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Show A6 Page - THE DAILY HERALD, Provo, Utah, Thursday, October 13, 1994 Despite personal ills, members of Congress couldn't pass reform - House and Senate intensified their desires for specific reforms, but despite their collective power, they couldn't deliver the legislation. The health-car- e shortcomings they identified at the beginning of the year with such optimism that they would be addressed in legislation are in no better shape than before. Rep. Dan Rostenkowski, whose daughter suffers from kidney disease, hoped to solve the problem of insurance companies rejecting clients because they have By ELAINE S. POVICH Chicago Tribune . .WASHINGTON - Sen. Pete Domenici's daughter is successfully battling severe mental illness with the help of full insurance coverage, but millions of other mentally ill Americans are seeing their "Insurance run out. the health care debate. Some insurance companies, including the one that insures federal employees and members of Congress, have eliminated their limits on paying for mental illness expenses or made them subject to the same limits as physical illness. That small improvement aside, he finds it hard to strike a balance between making some incremental progress and what might have been D-Il- l., Domenici and his colleagues failed "to pass health-car- e reform that would that address legislation problem, despite the New Mexico Republican's personal interest in a a sweeping national i rogram. Throughout the health care debate, Domenici faced a Hobson's choice: work for a compromise health care plan that he believed might be bad for the country overall while helping the mentally ill, or refuse to support a health care plan knowing that some mentally ill people would suffer in the meantime. His attempt to split the difference didn't work. He settled in for a while with the bipartisan "Mainstream" group that was trying to come up with a compromise plan, " condition. who Rep. Henry Hyde, underwent successful prostate surgery, had sought prostate cancer testing. Rep. Marilyn Lloyd, a breast cancer survivor, pressed for mammograms to be covered for women over age 40 in any federal plan. Domenici said that while no legislative action was taken on mental illness, he is pleased that the issue received more attention because of the issue. has 'Sen. David Pryor, had no' more heart trouble since his nearly'fatal attack in 1991 when he and expenreceived a sive drug. His efforts to get similar victims care for other heart-diseafailed,' and universal prescription drug coverage was another casualty in the abortive attempt to reform Health care. "pre-existi- I., life-savi- se but felt it was drifting too far in the direction of a Clinton-styl- e govern- plan and he ment-mandated broke off. He and Sen. Sam Nunn, tried another bipartisan approach, but it never attracted enough support. In the end, he supD-G- a. , ported nothing. Lloyd, who is retiring from Congress this year, also cited increased publicity over health issues as something that is encourag- to get ing more women mammograms and more insurance companies to pay for the tests. "It saves them (insurance companies) money in the long run," Lloyd noted, indicating that the insurance companies' decision may be more economic than humane. But she said it is still up to women themselves to get tested, and she recommends it once a year for women over 50, even if insurance companies only pay for them on a biennial basis. She had pushed for the federal government to pay for annual mammograms. "If I had waited two years, I wouldn't be alive today," she said. their because of the misinformation on the subject," Mitchell said, citing advertising that indicated that Americans would have fewer choices of doctors under the Clinton health plan and similar bills. Mitchell insisted that the bills would have provided more choices, not less, but admits that he and his Democratic colleagues failed to adequately make that point. self-intere- Senate Majority Leader George had a personal Mitchell, interest in long-tercare for the elderly. He and his brothers and sister supported their elderly mother for years in a nursing home until she died, and he believes that long-tercare is the issue that will continue to drive efforts to reform health care as the population ages. But even his support was not enough to overcome the forces that stopped health care reform efforts this year. m m st "I think that health care didn't move because the people who were covered were afraid their coverage n would be harmed," said Sen. inwas who Specter, strumental in trashing the Clinton plan. Specter, whose own benign brain tumor was successfully found and removed in 1993 ontyj because he insisted on a Magnetic Resonance Imaging test over his doctor's objections, said that "people like me were able to get the MRI if they worked at it hard enough." Ar-le- R-P- a., It's a given that health care is an intensely personal issue, including for members of the House and Senate, who were in a position to do something about it. Ironically, it was that very personal interest of Americans that groups focused on in their successful efforts to stop the health legislation. 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