http://www.google.com/hostednews/ap/article/ALeqM5igfa8hbGjdOo8cuFoH1aPuwmHBWwD99LP88G0Are lobbyists silver lining in health care storm?
By RICARDO ALONSO-ZALDIVAR (AP) – 4 hours ago
WASHINGTON — A strong force, perhaps as powerful in Congress as President Barack Obama, is keeping the drive for health care going even as lawmakers seem hopelessly at odds.
Lobbyists.
The drug industry, the American Medical Association, hospital groups and the insurance lobby are all saying Congress must make major changes this year. Television ads paid for by drug companies and insurers continued to emphasize the benefits of a health care overhaul — not the groups' objections to some of the proposals.
"My gut is telling me that something major can pass because all the people who could kill it are still at the table," said Ken Thorpe, chairman of health policy at Emory University in Atlanta. "Everybody has issues with bits and pieces of it, but all these groups want to get something done this year." As a senior official at the Health and Human Services department in the 1990s, Thorpe was deeply involved in the Clinton administration's failed effort.
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This time, the health care industry groups see a strategic opportunity. As lawmakers squabble, the groups are focused on how to come out ahead in the end game.
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It's not clear if Baucus will succeed, but his group is looking at creating nonprofit co-ops that would lack Medicare's power to dictate payment levels and tell providers to take it or leave it. Instead, the co-ops would have to negotiate payment rates with hospitals, doctors and drug makers — just like private insurance plans do.
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