Obama Says Economic Downturn Has Further Strained Health Care System By Adriel Bettelheim and CQ Staff Posted December 11, 2008 at 1:00am Facebook Twitter Email Reddit Medicare Advantage Recent Stories A Massachusetts primary tests Democrats’ appetite to ‘change the culture’ Trump creates beef with ranchers over new import plan White House ballroom construction can proceed, SCOTUS says HHS seeks input on kids vaccination changes called for by Trump Trump tries to shrug off opponents’ rush to define him as lame duck Progressive Aisha Wahab wins California special election for Swalwell’s seat