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Report: Senate Finance Committee To Be Mum On Public Option

If accurate, this Associated Press report is a big deal:

Officials say that a bipartisan group in the Senate is edging closer to a health care compromise that omits a government insurance option that President Barack Obama favors. Nor is it expected to require businesses to offer coverage to their employees.

I've heard this possibility floated once or twice as a sort of unlikely contingency--in the event that bipartisan negotiations drag on and on past deadlines, the Senate Finance Committee could vote on an extremely slimmed-down bill, completely silent on controversial provisions, in order to get it through the panel with bipartisan support. Then, as it's merged with the HELP bill, and then later with House legislation in conference committee, those provisions would be imported, meaning the final votes would be much more partisan.

The Senate adjourns at the end of next week, so time is really of the essence, and the above interpretation makes a certain amount of sense given that time line. But again, I'm not positive that's what's going on here. I'll report back when I know more.

Late update: Of course, a simpler (and less newsy) interpretation of the same article is that the committee is set to endorse private co-ops instead of a public option. But that's been expected for quite some time now. Either way, if their bill contains no employer mandate, that's a pretty major punt.

Later update: Significant updates here.


61 Comments

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Thanks Brian, for the tentative interpretation, which helps me make sense of this, and possibly (at any rate tentatively) lowers my blood pressure.

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I'm not convinced. This makes it all sound like a charade and I'm sure Snowe at the very least is not going through all this as part of a game.

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Wonderful! What a Party it is that we have.

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I agree. If your not for universal access to healthcare, why are you a Democrat?

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Its time to primary Baucus. 'Nuff said.

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You'll have to wait 6 years for that.

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Time to primary alot of those damn blue dogs.

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Can't primary Baucus...not now...he needs medical care desperately after "fighting tooth and nail for a public option" like he "vowed" he willneed heavy dental care and my god, his nails...oh my...how will he ever count money now. Grassley you son-of-a-bitch. Maybe Kent Conrad can get him into a co-op in 10yrs if he can get one going in that time.

I know I don't even have to ask but Mrs, Baucus did the right thing and gave up her compromising positions with the health care industries and big pharma right. Can't profiteer off "secret deals" her hubby makes in committee now...it wouldn't be right.

It should be law that no private lobbyists can donate to campaigns of congressmen involved in committees that might benefit same special interests by actions their committee might make.

The karma of deteriorating health in old age when all that is left you is suffering descends on those who sell others care for their health needs out for profit. So avoidable when one is doing the right thing. The Baucus karma may just be us...naw...it's painful enjoyment of their profiteering at the expense of life...enjoy Max, Kent,...the rewards of your deceitful integrity... a karma co-op. You blew the biggest service you could have rendered to our nation for your own personal gain.

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What did we expect for all that money lavished on Baucus? A public option that would actually introduce some competition?

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Wouldn't be surprised if this is the foreshadowing of the co-op plan, as we've been expecting.

Also wouldn't be surprised if we weren't being baited by the AP Washington bureau--no friends of health care, Democrats, or responsible journalism they.

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Here's an idea:

Allow troglodytes to strip the public option out of the bill as a compromise.

Then, afterwords, stealing a page from George Bush, have Obama sign an executive order allowing the Medicare administration to sell policies to the public at cost (or slightly more).

Call it Medicare-for-sale. Anyone that doesn't have health care can buy in, if they can afford it.

(in today's column, Krugman laid out the "four pillars" of health care reform: regulation, mandates, subsidies and competition.)

So Baucus wants to strip out mandates, subsidies and public competition. Let him. Then have Obama implement executive orders reversing some of this.

Since the people this coverage goes to aren't customers the Insurance companies shouldn't care right?

Well, just in case, we could throw in a sweatener: The Insurance companies would be allowed to act as banks to Medicare-for-sale. The premium payments go to them where they are held in trust in something like a bank deposit. Then when Medicare-for-sale goes to pay a doctor, the with draw the money from the trust account the insurance company is holding. This way the insurance companies will be able to make money off a population they currently don't make a dime from. Of course, they'll be taxed too.

Then when our majorities are increased in a little over a year, pass add on legislation to Obama's medicare-for-sale executive order.

Step 1:
For those who can't afford medicare-for-sale, add some subsidies.

Step 2:
Allow employers who don't provide insurance to participate in medicare-for-sale on a 50/50 plan: They pay 50% their employees pay 50%. That's how it was done for me when I lived in Korea - I think my payment was $50 a month.

After 2012 elections - our majorities increase even more. Then finish the job:

Step 3:
Allow people to chose Medicare-for-sale over their employer based system if the choose to.

By 2014, the Insurance companies will be angling to settle for Medicare-for-all, provided they can run the trust scam and sell add-on gold plated coverage.

By 2016, we re-enter the first world.

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It's almost too easy.

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Then it's up to Harry to merge the bills and keep the public option. Every other committee's bill features a public option. Get it done, Harry. Baucus can say he tried, the Republicans can go and pout.

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Do you really think that you can count on Reid for that?

You, sir, are an optimist.

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I can't say I'm optimistic that he does this, but my hope is that we have a president who will hold Reid accountable. Harry seems like a butt-kisser, and maybe he wants Obama's favor more than anything. We'll see ...

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Whether truth or simply bait, it is another reminder that we must keep the pressure on every Democrat everyday until we get a decent public option passed. If we have to expose the bribes and corruption, so be it. A corrupt DEM is no better than a Republican. We have to put the people in the country above the Party.

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I know this is just a leak of a preliminary version of a compromise bill that will be amended on the floor and further amended in committee, but....

individual mandate + no workplace mandate + no public option = a shittier situation than the shitty one we're already in.

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This is such a farce. Baucus has spent months pleading for 1-2 republican votes that he doesn't need to get a bill out of committee that most democrats will reject.

In the end, the Republicans aren't going to vote for anything that can pass the Democratic senate so this has all been a huge waste of time.

That's what happens when you've been in the senate for 31 years. All you know how to do is talk and waste time. Total loser.

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[Roll eyes]

[Feign shock]

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I'm against an employer mandate because it prevents many employees from understanding how costly health insurance and medical spending really are, but a public option is a must have.

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Do you realise that this is the DEFINITION of a private insurance subsidy?

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The correct term is: bailout. This is a bailout for the private insurance industry.

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But a straight out insurance subsidy is the preferred option of every Democratic whore on Capitol Hill. Just ask their pimp Max! He'll tell ya!

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And an unashamed whore he is. He doesn't even make any effort to hide who his constituents are - and none of them have anything to do with actually voting in Montana.

I have a daughter who lives in Missoula. She says Baucus is getting increasing fire from the Montanans who seem to be overwhelmingly in favor of single payer, or at a minimum the "public option." These voters apparently held a huge rally near Baucus' office and presented his staff with an oversized check in the amount of $4 million dollars, asking quite loudly if this was enough to gain access to the health care discussion. Unfortunately, the check was about as genuine as Baucus' own allegiance to ethics, and so it is expected that nothing will come of it.

In addition, the calculation seems to be that the voters have short memories, and that Montanans will again be in love with Baucus by the time he's up for reelection in 2014. Their devotion, after all, will be attained by spending the massive war chest Baucus is now building at the expense of torpedoing genuine health care reform.

It's quite the political system we have, no?

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Don't fool yourselves.

When this goes through it will become the narrative and no one will look back.


It will give everyone cover to claim they came up with a bi-partisan bill.

Once the republicans start cheering it, the media will talk it up as real health care reform and that will be the end.

This is Obamas last chance to prove to progressives he can be trusted,
fail here and he will never regain their confidence again.

If this bill clears the committee health reform and any future chance at real change the country needs is dead!

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Yes. Also, the superdelegates will steal the election for Hillary.

Why do these threads so often turn into empty predictions? We don't know how this will turn out. Just keep working.

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HuffPost has this story. It says No PO. If this is true, the Dems can kiss away their seats. This will infuriorate everybody. Here is the link.

http://www.huffingtonpost.com/2009/07/27/senate-group-dropping-dem_n_245839.html

However, it is from the AP, and I am suspicious of their editor, Frontier, who is pro-GOP. Also, CNN, says Kennedy is talking with Obama, so Obama may not sign this bill if there is no PO.

Maybe Kennedy will be able to journey to DC to save this legislation? This has been his life's work.

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To: Senator Max Baucus
cc: Tim Kaine, Harry Reid

That crackling sound you just heard was the sound of my and my spouse's Democratic voter registration cards burning to a crisp on the BBQ.

If/when you managed to re-organize your party based on responsibility to your constituents rather than to the medical-industrial complex, be sure to let us know.

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If this is the final result than I would rather the liberals find their spines and filibuster the bill. Seriously, you people think the progressives trust Obama right now? He turning out to be another best Republican president evah(see:William Jefferson Clinton.) You want healthcare reform. Pass a consitutional amendment not allowing elected officials to receive federal health benefits including medicare and not allow them to gain health benefits from their spouses employed by the feds either. Let Max go out and get his own private insurance. And same goes for Ted Kennedy,Arlen Specter and Tim Johnson. Let Max face these three who wouldn't be able to be covered under his plan. Furthermore, make sure D.C. and Maryland have the same Wild West socially Darwinistic insurance laws so that they can't get insurance there.

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This isn't news. We all knew that the Senate Finance committee would have a "co-op" and not a public option.

I wonder since businesses are not required to give people health care are people still going to be mandated to get health care insurance. And will these people be allowed to enter the insurance exchange.

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The American people will still be allowed to be poor. That is one of the Blue Dogs core values.

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Not defending the corrupt and traitorous Blue Dogs, but the American people don't seem to have the nerve. They complain about the current system, but a few well-place scary ads and they go all weak-kneed.

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Before any gets all lathered up over this report, remember what fbacon2 commented above.

Also wouldn't be surprised if we weren't being baited by the AP Washington bureau--no friends of health care, Democrats, or responsible journalism they.
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Of course we don't know how the media or the republicans will act, do we??

Thanks for being snide.

And I will put my "predictions" up against your "work" any day.

BTW....if you had your head out of your butt you would remember I predicted Obamas victory during the time you were fighting another year old irrelavant theory.

Thanks for not being able to see whats important.

Baucas and the republicans thank you too.

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I don't understand why people are upset. Kent Conrad said that there wasn't going to be a public option in the Senate Finance bill but instead there was going to be a "co-op".

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Well, I understand why people are upset. For one thing, it's yet another sign that people like Baucus aren't focusing on party unity. (To put it mildly.)

But I agree that the despair is misplaced, since the real question has always been this: --

"Will, or won't, moderate Democratic senators vote for cloture on a bill with a public option?"

And the workings of the Finance committee don't *really* bring us any closer to knowing the answer.

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Seriously, we have allowed this tiny and spineless group of snakes to hold us hostage. It is very obvious that they ran for office for the limited power, enriching themselves and planning for their futures in the corporate sector. That is the only reason that they could turn their backs on the people this way. They don't deserve power, because they don't know how to use it. Baucus and Conrad are shameful.
Any democrat that would give them another dime is a complete fool. I became an Independent because I simply didn't want to be affiliated with them anymore. The public option should have been single payer in the first place!

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In which situation would the Finance committee's version of the bill be easier to override? If the finance committee included no mention of a public option? Or if it included a "co-op"?

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It's speculative, but my guess would be that it's easier with no mention. That's certainly what Brian Beutler seems to be assuming. I don't know what "rules" -- if any -- guide the reconciliation process, but just thinking about it politically, it stands to reason that you're more likely to get "A" if you have to choose between "A" and "no A," than if you give people a choice between "A," "kinda sorta A" and "no A".

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The heavy lifting will be what comes out of the House. That is where the real meat on any bill will be. Then what comes out of reconciliation is what will bring the entire issue to a head.

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What at SCAM. Shame on the democrats...

When are the senators going to listen to the will of the people? This is a pure joke. We can find money to bail out banks, we can find money to fund wars, but there is no money for healthcare? This is a crime against humanity...

I have stopped donating to the Obama campaign and to any democrat.

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As I posted in reply to another gnashing of teeth post in another thread about the AP scuttlebutt on this, I was unaware that President Obama was actually a member of the Senate Finance Committee and thus to be held accountable for what bill that committee turns out. Here I thought he was in charge of a whole separate branch of Government. Who knew?

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I really want healthcare reform to pass, but I'm sorry. If there is no public option or employer mandate, then Obama should veto the bill.

that's what this is all about

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I guess you don't have a pre-existing condition.

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President Obama has announced three bedrock requirements for real health care reform:

Reduce Costs — Rising health care costs are crushing the budgets of governments, businesses, individuals and families and they must be brought under control
Guarantee Choice — Every American must have the freedom to choose their plan and doctor – including the choice of a public insurance option
Ensure Quality Care for All — All Americans must have quality and affordable health care

these are the bottom line of negotiation; anything else will be a failure and we the people will hold those like baucus and all other blue tics like him who owe their political survival to the health care industry.

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I really want healthcare reform to pass, but I'm sorry. If there is no public option or employer mandate, then Obama should veto the bill.

that's what this is all about

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Well look. I'm in the insurance business and a huge Obama supporter. But I have to say if the public option is law, the private insurance business is finished.

I'm on the frontlines with people looking for health insurance everyday. I have to sit at kitchen tables and look at people with tears in their eyes because they cannot GET health insurance muchless buy it because of pre existing conditions.

This I'm absolutely sure of. If Obama can get-

1.Get rid of ALL pre existing clauses that caused denial, ridered or waivering of conditions, Obama would accomplish a huge, huge victory for the public.

2.Mandate that everyone buys insurance, that will take a lot of pressure off the insurance companies to sacrifice the public for profits.

Competition in the end will stabilize the market and prices. My agency alone has 20 or so companies and competition is fierce. The blue cross/Aetna/Humana etc brandname companies better watch out. There are a lot of other companies giving better prices and coverage than them.

I don't know the ins and outs of the co ops or how they are going to deal with medicaid/medicare.

But from a pure help to people concept, getting those two things done would be huge.

And if Obama can get those 2 issues done, he will recover nicely. Yeah the liberal wing of the party will be angry and upset at not having the public option, but the majority of Obama voters will be helped tremendously and will support him.

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I believe our Pres will veto the bill and the use the reconciliation process. I just feel it in my bones. This issue is too important to him because it is the bedrock of his campaign.

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Does anyone remember this onion article from 2001? It seems rather relevant now:
http://www.theonion.com/content/node/33420

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President Obama has announced three bedrock requirements for real health care reform:

Reduce Costs — Rising health care costs are crushing the budgets of governments, businesses, individuals and families and they must be brought under control
Guarantee Choice — Every American must have the freedom to choose their plan and doctor – including the choice of a public insurance option
Ensure Quality Care for All — All Americans must have quality and affordable health care

if there is health insurance reform without a public option - 72% of americans in favor - the next grass roots movement will be, not tea baggers, but public financing of all campaigns. blue tics, republicans and sen. baucus, take heed and manage your lobbyist funded wealth management well because it will come to an end!

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Again, what will come out of the Finance Committee is not necessarily, or even probably, what will come out of conference.

If the conference bill lacks the public option, or any satisfactory equivalent that isn't a public option, then you can scream all you like. But it might be that the conference bill has one, and then the Democrats may use reconciliation to get around a filibuster, Blue Dogs or no Blue Dogs.

We have only the information that's available to the public, and I respectfully submit to the panicking members of this thread that there may be more to know about the process of getting this passed. The Speaker and Majority Leader need not only please you, the least compromising of its constituency, but also protect members of their majorities from as much damage as possible to ensure passage of these bills. It's not easy. So stop ascribing cowardice and cupidity to the reluctant members, because not everybody in the House and Senate Democratic caucuses will have taken equal risks in their districts or states to support this bill.

We're here because we're smarter and better than the opposition. Let's give ourselves a full chance to prove it.

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As far as I am concerned since we are not even discussing a single payer option the battle is already lost and the Repubs have won. Whatever they pass it will be a maze of burocracy and confusion and soon enough they the repubs will be beating us over the head with phrases like.."see we told ya so"...See we told ya old people were going to die"...."See we told ya there would be rationing blah blah blah"...! As far as I am concerned the idea of true health care for americans similar to other major industrialized nations is a lost cause for the next thirty to fifty years once again.

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Boy I sure wish Hillary was in there kicking the Blue Dogs butts from one end of the capital to the other right now.

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IMNOTBITTER, ya could have fooled me.

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I imagine a conference room with Big Pharma sitting in comfy chairs -- while our elected officials kneel before them and apologize profusely for having to inconvenience their corporate overloads by even pretending to give a shit about what their ignorant unwashed constituents want/need.

Democrats sure know how to piss away an upper hand.

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Say all you want about Bush, at least he knew how to ram whatever he wanted to get through Congress, and he didn't allow a couple of centrist Republicans hijack the process. If Obama accepts a Health Care plan without a public option, it is worse than no bill at all, and his presidency is over. Rather than being another Roosevelt, he will go down in history as a second-rate Bill Clinton. Always caving in whenever and wherever it mattered the most.

Napoleon lost at Waterloo because he gave his enemies enough time to come together to defeat him. Obama is allowing the enemies of Health Care Reform to come together in the finance committee and offer a plan that the media will champion as bipartisan but whose true aim is to prevent real reform. He is being outflanked by the HMO's and drug companies who know that increasingly, time is on their side.

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I agree with every word you say and it breaks my heart to do so.

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Well, if the idea of allowing a public insurance option is such a bad idea, then maybe members of Congress should be stripped of their government provided healthcare.

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This goes back to the question of whether you want a bipartisan senate bill.

Right now, Democrats have a massive majority. Seriously, in the post-civil rights years, I don't believe that either party has controlled the senate with 60 seats. So, there are forty Republicans, and vast majority of those Republicans are very conservative -- and they're from very conservative places. Hey, no offense to you Mississippians, but Mississippi isn't like the rest of American. South Carolina, Georgia and Alabama aren't either. Yet, all those states have two Republican senators.

So, obtaining a bipartisan bill seems ridiculous. We don't have people who, philosophically, agree with us. If Max wants to run up the bipartisan ladder, that is fine, but my hunch is that at the end of the day, there is going to be a negotiation between Democrats. That's it. There may be some GOP House folks -- Erik Paulsen, for example -- who support the final bill, but it's unlikely that there will be any GOP senators if it has a public option. And, that is fine. We need to really stop this idea of bipartisan=fair. Bipartisan gave us the Iraq War.

We need our leader to get out there -- in Montana, frankly, and it Maine and in North Dakota -- and explain why we need a public option. We need to know about the incredible concentration that insurers have. The free market? How is that free market working in Arkansas where BCBS controls 75% of the market share? How about in Georgia, where Wellpoint controls 70% of the market share. With respect to health care, without a government competitor -- without a USPS for example -- those entities that control market share won't lower premiums. They won't insure more folks -- and we'll all continue to pay more.

So, let's take a deep breath and let's get on the phone to our senators and our representatives. We need a good bill, not just any bill, and we need it to be universal.

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Simple solution to the health care reform problem. Just make each and every citizen eligible for the same insurance, at the same rates, that congressmen and women are entitled to receive. Simple. How could the legislators object to that? At what cost to themselves?

Failing that, every politician that opposes a public option should be fired. And their successors too, until they get the vote right.

Basic health care is a human right, not a matter of privilege.

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