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Specter to Support Cloture on Card Check

08.16.09

Specter to Support Cloture on Card Check

By Matthew Murray
Roll Call Staff

http://www.rollcall.com/news/37775-1.html

Recent party switcher Sen. Arlen Specter (D-Pa.) will vote to cut off debate on a forthcoming Employee Free Choice Act compromise, the lawmaker confirmed Friday following his appearance at the Netroots Nation convention in Pittsburgh.

“I expect the cloture vote to occur on a modified version of the [EFCA] legislation,” Specter said in a statement. “And I will support that cloture vote.”

Specter’s pledge to support a yet-to-be-introduced “card check” compromise, which is still being negotiated, comes after he told the crowd that he supports having up-or-down votes — without explicitly naming the EFCA compromise legislation.

Specter said he generally expects “to support [Senate Majority Leader Harry] Reid [D-Nev.] on a bill he wants to bring up,” before citing his vote last Congress on previous card-check legislation.

“That was illustrated by when there were 49 Republican Senators a couple of years ago and the Employee Free Choice Act came up [and] I was the sole Republican who voted for cloture, so we could take up the bill,” Specter said. “Legislation ought to be considered by the Senate.”

Specter’s announcement comes as he faces a bloody 2010 primary fight against Rep. Joe Sestak (D-Pa.), who is running to the ideological left of the five-term Senator and questioning his Democratic bona fides.

Before Specter bolted the GOP in April, he had said he would not support the card-check bill this Congress, saying during a highly publicized floor speech on March 24 that he would not cast the deciding vote to cut off debate on the contentious legislation

“The problems of the recession would make this a particularly bad time to enact the Employee Free Choice Act. Employers understandably complain that adding such a burden would result in further job losses,” Specter said on the Senate floor earlier this year. “Knowing that I will not support cloture on this bill, Senators may choose to move on and amend the [National Labor Relations Act] as I have suggested or otherwise. This announcement should end the rumor mill that I have made some deal for my political advantage.”

He later softened his stance on the bill, saying he would be open to a compromise on the measure that makes it easier for employees to join unions.

Earlier this summer, Sens. Tom Harkin (D-Iowa) and Charles Schumer (D-N.Y.) began a series of closed-door negotiations with fence-sitters like Specter and Sen. Mark Pryor (D-Ark.), whose home state is headquarters to the massive nonunionized retailer Wal-Mart.

The business community expressed concern Friday with Specter’s announcement, as well as with how a potential compromise deal is being hatched.

“We’re very concerned with the comments made by Sen. Specter,” said Keith Smith, director of employment and labor policy at the National Association of Manufacturers. “It’s very concerning that such a jobs-killing piece of legislation is being hatched out through these nontransparent discussions with a small group of Senators.

“Of all the discussion items that we’ve seen, the provisions of a potential alternative version of this bill are just as onerous as the current provisions of the Employee Free Choice Act itself,” he added.

While the business community fumed in the wake of Specter’s announcement, a labor coalition spokesman said in an e-mail that “clearly it’s a positive sign.”

“The Senator is heeding the calls of working families who want to see real labor law reform this year so the economy can work for everyone,” American Rights at Work spokesman Josh Goldstein said.

American Medical Association defends support of healthcare bill

08.16.09

AMA defends support of healthcare bill
By Jeffrey Young

http://thehill.com/leading-the-news/ama-defends-endorsement-of-healthcare-bill-2009-08-15.html

The American Medical Association is telling members that even though it backs the House’s healthcare reform bill, it will seek improvements to the legislation.

Physicians, including AMA members, are split over healthcare reform and the AMA’s move to endorse the House bill last month sparked complaints. In a document distributed recently to its members and published on its website, the AMA asserts it “will continue to work with members of the House of Representatives to improve the bill.”

Though the measure includes $240 billion worth of increased Medicare payments for doctors, it also would create a government-run “public option” insurance program that would compete with private insurers, a prospect that unnerves healthcare providers worried the government will not pay them enough for their services.

The document also seeks to reassure members that the AMA does not support nationalized health insurance, outlawing private insurance or mandatory end-of-life counseling, giving bureaucrats the authority to dictate what treatments a doctor prescribes or rationing care.

The AMA is the only major healthcare industry lobbying organization to endorse the House bill.

Although groups such as the Pharmaceutical Research and Manufacturers of America (PhRMA) and the American Hospital Association (AHA) have generally supported the healthcare reform efforts of President Barack Obama and Congress, the AMA went further by offering explicit support for a piece of legislation.

By getting out in front of other healthcare groups last month, the AMA says it is well situated to influence changes to the reform bill as it moves through the legislative process. “We believe our support helps put us in a very favorable position to craft a single bill for final passage,” the document says.

Medicare funding is vital to physicians. The complex formula that calculates how much Medicare pays doctors is flawed and would have required the government to cut payments in recent years by as much as 21.5 percent. The House bill includes a new payment policy and more than $240 billion in spending to implement it.

Even though congressional Democrats oppose one of the AMA’s other big priorities – caps on malpractice lawsuit damages – getting a new Medicare payment formula enacted would be a major victory for the group.

But the move to endorse the House bill carries risk for the AMA, which must bring skeptical members on board with a strategy that has caused consternation among those physicians worried about broadening the scope of the federal government’s involvement in the healthcare system.

The AMA is not alone in dealing with a membership split over the direction Obama and his allies in Congress are taking healthcare reform.

When the AHA joined the AMA, PhRMA, the Advanced Medical Technology Association, America’s Health Insurance Plans and the Service Employees International Union to promise Obama they would find $2 trillion in savings in the healthcare system, members of the AHA and other groups pushed back.

Likewise, physicians and their lobbying representatives are divided over the House bill. The American College of Surgeons and the American Academy of Family Physicians have endorsed the measure, for example, while the American Association of Neurological Surgeons and a handful of state medical societies oppose the bill.

The anxiety that underlies this divide is evident in the “frequently asked questions” for which the AMA provides its answers in its document.

“Why is the AMA supporting H.R. 3200?” the first question says. “H.R. 3200 contains many elements that reflect AMA priorities for health system reform,” is the reply.

But via subsequent questions and answers, the AMA makes clear that there are elements of the House bill it does not expect to survive the legislative process. Indeed, the group appears to be counting on it.

On the public option in particular, the AMA writes, “We believe that, as the legislative process continues, alternatives and modifications to the public option will be considered and the final product will be considerably different than the provisions contained in the original version of H.R. 3200.”

The AMA’s gamble could well pay off. The Senate Finance Committee – the only of Congress’s five healthcare committees yet to introduce a bill – is trying to hash out a bipartisan measure that would not include a public option.

Even with a public option, the AMA pushes back against charges it has endorsed “socialized medicine” by endorsing the House’s measure. “The AMA continues to oppose nationalized health insurance, and we continue to express opposition to elements of public plan proposals that we believe could lead us down the road to a single-payer system or ‘socialized medicine,’” the document says.

The AMA also tackles some of the more extreme accusations against the healthcare reform bill.

“H.R. 3200 would not provide the government with the authority to decide what medical treatments patients will receive,” the document says. “The bill would not ration care; it would expand access to health care coverage and increase the information needed to support strong clinical decision-making.”

The AMA also notes that the end-of-life counseling benefit the bill would create is voluntary, contrary to assertions by conservative critics that these consultations are intended to encourage elderly and sick people to submit to euthanasia.

Addressing email campaigns by critics of the Democratic healthcare reform proposals on rationing and other issues, the AMA described such messages as “extreme claims based on cursory readings of the legislation supplemented by conjecture and misinterpretations that do not reflect an accurate understanding of current law, medical practice or insurance regulation.”

“As is true with all email spam, messages that are repeatedly forwarded from an unknown original source should not be trusted. Physicians are encouraged to consult with the AMA, their state societies and specialty societies about the accuracy of any legislative interpretations that cause them concern,” the document says.