Reflecting on his yearlong term as AAP president, David T. Tayloe Jr., M.D., FAAP, outlined four major challenges facing pediatricians: health care reform, health information technology, H1N1 influenza and respiratory syncytial virus (RSV) prophylaxis.

During his Oct. 17 address at the AAP National Conference & Exhibition, Dr. Tayloe said questions abound regarding health care reform, including how satisfied pediatricians are working in the health care system, reasons for dissatisfaction, and whether problems can be fixed locally or if reform is necessary at the federal level.

“Personally, I’m not satisfied with the health care system,” Dr. Tayloe said.

He said he believes federal reform can bring Medicaid and Children’s Health Insurance Program payments up to the Medicare and commercial levels. Health insurance plans then will follow the Medicare model for honoring CPT and RBRVS standards and provide benefit packages for children with special health care needs. Reform also can correct pediatric...

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