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Reuters General/ ­- Article, Qui, 12 de Abril de 2012<br />

CLIPPING INTERNACIONAL (Supreme Court)<br />

Sebelius seeks civil rights support for<br />

healthcare law<br />

By David Morgan WASHINGTON | Thu Apr 12, 2012<br />

6:50pm EDT (Reuters) ­- A top U.S. administration<br />

official asked civil rights activists on Thursday to help<br />

defend President Barack Obama's embattled<br />

healthcare law, saying the reform package faces an<br />

"enemy" determined to set American health policy<br />

back half a century. The remarks in a charged election<br />

year come two months before the Supreme Court is<br />

expected to issue a ruling that could make or break the<br />

law. Health and Human Services Secretary Kathleen<br />

Sebelius sought to cast the two­-year­-old reform law as<br />

a vital weapon against racial disparities that have long<br />

condemned U.S. minorities to higher infant mortality<br />

rates, shorter lifespans and limited access to medical<br />

services. "The enemy is at the door and we know that<br />

they would like to dismantle these initiatives," Sebelius<br />

told the annual convention of the Natio<strong>na</strong>l Action<br />

Network, a civil rights group led by the Rev. Al<br />

Sharpton. "Healthcare inequalities have been one of<br />

the most persistent forms of injustice," she said. "Now<br />

is not the time to turn back." Sebelius' remarks were<br />

part of an administration campaign to promote the<br />

Patient Protection and Affordable Care Act during a<br />

turbulent election year marked by repeated calls for its<br />

repeal and a Supreme Court ruling expected in June<br />

that could declare all or part of the law<br />

unconstitutio<strong>na</strong>l. Civil rights activists and the minority<br />

communities they represent are a key segment of<br />

Obama's Democratic base, whose support he could<br />

need in great numbers to stave off a Republican<br />

challenge in November, especially if the high court<br />

strikes down his sig<strong>na</strong>ture domestic policy<br />

achievement. Research has long shown low­-income<br />

Americans, including many minorities, have<br />

significantly less access to medical care and suffer<br />

disproportio<strong>na</strong>te rates of childhood illnesses,<br />

hypertension, heart disease, AIDS and other diseases.<br />

HEALTHCARE FOR 30 MILLION UNINSURED<br />

Designed to extend health coverage to more than 30<br />

million uninsured Americans, Obama's healthcare<br />

reform law has become a favorite target for<br />

Republicans mainly because of an unpopular provision<br />

that requires most Americans to have private health<br />

insurance by 2014. "We've got folks who are<br />

committed to undoing ... the important initiatives that<br />

we've made in the last few years," Sebelius told her<br />

predomi<strong>na</strong>ntly black audience without making a direct<br />

reference to Republicans or other opponents of reform.<br />

"Frankly, they want to go back and undo Medicare and<br />

Medicaid from the mid­-1960s. They want to roll us<br />

back years and years," she added. Medicare and<br />

Medicaid, the <strong>na</strong>tio<strong>na</strong>l healthcare programs for the<br />

elderly and poor, respectively, were created in 1965 in<br />

a period of social and civil rights reforms aimed at<br />

ending racial segregation and protecting the voting<br />

rights of minorities. The civil rights movement of the<br />

1960s led to monumental changes in American race<br />

relations that allowed Obama to be elected as the first<br />

black U.S. president in 2008. The<br />

Republican­-controlled U.S. House of Representatives<br />

voted last month to partially privatize Medicare and<br />

convert Medicaid to a block­-grant program for states.<br />

Sebelius called on religious leaders, health advocates<br />

and other minority leaders to help the administration<br />

educate the public about the healthcare law's benefits.<br />

The law, which does not come into full force until<br />

January 1, 2014, has already benefited minorities by<br />

extending private insurance coverage to young adults,<br />

providing free preventive services for those with<br />

insurance and banning coverage denials for children<br />

with pre­-existing conditions. "I'm here to ask you to<br />

help," Sebelius said. "If we can begin to close the<br />

disparities in health, we begin to close disparities in<br />

other areas, too." (Editing by Todd Eastham)<br />

15

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