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Home health care companies are already complaining that the cuts will hurt patients, but their industry is one of the most profitable parts of Medicare; it needs to do its fair share to curb the relentless surge in Medicare spending.
And when the hospital provides care under state and federal programs like Medicaid and Medicare, it is already reimbursed below its costs, Dr. Abelson said.
Yet as Congress begins to shift its attention to overhauling Medicare, it is a centrist Democratic deal maker, Senator John B. Breaux of Louisiana, who is likely to have the most influence in shaping the outcome.
If the Senate had accepted Mr. McCain's proposal on Medicare, it would have killed the bill in its current form.
It's called Medicare, it covers all Americans 65 and older, and it's enormously popular.
For Republicans intent on killing Medicare, it was a monumental miscalculation to miss that logical leap.
Like Social Security and Medicare, it spread the cost of a social good across society.
Under traditional Medicare, it says, "your costs may be higher than in Medicare Advantage plans".
Because it involves cuts in Medicare, it endangers the votes of older Americans who helped fuel their midterm victories.
President Obama's health care plan is not a raid on Medicare; it is an investment in a stronger system.
To hold down the cost of Medicare, it sets target levels for per capita Medicare spending beginning in 2015.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com