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Special Edition: Health System Reform
In July, health system reform got off to a very fast and emotional start. This quick start fueled what can only be described as a political feeding frenzy. This has hidden the fact that the process is really just getting started and is still a long way from over. The bills moving through Congress (in 5 committees) are literally moving targets, subject to more amendments after the recess, then assuming both houses pass "something" the final reform bill (the one that counts) will be determined by a House - Senate conference committee. The AMS encourages physician members to stay informed, get involved, and be heard. The AMS has developed a document called Priorities for Health System Reform, which can be found on the AMS website: www.arkmed.org.
You should also watch out for those "false-negatives". During the first 6 months of 2000, $263 million was spent on lobbying over health reform, with 3,300 lobbyists on the payroll (Ark Democrat, August 15th). If you hear statements that appear to be crazy, they probably are. There are certainly provisions in the reform bills that are cause for concern and need to be fought, but there is also an unbelievable level of deliberate, strategic, misinformation being produced by reform opponents in an effort to prevent anything from passing.
In our last News Brief (July 10) the first sentence read, "As of July 4th, no "Health Care Reform" bills had been filed, yet there are drafts and "rumblings." Since then, the drafts and "rumblings" have turned into shouting in town halls all across the country. The initial pace of reform legislation was keyed by President Obama's push for initial votes before the August recess. The AMS and other groups across the nation pushed for a slow-down and help came in the form of the conservative "Blue Dog" Democrats, led by Arkansas Congressman Mike Ross (Chair of the "Blue Dogs" Health Care Task Force), who also preferred to slow things down. |
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What has happened in Washington since our last News Brief
Monday, July 13 and Tuesday, July 14 - Senate Health Education Labor & Pensions (HELP) Committee continued discussions (in private) on health care reform.
Tuesday, July 14 - "America's Affordable Health Choices Act of 2009" (H.R. 3200) was introduced late afternoon in the House of Representatives.
Wednesday, July 15 - Around 10:00 AM local time, Senate HELP Committee surprisingly passes it's "working" version of "Affordable Health Choices Act" (similar to H.R. 3200) out of committee on a partisan vote 13 to 10.
Friday, July 17 - The House Ways & Means Committee and the Education & Labor Committee both pass their versions of H.R. 3200.
Friday, July 31 (last day before August recess) - House Energy & Commerce Committee amends the bill after Congressman Ross and other "Blue Dogs" on the committee were successful in getting President Obama and the House Leadership to agree to certain changes.
Energy & Commerce made key changes to the "Public Option" which are advocated in the AMS' "Priorities for Health System Reform." Those points are: (1) if there is a Public Health Insurance Option (AMS does not believe a government-run option is the best way to expand coverage or create competition in the marketplace), physician reimbursement must be negotiated, not set by the federal government or tied to Medicare, and (2) participation must be voluntary. |
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Most Recent AMS Advocacy Efforts
Through it all, AMS has been advocating for the physicians of Arkansas and their patients. We will continue to be the physician "voice" most heard by our Congressional delegation.
The AMS strategy has been to focus on issues that AMS believes should be supported or opposed in "any" of the reform bills, rather than expend energy supporting or opposing individual bills. This strategy recognizes that all of the bills are moving targets and will undergo multiple amendments. AMS will work to secure changes in each bill that support the established Priorities for Health System Reform.
Please review the timeline of AMS advocacy efforts made for physicians and patients:
Wednesday, July 15 - By noon the day after H.R. 3200 was filed, and right after the Senate HELP Committee passed the "Affordable Health Choices Act" out of committee, AMS had e-mailed and called staff members of the entire Arkansas Congressional delegation to schedule meetings ASAP.
Thursday, July 16 - AMS' Executive Committee meets by conference call to review and discuss the legislation. Established the AMS "Priorities for Health System Reform" in response to the 48-hour-old legislation.
Monday, July 20 - Before noon, the final "Priorities for Health System Reform" draft was sent to the AMS Board of Trustees requesting their approval by the close of business Wednesday, July 22.
Friday, July 24 - "Priorities for Health System Reform" was e-mailed and faxed to the entire Arkansas Congressional delegation and AMS membership.
Wednesday August 5 - AMS physician leadership begins a series of scheduled meetings with the Arkansas Congressional delegation.
Wednesday, August 5 - Congressman Mike Ross.
Monday, August 17 - Congressman Vic Snyder, M.D.
Tuesday, August 18 - Congressman Marion Berry.
Tuesday, August 25 - Congressman John Boozman.
Wednesday, August 26 - Senator Mark Pryor.
Wednesday, September 2 - Senator Blanche Lincoln. |
Speak Up! It's time for you to be heard.
We may not be a large state, but in this debate, Arkansans are represented by folks with a huge say in how things will turn out in the end. Senator Blanche Lincoln sits on the Finance Committee, which will have a tremendous impact on the outcome, and as previously mentioned, Congressman Ross has already weighed-in heavily on the debate as an Energy & Commerce committee member leading the "Blue Dogs" Health Care Task Force.
Already, several physician leaders of the AMS have made one-on-one contact with these individuals. We want to encourage you to contact your Congressman and Senators to share your thoughts with them.
Senator Blanche Lincoln - (202) 224-4843 Senator Mark Pryor - (202) 224-2353 Congressman Marion Berry - (202) 225-4076 Congressman John Boozman - (202) 225-4301 Congressman Mike Ross - (202) 225-3772 Congressman Vic Snyder, M.D. - (202) 225-2506
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Say What? Call us if you have questions.
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