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Our newsletter features a commentary by Grace-Marie Turner on the major developments and issues of the week as well as summaries of writings by participants in the Health Policy Consensus Group and other articles of interest from the health policy world, plus announcements of coming events. It is emailed in an HTML format from the galen@galen.org email address, via Constant Contact, and you may have to adjust your email settings and junk mailbox to ensure that you don’t miss an issue.
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October 23, 2009
Cost matters: The cost of health care remains the central issue in the health reform debate, and that's why the news this week was so bad for leaders on both sides of Capitol Hill. First, the Senate. Wednesday's vote on the "Doc Fix" stunned everyone, even, apparently, Senate Majority Leader Harry Reid. His plan was to shove $247 billion under the carpet and pretend that a permanent increase in Medicare's payment rates to doctors shouldn't count as part of overall health reform. But he ran into a firestorm of opposition, with 12 Democrats plus Independent Joe Lieberman voting with all 40 Republicans to reject the ploy (final vote 47-53).




October 2, 2009

Let's hope this is the darkness before the dawn because the feeling in Washington right now is gloomy among those who believe in freedom, markets, and individual control over health care decisions. Congress is plowing ahead to get health reform done this year, no matter what the American people may think about it. Both the Senate and House have cancelled a Columbus Day recess this month to keep members in the Beltway hothouse and give them less of a chance to go home and meet with their constituents.


 




September 18, 2009
Senate Finance Committee Chairman Max Baucus spent much of the summer dancing with the Congressional Budget Office (CBO) to figure out how to squeeze his health reform bill into its scoring framework and get a positive outcome. Surprise, surprise, he succeeded! The CBO said on Wednesday that the Baucus bill will lead to a "net reduction in the federal budget deficit of $49 billion" over the next 10 years and that 94% of Americans will have health insurance.




September 10, 2009
President Obama's speech last night soared with oratory but fell flat in delivering on his promise to present details or any substantive new policy initiatives for his health reform plan. He may get a few days of lift from the passion and cheers in the House chambers, but the hard realities of policy will continue to chill prospects for getting sweeping reform legislation enacted.




August 21, 2009
The tide has clearly shifted. I am back from nine days on the road, and in forum after forum, from Virginia to Illinois, to New Mexico, Louisiana, and Ohio, citizens are anxious about health reform and about the Obama administration's aggressive expansion of government spending. While Democratic leaders in Congress and the "Gang of Six" senators pledge to press on with reform, it is hard for me to see how members, especially Democrats in marginal districts, will be able to vote for any version of the bills making their way through Congress.




June 12, 2009
The first Democratic bill in the hopper this week came from Sen. Kennedy's Health, Education, Labor, and Pensions Committee, taking 615-pages to turn most of whatever is left of our private health sector over to government. The normally-genteel Sen. Orrin Hatch was quoted in The New York Times this morning as calling the bill "the most liberal bunch of gobbledygook I've seen in my life -- a complete liberal mishmash of ideas." Keith Hennessey, director of the National Economic Council under President Bush, was the first to present a detailed analysis, which you can find here.



June 5, 2009
Rep. Paul Ryan spoke at a day-long conference at the American Enterprise Institute yesterday, warning that a public plan option is becoming the linchpin in the health reform debate. He said that a health reform bill creating a new government health insurance plan will be approved by the House "no two ways about that" and that the provision likely will be included in the Senate bill as well.



April 24, 2009
Senators Baucus and Kennedy sent a letter to President Obama this week saying their committees plan to vote on comprehensive health reform legislation in early June, which means legislation could be sent to the full Senate for a vote soon afterward. This is an extraordinarily ambitious schedule. The House also expects to send legislation to the floor for a vote this summer, with hopes for final action on a conference agreement in the fall.



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