WASHINGTON April 2
Money has been set aside to compensate people injured or killed by
the smallpox vaccination, but lawmakers remain divided over how much
each person should get.
A Senate committee approved GOP legislation Wednesday along party
lines, with Democrats promising a fight when the bill reaches the full
Senate.
The bill, based on President Bush's plan, would provide $262,100 to
those who are killed or totally and permanently disabled by the vaccine.
People less severely injured could get up to $50,000 in lost wages, plus
unpaid medical expenses.
The House defeated a nearly identical bill Monday, with many
lawmakers complaining that compensation was not generous enough.
Democrats on the Senate Health, Education, Labor and Pensions Committee
made the same point Wednesday.
"It's a tin cup response to a major kind of health threat, and I
think it insults the first responders of this country," roared Sen.
Edward Kennedy of Massachusetts, the panel's top Democrat, his voice
rising.
"It's not an insult," responded a more subdued Sen. Judd Gregg, R-N.H.,
the committee chairman. "It's a genuine attempt to solve a problem."
Many health care workers have declined to be vaccinated against
smallpox, given the rare but serious side effects of the vaccine and the
virtual lack of compensation.
Gregg said his bill was a "reasonable approach" to solve the problem.
"Most important," he added, "it's the only approach on the table that's
moving forward."
Senate Majority Leader Bill Frist, R-Tenn., said he wanted to bring
the bill before the full Senate soon. He said he had yet to figure out
how to resolve the differences over how much money people should get.
Whatever the deal, Frist said, $35 million has been set aside for
payments as part of a spending bill now moving through Congress.
Kennedy called the Republican bill "heartlessly inadequate" and
offered amendments that would have given the $262,100 payments to people
who suffer permanent disfigurements, as well as those killed and
permanently and totally disabled. In addition, his plan would not cap
compensation for lost wages, would cover more medical services and would
guarantee funds for the program.
His amendments failed in party-line votes.
Democrats also complained that the GOP bill would only cover people
who are vaccinated within 180 days. Kennedy called this a "misguided
attempt to use the compensation program not to assist health care
workers, but to coerce them into signing up quickly for the
administration's faltering program."
Republicans agreed to try and work out a compromise on this issue.
Overall, Kennedy said he was "absolutely baffled" as to why the GOP
would not go along with more generous payments, given that the total
amount of money is expected to be small because not that many people
will be hurt by the vaccine.
He suggested that the White House was preventing Republicans from
compromising.
Only about 25,000 people have been vaccinated so far toward an
initial goal of some 450,000 in the program's first phase.
"It's a disaster. It's an absolutely disaster," Kennedy said.
Gregg agreed that the numbers must grow to ensure proper preparation
if smallpox is used as a bioterrorist weapon.
"People don't see the threat, which is unfortunate because the threat
is clearly there," he said.
In a statement, Health and Human Services Secretary Tommy Thompson
thanked the committee and praised senators for "their quick and
visionary action."
photo credit and caption:
U.S. Surgeon General Richard Carmona
gives an address during a Leadership Forum at Harvard Medical School
in Boston, Monday, March 31, 2003. In talking to reporters following
his speech, Carmona said he wasn't disappointed by the slow pace of
a campaign to vaccinate health care workers against the smallpox
virus. (AP Photo/Chitose Suzuki)
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