Has the bill been posted on line yet?

So even if they pass this, since it is different from the Senate bill, it has to go back over there to be passed again, right?

Only if both bills are identical, can it be presented to Obama
 
So even if they pass this, since it is different from the Senate bill, it has to go back over there to be passed again, right?

Only if both bills are identical, can it be presented to Obama
What's happening is that they're trying to get enough votes for the Slaughter cramdown rule, so they can magically deem the bill to be passed without an actual vote....Then the whole mess goes to the WH for signature.

After a bill passes both houses, no further wrangling is required.

It's total banana republic stuff going on here.
 
But if there are differences, and there are differences galore, the differnces have to be resolved. It means there are two different bills out there now.

passing amendments to it means it is different from the senate version, and still needs Senate approval I thought.
 
So even if they pass this, since it is different from the Senate bill, it has to go back over there to be passed again, right?

Only if both bills are identical, can it be presented to Obama
What's happening is that they're trying to get enough votes for the Slaughter cramdown rule, so they can magically deem the bill to be passed without an actual vote....Then the whole mess goes to the WH for signature.

After a bill passes both houses, no further wrangling is required.

It's total banana republic stuff going on here.

Right....but what's getting lost in the shuffle are all the promises/deals being crammed down in this legislative pretzel.....they'll have to pass not only the House but the Senate as well...could be a problem...

Who here really thinks Obama is going to give a HOOT about any pesky deals/promises once he signs his "deemed to be passed" Healthcare bill.........? I think he'll just jump ship onto Air Force One and skeedaddle over to revive his childhood memories of attending mosque in Indonesia and probably do some more bowing....

....and to hell with the House Dimwits stuck with empty (or revised) promises...:lol:

(which is why i pray that Stupak et al don't fall for some gimmick)
 
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So even if they pass this, since it is different from the Senate bill, it has to go back over there to be passed again, right?

Only if both bills are identical, can it be presented to Obama



Picture two stacks of paper. One is the Senate bill that passed the Senate on Dec 24. The other is a bill that contains the takeover of the student loan program AND the proposed changes to the Senate healthcare bill. For the vote on Sunday, picture Nancy stacking those two bills on top of each either. IF the vote is "aye", then picture Nancy taking the student loan bill w/proposed health changes OFF the top of the stack, leaving the Senate bill standing alone. She will then send the Senate healthcare bill, unchanged< to Obama for signature. The student loan bill w/proposed healthcare changes would go to the Senate for possible passage. Until and if the Senate chooses to change it, the current Senate healthcare bill will be the law of the land.
 
But if there are differences, and there are differences galore, the differnces have to be resolved. It means there are two different bills out there now.

passing amendments to it means it is different from the senate version, and still needs Senate approval I thought.

They don't care. They've never cared.
 
Without a final CBO score, the posting is incomplete - imo.
 
Here's the letter the American Medical Association sent to congress this afternoon.




AMA

J. James Rohack, MD, president

March 19, 2010

The Honorable Nancy Pelosi
Speaker
United States House of Representatives
H-232 Capitol Building
Washington, DC 20515


Dear Speaker Pelosi:

After careful review and consideration, the Board of Trustees of the American Medical Association (AMA) supports passage of the health system reform legislation under consideration in the House as a step forward in the journey to provide health care coverage for all Americans.

When H.R. 3590 was being considered in the Senate, the AMA supported its passage while expressing opposition to certain provisions that we believed could be resolved in the conference committee process. Working with the Administration, congressional leaders and their very dedicated staff, significant progress was made toward resolving many of our most serious concerns. Unfortunately, there are issues in H.R. 3590 that cannot be addressed through the current reconciliation process and so will still need to be addressed by Congress and the Administration.

This forced us to weigh very carefully whether the legislation, on balance, will enhance patient care and the fundamental patient-physician relationship. By extending coverage to the vast majority of the uninsured, improving competition and choice in the insurance marketplace, promoting prevention and wellness, reducing administrative burdens, and promoting clinical comparative effectiveness research, we believe that H.R. 3590 does, in fact, improve the ability of patients and their physicians to achieve better health outcomes.

The pending bill is an imperfect product. Congress needs to act very soon to preserve access to care for seniors and military families by permanently repealing the Medicare sustainable growth rate formula that will trigger physician payment cuts of over 21 percent next month. House and Senate leaders must also move immediately to correct problems with the proposed Independent Payment Advisory Board. Other provisions that must be promptly addressed in a subsequent corrections bill include the cost-quality value index and safeguards for data release and public reporting activities. The health care system will be further improved by reining in unnecessary costs through enactment of effective medical liability reforms.

The AMA will be relentless in our pursuit of these important policy adjustments.

Passage of H.R. 3590 marks an important step toward improving the health of the American people, but our work here is far from done. Additional congressional action is needed to address outstanding issues. We look forward to working with you on the next steps to strengthen our health care system.

Sincerely,

J. James Rohack, MD


cc: Members of the U.S. House of Representatives
http://www.ama-assn.org/ama1/pub/upload/mm/399/hsr-3590-passage-support.pdf

http://www.ama-assn.org/
 
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Of course the AMA (which represents only 20% of doctors) supports the bill.

They've been promised that the Doctor Fix will be handled separately if they support the bill.
 
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Of course the AMA (which represents only 20% of doctors) support the bill.

They've been promised that the Doctor Fix will be handled separately if they support the bill.


Yep.. That 300-400 BILLION dollar fix that they took OUT of the numbers they sent to the CBO on the healthcare bill. The shell game goes on.
 
But if there are differences, and there are differences galore, the differnces have to be resolved. It means there are two different bills out there now.

passing amendments to it means it is different from the senate version, and still needs Senate approval I thought.

They are trying to pass the changes first so that they can claim the Senate bill passes as it was voted on in the senate. Then they can reconcile the changes with a straight up and down vote in the Senate. It's totally screwed up way of getting around the procedures. I hope that the whole thing is challenged as unconstitutional.
 
Here's the letter the American Medical Association sent to congress this afternoon.




AMA

J. James Rohack, MD, president

March 19, 2010

The Honorable Nancy Pelosi
Speaker
United States House of Representatives
H-232 Capitol Building
Washington, DC 20515


Dear Speaker Pelosi:

After careful review and consideration, the Board of Trustees of the American Medical Association (AMA) supports passage of the health system reform legislation under consideration in the House as a step forward in the journey to provide health care coverage for all Americans.

When H.R. 3590 was being considered in the Senate, the AMA supported its passage while expressing opposition to certain provisions that we believed could be resolved in the conference committee process. Working with the Administration, congressional leaders and their very dedicated staff, significant progress was made toward resolving many of our most serious concerns. Unfortunately, there are issues in H.R. 3590 that cannot be addressed through the current reconciliation process and so will still need to be addressed by Congress and the Administration.

This forced us to weigh very carefully whether the legislation, on balance, will enhance patient care and the fundamental patient-physician relationship. By extending coverage to the vast majority of the uninsured, improving competition and choice in the insurance marketplace, promoting prevention and wellness, reducing administrative burdens, and promoting clinical comparative effectiveness research, we believe that H.R. 3590 does, in fact, improve the ability of patients and their physicians to achieve better health outcomes.

The pending bill is an imperfect product. Congress needs to act very soon to preserve access to care for seniors and military families by permanently repealing the Medicare sustainable growth rate formula that will trigger physician payment cuts of over 21 percent next month. House and Senate leaders must also move immediately to correct problems with the proposed Independent Payment Advisory Board. Other provisions that must be promptly addressed in a subsequent corrections bill include the cost-quality value index and safeguards for data release and public reporting activities. The health care system will be further improved by reining in unnecessary costs through enactment of effective medical liability reforms.

The AMA will be relentless in our pursuit of these important policy adjustments.

Passage of H.R. 3590 marks an important step toward improving the health of the American people, but our work here is far from done. Additional congressional action is needed to address outstanding issues. We look forward to working with you on the next steps to strengthen our health care system.

Sincerely,

J. James Rohack, MD


cc: Members of the U.S. House of Representatives
http://www.ama-assn.org/ama1/pub/upload/mm/399/hsr-3590-passage-support.pdf

American Medical Association

I'm Glad my Doctor isn't a member of the AMA.
 
Of course the AMA (which represents only 20% of doctors) support the bill.

They've been promised that the Doctor Fix will be handled separately if they support the bill.




Yep, I think most doctors know how things have gone over the past decade in their own industry and why insurance costs have gone up so much because THEY have to pay for the administrative burden that is required by these darn insurance companies.

Doctors know precisely how the inception of "managed care" has increased their overhead and the need for more staff...But, oh joy we have more JOBS! :doubt:


It's insane how much money people pay in premiums these days...
 
Here's the letter the American Medical Association sent to congress this afternoon.




AMA

J. James Rohack, MD, president

March 19, 2010

The Honorable Nancy Pelosi
Speaker
United States House of Representatives
H-232 Capitol Building
Washington, DC 20515


Dear Speaker Pelosi:

After careful review and consideration, the Board of Trustees of the American Medical Association (AMA) supports passage of the health system reform legislation under consideration in the House as a step forward in the journey to provide health care coverage for all Americans.

When H.R. 3590 was being considered in the Senate, the AMA supported its passage while expressing opposition to certain provisions that we believed could be resolved in the conference committee process. Working with the Administration, congressional leaders and their very dedicated staff, significant progress was made toward resolving many of our most serious concerns. Unfortunately, there are issues in H.R. 3590 that cannot be addressed through the current reconciliation process and so will still need to be addressed by Congress and the Administration.

This forced us to weigh very carefully whether the legislation, on balance, will enhance patient care and the fundamental patient-physician relationship. By extending coverage to the vast majority of the uninsured, improving competition and choice in the insurance marketplace, promoting prevention and wellness, reducing administrative burdens, and promoting clinical comparative effectiveness research, we believe that H.R. 3590 does, in fact, improve the ability of patients and their physicians to achieve better health outcomes.

The pending bill is an imperfect product. Congress needs to act very soon to preserve access to care for seniors and military families by permanently repealing the Medicare sustainable growth rate formula that will trigger physician payment cuts of over 21 percent next month. House and Senate leaders must also move immediately to correct problems with the proposed Independent Payment Advisory Board. Other provisions that must be promptly addressed in a subsequent corrections bill include the cost-quality value index and safeguards for data release and public reporting activities. The health care system will be further improved by reining in unnecessary costs through enactment of effective medical liability reforms.

The AMA will be relentless in our pursuit of these important policy adjustments.

Passage of H.R. 3590 marks an important step toward improving the health of the American people, but our work here is far from done. Additional congressional action is needed to address outstanding issues. We look forward to working with you on the next steps to strengthen our health care system.

Sincerely,

J. James Rohack, MD


cc: Members of the U.S. House of Representatives
http://www.ama-assn.org/ama1/pub/upload/mm/399/hsr-3590-passage-support.pdf

American Medical Association

I'm Glad my Doctor isn't a member of the AMA.


Yes, as boedicca pointed out the vast majority don't even belong.
 

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