Word: reformator
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...year. The Congressional Budget Office, giving a boost to Democrats, last week said the program would cost the average family $175 in 2020. Whatever the expense, Republicans are labeling the bill as a carbon tax that - on top of the stimulus and the push for health-care reform - America's families can ill afford. "Nancy Pelosi's having a tough time getting the votes for that bill," Representative Eric Cantor, the No. 2 House Republican, said Wednesday on Fox News. "Simply because, I think, the American people are waking up to the cost and consequences of the Democrats' agenda. They...
...state, and I think today's confession was a good start," Davis told TIME. "I think he's done an extraordinarily good job as governor of alerting people to issues that have been swept under the rug for far too long in South Carolina, like the need to reform the fiscally irresponsible structure of its government. He's shown the same conservative leadership that Barry Goldwater displayed in the 1960s, getting the Republican Party back to its roots." (Read "Republicans in Distress: Is the Party Over...
...legislation may seem a sure bet, but anti-immigration sentiment still runs hot enough in Congress to make passage of the Nelson-McGovern bill a real challenge; and it's likely a big reason the Obama Administration, which is cautiously trying to revive immigration reform, hasn't completely done away with the widow penalty on its own yet. Conservative immigration think tanks like the Center for Immigration Studies in Washington, for example, say the rule is a sensible safeguard against rampant marriage fraud, sham matrimonies between a U.S. citizen and a foreigner solely to get the latter a green card...
...without incentives to use it, information alone will not lead to reform. Obama wants to make evidence-based medicine financially attractive so that providers are rewarded rather than punished for reducing readmissions and unnecessary procedures. "We can't just do research and let it sit on a shelf," Orszag says. It is fair for industry groups to insist on an independent agency to oversee the effectiveness research, so that decisions about what to study are separate from decisions about what to reimburse. And some of Obama's quality incentives are fairly straightforward, like extra dollars for primary care, prevention...
...past, industry lobbyists have persuaded Congress to squash even mild reimbursement reforms; former Health and Human Services Secretary Donna Shalala recalls a futile effort to reduce overpayments and promote competition among oxygen providers. "Congress stops anything that's going to gore anybody's ox," Shalala says. "If Congress is going to be involved in the nitty-gritty payment details, reform is dead." Obama wants to let another independent agency, similar to the military-base-closing commission, recommend how to pay for quality, which would limit political haggling. But even if such a panel focused on clinical effectiveness rather than cost...