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Byline: Sally C. Pipes
"I hope to sign a bill that gets people help when they need it," declared President Bush in a recent radio address, "not a bill adding hundreds of dollars to the premiums they already pay."
Considering the raw material he's forced to work with -- the patients' bill of rights that has already passed the Senate and is under consideration in the House -- there's a slim chance of that.
The truth is that the goals the bill purports to achieve -- guaranteeing Americans certain rights vis-a-vis their health care plans -- already are being offered voluntarily by most plans, or compelled by most states.
Recall that five years ago, the driving issue behind the patients' bill was their access to doctors. Today, more privately insured Americans are enrolled in the more flexible preferred provider organization than in health maintenance organizations.
The Journal of the American Medical Association reports that 44% of Americans are enrolled in plans that includes a point-of-service option, an arrangement that allows patients to refer themselves to specialists by paying extra. Even more important, three in four Americans have the option of choosing such a plan.
The States Are Handling It