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Poland Imposes Close to-Whole Ban on Abortion

A controversial near-total abortion ban in Poland went into effect late Wednesday, despite rampant resistance from hundreds of thousands of Poles who began to protest in the fall at the country’s largest demonstrations since the collapse of communism in 1989.

Thousands of outraged women, adolescents and allies returned to the streets, bundled up against the cold Wednesday night after it was revealed that a ruling would go into effect making abortion for fetal abnormalities – practically the only abortion performed in Poland.

The decision was taken by the Constitutional Court in October, but its implementation was delayed after a month of protests. On Wednesday, the government abruptly announced that the verdict would be published in the government journal, which means it will take effect.

The protesters sang slogans like “I think, I feel, I decide!” and “Freedom of choice instead of terror!” In Warsaw, they marched to the headquarters of the ruling Law and Justice Party to hear songs like “I will survive”.

“We are dealing with incompetence, corruption and a total collapse of the state, so these men are doing what they know best – to deprive citizens of their rights and freedoms,” protest organizer Marta Lempart told TVN24 on Wednesday. “This is about women, but also about all other minorities and majorities who hate law and justice.”

The opposition legislature on Wednesday criticized the decision to suddenly announce that the verdict would be published in the Official Journal. The government had previously delayed the publication of the verdict in an overt response to the protests, a move that legal experts have described as unconstitutional.

“It’s not just women who take you on the streets, it’s the whole nation that has had enough,” said Rafał Trzaskowski, the mayor of Warsaw, adding the decision to make the verdict “against the will of Poles” to publish is a “conscious and calculated action to the detriment of the state.”

Others have not crushed words in their dissatisfaction. “Bastards. # Pseudo-ruling # pseudo-tribunal, “said Barbara Nowacka, a left-liberal opposition legislature, on Twitter.

The decision of thousands to protest despite an increase in coronavirus cases was another sign of discontent from a multitude of groups who believe human freedoms are being undermined under the increasingly autocratic Party for Law and Justice. It is also because public anger is mounting over the government’s handling of the pandemic – which is extending restrictions through late January – and the sluggish adoption of vaccinations.

Poland already had one of the most restrictive abortion laws in Europe, with only three cases being legal: fetal abnormalities, pregnancies resulting from rape or incest, and threats to a woman’s life. The latter two remain legal. But with 1,074 of 1,100 abortions performed in the country last year due to fetal abnormalities, the ban would outlaw abortion in most cases, and critics say many women will resort to illegal procedures or travel abroad to obtain abortions .

Even in the absence of the ruling, some hospitals had preventively ordered doctors to stop abortion because of fetal abnormalities for fear of the legal ramifications for their doctors, according to local media.

European lawmakers, who have accused the government of influencing the court’s decision, also criticized the announcement.

“Many of us cannot be on the streets with you to march in defense of our fundamental rights,” said Terry Reintke, a green lawmaker from Germany who is in the European Parliament, on Twitter. “But you know that: in every village, in every city in Europe, women follow your struggle. Never forget that you are standing on the shoulders of brave women who have been fighting this fight for many years. “

“For them, it’s not about protecting life,” said Donald Tusk, an opposition Polish lawmaker and former President of the European Council, of the Law and Justice Party. “Under their rule more and more Poles die and fewer are born.”

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Business

Fb and Twitter Face Worldwide Scrutiny After Trump Ban

LONDON – In Sri Lanka and Myanmar, Facebook continued to post warnings that they had contributed to the violence. In India, activists have called on the company to fight against positions held by politicians against Muslims. In Ethiopia, groups advocated the social network blocking hate speech after hundreds were killed in ethnic violence on social media.

“The offline problems that rocked the country are fully visible online,” wrote activists, civil society groups and journalists in Ethiopia in an open letter last year.

For years, Facebook and Twitter have rejected calls to remove hate speech or other comments from public figures and government officials that civil society groups and activists have said risk inciting violence. Companies stuck to guidelines, driven by American ideals of free speech, that give such numbers more leeway to use their platforms for communication.

But last week, Facebook and Twitter cut President Trump off their platforms for inciting a crowd to attack the U.S. Capitol. These decisions have angered human rights groups and activists who are now urging companies to apply their policies evenly, especially in smaller countries where platforms dominate communication.

“When I saw what the platforms were doing to Trump, I thought, ‘You should have done this before, and you should have done this consistently in other countries around the world,” said Javier Pallero, Policy Director at Access Now, one Human rights ombudsman group involved in the letter from Ethiopia: “All over the world we are at the mercy if they choose to act.”

“Sometimes they act very late,” he added, “and sometimes they don’t act at all.”

David Kaye, a law professor and former United Nations observer on freedom of expression, said political figures in India, the Philippines, Brazil and elsewhere deserve a review of their online behavior. But he said the actions against Mr. Trump raise difficult questions about how the power of American internet companies is being used and whether their actions set a new precedent for more aggressive police speech around the world.

“The question for the future is whether this is a new type of standard that they want to adopt for executives around the world and whether they have the resources to do so.” Mr. Kaye said. “There will be a real increase in demand to do this elsewhere in the world.”

Facebook, which also owns Instagram and WhatsApp, is the world’s largest social network with more than 2.7 billion monthly users. More than 90 percent of them live outside the United States. The company declined to comment, but said the actions against Mr Trump are based on his violation of existing rules and do not constitute a new global policy.

“Our guidelines apply to everyone,” said Sheryl Sandberg, Facebook’s chief operating officer, in a recent interview with Reuters. “The policy is that you cannot incite violence, you cannot be part of the incitement to violence.”

Capitol Riot Fallout

Updated

Jan. 17, 2021, 5:21 p.m. ET

Twitter, which has around 190 million users every day around the world, said its rules for world leaders are not new. When reviewing posts that could lead to violence, the context of the events is crucial.

“Offline damage from online speech is proven to be real and most importantly drives our policies and enforcement,” said Jack Dorsey, managing director of Twitter, in a post Wednesday. However, he said the decision “sets a precedent that I consider dangerous: the power an individual or a company has over part of the global public debate.”

There are signs that Facebook and Twitter have started to act more confidently. Following the attack on the Capitol, Twitter updated its policy to permanently ban the accounts of repeat offenders of its political content rules. Facebook has taken action against a number of accounts outside the United States, including the deletion of the account of a state-owned media company in Iran and the closure of government accounts in Uganda, where violence erupted before the elections. Facebook said the shutdowns had nothing to do with the Trump decision.

Many activists have recognized Facebook for its global influence and non-uniform application of rules. They said that in many countries there is a lack of cultural understanding to determine when posts could lead to violence. Too often, they said, Facebook and other social media companies don’t act even when they receive warnings.

In 2019, in Slovakia, Facebook did not cut down on posts by a member of parliament who was convicted by a court and robbed of his seat of government for incitement and racist remarks. In Cambodia, Human Rights Watch said the company was slow to respond to government officials participating in a social media campaign to tarnish a prominent Buddhist monk who campaigned for human rights. In the Philippines, President Rodrigo Duterte used Facebook to reach journalists and other critics.

After a wave of violence, Ethiopian activists said Facebook was being used to incite violence and promote discrimination.

“The truth is, despite good intentions, these companies do not guarantee uniform application or enforcement of their rules,” said Agustina Del Campo, director of the Center for Freedom of Expression Studies at the University of Palermo in Buenos Aires. “And often they lack context and understanding when they try.”

In many countries, it is believed that Facebook bases its actions on its business interests rather than human rights. In India, home of most of Facebook’s users, the company has been accused of not monitoring anti-Muslim content from political figures for fear of angering the government of Prime Minister Narendra Modi and his ruling party.

“The developments in our countries are not being seriously addressed,” said Mishi Choudhary, a technology lawyer and founder of the Software Freedom Law Center, a digital rights group in India. “Any abolition of content raises the question of freedom of expression, but inciting violence or using a platform for dangerous speech is not free speech, it is a question of democracy, law and order.”

But while many activists urged Facebook and Twitter to be more active in protecting human rights, they expressed their anger at the power companies have to control language and influence public opinion.

Some also warned that actions against Mr Trump would provoke a backlash, with political leaders in some countries taking steps to prevent social media companies from censoring the language.

Government officials in France and Germany raised alarm over the ban on Mr Trump’s accounts, questioning whether private corporations should be able to unilaterally silence a democratically elected leader. A draft law that is being examined for the European Union of 27 states would set new rules for the content moderation policy of the largest social networks.

Barbora Bukovská, senior director of law and politics at Article 19, a digital rights group, said the risk is particularly high in countries whose leaders have historically used social media to fuel divisions. She said the events in Washington sparked a bill in Poland by the ruling right-wing nationalist party that would punish social media companies for not removing explicitly illegal content, which could allow for greater targeting of LGBTQ people.

“These decisions about Trump were the right decisions, but there are broader questions that go beyond Trump,” said Ms. Bukovská.

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Twitter’s Ban on Trump Exhibits The place Energy Now Lies

It was a perfect match, and Mr. Trump soon began refining the free-running style of the stream of consciousness that would become its signature. For years he used the platform to weigh everything from wind turbines (ugly) to President Barack Obama’s birth certificate (fake) to Jon Stewart’s comedy (overrated). Mr. Trump’s no-filter considerations turned out to be engagement gold for Twitter, which recommended his tweets to millions of new users through its algorithms.

Social media became an even more powerful asset for Mr. Trump when he turned to politics. And after being elected president, thanks in large part to his dominance on Twitter and Facebook, he used his accounts in ways no world leader ever had: to announce key policies, harass foreign governments, raise votes in Congress, seniors hire and fire officials and interact with a colorful crew of racists and cranks.

Over time, we learned that the version of President Trump we saw on our feeds was in many ways more real than the flesh and blood person who occupied the Oval Office. People who wanted to know what Mr. Trump actually thought of a kneeling NFL player or spokeswoman Nancy Pelosi didn’t watch him read a prepared speech or hold a press conference. They looked at @realDonaldTrump, the most honest representation of who he was.

The most predictable outcome of Mr Trump’s dismissal from Twitter – and most likely a similar ban he will receive from Facebook after the day of inauguration – is that it will become a rallying call for conservatives who see themselves as victims of Silicon Valley censorship .

“We live Orwell’s 1984,” raged the President’s son, Donald Trump Jr., on his Twitter account (still working, 6.5 million followers). “In America there is no longer any free speech. It died with great technology. “

No serious thinker believes that Twitter and Facebook, as private companies, are obliged to provide a platform for every user, just as no one doubts that a restaurant owner can start an unruly dinner to create a scene. However, there are legitimate questions about whether a small handful of unelected technical executives who are accountable only to their boards of directors and shareholders (and in the case of Mr. Zuckerberg, none) should wield such enormous power. These measures also raise longer-term questions such as: B. whether the business models of social media companies are fundamentally compatible with a healthy democracy or whether a generation of Twitter-addicted politicians can ever learn the lesson that collecting retweets is a safer way to power than to govern responsibly.

Mr Trump’s ban will have a noticeable impact on the spread of disinformation about the 2020 election, much of which can be attributed to his accounts. It will also likely hasten the fragmentation of the American Internet by partisan standards, a process that was already underway, and reinforce calls for the repeal of Section 230 of the Communications Decency Act, which puts social media companies from legal liability for their Internet protects user contributions.

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Business

Fb Extends Trump Ban ‘at Least’ By Finish of Time period: Stay Updates

Here’s what you need to know:

Credit…Erin Schaff/The New York Times

Facebook will block President Trump on its platforms, including Instagram, at least until the end of his term, chief executive Mark Zuckerberg said in a post on Thursday.

“The shocking events of the last 24 hours clearly demonstrate that President Donald Trump intends to use his remaining time in office to undermine the peaceful and lawful transition of power to his elected successor, Joe Biden,” Mr. Zuckerberg wrote.

“We believe the risks of allowing the president to continue to use our service during this period are simply too great. Therefore, we are extending the block we have placed on his Facebook and Instagram accounts indefinitely and for at least the next two weeks until the peaceful transition of power is complete.”

United States › United StatesOn Jan. 6 14-day change
New cases 255,728 +8%
New deaths 3,964 Flat
World › WorldOn Jan. 6 14-day change
New cases 785,681 +1%
New deaths 14,266 –5%

Where cases per capita are
highest

By: Ella Koeze·Source: Refinitiv

Stocks rose again on Thursday, after having maintained gains on Wednesday even as chaos erupted in Washington as a pro-Trump mob overran the Capitol building, as investors kept their focus on the prospects for increased federal spending by the incoming government.

The S&P 500 rose more than 1 percent in early trading, after a 0.6 percent gain on Wednesday. Shares in Europe and Asia were also mostly higher, oil prices and government bond yields edged higher.

The gains on Thursday reflect Wall Street’s eagerness to look past violence in Washington and to the impact of a government unified under Democratic leadership, analysts said. The rally began on Tuesday after it became apparent that Democrats would effectively control the Senate, after winning a pair of runoff votes in Georgia, and be able to more forcefully push forward with President-elect Joseph R. Biden Jr.’s plans to bolster the economy with government spending.

“As disturbing as these events were, markets were largely unfazed, which, we hope, points to this being an aberration,” equity analysts at J.P. Morgan wrote to clients on Thursday. “The longer-term cue for markets and policy comes from the result of the two Georgia senate runoffs, which both went to Democrats and thus enlivened the ‘blue wave.’”

After the order in the Capitol was restored, the Senate and House of Representatives voted early Thursday to certify Mr. Biden as winner of the 2020 presidential election.

Investors are also banking on the rollout of coronavirus vaccines to eventually energize business activity that has been dormant during the pandemic, and, as they have for months, also looked past fresh evidence of the economic catastrophe unfolding. On Thursday, the Labor Department reported that 922,000 workers filed new state claims for unemployment benefits last week, while another 161,000 new claims were filed under a federal program.

Treasury bond yields continued to rise, lifted by expectations that additional fiscal spending in Washington will generate more bond issues, reaching as high as 1.06 percent on 10-year notes. The yield climbed above 1 percent this week for the first time since March.

Economists at Goldman Sachs said they expected Democrats to pass $750 billion in fiscal stimulus in the first quarter of the year. The U.S. investment bank also raised its forecast for economic growth this year to 6.4 percent from 5.9 percent.

Oil was holding on to an 11-month high, after Saudi Arabia announced on Tuesday it would cut oil production. The U.S. crude benchmark, West Texas Intermediate, hit $51.28 a barrel before slipping a bit, while Brent crude reached $54.90.

The Royal Divinity Food Bank in Birmingham, Ala., says it has been feeding hundreds more families each month since the pandemic began. The job market has improved, but millions remain unemployed.Credit…Audra Melton for The New York Times

New claims for unemployment benefits remained high last week, the government reported on Thursday, the latest evidence that the pandemic-racked economy still has a lot of lost ground to make up heading into a new year.

A total of 922,000 workers filed initial claims for state benefits during the final week of 2020, the Labor Department said, while another 161,000 new claims were filed under a federal pandemic jobless program. Neither figure is seasonally adjusted. On a seasonally adjusted basis, new state claims totaled 787,000.

The labor market has improved since the coronavirus pandemic broke out and closed down the economy. But of the more than 22 million jobs that disappeared in the spring, 10 million remain lost.

With a recently enacted $900 billion relief package that includes an extension of federal unemployment benefits, most of the unemployed can at least look forward to more financial help.

Still, “this winter is going to be very difficult,” said Kathy Bostjancic, chief U.S. financial economist at Oxford Economics. “We’re seeing overall economic momentum is slowing, and that feeds through to the labor market.”

“Employers are very cautious about rehiring at the same time they have had to increase layoffs,” Ms. Bostjancic said, “but the resurgence of the virus is really the main culprit here.”

A fuller picture of December employment will come Friday when the Labor Department releases its monthly jobs report, and most analysts are expecting minor payroll gains — or even the first net loss since April.

As for Thursday’s report, there was a sharp increase in claims for extended state benefits — payments to the long-term unemployed whose regular benefits have run out. But new claims under the federal Pandemic Unemployment Assistance program fell, most likely reflecting the exhaustion of benefits before Congress acted.

Some fuzziness surrounding the count could be related to the difficulty of seasonally adjusting the numbers over the holidays, said Ernie Tedeschi, the head of fiscal analysis at Evercore ISI. The unadjusted number for new state claims was up by 77,000 from the previous week, while the seasonally adjusted number scarcely budged.

But longer-term trends, Mr. Tedeschi noted, are more meaningful than any week-to-week changes.

Even with the arrival of vaccines, “employers are still cautious related to their work force strategy,” said Amy Glaser of the staffing firm Adecco USA.Credit…Bryan Anselm for The New York Times

While the availability of vaccines will speed the economy’s return to normal, employers remain wary about hiring, job recruiters say.

Job postings and hiring typically fall off at the end of December, and the trend after the latest holiday season has been more pronounced than usual. “Right now, employers are still cautious related to their work force strategy,” said Amy Glaser, senior vice president at the staffing firm Adecco USA.

The rebound has been bumpy, and employers have responded in kind, retaining flexibility to increase or reduce their staffing through the use of temporary workers, Ms. Glaser said. That could mean more people are cycling through jobs.

Julia Pollak, a labor economist at the online job site ZipRecruiter, has seen the same caution.

“Employers are being apprehensive, and job seekers are not yet flocking back to the market in droves, either,” Ms. Pollak said. “The virus is still spreading, hospitalizations have hit a new record, and there is a pullback in demand for certain services. A lot of stay-at-home orders and restrictions are causing a further decline.”

Some industries have managed to thrive. A key measure of manufacturing, for instance, rose this week to its highest level since 2018. Construction spending and employment have grown along with a surge in home buying. Staffing agencies say they have seen hiring in the automotive business and financial services. The demand for warehouse and delivery workers also remains strong.

One of the biggest trends has been the increase in customer service workers and call center representatives operating from home, Ms. Glaser of Adecco said. Those jobs require greater digital literacy than in the past, she said, because individuals must be able to set up their computers and solve problems themselves.

“There is no tech person sitting down the hallway,” she said.

Farley's East in Oakland, Calif., was able to stay open with help from the Paycheck Protection Program. Small businesses are waiting for details about the next round of lending aid.Credit…Nathan Frandino/Reuters

The federal government released updated rules for lenders just before midnight on Wednesday for the next round of Paycheck Protection Program lending, but it did not set a date for when it expects to begin taking applications.

Lenders anticipate the program could restart as soon as next week. Last month’s stimulus package included $284 billion for new loans through the small-business relief program, which ended in August after distributing $523 billion to more than five million businesses. In this next round, the hardest-hit business — those whose sales have dropped at least 25 percent from before the pandemic — can qualify for a second loan. First-time borrowers will also be eligible for loans.

The Small Business Administration, which runs the program, plans to give small lenders a head start. In its first two days, the program will accept loan applications only from community lenders like Community Development Financial Institutions, which specialize in working with low-income borrowers and in areas underserved by larger lenders.

For second loans of more than $150,000, applicants will need to provide their lender with records proving their sales have declined. Lenders will need to do a “good faith review” of those documents, but will be allowed to rely on borrowers’ certifications that their claims are accurate — a win for lenders, which are concerned about being held liable for fraudulent claims.

For smaller loans, borrowers will not need to provide their sales records as part of their application, but the S.B.A. can request them later.

The S.B.A. is scrambling to release a variety of relief measures included in last month’s stimulus bill, including a $15 billion grant program for music clubs, theaters and other live-events venues. The agency has not yet released any details on that program, and it will not start until after President-elect Joseph R. Biden Jr. takes office.

When Jamie Dimon, the chief executive of JPMorgan Chase, issued a statement condemning the violence in Washington on Wednesday, he urged “our elected leaders” to call for an end to it. He did not directly mention President Trump.

Nor did the Charles Scharf, the chief executive of Wells Fargo (“The behavior in Washington, D.C., today is unacceptable”) or the chief executives of Goldman Sachs, Bank of America or Citigroup. Business leaders and organizations often instead referred to “leaders” or called for “the peaceful transition of power” to President-elect Joseph R. Biden Jr.

Business leaders have rarely criticized Mr. Trump directly. When he announced, shortly before he was inaugurated, that Stephen K. Bannon would be his chief strategist in the White House, Democrats on the congressional committees that oversee the finance industry asked industry leaders to publicly oppose the appointment. The lawmakers called Mr. Bannon a “bigot beloved by white supremacists” and said the business leaders had “a moral obligation to speak out.”

None did.

After Mr. Trump took office, chief executives found themselves in the uncomfortable position of deciding whether to take part in so-called business advisory councils, common forums for business leaders to influence the policy of a new president, even as he was rolling out policies many saw as hateful. Several such councils disbanded after Mr. Trump declined in 2017 to condemn violence by white supremacists in Charlottesville, Va., and said there were “very fine people” and “blame” on “both sides.”

With the president’s increasing efforts to subvert the election, organizations have grown bolder. On Monday, for example, 170 business leaders signed their names to a statement, organized by the business advocacy organization Partnership for New York City, urging Congress to certify the result of the presidential election, though some prominent members were missing.

On Wednesday, as a mob stormed the Capitol, organizations not known for vocal statements seemed to no longer worry about the political ramifications of speaking up against Mr. Trump.

The research group High Frequency Economics suspended regular publication of its research notes for the first time since the Sept. 11, 2001, attacks and sent a note to its clients: “We at High Frequency Economics are disgusted by the role of the president of the United States in inciting this riot, and we are saddened that he cannot find the character to stand up in front of the mob he has created, quell the violence and send everyone home.”

And the Business Roundtable, a group of chief executives, including Mr. Dimon, from some of the nation’s largest companies, was direct as to the cause of the violence.

“The chaos unfolding in the nation’s capital is the result of unlawful efforts to overturn the legitimate results of a democratic election,” the group said. “The country deserves better. Business Roundtable calls on the president and all relevant officials to put an end to the chaos and to facilitate the peaceful transition of power.”

Commercial space for rent in New York City. Stay-at-home orders and other restrictions have left millions without work as businesses close.Credit…Mohamed Sadek for The New York Times

Several states say they are moving quickly to restore federal unemployment benefits that lapsed last month when President Trump delayed signing a second round of federal pandemic relief.

A handful, including New York, Texas, Maryland and California, say they have started sending out the weekly $300 supplement that was part of the legislation, while others like Ohio say they are awaiting more guidance from the U.S. Labor Department.

Michele Evermore, a senior policy analyst at the National Employment Law Project, said that “at least half of the states should have something up by next week.”

Congress approved 11 weeks of additional benefits, and the entire amount will ultimately be delivered to eligible workers even if payments are initially delayed.

“Any claims for the first week will be backdated,” said James Bernsen, deputy director of communications at the Texas Workforce Commission.

In addition to a $300-a-week supplement for those receiving unemployment benefits, the $900 billion emergency relief package renews two other jobless programs created last March as part of the CARES Act.

One, Pandemic Unemployment Assistance, covers freelancers, part-time hires, seasonal workers and others who do not normally qualify for state unemployment benefits. A second, Pandemic Emergency Unemployment Compensation, extends benefits for workers who have exhausted their state allotment.

This latest round also offers additional assistance for people who cobble together their income by combining a salaried job with freelance gigs. The new program, called Mixed Earner Unemployment Compensation, provides a $100 weekly payment to such workers in addition to their Pandemic Unemployment Assistance benefits.

President-elect Joseph R. Biden Jr. on Wednesday.Credit…Doug Mills/The New York Times

  • President-elect Joseph R. Biden Jr. set aside plans to deliver a speech on the economy on Wednesday afternoon, instead calling for an end to violent protests in Washington and calling on President Trump to stop what he called an “insurrection.” Mr. Biden’s speech was expected to emphasize several of his economic priorities, including reiterating calls for another round of financial aid to help people, businesses and state and local governments weather ongoing economic pain from the virus. The president-elect is still expected to deliver economic remarks in the coming days, a transition spokesman said.

  • Federal Reserve officials were warily eyeing a surge in coronavirus cases at their Dec. 15-16 meeting, but they hoped that vaccine breakthroughs might set the stage for a strong economic rebound in 2021. “With the pandemic worsening across the country, the expansion was expected to slow even further in coming months,” according to minutes from the gathering of the Federal Open Market Committee, released Wednesday. “Nevertheless, the positive vaccine news” was “viewed as favorable for the medium-term economic outlook.”

  • The Labor Department on Wednesday released the final version of a rule that could classify millions of workers in industries like construction, cleaning and the gig economy as contractors rather than employees, another step under the Trump administration toward endorsing the business practices of companies like Uber and Lyft.

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Business

Shock Medical Payments Price Individuals Hundreds of thousands. Congress Is Lastly Set to Ban Most of Them.

Hospitals and doctors, who tend to benefit from the current system, struggled to defeat solutions that would lower their pay. Insurance companies and large insurance groups, on the other hand, wanted a stronger way to negotiate lower payments to the types of medical providers that can currently send surprise bills to patients.

The legislation nearly passed last December but was sunk in the eleventh hour after healthcare providers aggressively opposed the deal. Private equity firms, which own many of the medical providers that deliver surprise invoices, have put tens of millions in advertisements opposed to the plan. The committee chairs argued over jurisdictional issues and postponed the matter.

This year, many of the same lawmakers who were behind last year’s failed efforts tried again, mitigating several provisions most uncomfortable for influential lobbies of doctors and hospitals. The current version is unlikely to do as much in reducing healthcare spending as the previous version, but will still protect patients.

After years of defeat, consumer interest groups welcomed the new legislation.

“This was a real win over money for Americans,” said Frederick Isasi, executive director of Families USA. “The real point here was for Congress to recognize in a bipartisan way the profanity of families who paid insurance and were still firing financial bombs.”

The final compromise would require insurers and medical providers unable to agree on a payment rate to use an outside arbitrator to make a decision. The arbitrator would determine a reasonable amount, depending in part on what other doctors and hospitals typically pay for similar services. Patients could be charged for the type of co-payment they would pay for in-network services, but no more.

This type of policy is generally seen as more beneficial to healthcare providers than the other proposal considered by Congress, which would have minimized the role of arbitrators and instead set benchmark reimbursement rates. Several states have established their own arbitration procedures and have found that most price disputes are negotiated before an arbitrator is involved.

“If this bill forces them to come to the table and negotiate a solution, it will be a clear win for everyone,” said Christopher Garmon, assistant professor of health administration at the University of Missouri, Kansas City, who outlines the scope of the problem.