Word: reformer
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...approving the tax hike by a 108-51 vote, House lawmakers defied objections by Governor Deval L. Patrick ’78 to first consider ethics, pension and transportation reform bills...
...budget that just passed both houses of Congress has given the prospects for health-care reform this year a big boost. With the inclusion of procedural language that would make it impossible for opponents to filibuster, it will now take a simple majority to pass the Senate, rather than 60 votes, simplifying the political arithmetic considerably...
...that is only the beginning. As hard as it will be for lawmakers to navigate the political and philosophical minefields to get to 51 votes for health-care reform, the most difficult challenge of all may be the number on the bottom line. Under the budget rules, any reform scheme will have to pay for itself within six years. (See five truths about health care in America...
...daunting is the prospect of passing a bill that fits the confines of a pay-as-you-go budget that a coalition of 30 organizations pushing for health-care reform - including the U.S. Chamber of Commerce, organized labor, the drug lobby, AARP and organizations representing hospitals, doctors and patients - wrote a letter in March asking lawmakers to suspend the rule with respect to health-care reform. But officials at both ends of Pennsylvania Avenue say that would be political suicide at a time of record deficits - and a guarantee that Republicans and fiscally conservative Democrats would not support the plan...
...where will lawmakers find the money? President Obama proposed a $634 billion "reserve fund," paid for by higher taxes on the wealthy, but even if that passes, experts say it won't be enough to cover even half the cost of comprehensive health-care reform over the next 10 years. Hospitals and doctors are also bracing for what they expect will be efforts to cut the reimbursements they get for treating patients under Medicare and Medicaid. (See an illustrated time line of Obama's first 100 days in office...