Congress struggling to finish a huge budget reconciliation bill. A GOP president pushing a major overhaul of federal payments for health insurance that could transform the lives of sick patients.

Sound familiar? The year was 1986. I was a rookie health reporter on Capitol Hill and watched a Medicare bill move from introduction, to hearings, to votes in subcommittees, to full committees and then to the entire House — an operation that took months and was replicated in the Senate, before the two chambers got together to iron out their differences for final passage.

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  • Julie,
    Thanks so much for this. SPJ has been fighting the mandates to go through PIOs for years now, something that creates a lot of secrecy about all health programs. Can we talk about that? Can we get AHCJ to move on all of this stuff? Kathryn

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