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Bunning Blockade Leads To 21 Percent Fee Cut For Doctors


Sen. Jim Bunning (R-KY)

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Sen. Jim Bunning (R-KY) is already infamous for blocking a temporary extension of unemployment and COBRA benefits for out of work Americans. But included in that package is legislation to prevent a mandatory pay cut for doctors--and by standing in its way, he's triggered a 21 percent fee reduction to doctors seeing Medicare patients starting today.

Republicans say they support a temporary measure to avoid the cuts, but they have been unable to rein in Bunning, and, as such, the Senate has failed to act on a House bill that staves them off.

The American Medical Association warned of this last week: "A Medicare meltdown now seems certain, as the U.S. Senate has left early for the weekend, abandoning seniors, military families and baby boomers," reads an AMA statement from Friday. "The Senate failed to repeal the Medicare physician payment formula that will cause a drastic 21 percent payment cut to physicians who care for Medicare and TRICARE patients. On Monday, the 21 percent cut goes into effect, forcing many physicians to limit the number of Medicare and TRICARE patients they see in order to keep their practice doors open."

On a conference call with reporters this afternoon Rep. Chris Van Hollen (D-MD) put it this way: "By his actions, Bunning has prevented people from receiving Unemployment, health care access, transportation projects from going forward, and Doctors who provide Medicare services from getting paid."

Today, for the seventh time, Bunning objected to a request for unanimous consent to temporarily extend benefits. In addition to cutting doctor's fees, his exploitation of the Senate's filibuster rules has cost thousands of out-of-work Americans their benefits and has even put thousands of federal employees out of work.

Democrats hope to resolve the issues in a longer-term way by passing jobs bill (which includes benefits extensions and a so-called "doc-fix" for Medicare reimbursement rates) next week. In the mean time they're bracing for Bunning and the GOP to take as many steps as possible to delay legislative progress.

Today, Senate Majority Leader Harry Reid had to force an end to debate on the confirmation of Barbara Keenan to the fourth circuit court of appeals. Keenan's nomination is so non-controversial, that she was voted out of the Senate Judiciary Committee unanimously. But hat one procedural delay will eat up over two days of floor time.

It's unclear at this point whether the lost benefits and reimbursements can be retroactively restored.

Comments (133) | Join the Conversation!

Recommend Recommend (4)

March 1, 2010 3:29 PM   

Photo caption: "This is how much I care that my selfish, petulant conduct hurts the American people at a time they truly need help."

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March 1, 2010 3:34 PM    in reply to Hank Scorpio

Excellent! There are so many other captions that could written for this photo as well.

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March 1, 2010 4:05 PM    in reply to we r all husseins

"My **** is this big."

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March 1, 2010 3:41 PM    in reply to Hank Scorpio

I doubt he cares that much.

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March 1, 2010 3:30 PM   

this is actually some news. please remove all this mark foley crap. or are you guys going for the entertainment tonight angle?
seriously.

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March 1, 2010 3:32 PM   

OMG! He just flipped off and screamed at an ABC reporter!

http://politicalwire.com/archives/2010/03/01/bunning_flips_the_bird.html#033875a

This is going to be fun.

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March 1, 2010 3:46 PM    in reply to i said GOOD DAY sir

wow, this guy is an asshole

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March 1, 2010 4:05 PM    in reply to i said GOOD DAY sir

How dare those lowly subjects touch the door of the royal elevator.

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March 1, 2010 3:35 PM   

its, not it's

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March 2, 2010 4:13 AM    in reply to dumdedumdum

bullshit

its = possessive, belonging to "it"

it's = contraction of "it is"

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LFC

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March 1, 2010 3:37 PM   

Time for the Dems to scream about the de facto Republican Medicare benefit cuts.

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March 1, 2010 3:38 PM   

this guy is toxic

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March 1, 2010 3:40 PM   

OK. Seriously: Did someone photoshop in the hand/shirt-sleeve combo or what? I know he used to be a pitcher or catcher or something, but jeez! Just doesn't look proportional here!

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March 1, 2010 3:42 PM   

An elderly family member went to grade school with the Senator at the St. Immaculata grade school in Newport, KY.
This identity-protected senior tell us that when the Senator didn't get his way during playtime he would cry, grab his ball and run home to mother. Doesn't seem as though much has changed.

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March 1, 2010 3:43 PM   

And this is NOT on the front page of the NY Times and the WaPo websites just why, exactly?

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March 1, 2010 3:50 PM    in reply to Cal Gal

Because it's far, far less important than the resignation of the White House social secretary, Tiger's sex life and the Democrats' unconscionable plan to "ram HCR through the Senate on a majority vote." And worse, "without a single Republican vote."

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March 1, 2010 4:26 PM    in reply to The Commenter Formerly Known as NCSteve

All while the AMA complains loudly about how the SENATE is holding up payments. Notice they didn't name any names or, heaven forfend, the party affiliation.

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slb

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March 1, 2010 5:07 PM    in reply to worthy9

I thought the reason the payments were being held up was to avoid paying a reduced amount, or at least that's the impression I had from something I heard on NPR over the weekend. The order (from the administration, I'm assuming) was to hold the payments for 10 days, in hopes that would give the Senate time to end the filibuster, pass the bill, and have it signed into law by the president. At that point, payment at the previous compensation rate would be authorized.

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March 1, 2010 3:47 PM   

Join the Act.ly petition on Twitter telling Bunning and Senate Republicans to stop holding unemployed Americans hostage to their obstructionist agenda: http://act.ly/1qo

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March 1, 2010 3:49 PM   

Given Bunning's age . . . Let's hope his doctor can't afford to treat him cuz Medicare can't pay.

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March 1, 2010 3:57 PM    in reply to Richard L. Adlof

Between his years in the House and his years in the Senate, I'm sure his pension and other retirement benefits will be good enough where he won't have to worry.

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March 1, 2010 3:51 PM   

Thanks again, Kentucky.

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March 1, 2010 3:52 PM   

This guy is comedy - in a major-league asshole sorta way...

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March 1, 2010 3:53 PM   

Is it my imagination or is almost every repuke in the senate an angry white guy who doesn't give a sh*t about anybody but themselves?

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March 1, 2010 4:36 PM    in reply to Michael A

It's not just you.

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March 1, 2010 3:54 PM   

I just submitted a comment with a couple links to his prior voting history pertaining to budgets in the past decade and it got held by the filters. Bummer I spent some time researching it.

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March 1, 2010 3:55 PM   

The game plan should be to call for the vote to proceed a 100 times til the old fart drops over from his blood pressure exploding.

Brian, get some quotes from the senate repuke leadership on their support for this tactic from Bunning....that woould be newsworthy

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March 1, 2010 4:01 PM    in reply to Progressive Party

Absolutely. If they want to be assholes, make them vote to be assholes. This business of letting them block legislation by default has got to stop. Let's see if they actually have the nerve to cast a vote.

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wyt

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March 1, 2010 3:55 PM   

Over at Salon Conason has a great piece about a charity fraud Bunning is running.

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March 1, 2010 5:06 PM    in reply to wyt

Ever since he was inducted into the National Baseball Hall of Fame, Bunning has operated this phony “charitable” operation as a front for his business selling autographed balls. As this outfit’s sole employee, working one hour a week, he has paid himself hundreds of thousands of dollars over the past 10 years — considerably more than the amount donated to any actual charity.

from the Conason link...and he doesn't pay taxes on the autographed baseballs, while collecting a paycheck and medical care from the guvment!

-the guy is lower than a snakes belly...

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March 1, 2010 4:02 PM   

The Democrats are going to get blamed for this, and rightly so. They have the power to make Bunning and anyone else who supports him to stand and talk until he either relents or collapses. Nothing is stopping them from doing so, other than the House of Lords I mean Senate's obsession with their precious congeniality.

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March 1, 2010 4:06 PM    in reply to Hank

Congeniality this. Make 'em stand and yammer until they keel over. The Demos are a bunch of pussies, with Hapless Harry leading the pack.

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March 1, 2010 4:14 PM    in reply to Hank

"They have the power to make Bunning and anyone else who supports him to stand and talk until he either relents or collapses."

Actually, they don't. Why does this myth still persist?

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March 1, 2010 4:28 PM    in reply to mans_best_friend

When the issue is a unanimous consent, they do. He has to be on the floor to object to unanimous consent. At the very least, holding continuous calls for consent would force the other Republicans to either object for him, and suffer the political consequences for it, or let it pass. And since this is actually pretty non-controversial stuff that's political poison to oppose (except for Bunning, who's retiring), it might pass.

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March 1, 2010 4:40 PM    in reply to libdevil

Correct. In a majority versus minority filibuster situation, the minority needs only one member, while the majority needs to maintain a quorum (thus the fruitlessness of the "make them actually filibuster" argument).

But here, the "minority" is in fact only one person, and it would be to the Democrats' political advantage to maintain a quorum 24/7 just to force this douchebag to keep objecting to unanimous consent every few minutes. No bathroom breaks either.

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March 1, 2010 4:41 PM    in reply to libdevil

But he doesn't have to "stand and talk until he either relents or collapses". This isn't Mr. Smith Goes to Washington. Otherwise, I agree. Call for unanimous consent and make him stand there and object. File for cloture ASAP.

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March 2, 2010 12:31 AM    in reply to mans_best_friend

They don't need to do any of this. They just vote for cloture, and the vote can be scheduled in 30 hours (but there's some other rigamarole revolving around legislative days). I'm assuming that it already has been scheduled.

The issue is that the Senate wanted vote for the issue right away, but Bunning objected. Even once they get together a quorum and vote him down, there is still a delay. The Republicans use this tactic all the time to slow down legislation.

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March 1, 2010 4:09 PM   

Well, I suppose that's one way to drive down health care costs.

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March 1, 2010 4:12 PM   

If the recently passed paygo law is his crutch for obstruction, why aren't dems making a complete spectacle out of this hypocrite (i.e. Medicare part D and other past unfunded initiatives/laws he's voted for?) Allowing silent fillibusters to occur shows that dems care not to show up their advasaries. I mean, what's left to do at this point? Let the ill old man stand there until he is hoarse and falling down, no other business is being completed anyway.

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March 1, 2010 4:15 PM   

my letter:

Senator Bunning,

You are a selfish bastard regarding unemployment benefits. Even members of your own party have a modicum of compassion for the unemployed. You however, have the temerity not only to deny people the ability to survive, but whine about missing a fucking basketball game.

You sir, are the epitome of the word ASSHOLE. I assume you wear that appellation with pride, but I pity your constituents and the rest of the unfortunate in this country who have to live with your callousness and inferiority complex.

Senility is not an excuse. I realize my words mean nothing to you, but for the record I'd like to say that if you weren't a dumb ex-jock who got lucky enough to pitch a perfect game, you wouldn't have had the opportunity to smear your feces across the Senate floor.

You can't leave soon enough.

Yours,

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March 1, 2010 5:36 PM    in reply to Rooktoven

Pitching a perfect fit is what he's best at.

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March 16, 2010 12:42 PM    in reply to Rooktoven

Seriously, it does more good to send a letter like that to the local paper (biggest one in the area, preferably) because THEN your views will actually matter to the Senator.

Mail sent to his office from out-of-state gets thrown out unread. In-state mail just gets tallied for / against; few pieces of in-state mail get summarized for the Senator's briefing. This isn't anti-Bunning; this is how ALL Senate offices are run, because the volume of mail is so huge.

So don't write him. Write your local paper ABOUT him. THAT gets results. :)

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March 1, 2010 4:15 PM   

Um, weren't there a couple other Republicans waiting in the wings in
case Bunning's prostate gave out ?

Ergo, it is The Republicans(note plural)fault....Get it Dems ?

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March 1, 2010 4:18 PM   

I wonder if all the Seniors who think that its the Dems and Obama who are about to screw them are aware that its the GOP who's doing the most harm.

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March 1, 2010 4:21 PM   

The filibuster doesn't work like that. All the Republicans have to do is have one member note the absence of a quorum. Even more simply, they can all just vote against invoking cloture. Either way, the bill won't make it to the floor.

And while it's true the Dems would win a few news cycles by harping on the Republicans' impeding of the legislation, that will only get them so far. The Democrats have control of the White House, a 80-seat majority in the House and a larger majority in the Senate than Republicans have had in almost 90 years. If they still can't get their legislation passed, the voting public is not going to care about obstructionism or any other excuse. The Dems will get blamed since they're the party in charge.

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March 1, 2010 4:22 PM   

Josh's front page article twice refers to this stunt as a "filibuster," although this article calls it a "blockade."

I'm not enough of a parliamentarian to know the difference between a filibuster and a blockade, but why can't Harry Reid or some other Senator call for a cloture vote, and either shut this idiot up or get all of the Republicans on record as supporting this bullshit?

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slb

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March 1, 2010 5:15 PM    in reply to Barry Ragin

I suppose it's a little of both. As I understand it, if unanimous consent is refused, that means that the Senate has to vote on the matter in question. That, of course, brings in the possibility of filibuster. But if there are indeed Republican senators who are not happy with Bunning for pulling this stunt, then the filibuster should not hold, and the Senate should be able to vote to send the measure to the president to be signed.

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March 1, 2010 4:23 PM   

Why are Republicans trying to kill grandma?

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March 1, 2010 4:23 PM   

If Democrats "hate America", then it's fair to say that Republicans hate Americans.

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March 1, 2010 4:25 PM   

Doesn't matter that Bunning is retiring after this year. The White House and Democrats must make this ridiculous behavior a centerpiece of the upcoming campaign. This is 2010's version of Mark Foley. Dems need to make sure this sticks to the GOP like glue.

http://www.political-buzz.com/

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rwp

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March 1, 2010 4:30 PM   

The Senate is an awful institution..How can one person from anywhere let alone from a tiny state (pop. 4.2mm) effect the entire country..It is absurd!!

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March 1, 2010 4:43 PM    in reply to rwp

The problem is that the effect can only be negative. All the senators can do is stop stuff, anything. They can't do anything positive individually, only negative. The senate really has got to go. Time for a parlimentary system to avoid all this garbage. We cannot continue to operate like our transportation system is based on horse and buggies and our communication system is based on the pony express. This hold and block and stop shit worked ok then, now it is intolerable in a 21st centruy society that is trying to compete on the world stage. It is just not doable anymore. Time for them to go.

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rwp

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March 1, 2010 5:23 PM    in reply to Michael A

Couldnt agree more..As George Washington once said his fear about the two party system is if it actually became a two party system...

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March 1, 2010 5:44 PM    in reply to Michael A

Agreed, but highly unlikely. Why would they vote themselves out of power? Each individual Senator loves the idea they alone can hold up legislation, if not now, later, when another Admin's in power. Also, a Constitutional Convention is problematic. I think we're stuck with the system we have (unfortunately, though I heartily agree with your ideas). Senate rules, however, can be changed anytime.

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March 1, 2010 4:33 PM   

Our Republic's senate is starting to look like it has all of the corruption and foibles of the old Roman Republic's but none of it's efficiency or abilities to promptly act in a national crisis.

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March 1, 2010 4:39 PM   

Read Trudy Liebermann -
http://www.cjr.org/campaign_desk/the_cost_of_living_part_iii.php?page=all

"The fee cuts concerned BusinessWeek, too, which talked to dermatologist Michael Bell of Murfreesboro, Tennessee. Bell said he had to delay appointments for his elderly patients by four months. Bell said that even if Congress steps in and blocks the cuts, Medicare pays too little. Were BusinessWeek readers to feel sorry for the dermatologists, who are among the best compensated medical specialists? The magazine quoted a Medicare official who said that Medicare pays 80 percent of the $65.67 cost of a mid-level office visit, but failed to say that most beneficiaries have supplemental coverage that pays the additional 20 percent. In the end, the docs get the full amount.

BusinessWeek also reported that the Mayo Clinic, showcased by the Obama administration as a model for other big hospital systems, said a primary care clinic in Arizona would stop taking Medicare patients Jan. 1 because the government pays too little. BusinessWeek’s story was dated February 26. Was the clinic still refusing Medicare patients? How many had gone untreated over the last two months?"

Not so sure this is such an open and shut issue.

It's difficult to separate the issue from the industry push-back.

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March 1, 2010 4:48 PM    in reply to murph

...yet the republicans insist that medicare is the reason for our increasing costs, due to them artificially inflating prices. This seems (anecdotal, of course) a perfect example illustrating that the opposite, in fact, is true.
It's the insurance companies who pay so much more, and medicare who may well pay a little more than every other western nation's similar programs, but still not enough for the doctors for whom more profit and less patients is preferable for more income via actual hard work, and helping more people.

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March 1, 2010 4:48 PM    in reply to murph

Trudy Liebermann doesn't help the situation when she goes off on mis-informed rants like this. Medicare specifies reimbursement rates for each procedure. This is always significantly lower than the rate the doctor normally charges for that procedure. Medicare then pays 80% of that rate and the patient is responsible for the other 20%. In no case does the doctor get the "full amount" that they would normally charge.

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March 1, 2010 5:41 PM    in reply to mans_best_friend

So... you're saying that Ms. Liebermann's observation that supplemental insurance is often picking up the shortfall is inaccurate?

I certainly don't have statistics at my fingertips, but I've seen enough supplemental insurance commercials to know that those services exist. If they don't pay for the portion that Medicare doesn't - why do they exist?

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slb

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March 1, 2010 5:51 PM    in reply to murph

If I'm not mistaken, the agreement that doctors have with Medicare is that they CANNOT charge a Medicare patient more than that allowed rate. What the supplemental insurance picks up, then, would be the 20% co-pay of the allowed Medicare charge, but not the difference between what Medicare allows and what the doctor charges non-Medicare patients.

It should be noted that at the time Medicare was begun, many primary care physicians were treating elderly patients gratis, so even a reduced payment amount was better than what they were then getting. But the practice of medicine has changed a lot in that time.

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March 1, 2010 6:06 PM    in reply to slb

You are not mistaken.

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March 1, 2010 4:42 PM   

If the republicans, with the retiring Bunning as their hit-man, wish to play with American lives with such abandon and glee - and do so in such an horrifically callous way(eg "tough shit")- then it's time for the president to call this what it is - a constitutional crisis. If the republican party can hold the nation to ransom so easily, as displayed by this relatively minor but constitutionally terrifying taste of what the right will do if they don't get their way 100% of the time, then this nation is ungovernable.
It's time to make sure this kind of thing can not happen so easily.
Bunning may be enjoying his little 'Dictator in the sun' moment, and the republican party may think they're fooling the country by pretending they can't "rein Bunning in", and that his behavior is his alone - but that's simply false. The republican leadership is behind this 100%, and they're giving the nation a taste of what will happen if they don't get their way - that is, a full halt to the agenda the Democrats and Obama were elected to do.

Nobody can tell me Obama and the majority of the Democratic Party aren't trying to do what they campaigned on, and were elected to do - when the lobbyists and their corporate masters are in a mass panic 24 hours a day, and the republicans are threatening to shut down the entire nation.

This is political terrorism perpetrated by the republican party - not just one lone gunman - and it must be stopped.
Get onto it Obama!

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March 1, 2010 4:45 PM   

Maybe the NRA has a point. We need the right to bear arms so we can hunt down and cull the herd of an excess of Republican Senators.

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March 1, 2010 4:49 PM    in reply to Prysmith

you mean excessive right wingers in general don't you?
well, you ought to.

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March 1, 2010 4:53 PM    in reply to Plotius

Not funny - and I really don't wish to sound high and mighty, but please - stop acting like a right winger. This is the kind of stuff I see on 'foxnation' and 'redstate' etc all the time - and I'd hate to see us stoop to such childish hatred disguised as a joke. Such nonsense is really poisonous.
I hate it when right wingers further such hate under the guise of being light-hearted, and I hate it when anyone else does it.

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March 1, 2010 5:14 PM    in reply to cinesimon

you must be pretty unhappy then because they do it all the time and there's nothing wrong with blowing off some steam. I understand the frustration of the statement. I feel that way myself.

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March 1, 2010 5:22 PM    in reply to lousgirl84

Yes, it's entirely an understandable feeling.
And sure, blowing off steam is perfectly legitimate. But advocating assassination in a public forum is totally not the way to do it.
And yes, you're right - the right wing behave like this and far worse all the time on their blogs and websites. How does that justify us doing it? Their complete disrespect for human life is one of my core issues with the right wing - and the assassination jokes they make so constantly are indicative of it. Another reason I think we shouldn't be emulating them.

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slb

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March 1, 2010 5:46 PM    in reply to cinesimon

I'm with you cinesimon: Calls for violence, even if made in jest or extreme frustration, are out of line and should be called down.

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March 1, 2010 4:49 PM    in reply to Prysmith

dude that's totally uncalled for - even as a joke.

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March 1, 2010 4:47 PM   

I guess my question is why can't republicans just do this with the subsidies in the healthcare capitulation bill?

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March 1, 2010 4:50 PM   

Thank goodness the press it out there exposing Republican misdeeds and chicanery! Right? Anyone...?

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March 1, 2010 4:59 PM    in reply to Clavis

chirp.....chirp.....chirp....

Don't hold your breath. But the video should go viral.

http://politicalwire.com/archives/2010/03/01/bunning_flips_the_bird.html#033875a

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March 1, 2010 5:25 PM    in reply to Brownbagger

I watched the clip. Where's the 'bird-flipping?'

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March 1, 2010 5:34 PM    in reply to Impishparrot

I think it said the bird flipping happened just ahead of the clip.

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March 1, 2010 5:43 PM    in reply to Brownbagger

No bird = not viral.

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March 1, 2010 7:08 PM    in reply to murph

There is plenty of his jaw flappin' for it to fly. Who needs to see his nearly translucent boney old white finger?

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March 1, 2010 4:51 PM   

And since the people on this site are so up in arms over the Medicare cuts caused by Bunning's actions, I assume they are equally appalled by the Dem health care bill that slashes Medicare by half a trillion dollars, a move that the Medicare actuary has stated, twice, will effect both the quality of senior care and its availability. I kind of doubt anyone here is equally pissed, given the transparent hypocrisy of the majority of Obamabot sycophants on this site.

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March 1, 2010 4:54 PM    in reply to masanf

Hypocrite. Repukes have been trying to gut and get rid of medicare for years, just like social security. Now they are whining?

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March 1, 2010 5:02 PM    in reply to masanf

Wow.
Just wow.

Yes, that is SOOOO the same thing. Yes, we just love all these obvious false equivalencies from the right.
But boy - that hatred indicates you really need to get yourself some help.

Reform of medicare(NOT the destruction of it) has been necessary for quite some time, and has been a pet project of a majority of republicans for quite some time.
Now Obama wants to do it as a part of comprehensible health care reform, you're totally against it.
The hypocrisy, simple-minded ignorance, and outright hared is all yours, you sad little child.
Your continued use of obvious false equivalencies fueled by either willful ignorance or plain dishonesty, coupled with your open hatred is not only sad, but really typical of the right today. You have no interest in getting on with your fellow Americans - let alone having an honest conversation.

It's really very sad that you've allowed fear and hatred to take over your entire way of thinking.

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March 1, 2010 5:10 PM    in reply to masanf

Hey ManSuck,

Can you find someone who knows the facts better than you and put them in your place for us? You are really no fun when your talking out your ass.

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March 1, 2010 9:09 PM    in reply to masanf

But it was perfectly fine when the Republicans tried it for years on end, of course. Hypocritical scum.

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slb

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March 1, 2010 4:59 PM   

Sorry, Brian, grammar nit:

But included in that package is legislation to prevent a mandatory pay cut for doctors--and by standing in it's way...

That should be its -- no apostrophe. "It's" is the contraction for "it is". The possessive form of the pronoun "it" is simply "its."

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March 1, 2010 5:03 PM   

Go Jim Go!
Fuck it up for your fellow Repug's
Just when they thought they had momentum.
BTW is anyone reporting this besides TPM????

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March 1, 2010 5:04 PM   

Jim Bunning is nothing less than a cold-blooded murderer. In a better time someone would have called him out on a field of honor to account for his churlish behavior.

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March 1, 2010 5:06 PM   

Don't let Bunning take all the heat here. he is just carrying water for the Republicans and continuing their obstructionism.

It is a Republican move.

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March 1, 2010 5:07 PM    in reply to AlphaLiberal

Absolutely.

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March 1, 2010 5:07 PM   

Tea baggers in Georgia ought to be up in arms at the Senator. Bunning's renewed 'hold' today on legislation impacts not only unemployment and COBRA benefits extension, it brought to a halt many DoT construction projects across America. In Georgia, the Chickamauga Battlefield, Chickamauga - Chattanooga National Military Park, memorializing the site of the worst Union defeat during the War Between the States, aka the War of Northern Aggression, has been brought to a screeching standstill! Strangely, not ONE project in Kentucky was shut down...Doo Da Doo Da!

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March 1, 2010 5:07 PM   

Well, this is what happens when a senile old jock strap (backed by the party of organized idiocy) is allowed to roam around free in an insane asylum like the US Senate.

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March 1, 2010 5:09 PM   

And why is the Senate following these arcane rules, again? And what's to prevent Joe Biden from coming in there, grabbing the gavel, and having an, what was the phrase Cheney's spokesman used, "honest discussion"?

"The chair recognizes that Mr. Bunning is a penile encephaleptic; his objection is noted and over ruled. Sit down and shut up, sir."

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March 1, 2010 5:20 PM   

None of Bunning's senate offices in Kentucky are answering the telephones. I've been trying to reach the Capital line but it has been busy non-stop for the last three hours. Of the senator, Bill Clinton said that Bunning, a former baseball player, was so mean-spirited that he repulsed even his fellow know-nothings. 'I tried to work with him a couple times,' said Clinton, 'and he just sent shivers up my spine....I know you're a baseball fan and everything, and you don't like to hear it, but this guy is beyond the pale.'" Bunning might have had a huge fan base of Americans at one time paying to see him play, cheering him on in good seasons and bad. He repays Americans by cutting off their life-lines in hard economic times bought about by policies Bunning and his fellow GOP conservatives enacted. Time Magazine wrote in 2006 that Senator Bunning was one of America's Five Worst Senators. He is a hate-filled mean, old white man who wants to 'save' a fetus so he can have the privilege of 'starving' it to death once he forces its destitute mother to deliver it.

Washington, D.C.
316 Hart Senate Office Building
Washington, DC 20510
Main: 202.224.4343
Fax: 202.228.1373

Look who has been buying his votes for the last 12 years...OpenSecrets.org

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slb

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March 1, 2010 6:00 PM    in reply to Impishparrot

The Senator's office is not answering constituent telephone calls? Quick, call James O'Keefe!

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March 1, 2010 6:08 PM    in reply to slb

LOL.

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March 1, 2010 5:25 PM   

The AMA very pointedly mention that the Senate had adjourned for the weekend. That was the Dems' doing. Instead of making bunning and his cohorts hold forth, reid or whoever, made the decision to adjourn. Whether or not you agree, the gop will blame it on the Dems. I have to say this crop of D's is nigh on incompetent.

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slb

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March 1, 2010 6:02 PM    in reply to FDRdog

By the time it became evident that Bunning was not going to go along with unanimous consent, many Senators had already left for the weekend. Reed really had no option but to wait until Monday.

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March 1, 2010 5:36 PM   

"The XXX are harming doctors by reducing the fees paid to doctors, which will reduce patient care and get between their Doctors and their Health Care"

When Republicans replace XXX with Democrats (and HCR) they are assuming and just trying to scare people.

When Democrats (decide) to say it, they will be saying the truth and can point to Bunning for a clear case, just like they did with Anthem, allowing for a concrete "This IS what they did" versus a mythical statement.

Democrats need to learn that you cant win an issue by referring to something that happened in the past, but, you can kill something by making up a mythical potential demon that could come in the future. Use what happens NOW and play it out to death and keep it fresh in peoples minds.


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March 1, 2010 5:52 PM   

So, Senator, how many people did you help kill today?

I cannot believe this. Medicare taxes have NOTHING to do with UNEMPLOYMENT taxes. Both are collected separately and kept in separate accounts. The man is an idiot and has truly hurt people all across America.

And I do ask, Why did Harry Reid let this happen? I am very disappointed in him as well. I think these older fellows are actually afraid of a filibuster. There is a reason Nancy Pelosi gets higher favorables than Harry Reid. People do notice leadership, or lack thereof.

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March 1, 2010 5:55 PM   

Reid let him go home the other night to get a few more days out of this. I think Reid could've broke him last week but knew today would deliver all kinds of bad news about Rep obstructionism. Good move politically but a lot of people are suffering as a result.

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March 1, 2010 6:09 PM   

That's funny. Basically Bunning's move today will save more federal money in one day than the entire Obamacare bill will save for next 20 years. :)

And why are you complaining? Don't you want to cut health care costs? No guts, no glory, TPM?

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March 1, 2010 6:30 PM    in reply to Demosthenes

You simplistic, little twit.
You really hate poor people so much you think their destruction at the hands of the republican party is glorious?
And as for saving money: you're completely wrong - he's costing us money, and will cost millions more when this all starts up again - the cost of getting everyone back, backpay, etc etc etc - are massive.
But hey - as long as a few people die at the behest of you and your life-hating fanatics, we can say they died as patriots. Not their choice, but you seem happy with that.

Your lack of respect fir human life, and complete ignorance as to the economics of this and who us being effected, is just pathetic.

But, I'm sure Fox has convinced you you're on the side of angels, no matter who dies as a result. A long as it ain't you, huh?

You want glory? Kill yourself. Don't celebrate the death and destruction of other peoples' lives, and pretend to call it a good thing because you mistakenly believe it's saved some money.

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March 1, 2010 7:27 PM    in reply to cinesimon

Wow, that reply by cinesimon is indisputable evidence of the detached nature of the far left from reality.

Its Armegeddon if docs get a few days of lower fees? A few days of thinking by those on unemployment and not looking for work that perhaps its time to look for work again?

Nothing substantive will come of Bunning's holds, they'll melt away in a day or two.

Your crazy talk of massive expenses to it all "starts up again" is silly and hysterical, really.

The government is spending like crazy right now, with money our country does not have and has to borrow from foreign nations. A few days a little less spending isn't the end of the world.

It is your hysterical type of thinking re the supposedly critical importance of massive federal spending that makes true budgetary cutbacks, a true tightening of the federal fiscal belt, nearly impossible......which is very bad for our country, as someday the creditor nations are just going to say no.

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March 1, 2010 7:43 PM    in reply to Demosthenes

Indisputable evidence?
I'm one opinion. That really is all you need, isn't it?
Far left? Yep: you know nothing of me, but you're happy to call me a commie.

As for your claims as to the lack of consequences: that's tight kiddo: you keep your head buried in the sand, keep calling [people names, and keep throwing around false equivalencies.

Grow up.

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March 1, 2010 7:53 PM    in reply to Demosthenes

...and I'd love to see your lobbying for reforming the way we pend on defense - the corporate welfare, Cheney's pals making billions from war profiteering - from the wars he lied us into, the billions lost in Iraq that the republicans explained away as insignificant, the tax cuts X2 for the rich with an increase in spending - not a decrease, and then invading a country that was no threat to us. I'm sure all that stuff had you lobbying hard against them, right?
Yeah, RIGHT!

Yes, I'm the hysterical, irrational one - of course you'd NEVER argue with such logic as the comment I replied to: "Bunning's move today will save more federal money in one day than the entire Obamacare bill will save for next 20 years"

- I mean, UG UUURRRGGGHHH

I take it you agree with that, though, right?
Does that mean I can label you as a hard righty detached from reality? Because you obviously agree with him? Can I now claim that because you agree with him, it's INDISPUTABLE evidence that ALL right wingers think in such bizarre terms?

As well as needing to grow up: learn how to think critically. You're attacking one thing you see as unreasonable, yet you let far more unreasonable nonsense pass - because he's on your side ideologically., That's admittedly typical for both sides, but not for me. Certainly is for you, obviously.

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March 2, 2010 12:41 AM    in reply to cinesimon

all you did is slander me in your post, and you completely failed to address my substantive point about paranoid hysteria over any form of spending cuts.

Yet you say i need to think more?

Riiiiiiiiight.

Maybe you need to start thinking in the first place?

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March 2, 2010 12:44 AM    in reply to Demosthenes

Oh, yes - I 'slandered' you.
You get what you begged for, then you play the victim.

UG UG

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March 2, 2010 12:47 AM    in reply to Demosthenes

More 'indisputable' evidence that ALL right wingers don't know what slander means.
Nor do they know how to read.
It's indisputable, because one idiot from the right said it.

How sad that instead of responding to any of my comments, you decide that the only relevant iussue is your hurt feelings - so you claim slanderj and whinge, whinge whinge.
That and false equivalencies are the bread and buter of the right wing.
What childish nonsense.

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March 2, 2010 7:08 AM    in reply to cinesimon

Wow, if you're representative of the far left, the level of intelligent discourse and ability to understand and respond to a simple substantive argument (i.e. your hysteria over spending cuts makes true fiscal reform impossible) has reached a rock bottom level.

It appears all the far left can do is call folks names and cry and whine. Sad.

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March 2, 2010 5:04 PM    in reply to Demosthenes

That's exactly what you're doing.
You really are that blind, aren't you?

And yes, once again - my one opinion is equal to every single person on the left.

Oh yes - I'm FFAAARR left - no name calling there: me a COMMIE!

UUUUGGGG

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March 1, 2010 11:56 PM    in reply to Demosthenes

Shut up, asshole.

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March 1, 2010 6:16 PM   

I'm going to do some research. I want to find out WHO was responsible for this one-person filibuster rule. As a result, ONE senator can block something that 99 others support. I can't imagine the thought process that went into that. What were they effing thinking?

"Oh yeah. That'll make things really efficient. Let's think up something where just one guy can bring business in the Senate to a complete halt."

What morons.

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March 2, 2010 7:19 AM    in reply to Backcountry

its not a filibuster rule here, genius.

its the "unanimous consent request"

the Senate has many rules that require votes to proceed - and usually they are avoided by "unanimous consent" requests - so ONLY ONE SENATOR is needed to stop that.

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March 1, 2010 6:54 PM   

The Senate rules need to be reworked to stop this crippling nonsense and if they won't do it then the Constitution needs to be amended to abolish that institution.

As of last week, at least 290 bills that were passed in the House with bi-partisan support are being held up through Senate inaction. Bunning is being forced out by his own party so he has nothing to lose at this point. Harry Reid (the constant rubber backbone award winner) along with Lincoln, Ben Nelson, Mary Landrieu and LIEberman need to be pushed out as well for aiding and abetting government of, by and for the tyrannical minority.

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March 1, 2010 7:02 PM   

Please tell us, you Reid-bashers, what specific procedural options were available to Reid to stop Bunning's 'hold' once he acted to revoke "unanimous consent" rules so late pn a Friday afternoon? A Senate 'hold' is similar to a filibuster. One individual can can unilaterally prevent a vote on a bill in order to pursue his own selfish agenda; all any senator has to do is let it be known to Senate leadership that, when a bill comes up for a vote, he/she wishes to dispense the “unanimous consent” rules.

How does it work?

"Any Senator who wants to get really pissy and play hardball can go sit in their desk all day and just object to all verbal unanimous consent requests. It would bring the Senate to a grinding halt (although it wouldn’t win the Senator many friends or future allies)." Since Bunning is retiring, what does he have to lose?

The 'hold' can be defeated through cloture like the filibuster, however, the time required to bring around a cloture vote requires several days to put together as has been witnessed over and over again in the 111th Congress. So what exactly is it that you think Reid could have done? From what I've read, nothing Reid could have done on Friday would have changed the outcome for those needing an extension on unemployment or COBRA benefits, funding for DoT projects, payments to Medicare doctors, etc. before the deadline Sunday evening.

I've not been happy with everything Reid has done, but he can not be blamed for this boondoggle. There is only one person to blame and that is Senator Jim Bunning (R-KY).

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March 2, 2010 12:43 AM    in reply to Impishparrot

Reid is incompetent for not invoking cloture with time to spare on these bills. Bunning is a douchebag for doing what he did.

What baffoons both Bunning and Reid are.

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March 2, 2010 5:20 PM    in reply to Demosthenes

Was he supposed to read Bunning's mind? Any senator can object to "unanimous consent" on any bill. I get it that you do not like Reid, but at least run him into the ground over something he actually screwed up.

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March 1, 2010 7:52 PM   

This 'cut' in reimbursement for doctors has been part of US law for more than a decade. Since Medicare is a government run health care system, the government sets the payment rates. As a way to get a handle on the budget back in 1997, as I recall, there was a series of small reductions in the amounts that doctors were to be paid for some of their services. This amount was supposed to reflect the amount of over paying that had been discovered as a result of a massive, multi-year and nonpartisan study.

Well, the normal politics happened and the doctor and medial lobbies went to work on getting this reduction in fees taken out of US law immediately after the compromise budget was passed. And every year since, they have won. This is the so-called "doc fix", you hear about being included in the end of year omnibus spending bills.

But what has happened now is that in order to get them onto the payment schedule they are supposed to be at, it needs to be a whopping percent whack all at once as opposed to a little bit each time accumulating up to the current rates set by law.

Both parties have been in control of Congress since the 1997 budget law was passed, and both have caved in to the political pressure.

So now of course, we are talking about reforming health care all over again, and yet still no one wants to deal honestly with this issue, most especially the Obama Administration.

The doctors, hospitals and other providers are the real cause of heath care inflation, not the insurance companies. As is always the case, follow the money. Vastly more of it ends up in provider pockets than stays with the insurance companies. Yet, all we are doing so far is rearranging the insurance deck chairs.

It's time to let the doctor cuts go into effect or to change the budget law and accept the several hundred million dollar increase in projected baseline.

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March 1, 2010 7:55 PM    in reply to truth > spin

Of course what the doctors get from insurance companies has nothing to do with it.
It's all about blaming the government.

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March 1, 2010 8:03 PM    in reply to truth > spin

I love the '
most especially the Obama administration".
That's a classic line. Of course the insurance companies and their lobbyists the republican party and the fake parts of the Tea Part, have been altogether honest. It's a conspiracy to kill your grandparents, it's a conspiracy to kill the poor, it's a conspiracy to control your lives, take your guns, it's a government takeover, death panels, Obama=Hitler, Stalin and Carter all in the same breath, and on and on.
The Obama administration have decided that not everything can be addressed at once. You take that as dishonesty - in fact you take that as them being the MOST dishonest in the national debate. When most of the right have refused to read any of the proposals, and have simply made up what is being proposed to scare the hell out of everyone. It's what they've been doing to the elderly that really sickens me. But you give that all a pass.
How have the republicans an the Dick Armey wing of the Tea Party(the overtly astroturf wing) been honest in the slightest?

Just BIZARRE.
How you think you have any credibility when you simply ignore how the right wing have decided to take Frank Luntz's advice and lie, cheat and frighten the public into opposing reform is beyond me. You're either quite happy with total dishonesty, or you're so ignorant as to what has happened this past year, you pretending you have a clue at all is over the top dishonesty in itself.

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March 1, 2010 11:14 PM    in reply to cinesimon

I am not ignoring the past actions of Republicans on the payment reduction delays at all. They have been part and parcel to it every step of the way. As I note in my OP, both parties have been in control since 1997 and both have been equal opportunity sell outs.

The doctors and hospital groups come calling on Congress and Congress blinks every time.

My point about the Obama Administration stands, however. Beyond the normally hackery and selling out of the Congress, Obama has tried to gimmick the doc fix issue with respect to the current HCR debate. Sure he gets credit for at least trying to deal with the many problems, but he is affirmatively not dealing squarely with this issue and is trying to double dip the accounting on it.

Keep in mind that the 21% payment reduction is current law - it is the baseline. The providers have been living on borrowed (or should I say handsomely bought) time in not having them take effect.

Obama's plan needs to come up with a ton of offsetting revenue to for his new spending under HCR and given the size of Medicare, it makes for an appealing pot. But how can anyone honestly think we can make any actual reductions when the last round of reductions have yet to be implements and are 13 years overdue? The answer is flimflam.

Have the Congress pass legislation saying we no longer expect the reductions of the 1997 BBA to be enacted, and do it in as quiet a manner as possible. Then, you can reclaim that some pool of money as being the 'savings' you'll gain from the new HCR plan. This has been what Obama through the Democratic Leadership in the House and Senate has been trying to get done.

It's the equivalent of raising taxes in the middle of the night so that the next day you can pass a tax cut in broad daylight.

And beyond the scamminess of it, who honestly believes that the very next day after HCR were signed into law that the very same docs, hospitals and other provider's lobbyists wouldn't be in Washington the very next day looking for those new Medicare reductions to be delayed? If there were a single year, under either party, that the Congress stood up to them and let the gradual reductions take place, it might be something worth hoping for. Sadly, I have greater faith in unicorns.

Thanks for reading.

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March 2, 2010 1:11 AM    in reply to truth > spin

You seem to have decide to side-step my argument.
Let's ignore the republicans' past actions. I'm talking about their present ones. The ones you seem to be suggesting are more honest than Obama.
The dishonesty of the vast majority of right wing leadership surrounding the health care debate is overtly, obviously way over the top. Yet you stand by you contention that Obama is the most dishonest?
I just find that to be ridiculous.
Again: According to them, we're conspiring to kill the poor and the elderly, death panels will be a requirement - that is: a faceless bureaucrat will decide who lives and dies; Obama is Hitler/Mao/Stalin/Carter all at once; they continue to claim the country is overwhelmingly against reform in itself, let alone things like the public option - demonstrably false. They claim that they stand for reform, as long as it doesn't cost the country. he CBO has confirmed that is likely with the senate bill, so the republicans about face, and say it needs to be scrapped altogether. They are constantly changing the goal posts, and getting away with it. They are constantly saying our system is th best ion the world - demonstrably false. They're constantly saying, in fact, that there is no issue, and reform is not necessary.
All this and much, much more - yet you claim Obama is LESS honest than these hacks representing the insurance industry, and not their constituents?
I guess we should be grateful that you at least allow that Obama is at least trying.
That is the diametric opposite of what the republicans are doing - yet you claim they're more honest.

EH?

It seems that as with so many Americans these days, you expect nothing less than perfection from Obama, and one step wrong and he's the least honest man on earth. Yet the republicans can lie through their teeth, and their honesty isn't even seen as an issue.

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March 2, 2010 12:37 AM    in reply to truth > spin

Not true. The original CBO score for the Medicare cuts was only about 15 billion over 10 years. There was a major defect in the legislation that made the cuts about 5-10 times deeper than intended. Every Congress keeps punting the issue because nobody wants to sign a permanent fix which gets a bad CBO score, although the House did exactly that in it's bill, and PAID FOR IT WITH NEW TAXES.

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March 2, 2010 1:08 AM    in reply to philogratis

philo, I wish that were true, but it isn't. If you can point out where in the House bill the doc fix is included and gets included as part of the budget score of the legislation, I'll eat my hat.

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March 1, 2010 11:59 PM   

It's becoming painfully clear what a completely dysfunctional institution the US Senate has become. Time to think about a major overhaul.
This might be one of those times when a blue ribbon commission is called for to see if the Senate can be salvaged.

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March 2, 2010 12:55 AM   

The right wing base again seem to have been utterly lied to about what is going on here.
They think it's only a couple thousand federal employees, and some doctors who will be paid what they consider a 'few dollars less'. Of course, for a party who consider 'rich' to be over 5 million, I guess a 20% cut is only a few dollars. Of course the drop in services to the elderly is exactly what they terrified the elderly with when lying about HCR. But here they are, doing exactly what they were pretending to warn the elderly we would do, with absolute righteous glee.

I wonder if they realize the full consequences of this issue. This one action by Bunning.
It's gong to affect over a million people very negatively. It's put to a stop numerous large scale roading projects - which will costs a hell of a lot to start up again.

This is NOT about a couple thousand workers and doctors fees. But I'm sure the Fox/RNC channel very easily convinced the gullible right that is all it is. And to them, anything different is a part of the commie plot to take way their freedom.

Their ignorance is just sad.

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March 2, 2010 1:12 AM    in reply to cinesimon

cinesimo, I agree Bunning's action is not motivated or about the doctor fees of the road project workers. But stories like this one that link them and seek to create the impact from his actions in those lights are to blame.

Remember, it wasn't Bunning or the GOP that wrote the headline "Bunning Blockade Leads To 21 Percent Fee Cut For Doctors" which appears at the top of this diary.

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March 2, 2010 1:18 AM    in reply to truth > spin

Oh, come on!
It's the headlines' fault?
Even on right wing websites? It's the TPM headlines' fault that's why the right think it's only about this?

Sorry, that doesn't cut it. If I can find out easily the other effects of Bunnings' behavior, then so can others.

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March 2, 2010 2:15 AM   

I'm not defending Bunning, but does no one see the irony in complaining about Bunning scotching the doc-fix when the HCR is being sold by the administration using GAO estimates which assume there'll be no doc-fix?

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March 2, 2010 7:11 AM    in reply to ds101

Of course, DS. The hypocrisy of the far left knows no bounds, screaming about saving a 100 billion in deficit spending according to the CBO report based on the entirely fictional assumptions fed to the CBO by Dems of no doc fix.

Does anyone remember that the Dems included a doc fix as a payoff to the AMA in the first set of Obamacare bills, and the CBO said it would cost 300 billion in deficit spending over 10 years?

and then the Dems pulled the doc fix, and magically they can claim now to "save money" - by the same assumptions of no doc fix that this article and many posters here claim is Armegeddon

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March 2, 2010 2:53 PM    in reply to Demosthenes

Yeah, I was pretty irritated with Xavier Becerra at the summit. Did you see him telling Paul Ryan that he needed to accept the DEMs claims about HCR's effect on the budget unless he doesn't believe that the GAO is an honest broker?

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March 2, 2010 8:20 AM   

Why don't they change the rule so that any objection would require a second to the motion. Then jerks like Kyle and Cornyn would have to step forward and put their names on the line.

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March 2, 2010 8:55 AM   

Jim Bunning will (or maybe has) become the new Dem's talking point. The power of the minority was never meant to exist in a single individual. It would be interesting to poll voters in KY and find how many have lost benefits due to this man. Something tells me those results may be available early next week.

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June 5, 2010 10:59 PM   

If the republicans, with the retiring Bunning as their hit-man, wish to play with American lives with such abandon and glee - and do so in such an horrifically callous way(eg "tough shit")- then it's time for the president to call this what it is - a constitutional crisis. If the republican party can hold the nation to ransom so easily, as displayed by this relatively minor but constitutionally terrifying taste of what the right will do if they don't get their way 100% of the time, then this nation is ungovernable.
It's time to make sure this kind of thing can not happen so easily.
Bunning may be enjoying his little 'Dictator in the sun' moment, and the republican party may think they're fooling the country by pretending they can't "rein Bunning in", and that his behavior is his alone - but that's simply false. The republican leadership is behind this 100%, and they're giving the nation a taste of what will happen if they don't get their way - that is, a full halt to the agenda the Democrats and Obama were elected to do.

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July 9, 2010 2:31 AM   

Does that mean I can label you as a hard righty detached from reality? Because you obviously agree with him?
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August 22, 2010 11:51 AM   

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