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			 The discussions sparked optimism that Republicans and Democrats 
			can quickly strike a deal for a bill that would ensure immediate 
			care for veterans and give the Obama administration greater 
			authority to fire employees at the Department of Veterans Affairs. 
 Aides to Senate Democrats said a vote on a compromise measure could 
			come as early as Thursday.
 
 Independent Senator Bernie Sanders, who chairs the chamber's 
			Veterans Affairs Committee, met with Republican Senator John McCain 
			and Representative Jeff Miller to try to work out differences 
			between competing proposals to fix widespread problems in the VA's 
			health care system.
 
 Veterans groups had expressed concern that Sanders's ambitions for a 
			comprehensive package of VA reforms would get bogged down in 
			election-year partisan politics, but the groups were encouraged by 
			the lawmakers' shift in focus toward smaller, targeted bills.
 
 
			 
			"They're going to be forced to start to work together. It's 
			certainly a very positive step," said Louis Celli, legislative 
			director for the American Legion.
 
 The flurry of activity comes less than a week after VA Secretary 
			Eric Shinseki resigned amid the scandal over widespread schemes to 
			mask the care delays and protect staff bonus awards and salary 
			increases.
 
 In Phoenix, where cover-up schemes first surfaced, doctors said that 
			40 veterans had died while waiting for care.
 
 Acting VA secretary Sloan Gibson will visit Phoenix VA facilities on 
			Thursday and told veterans groups that officials have now reached 
			out to 1,700 veterans waiting for care appointments, the VA said.
 
 More details of problems elsewhere surfaced on Wednesday as Kansas 
			Senator Pat Roberts released a VA document showing 108 veterans 
			faced care delays at some facilities in Kansas, Missouri, Indiana 
			and Illinois.
 
 House Speaker John Boehner sought to keep the pressure on President 
			Barack Obama for VA changes, asking him in a letter to urge Senate 
			Democrats to pass Republican reform bills.
 
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			The White House is considering Toby Cosgrove, head of the 
			prestigious Cleveland Clinic, as a possible candidate to run the VA, 
			according to a person familiar with the matter.
 Miller, who chairs the House Veterans Affairs Committee, said he 
			believes that Sanders is open to moving some VA reforms more quickly 
			than others.
 
 "The hope is that some type of a compromise can be reached that can 
			pass the Senate and quickly pass the House," he told reporters after 
			their meeting.
 
 But key differences remain. A House-passed measure sponsored by 
			Miller provides the VA secretary authority to fire employees or 
			demote them at will for poor performance, while Sanders wants to 
			maintain some employment safeguards.
 
 A plan from Arizona's McCain would give veterans a new "choice card" 
			option that would allow them to seek private care, while Sanders 
			wants to keep VA care in-house as much as possible. Some lawmakers 
			also want a provision authorizing leases to open 27 delayed VA 
			outpatient clinics.
 
 (Additional reporting by Emily Stephenson; Writing by David Lawder; 
			Editing by Caren Bohan and Ken Wills)
 
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