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Congress In 2007 Expected To Debate Health Policy Issues Involving Medicare, Prescription Drugs, Uninsured

Congress next year likely will consider Medicare reforms, prescription drug safety issues and efforts to cover the uninsured, with "both parties working to lay claim to what they expect will be popular issues with voters" in the 2008 election, USA Today reports. Some Democrats, such as incoming House Speaker Nancy Pelosi (D-Calif.), likely will seek to require the federal government to negotiate directly with pharmaceutical companies on prices for medications under the Medicare prescription drug benefit. However, "there is disagreement on how it would be done and whether it would result in lower prices than the current method of having private insurers negotiate the prices," USA Today reports. In addition, Congress likely will consider payments to Medicare Advantage plans -- managed care plans sponsored by private health insurers -- as some Democrats, such as Rep. Pete Stark (D-Calif.), have raised concerns that the plans cost more than the traditional fee-for-service program. According to USA Today, "[E]fforts to reduce those payments are likely to hit opposition from lawmakers who see Medicare Advantage plans as important private sector options for beneficiaries." Congress also might consider efforts to improve the long-term finances of Medicare and the elimination of the so-called "doughnut hole" coverage gap in the prescription drug benefit. Uninsured, Rx Drug Safety
Democrats next year likely will seek to expand the SCHIP program to cover more children. Congress also might provide funds to states for pilot programs that test proposals to cover more uninsured residents. In addition, Sen. Ron Wyden (D-Ore.) last week announced plans to introduce legislation that would guarantee health insurance for all U.S. residents and reduce health care costs. According to USA Today, "Wyden's proposal may test whether the idea of broad federal health reform can win centrist support after years in which such proposals have been largely absent and considered too politically risky," but "few expect that broad efforts to cover more uninsured will pass." Meanwhile, Democrats and some Republicans, such as Sen. Charles Grassley (R-Iowa), likely will seek to address concerns about the process FDA uses to review experimental medications and the failure of many pharmaceutical companies to conduct postmarket safety studies of new treatments. Comments
Kaiser Family Foundation President and CEO Drew Altman said, "The health measures that Congress and the administration will fight over in 2007 will be modest and will be as much about positioning for 2008 as solving the nation's health care problems." According to Bridgett Taylor, a Democratic staff member of the House Energy and Commerce Committee, "There will be a gazillion flowers blooming because of the pent-up desire to do something for the uninsured." Mark Hayes, health policy director for the Republican staff of the Senate Finance Committee, said, "Politicians are still wary of repeating ... mistakes" made in health care reform efforts during the Clinton administration in 1994. Uwe Reinhardt, an economist at Princeton University, said that the "the president's veto pen" and "the federal deficit" will limit health system change next year. Reinhardt added, "The most Congress can get is small incremental changes that don't cost a lot of money" (Appleby, USA Today, 12/19).

"Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.





Congresul de aºteptat în 2007 pentru a dezbate problemele legate de politica de sãnãtate care implicã Medicare, de prescripþie de droguri, neasigurate - Congress In 2007 Expected To Debate Health Policy Issues Involving Medicare, Prescription Drugs, Uninsured - articole medicale engleza - startsanatate