| February 3, 2010 The 20-year incumbent Andrews, for his part, has been a leader only in forcing Obamacare down the throats of taxpayers. That's a tremendous political liability in 2010 no matter where the Dem in question is on the ballot. Glading is pledging to fight this massive government takeover of our health care system from the time his feet hit the ground on Capitol Hill.
| February 1, 2010
| January 29, 2010
| January 26, 2010
| January 22, 2010 
| January 21, 2010 1. Retiree Reserve Trust Fund (Section 111(d), p. 61)
2. Grant program for wellness programs to small employers (Section 112, p. 62)
3. Grant program for State health access programs (Section 114, p. 72)
4. Program of administrative simplification (Section 115, p. 76)
5. Health Benefits Advisory Committee (Section 223, p. 111)
6. Health Choices Administration (Section 241, p. 131)
7. Qualified Health Benefits Plan Ombudsman (Section 244, p. 138)
8. Health Insurance Exchange (Section 201, p. 155)
9. Program for technical assistance to employees of small businesses buying Exchange coverage (Section 305(h), p. 191)
10. Mechanism for insurance risk pooling to be established by Health Choices Commissioner (Section 306(b), p. 194)
11. Health Insurance Exchange Trust Fund (Section 307, p. 195)
12. State-based Health Insurance Exchanges (Section 308, p. 197)
13. Grant program for health insurance cooperatives (Section 310, p. 206)
14. Public Health Insurance Option (Section 321, p. 211)
15. Ombudsman for Public Health Insurance Option (Section 321(d), p. 213)
16. Account for receipts and disbursements for Public Health Insurance Option (Section 322(b), p. 215)
17. Telehealth Advisory Committee (Section 1191 (b), p. 589)
18. Demonstration program providing reimbursement for culturally and linguistically appropriate services (Section 1222, p. 617)
19. Demonstration program for shared decision making using patient decision aids (Section 1236, p. 648)
20. Accountable Care Organization pilot program under Medicare (Section 1301, p. 653)
21. Independent patient-centered medical home pilot program under Medicare (Section 1302, p. 672)
22. Community-based medical home pilot program under Medicare (Section 1302(d), p. 681)
23. Independence at home demonstration program (Sect Health Insurance Option (Section 322(b), p. 215)
17. Telehealth Advisory Committee (Section 1191 (b), p. 589)
18. Demonstration program providing reimbursement for culturally and linguistically appropriate services (Section 1222, p. 617)
19. Demonstration program for shared decision making using patient decision aids (Section 1236, p. 648)
20. Accountable Care Organization pilot program under Medicare (Section 1301, p. 653)
21. Independent patient-centered medical home pilot program under Medicare (Section 1302, p. 672)
22. Community-based medical home pilot program under Medicare (Section 1302(d), p. 681)
23. Independence at home demonstration program (Section 1312, p. 718)
24. Center for Comparative Effectiveness Research (Section 1401(a), p. 734)
25. Comparative Effectiveness Research Commission (Section 1401(a), p. 738)
26. Patient ombudsman for comparative effectiveness research (Section 1401(a), p. 753)
27. Quality assurance and performance improvement program for skilled nursing facilities (Section 1412(b)(1), p. 784)
28. Quality assurance and performance improvement program for nursing facilities (Section 1412 (b)(2), p. 786)
29. Special focus facility program for skilled nursing facilities (Section 1413(a)(3), p. 796)
30. Special focus facility program for nursing facilities (Section 1413(b)(3), p. 804)
31. National independent monitor pilot program for skilled nursing facilities and nursing facilities (Section 1422, p. 859)
32. Demonstration program for approved teaching health centers with respect to Medicare GME (Section 1502(d), p. 933)
33. Pilot program to develop anti-fraud compliance systems for Medicare providers (Section 1635, p. 978)
34. Special Inspector General for the Health Insurance Exchange (Section 1647, p. 1000)
35. Medical home pilot program under Medicaid (Section 1722, p. 1058)
36. Accountable Care Organization pilot program under Medicaid (Section 1730A, p. 1073)
37. Nursing facility supplemental payment program (Section 1745, p. 1106)
38. Demonstration program for Medicaid coverage to stabilize emergency medical conditions in institutions for mental diseases (Section 1787, p. 1149)
39. Comparative Effectiveness Research Trust Fund (Section 1802, p. 1162)
40. Identifiable office or program within CMS to provide for improved coordination between Medicare and Medicaid in the case of dual eligible (Section 1905, p. 1191)
41. Center for Medicare and Medicaid Innovation (Section 1907, p. 1198)
42. Public Health Investment Fund (Section 2002, p. 1214)
43. Scholarships for service in health professional needs areas (Section 2211, p. 1224)
44. Program for training medical residents in community-based settings (Section 2214, p. 1236)
45. Grant program for training in dentistry programs (Section 2215, p. 1240)
46. Public Health Workforce Corps (Section 2231, p. 1253)
47. Public health workforce scholarship program (Section 2231, p. 1254)
48. Public health workforce loan forgiveness program (Section 2231, p. 1258)
49. Grant program for innovations in interdisciplinary care (Section 2252, p. 1272)
50. Advisory Committee on Health Workforce Evaluation and Assessment (Section 2261, p. 1275)
51. Prevention and Wellness Trust (Section 2301, p. 1286)
52. Clinical Prevention Stakeholders Board (Section 2301, p. 1295)
53. Community Prevention Stakeholders Board (Section 2301, p.. 1301)
54. Grant program for community prevention and wellness research (Section 2301, p. 1305)
55. Grant program for research and demonstration projects related to wellness incentives (Section 2301, p. 1305)
56. Grant program for community prevention and wellness services (Section 2301, p. 1308)
57. Grant program for public health infrastructure (Section 2301, p. 1313)
58. Center for Quality Improvement (Section 2401, p. 1322)
59. Assistant Secretary for Health Information (Section 2402, p. 1330)
60. Grant program to support the operation of school-based health clinics (Section 2511, p. 1352)
61. Grant program for nurse-managed health centers (Section 2512, p. 1361)
62. Grants for labor-management programs for nursing training (Section 2521, p. 1372)
63. Grant program for interdisciplinary mental and behavioral health training (Section 2522, p. 1382)
64. No Child Left Unimmunized Against Influenza demonstration grant program (Section 2524, p. 1391)
65. Healthy Teen Initiative grant program regarding teen pregnancy (Section 2526, p. 1398)
66. Grant program for interdisciplinary training, education, and services for individuals with autism (Section 2527(a), p. 1402)
67. University centers for excellence in developmental disabilities education (Section 2527(b), p. 1410)
68. Grant program to implement medication therapy management services (Section 2528, p. 1412)
69. Grant program to promote positive health behaviors in underserved communities (Section 2530, p. 1422)
70. Grant program for State alternative medical liability laws (Section 2531, p. 1431)
71. Grant program to develop infant mortality programs (Section 2532, p. 1433)
72. Grant program to prepare secondary school students for careers in health professions (Section 2533, p. 1437)
73. Grant program for community-based collaborative care (Section 2534, p. 1440)
74.. Grant program for community-based overweight and obesity prevention (Section 2535, p. 1457)
75. Grant program for reducing the student-to-school nurse ratio in primary and secondary schools (Section 2536, p. 1462)
76. Demonstration project of grants to medical-legal partnerships (Section 2537, p. 1464)
77. Center for Emergency Care under the Assistant Secretary for Preparedness and Response (Section 2552, p. 1478)
78. Council for Emergency Care (Section 2552, p 1479)
79. Grant program to support demonstration programs that design and implement regionalized emergency care systems (Section 2553, p. 1480)
80. Grant program to assist veterans who wish to become emergency medical technicians upon discharge (Section 2554, p. 1487)
81. Interagency Pain Research Coordinating Committee (Section 2562, p. 1494)
82. National Medical Device Registry (Section 2571, p. 1501)
83. CLASS Independence Fund (Section 2581, p. 1597)
84. CLASS Independence Fund Board of Trustees (Section 2581, p. 1598)
85. CLASS Independence Advisory Council (Section 2581, p. 1602)
86. Health and Human Services Coordinating Committee on Women’s Health (Section 2588, p. 1610)
87. National Women’s Health Information Center (Section 2588, p. 1611)
88. Centers for Disease Control Office of Women’s Health (Section 2588, p. 1614)
89. Agency for Healthcare Research and Quality Office of Women’s Health and Gender-Based Research (Section 2588, p. 1617)
90. Health Resources and Services Administration Office of Women’s Health (Section 2588, p. 1618)
91. Food and Drug Administration Office of Women’s Health (Section 2588, p. 1621)
92. Personal Care Attendant Workforce Advisory Panel (Section 2589(a)(2), p. 1624)
93. Grant program for national health workforce online training (Section 2591, p. 1629)
94. Grant program to disseminate best practices on implementing health workforce investment programs (Section 2591, p. 1632)
95. Demonstration program for chronic shortages of health professionals (Section 3101, p. 1717)
96. Demonstration program for substance abuse counselor educational curricula (Section 3101, p. 1719)
97. Program of Indian community education on mental illness (Section 3101, p. 1722)
98. Intergovernmental Task Force on Indian environmental and nuclear hazards (Section 3101, p. 1754)
99. Office of Indian Men’s Health (Section 3101, p. 1765)
100. Indian Health facilities appropriation advisory board (Section 3101, p. 1774)
101. Indian Health facilities needs assessment workgroup (Section 3101, p. 1775)
102. Indian Health Service tribal facilities joint venture demonstration projects (Section 3101, p. 1809)
103. Urban youth treatment center demonstration project (Section 3101, p. 1873)
104. Grants to Urban Indian Organizations for diabetes prevention (Section 3101, p. 1874)
105. Grants to Urban Indian Organizations for health IT adoption Section 3101, p. 1877)
106. Mental health technician training program (Section 3101, p. 1898)
107. Indian youth telemental health demonstration project (Section 3101, p. 1909)
108. Program for treatment of child sexual abuse victims and perpetrators (Section 3101, p. 1925)
109. Program for treatment of domestic violence and sexual abuse (Section 3101, p. 1927)
110. Native American Health and Wellness Foundation (Section 3103, p. 1966)
111. Committee for the Establishment of the Native American Health and Wellness Foundation (Section 3103, p. 1968)

| January 21, 2010 


| January 20, 2010
| January 18, 2010
| January 17, 2010"A busy terminal at John F. Kennedy International Airport was evacuated after a man opened a restricted door and set off an alarm, authorities said, making it the second known security breach at a New York-area airport this month.
The breach delayed dozens of flights and caused headaches for hundreds of travelers who had to exit the terminal and wait for hours as police swept through the building. The passengers at JFK were then shepherded through additional screening."
| January 15, 2010| Poll | Date | Sample | Brown (R) | Coakley (D) | Spread |
|---|---|---|---|---|---|
| PJM/CrossTarget (R) | 1/14 - 1/14 | 946 LV | 54 | 39 | Brown +15 |
| Blue Mass Group/R2000 (D) | 1/12 - 1/13 | 500 LV | 41 | 49 | Coakley +8 |
| Suffolk/7News | 1/11 - 1/13 | 500 LV | 50 | 46 | Brown +4 |
| Rasmussen Reports | 1/11 - 1/11 | 1000 LV | 47 | 49 | Coakley +2 |
| PPP (D) | 1/7 - 1/9 | 744 LV | 48 | 47 | Brown +1 |
| Rasmussen Reports | 1/4 - 1/4 | 500 LV | 41 | 50 | Coakley +9 |
| Boston Globe | 1/2 - 1/6 | 554 LV | 36 | 53 | Coakley +17 |
| Poll | Date | Sample | Christie (R) | Corzine (D) | Daggett (I) | Spread |
|---|---|---|---|---|---|---|
| Monmouth/Gannett | 10/31 - 11/1 | 722 LV | 41 | 43 | 8 | Corzine +2 |
| SurveyUSA | 10/30 - 11/1 | 582 LV | 45 | 42 | 10 | Christie +3 |
| Quinnipiac | 10/27 - 11/1 | 1533 LV | 42 | 40 | 12 | Christie +2 |
| Rasmussen Reports | 10/29 - 10/29 | 1000 LV | 46 | 43 | 8 | Christie +3 |
| Stockton/Zogby | 10/27 - 10/29 | 1093 LV | 39 | 40 | 14 | Corzine +1 |
| January 14, 2010
| January 6, 2010
| December 29, 2009
| December 28, 2009
| December 24, 2009
| December 23, 2009"The Senate language, which was negotiated by Senators Barbara Boxer and Patty Murray, who are very strong defenders of women's health services and choices for women, take a big step forward from where the House left it with the Stupak amendment. Everybody in the exchange would do the same thing, whether you're male or female, whether you're 75 or 25, you would all set aside a portion of your premium that would go into a fund, and it will not be earmarked for anything, it would be a separate account that everyone in the exchange would pay. It's really an accounting measure that would apply across the board and not just to women and certainly not just to women who want to choose abortion coverage."
“They think I shouldn’t be expressing my views on this bill until they get a chance to try to sell me the language,” Stupak told CNSNews.com in aninterview on Tuesday. “Well, I don’t need anyone to sell me the language. I can read it. I’ve seen it. I’ve worked with it. I know what it says. I don’t need to have a conference with the White House. I have the legislation in front of me here.”
| December 22, 2009| Affiliation | Members | Delegates / Resident Commissioner (non-voting) | States with majority of Members | |
|---|---|---|---|---|
| Democratic Party | 258 | 6* | 33 | |
| Republican Party | 177 | 0 | 16 | |
| Vacant | 0 | 0 | ||
| Total | 435 | 6 | ||
| Majority | 81 | |||
Senator Menendez’s audacity here is truly quite amazing. According to the Tax Foundation, New Jersey ranks last among the States in terms of federal spending received per dollar paid, with New Jersey receiving ONLY $0.61 in federal spending forevery dollar paid by its citizens in federal taxes. From this, it certainly seems as though Senator Menendez is the one who has showed a lack of understanding.
However, it gets worse. Although I said that this wouldn’t be a post about health care reform, I would like to draw your attention to Obamacare for a moment to further elucidate Senator Menendez’s ineffectiveness as New Jersey’s junior Senator. Obamacare will generate substantial unfunded mandates for the states. This is why the deal made between Senate Democrats and Senator Ben Nelson to secure Nelson’s vote to pass Obamacare is so interesting yet reprehensible. Because of this deal, “the federal government will pay for Nebraska’s new Medicaid recipients,” which is “worth about $45 million over the first decade."
New Jersey already faces an $8 billion budget deficit for next year, and Obamacare will only add to this. So here is my question for Senator Menendez: Why didn’t you fight for a similar deal?
Governor-elect Christie was correct. Senators Menendez and Lautenberg have been ineffective, and the debate of Obamacare demonstrates how willing they are to let ideology triumph in spite of the needs of the citizens that they claim to represent.
| December 21, 2009 -- Sen. Mary Landrieu, D-La., won between $100 million and $300 million in additional federal aid for her state's Medicaid population. The deal, secured before she cast her critical vote in favor of bringing the health bill to the floor, was immediately dubbed the "Louisiana Purchase," though the actual Louisiana Purchase was considerably cheaper.
-- Vermont and Massachusetts got $1.2 billion in Medicaid money -- a change that was described as a correction to the current system which exempts those two states because they have robust health care systems. Vermont Sen. Bernie Sanders also boasted Saturday that he requested and won an investment worth between $10 and $14 billion for community health centers.
-- Western states secured higher federal reimbursement rates for doctors and hospitals that serve Medicare patients. The provision covers the low-population "frontier" states and applies to Montana, North Dakota, South Dakota, Utah and Wyoming -- the latter two states are both represented by two Republicans, but ended up as beneficiaries anyway since they qualify. The legislative language defines frontier states as states where at least 50 percent of the counties have fewer than six people per square mile. Sen. Kent Conrad, D-N.D., chairman of the Senate Budget Committee, defended the "special deal," telling "Fox News Sunday" that those five states were getting an increase in reimbursements because they get the lowest amount in the country. "That doesn't offend me at all," he said. "It's in fact, fair."
-- Florida, New York and Pennsylvania -- where five of six senators are Democrats -- will have their seniors' Medicare Advantage benefits protected, even as the program sees massive cuts elsewhere.
-- Sen. Max Baucus, D-Mont., reportedly secured expanded Medicare coverage for victims of asbestos exposure in a mine in Libby, Mont.
-- One unknown state is receiving $100 million for a "health care facility" affiliated with an academic health center at a university that contains the state's only "public academic medical and dental school." It's unclear for which state that language was written.
-- Nebraska's Nelson won permanent federal aid for his state's expanded Medicaid population, a benefit worth up to $100 million over 10 years. Other states get the federal aid for three years, but Nebraska's benefit is indefinite. His state also got an exemption for nonprofit insurance companies from a health insurance company tax. Many believe this was targeted at Mutual of Omaha, but senior Democratic aides would not confirm that.
| December 21, 2009 "We pledge ourselves to the health and liberty of young Americans. We pledge to educate ourselves and to stand with those who fight for us and against those who do not. We demand health care, and we are willing to hold out for it."
| December 21, 2009
BREITBART -- WASHINGTON (AP) - Landmark health carelegislation backed by President Barack Obama passed its sternest Senate test in the pre-dawn hours early Monday, overcoming Republican delaying tactics on a 60-40 vote that all but assures its passage by Christmas.
"Let's make history," said Sen. Tom Harkin, D-Iowa, shortly before the bill's supporters demonstrated their command of the Senate floor in an extraordinary holiday season showdown.
| December 19, 2009
"Instead of a public option, the final product would allow private firms for the first time to offer national insurance policies to all Americans, outside the jurisdiction of state regulations. Those plans would be negotiated through the Office of Personnel Management, the same agency that handles health coverage for federal workers and members of Congress.
Starting immediately, insurers would be prohibited from denying children coverage for pre-existing conditions. A complete ban on the practice would take effect in 2014, when the legislation seeks to create a network of state-based insurance exchanges, or marketplaces, where people who lack access to affordable coverage through an insurer can purchase policies."
We already have this system, Save Jerseyans.... in New Jersey! We discussed New Jersey's over-regulated, mandate-drenched health care system at-length throughout Election 2009 (click here).
The final version of ObamaCare was the real plan all along. Democrat leaders knew a "public option" would never fly, and I've told you time and again that the Democrats don't need a "public option" to eliminate private insurance. Expensive mandates and regulations can be just as effective if your ultimate goal is a government takeover of the health care industry. Just look at New Jersey!
I'm reminded of a quote that Ronald Reagan enjoyed referencing when speaking out against Democrat policies:
“The American people will never knowingly adopt socialism. But under the name of Liberalism, they will adopt every fragment of the socialist program until one day America will be a socialist nation without knowing how it happened.”- Norman ThomasSocialist Party presidential candidate in 1940, 1944 and 1948.
| December 18, 2009
"At about 1:00 am ET, the Senate will take it's most important health-care vote. This will be the vote to break the filibuster on the 'managers' amendment." Reid will need 60 votes. At this point in time, he does not have 60."
| December 18, 2009
| December 18, 2009SEC. 102. ENSURING VALUE AND LOWER PREMIUMS (pp. 26-28).
(a) GROUP HEALTH INSURANCE COVERAGE.—Title XXVII of the Public Health Service Act is amended by inserting after section 2713 the following new section:
SEC. 2714. ENSURING VALUE AND LOWER PREMIUMS.
(a) IN GENERAL.—Each health insurance issuer that offers health insurance coverage in the small or large group market shall provide that for any plan year in which the coverage has a medical loss ratio below a level specified by the Secretary (but not less than 85 percent), the issuer shall provide in a manner specified by the Secretaryfor rebates to enrollees of the amount by which the issuer’s medical loss ratio is less than the level so specified.
(b) IMPLEMENTATION.—The Secretary shall establish a uniform definition of medical loss ratio and methodology for determining how to calculate it based on the average medical loss ratio in a health insurance issuer’s book of business for the small and large group market. Such methodology shall be designed to take into account the special circumstances of smaller plans, different types of plans, and newer plans. In determining the medical loss ratio, the Secretary shall exclude State taxes and licensing or regulatory fees. Such methodology shall be designed and exceptions shall be established to ensure adequate participation by health insurance issuers, competition in the health insurance market, and value for consumers so that their premiums are used for services. . . .
(b) INDIVIDUAL HEALTH INSURANCE COVERAGE.—Such title is further amended by inserting after section 2753 the following new section:
SEC. 2754. ENSURING VALUE AND LOWER PREMIUMS.
The provisions of section 2714 shall apply to health insurance coverage offered in the individual market in the same manner as such provisions apply to health insurance coverage offered in the small or large group market except to the extent the Secretary determines that the application of such section may destabilize the existing individual market.
"The bill amends the Public Health Service Act by granting new powers to the Secretary of Health and Human Services. Federal bureaucrats will determine how insurance companies keep their books, how they calculate their revenues and claims, what constitutes acceptable competition in insurance markets, and what makes such markets “stable.” The bill empowers bureaucrats to wield power over companies and individuals in terms decided by the bureaucrats. This is arbitrary power, granted by Congress to the “Secretary,” meaning to thousands of bureaucrats. Every American will be subject to their decisions, on local, state and national levels.
A text search of the bill reveals more than one hundred instances of language such as 'the Secretary shall determine.'”
And the Secretary will decide. She'll decide who lives, who dies, and how much it costs to accomplish either.
Anyone else feel like a character in an Orwell novel?
| December 17, 2009"The abortion issue is likely to be among the most contentious in House-Senate negotiations on a final compromise bill. The House bill imposes strict limits intended to bar any federal funds from being used to pay for the procedure. The Senate bill, at least for now, would impose limits on coverage but still allow women who get government subsidies to enroll in a plan that covers abortion."
| December 16, 2009
| December 10, 2009| Poll | Date | Sample | For/Favor | Against/Oppose | Spread |
|---|---|---|---|---|---|
| RCP Average | 11/13 - 12/6 | -- | 39.7 | 49.0 | Against/Oppose +9.3 |
| Quinnipiac | 12/1 - 12/6 | 2313 RV | 38 | 52 | Against/Oppose +14 |
| Rasmussen Reports | 12/4 - 12/5 | 1000 LV | 41 | 51 | Against/Oppose +10 |
| Gallup | 11/20 - 11/22 | 1017 A | 44 | 49 | Against/Oppose +5 |
| Ipsos/McClatchy | 11/19 - 11/22 | 1176 A | 34 | 46 | Against/Oppose +12 |
| FOX News | 11/17 - 11/18 | 900 RV | 35 | 51 | Against/Oppose +16 |
| CNN/Opinion Research | 11/13 - 11/15 | 1014 A | 46 | 49 | Against/Oppose +3 |
| CBS News | 11/13 - 11/15 | 873 A | 40 | 45 | Against/Oppose +5 |
| December 10, 2009"Inhofe is going to Copenhagen as the leader of a three-man "truth squad" to spread the message that the Senate will not pass a cap-and-trade bill to curb carbon emissions. Inhofe told National Review Online in September that he intends "to make sure that those attending the Copenhagen conference know what is really happening in the United States Senate." Sens. John Barrasso, R-Wyo., and Roger Wicker, R-Miss., will round out the group."

"The excise tax would be levied against insurance companies on premiums exceeding a certain threshold, which begins as low as $8,500 for single coverage and is slated to rise much more slowly than the average increase in the cost of insurance. In effect, it means that while initially it may affect only a small number of middle-income families, within just a year or two, it will begin to capture many more insurance policies.
One projection, based on the average cost of family insurance coverage provided through the School Employees’ Health Benefits Program, shows that the excise tax is likely to kick in by year two. By year ten, based on projected growth in the cost of insurance, the tax could well exceed $10,000 on a family premium. That cost will certainly pass from the insurance company to the employer who pays the premium. Employers will attempt to shift the burden to employees. The end result: higher costs for middle class families.
Even worse, the quality of insurance coverage will almost certainly decline. To minimize or avoid the impact of the excise tax, employers and employees will be forced to consider reduced benefits, again leaving families more vulnerable to unexpected – and potentially uncovered – medical costs. Ultimately, the excise tax would trigger a race to the bottom, raising costs, lowering quality and putting a greater burden on middle-class families who can ill afford it."
Brian McGovern | December 2, 2009
“Just for a second—health care reform, whether you use aten-year number or when you start in 2010 or start in 2014, wherever you startat, so it is still either $1 trillion or it’s $2.5 trillion, depending on where you start…”

"Charlie Haggart is 68 years old and suffering from liver and kidney failure. He wants a double transplant, which would cost about $450,000. But doctors have told him he's currently too weak to be a candidate for the procedure.
At a meeting with Haggart's family and his doctors, Dr. Byock raised the awkward question of what should be done if he got worse and his heart or lungs were to give out.
He said that all of the available data showed that CPR very rarely works on someone in Haggart's condition, and that it could lead to a drawn out death in the ICU.
"Either way you decide, we will honor your choice, and that's the truth," Byock reassured Haggart. "Should we do CPR if your heart were to suddenly stop?"
"Yes," he replied.
"You'd be okay with being in the ICU again?" Byock asked.
"Yes," Haggart said.
"I know it's an awkward conversation," Byock said.
"It beats second place," Haggart joked, laughing.
"You don't think it makes any sense?" Kroft asked the doctor.
"It wouldn't be my choice. It's not what I advise people. At the present time, it's their right to request it. And Medicare pays for it," Byock said.
When it comes to expensive, hi-tech treatments with some potential to extend life, there are few limitations.
By law, Medicare cannot reject any treatment based upon cost. It will pay $55,000 for patients with advanced breast cancer to receive the chemotherapy drug Avastin, even though it extends life only an average of a month and a half; it will pay $40,000 for a 93-year-old man with terminal cancer to get a surgically implanted defibrillator if he happens to have heart problems too.
"I think you cannot make these decisions on a case-by-case basis," Byock said. "It would be much easier for us to say 'We simply do not put defibrillators into people in this condition.' Meaning your age, your functional status, the ability to make full benefit of the defibrillator. Now that's going to outrage a lot of people."
"But you think that should happen?" Kroft asked.
"I think at some point it has to happen," Byock said.
"Well, this is a version then of pulling Grandma off the machine?" Kroft asked.
"You know, I have to say, I think that's offensive. I spend my life in the service of affirming life. I really do. To say we're gonna pull Grandma off the machine by not offering her liver transplant or her fourth cardiac bypass surgery or something is really just scurrilous. And it's certainly scurrilous when we have 46 million Americans who are uninsured," Byock said."
Nicholas Kristof wrote an article in the New York Times last week depicting conservatives as being “on the wrong side of history.” To support this conclusion, Kristof relies on predictions made by conservatives during the debates over Medicare and Social Security to demonstrate the supposed fallacy of conservative thought. More specifically, Kristof writes:
The Wall Street Journal’s editorial page predicts that the legislation will lead to “deteriorating service.” Business groups warn that Washington bureaucrats will invade “the privacy of the examination room,” that we are on the road to rationed care and that patients will lose the “freedom to choose their own doctor.”
All dire — but also wrong. Those forecasts date not from this year, but from the battle over Medicare in the early 1960s. I pulled them from newspaper archives and other accounts.
Yet this year those same accusations are being recycled in an attempt to discredit the health reform proposals now before Congress. The heirs of those who opposed Medicare are conjuring the same bogymen — only this time they claim to be protecting Medicare.
Indeed, these same arguments we hear today against health reform were used even earlier, to attack President Franklin Roosevelt’s call for Social Security. It was denounced as a socialist program that would compete with private insurers and add to Americans’ tax burden so as to kill jobs.
According to Kristof, the conclusion that we should draw from this is that because those arguments were “wrong,” the arguments made today in opposition to Obamacare are similarly wrong. This argument however assumes a lot.
With respect to the fear that “patients will lose the ‘freedom to choose their own doctor,” the New York Times published an article last May which confirms that this fear has become a reality. Doctors are increasingly opting out of Medicare because Medicare’s “reimbursement rates are too low and [its] paperwork [is] too much of a hassle,” thereby limiting the ability of patients to choose their own doctors. Furthermore, this article published by the Heritage Foundation confirms what many of us have known all along, that government intervention precludes patient choice. Tellingly, the authors of this article write:
Last August, under a veto threat from President Clinton, Members of Congress quietly enacted a new provision of law as part of the voluminous Balanced Budget Act of 1997. It is unprecedented in American law.
Under Section 4507 of the Balanced Budget Act, any doctor is free to contract privately with a patient enrolled in the Medicare program, treat that patient on an independent basis outside of the rules and regulations of the Medicare program, and refrain from submitting any claims to the taxpayer for Medicare reimbursement.
However, Section 4507 contains a catch. A doctor who wishes to contract privately with a patient enrolled in Medicare Part B must first sign an affidavit to that effect, submit that affidavit to the Secretary of Health and Human Services within ten days, and agree to remove himself from the Medicare program and refrain from submitting any claims to Medicare for reimbursement for a period two full years.
In other words, a doctor could not even treat his mother in exchange for an apple pie without dropping out of Medicare for two years. The new law has been the subject of extensive and heated debate in Congress. It also is becoming a subject of debate around the country.
Maybe it’s just me, but it certainly seems as though those predictions made long ago about Medicare have come true.
Kristof’s argument regarding social security is just as tenuous. Kristof argues that because social security has not yet bankrupted our country, the predictions made during the debate over it suggesting that social security would bankrupt our country were wrong. What Kristof fails to consider is that social security is going bankrupt. By disregarding this, Kristof turns a blind eye to facts suggesting that those naysayers were correct.
More importantly though, Kristof’s argument relies on the assumption that Obamacare would somehow be distinct from past government interventions. What he doesn’t realize is that those predictions made long ago about Social Security and Medicare still apply today. If a personal trainer tells you that you shouldn’t lift a 100 lb. barbell and you do so without problem, does that mean you should ignore his advice when he warns you against lifting the 200 lb. barbell? The answer is no. It does not logically follow that because the trainer was wrong about the 100 lb. barbell, that he will consequently be wrong about your ability to lift the 200 lb. barbell.
When it comes to government intervention, Medicare and Social Security represent the 100 lb. barbell, and Obamacare represents the 200 lb. one. There is simply no guarantee that because we have so far managed to survive the existing government intrusions into the market place that we will be able to do so indefinitely, and thus, Kristoff’s use of history to predict the future is misguided.
"Many watchers of House politics are tempted to downplay the potential for real races in these districts after taking one look at immediate past election history. How could Republicans possibly threaten the likes of Skelton or Spratt, both of whom won more than 62 percent of the vote in 2008? Or Gordon, Tanner, or Boucher, all of whom were unopposed last year? But that was before they were saddled with a sitting Democratic president who is beyond radioactive in their districts. History is history.
Less than a year out from Election Day, it's time to rethink who the vulnerable Democrats are. And if President Obama is the dominant issue of the 2010 midterms (and rarely has a midterm not been a referendum on the incumbent president), Democrats ought to be seriously concerned about districts where reliable surveys suggest voters are in open revolt against him. Democrats would rather not draw attention to their problems in these districts, but both parties recognize the sea change underway."
The Honorable Mark Begich 144 Russell Senate Office Building Washington, D.C. 20510-0201 Phone: (202) 224-3004 Fax: (202) 228-3205
The Honorable Michael Bennet 702 Hart Senate Office Building Washington, D.C. 20510-0606 Phone: (202) 224-5852 Fax: (202) 228-5036
The Honorable Robert C. Byrd 311 Hart Senate Office Building Washington, D.C. 20510-4801 Phone: (202) 224-3954 Fax: (202) 228-0002
The Honorable Mary Landrieu 328 Hart Senate Office Building Washington, D.C. 20510-1803 Phone: (202) 224-5824 Fax: (202) 224-9735
The Honorable Joe Lieberman 706 Hart Senate Office Building Washington, D.C. 20510-0703 Phone: (202) 224-4041 Fax: (202) 224-9750
The Honorable Blanche Lincoln 355 Dirksen Senate Office Building Washington, D.C. 20510-0404 Phone: (202) 224-4843 Fax: (202) 228-1371
The Honorable Claire McCaskill 717 Hart Senate Office Building Washington, D.C. 20510-2504 Phone: (202) 224-6154 Fax: (202) 228-6326
The Honorable Ben Nelson 720 Hart Senate Office Building Washington, D.C. 20510-2705 Phone: (202) 224-6551 Fax: (202) 228-0012
The Honorable Mark Pryor 255 Dirksen Senate Office Building Washington, D.C. 20510-0403 Phone: (202) 224-2353 Fax: (202) 228-0908
The Honorable Mark R. Warner 459A Russell Senate Office Building Washington, D.C. 20510-4601 Phone: (202) 224-2023 Fax: (202) 224-6295
The Honorable Jim Webb 248 Russell Senate Office Building Washington, D.C. 20510-4603 Phone: (202) 224-4024 Fax: (202) 228-6363
After months of debate over reforming the health-care system, I decided to vote against the bill that the House of Representatives passed a little more than a week ago.
I did not come to this decision lightly. Like many Americans, I spent the last few months talking with family members, friends, and neighbors about how to improve the health-care system. I hosted nearly 60 community meetings across South Jersey to share my thoughts and listen to the ideas and concerns of local residents.
Throughout this process, I have said that I strongly believe we need health-care reform in this country, and that any comprehensive plan needs to fulfill two goals: first, it has to provide access to quality health care for all Americans; and second, it must ensure that health care is more affordable in the long term.
While I support many elements of the House health-care bill, it moves us closer to meeting only the first goal.
I am pleased that the legislation makes great strides toward offering all Americans access to affordable health care; includes a public option; and cracks down on many of the insurance industry abuses that add to the high price of health care.
But the bill does not do enough to "bend the cost curve" or make health care more affordable for middle-class families and small businesses in the future. The United States spends more per capita on health care than any other country, and the House bill will not reverse that trend. While it is important to reform the system, we have to make sure we do it right.
Making health care affordable is one of my top priorities. More than 30 years ago, my father had his first heart attack. At the time, he owned a dry-cleaning business in Haddonfield and could not afford health insurance. The medical bills were unaffordable for my family, and my father was forced to leave the hospital and get back to work before he was ready. After three more heart attacks and expensive hospital stays, my father lost his business and died at the age of 47.
Three decades later, American families are still being priced out of the system. Every year, health-care costs rise faster than wages and inflation, and the burden ultimately falls on working families and small businesses.
The bill I voted against does not do enough to rein in costs or ensure that working Americans will be able to afford health care five or 10 years from now. We cannot reform the system by passing on the tough decisions to our children and grandchildren.
Congress should not be passing a plan that costs more than $1 trillion. We need to consider additional reforms that will improve the quality of care while also lowering costs.
We can squeeze more money out of the system by eliminating waste, fraud, and abuse, and without having to raise taxes on working families or small businesses. We can change the philosophy of care by rewarding quality rather than quantity.
In addition, Congress should grant authority to an independent commission to review Medicare reimbursement rates. The Congressional Budget Office has estimated that such a provision, which is in the Senate proposal but not in the House bill, would save $22 billion over five years.
Congress also should facilitate information coordination among health-care providers. We should allow small businesses to join together to get better health insurance rates. And we should allow health insurance plans to be sold across state lines.
We should also give people incentives to live healthier lives. I am a sponsor of a bill that would reduce premiums for Americans who exhibit healthy behaviors or make efforts to achieve normal blood pressure, normal weight, and low cholesterol.
We have a chance to solve this country's monumental health-care problems. We need to make the hard choices and produce a sustainable, long-term plan. I will continue my efforts to find reforms that benefit American families, seniors, taxpayers, and small businesses, and I hope to see an improved bill sent to the president later this year.
U.S. Rep. John Adler is a Democrat representing parts of Burlington, Camden, and Ocean Counties. He is a member of the House Financial Services and Veterans Affairs Committees. For more information, see http://adler.house.gov.

"Most women don't need a mammogram in their 40s and should get one every two years starting at 50, a government task force said Monday. It's a major reversal that conflicts with the American Cancer Society's long-standing position.
Also, the task force said breast self-exams do no good and women shouldn't be taught to do them.
For most of the past two decades, the cancer society has been recommending annual mammograms beginning at 40.
But the government panel of doctors and scientists concluded that getting screened for breast cancer so early and so often leads to too many false alarms and unneeded biopsies without substantially improving women's odds of survival.
"The benefits are less and the harms are greater when screening starts in the 40s," said Dr. Diana Petitti, vice chair of the panel."
Will this new ruling affect the ability of women to obtain mammograms?
Maybe... or maybe not:
"The new guidelines were issued by the U.S. Preventive Services Task Force, whose stance influences coverage of screening tests by Medicare and many insurance companies.
But Susan Pisano, a spokeswoman for America's Health Insurance Plans, an industry group, said insurance coverage isn't likely to change because of the new guidelines. No changes are planned in Medicare coverage either, said Dori Salcido, spokeswoman for the Health and Human Services department."
"The Senate proposal for ObamaCare at first included a tax on all “medical devices,” a broad categorization that would have imposed fees on such staples as tongue depressors and tampons, according to Amanda Carpenter at the Washington Times. Only after a backlash from critics did Sen. Max Baucus amend his plan to only tax Class II devices starting at a retail price of $100, and all Class III and above devices."
..."Has anyone taken a look at the devices to which this new tax will apply? There are more than 2900 of them, according to the FDA’s listing, which I took the time to download and sort today. Included in this list are items both ubiquitous and arcane, but they all will cost us more to fund Obamacare. Some examples:
- Dentures, both partial and full (Class VI)
- Fetal cell-screening kit (Class IV)
- Female condoms, single use (Class III)
- Treponemal syphilis test (Class IV)
- HIV saliva test kit (Class IV)
- Patient data storage and transmission software (Class VI)
- Stair-climbing wheelchair (Class III)
- Inflatable penis prosthetic (Class III)
- Hip, knee, ankle, breast prosthetics (Class III)
- Soft contact lenses, extended wear (Class III)
- IUDs (Class III)
- Dialysis catheters (Class III)
- Dental X-rays (Class II)
- Sickle-cell anemia tests (Class II)
- Mammograms (Class II)
And so on. Those Class II items are presumably costlier than $100, although the FDA does not have pricing lists for them."


Statements by more than a dozen lawmakers were ghostwritten, inwhole or in part, by Washington lobbyists working for Genentech, one ofthe world’s largest biotechnology companies.
E-mail messages obtained by The New York Times show that the lobbyists drafted one statement for Democrats and another for Republicans.
The lobbyists, employed by Genentech and by two Washington law firms, were remarkably successful in getting the statements printed in the Congressional Record under the names of different members of Congress.
Genentech, a subsidiary of the Swiss drug giant Roche, estimates that 42 House members picked up some of its talking points — 22 Republicans and 20Democrats, an unusual bipartisan coup for lobbyists.
In an interview, Representative Bill Pascrell Jr.,Democrat of New Jersey, said: “I regret that the language was the same.I did not know it was.” He said he got his statement from his staff and“did not know where they got the information from.”

"Representative Donald M. Payne, Democrat of New Jersey, used thesame words, but said the bill would improve the lives of “ALLAmericans.”
Mr. Payne and Mr. Brady said the bill would “create new opportunities and markets for our brightest technology minds.” Mr. Pascrell said the bill would “create new opportunities and markets for our brightest minds in technology.”
Rush Holt really wants to lose in 2010, Save Jerseyans. With Jon Corzine heading into political retirement, perhaps Rush is worried about being the only wire-framed glasses wearing, oxford sweater vest flaunting pseudo inte