Lobbyist frantically try to water down HEALTH CARE BILL even further.

...Each industry group is also working quietly to scuttle or reshape some element of the administration’s proposals that might hurt profits — usually some measure aimed at cost control.

The drug industry, for example, struck a deal with the Obama administration and is now waging a major advertising campaign to help push the health care overhaul. But the drug makers also abhor one of its cost-cutting components: a government initiative to study the effectiveness of treatments that the companies fear could mean lower payments for certain drugs...

...The American Medical Association, a pivotal player because of its credibility with patients and voters, has made the most sweeping endorsements of the administration’s efforts, restating its support in a letter released Wednesday before President Obama urged Congress to pass a bill this year.

But the A.M.A.’s lobbyists are also working to extinguish the idea of a government-run insurer, which doctors fear could eventually push down their fees. The lobbyists are also using the organization’s support as leverage to persuade Democrats to roll back steep cuts in future Medicare payments to doctors (the House bills eliminate the cuts, and the A.M.A. is still at work on the Senate)...