Looking ahead. I was speaking at a grand rounds lecture at a Toronto hospital last week, and a man asked about what Obamacare does for prevention. That question prompted me to think about what happened to the prevention fund called for by the Affordable Care Act. Health and Human Service Secretary Kathleen Sebelius borrowed $13 million from a fund set aside for disease prevention and is using the money for grants to organizations that will train navigators. This is a good one for eager-beaver reporters to explore. What prevention programs will lose funding, at least in the short term? What effect might that have on patients? When will the loan be repaid and how will the navigator program be funded in the future given the emphasis on budget cutting? Was enough money allocated for both programs in the first place?
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