Charlie Foxtrot: With White House Watching, Democrats Try To Pick Up The Pace On Health Care Reform
The health care debate on Capitol Hill is moving so fast, and in so many different direction, that sometimes it can be difficult--maybe impossible--to keep track of all the myriad moving parts. But to get a sense of where things stand more broadly, there are a handful of leading indicators to watch out for if you're trying to keep abreast of major developments.
First, and foremost are the deadlines. Democratic leaders--and President Obama--want both the House and the Senate to pass their separate bills before they break for August recess. The House breaks on August 3rd and the Senate on August 10. For the first time today, the White House said it might ask Congress to push those dates back a bit if the deadline isn't met.
But assuming for the moment that Obama doesn't hold Congress' feet to the fire, that leaves precious little time for both chambers to complete a great deal of work--or to become overwhelmed and leave town for a month with a big embarrassment, and major complications, hanging over their heads. If that happens--and many think it will--then meeting the other deadline may be impossible. Obama wants to sign a bill in October, and between nominations and appropriations bills and early work on major energy legislation, it's hard to imagine the Senate squeezing what will likely be a two week floor debate on health care reform into the month of September. Tack on to that the fact that vulnerable members become less and less willing to vote for controversial legislation as election season kicks into high gear, and you can see why party leaders and reformers are getting worried.
That means that the key committees--particularly those committees' Democrats--are working over time to resolve remaining differences and move legislation closer to a vote. And if they're going to get it done, they'll have to make huge strides this week.
Chief among those strides: The Senate Finance Committee--riven by intra- and inter-party differences--will have to belatedly settle upon final language and release a draft bill. That committee was supposed to complete work on its bill last month, but has been struggling for weeks to reach consensus on the questions of the public option and financing. Last week, Senate Majority Leader Harry Reid became involved in the process and urged committee chairman Max Baucus not to let Republicans further delay progress. He told Baucus that GOP demands vis-a-vis those two issues would make the bill toxic to a number of Democrats, and that, if need be, he should eschew bipartisanship and quickly release a bill--complete with a public option--fully paid for, but without imposing a tax on employer-provided health care benefits.
A week later, that still hasn't happened. But it could at any time, and if the August deadline is to be met, it better happen sooner, rather than later.
By comparison, the Senate Health, Education, Labor, and Pensions Committee is way ahead of the game. That panel is just about done with a marathon mark-up process. It has settled upon legislative language calling for a public option, and leaders expect its 13 Democrats to vote unanimously to move it out of committee.
Once those two bills are complete, they'll be merged and a long floor debate can begin.
In the meantime, the House of Representatives is set to unveil its draft legislation tomorrow. That bill was written by leaders of the Ways and Means, Energy and Commerce, and Education and Labor committees, and the mark-up, which could begin as early as this week, will allow each of the committees to amend the titles of the bill over which they have jurisdiction.
Once that process is complete, the House will need significantly less time to hold a vote on the finalized bill than the Senate will. But leaders in that chamber are still trying to hammer out disagreements between liberal and conservative Democrats over the robustness of the bill's public option, and its sources of revenue. Ways and Means Committee chairman Charlie Rangel has proposed a surtax on Americans making more than $350,000 a year to cover about half the bill's expected cost--an idea that doesn't seem to be going over well with Republicans and at which the Senate is likely to balk.


















This is bullshit. Dear Barack: unleash your inner LBJ (if you have one) and threaten these pissant primadonna dickheads with anything you've got. And where's 'ass kicker' Emanuel? Or does he only kick liberal asses?
July 13, 2009 3:45 PM | Reply | Permalink
What exactly is bullshit? The fact that the president came out today and said (a) we will get healthcare done this year--bet on it or (b)the fact that he said Congress may have to delay its recess to get it done?
I swear there is so much toatally unjustified hyperventilatiing around here.
July 13, 2009 4:11 PM | Reply | Permalink
The bigger Q, in what form will the HCR be passed? Will it contain single payer system? I just haven't seen Obama spend enough time and force pushing through a system for the people.
July 13, 2009 4:36 PM | Reply | Permalink
Hopefully, HCR won't look like the bail-out which was intended (purportedly) to help the little guy. The Goldman Sachs' of the universe are going to report blow-out profits while Joe Blow still loses his job and home. If HCR follows suit, the big insurance vendors should be sitting pretty while uninsured Americans continue to drop like flies.
July 13, 2009 4:56 PM | Reply | Permalink
where have you been? Of course it won't contain single payer! No one is even talking about single payer now and hasn't been for two months.
I think for all of the ranting, many people don't have a clue and often use "single payer" and "public option" as interchangeable terms. NOT.
July 13, 2009 4:57 PM | Reply | Permalink
Many people are talking about single payer. The party just isn't listening.
July 13, 2009 5:47 PM | Reply | Permalink
Clarification: No one who matters is talking about single payer.
Got it?
July 13, 2009 6:03 PM | Reply | Permalink
Obama has never advocated single payer. Single payer couldn't get 20 votes in the Senate. It can't pass, won't pass, has never been talked about seriously in congress.
July 13, 2009 7:33 PM | Reply | Permalink
Oh, bullshit.
That was BARACK OBAMA, idiot, in 2003, to the AFL-CIO.
More here.
Whether you write out of rank ignorance or rank dishonesty, I'm sick of it.
July 16, 2009 3:50 PM | Reply | Permalink
Apparently, he's been on another planet.
July 13, 2009 5:48 PM | Reply | Permalink
What is Bullshit aught to be obvious to anyone whose been watching this "debate." The fact that 76% of the American people want a robust public option and these jerkoffs are arguing amoungst themselves. The fact that blue dogs want to tax health care benefits for the average Joe, but "balk" when someone suggests taxing people making $250000 or more. The fact that the President says that health care is essential to the recovery of our economy be refuses to use the bully pulpit to promote it. Remember George Bush selling the war in Iraq? Obama actually has facts on his side but so far has refused to spend any political to sell a public option. In fact his righthand man is out there undermining it. That's really what's bullshit.
What gets passed matters. Passing some crappy tinker around the edge bill and calling it health care would be much worse than passing nothing at all. I am sure Obama will be able to claim that he got healt care done. What form it takes is what matters.
July 13, 2009 6:21 PM | Reply | Permalink
blah, blah, blah.
July 13, 2009 6:47 PM | Reply | Permalink
I'm sorry, but Henk is clearly right. Obama has been totally awol on this. Indeed, the fact that he has not been able to control Rahm, who suggested that a public option was not necessary, even while Obama himself keeps promoting it, is a clear sign of the administration's failure to lead on this issue. He was right to let the legislation work its way through the relevant committees, but he still needs to put pressure on wavering Dems and he does not need to continue preaching about bipartisanship.
July 13, 2009 10:29 PM | Reply | Permalink
Obama has not been preaching bipartisanship. In fact, he's taken great pains not to mention that word in months, or to redefine it.
Because Rahm opens his mouth, it's a failure of leadership? OK. And everytime your kid says something you don't agree with, it means you're a bad parent.
You say Obama should be putting pressure on congress. How do you know he's not? Do you expect him to call a press conference to talk to Reid and Baucus.
July 14, 2009 12:11 AM | Reply | Permalink
thanks henk~ What form it takes matters HUGE because it matters that it works! The farther the centrist Dems drag it to Republican corporate control the less the average person sees any difference in their healthcare spiraling downward ...... and the less people think Obama has done shit to help them. He needs to kick ass to save his own ass.
The shame of America is that we have too many idiots and too many with fascist tendencies to ever have single payer on the table. The entire civilized industrial first world decides these things based on common sense and facts. Everyone considers the honest needs of honest people. America considers the profitability of drug and insurance corporations .... and we get the most expensive healthcare by a mile ... that leaves out one out of six.
So pathetic.
July 13, 2009 10:43 PM | Reply | Permalink
I think what he means is that the president does not seem to be twisting arms or using his political capital to go around the congress and talk directly to the public. Say, a prime time address telling the senate to get off their collective duffs, or private threats saying that he will support a primary challenger.
July 14, 2009 8:36 AM | Reply | Permalink
Those vulnerable members supposedly less and less willing to vote for controversial legislation are going to find they're in much bigger trouble if they don't pass a strong reform bill and get it to the president's desk in October. That goes for the energy bill too. Quit dithering folks. The whole country is watching and failure to pass a good bill will cost you your jobs. It's as simple as that.
July 13, 2009 4:09 PM | Reply | Permalink
After all the bloviating about 60 votes, and the supermajority, and all that plain old bullshit, you'd think Democrats would realize "We're screwed unless we get actual reform accomplished!!!!!"
They sometimes appear to have amnesia.
July 13, 2009 4:42 PM | Reply | Permalink
I'm disappointed in Obama, why is he traveling to Moscow, Ghana, Vatican when he should use all the time and power to make sure that the country is on the right path. There's so unfinished work on the financial system and the healthcare system, why leave it to the last minute?
July 13, 2009 4:33 PM | Reply | Permalink
Don't be disappointed with Obama. His tripped was planned and announced in April. He wasn't expecting that the Senate Finance committee would drag it's feet.
July 13, 2009 4:36 PM | Reply | Permalink
For something important as this, he should have scheduled it earlier. i do understand that he had to go to the G8 meeting. But giving town hall speeches i Moscow, sorry but right now that's needed to push through HCR.
July 13, 2009 4:39 PM | Reply | Permalink
The G8 summit involved 8 countries and it just can't be scheduled willy nilly since multiple countries are involved.
July 13, 2009 4:49 PM | Reply | Permalink
Bingo, so just go for that one. It's about appearance. You have headline, 600k new unemployed, forclosure, recession getting deeper, need for a 2nd stimulus plan, health care not getting passed and Obama is in Ghana? You can do that when congress is on vacation.
July 13, 2009 4:52 PM | Reply | Permalink
Oh baloney. That's the new criticism that's been floating around out there. "Obama shouldn't have gone abroad WHILE WE HAVE THIS AWFUL PROBLEMS HERE AT HOME!!!"
Had he stayed here, it would have been "Obama is neglecting his foreign relations responsibilities, JUST LIKE BUSH">
I'm not a rabid Obama fan, but this sort of criticism strikes me as really petty. He's pushing the image of the United States into positive territory for the first time in 7 years, and people are freaking complaining?
Seriously. Gimme a break. Oh, and the number of initial joblessness claims fell when he was out of the country. ZOMG! Imagine how much they would have fallen had he been in DC.
July 13, 2009 5:01 PM | Reply | Permalink
Agreed. Obama's the most brilliant political tactician I've ever seen. I have no doubt we're going to get meaningful health care reform.
July 13, 2009 9:13 PM | Reply | Permalink
1. It's mid-July. Healthcare wasn't even supposed to be up for a vote until mid-August. So he shouldn't move from the WH until then.
2. The bill is being written in Congress. Obama is not in Congress. Why you think it's necessary for him to be in the WH for Congress to do its job is a mystery.
Air Force One is a flying WH. It's been clear that Obama has been keeping tabs on things from Russia and 30K feet above.
3. WH healthcare point people (Sebelius, Barnes) are working day and night with Congress now. Obama is not a one-man executive branch, you know.
July 13, 2009 5:03 PM | Reply | Permalink
The public option is not the problem in the House. They have enough votes to pass a health care reform bill with a public option. The problem is how to pay for it.
Rangel's taxes on the rich did not go over very well with even liberal Democratic Senators. That is why Obama put Rangel and Baucus together today to hammer out more closely on how to pay for this.
Reid and Pelosi were there too. I have absolutley no doubt that Pelosi will hold her caucus over during Summer vacation to get this bill done and voted on before they leave. The question I have is does Reid have the backbone to do the same?
July 13, 2009 4:34 PM | Reply | Permalink
How much money is generated by letting the Bush tax cuts expire? If my memory is correct, between the cuts to the top tax brackets, the inheritance tax and the cuts to taxes on dividends there should be more than enough money to pay for this.
July 13, 2009 5:47 PM | Reply | Permalink
Exactly!
More than enough.
You just have to be willing to let the little piggies scream to heaven how unfair it is for piggies not to have big fat tax cuts.... while everyone else goes broke and/or dies without healthcare.
July 13, 2009 10:50 PM | Reply | Permalink
Do we even have liberal Democratic Senators? If progressive taxation is off the table and we have to pretend the bill is going to be revenue neutral, it's going to be a farce.
July 13, 2009 5:52 PM | Reply | Permalink
Sen Whitehouse's 15-minute floor speech ends up by stating there is a projected $500 billion annual savings as the HELP Committee bill envisions reform. This smackeroo needs more airtime - guess listening to 14 minutes of explanation is beyond the capacity of most TV anchors. The speech contains the words Real Savings and the Senator explains that the CBO is not equipped to score the future savings because this is an entirely new approach being planned. The hospitals need incentive to trim costs because they won't willingly agree to saving money for their patients!! Not when it comes out of their pockets!!
July 13, 2009 6:27 PM | Reply | Permalink
I think the cost issue is a false issue.
This OECD study shows (see top graph on page 13) that the U.S. government already pays out more money, per capita, in health care expenditures than any other country, except Norway.
The graph implies that our government is already paying out more, per capita, than France.
That means if we could flip a switch tomorrow, and switch to Frances system, we would actually be able to implement a tax cut.
That's why I think the cost thing is a red herring - a false issue.
Obama, then, shouldn't be arguing for "public option" he should be compromising with "private option": the whole nation is covered by a public option, because it's cheaper then covering some and not others, but those that want to keep their private insurance can, it's their option.
Everyone else can monetize their healthcare benefit, have it rolled into their paycheck. The resulting increasing in purchasing power will lift aggregate demand and might walk us out of the depression.
July 13, 2009 6:58 PM | Reply | Permalink
Sorry this is off topic, but it is pretty funny.
In the midst of debating the merits of whether or not a special prosecutor should be appointed to investigate the CIA, FDL blogger, Marcy Wheeler, says "Blow Job" on MSNBC.
Watch the whole segment here.
http://progressnotcongress.org/?p=2152
July 13, 2009 4:38 PM | Reply | Permalink
I saw that. Hilarious!
Also, David Schuster nailed the TownHall guy to the wall by pointing out the absurdit of his arguments by every historical, legal and logical standard. Very nice indeed!
July 13, 2009 5:06 PM | Reply | Permalink
You can hijack my post for a blowjob reference any time you like
July 13, 2009 5:49 PM | Reply | Permalink
I think what may kill the public option is the abortion fight. Will the public option fund abortions?
If the Democrats are smart they would decide that the public option should not be a fight about abortion and instead do not fund abortions as most insurance companies do not.
It isn't worth it. Right now 70% of the country of the country is for the public option. The way to drop the support of the public option is to insist that the public option funds abortions. If that happens than many conservadems who may vote for cloture even if they don't support the health care reform bill won't even vote for cloture.
July 13, 2009 6:36 PM | Reply | Permalink
Both chambers have had ample time to get this done. They need to quit reaching out to the GOP and break ties to the inusrance and drug companies.
I think Obama is going to tell them no recess til this is passed. They want their holiday.
July 13, 2009 7:09 PM | Reply | Permalink
Obama has handed off the ball to the Senate. I wish he were out there every single day making the case for a STRONG public option. The only way to get the Democratic Senators in tow is to make it untenable for them to buck the President. Right now each Senator feels like they can be a free agent. The country wants a STRONG public option and Obama has the power to force it if he has the guts. I am disappointed in his hands off approach. What he does and how this comes down is going to define his term of office. It will also define a lot of his support next time around. He promised us REAL reform, not the wallpaper the healthcare industry is lobbying for.
July 13, 2009 7:25 PM | Reply | Permalink
Be patient. Obama knows what he's doing and will bring pressure, skillfully and with subtlety, unless it becomes absolutely necessary to be more obvious, in which case he will bring down the hammer.
We liberals are so used to losing. We're not used to having someone really smart and crafty at the helm. At the end of his term, Obama will make LBJ look like a rank amateur.
July 13, 2009 9:22 PM | Reply | Permalink
I wish I had your confidence in the Supreme Leader! To me, he is squandering away his chance due to his fetish for bipartisanship. For a case in point, look at his stimulus bill. 30% of his initial proposal was tax cut, even though the consensus among economists, including folks like Paul Krugman Dean Baker, and Nouriel Roubini who accurately predicted the financial crisis, all said that the stimulus should have been entirely spending. Then, despite taking the centrist position and sucking up to the Republicans, none of them vote for it in the House, and only 3 vote for it in the Senate only after adding more tax cuts and reducing spending. Now, with unemployment nearing 10%, the ignored economists who were right all along are saying that another stimulus will be needed, and Obama's approval ratings are starting to sink.(Fortunately for him, the Republicans are even less loved.)
July 13, 2009 10:40 PM | Reply | Permalink
He had no choice on the stimulus. Collins, Specter and Snowe had the entire democratic party by the balls because we couldn't pass the bill without them.
Maybe you know some new math of how you get to 60 without actually having 60 votes.
Krugman and Roubini have never passed a piece of legislation. It's easy for them to say dictate a perfect bill since they don't have to deal with reality.
July 14, 2009 12:16 AM | Reply | Permalink
Krugman's job is to describe what economic reality is. He needs to get the common sense cause and effect out in the public dialogue. After that it is government's job to take facts and make effective policy. The missing link is always the ability of elected officials to act in the best interest of the majority, the vast majority, of the citizens they represent. The rich and super rich always try to bend policy to benefit themselves and screw the majority. Bush saw his job as helping the rich get richer. Obama needs to push back in favor of the poor, working , and middle class. Just like Clinton. The final judgement on all this will be in 2016 if the rape of the lower classes was slowed any with Obama or if the stats just keep getting worse. With friends like the Blue Dogs, good luck.
July 14, 2009 1:11 AM | Reply | Permalink