Obama lays down law on health care

       President Barack Obama told Congress on Wednesday to end its political bickering and move quickly on a broad healthcare overhaul that would dramatically transform the US health system and insurance market.
       In a sometimes emotional speech,Mr Obama said lawmakers were closer than ever to enacting healthcare reform and spelled out proposals to improve conditions for those with insurance and expand the choices for 46 million uninsured Americans, including a controversial government-run "public option". He also rebuked critics, accusing them of substituting scare tactics for honest debate by pushing false ideas like the charge that "death panels"would decide treatment for the elderly.
       "I will not waste time with those who have made the calculation that it's better politics to kill this plan than improve it," he told a joint session of Congress and a national TV audience."If you misrepresent what's in the plan,we will call you out."
       Democrats, who have struggled for decades to enact healthcare reforms,gave Mr Obama frequent standing ovations while Republicans murmured unhappily at times and held aloft copies of a Republican-sponsored healthcare bill. Republican Congressman Joe Wilson shouted "you lie" when Mr Obama said his plan would not insure illegal immigrants.
       Republicans also laughed loudly when Mr Obama said "there remain some significant details to be ironed out". Mr Obama hoped the speech would rejuvenate his flagging push for an overhaul of the $2.5 trillion healthcare system and reclaim control of a debate that has bogged down in Congress amid rising public scepticism.
       He said the overhaul would cut costs,improve care and regulate insurers to help protect consumers while expanding coverage. He repeated his pledge that the proposal, which would cost $900 billion over 10 years, would not increase the budget deficit.
       As promised, he spelled out the concepts he wanted in any final bill passed by Congress, including affordable coverage for all Americans and creation of an insurance exchange where individuals and small businesses could shop for policies. He reiterated his support for a government-run insurance plan - the so-called public option - that has drawn strong opposition from cr-
       tics who say it would harm insurance companies and amount to a government takeover of the industry.
       But he was clear that the lack of a public option in any final bill would not be a deal-breaker, and he promised to entertain Republican ideas to foster more competition and reduce costs.
       "The public option is only a means to that end - and we should remain open to other ideas,"he said. In the Senate, months of bipartisan Finance Committee talks by the so-called "Gang of Six" negotiators moved into the final stages earlier in the day as the panel's Democratic chairman, Max Baucus, said it was time to proceed with or without Republicans.
       Mr Baucus said he would push ahead with a bill next week modelled after proposals he distributed recently to members. That plan would levy a fee on insurers to help pay for coverage but would not include a governmentrun option, which he said "cannot pass the Senate". Mr Baucus' plan would tax insurance firms on their most expensive policies and offer tax credits to individuals and families to help offset the cost of premiums.