world nation Republicans are trying to starve the government into creating?
Posted by: jhw539 | July 27, 2009, 1:15 pm 1:15 pm
“That’s absurd.”
Easy for you to say. I lived it in Hungary. And now I see people here agitating for the same decrepit system we used to have. And of course as someone noted, Party Members got better treatment. They’ll be checking for papers at the hospitals, no doubt. Make sure you’ve got yours.
Posted by: Bela | July 27, 2009, 1:19 pm 1:19 pm
“…rather than the second world nation Republicans are trying to starve the government into creating?”
Hey, I’m eating. I work for Goldman Sachs!
Posted by: Overweight | July 27, 2009, 1:22 pm 1:22 pm
Know how much health care costs have risen for businesses in every other first world nation over the last 10 years? 0%. As your boss about how much of your paycheck goes to health care.
====
Really? No tax increase, no increase in premiums, no additional costs to businesses for health care in 10 years in every other first world nation?
Posted by: MayBee | July 27, 2009, 1:28 pm 1:28 pm
Bela:”Easy for you to say. I lived it in Hungary. And now I see people here agitating for the same decrepit system we used to have. ”
Well, my grandparents lived “socialist” medicine to a ripe old age in Britian, and my four aunts growing old can work u up a good rant about the NHS, but are quick to acknowledge “At least it’s better than that rubbish in America.”
What is being proposed is NOT anything like what was used a generation ago in Hungary. You have been sorely mislead if you think it is.
Posted by: jhw539 | July 27, 2009, 1:31 pm 1:31 pm
Newt Gingrich and Nancy Desmond run the Center for Health Transformation and have a six-point plan to reform health care and lower costs, while having some similiarities to Obamacare but without spending trillions of dollars to do it.
- Stop Paying the Crooks (fraud)
- Move to an Electronic Health System
- Tax Reform
- Create a Health-Based Health System
- Reform Our Health Justice System
- Invest in Scientific Research and Breakthroughs
BTW: Govt run Medicare has an estimated 3-4% fraud rate compared to credit card companies which have a 0.03% rate. The money spent annually to fight Medicare fraud is equal to a half day of actual fraud.
Posted by: Traffic Cop Timmy | July 27, 2009, 1:32 pm 1:32 pm
Posted by: MayBee | Jul 27, 2009 1:28:28 PM
What’s all the fuss? Medicare and Medicaid are great examples of how well the gov’t runs healthcare programs. No fraud or abuse ever. Plenty of funding as well, at least until 2016.
Posted by: Pain Pill | July 27, 2009, 1:33 pm 1:33 pm
While it is true that the bill would immediately provide assistance for any small business, there is a problem for small businesses as a result of the fact that it excludes employees of large businesses. That is the simple fact that excluding employees of large businesses diminishes the immediate pool, thus giving the public plan less bargaining power. If you added employees of large businesses, you could pay for it by eliminating the subsidies for small business to buy private insurance. Why subsidize private insurance when small businesses could get into the public plan?
Posted by: Flash Override | July 27, 2009, 1:35 pm 1:35 pm
Well, my grandparents lived “socialist” medicine to a ripe old age in Britian, and my four aunts growing old can work u up a good rant about the NHS, but are quick to acknowledge “At least it’s better than that rubbish in America.”
I’ll bet. Nothing like personal anecdote to make policy for hundreds of millions!
Posted by: Lugen | July 27, 2009, 1:36 pm 1:36 pm
“What is being proposed is NOT anything like what was used a generation ago in Hungary. You have been sorely mislead if you think it is.”
Sure, nothing like it. That’s convincing. At least in Hungary, we had better liars.
Posted by: Bela | July 27, 2009, 1:39 pm 1:39 pm
Traffic Cop Timmy:
“- Tax Reform”
Let me guess – cut taxes on the rich, right? The Republican answer to the 2001 surplus, recessions, booms, deficits, and war.
“BTW: Govt run Medicare has an estimated 3-4% fraud rate compared to credit card companies which have a 0.03% rate.”
Credit card companies? And the rate of testicular cancer in Republican women is shockingly lower than in Democratic Congressmen. Why don’t you compare the rate of Medicare fraud to the rate of fraud seen by private insurers?
The last study I saw, by the George Washington
University School of Public Health and Health Services, put the total rate of health fraud at 10% in 2007. Just like Medicare has documented far lower overhead costs than private insurers, those numbers suggest it is better about cracking down on fraud (to give credit where it is due, anti-fraud was a MAJOR effort under the Republican administration that yielded a number of shocking successes – such as the hospital that performed hundreds of unnecessary heart surgeries just to pad their profit).
Posted by: jhw539 | July 27, 2009, 1:40 pm 1:40 pm
Bela:”Sure, nothing like it. That’s convincing. At least in Hungary, we had better liars. ”
Please cite SPECIFICALLY where it is similar to the system in Hungary. Or just keep parroting bumperstickers and ignore the reality of the proposed, very limited reform (which, if you looked at the most recent CBO report, would still have 90% of employees covered by completely private plans).
Posted by: jhw539 | July 27, 2009, 1:43 pm 1:43 pm
Posted by: jhw539 | Jul 27, 2009 1:43:01 PM
Look it up yourself.
Posted by: Bela | July 27, 2009, 1:54 pm 1:54 pm
Oopsie – guess they didn’t get the memo from the WH that we’ve turned the corner…
Verizon Communications Inc., the nation’s largest wireless carrier, said Monday its second-quarter profit fell 21 percent as cost-cutting in its wireline business failed to keep pace with falling revenues.
The company will be cutting more than 8,000 employee and contractor jobs before the end of the year in the wireline business, speeding up its efforts to keep costs in line, according to chief financial officer John Killian.
Posted by: Traffic Cop Timmy | July 27, 2009, 1:55 pm 1:55 pm
Posted by: Traffic Cop Timmy | Jul 27, 2009 1:55:51 PM
Goldman Sachs rules!
Posted by: Overweight | July 27, 2009, 1:57 pm 1:57 pm
Traffic Cop Timmy:
“- Tax Reform”
Let me guess – cut taxes on the rich, right? The Republican answer to the 2001 surplus, recessions, booms, deficits, and war.
Posted by: jhw539 | Jul 27, 2009 1:40:24 PM
___________________________________
I’m just the messenger. Newt says:
“The savings realized through very deliberately and very systematically eliminating fraud could be used to provide tax incentives and vouchers that would help cover those Americans who currently can’t afford coverage. In addition, we need to expand tax incentives for insurance provided by small employers and the self-employed. Finally, elimination of capital gains taxes for investments in health-solution companies can greatly impact the creation advancement of new solutions that create better health at lower cost.”
Posted by: Traffic Cop Timmy | July 27, 2009, 2:00 pm 2:00 pm
Bela:”Look it up yourself. ”
That’s a convincing argument for why national health care, offered in Britain, France, Spain, Canada, Belgium, Finland, Denmark, Switzerland, Germany, Italy, etc is just like Communism in Hungary during the cold war.
Posted by: jhw539 | July 27, 2009, 2:35 pm 2:35 pm
Honestly this just shows how little Obama knows about small businesses and that he has never worked for one. If he did he would know most of them dont pay health insurance and cant afford to. Now if they all are forced to it will mean the end of many mom-and-pop businesses period.
Posted by: guesswhaturwrong | July 27, 2009, 2:53 pm 2:53 pm
“White House Trying to Woo Small Businesses on Health Care Reform”
Is Obama going to ask them to the White House for a beer with his buddy, poseur intellectual and full time race-baiter, Gates?
Posted by: Squad Six | July 27, 2009, 3:10 pm 3:10 pm
His lies notwithstanding to the contrary, here is Obama’s real position(as stated in his own words):
“I happen to be a proponent of a single payer universal health care program.” (applause) “I see no reason why the United States of America, the wealthiest country in the history of the world, spending 14 percent of its Gross National Product on health care cannot provide basic health insurance to everybody. And that’s what Jim is talking about when he says everybody in, nobody out. A single payer health care plan, a universal health care plan. And that’s what I’d like to see. But as all of you know, we may not get there immediately. Because first we have to take back the White House, we have to take back the Senate, and we have to take back the House.”
Obama speaking to the Illinois AFL-CIO, June 30, 2003.
Posted by: ConstantXI | July 27, 2009, 3:29 pm 3:29 pm
As a health insurance broker who deals exclusively with small businesses (less than 100 lives); most employers are already reducing benefits through cost-shifting; i.e. reducing benefits and increasing employee premium contributions. Penalizing small employers who don’t offer coverage through a payroll tax is short sighted and ineffective. I am all for reform, even if it means putting me out of a job; however i do not believe in change for the sake of change. Let’s have a meaningful thoughtful debate on the topic and then critique other’s positions. I have seen no mention of the fact that we are the ONLY NATION IN THE WORLD that allows direct to consumer marketing for pharmaceuticals via T.V. and radio. We need tort reform, and we need to move to an outcome based system not a fee based. If a doctor prescribes multiple tests/procedures he is compensated for each one – not on an effective outcome or treatment!!! Would you pay your mechanic multiple thousands of dollars to “eliminate all possibilites” instead of just paying him/her to fix the problem??? Why is it different with health care???
Posted by: Steve in Philly | July 27, 2009, 3:31 pm 3:31 pm
This is just sales pitch. Obama hasn’t changed his dogmatic, authoritarian position one bit. He is still arrogantly trying to push HIS plan through because, narcissist as he is, he can’t stand and tolerate losing. He knows his plan devastates small business so he is trying slick tactics to try to overcome opposition.
Posted by: ConstantXI | July 27, 2009, 3:31 pm 3:31 pm
Being a Utah health insurance underwriter for http://www.BenefitsManager.net and http://www.DentalInsuranceUtah.net I have the opportunity to consult within many state insurance committee meetings. Some interesting changes took place in Utah with the passage of House Bill 188 that other states should pay attention to and perhaps the federal legislation. The bill created a state insurance pool requiring private health insurance carriers to come together and underwrite risk. Through governmental guidelines (which I have traditionally opposed in the past) they created a arena of underwriting rules that essentially guarantees the participating insurance carriers a ?no loss? or ?no gain? over each other. What this essentially means is that they pool the underwriting medical risk and spread it evenly among each carrier. All the sudden, we see guaranteed issued policies. We see rates drop by as much as 13% In Utah, our average monthly family rate is $867 for a $500 deductible plan. Some of the family rates within the ?Utah Insurance Exchange Portal? are approaching $700.00 now. To see more of HB 188 and see how Utah wrangled change without increasing taxes or rationing go to: http://www.prweb.com/releases/utah_health_insurance/health_care_reform/prweb2614544.htm
The private insurance sector can be corralled into cooperation where they can meet their goals. You have to understand that health insurance carriers are only looking for a 4-5% administration fee. That is it and they are more efficient as compared to a governmental portal that will cost more money. Take a look at Utah folks!
Posted by: Mike | July 27, 2009, 3:50 pm 3:50 pm
There is an interesting article by Shawn Tully entitled “5 Freedoms You’d Lose In Health Care Reform.”
Enter the author and title into an Internet search engine. The 5 Freedoms that Mr. Tully says you will lose are:
1. Freedom to choose what’s in your plan;
2. Freedom to be rewarded for healthy living, or pay your real costs;
3. Freedom to choose high-deductible coverage;
4. Freedom to keep your existing plan;
5. Freedom to choose your doctors.
Posted by: James Danley | July 27, 2009, 4:08 pm 4:08 pm
To James Danley,
I really dislike misinformation.
There is no ‘plan’.
The public insurance option clearly states you can choose your own doctor. The public insurance is an option, not a mandate, you can keep your own private insurance.
A big part of health care reform is to encourage doctors who help keep their patients healthy, as well as educate folks on healthy living.
Anyone can write a bunch of misinformation and post it on the internet. I would hope people would go to credible news sites for facts, the Congressional sites to read the actual bills or factcheck.org.
Remember folks, anyone can post what they believe will happen if we get health care reform. They will try to scare you because they most likely are making a lot of money keeping the system the way it is. Please note they don’t quote anything, or give references from the actual health care bills. Because they aren’t being truthful. They are just giving you their ‘opinion’. But it isn’t based on facts.
This news article clearly shows how small businesses would be helped with their high health care costs. Just another benefit of health care reform.
Posted by: Lydia | July 27, 2009, 4:44 pm 4:44 pm
Simple facts:
Real reform that would serve every individual asking for public care with totally free care and medications, funded by a national sales tax, distributed through government owned and operated hospitals and clinics, and would relieve businesses of all health care obligations, financial, record keeping, everything eliminated, would be healthy for everyone and the greatest national economic stimulus ever.
A new dual choice system, you choose, either public, or private if you like what you have keep it, would save the government hundreds of billions annually distributing all government funded services through public facilities, and government savings would be even larger compared to spending called for in the new proposed reform boondoggles.
All government mandated programs could be distributed through government hospitals at a fraction of the costs spent now by taxpayers to private systems.
This is real reform that will liberate all individuals and businesses for which health care has become a nightmare, and for those who like what they have they can keep it and the government will save billions annually.
Simple facts.
Posted by: Bill Watson | July 27, 2009, 6:10 pm 6:10 pm
Another GOP talking point bites the dust:
Mitch McConnell’s favorite Canadian health service horror story is that of Shona Holmes, cancer patient who didn’t want to wait for Canadian care.
Holmes’ “brain tumour” was actually a Rathke’s Cleft Cyst on her pituitary gland. To quote an American source, the John Wayne Cancer Center, “Rathke’s Cleft Cysts are not true tumors or neoplasms; instead they are benign cysts.”
Posted by: Flash Override | July 27, 2009, 7:16 pm 7:16 pm
Okay, so he’s wooing…and, like a fratboy who’s only goal is getting his way, he’ll “call later,” he promises.
And there will always be those who fall for that.
After all, it’s how people get elected.
Posted by: Eyes Open | July 27, 2009, 7:51 pm 7:51 pm
Jhw, I must echo MayBee’s brilliant response to your statement, “Know how much health care costs have risen for businesses in every other first world nation over the last 10 years? 0%.” Of course that statement is true if you only speak of DIRECT costs. But you cannot pretend that there is vastly superior cost containment in all those first world countries, and the cost of the health care must be shouldered by SOMEONE. So businesses and individuals must pay for those costs one way or another. And as you’ll see below, in at least one case, it seems, the cost to businesses has gone up in recent years (France).
I know that, for example, there are major problems with funding NHS in England at the moment, with it heading toward bankruptcy unless they find a way to cut costs further or raise revenue. And in France, which is often rated first in the world in those surveys about health care that folks around here love to cite, “To fund universal health care in France, workers are required to pay about 21 percent of their income into the national health care system. Employers pick up a little more than half of that. (French employers say these high taxes constrain their ability to hire more people.)…France, like all countries, faces rising costs for health care. In a country that’s so generous, it’s even harder to get those expenses under control.
Last year, the national health system ran nearly $9 billion in debt. Although it is a smaller deficit than in previous years, it forced the government of President Nicolas Sarkozy to start charging patients more for some drugs, ambulance costs and other services. Debates over cost-cutting have become an expected part of the national dialogue on health care.” The “right wing” source of this information? NPR, that bastion of liberalism. Oops.
As your boss about how much of your paycheck goes to health care.”
Posted by: moderate | July 27, 2009, 10:14 pm 10:14 pm
I am a small business owner. I currently provide health insurance for three employees. The plan ensures middle of the road coverage and my employees are happy with it. They each contribute $30.00 a month, no matter what each individual premium is. The company currently contributes $802.00 a month. I believe I am being fair and would not want to pay any additional monies in the form of a tax on my payroll. Does anyone know how the Health Care Reform bill might impact my business?
Posted by: Shirley | July 27, 2009, 11:46 pm 11:46 pm
“Does anyone know how the Health Care Reform bill might impact my business?”
______________________________________
I’m sure it will depend on which plan finally gets adopted, but the last I read you would receive a tax credit for insuring your employees.
Posted by: danita | July 28, 2009, 2:04 am 2:04 am
Here is how Barry will “Woo” small business…….
“Woo, I can’t afford government telling me I HAVE to insure my employees. Guess I’ll go out of business. Wonder how the gubbamint is gonna raise those taxes if no one is working?”
“Woo” policy hardly doing the job!!
Posted by: American Infidel | July 28, 2009, 8:55 am 8:55 am
It was Shona Holmes’ Canadian doctor who diagnosed her as having a brain tumor. She knew that she could not wait the 5-6 months to see a neurologist or endocrinologist in Canada. So she called the Mayo Clinic and got an appointment the same day (in Scottsdale, AZ). Their neurosurgeon, Dr. Naresh Patel, diagnosed Shona Holmes as having a Rathke’s cleft cyst (RCC). He determined that the cyst was causing her to go blind. She had only 50% sight in her right eye and 25% sight in her right eye. After several weeks of tests they finally performed the surgery and her vision was completely restored. Had she waited the 5-6 months, she might have been permanently blind.
Posted by: James Danley | July 28, 2009, 9:13 am 9:13 am
Small businesses will be destroyed if Obama transforms the U.S. into a socialist/communist country as he’s trying to do with steps like a socialized health care system.
We all would like to IMPROVE our health care system. Obama’s bill, however, has NOTHING to do with improving our health care system. It’s only another step to further destroy the U.S. and impose Marxism through lies, manipulation, intimidation and coercion. Imitating Hugo Chavez, Obama wants to nationalize everything, including our health care system! “Hey, Obama has just nationalized nothing more and nothing less than General Motors. Comrade Obama!” Chavez cheered on Venezuelan TV a few days ago. He added that he and Cuba’s Fidel Castro would now have to work harder just to keep up.
Posted by: AntonioSosa | July 28, 2009, 5:45 pm 5:45 pm
Imitating Hugo Chavez, Obama wants to nationalize everything, including our health care system! “Hey, Obama has just nationalized nothing more and nothing less than General Motors. Comrade Obama!” Chavez cheered on Venezuelan TV. He added that he and Cuba’s Fidel Castro would now have to work harder just to keep up.
Posted by: AntonioSosa | July 28, 2009, 6:29 pm 6:29 pm
All this health care talk doesn’t matter if the man in the whitehouse is not an American. Why wont Obama show is birth certificate? What is he hiding? This is the most important issue in America right now because this country cannot stand if foreigners can take our sovreinty. I’d like to see BO impeached and new elections! President Sarah Palin!
Posted by: leerie | July 28, 2009, 7:54 pm 7:54 pm
I have but one, simple question. What if the 8% payroll tax is LARGER than the gross profit of the business?….which is the case here. This is a plan?………..
Posted by: Rocco | July 31, 2009, 11:51 am 11:51 am
Medicare, Medicaid, Social Security — all perfect examples of why we should NOT have the government running our health care system. The government is not efficient. We should allow the free market system to compete for our health care dollars! Government oversight, but NOT intervention.
Posted by: Deborah | July 31, 2009, 11:58 am 11:58 am