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Thread: Reid Offers Doctors a Deal

  1. #1
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    Reid Offers Doctors a Deal

    1. The Obama Bunch is blatantly bribing doctors, bidding to BUY their backing of Baucus and its offbranches for 247 billion unpaid-for dollars.

    2. The rub---the bottom line is a quarter tril, it's been SEPARATED from Obamacare, so it ADDS to the deficit.

    3. Meanwhile, the hippocratics aren't necessarily hiring on.

    4. There's nothing naturally "wrong" with the White House's way, it's politics.

    5. But just how do you think THESE manipulations are gonna play---across the spectrum?

    6. Under Senate bills being brokered, physicians will feel their fees CUT by 25% in 2011, increasing to 40% rate reduction by 2016.

    7. Practitioners aren't pleased, openly.

    8. Even those proffered white lab coats for free at this month's photo op in the Rose Garden.

    9. So, in order to assuage the surgeons the Senate this week attempts a backdoor buyoff of the Welby's and Huxtables.

    10. But actually reimbursing the sawbones bankrupts Baucus.

    11. And the CBO would find out.

    12. So party poobahs have proposed a SEPARATE piece of pork, REMOVED from reform per se, a "stand alone" sally, allowing Washington to defer the PAY CUTS mandated by law, embraced by Baucus and HELP, and relied upon by CBO to balance the budget.

    13. For $247 billion the Senate can deed the doctors their demands and account the cost NOT to Obamacare but instead to the GENERAL FUND.

    14. Thus, they can callously claim health care satisfies the president's oft repeated requirement that reform not raise by "one dime" the deficit.

    15. Thus, the "stand alone" quarter tril SEPARATED from Baucus/HELP aggregates every RED cent to our $1.42 trillion of DEBT.

    16. In return for remuneration, however, Reid made clear he expects the support of physicians should reform ever make it to a floor vote.

    17. Reid summons a summit---present are the Leader, the Gatekeeper (Baucus), Dodd, Rahm the Ram, Peter Orszag (White House Budget Director) and Nancy-Ann DeParle, the director of the admin's health care office.

    18. Also represented are the AMA, the American College of Surgeons, the American Society of Anesthesiologists, the American College of Emergency Physicians, the American Academy of Opthalmology, the American College of Physicians, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, the Alliance of Specialty Medicine, the American Osteopathic Association, the American Academy of Pediatrics...

    19. That's quite a delegation of tongue depressors.

    20. Either way, the docs don't appear real impressed.

    21. In the first place, FOUR attendees of the talkfest tattled.

    22. And they consistently confirmed each others' accounts.

    22. "They said they're going to need our help in getting health care over the goal line and they expect our support," imparted one participant, "Reid, Baucus and Dodd, all three said the same thing."

    23. White House bigwigs Emanuel and Orszag made a cameo appearance, Streisand-like.

    24. But, from their tone it appears the specialists would have preferred Babs.

    25. They "were in for five minutes," then "they went to the House side to talk strategy," noted another honored invitee.

    26. "They were there because the White House wanted to show how serious they were," blabbed the bigmouth.

    27. Reid then remembered to remind the residents to rescind their requests for tort reform.

    28. "It was a brief remark that was said, like, 'I would appreciate it if you don't push for medical liabilty reform amendments,'" whispered the secret source.

    29. Organizationally, at least, the AMA was mollified, it is now running $2 million of ads in a dozen states in support of the bill to freeze doctors payment CUTS which has been cynically SLICED off the merge, stands alone, and therefore is NOT paid for.

    30. Unfortunately, the Association cannot control what doctors advise their patients in examination rooms across America.

    31. And the clinicians don't come across as quite convinced.

    32. This clumsiest of concatenations, connoting Chicago-like protocols, is now public knowledge.

    33. A White House insider insisted no deal with doctors was decided, unlike the president's secret accord with Pharma (made public August 13) in which Obama SOLD OUT congressional allies, liberals and Americans everywhere by guaranteeing Big Drugs he would not push for prescription importations from Canada and would never allow his party to legislate lower prices for meds.

    Internal Memo Confirms Big Giveaways In White House Deal With Big Pharma

    34. Meanwhile, a Survey USA today poll out of Virginia this morning has McDonnell up by NINETEEN.

    VA Gov Poll: McDonnell+19 - Real Clear Politics – TIME.com

    The White House and Democratic leaders are offering doctors a deal: They’ll freeze cuts in Medicare payments to doctors in exchange for doctors’ support of healthcare reform.

    At a meeting on Capitol Hill last week with nearly a dozen doctors groups, Senate Majority Leader Harry Reid (D-Nev.) said the Senate would take up separate legislation to halt scheduled Medicare cuts in doctor payments over the next 10 years. In return, Reid made it clear that he expected their support for the broader healthcare bill, according to four sources in the meeting.

    A spokesman for Reid declined to comment for this story.

    Also in the meeting were: Senate Finance Committee Chairman Max Baucus (D-Mont.); Sen. Chris Dodd (D-Conn.); White House Chief of Staff Rahm Emanuel; Office of Management and Budget Director Peter Orszag; and Nancy-Ann DeParle, director of the White House healthcare office.

    “They said they’re going to need our help in getting healthcare reform over the goal line and they expect our support,” said a participant who represents doctors. “Reid, Baucus and Dodd. All three said the same thing: They want and expect our support.”

    At last week’s meeting, Emanuel and Orszag met with the doctors groups for only a few minutes at the start of the session before walking over to the House side of the Capitol. Doctors groups interpreted their short visit as a signal from the White House that it supported Reid and the Senate Democrats.

    A second participant said Emanuel and Orszag “were in for five minutes and then went to the House side to talk strategy.”

    “They were there because the White House wanted to show how serious they were and to give their stamp of approval,” said the source.

    Reid also asked that doctors ease up on demands for medical malpractice reform during the upcoming healthcare debate. Democrats have traditionally resisted calls for tort reform, which trial attorneys — a reliable base group — staunchly oppose.

    But the primary focus of the meeting was on Democratic plans to bring to the Senate floor a standalone bill costing nearly $250 billion that would freeze cuts in doctors’ payments mandated by a 1997 law. Without the freeze, doctors would see their Medicare payments drop by 21 percent next year and by 40 percent by 2016. The bill’s costs are not offset by tax increases or spending cuts at a time when the Obama administration estimates the federal deficit at $1.4 trillion.

    J. James Rohack, president of the American Medical Association (AMA), said that it would be very difficult for doctors to support the broader Senate healthcare legislation if there were no effort to address long-term cuts to Medicare payments. The Finance Committee health reform bill would increase doctors’ payments by 0.5 percent in 2010 at a cost of $10 billion, but it would leave doctors facing a 25 percent cut in 2011.

    “It would be very challenging for physicians looking at a .5 percent increase next year and 25 percent cut the following year to say, ‘Yay, let’s support the reform bill’ or to say the health reform bill would be viable,” said Rohack.

    Rohack, who did not attend last week’s meeting, applauded Reid for moving a separate bill and “highlighting this program of broken physician payment formula that has to be solved.”

    Richard Deem, AMA’s representative at the meeting, spoke positively about Democrats’ efforts to pass both the doctor payment fix and healthcare reform after Reid made his presentation, according to sources in the room. The AMA has begun airing television advertisements in a dozen states in support of the bill freezing doctors’ payment cuts. A source with another doctors group said the AMA announced to allies last week that the campaign would cost $2 million.

    Reid and other Democratic leaders said they would rely on doctors groups to round up enough votes to pass the “doctors fix” legislation at a time of high anxiety over the deficit. But they also made clear that Democrats expect something in return for pushing a bill that Republicans will criticize as fiscally reckless.

    Leaders stressed the importance of supporting healthcare reform, but Reid also urged doctors to go easy on their longstanding demands for tort reform.

    “It was a brief remark that was said like, ‘Oh yeah, one more thing.’ He said, ‘I would appreciate it if you don’t push for medical liability reform amendments. We know how things stand in the Senate and we can get some good things done for doctors on other issues. Let’s work together,’ ” according to a source who described Reid’s remarks.

    Three other sources confirmed Reid made the remarks.

    Addressing a joint session of Congress in September, President Barack Obama raised the possibility of including some measure of tort reform in the healthcare overhaul as a way to entice Republicans to sign on.

    A White House aide who was briefed on the meeting said that it should not be viewed as a deal because doctors groups have yet to agree to any concessions. That contrasts with the pharmaceutical industry, which struck a deal with the White House under which it would support healthcare reform and provide $80 billion in savings to seniors on brand-name prescription drugs.

    Healthcare policy experts say that organized opposition from doctors, whom Americans consistently rank as highly trustworthy in public opinion polls, could derail efforts to overhaul the nation’s health system.

    “What’s really important is that doctors are not vocally in opposition,” said Henry Aaron, a senior fellow at the Brookings Institution who specializes in healthcare financing. “If they mobilize strongly in opposition and ran ads and talked to their patients, it hurts. It would be a serious obstacle. As long as they’re not out fighting, I think the administration has achieved most of the gain.”
    Reid offers doctors a deal - TheHill.com


    The Prof
    Last edited by The Prof; 10-20-09 at 10:48 PM.

  2. #2
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    Re: Reid Offers Doctors a Deal

    So, what is your position - that the '97 deficit reduction act provision concerning doctors should be repealed? Or that it should be allowed to take effect?

    If take effect, what is your position on the year-by-year budgeting gamesmanship that has been perpetrated over the last 11 yrs by the failure each year to let the mandated cuts take effect?

    What is your position on the implementation of the provision in the first place? Were you in support of that? Were republicans? If republicans were in favor of cutting medicare in this manner in the past, but are against it now, what is the nature of the conflicting argument? Do they want to cut Medicare, or don't they?

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    Re: Reid Offers Doctors a Deal

    no one but my mom has ever really cared before about my position

    i'm flattered you ask

    the president should keep his promise not to add a dime to the deficit

    indeed, in dreamier days he declared he'd actually REVERSE the trajectory of the cost curve

    he should fulfill his pledge never to raise taxes on those making under 200G

    by all accounts, the 5 bills presently being merged ALL include painful impounds in the form of fines, fees, mandates and taxes on insurers, benefits and device makers sure to be passed on to the middle and even lower classes

    i'm a simple man, i'm not the president

    in my opinion, you really should be directing your questions to obama

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    Re: Reid Offers Doctors a Deal

    I am eager to see the final bill.

  5. #5
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    Re: Reid Offers Doctors a Deal

    Janet Napolitano told us that we should absolutely get the Swine Flu shot, it's safe, and we shouldn't think twice about it.

    Yet, there is none available for us, and by the time it is, it'll be too late.

    Yeah, I want these yahoos running healthcare. Goody.

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