Pennsylvnia Gov. Ed Rendell has sent a letter to the state's doctors saying they will have to pay more for their medical malpractice insurance because no agreement has been reached on legislation to extend healthcare coverage to the uninsured. Rendell has championed payment reductions for doctors through the state's MCare abatement program, but has refused to approve them unless progress is made on affordable health insurance. Rendell said that if an agreement is reached, doctors could receive refunds of their abatement costs.