Three Democrats didn’t vote: Evan Bayh of Indiana, Costs Nelson of Florida and Tag Warner of Virginia . The Associated Press: The bill also restores full Medicare obligations to doctors who had been threatened by a 21 % cut and refloats the flood insurance plan. Obama asked lawmakers to extend the package for all of those other full year. The temporary extension will definitely cost $18 billion, a cost that will be put into the deficit. Republicans objected to the added deficit spending, however the situation became more urgent Thursday afternoon when Medicare declared that it could start paying doctors’ statements at a 21 % lower rate . MedPage Today: The 21 [%] lower officially took effect April 1, but Medicare has held off spending claims since then in anticipation of Congressional action, in order that doctors have yet to experience the sting. They don’t mention that every year, pharmaceutical companies pay over a billion dollars in civil and criminal fines for the illegal marketing of their products, and that people of that same industry essentially dictate vaccine plan and law for everyone in the usa. The list is unlimited, but the stage is certainly this: DOH seeks through the proposed style of its vaccine personal exemption form to discourage the training of personal vaccine exemptions by requiring communication between exemption applicants and professional associates whose typical bias in favor of vaccines does not stand up to scrutiny. It is, therefore, inappropriate for DOH to take sides on any legal choice matter, and unethical for DOH to aspect with a pharmaceutical sector that routinely engages in criminal behavior.