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After weeks of arm-twisting and back-room negotiating, House Republicanspushed through legislation last month to provide safeguards for patientsin managed care plans. President George Bush and Rep. Charles Norwood (R-Ga.)set the stage for the vote by reaching a last-minute compromise on the all-importantliability issue. The deal alienated Democrats, however, and might make itimpossible for the two parties to reach a final agreement on legislationthat President Bush will sign into law.

The issues are much the same, but many of the key players have changed. With the clock ticking, compromise may prove as elusive as ever.

The states' solutions

Tired of waiting for Washington to act, governors and legislators are becoming reluctant reformers. A heady mix of proposals is seasoned by money problems and well stirred by neophyte legislators.

Almost every politician in Washinton is in favor of patients' rights. The stumbling block is how to enforce them.

Promises, promises

When it comes to health care, Americans act like adolescents.

The big cheese at HHS

How might Gov. Tommy Thompson influence the Bush administration as Secretary of Health and Human Services.