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...task was delegated to private insurers and their agents, who Democrats argued - and still argue - don't have the muscle to get the steep discounts that a huge government program could. "Direct negotiation for lower prescription-drug prices is directly related to our lobbying- and ethics-reform legislation," Rahm Emanuel, then the chairman of the House Democratic Caucus, told the New York Times in January 2007. Both were needed, he said, "to make sure that special interests do not control what happens in Congress." The Medicare bill passed the House but died in the Senate...

Author: /time Magazine | Title: PhRMA Deal Puts Obama, Congressional Dems at Odds | 8/7/2009 | See Source »

...Emanuel is now chief of staff in a White House that badly needs the drug industry as an ally in its drive to overhaul the health-care system. And the industry has indeed come through in a big way: in June, at a moment when the Congressional Budget Office was estimating that early versions of two Senate health bills were turning out to be more expensive than expected and would fail to curb rising health-care costs, the industry offered to take an $80 billion hit. Since then, drug companies have been pitching in to mobilize public support for President...

Author: /time Magazine | Title: PhRMA Deal Puts Obama, Congressional Dems at Odds | 8/7/2009 | See Source »

...doesn't have to peer too far back at previous health-reform efforts to realize that "the devil is in the detail," as Rahm Emanuel, President Obama's chief of staff and a veteran of health-reform efforts under Clinton, recently said. Emanuel helped work on the 1996 Health Insurance Portability and Accountability Act (HIPAA), one of several incremental changes made after Clinton's comprehensive reform failed to go anywhere in 1994. HIPAA was intended to ensure that Americans would not be denied coverage on the basis of pre-existing conditions when they switched coverage while moving from...

Author: /time Magazine | Title: What Insurers Are Trying to Get Out of Health Reform | 8/6/2009 | See Source »

...remember all the high-fiving each other [after passage of] portable health care in 1996," said Emanuel before adding, "It's been empty." Although HIPAA prohibited insurers from denying coverage on the basis of pre-existing conditions, it didn't limit how much insurers could charge in premiums. The result: insurers in states without premium caps were charging those with pre-existing conditions as much as 464% of standard premiums, according to the Government Accountability Office. (Other researchers found examples that were even more egregious, including a Colorado insurer charging premiums as much as 2,000% of normal rates...

Author: /time Magazine | Title: What Insurers Are Trying to Get Out of Health Reform | 8/6/2009 | See Source »

...well worn Obama-Lincoln comparisons one more similarity: an apparent aversion to big birthday parties. The 16th President never celebrated his birthday in the White House, according to Lincoln biographer Emanuel Hertz. Obama, likewise, is ringing in his 48th on Aug. 4 with a decided lack of pomp. He dined, hooped and - ahem - bowled with friends at Camp David over the weekend, but he's spending the big day itself on the job, having lunch with Senate Democrats to discuss his Administration's accomplishments and goals. (No word on whether there will be cake.) Sure, it sounds like a snooze...

Author: /time Magazine | Title: Presidential Birthdays | 8/4/2009 | See Source »

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