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Democrats Optimistic, Progressives Coming To Terms, On Health Care Bill

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Before House Democrats unveiled their health care bill, the caucus huddled in the basement of the Capitol to get fired up. As the meeting broke, Majority Whip James Clyburn (D-SC) darted down the hall and a reporter asked him how many votes he had.

"All we need," Clyburn shouted back, cheekily.

Inside the caucus room, members broke into applause.

Unsurprisingly, optimism was the theme of the morning among House Democrats, though some progressives aren't completely pleased with the outcome.

Rep Lynne Woolsey (D-CA)--co-chair of the Congressional Progressive Caucus--said, emphatically, that when she and other liberal leaders meet with the President tonight, she wants to hear him say "that he supports a strong public option and he will take that over to the Senate." As for whether she can support the bill in the House with a somewhat weakened public option, Woolsey told me she needs to learn more.

"We're looking at what they've put in the bill to make up for it not being Medicare-plus-five, to see if it covers...our same goals," she said.

"The fact of the matter is, if I would have said to you two months ago we would have a bill with the public option, most of you would have said, 'nah, that's not gonna happen,'" said Rep. Anthony Weiner (D-NY) "now it's a virtual consensus that it's going to."

In order to accommodate progressives, who have been demanding that the bill's public option be maximally robust, House health care leaders strengthened other aspects of it, including a Medicaid expansion, and a mandate that insurance companies spend at least 85 percent of their premium dollars on paying for care--a regulation that will take effect immediately if it survives in conference with the Senate.

Though official CBO numbers aren't in yet, Rep. Jerrold Nadler (D-NY) told me that the bill "continues to reduce the deficit" 11-20 years out.

The unveiling ceremony itself was as much a news event as a pep rally for Democrats, who, though confident, may still need to convince fence sitting members to support the bill. The only unscripted moment came when a man in small crowd of protesters, shouted at Speaker Nancy Pelosi, repeatedly, through a megaphone "You will burn in hell for this."

"Thank you, insurance companies of America," Pelosi said, breaking her stride momentarily.

When the ceremony ended, I asked Rep. Henry Waxman (D-CA)--chairman of the House Energy and Commerce Committee--what all the cheering in the caucus room was about. Was it 218?

"I don't remember," he said smiling, "but it was not that."

Do you think you'll get there?

"Yes."

According to a House leadership aide, the bill could be on the floor late next week.

Comments (37) | Join the Conversation!

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October 29, 2009 12:40 PM   

James Clyburn IS Majority Whip, but he is NOT R-SC; last time I looked he was a Democrat. I know it's hard to believe anyone out of SC could be a Dem, but he is.

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October 29, 2009 12:48 PM   

After reading several summaries of this bill, I'm not wild about it, but I'll take it. However it comes pre-watered-down thanks to those goddamn phony "moderate" "fiscal conservatives" who were determined to make the bill MORE expensive just in order to fellate their corporate paymasters, and there's essentially zero room to water it down further without entering "thanks, but no thanks" territory. Between the further hurdles it'll have to clear in the House, and the ridiculous circus over on the other side of the Capitol, that makes things awfully touch and go. I'm trying to remain optimistic, though.

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October 29, 2009 1:09 PM    in reply to Steve LaBonne

take it?

why ? its total garbage and believe me, its going to get MUCH worse.

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October 29, 2009 1:32 PM    in reply to JadeZ

Can you expand on that? I read through the bill and it looks pretty good to me, got some specific points to offer?

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October 29, 2009 1:09 PM   

Yeah, I noticed that. Imagine TPM pulling a Fox News, albeit unintentional.

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October 29, 2009 1:09 PM   

I say KILL THE BILL. America deserves real health care reform, not this stinking pile of offal. The mandate will enrichen the already-obscenely-rich insurance companies beyond all imagining and give them tons of cash to buy more senators.

Bizarrely, then, I'm counting on the Republicans and Blue Dogs to pull the plug on this. It will only make things worse and further entrench a failed system, making single-payer all that much more difficult to ever enact.

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October 29, 2009 1:41 PM    in reply to TaosJohn

Well I deserve a pony. And a Lotto win.

And yes I am telling you to be more mature and less a WATB.

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October 29, 2009 1:23 PM   

What is the deadline for a reconciliation bill?

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October 29, 2009 2:06 PM    in reply to Darrius

That is only a magic bullet for the Senate, not the House.

Folks, this is major reality check. Either you want no bill and to spend the next few years building up support for what you believe will be much better (presumably by kicking out the Blue Dogs and replacing them with much more liberal Democrats, not Republicans) or this is going to be the best we are going to get. I don't think we can say that Pelosi didn't try, she just does not have the votes for what she wanted. Everyone is so fixated on the Senate and Finance Committee this, Harry Reid that, reconciliation, etc. that people seem to have forgotten that what is coming out of the House, which has a simple majority rules system, isn't satisfactory to them either.

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October 29, 2009 3:35 PM    in reply to Philv

I still want to know what the deadline for reconciliation is.

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October 29, 2009 1:31 PM   

The timeline on edlabor.gov has reform, the exchange, and public option on hold until 2013. That is really not good.

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October 29, 2009 1:38 PM    in reply to JohnS

Well you haven't read the bill. This bill provides a plan for the uninsured starting in 2010, it is just the Exchange which doesn't start until 2013 and that because there is a deliberative process outlined that includes the Benefits Advisory Committee fine tuning the benefits package plus the routine process of going through the regulatory comment and publication process.

There is no magic wand that you can wave and have everything and everyone coordinated, hired, housed and equipped on day one. Given the laws of time and space the timetable in the bill is pretty realistic. Some of the commenters here seemingly live in a dream world.

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October 29, 2009 1:45 PM    in reply to Bruce Webb

So can I drop my current healthcare (whose premiums continue to go up 300% per year and will bankrupt me before 2013) next year and go with this "plan" for the uninsured? What are the requirement and benefits?

Yes, there was a magic wand. It was called single-payer, universal healthcare. In order to properly wave the Magic Wand, one needs a stiff spine.

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October 29, 2009 2:56 PM    in reply to theWalrus

LMAORTF! If you think SP would be up and running by anything before 2014 you would be a moron.

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October 29, 2009 3:52 PM    in reply to theone718

You have it backwards. I'm not the moron. It's the bureaucratic morons in Washington that would delay it interminably. A single-payer national health insurance program could, in fact, be instituted much faster than you suggest.

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October 29, 2009 1:34 PM   

I can hardly wait for all the pragmatic, mealy-mouthed blogospherians to start tutt-tutting and telling us we have to be mature and sensible and take what we can get. Both the Senate and the House bills are nothing more than sops to the insurance industry.

America can do better.

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October 29, 2009 1:38 PM    in reply to TaosJohn

I agree w/ you...kill the bill and make the GOP and the Blue Dogs and Conservadems pay for it in 2010...The corporate giants and the paid off congressional whores will have delivered in the end. We live in a corporate driven world of politics.

This isn't the hope and change I worked my ass off for!

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October 29, 2009 2:21 PM    in reply to Progressive Party

Because America will reward the party in power who has delivered them precisely nothing?

Not a great plan.

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rwc

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October 29, 2009 7:06 PM    in reply to Dorn76

exactly

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October 29, 2009 3:56 PM    in reply to Progressive Party

Not passing a bill would kill the chances for Dems in 2010. They need to pass this and the people still need to vote out the Blue Dicks so that this bill can be strengthened in the future without their sorry asses getting in the way!

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rwc

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October 29, 2009 7:06 PM    in reply to toddincabo

yes

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October 29, 2009 1:52 PM    in reply to TaosJohn

I agree...except...

maybe America *can't* do better....?

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October 29, 2009 2:06 PM   

Conservative Dems get what they want, progressives need to learn to suck it up. That's what I'm hearing from the democratic party.

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October 29, 2009 2:11 PM    in reply to Indie Pro

We need to compromise and give K-Street whores the plan they wrote without changing anything, that is the change we were hoping for.

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October 29, 2009 2:27 PM    in reply to Why oh why

Democrats will continue to take progressives for granted, unless they call their bluff. The democratic leadership is daring the liberals to stand up for their beliefs, and stick to their previous statements. The question is, will the progressive caucus be weak or strong?

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October 29, 2009 3:16 PM    in reply to Indie Pro

Indy.

although critical of them in the past, I have Zero doubts about Grijalva and Woolsey - they have been consistent from the jump - with virtually no wiggle room in their statements

if we have learned anything these past few months, it is that several members of CPC are anything but progressive and only tout their membership in the Caucus during fundraising/election cycles - they have been smoked out


others, will be unable to withstand the siren's song out of the Oval Office tonight - and we'll know about them soon enough

that said, there were 31 who stood strong against the Supplemental in May, along with another 6 who have publicly taken a pledge to hold for a Robust PO through conference - potentially giving us 37 which would kill a non robust bill.- though of course, some of the 31 may fold

we'll know more tomorrow and a helluva lot more within the week

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October 29, 2009 2:26 PM   

Does this mean Progressives have agreed not to offer amendments? If not, they still can add a better public option. We need the names of the blue dogs that are holding out.

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October 29, 2009 4:57 PM    in reply to falafelboy

A stout-hearted Democratic Senator should make it clear: no strong public option, no vote for cloture. The public option was the compromise.

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October 29, 2009 2:30 PM   

Correct me if I'm wrong, but having ConservaDems in congress is in lieu of having more Republicans in congress, which wouldn't have helped the healthcare cause either. It's lamentable, but to all those "caucus them now!" folk: is it really possible to get more progressive congresspeople out of some of these leaning-red districts? Not to sound like a pollyanna, but given the state of both houses, we're not in a too-bad place bill-wise right now, dontcha think?

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October 29, 2009 2:48 PM    in reply to vanhoother

I agree-how are you going to replace Lincoln, for instance, in Arkansas? I just don't see that primarying all the conserveaDems as we would want as a viable option. It might work for some but we will always have moderate Dems. Fact of life.

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October 29, 2009 2:40 PM   

Does this mean Progressives have agreed not to offer amendments? If not, they still can add a better public option. We need the names of the blue dogs that are holding out.

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October 29, 2009 2:44 PM   

Reading the AP and Reuters coverage, I see that "moderate Democrats" are upset that the plan might pay for abortions.

Is that really what the party has become? Moderates are forced-childbirth advocates now?

If we're screwed on abortion coverage, then let's at least make sure it doesn't cover viagra. (Not that they're the same, but it might make the point that denying healthcare based on gender is pretty stupid.)

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October 29, 2009 3:12 PM   

This is like prison: if the liberals allow themselves to be used, it won't change, it'll be the same story on climate change, financial sector regulation, torture, civil rights and everything else.

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October 29, 2009 3:16 PM   

HCR is an incremental process, not a single bill. Look at the history of SCIP, Medicare, Medicaid, minimum wage, workers comp. Once it starts, the ratchet only turns one way. If nothing comes out of this round other than reducing exclusions, payment caps and personal mandates, then we'll have at least 95% of the population insured. If, after that, costs continue to rise (which they would) then the next step would address costs directly. The best way to get to single payer is to get to one step away from single payer. You don't do that by blowing up the ship and sitting on the beach pouting.

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October 29, 2009 3:30 PM    in reply to Mr.E.

Process? History?

But we want our cookie NOW!

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October 29, 2009 4:55 PM    in reply to Mr.E.

I disagree. Here's my version of the incremental process.

Bring to the floor an UN-compromised progressive bill for a vote count. Collect the names. If the bill does not get passed then present the names to constituents in 2010. Weed out the traitors. Rinse and repeat until a meaningful bill is passed.

This is how democracy was designed to work. Don't perverse it with compromises.

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October 29, 2009 3:50 PM   

I am heartsick over Sen. Lieberman's threat to filibuster cloture on final passage of the health reform bill.

I think the best way to counter his threat is to get him where he's most sensitive; and since I am of Jewish heritage, I can say this. I suggest asking progressive Jewish organizations to get involved. Here is the letter I faxed to Lieberman.
______________________________________

Senator Joseph Lieberman
Fax: (202) 224-9750

Dear Senator Lieberman:

You will be remembered as an embarrassment to the Jewish People and a betrayer of American Democracy.

”Have you no sense of decency, sir, at long last? Have you left no sense of decency?” – Army head counsel Joseph Welch to Senator Joseph McCarthy, 1954 Senate hearing

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