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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."
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.
Congressional Summary:The purpose of this Act is to increase diagnosis of Alzheimer`s disease and related dementias, leading to better care and outcomes for Americans living with Alzheimer`s disease and related dementias. Congress makes the following findings:
Proponent`s argument for bill: (The Alzheimer`s Association, alz.org). The `Health Outcomes, Planning, and Education (HOPE) for Alzheimer`s Act` (S.709/H.R. 1507) is one of the Alzheimer`s Association`s top federal priorities for the 113th Congress. The HOPE for Alzheimer`s Act would improve diagnosis of Alzheimer`s disease: As many as half of individuals who meet the specific diagnostic criteria for dementia have never received a diagnosis. An early and documented diagnosis, when coupled with access to care planning services leads to better outcomes for individuals with Alzheimer’s as well as their caregivers. Furthermore, documentation in the individual’s medical record is critical for care coordination and is necessary for health care providers to address complications in the management of other chronic conditions, such as heart disease and diabetes.
Congressional Summary: To provide an additional religious exemption from the individual health coverage mandate. This Act may be cited as the `Equitable Access to Care and Health Act` or the `EACH Act`. The `Religious Conscience Exemption` exempts individuals who are members of a recognized religious sect which relies solely on a religious method of healing, and for whom the acceptance of medical health services would be inconsistent with their religious beliefs.
Supporters reasons for voting YEA: (TheHill.com weblog, April 29, 2013): `We believe the EACH Act balances a respect for religious diversity against the need to prevent fraud and abuse,` wrote Reps. Aaron Schock (R-IL) and William Keating (D-MA). `It is imperative we expand the religious conscience exemption now as the Administration is verifying the various exemptions to the individual mandate,` they wrote. Religious exemption from ObamaCare has come up before, including contraception. The EACH Act, however, deals only with exemptions from the insurance mandate.
Opponents reasons for voting NAY: (CHILD, Inc. `Children`s Healthcare Is a Legal Duty`, Dec. 2014): The Christian Science church is pushing hard to get another religious exemption through Congress. The EACH Act exempts everyone with `sincerely held religious beliefs` from the mandate to buy health insurance. We are particularly concerned about uninsured children: hundreds of American children have died because of their family`s religious objections to medical care. The EACH Act increases the risk to children in faith-healing sects and the cost to the state if the children do get medical care. Some complain that their church members should not have to pay for health care that they won`t use. But insurance works on the assumption that many in the pool of policyholders will not draw from it. Most people with fire insurance don`t have their homes burn, for example.