by Julie Rovner and Andrea Seabrook
Congress this week passed — by a veto-proof margin — legislation to cancel a 10.6 percent pay cut to doctors who care for Medicare patients. But President Bush says he'll veto it anyway, because the bill also reduces funding to private insurance plans that participate in Medicare.
Kennedy Returns To Senate For Medicare Vote
Morning Edition, July 10, 2008 · Senators were surprised to see Sen. Edward Kennedy (D-MA) return to the Senate floor for a pivotal Medicare vote Wednesday afternoon. They were even more surprised minutes later, when a bill that just days earlier seemed mired in partisan limbo passed by a veto-proof 69-30 margin.
Kennedy's unexpected appearance was just the latest twist in the saga of a Medicare bill that has defied predictions at every turn.
Almost until the vote was over, it seemed that Kennedy's was the vote that would send President Bush the bill to cancel a 10.6 percent pay cut to doctors that officially took effect July 1. Then Republicans started to change their votes — "lots of Republicans who said they weren't going to change their mind at the last minute. I mean, this was a stampede at the end," said health policy analyst Robert Laszewski.
Laszewski, who consults for health insurance companies, says passage of the bill is significant not just because it cancels the cut for doctors, but because of how the bill is paid for — by trimming payments to private insurance plans that serve Medicare patients.
"Democrats used the impending 10.6 percent cut to accomplish something I think that they would consider more important — and that is to begin to stem the tide against the expansion of private Medicare," he said.
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