Chris Coons on Health Care
COONS: I think it is critical that folks in this country be able to stand up to and take on powerful interests. And where individuals are harmed, that they're able to go into court and to seek redress. I don't support putting caps on liability because it is only the threat of a significant recovery that allows protection for consumers, for patients, for investors. I think that's an important part of the American legal system.
O'DONNELL: Those are very important things that are part of insurance reform, not health care reform. I want to fight to fully repeal that so that we can begin to enact real reform.
COONS: I support the implementation of the Affordable Care Act. I think it made significant advances, and you outlined many of them. I argue for extending, perfecting, and implementing this landmark bill. It's not perfect. There are problems with it. But I think rather than turning it back and repealing and going for another year or two of endless partisan bickering, this was a critical piece of legislation
COONS: That's a great slogan. You toss it around everywhere you go. How does this bill actually put Uncle Sam in the examination room between doctors and patients?
O'DONNELL: It dictates what kind of treatment a doctor can and can't do, what kind it will fund.
COONS: So why did the organization that fights for and represents America's nurses, America's seniors, America's hospitals, and America's doctors, all endorse and support this bill?
O'DONNELL: Many of those branches on the state level, including here in Delaware, have said we don't support what the national office has done.
COONS: Christiana Care hosted a debate earlier today. I was sorry you chose not to join us. It would have been great to hear the response of the physicians and the nurses and the hospital administrators to your suggesting that they didn't support a bill they lobbied for.
But O'Donnell called for the "full repeal" of the healthcare law, saying that "the federal government was never intended to be as invasive and intrusive into our lives as it is now."
[Sen. DeMint, R-SC]: The Democrats have Medicare on a course of bankruptcy. Republicans are trying to save Medicare & make sure there are options for seniors in the future. Medicare will not be there 5 or 10 years from now. Doctors will not see Medicare patients at the rate [Congress will] pay.
[Sen. Ayotte, R-NH]: We have 3 choices when it comes to addressing rising health care costs in Medicare. We can do nothing & watch the program go bankrupt in 2024. We can go forward with the President's proposal to ration care through an unelected board of 15 bureaucrats. Or we can show real leadership & strengthen the program to make it solvent for current beneficiaries, and allow future beneficiaries to make choices.
Opponent's Arguments for voting No:
[Sen. Conrad, D-ND]: In the House Republican budget plan, the first thing they do is cut $4 trillion in revenue over the next 10 years. For the wealthiest among us, they give them an additional $1 trillion in tax reductions. To offset these massive new tax cuts, they have decided to shred the social safety net. They have decided to shred Medicare. They have decided to shred program after program so they can give more tax cuts to those who are the wealthiest among us.
[Sen. Merkley, D-TK]: The Republicans chose to end Medicare as we know it. The Republican plan reopens the doughnut hole. That is the hole into which seniors fall when, after they have some assistance with the first drugs they need, they get no assistance until they reach a catastrophic level. It is in that hole that seniors have had their finances devastated. We fixed it. Republicans want to unfix it and throw seniors back into the abyss. Then, instead of guaranteeing Medicare coverage for a fixed set of benefits for every senior--as Medicare does now--the Republican plan gives seniors a coupon and says: Good luck. Go buy your insurance. If the insurance goes up, too bad.
Status: Failed 40-57
Medicare Access to Rehabilitation Services Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to repeal the cap on outpatient physical therapy, speech-language pathology, and occupational therapy services of the type furnished by a physician or as an incident to physicians' services.
SEC. 2. OUTPATIENT THERAPY CAP REPEAL.
Section 1833 of the Social Security Act (42 U.S.C. 1395(l)) is amended by striking subsection (g).
[Explanatory note from Wikipedia.com "Therapy Cap"]:
In 1997 Congress established per-person Medicare spending limits, or "therapy cap" for nonhospital outpatient therapy, but responding to concerns that some people with Medicare need extensive services, it has since placed temporary moratoriums on the caps. The therapy cap is a combined $1,810 Medicare cap for physical therapy and speech language pathology, and a separate $1,810 cap for occupational therapy ($1870 for 2011). Medicare patients requiring rehabilitation from disabilities, car accidents, hip injuries, stroke, and other ailments would be limited to roughly two months worth of treatments at an outpatient therapy clinic. Any patients that exceed the cap, whether they are healed or not, would have to stop therapy, or pay for the therapy services out of their own pocket.Several medical associations have lobbied against therapy caps because the bill inadvertently restricted disabled seniors, stroke patients, and other severe cases from receiving therapy treatments.
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