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Dancing around legislative language

Millions at risk from high blood pressure in China: study
Hypertension plays a part in 2.3 million cardiovascular deaths in China each year, doctors reported on Tuesday, pointing a finger at high levels of salt in the Chinese diet. Health specialists led by Jiang He, a professor at the Tulane University School of Public Health and Tropical Medicine in New Orleans, made the estimate from a nationally representative sample of 170,000 Chinese aged 40 and over. Extrapolating across the country, 2.3 million cardiovascular deaths in 2005 were related to raised blood pressure, they said. Of these 1.3 million were "premature" deaths, meaning they occurred before the age of 72 in men and 75 in women, the average life expectancy in China in 2005. Only a quarter of Chinese with high blood pressure are aware of their problem -- and just 19 percent receive drugs to treat it. "Increased blood pressure is the leading preventable risk factor for premature mortality in the Chinese general population," the authors say, describing their findings as "striking and unexpected." They call for hypertension to be placed on the same policy footing as preventing infectious disease. Priority, they add, should be given to modifying lifestyle by reducing the "very high" use of salt in Chinese food. "Treatment of hypertension reduces but does not eliminate all blood-pressure-related risk of cardiovascular diseases. Therefore, primary prevention of hypertension should be an important component of any national strategy," says the paper, published online by The Lancet. "Prompt action will save millions of lives in each year." (AFP Report)
by Markham Heid, Medill News Service
Washington (UPI) Oct 6, 2009
Some say it's a "tax," while others say it's a "penalty." U.S. President Barack Obama, during a blustery exchange with ABC's George Stephanopoulos, insisted it is a "responsibility." And U.S. Sen. Olympia Snowe has proposed calling it a "defined minimum contribution."

The cause of all the verbal volleyball on Capitol Hill is one section of the Senate Finance Committee's healthcare bill regarding Americans choosing to eschew health insurance coverage.

Under the heading "Personal Responsibility Requirement," the bill stipulates that "the consequence for not maintaining insurance would be an excise tax."

New taxes are common when enacting sweeping legislative reform but debate surrounding the excise tax has caught fire when held above the president's campaign promise not to raise taxes on families making less than $250,000 annually.

The excise tax would likely affect people from every income bracket.

As the president's television appearance demonstrated, politicians are aware of the effects of language on the public perception and success of new legislation.

And so it is significant that Snowe, R-Maine and presumed to be one of the few Republicans amenable to the idea of universal healthcare legislation, proposed an amendment that would make a section of the bill -- at least superficially -- more palatable to voters.

On Thursday, Snowe teamed with U.S. Sen. Charles Schumer, D-N.Y., to chop the individual mandate (yet another name for the excise tax) from a maximum of $1,900 to $1,500 for families.

"I would prefer to have no penalties," Snowe has said of the excise tax but her attempt to change the language of the bill surrounding the tax indicates her willingness to vote for healthcare reform.

A representative from Snowe's office, implying that the amendment was proposed to spur discussion on the topic, said, "Heading into this (healthcare bill markup) we barely had time to read through the mark. You file a lot of different amendments to cover a lot of different ground."

The senator's word swap was never formally discussed during the markup but that doesn't mean the excise tax won't morph into a "defined minimum contribution" by the time the bill is considered in the Senate.

"The fact is, words matter," Snowe said during last week's markup and savvy politicians understand that at no time is that more true than during the debate over controversial legislation.

In the 1990s, politicians opposed to an estate tax employed the term "death tax" in an effort to build support in opposition support.

More recently, former Alaska Gov. Sarah Palin sparked a rhetorical wildfire when she referred to the idea of end-of-life consultations for the elderly and infirm as "death panels."

While such harsh language often fails to make it into the formal columns of congressional legislation, politicians recognize the language of a bill can make all the difference.

"I don't see it as deceptive," said Stephen Hess, a former member of the Nixon and Eisenhower administrations and now a senior fellow at the Brookings Institution. "I just see it as maybe too clever by half."

Hess said the legislation lingo had changed a great deal since he got his start in government half a century ago when "we called a farm bill a farm bill."

And while he questioned the influence such linguistic semantics can have on the popularity of a piece of legislation, he acknowledged that it could have some effect on the opinions of less-informed voters.

It remains to be seen whether a switch from a "tax" to a "defined minimum contribution" will spell success for universal healthcare.

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