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    The House Cloakroom: Nov. 16 – 20

    Analysis – With the first half of the health care bill now passed out of the House the Speaker now pivots to the second half of the health care bill commonly referred to as the “doc fix.” The “doc fix” refers to the undoing of the flawed Medicare payment update … More

    "Fix The Docs" Without Driving Up The Deficit

    Congress and the Administration are breaking records. They just piled up a deficit of over $1.4 trillion in 2009 alone. Needless to say moderates and fiscal conservatives in both political parties have cause for very bad night’s sleep. The Doc Mess. The latest chapter in this crazy drama is to … More

    Why Believe New Promise When Congress Breaks Old Promise?

    Congress wants America to believe its new promises to control spending even as it reneges on its old promises and spends more than ever. The “new” promise within health care reform bills is to reduce Medicare spending by hundreds of billions of dollars. Yet simultaneously, Congress is reversing 1997 legislation … More

    Promised Health Care Savings: Don't Bet On Medicare Cuts

    Forget the President’s rhetoric about bending the health care cost curve. The House of Representatives will soon vote on legislation (H.R. 3961) that effectively repeals the cost control mechanism included in the Medicare physician payment update formula back in 1997. Passage of H.R. 3961 would add another $210 billion to … More

    Next Week's House Health Care Shell Game

    Next week, the House of Representatives is scheduled to take up a bill (H.R. 3961) which would enact a permanent “fix” to the unquestionably flawed Medicare physician payment update formula. The Congress created a formula for physician Medicare payment that would automatically cut doctor payments, but has routinely acted to … More

    The Spending and Tax Increases of the House Health Bill in Pictures

    The key to this chart is the second graph showing the spending “cuts” in the H.R. 3962. Nobody in world believes those cuts will happen. Which is why the true cost of the House health Bill is $1.5 trillion.

    The Senate Cloakroom: Oct. 26 – 30

    Senate Analysis – An extension of unemployment insurance benefits will occupy the Senate for most of the week. Not only is extending jobless benefits the wrong way to address the lack of jobs, but Senators are likely to attach more misguided policies – like an extension of the homebuyers tax … More

    Morning Bell: A Whole New Health Care Ball Game

    You have to read all the way to page A-25 in today’s New York Times to learn about it, but the Senate took its first floor vote on Obamacare yesterday and the White House lost. Big. The NYT reports: “Democrats lost a big test vote on health care legislation on … More

    Fixing the Doctors Good and Hard: Impact of the Health Bills on the Medical Profession

    While some prominent physician groups at the national level like the American Medical Association have suggested that the typical doctor on net would be better off if Congress’s health care legislation were to pass—mainly because of all the changes in Medicare payment methodology—those groups have generally failed to acknowledge a … More

    Secret Obamacare Negotiations Enter Day 7 – The Fix is in

    As the secret Obamacare negotiations enter Day 7, word has leaked from the meeting that the White House and Senate leaders have ordered Congress to pass a $247 billion dollar payoff to doctors groups for their support of comprehensive health care reform. The Fix is in – Doc Fix that … More