Run For The Hills, The Doctors Are Coming, The Doctors Are Coming!!!!

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Title : Run For The Hills, The Doctors Are Coming, The Doctors Are Coming!!!!
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Run For The Hills, The Doctors Are Coming, The Doctors Are Coming!!!!

What is the ane affair no human beingness should desire to live on side past times side week?

A Republican Senator at a Fourth of July Picnic.

In the most amazing plough of events I receive got seen inward xx years of next health attention policy inward Washington, DC, the Democrats receive got the Republicans backed into an awful corner over the number of the July 1st automatic 10.6% Medicare physician fee cut together with corresponding private Medicare cuts to pay for nixing it. Also at stake is another 5% physician fee cutting laid for Jan 1, 2009.

On Tuesday, when the House voted 355-59 inward favor of the Senate Democratic bill to stop the physician fee cut, suspend the durable medical equipment competitive bidding system, together with pay for the doc cutting past times ending the mortal fee-for-service version of Medicare Advantage inward 2011, no ane was to a greater extent than surprised thence the Senate Democrats themselves.

On seeing that vote, Senate Democrats scrapped the bipartisan compromise that Baucus and Grassley worked out to avoid the cuts, freeze 2009 physician payments, together with bypass the Medicare Advantage changes to pay for it. Everyone was ready to live on happy amongst that--Democrats together with Republicans--and larn dwelling for the week-long vacation recess.

But thence Senate Democrats saw a huge election-year opportunity--stick the Republicans out on a limb together with start sawing it off.

Senate Majority Leader Reid and the Senate Democrats decided to shelve the Baucus/Grassley compromise together with convey the simply passed House mouth dorsum for roughly other Senate vote (the get-go endeavor to larn the sixty votes necessary for cloture failed garnering entirely 54 Senators).

Late Th nighttime they did simply that together with missed getting the necessary sixty votes past times simply ane Senator. It is notable that Senator Kennedy was non introduce together with could receive got been the 60th vote. It was a rattling undignified scene on the Senate flooring equally Republicans felt betrayed thinking they had an amicable bargain to larn past times the cuts together with larn home.

It is likewise of import to cry upward that Senate Democratic Leader Reid came inward for lots of criticism past times House Democrats slow final yr when he chose non to receive got on the Republicans together with a threatened Bush veto together with settled on a pocket-size SCHIP compromise. Many inward the House idea Senate Democrats should receive got been tougher. This may live on Reid's run a jeopardy to present the House how tough he tin be--especially since the House handed him such a lopsided veto-proof margin on this vote.

So, the Senate recessed on Fri amongst the docs facing a 10.6% fee cutting inward simply 4 days.

The Democratic plan is, amongst the docs looking downward the barrel of a 10.6% fee cutting on Tuesday, to allow the Senate Republicans stew inward a provider lobbying onslaught of unprecedented proportions during the week-long recess.

How effective is the Dr. lobby? 355-59, that's how effective. About every other wellness attention provider is onside amongst the docs equally well--durable medical equipment because of their bailout inward the House bill, together with every other provider because they'd similar to run across the precedent established that it is the HMO industry that has the coin to give dorsum to Medicare--not them. AARP is likewise backing the docs giving members political embrace amongst seniors to vote against the private Medicare plans.

I am continually asked, Would Congress actually cutting mortal Medicare amongst well-nigh 10 1000000 seniors inward it? 355-59--any other questions?

Bush likewise reaffirmed his veto threat for whatever mouth that cuts mortal Medicare. HHS, trying to larn roughly oestrus off Republicans together with relieve CMS from a existent payment mess, deferred the physician cuts for 10 days.

What's going to come about when the Congress returns on July 7th?

There volition rapidly live on roughly other Senate vote on the House bill.

If it passes it goes to Bush who, equally long equally the vote isn't enormously lopsided, volition veto it. In that illustration the docs will demand to receive got scared plenty Republicans to larn a veto-proof 67 votes or the docs are out 10.6%.

For 2 years I receive got been telling yous that the Dems were going to larn mortal Medicare. In Nov 2006, I idea the big showdown would come upward during the 2007 budget deliberations. More recently, I figured the Democrats would simply bide their fourth dimension until they had a stronger hand--after the coming elections.

Turns out I was 6 months off the get-go time.

Will the doctors endure the 10.6% cutting if the side past times side Senate vote fails to deed the bill? Could good be. Sure, the Baucus/Grassley compromise is laying at that topographic point but I can't run across the Democrats backing downward now. The develop has left the station on the Democratic declaration that it is the Republicans who are blocking a physician fee fix together with I mean value they volition transcend on downward that track.

If yous are a doctor, I would larn discovery your Republican Senator at the nearest Fourth of July picnic together with larn at it.

If vii or 8 Republican Senators don't come upward dorsum to Washington on July seventh amongst a changed mind, yous are out 10.6% on July 1st together with roughly other 5% on Jan 1, 2009.

We volition have extraordinary political house the calendar week of July 7.


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