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                  <H1> </H1>This week marks the one-year anniversary of the 
                  Affordable Care Act. <BR><BR>Millions of Americans are already 
                  benefitting from our new health reform law. In the months 
                  ahead, even more of us will benefit if it improves care 
                  coordination, provides more preventive services, and makes 
                  coverage more affordable and secure. It only gets better from 
                  here.<BR><BR>That is, if we give reform time to work — and 
                  work together to make sure it gets implemented effectively. 
                  <BR><BR>Together, we’re working to build better care — care 
                  that is better coordinated, more centered on meeting the needs 
                  of patients, and more affordable. That's why I'm asking you to 
                  <A                     title=http://www.nationalpartnership.org/site/R?i=fYKpm4p8CTyRrfu5sfL_vw..                     href="http://www.nationalpartnership.org/site/R?i=fYKpm4p8CTyRrfu5sfL_vw..">encourage 
                  the Senate to stand strong against efforts to repeal or defund 
                  health reform. </A><BR><BR><STRONG>It’s time to move forward 
                  <EM>and</EM> fix our health care system.</STRONG><BR><BR>We 
                  simply can’t afford to let anyone undermine our efforts to 
                  make America’s health care system work better for all of us — 
                  and especially for older adults, patients with multiple 
                  chronic conditions and their family caregivers. 
                  <BR><BR><STRONG>Just ask Leslie Schlienger, a nurse from south 
                  Florida, who is working on the front lines.</STRONG><BR><BR>
                  <P>Since graduating from nursing school in 1980, Leslie has 
                  been a head nurse in Veterans Administration and community 
                  hospitals, earned her certification in rehabilitation nursing 
                  and her master’s degree in nursing administration. For the 
                  last dozen years she’s been a home health nurse, and a 
                  critical part of her work is coordinating clients’ care with 
                  family, friends and medical professionals. <BR><BR>"The 
                  fragmentation of how care is delivered is a big issue," Leslie 
                  says. "Because of all the specialties, a single patient often 
                  has two or three physicians, and I’ve seen some with as many 
                  as seven or eight. Patients are overwhelmed by that. They’re 
                  lost in that system." (Read the rest of Leslie's story <A                     title=http://www.nationalpartnership.org/site/R?i=phKl9DE6K-XyWxfO_YafZw..                     href="http://www.nationalpartnership.org/site/R?i=phKl9DE6K-XyWxfO_YafZw..">here</A>.) 
                  <BR><BR></P><STRONG>Now more than ever, we need better care 
                  coordination, improved communication among providers, medical 
                  records at our fingertips, and a system that doesn’t leave 
                  vulnerable patients and their family caregivers to fend for 
                  themselves.<BR><BR></STRONG>To mark the one-year anniversary 
                  of the Affordable Care Act and honor the millions of Americans 
                  working every day for better care, urge your Senators to focus 
                  on fixing our health care system and reject any attempts to 
                  repeal or defund health reform.<BR><BR>I’ve already sent my 
                  message to Congress. <A                     title=http://www.nationalpartnership.org/site/R?i=OYsjqCFLzwzJZdq5z9hq6g..                     href="http://www.nationalpartnership.org/site/R?i=OYsjqCFLzwzJZdq5z9hq6g..">Please 
                  send yours now!</A><BR><BR>Sincerely,<BR><BR><IMG border=0                     alt=""                     src="http://www.nationalpartnership.org/images/content/pagebuilder/10471.jpg"                     width=167 height=62> 
                  <H2>Debra L. Ness, Leader<BR>Campaign for Better Care</H2></TD>
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                  <H1>IT’S TIME TO <BR>MOVE FORWARD</H1>Now more than ever, our 
                  nation needs better care — care that is well-coordinated and 
                  centered on meeting the needs of patients.<BR><BR><A                     title=http://www.nationalpartnership.org/site/R?i=HtleBJAPQ4dtg_JJxpZhQA..                     href="http://www.nationalpartnership.org/site/R?i=HtleBJAPQ4dtg_JJxpZhQA..">Urge 
                  your Senators to reject any efforts to repeal or defund health 
                  reform.</A><BR><BR>It’s time to move forward <EM>and</EM> fix 
                  our health care system.<BR><BR><A                     title=http://www.nationalpartnership.org/site/R?i=ravdwMqFjs4WytKig-gISg..                     href="http://www.nationalpartnership.org/site/R?i=ravdwMqFjs4WytKig-gISg..">Take 
                  action today »</A> </TD></TR></TBODY></TABLE><IMG               src="http://www.nationalpartnership.org/site/PixelServer?j=AW4CrGohIyZKVgScycpkPw.."               width=1 height=1> </TD></TR>
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