Despite the uncertainties about national health care reform, the credit card industry seems assured of a major and lucrative role.

Card use for deductibles and copayments is already rising, noted Les Mann, Visa U.S.A.'s vice president of health care marketing. If the program Hillary Rodham Clinton's committee is hammering out extends coverage to the 37 million uninsured Americans, credit card transactions are bound to rise, he said.

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