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Nelson: "Government Approach" Will Make Health Care Reform "Implode"


Sen. Ben Nelson (D-NE)

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Via Greg Sargent, Sen. Ben Nelson (D-NE)--one of the Senate's perennial "centrists"--is staking clearer ground on the question of the public option. Asked by the Lincoln Journal-Star to look into the future a bit, Nelson said "I see two endings. One is we find areas we can agree upon and we begin to do things incrementally, taking more of an insurance approach, not a government approach. Or it implodes."

In the days leading up to the President's big Wednesday health care reform speech it will be crucial to keep an eye on how conservative Dems position, or reposition themselves. House progressives are renewing their insistence on a public option, and pressuring on the White House to stand with them. Democratic opponents of the public option, however, have yet to take such a firm stance.

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September 4, 2009 9:42 AM   

Hey Nelson, STFU.

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September 4, 2009 9:44 AM   

Time for this dumb asshole whore caricature of a Senator to implode.

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September 4, 2009 9:58 AM    in reply to Steve LaBonne

Do you vote in Nebraska?

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September 4, 2009 8:23 PM    in reply to oskieoskie

Yes. With my dollars. Same as the mega-corporations Nelson whores to, except I have a lot fewer of them. But there are more of us than there are corporations. And you can bet your corporatist DLC troll ass that I'll be sending whatever I can afford to Nelson's primary challenger, together with the folks at Firedoglake, AccountabilityNowPac, and the rest who are working to move the Democratic Party back in line with that well-known leftist, Dwight Eisenhower. Given that Kerry ran well to Eisenhower's (and Nixon's) right, Clinton governed to the right of both of those, and Obama is showing signs of doing the same, we have a lot of work to do.

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September 4, 2009 9:57 AM   

We know that there was likely a deal cut with PhRMA to limit and bargaining on prescription drug prices. The individual mandates gives insurers more business, and many of the uninsured folks who will be hit by the mandate are younger and healthier - ie, a good, cheap risk. The public option will be only one of many available in the exchange...and it won't even be available to everybody.

Single payer is a government approach. What I described above - which is basically the outlines of the legislation going through Congress right now - isn't even close.

What the fuck are you talking about, Ben?

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September 4, 2009 10:55 AM    in reply to ogliberal

Indeed. News flash, Sen. Nelson: The Public Option is the compromise that we can all agree on.

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September 4, 2009 9:58 AM   

Nelson..the Cro-Magmun of the US Senate!

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September 4, 2009 10:29 AM   

He's simply the dumbest son of a bitch in the Senate Democratic Causus. The only economics he knows, understands or believes is what he read off of his "I Heart Reagan" souvenir coffee mug. He believes with all his heart it isn't possible for private companies to compete with the gubbamint and he thinks that would be a terrible, terrible thing. He's clearly planning on voting even against cloture if there is anything in it that's close enough cousin to a public option to get married in any state except West Virginia.

So, does anybody have any specific, practical suggestions for how Obama is supposed to to steer this ship around this never to be sufficiently damned dumbass?

No vague verbs or phrases like "fight," or "demand," or "turn up the heat," or "turn the screws." What is it, specifically, that Obama or for that matter, the always reviled Harry Reid, supposed to do to to get around him? They can't take away his committees. They don't have the power. They can't threaten to cut him off from campaign funds because he's already in big bidnesses' pocket. They can't threaten him with a primary challenger because his constituients are dep red shitkickers who think he's a tetch too librul already. They can't threaten to release the dirt in Hoover's files because, well, Hoover died before this guy even thought of running for office.

Reconciliation? Yeah, I guess so, but has anyone been paying attention to the stories about the baggage that will pile onto the bill? And does anyone think this guy will vote for the non-reconciliation part of the law if he knows the part he hates is being rammed through reconciliation?

If the public option gets flushed, it's because of this guy, Landrieu and Lieberman.

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September 4, 2009 10:40 AM    in reply to The Commenter Formerly Known as NCSteve

The only viable approach is for Obama to push a scaled-back bill now, pass it, and then have Senate Dems push a public option through reconciliation after the initial bill has gone through.

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September 4, 2009 11:04 AM    in reply to Stroszek

An idea: pass a bipartisan bill, everyone's happy. After the Senate and House signs off on it and it's on the President's desk, pull out a surprise reconciliation bill for all the unpopular deficit-decreasing reforms like a public option. Have Obama sign both at the same time, over the wailings and gnashings of teeth from the insuradems.

Yeah, the media and Republicans would whine, but that's par for course. They will whine regardless of what bill gets passed. Hell, probably all in all it'd improve the reputation of Obama. If you have a choice between being feared and respected or being known as a pushover beneath contempt, is it really that hard a choice?

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September 4, 2009 11:14 AM    in reply to Zephyrus

I don't think they could get the reconcilation bill through within the ten days Obama has in which to sign the other (before it becomes law without his signature). Nor do I think anyone in D.C. could keep a plan like that secret. But stretch out the time frame to a few months and it sounds tactically sound.

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September 4, 2009 3:40 PM    in reply to Zephyrus

You do it in the other order. Reconciliation bill first, other stuff afterwards. No cheating the Progressive, understand?

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September 4, 2009 11:38 AM    in reply to Stroszek

Bullshit, if it doesn't happen the first go round what makes you think it'll be easier the second. Your proposal is a nice way for Obama to get the win, trick the Progressive caucus into supporting it and then claim the rest is just not doable. The time for these little games is over, Obama needs to start putting some pressure on these few hold outs. The majority wants the public option, the few who do not, represent a tiny portion of the population and are putting their narrow political consideration ahead of what it good and right for the country. Obama needs to step up.

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September 4, 2009 12:13 PM    in reply to henk

NCSTeve:

So, does anybody have any specific, practical suggestions for how Obama is supposed to to steer this ship around this never to be sufficiently damned dumbass?

No vague verbs or phrases like "fight," or "demand," or "turn up the heat," or "turn the screws."

henk:

The time for these little games is over, Obama needs to start putting some pressure on these few hold outs. The majority wants the public option, the few who do not, represent a tiny portion of the population and are putting their narrow political consideration ahead of what it good and right for the country. Obama needs to step up.

Hmm...

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September 4, 2009 2:34 PM    in reply to henk

I'm sorry, but we have very good evidence of progressive reforms starting off small and growing. Social Security is the key example. It initially excluded domestic workers and farm workers because they were primarily BLack and HIspanic. (Don't forget that FDR, who gets lots of love from progressives nowadays, was a complete wimp when it came to race.) Over time, Social Security grew, even under Republican presidents like Eisenhower and Bush II. I strongly prefer the public option, but if the present reform has an employer mandate, subsidies of 300% of the poverty line, plus expanding MEdicaid to 133% of the poverty line, I personally find it hard to reject.

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September 4, 2009 11:12 AM    in reply to The Commenter Formerly Known as NCSteve

Help me understand this. We're all interpreting this comment to mean no public option--no way, no how--and a vow to vote even against cloture. But he's not really saying that, and an alternative reading might suggest he'd be open to whatever "trigger" compromise that could be passed off as an "insurance based" incremental proposal.

He's also talking to a hometown paper in red Nebraska.

Are we prematurely freaking out again? I'm no Nelson defender by any stretch, but I'm wondering if we're feeding the "collision course" narrative again to satisfy the news cycle.

And yes, failure on this front is squarely on the shoulders of Nelson, Lieberman, Landrieu, and the Arkansas Two. Snowe can only make up for one of them. I might throw in Baucus and Conrad if they crank up the stupid, too.

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September 4, 2009 12:31 PM    in reply to fbacon2

Are we prematurely freaking out again?

Yes.

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September 4, 2009 12:44 PM    in reply to admiralmpj

Don't get me wrong. It's not a good story, but I'm just not convinced he's saying what everyone thinks he's saying. And it's just as easy to interpret his comments as centrist posturing to Nebraska voters.

I have no illusions about Nelson's support for a big ambitious health care bill, including the public option, but there are lots of questions as to whether a dressed up "compromise" that rebrands controversial elements could sneak by the moderates, especially if they agree to block the filibuster but vote against the bill.

How does Nelson's statement contradict that scenario?

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sbv

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September 4, 2009 10:35 AM   

aaahhh, taking the ol' "insurance approach." i mean our heart must go out to these poor insurance companies just trying to do a good deed for their customers, their stockholders and their ceo.

so, there will be no competition from a government run public choice, they will be forced to not consider pre-existing conditions, but at what cost to the consumer; and nothing will have changed, the president will have failed, and life will still be good for the health insurance industry and their campaign donation lackeys.

i hope those opposing the president's plan have thought how they will like either being out of office or the minority again; and don't bet on those campaign donations if you have no more power.

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September 4, 2009 11:49 AM    in reply to sbv

You know, the funny thing is that the European systems that mange to successfully enlist private health insurance (albeit, expensively compared to systems that cut them out of the provision of basic coverage)are workable ONLY because of VERY tight government regulation of the insurers. Who really believes for a moment that such an approach could possibly work in our political system? Any enforcement put in place by a Democratic Administration (and I wouldn't even trust them to do it right) would be gutted on day 1 of the next Republican one.

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September 4, 2009 10:39 AM   

Senator Nelson (both of them) are idiots. But the thing to understand is that we are basically a 3-party country now: Democrats, Blue Dogs (who currently occupy the space on the political spectrum formerly occupied by Republicans), and Republicans (who currently occupy, as Bill Maher put it, a mental hospital).

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September 4, 2009 10:45 AM   

Nelson is a piece of shit! I'd love nothing more than to see Sens. Lincoln, Nelson and Reid go down in defeat in next year mid term elections.

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September 4, 2009 11:19 AM    in reply to ru4862

You'd rather see Republicans--and I mean Inhofe-Demento batshit crazy Republicans--in all three of those seats than Lincoln, Reid and Dipshit here? Because that's what you're realistically talking about in all three cases.

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September 4, 2009 11:46 AM    in reply to The Commenter Formerly Known as NCSteve

Why not?

It doesn't gain us anything by having this fake Democrat there. So we would go form 60 seats which in reality still don;t guarantee us a cloture vote to 59 which doesn't guarantee is a cloture vote.

Having Nelson stay all unscathed in the caucus secures us nothing. Primarying his ass might put the fear into him to bring him into the fold, and if he gets taken out in the general by a GOPer, then we have a clean target to run against.

We risk nothing but there is a potential upside to threaten (and if need be carry out) retaliation. If you see a substantive or practical reason for folding to this guy, please state it. Because losing one seat that never votes our way when we have 59 others in the Senate is not in any way a substantive rationale to hand a pass to a back-stabber.

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September 4, 2009 12:30 PM    in reply to Lestatdelc

But what does that get us now?

We're in a Health Insurance Reform debate...now. We have to deal with the shape of the Congress as it is now...not how we want it to be.

Again, 14 Senate Democrats (and Lieberman) standing in between you, the President and the Public Option. If you want to Primary their asses, go ahead. (Actually, I think that's a good idea. You might get a few, but you won't get all.)

But, at the end of the day, a real, actual Republican (especially this sociopathic strain) is a 100 times worse than any DINO.

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September 4, 2009 11:49 AM    in reply to The Commenter Formerly Known as NCSteve

I really get sick of hearing this crap about we have to accept these jerk off Blue Dogs because if we don't we get some scary Republican wing nut. Nelson has a pretty high rating in his state, I doubt that his seat is in trouble, Insurance Co. Campaign contributions maybe, but re-election no.

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September 4, 2009 12:10 PM    in reply to The Commenter Formerly Known as NCSteve

You know, I know and agree with your point of "the lesser evil is still far better than evil," but I do so feeling agonized -- really, the dilemma we necessarily face under this two-party system is agonizing. I can fully understand the sentiment when people say "I won't vote for Democrats in 2010 (or 2012, or even ever again)" or "I'm going Green!" or whatever to that effect -- I just can't endorse that sentiment, knowing what the realistic alternative would be like (we did go though the eight years, right?). Honestly, even if this health care reform thing completely collapses, I still would find some solace in the fact that at least we don't have McCain/Palin in the White House, and I would vote for Dems again feeling agonized.

Oh, and f*** Nelson. I feel like vomiting every time I see his face.

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September 4, 2009 11:08 AM   

Nelson to English translator:

"Drop the public option or I'll kill healthcare."

I hope DFA is still running those ads.

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TJ1

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September 4, 2009 11:44 AM   

The better alternative: no bill comes out in any form, and the democratic 2010 primaries across the country become a referendum on healthcare. Let the candidates defend their positions to the voters and let the best position win.

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September 4, 2009 2:54 PM    in reply to TJ1

I agree with you on this approach. Build a stronger coalition

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September 4, 2009 11:48 AM   

Nelson isn't a piece of sh$$. He is only retelling the story about health care in the Senate. He wasn't even necessarily advocating against the public option. Calm down -- everyone. Take a deep breath. We've waited 15 years to get to this point. If the public option is off the table, here is an alternative:

1.) Pass a large bill that prohibits the following common insurance-firm behaviors:
a.) Denial of a claim based on a pre-existing condition
b.) Denial of policy application based on a pre-existing condition;
c.) Rejection of a claim in conjunction with premium refund (i.e. you pay insurance premiums for a dozen years and then get cancer; they refund your policy premiums and refuse your chemo cost);
d.) Prohibiting sale of high-deductible, low-coverage policies to those who have history of certain types of illnesses (such as leukemia and other forms of cancer; blood disorders; diabetes; etc.).
e.) Pick virtually any other predatory practice and ban it, too. This is the time, as what we're going to give up -- public plan and single-payer -- is far worse for the insurers so they'll tolerate us if we're able to highlight their predatory practices and ban them.

2.) The bill should cap the amount an individual policy-holder's family can ever be responsible for out-of-pocket at $10,000/illness. Likewise, the bill should cap the amount an individual tax payer's immediate family can be responsible for at $10,000/illness. Many of the bankruptcies that occur in the U.S. are because of large out-of-pocket costs, where an insurer only pays a fraction of the cost of treatment. The balance of the health care cost would have to be negotiated by the provider and the insurer.
3.) The bill should contain a trigger option, creating a publicly-created insurer for certain regions where premiums cost a certain percentage of per-capita income.

I don't call this "splitting the baby." It's recognizing the Senate and the government that we have. The Senate is not the House. Members tend to be more moderate because they represent entire states, not just Congressional districts. The body itself is more moderate because NY and CA have the same power as ND and SD. So, Nelson is probably speaking the truth. The body isn't ready to create a public option. Is Obama to blame? I don't know that he is -- and I don't really care. I care much more about creating a public option -- and if that fails, making sure we get excellent regulation of the existing health insurance market.

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September 4, 2009 3:39 PM    in reply to Mateo123

Correction. You meant:

"The Senate is not the House. Members tend to be more extremist and right-wing because they represent entire states, not just Congressional districts. The body itself is more extremist right-wing because NY and CA have the same power as ND and SD."

Note that "moderate" positions, supported by the "middle" majority of the country, dominate in the House of REPRESENTATIVES. The undemocratic Senate is another matter.

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September 4, 2009 11:57 AM   

Looks like Senator Nelson has been talking to the infamous racist, Mark Fuhrman too much. Watch this Jack-o flat out lie about VA hospitals.

http://progressnotcongress.org/?p=2777

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