9/19/09

First lady says health system unacceptable


    WASHINGTON - Michelle Obama, speaking as a wife, mother and daughter - but not as a policymaker like a previous first lady - urged women on Friday to join her husband's fight to overhaul health care.

Her 23-minute speech, embraced by a receptive female audience at the White House, contributed to the administration's all-out public relations push on health care. President Obama will resume it Sunday with appearances on morning news shows, followed by a visit Monday to CBS's David Letterman show.

Mrs. Obama focused on the White House's efforts to expand coverage and block insurers' ability to drop customers who get seriously ill. But she stopped well short of the deeply involved, hands-on role played by another first lady, Hillary Rodham Clinton, nearly two decades ago.

In urging passage of "my husband's plan," Mrs. Obama stuck mainly to the themes and backdrops of more traditional first ladies, including Laura Bush. She spoke repeatedly from the perspective of a mother and wife who sympathized with less-wealthy women's plights.

"For two years on the campaign trail, this was what I heard from women, that they were being crushed, crushed by the current structure of our health care," the first lady said.

Obama rolling into week of high diplomatic stakes

    WASHINGTON - The relentless global problems Towards Barack Obama is about to approach him at a time, to stretch the rope for the first year of a president who promised to "change the world." Is a space of four days of diving in the Obama policy of the United Nations and summit host Pittsburgh is faltering economy in the world. At the international level comes to him and no one is standing, it's paris high.

Obama is under pressure to push along the peace in the Middle East stalled, the United States is serious about the exhibition on climate change and to rally allies against nuclear threats from Iran and North Korea. Concerned leaders of Europe and the rest by pressing Obama to reform the risky economic behavior in the United States and the Congress on board.
It also assumes the load on the two wars now inherited the position of his fingerprint - a dismissal of Iraq, which continues in Afghanistan. Eight years after the September 11, 2001 attacks, Obama is an international stature, he always tries to keep Afghanistan al-Qaeda launching pad again.


The talks have the potential to be a galvanizing moment and missed opportunities.

"Leadership is not simply tell people what you want, because the Bush administration has been observed. Leadership is getting people to do what you want them to do, "said Jon Alterman, Senior Fellow, Center for Policy in the Middle East for Strategic and International Studies and a former State Department official, President George W. Bush 's first term.

Obama's chances.

In his speech at the First Assembly of 192 members to share their views on leadership, emphasis on the new brand to highlight the cooperation he has not Bush. As UN ambassador, Susan Rice, described the message: "Everyone has a responsibility. The United States is a leader again. And we expect others to join.

Obama is the first president of the United States, and President of the Security Council, whose rotating presidency of the United States happens to be in the hands of this month, the annual meeting of the General Assembly. He expects to be away from the summit resolution Arms control that advances the goals of its nuclear weapons free world.

The measure tries to set fire to Iran and North Korea do not blame any country.

His domestic agenda to consume health care, Obama is pressing world leaders to put more muscle to fight climate change. He tries to do exactly this week, including a speech at the Climate Conference of the United Nations.

Time presses, however, that the United States for influence. The international conference is planned for December in Denmark, a new global climate agreement on the contract. Although Parliament approved a bill to limit greenhouse gas emissions, the decision may discolor the Senate next year.

Perhaps as important as the speeches are discussions of the world never sees.

Obama, who arrived in New York on Monday of the annual collection of the United Nations, met privately with leaders of Russia, China and Japan. Less formal sessions held throughout the week.

Showcase for the new American president is visiting.

Only in its first year, Obama has done through the summits with the leaders of the world's top 20 industrialized countries and eight major industrial powers and the Western Hemisphere heads, leaders of Russia and the NATO. The president is not afraid to asked the UN to take "a big hard problems more efficiently.

When the focus moves to Pittsburgh, Obama Group of 20 summit, to lead rich countries and developing countries, representing 80 percent of global economic output. Although the U.S. and costly efforts earlier this year helped to stop the economic downturn is an enormous amount of work left and a large departments on how to proceed.

"We must all act responsibly on behalf of a better economic future," Obama said Saturday the radio and the Internet, which seemed to approach the G20 summit and warned against complacency.

EU leaders are frustrated that the American operation of economic regulation and limit the directors of the bank to pay. Just before Obama Travel down the plan and the Federal Reserve, which for the first time the police how banks pay for executives is to minimize investment risky.

Obama himself has to drive to get Congress moving - he just went to Wall Street to say so much. But the work is unlikely to meet their peers.

"You will hear a strong concern that the experience is not learned," said Heather Conley, who served as Foreign Minister of Bush is currently the program CSIS think tank. He said that Europeans are afraid of emergency has been lost, and they ask: "Americans, what are you doing this?

The events can affect the final days of the agenda of Obama, too.

President of China has punished more than the tires are exported to the United States, indicating the violation of trade rules. The transition is an economic ally, enraged and fanned fears that the new protectionism.

He just destroyed the era of Bush's plans for a missile defense system in Eastern Europe, the exchange is a more mobile, designed to change the threat from Iran. This change is welcome in Russia, who said Obama had nothing to worry about first, but the cause consternation in the region.

His special envoy to the Middle East, did not bridge differences between Israelis and Palestinians, expressed uncertainty about the recent talks and restoration of American influence on them. The White House said Saturday that Obama will host a meeting on Tuesday, Israeli Prime Minister Benjamin Netanyahu and President of the Palestinian Authority Mahmoud Abbas.

And then there's the shadow of Iran.

Iranian President Mahmoud Ahmadinejad on Friday, while the Jews had doubts really happened, and assured him that Israel was created "to lie and claim the mythical". This imposes a threatening tone, that the UN - Ahmadinejad is here - that the United States and five other countries in late October 1 Conference on Iran.

Biggest challenge facing Obama communications to ensure that your message is king.

This means, such as rice, she tries to "bridge the divide between old and oppose the efforts of a handful of usual spoilers.

RushLimbaugh on NancyPelosi's DespicableAttackAgainst Americans,Obama Health Care/Nazi Swastika Logo



Limbaugh compares Obama's new healthcare logo to Nazi swastika Topic
   Member Godwin stated that the more a debate continues, the probability of a confrontation with the Nazis or Hitler salt. It seems that the debate on Healthcare is no exception.


In recent days, House Speaker Nancy Pelosi (D-San Francisco) has repeatedly accused the people in a protest against the recent reform of the health of President Obama wearing swastikas and symbols of the SS - a claim which has since been strengthened by a series of photographs .

"I think that artificial turf is the judge," said Pelosi. "They are wearing swastikas and symbols, like that in a town meeting on health."

Perennial criticism of Obama and conservative radio host Rush Limbaugh was quick to respond to these accusations, saying that now his radio show that was actually the Democrats who have used Nazi symbols to advance their agenda. He cited a blog post on the Conservative Sweetness & Light, which compares the logo Health Care Barack Obama - a combination of his campaign logo and the greek symbol of medicine - the symbol of the Nazi swastika.

"They accuse us of being Nazis, and Obama has a logo of health which is the right of Adolf Hitler Playbook," said Limbaugh.

Limbaugh proceeded to describe how Democrats are like the Nazis - a list that included their dedication to animal rights and their opposition to smoking and pollution.

Well, the Nazis were against big business - he hated big business. And, of course, we all know that they were against the Jewish capital. They were mad, irrational against pollution. They spent two years of voluntary service required in Germany. They had a lot of make-work projects to keep people working, one of which was the highway. Were against vivisection and cruelty to animals, but in the radical sense of devaluing human life, have banned smoking. They were totally against that. They were for abortion and euthanasia of unwanted, as we all know, and they had to cradle to grave health care, nationalized.

What do you think? This is the logo Health Barack Obama is actually a symbolic reference to Nazism?

9/16/09

Obama called a liar during his health care speech; "Illegal Immigrants will not be insured?"


9/15/09

Audience Yells "Liar" At Obama During Health Care Speech to Congress!


Obama Heckled by GOP During Speech to Congress- Video



Obama heckled by GOP during speech to Congress Topic

    WASHINGTON - Rage August to get out of town councils in the nation's Capitol, the Senate on Wednesday that U.S. President Barack Obama has tried to move his health plan earlier.

Republican of South Carolina, Joe Wilson shouted: "Liar!" Obama, talking about illegal immigrants.

It was not only during the break Obama's speech in a joint session of both chambers of Congress in the House of Representatives. Earlier, the Republicans laughed when Obama acknowledged that there are still important details to be resolved prior to overhaul health can be adopted.

Wilson explosion Obama before a short pause, he put forward in his speech. Overhead in the galleries for visitors, first lady Michelle Obama shook his head from side to side.

9/13/09

Obama's health care plan, pledges support




   Gov. Martin O'Malley pledged to help President Barack Obama as he seeks to ensure passage of national health reform. Governor of Maryland, called the federal push to reform the "once-in-a-generation opportunity."   O'Malley was one of three governors who joined the White House conference call to discuss the Obama health care

to address the Congress and the nation. So the debate was Wisconsin Governor Jim Doyle, whose state is one of the lowest in the insured in the country was 8.9 percent, and Massachusetts Governor Deval Patrick, whose state is achieved rate 5.4 percent lower uninsured after the establishment of universal health coverage several years ago. Prices (in Maryland is nearly 13 percent, according to statistics recently released Census Bureau.)
    Democrats applauded the trio of Obama's speech that Melody Barnes, the director of internal policy the White House said the President met with the "governors" and must join the centrist Congress. "The actual teaching since August is that the American people will not accept the status quo," said Barnes.
He and the governors reaffirmed what they called the president has a clear objective: to ensure that Americans can maintain their current health insurance system, affordable alternatives for people who are not covered, and control costs. O'Malley said, and the other governors struggling with budget deficits, to praise the efforts to keep costs in check.
   He noted that the budget is 9.2 billion U.S. dollars of health care in Maryland would quickly balloon, if costs continue to rise at an interest rate observed in recent years. "It is unacceptable on the state of Maryland and threatens to undermine all those who have coverage," he said.
   O'Malley also praised the idea of the insurance exchange in which the proponents say, small businesses and others can find low-cost packages, and if insurance companies would be competing for millions of new customers. The governor said that it would be better to give his administration has offered to encourage workers to convince, says that the census figures show, many of them joined the group of uninsured work for small businesses.
   Conference call to discuss what feels good, how the proposed health care may cost you points. Obama said in his speech that he would sign a bill that increases the national deficit, raise the specter of May, the state is Pony Up.

9/9/09

Addressing health care with House Blue Dog Democrats' delete so crucial to vote in September

Democrats press committee action on health care
WASHINGTON - Congressional Democrats are determined to show progress on health reform, prompting the president Barack Obama is the top national priority by both Boards of fundamental importance, before returning to break the month of August. Are closer, but you're not there yet.
Democratic leaders in the House won a contract by the Conservatives on Energy and Commerce Committee that would have enabled the Group to begin to vote on legislation as early as Thursday. In negotiating the Senate Finance Committee say they are closer to a bipartisan compromise that has eluded for weeks.

The Finance panel and the Energy and Commerce panel are seen as pivotal tests of prospects for the legislation because they reflect the broader composition of the Senate and the House. Three other committees that have already passed versions of the legislation are dominated by Democratic liberals.
The earliest that floor votes could occur would be in September.
The House bill and the plan under negotiation in the Senate are designed to meet Obama’s goals of spreading health coverage to millions who now lack it, while trying to slow the skyrocketing growth in medical costs. As recently as two weeks ago, Obama was pressing the House and Senate to pass separate bills by the end of July or early August. After Republicans and moderate Democrats objected to the rush, the president said he’d settle for just progress.
Wednesday in the House, Democratic leaders gave in — at least temporarily — to numerous demands from rank-and-file rebels from the conservative wing of the party. The so-called Blue Dog Democrats had been blocking the bill’s passage in Energy and Commerce.
The House changes, which drew immediate opposition from liberal lawmakers, would steer away from using Medicare as the blueprint for a proposed government insurance option, reduce federal subsidies to help lower-income families afford coverage, and exempt additional businesses from a requirement to offer health insurance to their workers.
Bipartisan Senate negotiators reported progress on legislation that aims to cover 95 percent of Americans without raising federal deficits.
“We’re on the edge, we’re almost there,” said Sen. Charles Grassley of Iowa, the senior Republican involved in the secretive talks, although a fellow GOP participant, Sen. Mike Enzi of Wyoming, dissented strongly.
Sen. Max Baucus, D-Mont., chairman of the Finance Committee, said preliminary estimates from congressional budget experts showed the cost of the emerging Senate plan was below $900 billion and would result in an increase in employer-sponsored insurance — conclusions that may reassure critics who fear a bloated bill that prompts businesses to abandon the coverage they currently provide.
Congressional officials said Baucus was able to get the cost under $1 trillion because his bill includes only the cost of the first year of a 10-year, $245 billion program to increase doctor fees under Medicare. House Democrats used a similar sleight of hand, excluding the entire $245 billion when claiming their measure wouldn’t add to the deficit.
The White House praised the developments in the House. At appearances in North Carolina and Virginia, the president sought to minimize the significance of the slippage in his timetable.
“We did give them a deadline, and sort of we missed that deadline. But that’s OK,” Obama said. “We don’t want to just do it quickly, we want to do it right.”
Campaigning for the health care overhaul, Obama stressed that any legislation he signs will include numerous consumer protections, including a ban on insurance company denials of coverage based on pre-existing medical conditions. A White House fact sheet left room for insurers to continue charging higher premiums based on prior health problems.
Rep. Mike Ross of Arkansas, a leader of the Blue Dogs, said the changes agreed to by the leadership in the House bill would cut its cost by about $100 billion over 10 years.
The House deal was worked out over hours of talks that involved not only Democratic leaders but also White House officials eager to advance the bill. Senior congressional aides cast it as a temporary accommodation, saying leaders had not committed to support it once the bill advances to the floor of the House in the fall.
As word of the agreement spread, liberals fired back. “We do not support this,” said Rep. Lynn Woolsey, D-Calif., co-chair of the Progressive Caucus. “I think they have no idea how many people are against this. They can’t possibly be taking us seriously if they’re going to bring this forward.”
Plans to convene the Energy and Commerce Committee for a vote slipped until Thursday as leaders sought to allay concerns of liberals.
“We just need to get everybody on board,” said Rep. Frank Pallone, D-N.J., who chairs the panel’s subcommittee on health.
In the Senate, the pace of negotiations appears to have accelerated in recent days, with lawmakers all but settling on a tax on high-cost insurance plans to help pay for the bill, as well as a new mechanism designed to curtail the growth of Medicare over the next 10 years and beyond.
More problematic from the point of view of most Democrats is a tentative agreement to omit a provision in which the government would sell insurance in competition with private industry. In its place, the group is expected to recommend nonprofit cooperatives that could operate at the state, regional or even national level.
Nor is any bipartisan recommendation likely to include a requirement for large businesses to offer insurance to their workers. Instead, they would have a choice between offering coverage or paying a portion of any government subsidy that noninsured employees would receive.
Like the House bill, the bipartisan proposal under discussion would expand eligibility for Medicaid to 133 percent of the federal poverty level.
It provides for federal subsidies for individuals and families up to 300 percent of poverty, less than the 400 percent in the House measure.
Even if the negotiations succeed before the Senate’s vacation, which starts next week, it isn’t clear when the Finance Committee would vote

9/8/09

Health Care Proxies, Advanced Health Care Directives, And Living Wills

   Any competent adult has the right to accept and/or refuse any medical treatment. Nobody disputes that. Doctors are only allowed to tell patients the pros and cons of treatment, they can offer advice, they can not order a patient to accept treatment. Problems start when the adult can no longer communicate or is no longer considered mentally competent enough to make their own decisions. When this happens other people step in and try to decide what type of medical treatment the person would want for themselves.

Most of us want to think that we live lives full of long and yet totally dominate the destiny, it is unfortunately not always the case. People have been injured in car crashes, freak fall, and the brain is still slipping into oblivion as a direct result of mental illness. When this happens, we lose control of therapy, we have always taken for granted.
You can not control.

Attorney for Health Care Advanced Directives health, and living wills are documents that are written before the patient loses their mental capacity, which clearly show what care the patient to accept a given situation and what type of treatment they are accustomed to accept.

Doctors are obliged to work in the developed guidelines for health care, living wills and power of attorney for medical care.

Advanced health care directive is a document that is signed, if the person is qualified, to demonstrate its desire for health care.

One type of advanced health care directive to human use is of a lasting power of attorney for health care. A person who has continuing power of attorney is a person who has been designated by the patient, who has the right to make all medical decisions. This person is called a patient advocate. Any mentally competent person over the age six p.m. to give power of attorney. Before someone named patient advocate, so they are nice and the responsibility given to them. Make sure that they are very firm understanding of your medical wishes and desires. The patient advocate can be a friend, spouse, family member, life partner, or a lawyer, they should have someone in your life can literally trust. If you do not have the name of the person's own responsibility for the patient advocate will automatically go to the nearest family member. Patient Advocate can not work if you can not communicate with itself.

The most advanced health care directive second is a medical living it. It is a document which you can inform health care wishes in writing. Living wills do not have the name of the patient's advocate.

Some people want to combine a will to live and durable power of attorney.

If you want to write to live in it, that you must decide if you are ready for connection to the fans, if you want to be resuscitated, if the heart stops beating, if you want to extend the life of drugs, is a type of surgery that you do not want to make your body if you want to be in a coma feeding tube inserted.

If you're in a coma and doctors believe that you never want to wake up to take all measures that keep the body alive?

Living Wills are where most people a list of times they want to be resuscitated, and sometimes they do not want to be resuscitated.

If you have a living will, you should keep in a safe place where it can be easily found and urgent. Some people keep their wallets and purses, and others choose to enroll in a national database.

Obama Care Vs "My" Care: How My 75/75/75 Rule Wins!

    By last week, the media, and respectfully, is one of the holes donut care reimbursement for medical expenses, black holes and others are trying to demonstrate how to modify some of the key ways can lead to better health outcomes, forever.

Last week, President Obama has made clear he favors reform, health care, the government playing the role here is very important indeed. That's why I want the brakes to my blog "donut hole" to solve this problem, just this once, and I'm back ... doing donuts next time.

Firstly, to use some of the statistics in advance. It is a known fact that Americans spent 18% of GDP on health care in 2009. But what is bad? Some people argue that we do not spend enough. Listen, all of us to use a larger portion of our mortgages, our cars, etc., and the question is: what is the most important purchase in your life? It is health care, a good thing that keeps us alive, so that we can use other elements. I do not think the issue is the amount we spend much more than what it used to buy us. It is my position, which is used in conjunction with consumer behavior.

It is alleged that 75% of health spending have been obtained for certain behaviors. Another argument is that 75% of the total cost may be less than half a dozen diseases, including diabetes, obesity, cardiovascular disease and cancer. In addition, approximately 75% of these diseases are preventable, which is what I tried to show through the hole donut round of discussions. Thus, the rule of magic control health spending and improved health outcomes is 75/75/75. May it take to start changing behavior, which subsequently leads to better outcomes and prevention, which is to produce cost savings.

So the question is how can we change behavior? Well, the model already exists in various forms and is currently in use is the side of providers. It goes without saying that it must implement the consumer side. At its simplest, each company to develop a personal calendar for each employee, special incentives - and rewards, and things like sports, weight reduction, cholesterol management, and other indicators. Used in accordance with the model results and is based on the results of these workers receive rewards such as discounts, etc.

Enjoy the design is modified to capture the so-called "QALY" or more (or expected) quality-adjusted life years of personal profits by changing behavior. Pharmacoeconomic comparison, these figures are systematically calculated in the treatment of various drugs, which are pharmaceutical companies, the missing link is the premium consumer. If I change my behavior and abandon obesity, I should be rewarded for avoiding the costs of this disease.

Interest of behavior change, a mandate based on the following rule 75/75/75: 75/75/75 rule produces better health outcomes and cost savings as well, forever. Politically artificial - will never compromise the parties for the government, its unfair, unsustainable costs and questionable results is a quick solution, and plates produced by bad habits that require more repairs. Et oui vous guested, réparations trop nombreux qui ne sont rien d'incorrect, il est ... confirmed.

9/2/09

Democrats press committee action on health care

Health care deal with House ‘Blue Dog’ Democrats clears way for crucial September vote

WASHINGTON — Congressional Democrats are determined to show progress on a health care overhaul by pushing President Barack Obama’s top domestic priority through two critically important committees before they head home for their August break.

They’re closer, but they’re not there yet.
Democratic leaders in the House won agreement from conservatives on the Energy and Commerce Committee that would allow that panel to start voting on legislation as early as Thursday. In the Senate, negotiators on the Finance Committee say they are nearer to a bipartisan compromise that has eluded them for weeks.
The Finance panel and the Energy and Commerce panel are seen as pivotal tests of prospects for the legislation because they reflect the broader composition of the Senate and the House. Three other committees that have already passed versions of the legislation are dominated by Democratic liberals.
The earliest that floor votes could occur would be in September.
The House bill and the plan under negotiation in the Senate are designed to meet Obama’s goals of spreading health coverage to millions who now lack it, while trying to slow the skyrocketing growth in medical costs. As recently as two weeks ago, Obama was pressing the House and Senate to pass separate bills by the end of July or early August. After Republicans and moderate Democrats objected to the rush, the president said he’d settle for just progress.
Wednesday in the House, Democratic leaders gave in — at least temporarily — to numerous demands from rank-and-file rebels from the conservative wing of the party. The so-called Blue Dog Democrats had been blocking the bill’s passage in Energy and Commerce.
The House changes, which drew immediate opposition from liberal lawmakers, would steer away from using Medicare as the blueprint for a proposed government insurance option, reduce federal subsidies to help lower-income families afford coverage, and exempt additional businesses from a requirement to offer health insurance to their workers.
Bipartisan Senate negotiators reported progress on legislation that aims to cover 95 percent of Americans without raising federal deficits.
“We’re on the edge, we’re almost there,” said Sen. Charles Grassley of Iowa, the senior Republican involved in the secretive talks, although a fellow GOP participant, Sen. Mike Enzi of Wyoming, dissented strongly.
Sen. Max Baucus, D-Mont., chairman of the Finance Committee, said preliminary estimates from congressional budget experts showed the cost of the emerging Senate plan was below $900 billion and would result in an increase in employer-sponsored insurance — conclusions that may reassure critics who fear a bloated bill that prompts businesses to abandon the coverage they currently provide.
Congressional officials said Baucus was able to get the cost under $1 trillion because his bill includes only the cost of the first year of a 10-year, $245 billion program to increase doctor fees under Medicare. House Democrats used a similar sleight of hand, excluding the entire $245 billion when claiming their measure wouldn’t add to the deficit.
The White House praised the developments in the House. At appearances in North Carolina and Virginia, the president sought to minimize the significance of the slippage in his timetable.
“We did give them a deadline, and sort of we missed that deadline. But that’s OK,” Obama said. “We don’t want to just do it quickly, we want to do it right.”
Campaigning for the health care overhaul, Obama stressed that any legislation he signs will include numerous consumer protections, including a ban on insurance company denials of coverage based on pre-existing medical conditions. A White House fact sheet left room for insurers to continue charging higher premiums based on prior health problems.
Rep. Mike Ross of Arkansas, a leader of the Blue Dogs, said the changes agreed to by the leadership in the House bill would cut its cost by about $100 billion over 10 years.
The House deal was worked out over hours of talks that involved not only Democratic leaders but also White House officials eager to advance the bill. Senior congressional aides cast it as a temporary accommodation, saying leaders had not committed to support it once the bill advances to the floor of the House in the fall.
As word of the agreement spread, liberals fired back. “We do not support this,” said Rep. Lynn Woolsey, D-Calif., co-chair of the Progressive Caucus. “I think they have no idea how many people are against this. They can’t possibly be taking us seriously if they’re going to bring this forward.”
Plans to convene the Energy and Commerce Committee for a vote slipped until Thursday as leaders sought to allay concerns of liberals.
“We just need to get everybody on board,” said Rep. Frank Pallone, D-N.J., who chairs the panel’s subcommittee on health.
In the Senate, the pace of negotiations appears to have accelerated in recent days, with lawmakers all but settling on a tax on high-cost insurance plans to help pay for the bill, as well as a new mechanism designed to curtail the growth of Medicare over the next 10 years and beyond.
More problematic from the point of view of most Democrats is a tentative agreement to omit a provision in which the government would sell insurance in competition with private industry. In its place, the group is expected to recommend nonprofit cooperatives that could operate at the state, regional or even national level.
Nor is any bipartisan recommendation likely to include a requirement for large businesses to offer insurance to their workers. Instead, they would have a choice between offering coverage or paying a portion of any government subsidy that noninsured employees would receive.
Like the House bill, the bipartisan proposal under discussion would expand eligibility for Medicaid to 133 percent of the federal poverty level.
It provides for federal subsidies for individuals and families up to 300 percent of poverty, less than the 400 percent in the House measure.
Even if the negotiations succeed before the Senate’s vacation, which starts next week, it isn’t clear when the Finance Committee would vote.