McCain Blocks Medicare Funding

Sometimes it is good to remember who the real enemy is.  Recently, a Medicare funding bill was passed by the House 355-59.  The bill would fund and expand low-income assistance programs and preventive services, as well as prevent a 10% reduction in doctor reimbursement rates that went into effect on July 1.  The additional costs of funding would be offset by cuts in payments to private plans that participate in Medicare.  Therein lies the rub, as explained by the NY Times:

That has inflamed opposition from the White House and Senate Republicans who seem determined to protect inefficient private plans from the rigors of competing fairly against traditional Medicare coverage. Medicare pays these private plans, known as Medicare Advantage, an average of 13 percent more to provide the same services as the traditional Medicare program.

http://www.nytimes.com/2008/07/05/opinio n/05sat2.html?_r=2&oref=slogin&o ref=slogin

However, the bill enjoys broad support among doctors and pharmacists and passed the House with a veto-proof majority.  All good, right?  Not quite.

The Senate Republicans, in their infinite wisdom and love for hardworking Americans, decided to filibuster the bill.  On June 26, 2008, cloture failed by a vote of 58-40 (i.e., 2 votes short of defeating the filibuster).  Sens. Obama and Clinton voted for cloture, as did all Democrats other than Kennedy (who did not vote, for obvious reasons) and Reid.  Even Lieberman voted in favor of cloture.  As for Reid, his vote "against" cloture is misleading - his vote was a procedural maneuver so that he can bring the bill up later.  In other words, cloture failed by one vote.

http://www.senate.gov/legislative/LIS/ro ll_call_lists/roll_call_vote_cfm.cfm?con gress=110&session=2&vote=00160

Any guess on who decided to skip the vote to attend a fundraiser in Ohio?  It's awfully convenient that Senate Republicans mostly avoid blame by quietly filibustering this bill, and that McCain avoids even more blame by failing to show up and letting the rest of the Republicans take the fall for him.  Such is the way of the maverick.

A much more detailed analysis of this whole series of events can be found on Openleft, here:  http://www.openleft.com/showDiary.do;jse ssionid=6EE0933FFA4BD49A4EEBD8A35A61BB2A ?diaryId=6782



Display:


McCain (2.00 / 3)

remember that guy?


by rfahey22 on Sun Jul 06, 2008 at 01:05:58 AM EST

Great diary. Rec'd. (2.00 / 1)

Terrible that so few people know about these issues. He has a horrible record on just about every issue of any importance, and weaseling out on a vote like this is pretty pathetic.


Even John McCain lusts after teh engels.
by sricki on Sun Jul 06, 2008 at 01:15:04 AM EST

Re: McCain Blocks Medicare Funding (1.50 / 2)

I highly suggest everyone copy and paste this diary and send it to everyone they know.  If you have myspace or facebook, post it as a bulletin, so that it goes out to all of your friends.

This is exactly the type of point we want to make!


by MKyleM on Sun Jul 06, 2008 at 01:25:16 AM EST

Re: McCain Blocks Medicare Funding (none / 0)

If you do so, I suggest copying the Openleft article, which is much more in depth.  I read that article first and merely wanted to spread the news as far as possible.


by rfahey22 on Sun Jul 06, 2008 at 01:27:32 AM EST
[ Parent ]

Re: McCain Blocks Medicare Funding (none / 0)

OOOPS.  I already acted.  Good for other to know.

However, the shorter the better.  If you send out an article, people see a million words and are more likely to just hit 'cancel'.  That's why I advocate the use of good diary postings, like yours!


by MKyleM on Sun Jul 06, 2008 at 01:30:54 AM EST
[ Parent ]

Re: McCain Blocks Medicare Funding (none / 0)

Thanks for posting this. McCain is amazingly bad
for this country and that he has a chance at the presidency is unthinkable. A vote for McCain is a vote for war. Rec
by Politicalslave on Sun Jul 06, 2008 at 05:11:39 AM EST

Re: McCain Blocks Medicare Funding (none / 0)

agreed completely.


I want to pledge allegiance to the country where I live I don't want to be ashamed to be American
by selfevident on Sun Jul 06, 2008 at 08:17:30 AM EST
[ Parent ]

Re: McCain Blocks Medicare Funding (none / 0)

Doesnt that mean that we can achieve cloture when Ted Kennedy returns. When he and Reid vote for cloture, we have 60 votes...


by micha1976 on Sun Jul 06, 2008 at 05:20:24 AM EST

Re: McCain Blocks Medicare Funding (2.00 / 1)

Oh! So THAT'S why 60 is important!
 Now I get it....
by QTG on Sun Jul 06, 2008 at 09:50:47 AM EST

Re: McCain Blocks Medicare Funding (none / 0)

This is important information that must become common knowledge among voters. Especially uncommitted voters. Rec'd.

On a somewhat related note...

I think I'm finally 'getting' this site, and for that matter political sites in general. The members on here don't really seem that interested in the issues. I think it is because most are already informed and therefore don't get all excited when they see something about McCain. It looks like people are more interested in the political process than the issues. I've read articles by MSM columnists that say the same thing about political reporters and commenters. That could explain why issues-based diaries like this receive so few comments.


"The true measure of a man is how he treats someone who can do him absolutely no good." Samuel Johnson
by MS01 Indie on Sun Jul 06, 2008 at 12:38:51 PM EST

Re: McCain Blocks Medicare Funding (none / 0)

I can already see the ad.


by Beren on Sun Jul 06, 2008 at 01:08:19 PM EST

What if the Bill dies? People die. (2.00 / 2)

"The 39 Republican senators who lined up behind President Bush to oppose this sensible and humane bill are agents of harm to older Americans," Mr. Hayes said. "People with Medicare, as well as the doctors who care for them, should know that and tell them that as they go home for their July 4th recess. The vote shows a callous disregard for the older adults and people with disabilities in their states and a craven submission to the insurance industry."

President Bush threatened to veto the legislation, objecting to the Medicare benefit improvements in the bill, the payment reductions for insurance companies offering Medicare private health plans and the consumer protections for enrollees in these plans. The bill would have improved coverage of mental health and preventative services under Medicare and removed bureaucratic obstacles that prevent low-income people with Medicare from receiving assistance with premiums and copayments for medical care and prescription drugs.

Reid has committed to bring the bill up again. This is a bill to put on hold, and hopefully overturn regulations that the Director of CMS has already approved. It stops a 10% increase in reimbursement rates to doctors who provide services to people with Medicare. Just this fact alone could make it impossible by anyone on Medicare to actually find a doctor willing to take Medicare as payment. In the interim, reimbursement for doctors and hospitals for any Medicare is on hold for a couple more days. Think anyone is getting any unreimbursed health care now? The root of the problem lies with the Medicare Act itself.  Disreputable small companies are able to sell Part D (the part that covers prescription drugs) plans that can be very deceptive and have caps on certain types of drug classes. Drug companies aren't even the biggest problem in this case. It's insurance companies and pharmacies without scruples.


Barack Obama is my President
by Jeter on Sun Jul 06, 2008 at 04:44:33 PM EST

McCain is also responsible for this (2.00 / 1)

I meant to say it stops a 10% decrease in reimbursement rates to doctors and hospital based providers. Combine this with the devastating impact that the increase of gas prices has had on community based and other volunteer non-profit services and you have people with chronic disabilities or someone's grandparents on a fixed income dying untreated, even more isolated than before.

Faced with soaring gasoline prices, agencies around the country that provide services to the elderly say they are having to cut back on programs like Meals on Wheels, transportation assistance and home care, especially in rural areas that depend on volunteers who provide their own gas. In a recent survey by the National Association of Area Agencies on Aging, more than half said they had already cut back on programs because of gas costs, and 90 percent said they expected to make cuts in the 2009 fiscal year.


Barack Obama is my President
by Jeter on Sun Jul 06, 2008 at 05:38:52 PM EST
[ Parent ]

I can tell you all ..... (2.00 / 1)

that this issue is more important than folks realize.  The issue of private insurance reimbursement is tied to the level of reimbursement made by Medicare / Medicaid.

Hospitals appear to work on somewhere near a 4% margin, so a significant cut in funding will mean a significant cut in services.  This means loss of access to healthcare when it's already low due to non insured Americans straining the system.  It means increased loss of services within the ones who remain in business, thru loss of staffing, i.e. nurses, aides, staffers.  

Add this to the list of things that Medicare states they are going to stop reimbursement for (wound care, catheter infections, among the top problematic ones, becuase they have no system in place for defining 'who' is to blame for the 'bed sores', (were they formed prior to the patient coming to the hospital and did not show until they were there 24 hours? it's possible, yes) or who is to blame for catheter infections? (again, the nursing home, the ambulance service, home health nurse, phlebotomist, who?) and how payment for services to address (treat) these problems will be funded if not by Medicare, then who 'litigates' who is responsible, and how can one make that party pay?  In the meantime, what care does the patient get, and how?

Yes, it'a a HUGE mess that the GOP has put healthcare into with their meddling and dishing out of public funds intended to go for healthcare instead going to 'good ole boy's' newly formed 'healthcare service company' in the guise of 'privitization'.

It's all way above the heads of the usual GE voters, but 'we' have to make sure that 'they' can and DO 'get it' before November.


Hell's bells, even the GOP didn't have to crucify Eisenhower's record in order to make Reagan their 'saint'. We can have two great ones, you know?
by emsprater on Sun Jul 06, 2008 at 04:49:16 PM EST


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