The Washington Post 20100615

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Politics & The Nation FBI: Ted Kennedy faced constant threats........................................A3

The World Israeli raid leaves Egypt in awkward spot.......................................A6

Economy & Business

Derivatives-spinoff plan gains support ..........................................A10 Market Summary..............................................................................A12

The Fed Page Fine Print From the nominee, a perceptive critique of the job .......................A13

Opinion Editorial: Getting an oil spill escrow fund right ...........................A14

CORRECTIONS

A June 14 Page One article about personal investments by members of Congress incorrectly said that Rep. Jane Harman (D- Calif.) had recently recused her- self from a vote concerning Toyo- ta because of family holdings in the automaker. The article should have said she recused herself be- cause a company her husband founded, Harman Kardon elec- tronics, is a major supplier to Toyota.

 A Reuters article in the June 14

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A-section, about the Israeli gov- ernment’s plan for an investiga- tion into the deadly raid on a Gaza-bound aid flotilla, misstat- ed the date of the raid. It occurred May 31, not March 31.

 A June 13 Arts & Style review of “True Blood,” the HBO series about vampires, misidentified the werewolf character assigned to protect Sookie Stackhouse. The character’s name is Alcide, not Coot.

Obama. By any measure — favorability

I

ratings or job approval — Americans by a sizable margin have warmer views of the secretary of state than they do of the president. This is of little use to Clinton beyond bragging rights, but among Hillary ’08 fans there is some satisfaction that the woman Obama once cut down as “likable enough” is now more liked than he is. Depending on the measure and the poll, she leads him by roughly 10 to 25 percentage points. To understand why, look no

further than their calendars for Monday. The president was in Alabama and Mississippi, trying again to change the public perception that his administration has been weak in its response to the oil spill. The secretary of state was in Washington receiving plaudits for being a “passionate leader” and for taking a “resolute and genuine” stand against human trafficking and slavery. In the ceremonial Ben

Franklin Room of the State Department, the passionate and resolute Clinton vowed her commitment “to abolishing this horrible crime” against human dignity. “Traffickers must be brought to justice,” she said. For a public figure, few issues are as politically safe; the slavery and exploitation lobby, after all, was unlikely to issue a rebuttal. Clinton finished her day Monday with a speech on the need for help in sub-Saharan Africa; no criticism from the keep-Africa-poor movement was

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heard. Contrast that with Obama, who had only grim tidings for Gulf Coast residents about the BP oil spill. He spoke to them of a “fear that it could have a long-term impact on a way of life that has been passed on for generations.”

Give Obama points for

honesty, but that’s not going to boost his poll numbers. Previous secretaries of state

Colin Powell and Condoleezza Rice were both more popular than their boss, President George W. Bush. But such a trend is not universal: Warren Christopher didn’t have ratings as high as his boss, President Bill Clinton. Hillary Clinton helped her

situation by sticking to relatively low-profile issues. While the White House drove the divisive policies such as Afghanistan, she has busied herself in quieter corners of the world, enhancing the perception that she’s above the political fray. Now the former first lady and Democratic senator from New York is asserting herself in a few domestic areas. Releasing the 10th annual Trafficking in Persons report Monday, she noted that, “for the first time ever, we are also reporting on the

United States of America,” an effort “to ensure that our policies live up to our ideals.” (The State Department gave the United States its top grade.) Before that, Clinton offered some commentary on the domestic economy, declaring: “You’ve got countries who are explicitly saying to me in private, ‘Well, look, you know, we always look to you because you had this great economy. And now, look, you’re in the ditch, and you’ve dragged other people into the ditch.’ ” That statement was enough to send the likes of Bill O’Reilly, the conservative Fox News commentator, to outline a potential Clinton primary challenge to Obama in 2012. There’s no sign of such a challenge, but there’s no disputing that Obama has fallen below Clinton. This month’s Daily

Kos/Research 2000 poll found that 51 percent view Obama favorably, down from 77 percent at the time of his inauguration last year. Clinton, who had a favorability rating in the 40s during her first-lady days in 1996, has stayed in the 60s since she started the job at the State Department. The infrequently

t’s about two years too late, but Hillary Clinton has finally pulled ahead of Barack

TUESDAY, JUNE 15, 2010 Clinton v. Obama, 2010: Polling well is the best revenge

asked “job approval” question has produced an even larger Clinton edge.

Of course, Obama bested

Clinton in the only poll that mattered, in 2008. But these days, Clinton is entitled to enjoy a measure of revenge. As Obama endured more complaints and sniping in the Gulf Coast on Monday, Clinton was being applauded in Foggy Bottom. Her staff started the applause as soon as she entered from the back, and an audience of human-rights types filmed her with their smartphones. The session had been billed as a “news conference,” but no questions were allowed; this was more of an adoration conference. Undersecretary Maria Otero gushed about “our top diplomat, my boss, our passionate leader and a skilled policymaker” without whom “this issue would not be to where it has gotten.” An anti-trafficking activist invoked Clinton’s trademark slogan: “It takes a village to raise a child. It takes a whole community to fight slavery.” Clinton was in her

policy-expert element. She spoke of something known as “the paradigm of the three ‘P’s” and proposed a fourth “P” as well. She also reminded the crowd of her early work on trafficking 10 years ago, “in a prior life some time back.” Few could have imagined back

in that prior life that the controversial and polarizing first lady would someday win the favor of two-thirds of her countrymen.

Polling director Jon Cohen contributed to this column.

Study praises Howard, other minority med schools

Graduates are said to practice medicine needed for overhaul

by Darryl Fears The Post’s ALL-NEW iPhone App

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Graduates of medical schools at historically black universities such as Howard and Morehouse are the most likely to practice the kind of medicine especially need- ed under the health-care over- haul, according to a study pub- lished Monday. The study in the Annals of In- ternal Medicine ranked medical schools based on the communi- ties where their graduates worked and whether those doctors prac- ticed primary care. The More-

house School of Medicine in At- lanta, Howard University College of Medicine in the District and Meharry Medical College in Nash- ville ranked as the top three, in that order.

By the study’s “social mission” criteria, other well-known med- ical schools ranked far lower.Van- derbilt University School of Medi- cine in Nashville was last among the 141 ranked schools and North- western University’s Feinberg School of Medicine in Chicago was 139th. The Johns Hopkins University School of Medicine in Baltimore ranked 122nd. The United States faces a short-

age of up to 100,000 primary-care doctors in 2020, six years after the health-care overhaul fully kicks in with more than 35 million newly insured Americans. Yet elite med-

ical schools place a stronger focus on specialized medicine and re- search, the study said. They also lag in recruiting underrepresent- ed minorities — Latinos, Native Americans and African Ameri- cans — who tend to fill the open- ings created by the shortage. “It’s no surprise,” said Eve Hig- ginbotham, a senior vice presi- dent and dean of health sciences at Howard University. “We’ve known for a long time that minor- ity students end up working in underserved areas four to five times more than majority stu- dents.”

Others called the study, “The Social Mission of Medical Educa- tion: Ranking the Schools,” an- other attempt to rank universities based on randomly selected cri- teria. John E. Prescott, chief aca-

demic officer of the American As- sociation of Medical Colleges, said there is a need for more physi- cians of all types. “If one focuses only on primary-care physicians, we’re missing the boat,” he said. The study’s chief author, Fitz- hugh Mullan, said its intention is not to point fingers. “It allows schools to examine the outcomes of its graduates . . . and how many minorities have gone through their institutions,” Mullan said. The study tracked 6,000 med- ical students who graduated be- tween 1999 and 2001 — the most recent group to have finished col- lege, hospital residencies and ob- ligations, such as working in the National Health Service Corps to pay off student loans, Mullan said. fearsd@washpost.com

Commercial insurers inaccurate on 20% of claims, AMA says Associated Press

One in five medical claims is processed inaccurately by com- mercial health insurers, often leaving physicians shortchanged, the American Medical Associa-

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tion reported Monday in its third annual assessment of insurers. This report card focused solely on commercial insurers, a break from previous reports, which also looked at Medicare. The AMA re- port card is an effort to reduce the cost of claims processing for doc-

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tors. As much as $210 billion is spent annually to process insur- ance claims. Private insurance companies

matched their payments to what they agreed to pay doctors about 80 percent of the time, and Nancy Nielsen, immediate past presi- dent of the group, said that was a dramatic improvement. “It is the report card that forced them to pay attention,” Nielsen said.

Robert Zirkelbach, a spokes- man for America’s Health Insur- ance Plans, said it takes both in- surers and doctors to process claims accurately and quickly. Many doctors don’t submit claims electronically or promptly, he said. “Government data show that soaring medical costs — not health-plan administrative costs — are the key drivers of rising health-care costs.” The AMA rated Coventry

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Health Care highest of seven com- mercial insurers. Its national ac- curacy rating was about 88 per-

“It is the report card that forced them to pay

attention.” — Nancy Nielsen, immediate past president of the AMA

cent. Anthem Blue Cross was at the bottom, with an accuracy rat- ing of 74 percent. Medicare said Monday that it will give senators a few more days to waive a cut in the rates the fed- eral government pays doctors who treat patients with Medicare. The 21 percent cut is required by a 1990s deficit reduction law; Con- gress has routinely waived the law in the past, and the House has ap- proved legislation to do so again. Anthem’s parent company,

WellPoint, said that it is continu- ally trying to improve and is con- tracting with an electronic claims processing company in five states in an effort to streamline claims.

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