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Reid Supports a Public Option, But Will He Include One in the Senate Health Care Bill?

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Two telling indicators suggest that, despite a true 60 vote majority, the public option may nonetheless face an uphill climb in the Senate. On Friday, during a tele-townhall, Senate Majority Leader Harry Reid told an audience of constituents that he thinks a "triggered" public option is a "pretty doggone good idea"--not as good as a robust public option, but better than the private co-op proposal that for a time was regarded as a likely compromise between Democrats, who support a public option, and Republicans, who do not support health care reform.

Today, citing anonymous Democratic sources, the New York Times reports that Reid will likely not include a public option in a final legislative proposal when he merges the Finance and HELP committee bills.

Officially, Reid says it's too early to have decided what will and will not be included in the package he introduces on the Senate floor--the public option will get more than one vote in the Finance Committee this week, and only if it fails (as is expected) will Reid have to decide whether to incorporate it from the HELP bill, or to drop it.

Everyone will be watching to see what he does.

If he opts for the latter, liberals will be unsparing. Before Paul Kirk was appointed to the Senate on an interim basis by Massachusetts governor Deval Patrick, Democrats were reliant on the support of at least one Republican (Sen. Olympia Snowe) to move health care reform forward, and Snowe opposes a public option.

With Kirk's addition, the politics change pretty significantly. Of course, the public option could still be added to the bill by amendment on the Senate floor, as Sens. Jay Rockefeller and Chuck Schumer suggested last week. But again, such an amendment would need 60 votes to pass, and the onus for its success or failure would fall entirely on the Democratic party.

If the public option doesn't pass at that point, it could still be resuscitated in negotiations with the House, which is expected to include a public option in its bill. But that's a dangerous game of chicken reformers won't likely look kindly upon.

More on that later. Some big moments ahead, both this week and next.

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28 comments

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September 28, 2009 1:38 PM   

such an amendment would need 60 votes to pass

Simple. (Or at least it ought to be.) All Dems vote for cloture on procedural grounds, then vote their preference on the amendment. Get 50 votes, with Biden to break the tie, and we'll have public option in both houses' bills.

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September 28, 2009 1:57 PM   

Ried the majority leader of the weak and feeble mind; lacking courage and conviction. Ried has no fight in him and so goes the fate of the public option; thus giving the GOP control over Obama's remaining agenda!

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September 28, 2009 7:09 PM    in reply to Obama1st

If it takes Reid loosing his Senate seat in 2010 to get a new majority leader, I am all for it. He is our worst enemy. When everything lines up and should be a shoe in, Reid finds a way to mess it up.

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September 28, 2009 2:01 PM   

Criminy, it's like Kenny on South Park.

"Oh my God, they killed the public option!"
"You bastards!"

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September 28, 2009 2:20 PM   

Good to see that TPM has maintained its laserlike focus on a blow-by-blow account of health reform rumors. It's not like there's other stuff going on in DC and the world that might merit coverage.

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September 28, 2009 5:47 PM    in reply to OhioGuy

Yeah! Why isn't TPM covering Iran or the killing of the census worker or the facebook poll or birthers or that moron from SC giving away the AK 47 ... oh wait, they are. Maybe you should check it out some time. Just so yo don't have to strain yourself, here's the link:

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(You have to cut & paste it into your browser.)

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September 28, 2009 2:20 PM   

What matters is the Conference bill and you can bet PO will be in it then. The first time through the Senate will probably not be under budget reconciliation.

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September 28, 2009 2:46 PM   

Thanks. I appreciate this post.

This is a subject I care about, and though a few would like you to be silent, I appreciate the reporting.

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September 28, 2009 3:05 PM   

Has anyone factored in whether or not Sen. Byrd will be healthy enough to vote? He is in the hospital after falling at home, and he is getting so frail--not sure we can count on him being able to vote.

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rwc

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September 28, 2009 3:29 PM   

At this point it seems clear to me that the PO doesn't have the votes in the Senate and doesn't really have the support of the White House. The only way I see it passing is if the White House pushes hard and twists arms to get all the Dem caucus to pass a cloture vote and then get the PO to pass on a simple majority vote (and even that might be iffy; there are about 15 Dem senators I count who might vote against it.) But I see absolutely no indication that the White House plans to do this and every indication that they do not.

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September 28, 2009 3:40 PM   

Any Dem that votes against a viable Public Option will get attack ads run against them from the left, and a primary challenge. We're already seeing some of that, in Arkansas, Nebraska, South Dakota, Montana, and Tennessee, to name a few. And we haven't even really voted on anything tangible on the floor of either chamber yet.

The conserva-dems need to understand. If they can't support Dem Party values, especially on healthcare, then they will be not so quietly forced out of the Party. Probably next year.

And don't expect the Republicans to welcome them with open arms, either. The Republicans are going through a purification of their party right now. And I doubt they would even accept the conserva-dems in 2010; at least not without primary challengers of their own.

I think Reid will include a PO in the final Senate version that goes to the Senate Floor. Somehow, someway. Because THAT is what the Democratic base wants.

If he doesn't, the backlash from progressives will be unsurvivable.

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September 28, 2009 3:59 PM    in reply to willia451

if it does make it onto the floor, and your democratic senator 58, 59, or 60 who doesn't call for cloture, you will be destroyed by a primary challenger at the earliest opportunity. can you imagine the ire that will rain down upon such a senator? which is why i wonder if it will get to the floor at all.

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September 28, 2009 4:38 PM    in reply to MikeRayinBerkeley

The PO, in some form, will make it to a vote on the floor of the Senate. And will most likely pass. At least on cloture. Because if it does not, the Dem base will blame the conserva-dems. And the reaction will make the current RINO hunting going on in the Republican Party look like a backyard kids pop-gun match.

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September 28, 2009 3:47 PM   

The Progressive Deemocrats in the Senate should advise Reid they will "trigger" his removal from leadership if he doesn't eliminate triggers from the public option! The Progressives have compromised ENOUGH! Public Option IS the compromise from single payer! Reid just lets the Republicans and Blue Dog Democrats keep whittling away at what the public wants and lets the Insurers, Pharma and other healthcare components write their version of the bill. Reminiscent of Medicare Part D. Reid and the whole debacle in Baucus' committee is just sickening. The people lose again to big money. Next Energy will be buying Reps and Senators when their bills come around. After that the military industries will shovel money to them when they cut back on military spending. The Financial system is already doing that to stop regulation even after they destroyed the economy! Democracy my ass.

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September 28, 2009 4:10 PM   

What in the hell does supporting something mean if he doesn't include it in the bill? Oh, yeah, it's called lip service.

Thank you, sir, may I have another?

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mcc

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September 28, 2009 4:18 PM   

I guess at least it's increasingly sounding like coops are dead?

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September 28, 2009 4:35 PM   

It concerns me that the Leader of the Senate Dems is also worried about his re-election. This forces competing goals on an individual that has not proved to be an effective Majority leader even the years he's not up for re-election.

I think that it would be better to have a Senator from a solidly Democratic state(or at least mostly Dem such as Wisconsin or PA) in the Majority Leader position. He/She should encourage a solid liberal/progressive set of goals and let Senate moderates(Dem or Repub) bring it toward the center in the legislative process. As it is now, we have the opposite w/ Senate Dems trying to pull their Leader along.

I think this structure has contributed signifigantly to poor execution of the current heath reform process.

Now don't get me wrong, I'm all for moderates, I just don't think its appropriate for them to symbolize and communicate the party and its ideals/goals. This starts the negotiation process at a disadvantage because you've already compromised before you have to compromise w/ the opposition. Thus ending with a bill that is somewhere between Moderate and Repub. An effective MINORITY leader could do better.

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September 28, 2009 4:50 PM    in reply to _jonny_5_

I would agree. Except we already have 58 dem senators and 2 ind that caucus with us. So that's 60. That means, the only people we are compromising with, is ourselves. In that environment, it wouldn't matter too much WHO majority leader is. As long as they're competent on some level.

This is not about compromising with the Republicans. Who gives a rats ass what they think? They're powerless right not. Its about trying to hold the progressives and conserva-dems together to get meaningful reform.

We have 256 dems in the House. 60 dems in the Senate. And a dem president. Who exactly, do you think we need to be compromising with?

And the American People gave them all that power, to get things like healthcare reform, and the PO, and fixing our broken economy, done. If they can't, then, MAN!!!! The dems deserve what' coming based upon those failures.

But, there's hope. Just keep threatening them with primary challenges, threatening to withhold financial support, and running ads against the marginal and weak, and we'll get there.

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September 28, 2009 4:40 PM   

They mess this up by passing regional, triggered options instead of a strong, national public option, insurance rates are going to continue to rise. We end up in the same mess with regard to cost. It's crazy not to pass a public option that looks like a pay-as-you-go Medicare or Veterans Administration plan.

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September 28, 2009 4:46 PM   

How this spinless man ever won anything in his career, is beyond me.

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September 28, 2009 4:51 PM   

Obama, from the 2003 AFL-CIO Civil, Human and Women's Right conferecnce:

"I happen to be a proponent of a single-payer, universal healthcare plan...that's what I'd like to see...but, as all of you know, we may not get there immediately because first - we gotta take back the White House and we gotta take back the Senate and we gotta take back the House.."

Pretty clear to me in 2003. Fast forward 6 years. His wish has come true - we took it all back. So, what happened? Why did Obama flake out? If Reid shelves the public option (already a poor substitute for a robust single-payer system) from the final bill I'll have to start thinking about moving to a more healthcare-friendly/affordable country before I go bankrupt.

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rwc

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September 28, 2009 5:50 PM   

A lot of tough talk here, but I bet not one conservadem faces a really tough primary in the next few years because of opposition to the PO, much less loses to a progressive competitor. Don't get me wrong, I wish it were true, and when I have lived in conservadem districts I have voted for leftwing minor party candidates instead. But they only way they usually lose is to an even worse Republican. The closest I've ever seen a conservadem come to losing to a progressive candidate is Lieberman. Hopefully a new trend can be started but I'm not holding my breathe.

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September 29, 2009 4:50 AM    in reply to rwc

Yes, but that could change. Persistent high unemployment, which I believe is here to stay, could change the way most Americans think about health care. Think about it: health care and employment are linked in our current system. The new legislation weakens that link, by all accounts, making it more expensive for employers to offer health insurance. As more people lose their jobs...You see where this is going. Two possible routes to single payer: complete decoupling of employment and insurance, or a strong, national public option which more and more people sign up for as a default good value plan. It's just a question of political will, at this point. Do Dems want to stick to their progressive tradition? Or will they be content to think only about near term priorities as the nation becomes more and more like a 3rd world country? Because in select regions, we're already there.

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September 28, 2009 6:00 PM   

Reid is being an idiot.

Talk of a 'trigger' is an insult to our intelligence and as good as accomplishing nothing.

He is in a very weak position and I hope that he will be replaced as majority leader. I also hope that Baucus will be replaced as Finance Committee Chair.

With leadership like his, who needs republicans.

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September 29, 2009 4:58 AM   

I'm beginning to think that Obama is a phony.

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September 29, 2009 9:35 AM    in reply to rbe1

Oh what absolute pure rubbish. In just 8 months, we've got the stimulus bill which is turning the economy around (yet many of it's positive effects are still in the pipeline), stem cell research, better environmental laws, cash for clunkers, a return of world respect...just for starters. And a president who can actually speak in complete sentences and pronounce words correctly.

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September 29, 2009 10:24 AM    in reply to dswx

All very small bore. The stimulus bill was pure necessity. A Republican would've passed the same bill. The other things you mention are good, certainly better than what we've had for the past 8 years, but Obama and a Democratic majority were elected with a mandate for meaningful change. Health care reform, along the lines of what they have in Europe, whould've been thinking outside the box (sensibly). They didn't even consider it. That's a huge lost opportunity. There's even a bill ready for a vote, HR 767. OK, so now, as a fallback position, a public option is on the table. Various versions of it. If it's national, run by the government (not sub-contracted out to private industry) and not subject to triggers, it's potential to change the health care game is great. But Obama and conservative Democrats seem very lukewarm about it - and they've got the votes, with a little arm twisting. Well, if they can't do this, there's going to be a lot of anger and disaffection. Rightly so. Failure to consider single payer is already a major defeat for progressive social policy and economic responsibility.

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September 29, 2009 10:27 AM    in reply to Tanjaoui

Sorry! That's HR 676. My head in the clouds (with Boeing).

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