-Caveat Lector-

Now the Republicans also want to reform Social Security. That means cutting
benefits while sending the new 'recipients' to fend for themselves in the
stock market while stealing their benefits to be 'converted' into general tax
revenue.

Sounds like a Bushie idea to me.

Like the way JFK replaced silver money with cheap metal clad crap. The he got
us into the Vietnam War bigtime and yet he was a 'social reformer' with
socialist welfare program and other governmnet ripoffs. Now GW Bush has duped
conservatives like Nixon and then Regan.

I think it is time for a big change. (If Planet X hits or changes humanities
viewpoints, then all bet's are off, Jebby Boy...)  --SW

------- Forwarded message follows -------
To:                     Ameri-Advocate <[EMAIL PROTECTED]>
From:                   ellis smith <[EMAIL PROTECTED]>
Subject:                IUFO: Merry xmas ffrom rep party-your doc wont see u now
Date sent:              Sat, 21 Dec 2002 23:49:01 -0800 (PST)
Send reply to:          [EMAIL PROTECTED]


Medicare to Cut Payments to Doctors 4.4%
By ROBERT PEAR

WASHINGTON, Dec. 20 — The Bush administration announced today that Medicare
payments to doctors would be cut 4.4 percent next year, after a 5.4 percent
cut this year. Federal officials predicted that doctors would, as a result,
be less willing to accept new Medicare patients.

If the cuts are not reversed, Congress and the administration will face the
wrath of two politically potent constituencies, elderly voters and doctors
who care for the elderly. But administration officials are desperately trying
to control federal health costs, which they see as a major factor that
contributes to federal budget deficits.

Doctors, outraged at the cuts, faulted both Congress and the administration
for failing to avert the cuts, which start on March 1.

Dr. Mark H. Krotowski, a family doctor in a working-class neighborhood of
Brooklyn, said: "The new cuts will force more physicians to turn away
Medicare patients. That's the reality. Doctors will not have any incentive to
accept new Medicare patients. While Medicare reimbursements are going down,
our expenses are rising 5 percent to 10 percent a year."

The Department of Health and Human Services said the cuts might "cause fewer
physicians to accept new Medicare patients" and could prompt doctors to
increase their charges to some of the 40 million Medicare beneficiaries.

Dr. José V. Angel, president of the Iowa Medical Society, said, "Elderly and
disabled patients will have to wait longer and travel farther to see
doctors."

Doctors said the existing payment rates were already too low to cover the
costs of caring for the elderly.

"Physicians cannot afford to treat Medicare patients" under the new rates,
said Dr. James C. Martin, president of the American Academy of Family
Physicians.

Thomas A. Scully, administrator of the federal Centers for Medicare and
Medicaid Services, said he was making the cuts reluctantly.

"The reduction in physician fee schedule rates results from a formula
specified in the Medicare law, and we believe that formula is flawed and must
be fixed," Mr. Scully said. "Although Congress considered several options for
fixing the fee schedule formula for 2003, and the House actually passed a
bill to address these issues, no final action was taken before Congress
adjourned."

The administration announced the cuts in issuing the Medicare doctors' fee
schedule for 2003. It specifies the amounts paid to doctors for more than
7,000 services and procedures from routine office visits to complex surgical
procedures.

Next year, Medicare is widely expected to pay $45 billion to more than
750,000 doctors and other practitioners.

Mr. Scully said that if the formula accurately reflected doctors' costs, they
would receive a 1.6 percent increase next year, rather than a 4.4 percent
cut. Congress should "fix the formula," he said.

But that was not always the position of the administration. In his budget
request in February, President Bush assumed that Medicare payments to doctors
would be reduced next year and did not offer any proposal to stop the cuts.

Then in March, the administration told Congress that any infusion of new
money into Medicare should be used for prescription drug benefits, "not for
increasing payments to fee-for-service Medicare providers."

In the last few months, scores of lawmakers have called for an increase in
Medicare payments to doctors. But some members of both parties insisted that
if doctors received an increase, then Congress should also raise Medicare
payments to hospitals, nursing homes and health maintenance organizations,
and such changes would have greatly increased the cost of any legislation.

John C. Rother, policy director of AARP, said the cuts in Medicare payments
to doctors were "an unintended consequence" of the payment formula.

"Congress should correct it as soon as possible," Mr. Rother said. "We are
getting complaints that it's becoming difficult for Medicare beneficiaries to
find a doctor willing to accept them in some parts of the country. We don't
want that problem to spread."

Under the formula for paying doctors, spending increases with Medicare
enrollment and economic growth, among other factors. Doctors say they have
been shortchanged for several years because the government underestimated
economic growth in the late 1990's and the number of people who would be in
the Medicare fee-for-service program.

While acknowledging the errors, administration officials said they did not
have the legal authority to correct them.

Dr. Yank D. Coble Jr., president of the American Medical Association, said he
hoped that patients would join doctors in lobbying Congress to "fix this
Medicare debacle."

Representative Bill Thomas, a California Republican who is chairman of the
Ways and Means Committee, said: "I am deeply troubled by these successive and
significant cuts to physicians who serve Medicare beneficiaries. I remain
committed to addressing this issue and reforming Medicare when Congress
reconvenes."

------- End of forwarded message -------

"If this were a dictatorship, it'd be a heck of a lot easier, just so
long as I'm the dictator."

 -GW Bush during a photo-op with Congressional leaders on
12/18/2000. As broadcast on CNN and available in transcript on
their website http://www.cnn.com/TRANSCRIPTS/0012/18/nd.01.html

Steve Wingate, Webmaster
ANOMALOUS IMAGES AND UFO FILES
http://www.anomalous-images.com

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