Revised Senate bill fails to address core AMA concerns

Kevin B. O'Reilly
Editor
AMA Wire
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A revised draft of the Senate’s Better Care Reconciliation Act of 2017 (BCRA) was released Thursday, and new spending and coverage estimates from the Congressional Budget Office are expected to be released Monday.

In a statement, AMA President David O. Barbe, MD, MHA, said “the revised bill does not address the key concerns of physicians and patients regarding proposed Medicaid cuts and inadequate subsidies that will result in millions of Americans losing health insurance coverage.” Added funding to address the opioid epidemic “is a positive step,” he said, but “those suffering from substance-use disorder have other health care needs that are not likely to be addressed if they lose coverage through a rollback of the Medicaid expansion.”

Dr. Barbe added that alternative efforts to pursue bipartisan initiatives aimed at stabilizing the individual market should be the next step, and that “more bipartisan collaboration is needed in the months ahead to improve the delivery and financing of health care.”

The AMA will soon issue a fuller response after thorough examination of the draft legislation. The Association opposed previous versions of BCRA, based largely on the projected impact on the number of Americans who will become uninsured and reduced federal support for Medicaid. Direct written and personal communications with members of Congress represent one component of a broad-based advocacy campaign that the AMA has been pursuing throughout 2017. Other highlights include:

  • Focus groups held during March and April in Chattanooga, Denver, Philadelphia and Phoenix to hear directly from practicing physicians about their views of the benefits and shortcomings of the ACA and the health care system generally.
  • Patient-physician roundtable discussions held last April in Atlanta and Denver, where the impact of health insurance coverage on patients and physicians was explored in detail.
  • Public opinion polls conducted in select states, revealing that registered voters support Medicaid and are generally concerned about the direction Congress has been taking in rewriting current law.
  • Collaborative efforts with patient groups, hospitals and other providers, including media events held in Colorado, Ohio, Nevada, and West Virginia to share personal stories about the impact that access to affordable, meaningful health insurance coverage has had on individuals, families and communities.
  • An extensive patient and physician grassroots network campaign involving telephone calls, emails, social media contacts and meetings with key senators.

Physicians and patients who want to engage in the advocacy campaign to preserve access to affordable and meaningful health insurance coverage are encouraged to visit the AMA's campaign website, at Patientsbeforepolitics.org. The site explores the AMA's health reform objectives in depth and provides resource documents, patient profiles and grassroots action links to facilitate communications with their Senators.

Read more about the AMA's comprehensive vision for health-system reform, refined over more than two decades by the AMA House of Delegates, which is composed of representatives of more than 190 state and national specialty medical associations. Or explore the AMA Wire® special series, “Envisioning Health Reform.”

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Please help the victims of the National Institute of Justice's "intelligent surveillance" research. The NIJ is using our taxpayer dollars to violate our constitutional rights, recklessly endanger our lives, and torture us 24/7. Senator Kaine told me that this program funds Newport News Police Department and Virginia state police. Both are required to have a signed informed consent form for each human subject. The NIJ follows the common rule. Citizens need to request the name and contact number for the IRB as well as the grant administrator. We need to ask our senators to defund the NIJ for failure to follow the "common rule" and for violations of our constitutional rights as well as the torture and murder of thousands of innocent citizens. The perps are state and local police. The funding is the NIJ. They must allow us to opt out. The NIJ are required by law to pay for our attorney fees, medical expenses, and any change in financial position as well as punitive damages! I now have cancer throughout my body as a direct result of this technology. How doctors can be a part of this is heinous. Check out targeted individuals on you tube.
I applaud the roll back of Medicaid funding. Here in Virginia, Medicaid is illegally used to subsidize nonconsensual human subject research. That is a violation of federal and state statute. Virginia has illegally, unconstitutionally involuntarily committed hundreds of thousands of innocent Virginians testing military grade active denial system in the form of an application. Most citizens are unaware that their identity has been stolen & that the social workers, hospitals, doctors, & surgeons have billed Medicaid tens of thousands of dollars stealing their identity. They implanted me with a known human carcinogen, biochip, & have tortured me for a decade with this application. They falsely involuntarily committed me twice. I won in court both times. They used my identity to fraudulently bill Medicaid. Dr. Steven Cunningham, Tidewater Psychiatric, told me he was hired by state police to ply me with dangerous drugs. He tried to let me go the next day, but the hospital said they want their full funding – using my identity and Medicaid. Cunningham claims to have no part of the stopping my heart 90 times in 6 hours. Check out, “Virginia’s Casual Disregard for the Constitution” by Lawrence Hunter at forbes dot com. If they murder you, the Medical Examiner’s Office covers it up – they steal the victim’s brains & sell them to the NIH for $6250 each that the doctors keep this as hush money - CBS News Richmond. I think you should investigate Virginia & force repayment of all the fraudulently obtained Medicaid money – it could reach a billion dollars. If not, upon death or lottery win the innocent victims of this heinous atrocity will be victimized again – we have to repay it. This is criminal! I applaud the roll back of the largest RICO in history. Obama and his ARRA Agenda to secretly chip Americans. Veterans beware in Virginia. Law enforcement is gunning for you!
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Nov 16, 2017
Senate tax plan would scrap key provision that encourages insurance enrollment and lead to millions more uninsured. A different approach is needed.