Guest guest Posted June 9, 2000 Report Share Posted June 9, 2000 http://news.lycos.com/headlines/TopNews/article.asp?docid=RTNEWS-CONGRESS-HE ALTH-DC & date=20000608 Senate Narrowly Kills Democratic Health Bill Thursday, June 08, 2000 By Joanne Kenen WASHINGTON (Reuters) - For the second time in less than a year, the Senate Thursday narrowly defeated a Democratic patients' bill of rights, but it may not be the last word on the hot-button issue this election year. As HMOs (health maintenance organizations) and other forms of managed care have proliferated, concern has mounted that they may, in some cases, put cost-savings above health. Congress has been bombarded with horror stories about patients being denied access to emergency rooms, medical specialists, diagnostic tests or cutting edge treatment -- although the HMO industry says such anecdotes give a distorted image of managed care and that proposals for federal regulation are too heavy-handed. The House passed a bipartisan patients' rights bill last year, that covers all privately insured Americans and gives people the right to sue their health plan if care is delayed or denied. It had the backing of the American Medical Association and many patient advocacy groups. But the Senate has been bitterly divided on party lines, and it passed a narrower Republican bill with no right to sue. After months of negotiations, no compromise has been struck. " We have not acted. And tens of thousands of people are paying a price that they shouldn't have to pay because we have not acted, " said Senate Democratic leader Tom Daschle of South Dakota. President Clinton, en route back from Japan, also issued a statement from Air Force One urging the Senate to back the bill. The vote, on a procedural motion that effectively killed the bill for now, was 51-48, with four Republicans joining the Democrats. That's a gain of two Republican votes for the Democrats since the last Senate vote on the issue last July. And one Democrat was absent. Key Republicans signaled they were all but abandoning any hopes for bipartisan compromise, although they will keep talking. " Everything that the White House has done and everything that the Democrats have done in the last couple of days has been very detrimental, " said assistant Senate Republican leader Don Nickles of Oklahoma. " If we want a patients' bill of rights, Republicans are going to have to write this bill and pass it, " said Texas Republican Phil Gramm. But lead Democrats hailed the close vote as a sign that victory was in their grasp. " We're one vote away, " said Massachusetts Democrat Kennedy. If further negotiations fail, " We'll come back to the floor and debate this again and again and again. " Democrats did not rule out sweetening their offer next time with some health-related tax provisions favored by Republicans, such as tax-free Medical Savings Accounts. Last year, the late Chafee of Rhode Island and Fitzgerald were the two Senate Republicans to basically side with the Democrats on most HMO-related votes. On this procedural vote, Fitzgerald, Chafee's son and successor Lincoln, Arlen Specter of Pennsylvania and McCain of Arizona crossed party lines. But the majority of Senate Republicans say the Democratic approach would raise costs, and add another million people to the 44 million who already lack insurance. They also said lawsuits would not get people timely care. If your child needs medical care, " you want to go to some quick appeals process, not to some courtroom three years from now, " said Tennessee Republican Sen. Bill Frist. Quote Link to comment Share on other sites More sharing options...
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