Bismarck Tribune - January 9, 2011

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SUNDAY, JANUARY 9, 2011

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Ariz. Rep. Giffords wounded, 6 killed in shooting By AMANDA LEE MYERS and DAVID ESPO Associated Press TUCSON, Ariz. — A gunman unloaded a semiautomatic weapon outside a busy supermarket Saturday during a public gathering for Democratic Rep. Gabrielle Giffords, killing Arizona’s chief federal judge and five others in an attempted assassination that left Americans questioning whether divisive politics had pushed the sus-

pect over the edge. The shooting targeted Giffords and left the three-term congresswoman in critical condition after a bullet passed through her brain. A shaken President Barack Obama called the attack “a tragedy for our entire country.” Giffords, 40, is a moderate Democrat who narrowly won re-election in November against a tea party candidate who sought to throw her from office over her support of the health care law. Anger over her position

became violent at times, with her Tucson office vandalized after the House passed the overhaul last March and someone showed up at a recent gathering with a weapon. Police say the shooter was in custody, and was identified by people familiar with the investigation as Jared Loughner, 22. U.S. officials who provided his name to the AP spoke on condition of anonymity because they were not authorized to release it publicly. Continued on 7A

Berg, Pomeroy react to shooting North Dakota Congressman Rick Berg says he is horrified by the shooting of Rep. Gabrielle Giffords of Arizona. Berg said in a statement Saturday the attack on Giffords and others was “senseless” and said his thoughts are with Giffords, her staff, those who were injured and their families. Former Rep. Earl Pomeroy said he served three terms with Giffords. “Rep. Gabby Giffords is a friend of mine. She is a bright Continued on 7A

The future of health care reform

THE DEBATE GOES ON The health care battle appears to be neverending. Recent efforts at health care reform go back to the Carter administration. Last year, the Obama administration and the Democratic-controlled Congress passed major legislation. However, the debate was fierce. It went beyond the halls of Congress with media advertising from numerous interest groups and both parties. The cost was high in money and political careers. The November election saw many Democrats ousted, including Rep. Earl Pomeroy, D-N.D. How they voted on the health bill contributed to their defeats. Republicans, who control the House, promise to vote to repeal the measure this week. The Senate, however, remains in Democratic control and is unlikely to repeal the law. But there will be efforts to change the law, even if piece by piece. And legal challenges are winding their way through the courts. The Tribune today begins a three-part series looking at the health bill and its impact on individuals, businesses, hospitals and the state. Reporters Sara Kincaid, Chris Bjorke and Rebecca Beitsch and photographers Mike McCleary and Tom Stromme collaborated for this special report.

MIKE McCLEARY/Tribune

Brenda Nagel, site manager for regional business customer operations at Aetna in Bismarck, said the company has trained the phone representatives on how to answer client questions about the implementation of the new health care reform law.

The health care fight is not over yet History of By SARA KINCAID Bismarck Tribune Less than a year after landmark changes to health care were passed, the new law faces repeal by Republicans in the U.S. House. It took months of political maneuvering to pass the Patient Protection and Affordable Care Act, and then in the fall health care reform helped cost some politicians their seats, including former North Dakota Rep. Earl Pomeroy. “It pains me so much, all the heat the congressional delegation took for standing up for families like us,” said Brenda Neubauer, whose son had reached the lifetime benefits cap on one insurance plan and was nearing the benefits cap on a second insurance plan. Her son, Jacob, 16, has hemophilia, a disorder in which his blood does not clot. She spent many years work-

THE SERIES

■ Today: A look at the bill; a history of the debate; how the North Dakota delegation plans to tackle the bill. ■ Monday: The impact on patients; how the insurance industry views the bill. ■ Tuesday: The impact on Medicare; businesses react to measure; what steps the state must take to be in compliance. ing with North Dakota’s congressional delegation to change the lifetime cap on health insurance. The new health care law finally resolved it. The federal overhaul of health care is a politically divisive issue that will change options in the country. It will top the agenda of this congres-

sional session and already its being challenged in court because of the mandate that all Americans purchase insurance. Although the House has enough votes by Republicans to repeal it, the effort will likely fail in the Democrat-controlled Senate. It will be phased in over the next five years, and parts of it will be challenged in Congress. Most of the changes from the health care reform bill go into effect in 2014, although some started last September. “When the debate started about the health care system, it was about making it more affordable to Americans, not about expanding access,” North Dakota Insurance Commissioner Adam Hamm said. “The fundamental problem is not access. The fundamental problem is affordability.” Continued on 7A

Closed-door capital

Century mark

Monday

Many of Washington’s iconic buildings close their front entrances — 2A

Modern Machine Works nears 100 years in busines — 1B

Bismarck woman wants to land on TV’s ‘Survivor’

the health care debate By REBECCA BEITSCH Bismarck Tribune Health care long has been an issue, both for the public and throughout political campaigns. Doing something about the rising costs of health care was a message heard in campaign platforms for some time, but until the Obama administration, little was accomplished. There were efforts by the Carter administration and under the Clinton administration. Efforts were Continued on 6A

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