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 GOP-led Indiana Senate rejects new congressional map in blow to Trump Former Rep. David Trone launches primary challenge to successor in Maryland House panel advances kids online safety bills Trump’s FEMA review group abruptly cancels final report meeting Capitol Lens | The Vex-orcist At the Races: Another health care election?