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Americans Can Agree On Health-Care Reform

 

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If you were to judge by the rancorous town-hall meetings or the vitriolic television ads or the overheated rhetoric out of Washington, you would come to the conclusion that Americans are so divided over health-care reform that there is no way we will come together to enact any changes.

But it turns out that when regular folks sit down in a controlled setting and follow an academically designed exercise that asks them to make a series of health-care decisions -- mindful of limited resources -- they can agree on the outlines of what a reformed system should look like, and what elements should receive priority.

Those who have conducted these Choosing Healthplans All Together, or CHAT, sessions say participants by and large exhibit plenty of common sense about health choices, realizing insurance can't pay for everything but that it should pay the most for care most likely to prevent illness, disease or death. In the end, they are willing to make tough choices, even sacrifice their own priorities, for a system that will lead to a greater good.

Why won't that approach work in D.C.? None of the people in the CHAT sessions had to raise campaign funds or got wined and dined by lobbyists or wanted earmarks as a condition of their vote.

-- assistant managing editor/Personal Finance

HEALTH CARE

How a CHAT can forge health-reform consensus

What is health care, and how much of it should be covered by communal dollars in a private or public health plan? Contrary to the shouting matches that broke out in some town-hall meetings earlier this month, Americans tend to be circumspect when considering what health insurance should cover in a basic plan, especially when they're engaged in a meaningful discussion of the trade-offs, health-policy experts say.

RETIREMENT SAVINGS

Contribution limits for 401(k)s and other plans may decrease next year

It's starting to seem like retirees and those saving for retirement can't catch a break. First comes news that there won't be any cost-of-living increase for Social Security beneficiaries in 2010. Next we learn that beer prices are rising. Now we find that the maximum amount that you're allowed to contribute to your retirement plans may decrease next year.

Time to readjust 401(k) plans, again

Even investors who didn't panic and cash out investments last fall need to go back and take a look now.

FAMILY FINANCE

As after-school programs get cut, parents scramble

A critical safety net for working parents is unraveling, and many are bracing to pay a hefty price.

How I got burned by Beanie Babies

For some years now, I have been a student of these extreme financial cycles. In the 1980s, I witnessed firsthand the Texas real-estate bubble and covered companies crushed in the junk-bond bubble. I wrote a book about the crash of 1929. To my terrific shame, at the top of an inflated market, I once paid $50 for a $5 Beanie Baby named Peace.

THE JOB MARKET

Too many résumés don't fit the bill

Despite high unemployment, employers say it's not any easier to find qualified workers. MarketWatch's Tracy Johnke reports.

INVESTING

Tiny loans spur credit bubble in a slum

A credit crisis is brewing in "microfinance," the business of making the tiniest loans in the world.

MORTGAGES

The latest twists in mortgage-fraud schemes

In the wake of the mortgage meltdown, regulators and law-enforcement officials are sounding alarms about the potential for yet another type of mortgage fraud -- this time, in the small but fast-growing reverse-mortgage market.

Low mortgage rates helping to sustain affordability, economist says

Rates on fixed-rate mortgages rose just slightly this week, remaining low and continuing to help sustain affordability in housing markets, Freddie Mac's chief economist said Thursday.

TECHNOLOGY

A review of the new Mac OS Snow Leopard

Apple Inc.'s (AAPL) new operating system doesn't introduce dramatic changes, but rather tightens up existing functions. It's not lust-worthy, Walt Mossberg says, but Snow Leopard makes a strong operating system a little faster and smoother.

Sirius XM unveils SkyDock for iPhone

Sirius XM announces a dock that turns the iPhone into a satellite radio. Plus: Microsoft stinks at Photoshop and lousy broadband speeds in the United States.

AUTOMOBILES

Clunkers spree comes to close with almost 700,000 takers

The "cash for clunkers" program drew to a close this week, with almost 700,000 participants grabbing $2.88 billion in rebates to trade their old rides for more fuel-friendly alternatives.

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