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pressures and avoid having to make tough choices, or we could dribble it out in a broad array of tax cuts, losing forever the opportunity to save health care dollars in the future and make Iowa a healthier state. How we decide to invest these settlement funds will say much about our collective desire to improve the health and welfare of Iowans. Let us join together for a healthier Iowa today, where disease, illness and the after-effects are properly treated or prevented. Where the stress and burden of illness and disease experienced by many Iowa families is relieved. If we invest $55 million of tobacco settlement funds, we receive an immediate return of $100 million of federal resources. Our investment will also pay for itself in general funds of health care savings, as we realize millions in savings over time. More important than dollars and cents are the lives that will be saved. Here is what we must do: 1. Educate young people not to smoke or convince them to stop smoking through an aggressive anti-tobacco and enforcement program as proposed by Attorney General Tom Miller; this will save over a thousand young lives a year; 2. Help Iowa's working families provide health insurance for their children through HAWK-I insurance and expanded Medicaid eligibility; this will impact tens of thousands of our children; 3. Extend the time of residential substance abuse and mental health treatments and give those in need of help a real shot at recovery; 4. Expand respite care for over one thousand families coping with the difficult task of caring for a loved one who is physically or mentally challenged, including brain injured loved ones; 5. Create better access to primary care through stronger public health initiatives and from a variety of health care professionals who will be better compensated for their efforts; and, 6. Respond to the Older Iowa Legislature's number one legislative goal by using federal funds in setting a national standard with a high quality, comprehensive care system for older Iowans needing home health care, assisted living, or nursing home care. A system that leads the nation in insuring the maximum level of independence and quality of life for this most important group of Iowans. Finally, if we are to lead in health care, we must erase the stigma of mental illness. Mental illness affects one out of every four Iowa families. A better public/private partnership must be developed if we are to properly and promptly treat mental illness. Iowa is the nation's insurance capital. In that capacity, our state has the unique responsibility and opportunity to lead-and lead we will, when we establish full parity for mental illness coverages in insurance policies. Parity's time in Iowa has come. Will an improved quality of life and Iowa being a national leader in preventative health care make a difference and lead to more Iowans, younger Iowans and better- paid Iowans? Let me tell you the story of Yukio Strachan from Des Moines. Yukio came to Drake University's School of Pharmacy and Health Sciences from Chicago. After receiving her Doctor of Pharmacy degree in 1998, she decided to stay. Why? She says a big draw was a good job with Hy-Vee, and the family atmosphere of the company. Also, she believes she has more opportunities in pharmacy here, such as conducting regular teaching seminars at a residence for senior citizens. She expected Iowa to be slower-paced than Chicago, but has found herself busier than before with
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