Thursday, December 24, 2009

Reaction from across political spectrum to health vote

Posted by Foon Rhee, deputy national political editor December 24, 2009 09:56 AM
As one might expect, the reaction is pouring in from across the political spectrum to the Senate's historic vote this morning on its health care overhaul.

Marjorie Dannenfelser, president of the anti-abortion group Susan B. Anthony List, said that the bill does not include enough limits on abortion coverage:

"On Christmas Eve, the U.S. Senate gave Americans a gift no one wants: abortion for all, at taxpayer-expense. Even more tragic, they can thank self-described ‘pro-life’ senators like Ben Nelson, Bob Casey, Jr., and Harry Reid for paving the way for legislation that will open the floodgates for the greatest expansion of government-backed abortion since Roe v. Wade.

"Today’s vote was a career-affecting vote. The senators who voted to advance this legislation should consider themselves on notice. Votes have consequences, and the Susan B. Anthony List will use all the resources at our disposal to educate their constituents about today’s result. As this debate moves forward, pro-life House members would do well to consider the impact of their own votes. Abortion is never good for women, and it should never be a legitimate aspect of any ‘health care’ debate.

"If this bill is signed into law, for the first time, federally funded and managed health care plans will cover elective abortions. Pro-life Americans in states that choose to ‘opt-out’ of abortion coverage will still be forced to foot the bill for abortions in California and New York.

"This is not ‘compromise’ or ‘middle ground.’ The only ones who support the senate abortion language are a handful of senators so far-removed from the consciences of their own constituents that it’s laughable. Discussions of ‘different accounts’ and ‘separate checks’ are just a smokescreen.

"This bill is a betrayal of conscience for millions of Americans. And it is a betrayal of the principles proclaimed by Reid, Nelson, and Casey. Today’s vote is exactly the type of ‘leadership’ that repels the American electorate. Americans are hungry for authenticity. They are hungry for leaders whose actions follow their principles, for stalwart representatives who will never abandon their convictions for a sweet deal. Unfortunately, on Christmas Eve 2009, as a result of that lack of real leadership, Americans received the gift of abortion in the name of ‘health care reform.’

AFL-CIO President Richard Trumka said he preferred the House bill, largely because the Senate bill would tax the most generous health plans -- ones that union members have bargained for in place of pay hikes.

"In the face of inexcusable partisanship, obstruction and gamesmanship, it is remarkable that Majority Leader Reid was able to move a health care bill through the United States Senate. Not since the passage of Medicare 44 years ago have we seen Republican scare tactics so blatantly contrary to the interests of the American people.

"At this historic moment, it is so important to the future of working Americans—and to our country—to get health care reform right. Despite doing some good things, the Senate bill remains inadequate. Substantial changes must be made in the final bill. Genuine reform must bring down health costs, hold insurance companies accountable, assure that all Americans can get the health care they need and be financed fairly. That’s why we have been steadfast in support of a public health insurance option. It is the way to break the stranglehold of the insurance industry that has led to skyrocketing health care costs that have especially penalized small business.

"Employers must pay their fair share. It makes no sense to tax the benefits of hard-working Americans to pay for health reform. The House bill curbs insurance companies and taxes the wealthy who benefited so richly from the Bush tax cuts. The Senate bill instead includes exorbitant new taxes on middle class health benefits that would affect one in five workers with employer-provided health coverage—or about 31 million people—in 2016. That’s the wrong way to pay for health care reform and it’s political suicide."

"The House bill is the right model for reform. It covers more people, takes effect more quickly and is financed more fairly. The AFL-CIO is ready to fight on behalf of all working families to produce a final bill that can be called genuine reform. Working people cannot accept anything less."

Tom McMahon, acting executive director of the liberal-labor coalition Americans United for Change, said that improvements are needed to the bill in the House-Senate negotiations:

“Today we are one another step closer to guaranteeing quality, affordable health care for all Americans. There is still a great deal of work to be done to ensure the best possible bill reaches President Obama’s desk. But when historians look back on this moment – and they will – it will mark a turning point in our long struggle to build a health care system Americans deserve. It may also leave a remarkable and indelible imprint on the Republican Party, whose decision to put political posturing before the needs of millions of Americans will tarnish the reputation of the GOP for years to come.

“Under the Senate bill, more than 30 million people will gain health coverage. The Medicare program will be stronger and the federal deficit smaller. People with pre-existing health conditions won’t be rejected or charged higher premiums by insurers, and women will no longer have to pay more than men for the same coverage. Seniors will have expanded prescription drug coverage and young adults will have easy access to health insurance. Americans from every corner of the country will have a reason to be thankful for the Senate’s action today.”

James Rohack, president of the American Medical Association, continued to offer his group's significant support:

“Today, the Senate took an historic vote to improve our nation’s health care system by expanding coverage to millions of Americans and strengthening the private insurance market to better serve the patients who rely on it. The AMA supported passage of the bill because it contains a number of key improvements for our health care system, which currently is not working for far too many patients or the physicians who dedicate their lives to patient care.

“The Senate bill will improve choice and access to affordable health insurance coverage and eliminate denials based on pre-existing conditions. It will increase coverage for preventive and wellness care that can lead to better disease prevention and management, and further the development of comparative effectiveness research that can help patients and physicians make informed treatment decisions. Patients will no longer face lifetime limits on health coverage or higher premiums based on medical conditions or gender.

“While this vote closes one chapter of the legislative process, the hard work is not yet done. The AMA will stay constructively engaged throughout the House and Senate conference process to continue to improve the final bill and assure the best outcome for patients and physicians. Important issues that need to be resolved in the House-Senate conference committee include the scope, authority, accountability and transparency of a payment advisory board. The details of several cost control and quality improvement initiatives also need to be refined so that they do not have unintended consequences for patients and physicians.

“Separate action is needed early next year to permanently repeal the current Medicare physician payment formula to preserve access to care for America’s seniors, baby boomers and military families by creating a stable physician payment system. We commend Senators Reid and Baucus for keeping the focus on a permanent solution to this problem, and we will continue to work closely with them to fix the flawed Medicare physician payment formula once and for all early in the new year.”

Republican National Committee Chairman Michael Steele continued his assault on the bill:

“This morning, as millions of Americans prepared to gather with their families in celebration of Christmas, President Obama and Harry Reid gathered with their liberal allies in celebration of government. Mr. Reid and company honored President Obama’s Christmas wish for increased federal control and passed their government-run health care experiment out of the Senate.

"Immediately following this vote, in a telling and strangely ironic legislative move, the Democrats voted to increase America’s credit card limit because even they know their deficit reduction claims are false. If they were truly proud of this so-called ‘historic’ legislation then they should have stood by their pledge and allowed Senators and the American people 72 hours to read the full legislative text prior to voting instead of secretly rushing it through on Christmas Eve. In fact, most Democrats aren’t proud of this legislation and only voted for it after months of closed door meetings, back room deal making, and political compromise with Harry Reid and the White House. The Democrats have put a $2.5 trillion lump of coal in the stocking of every American knowing that their risky health care experiment still increases premiums, still cuts Medicare, and still enacts hundreds of billions of new taxes to pay for it. Scrooge would be proud. I know a majority of Americans are not. As we move forward, America can look forward to watching Nancy Pelosi conduct the arm-twisting needed to convince her most liberal colleagues that the Senate version is the best Trojan horse possible to hide a true single payer system, which is what this debate has always been about. This Christmas, the Democrats and President Obama have given America the one gift that keeps on taking.”

AARP CEO A. Barry Rand and Massachusetts State Director Deborah Banda praised the vote, but said the final bill needs to do more to close the so-called doughnut hole in Medicare drug coverage:

“This morning the Senate brought us closer to meaningful health care reform than we have ever been before. Passage of the Senate health care reform bill clears the way for Congress to enact legislation in the coming weeks that will protect and strengthen Medicare, ensure millions more Americans can get affordable health coverage and sharply curtail discriminatory insurance company practices that keep those most in need out of the system," Rand said in a statement.

“The bill passed by the Senate makes needed progress to prevent coverage denials due to health status and limit insurance companies from charging older Americans much more for coverage because of their age. It also begins to close the dangerous gap in Medicare drug coverage known as the doughnut hole, and Senate leaders have committed that a final bill will close the gap entirely by 2019, in keeping with the President’s pledge. In addition, the Senate bill adds important new Medicare benefits, like free preventive care, and encourages states to provide more home and community-based long-term care services and supports instead of costlier institutional care.

Banda added:

“AARP thanks the Senate for passing health care reform that protects guaranteed Medicare benefits and helps ensure older Americans can afford quality health services. The legislation is needed to lower drug costs, limit age discrimination by health insurance companies and strengthen long-term care.

“We believe this legislation can be improved even further, especially when it comes to the Medicare prescription drug coverage gap, called the doughnut hole. More then 300,000 Bay State seniors will likely fall into the Medicare doughnut hole next year, costing each up to $3,610 in added health care costs. Both the House and Senate versions of the health reform bill will bring them some immediate relief by narrowing the coverage gap. But some relief isn't enough. We urge the members of the Massachusetts Congressional Delegation to pass a final health reform bill that closes the dreaded doughnut hole completely over time – so seniors can afford to take the medicine that keeps them healthy and out of more expensive care.”

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