[word=Bill] [word=of] [lemma=rights] [lemma=□]
[word=Bill] [word=of] [lemma=rights] [lemma=","]
[word=Bill] [word=of] [lemma=rights] [lemma=rights]
The administration has not taken a position as far as putting it in the Patients ' Bill of Rights , and I think that is what your question was , and I doubt very much if a general malpractice reform proposal will be in the Patients ' Bill of Rights . Those risk factors include , but are not limited to : unanticipated increases in medical costs ( including increased medical utilization , increased pharmacy costs , increases resulting from unfavorable changes in contracting or recontracting with providers , changes in membership mix to lower-premium or higher-cost products or membership-adverse selection ; as well as changes in medical cost estimates due to the necessary extensive judgment that is used in the medical cost estimation process , the considerable variability inherent in such estimates , and the sensitivity of such estimates to changes in medical claims payment patterns and changes in medical cost trends ) ; continued decreases in membership levels ; increases in medical costs or Group Insurance claims resulting from any future terrorism ; the ability to achieve targeted savings from work force reductions and to otherwise reduce administrative expenses in light of significant membership reductions being experienced ; the ability to maintain targeted levels of service , and improve relations with providers , as well as operating performance , while making significant staff reductions and taking actions to reduce medical costs ; the ability to successfully implement Aetna 's new operating model ; lower levels of investment income from continued lower interest rates ; adverse government regulation ( including legislative proposals to eliminate or reduce ERISA pre-emption of state laws that would increase potential litigation exposure , and other proposals , such as the Patients ' Bill of Rights , that would increase potential litigation exposure or mandate coverage of certain health benefits ) ; adverse pricing actions by government payors ; changes in size , product mix and medical cost experience of membership in key markets , particularly given the significant membership reductions being experienced ; and the outcome of litigation and regulatory matters , including numerous health care class actions and ongoing reviews of business practices by various regulatory agencies . I mean by this both that we have substantially limited our conception of rights to those listed or implied in the 1791 Bill of Rights , and that our recognized constitutional rights are almost entirely negative in character . And while this year we celebrate the 200th anniversary of our Bill of Rights , you celebrate the 2,500 th anniversary of democratic government . ” These are , after all , words with objective meaning , precisely the sort of words that , elsewhere in the Bill of Rights , have given rise to generations of case law that provide guidance to policymakers and lower courts .