Senate Finance Committee chairman Max Baucus has unveiled a draft of his health care reform bill, which, as expected, calls for co-ops but no public option. So far, after months of bipartisan negotiations, no Republicans have agreed to support the framework--but that could change during hearings next week as the bill gets amended. More to come as we sift through it.

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AnswerFrog
September 16, 2009 9:53 AM
This is a stellar example of the principle of pre-emptive concessions to the other side, which can then ask for more concessions on top of those. Brilliant checkers playing, Max.
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CharlesBrown
September 16, 2009 9:59 AM in reply to AnswerFrog
May be the guy is not so stupid. May be the pre-emptive concessions was because he was rushed by someone. The bill was supposed to be out much sooner.
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Alex39
September 16, 2009 10:07 AM in reply to CharlesBrown
I assume this is snark?
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GTFOOH
September 16, 2009 10:46 AM in reply to CharlesBrown
He introduced everything in this bill in July! Rushed?
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Schmed
September 16, 2009 10:48 AM in reply to GTFOOH
And then he demanded more time over the August break!
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trblmkr
September 16, 2009 10:08 AM in reply to AnswerFrog
Would the raucous Baucus Caucus mock us, shock us or talk us to death?
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Chris
September 16, 2009 11:14 AM in reply to AnswerFrog
Thug it out with me now...
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Richard L. Adlof
September 16, 2009 12:30 PM in reply to AnswerFrog
An unfortunately, it is true . . .
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Kristin126
September 16, 2009 9:56 AM
I presume the individual mandate is still intact. That is total BS. If we're going to have an individual mandate, we must have a public option. Co-ops might be better than nothing but they aren't a true public option.
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fkaZk0sm0
September 16, 2009 10:09 AM in reply to Kristin126
yep.
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AnswerFrog
September 16, 2009 10:27 AM in reply to fkaZk0sm0
The bigger point that Yglesias has made is *subsidies* to lower and middle class to enable people to buy compulsory health care. The costs of these plans, even possibly a public option, can be quite high. The House bills have generous subsidies. Baucus' does not, afaik. His "savings" -- slashing proposals for 1.3 T to like 800 B -- come on the backs of the working class which will bear the brunt of these concessions in STILL havign to pay a ton of money for minimal care. These "savings" come from slashing subsidies.
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Schmed
September 16, 2009 10:50 AM in reply to AnswerFrog
Do these "subsidies" also take into account deductibles and out-of-pocket expenses? If not, then they're totally worthless.
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Venerable Rinpoche
September 16, 2009 11:09 AM in reply to Kristin126
From now on, I call the individual mandate the Corporate Mandate. Imagine a law forcing you to buy private health insurance. And just who do we think will run the so-called coops?
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Bruce Webb
September 16, 2009 12:09 PM in reply to Kristin126
Individual mandate intact, employer mandate scrapped. Except for a penalty if you hire an individual eligible for the crappy subsidy.
Oh if you are a smoker over 50 you can count on paying 7 1/2 times what a young non-smoker does. Of course if you don't smoke it is only 5 times as much. Compare to the House Bill which limits the age premium spread to 2:1.
Really the whole thing is just as crappy as advertised. Except on abortion where Max strangely left some room in that State laws either restricting or mandating abortion coverage are not entirely overridden.
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oskieoskie
September 16, 2009 9:57 AM
If you work hard to incorporate the opposition's points and they still oppose the bill, and clearly indicate they will oppose any bill, you have done your bipartisan due diligence and are free to pass whatever you have the votes to pass.
GOPs were invited to the game but refused to play.
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henk
September 16, 2009 10:13 AM in reply to oskieoskie
The problem is that the "opposition's points" are also Baucus' points. Also with this bill as the starting point, support or not, Republican demands are being met and those demands do nothing to make Health Care better, but in fact will make things worse. They get what they want and will still be able to run against "reform" in 2012.
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oskieoskie
September 16, 2009 10:20 AM in reply to henk
Opposition points don't weaken a bill if they don't draw votes. If the votes are there for public option, it won't matter what Baucus wants, the public option will pass. If the votes aren't there, it won't.
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CityGuy
September 16, 2009 9:58 AM
Nuts!
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Walter Mitty
September 16, 2009 10:00 AM
Dems on the committee need to make sure amendments are added that Republicans can't support.
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JohnAH
September 16, 2009 10:23 AM in reply to Walter Mitty
That is exactly what they need to do!
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JohnAH
September 16, 2009 10:26 AM in reply to Walter Mitty
I think we need to show support for Sen. Rockefeller in particular to lead the charge in adding amendments that the GOP will reject no matter what. He has already come out and said that the Baucus bill is a joke and is a strong supporter of the Public Option.
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randomname
September 16, 2009 10:02 AM
Re: GOP support...two words- WHO CARES?
I'm done with those people. They want to fight everything, just on a whim or to be snarky or because they lost all of their majorities? Let them fight. Let them sulk.
On to the very important task at hand. Revising the bill(is the public option in there? I heard it wasn't), and getting healthcare passed.
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Indie Pro
September 16, 2009 10:13 AM
His plan drops the mandates for business, but not for people, and includes financial penalties for people who don't.
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henk
September 16, 2009 10:17 AM in reply to Indie Pro
Pretty much shows who's important in Baucus' world.
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Indie Pro
September 16, 2009 11:22 AM in reply to henk
I can vouche for his numbers, but :
With the Baucus plan, a family of four making $66,000 would have to pay $700 a month for government-mandated health insurance coverage. That's more than many people at that income level are used to paying now for whatever health care coverage they have. For a good number of households, this could be a rather weighty obligation.
and
Here's how The Washington Post described a key component:
Under the Baucus plan, described in a "framework" he released last week, as many as 4 million of the 46 million people who are currently uninsured would be required to buy coverage on their own, without government help, by some estimates. Millions more would qualify for federal tax credits, but could still end up paying as much as 13 percent of their income for insurance premiums -- far more than most Americans now pay for coverage.
People further down the income scale would receive much bigger tax credits, effectively limiting their premiums at 3 percent of their earnings. But experts on affordability say even those families could find it difficult to meet the new mandate without straining their wallets.
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Indie Pro
September 16, 2009 11:23 AM in reply to Indie Pro
I meant to type, I "can't" vouche for his numbers.
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Indie Pro
September 16, 2009 12:00 PM in reply to Indie Pro
and I left off the link
http://www.politicsdaily.com/2009/09/16/a-republican-trap-for-democrats-on-health-care/
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AnswerFrog
September 16, 2009 10:28 AM in reply to Indie Pro
And removes the subsidies to help people pay those premiums. QWho knows how high they will be, even on the cheapest plans. $12000 a year? People cant afford that.
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Stroszek
September 16, 2009 10:37 AM in reply to AnswerFrog
It doesn't remove the subsidies. The subsidies are just considerably lower than any other version of the bill.
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JohnAH
September 16, 2009 10:20 AM
Individual Mandate without the Public Option is a huge giveaway to the very Insurance & Pharma Companies that have run our system into the ground! The right thing to do when the people you negotiate with don't support the final product is that you remove everything they asked for and go back to your original plan. Of course this whole "bipartisan" BS that Baucus has been putting on a show of is just to give him cover for his complete and utter selling out of the American people to his Heath Care Industry finances.
Disgraceful!
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justadood
September 16, 2009 10:29 AM
Looks like the Senior Senator from MT got rolled---like we knew he would. Still, he doesn't feel so bad, since his loyal customers (as opposed to constituents) are still paying big bux for him to perform his dog and pony show....
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Obama1st
September 16, 2009 10:31 AM
Driving people to private insurance companies by POLICY is political suicide for the dems. Fining people is just plain insane. If the dems don't drop the mandate for individuals w/ no public option or employer mandate will cause us to lose the House and senate in 2010 and the White Jouse in 2012.
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synchronicity
September 16, 2009 10:52 AM
The Baucus bill.
What a complete disaster on public display.
The Chair of the Senate Finance Committee bought and paid for by the insurance lobby.
This bill was written by a previous VP of the number two health insurance provider in the country(currently serving on Senator Baucus' staff).
He has appeased the republican minority and the insurance corporations and left us with a bill that is a disgrace(thought it is the insurance industries dream come true).
Why are the white house and congress listening so intently to the insurance and pharma corporations and 'not' to the majority of the American people that they represent?
Is it just money?
Could we all donate a dollar... or two into one fund? There are millions of us, we are a majority... and then we could just buy the bill 'we' are asking for?
Maybe Bill Moyer and Bill Maher could act as 'majority lobbyists' and go hand them the checks?
'We' have to pay for this either way, right?
Might as well pay for it up front and get what we really want.
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oleeb
September 16, 2009 10:56 AM
One must wonder if Baucus is just delusional in thinking that any Republicans will support actual healthcare reform or if he is such a whore to the insurance interests that he is simply going through the motions and humiliating himself publicly in service to them and their interests in return for enough campaign cash that he'll feel like he can get reelected despite the corruption of having whored himself to the insurance interests in opposition to the national interest of the people of the United States.
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Winston Smith
September 16, 2009 11:06 AM in reply to oleeb
"Bipartisanism" was just a cover scheme for allowing the industry to write the bill. The Retardicans aren't going to sign anything anyway because they don't want Obama to claim victory on anything.
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Schmed
September 16, 2009 11:11 AM in reply to Winston Smith
I'm beginning to suspect that Voldemort is at work here. The industry gets its dream bill, the GOP can claim that they were not responsible because they voted against it, and we all get screwed. Kafka couldn't have scripted this any better!
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Official A
September 16, 2009 11:16 AM
So exactly who did Baucus negotiate with? Himself? Is that mandates, or hand-dates, Max?
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biryanifan
September 16, 2009 11:18 AM
The headline here says the bill "...Tracks Closely With Obama's Principles."
This isn't even mentioned in the article. Who's making this claim... Baucus himself?
I'm a determined progressive who's unimpressed by Obama's performance thus far. In fact, I'm halfway convinced he's likely to settle for no public option. But nothing in this article says the finished, stupid Baucus bill is already to Obama's preference.
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AdAbsurdum
September 16, 2009 12:08 PM in reply to biryanifan
Ferris is still "sifting through" to find substance to his Obama-Baucus kumbaya headline.
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George C
September 16, 2009 11:28 AM
I'm not sure we're focusing on the right issues. If "public option" doesn't have even 50 votes in the Senate, is there a point to fretting about how great it is? If it does have 50 votes in the Senate (and I'm not sure it does) then does it matter if the Baucus shot doesn't?
Also, the cost issue is important. There's no question but that CBO's blessing on this thing is outcome determinative, and Obama has said "not a dime to the deficit". So, the more subsidies, the higher the cost and the less likely it is to be deficit neutral. I have issues with those factors, but they appear to be in stone. So, what are the options? Rather than slamming Baucus (an ordinarily noble enterprise, I grant you) why don't we try to think of alternatives that actually have a chance of becoming law?
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Bruce Webb
September 16, 2009 12:21 PM in reply to George C
HR3200 by some measures scores as deficit neutral with a $6 billion surplus. It all depends on how you treat certain Pay-Go legislation. We need to understand that the House is still important in this process, as is the full Finance Committee. Baucus tried to pull an end-run on his own Committee with the Gang of Six. Which effort mostly failed. As the math stands today Rockefeller and Kerry alone can block passage of this bill out of Committee. Unless Baucus can get Snowe to go along whereupon Rockefeller and Kerry can stymie action by adding Wyden. And even if by some miracle Baucus gets Grassley to come aboard the liberals can block action by adding Schumer or Stabenow. Baucus's back is to the wall, he clearly hoped for a plan that could draw at least three Repub votes so as to eke out a 12 vote majority out of Finance that would exclude up to three liberal Dems. That doesn't seem to be in the cards today. What comes out of Finance is not likely to look like the outline Baucus released today, he shot his wad already. Using either form of the metaphor.
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George C
September 16, 2009 1:16 PM in reply to Bruce Webb
Oh, I agree that the politics don't favor most of what's in the Baucus bill being in the final version of anything. I think what's important is: 1) getting anything out of Finance so it can be blended with what else is out there; and 2) getting a CBO read on the impact on the deficit.
I also agree that it's unlikely that any Repub will vote for any Dem version, but also that it's really important that this be obvious to those who pay attention. Therefore, I think Baucus gained something by appearing to work as hard as he did to get Repub support and still wind up empty.
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Walter Mitty
September 16, 2009 11:46 AM
The Republicans are not worried about governing, they're worried about winning the 2010 and 2012 election cycles. They'd decided that forcing the Democrats to use budget reconciliation is a political winner for them. They're going to run on the "The Democrats don't bargain in good faith when they have such a majority, if you want us to be true counter-balance you need to give us a majority in either the House or Senate".
The public option will not happen until 2013, so there will be no pay-off to the reconciliation bill for two election cycles, so the GOP can point to how because the Dems didn't want to budge, they forced through a bad bill and nothing has happened to improve heath care. Then if the can recapture either the house or the senate they'll look to destroy the PO come 2013 when it has to be voted on again.
Nate Silver said that there is a 1 in three to 1 in four chance that the Republicans could take back the House this election. That's terrible odds for Dems, and over two cycles you have to imagine the odds are even worse.
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AhTrini1
September 16, 2009 11:49 AM
Where is the back brace for the Democrats?!?!?!??!
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Bruce Webb
September 16, 2009 12:05 PM
This is NOT a bill. It is an extended press release in 223 pages. Moreover about half of its explains current law and how this bill would change it. And not surprisingly there seems to be nothing in it comparable to the profit/cost controls in HR3200.
Somewhere there is a real bill with real legislative language. This isn't it.
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VLaszlo
September 16, 2009 12:34 PM
I am entirely convinced that the entire push for bipartisan support has made it LESS likely that the bill or any other bill will receive any Republican support. If the Democrats and Obama did not appear weak indecisive and opportunistic, instead concentrated and defended THEIR ideas on what constitutes good health care reform, the public at large would have been more enthusiastic and I think the political dynamic would have pressured Republicans and others to support serious change. Instead we get an object lesson in how not to govern and how to squander political support and advantage. Obama may be a good politician; he does not have a clue on how to lead.
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