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Health Care Saturday: Obama To Rally Dems Before Historic Vote

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Democratic leadership is saying this morning they are confident they have the 218 votes needed to pass the sweeping House health care, public option included.

Just in case, President Obama will make his way to Capitol Hill to speak with the Democratic House caucus at 11:25 this morning. Speaker Nancy Pelosi and her leadership team will meet the press around noon.

Then things will get exciting as they start debating in a rare weekend session billed as health care Saturday.

If you want to see the sausage being made, tune into C-Span today, and for an explainer, keep reading.

Lawmakers worked into the night setting the rule that lays out the framework for today's debate.

A sticking point was abortion and whether lawmakers will be allowed to vote on an amendment offered by pro-life Democrats.

The Rules Committee will allow a vote on that amendment, supported by the religious and pro-life groups, and with Republican support it's likely to pass. (For more on that, read this.)

Here's about how the day will work. This morning Democrats and Republicans will start by debating the rule they wrote late last night. (To really get technical, read the rule here.)

Many of the arguments for and against the rule will be the same as those for and against the health care plan, but the rule debate is only step one.

In nearly all cases, it will be a party-line vote to approve the rule.

Once that's done, general debate on the 1,900-page bill will last about four hours. Next up will be the abortion amendment, and then Republicans will have an hour to present and debate their substitute bill. (For more on that, read this.)

After that, they will vote on the Republican option, some procedural details and, finally, the House Democrats' health care bill. If it passes, it will indeed be historic - the farthest health care reform has ever made it through Congress (though there will still be a long way to go before it's law).

There are Democrats who are will vote against the bill, several have already announced their opposition.

There's always a chance something will go wrong, votes will slip away or Republicans will succeed in efforts to kill the bill with parliamentary tactics. But sources tell TPMDC that sort of delay is unlikely.

In another sign they will make it happen today, Obama plans to make a statement in the White House Rose Garden at 2:30 before heading to Camp David for the night.

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41 comments

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November 7, 2009 10:54 AM   

Good post... thanks for the info.

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November 7, 2009 11:03 AM   

This is a terrible bill. I hope it fails to pass. Without a Robust Medicare style PO it has absolutely no cost containment and worse the Forced mandate will just herd people into over priced lousy Private Monopoly plans. The Dems. IMO have totally sold us all out to the very same Big Health mafia Corps. that are already sucking the life out of our society. The Dems. have twisted health Care reform into a another huge Wall st. bail out here.

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November 7, 2009 11:25 AM    in reply to Blutodog

You have to vote with the Congress you have, not the Congress you wish you had. The reason the Dems have significant majorities in both houses is because the party has a big tent that includes moderate and even conservative Dems. You have to make compromises with these folks. If Nancy is having problems passing this imperfect bill do you think she could push through something even more progressive? What about in the Senate?

Can't let the perfect be the enemy of the good. I'll admit this thing isn't great but there's still some good stuff in there. When LBJ pushed through the Civil Rights Act of '57, many thought is was worse than nothing. Seven years later, Congress passed the Civil Rights Act of '64, legislation that significantly changed the face of our nation...for the better. Things can be tweaked in future years. But passing the first big bill on this front makes it easier to do that...it's like "popping your cherry", if you will. In order to make things better with future legislation, the Dems need to retain their majorities in Congress. They aren't going to do that if no healthcare bill is passed and signed before the 2010 elections. There's a chance they keep both houses - albeit with smaller margins - if something is passed, even if it isn't perfect. You also want to make sure you have a president who isn't going to veto any bill passed by Congress. Killing HCR this year from the left isn't going to do Obama any favors.

It's a game but and while it sucks at times, it has to be played in order to win.

Unless, of course, you want the Dems to lose their Congressional majorities and put Obama at risk of losing re-election in 2012. If you want that to happen, then yeah, I guess you should oppose this bill. But you can't expect a better bill to come before Congress before the 2010 or even 2012 elections. Ain't going to happen...this is as good as it's going to get.

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November 7, 2009 12:54 PM    in reply to ogliberal

Good summary of what's at stake! When I was under 20, I thought any compromise was evil and immoral. I grew up. Now, even though I'm a strong supporter of a single payer system, I will be happy to get a bill with a foot-in-the-door public option.
And even though I've been pro-choice for most of my life (from before abortions were legal -- since age 12 when my mother explained why abortions should be legal), I'll live with this horrible anti-abortion amendment. My reaction to it was: next step -- a campaign to raise money so that low income women have access to whatever reproductive health services they need (in addition to beefing up security for women's clinics and pushing for enforcement of all protections of these clinics).

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November 7, 2009 2:29 PM    in reply to ogliberal

So, we pass what is, you even admit a lousy bill and that's ok because we have to do something or else we lose the Congress in 2010? What happens if this shitty excuse for Reform back fires like the Clinton non-reforms did in 1993? Do you really believe this pathetic sell out to the BIG HEALTH mafia is going to pass muster with the voters when they realize that to pay for this they're Ins. preminums and their taxes are going to soar? I think this bill has all the makings of a huge political disaster for us in 2010 and beyond. The GOpers will waste no time making sure the middle class and Indie voters know just how much they're being screwed to pay for the uninsured. the fact that the hapless clueless corrupt Dems. put absolutely nothing in any of these bills to contain costs on top of a forced ( extortion) mandate is going to end up IMO as an historic political mistake.

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November 7, 2009 5:07 PM    in reply to Blutodog

So, we pass what is, you even admit a lousy bill and that's ok because we have to do something or else we lose the Congress in 2010?

You miss his point, entirely.

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November 7, 2009 11:39 AM    in reply to Blutodog

When FDR and LBJ were trying to pound Social Security and Medicare through Congress against fierce resistance from Republicans and conservative Democrats, Democrats to their left expressed pretty much identical sentiments about the inadequacies of both bills in their original form. They were so horribly flawed and compromised, it would be better to pass nothing than to pass bills that were far from perfect.

Fortunately, though it was, and apparently still is, a little-known fact to such Democrats, it turns out bills don't have to be positively perfect in every way the first time because Congress actually has the power to add to, change and reshape laws after they're enacted. Thanks to this virtually unknown power of Congress, both Social Security and Medicare were expanded and improved in subsequent years and, in every case, it was vastly easier to make them better than it was to enact them in the first place. Because it also turned out that the hard part is getting Congress to accept the concept. Once they did that, the rest followed.

And, of course, just as the Democrats to the left of LBJ day failed to learn anything from FDR's experience with Social Security, today's perfectionistas have failed to learn anything other than what their dogma tells them.

The people who wanted it perfect the first time are a big part of why we're here at the start of the 21st damn century trying to catch up to where Europe was by the middle of the 20th. Ted Kennedy was one of them in the early 70s and he went to his grave regretting it.

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November 7, 2009 11:49 AM    in reply to The Commenter Formerly Known as NCSteve

This may be the best way to look at this, as a first step. At least we can hope!

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November 7, 2009 5:12 PM    in reply to MyMy

Definitely. This bill is far from perfect, but if it gets defeated who knows when another public health care bill will come along? Someone needs to ram one through to build off of because it's obvious the opportunity comes along very rarely and it will never be perfect.

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November 7, 2009 11:54 AM    in reply to The Commenter Formerly Known as NCSteve

You indicate a contempt for those who push for no compromise; who express their displeasure over a less-than-perfect bill. What you ignore NCSteve is the issue of just how robust might the Social Security or Medicare programs have been at their initiation if not for the left holding the feet to the fire. We've already seen health care reform compromised into a Health Insurance Profit Protection and Enhancement Program. Imagine what it would be like if we did not have the Progressives fighting for the public option these last few months.

Your point is valid that all we require is a bill being passed that lays out the framework for the improvements to come. The public option (in whatever sustainable form) is a key component of the initial framework required to gain health care reform, which is precisely why it is being opposed so mightily by the Insurance Industry.

Thank God for the all the vocal and intransigent opposition to the corporate lobbyists. At some point, there needs to be extremes on both sides to locate a middle ground. This present House Bill fits that purpose.

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November 7, 2009 2:46 PM    in reply to SleepinJeezus

Six months ago, I might have conceded the point and offered apologies for being excessively astringent. A friend of mine once accused me of being the world's only hardline moderate and I've certainly been willing to eat a little crow here on occaision when that POV takes me over the top.

Today, I offer none.

Today, on the day of the vote on the House bill, the person I replied to expressed a hope that the bill wouldn't pass because of its imperfection. Six months ago, you might characterize that kind of intransigence as holding people's feet to the fire to keep the compromising to the absolute minimum necessary to pass. Six months ago, that was a worthwhile thing to do, even in opposition to people like me who were eager to just get something done.

Today is not six months ago. Today the bill is as it is and it's not getting any better, unless, by some miracle, it happens in conference.

If it passes, the paradigm shifts regardless of the specifics of its provision. If it passes, we move one step closer--closer than we've ever been--to accomplishing something that should have been done 60 years ago. Whatever the bill's defects, today we come closer to giving hope and peace of mind to tens of millions who lack or have lost health insurance. Today, we move closer than ever before to enabling tens of millions more to take risks and follow dreams that might collectively add up to a path out of this terrible recession for fear of leaving their families uninsured.

And oh, just incidentally, whatever its defects, if this bill fails today, we will almost certainly be ceding power to a party that has gone, quite literally, seriously and dangerously mad next year.

With all that's at stake, to actively hope that this bill fails because the idea of insurance companies making a profit is too disturbing to one's dogmatic sense of the ideal is, from my perspective, worthy of contempt.

Personally, I have no doubt that the insurers will eagerly try to game the system to the max in an effort keep screwing the public while fattening at the public trough. When they do, we'll fix the law. When they find a way around that, we'll fix it again. And we'll keep doing it until eventually, one way or the other, they learn that pigs get fat, but hogs get slaughtered. What I'm not going to do is ask other people to spend another decade without health insurance because the smell of pig shit offends my delicate sensibilities.

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November 7, 2009 5:01 PM    in reply to The Commenter Formerly Known as NCSteve

Couldn't be put more eloquently. Thanks much, NCSteve.

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November 7, 2009 3:09 PM    in reply to SleepinJeezus

I suggest you re-read NCSteve's comment. He is in no way expressing contempt for those who advocated for a more progressive bill (indeed, he is one of them), only for those who say we are better off with nothing than with this bill. That is the sentiment that Blutodog expressed, and that many here are disagreeing with.

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November 7, 2009 12:06 PM    in reply to The Commenter Formerly Known as NCSteve

Amen.

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November 7, 2009 12:23 PM    in reply to The Commenter Formerly Known as NCSteve

I would love to have a document - a book, an article, a wikipedia entry - that laid out the history of those two programs as you describe it, mostly for my own piece of mind. Got a link? Got an offline source?

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November 7, 2009 12:51 PM    in reply to The Commenter Formerly Known as NCSteve

Totally agree. This is how progress is achived in America. It's tough and it takes years and decades. But you gotta start somewhere.

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November 7, 2009 1:01 PM    in reply to The Commenter Formerly Known as NCSteve

Originally Medicaid didn't cover all the needs of children. Years after it was established, it was expanded both in terms of eligibility levels (for young children and pregnant women) and in terms of requiring EPSDT (Early&Periodic Screening & Diagnostic Treatment services) for all children.
Medicaid could use lots more improvement -- but it's certainly better than nothing and it's been improved since it was initially passed.

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November 7, 2009 11:08 AM   

wow watching cspan and the republicans are embarrassing themselves as usual.

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November 7, 2009 11:41 AM    in reply to travy

Omg, on cspan, Bachmann's unanimous consent statement was that the bill was going to the explode the "economic economy". I'm not kidding. Somebody get that on youtube!

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November 7, 2009 11:57 AM    in reply to travy

Wow, watching the Republicans and their "unanimous consent" comments is making my eyes bleed.

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November 7, 2009 12:21 PM    in reply to off2xtremes

Did you see them spitting venom all through the Dems' comments before. Now *that* was a spectacle.

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November 7, 2009 11:34 AM   

World historical

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November 7, 2009 11:52 AM   

I don't understand why the GOP representatives don't simply change to the Muslim religion. That way they can attack our country and openly display that they are enemies of the United States. After all, they believe they are the chosen people and god is on their side.

Come on Bachmann, just make the switch. God is rooting for you, as is Rush Limbaugh, Glenn Beck, Sean Hannity, and god only knows how many other insane humans.

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November 7, 2009 12:01 PM   

I feel bad for Congressman Dingell having to listen to this nonsense from the Repubs...

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November 7, 2009 12:10 PM   

I predict that the Dems who voted against health Insurance reform will be taking credit for its passage in elections to come.

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November 7, 2009 12:20 PM    in reply to Captain Dan

I think you're right captain Dan. I don't want to copy the republicans failed tactic in NY-23, but I wouldn't mind a lot of those folks getting primary-ed.

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November 7, 2009 12:17 PM   

OFA CA is using its virtual phone bank to contact constituents in California's Congressional Districts 18 & 20

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November 7, 2009 12:20 PM   

I'm watching C-Span and after listening to about 6 Republicans in a row take the floor and absolutely lie, all I have to say to every Republican in Congress and any Republican who is reading this and supports them, Fuck You.

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November 7, 2009 12:21 PM   

WTF? So, there'll be a floor vote on abortion, but not on Medicare +5? Even though some of the anti-choicers have said they'd support Med +5?

That's crap. Progressive Caucus should demand a floor vote. We're outlawing abortion coverage and getting nothing in return!

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November 7, 2009 12:31 PM   

If Stupak's abortion amendment passes and is added to the bill I think the Dems will vote the bill down.

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November 7, 2009 3:41 PM    in reply to Walter Mitty

Stupak's amendment will pass. The question is what happens next

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November 7, 2009 12:40 PM   

I predict that Health Care Reform is now substantially dead. Blue Dogs have managed to insidiously and duplicitously polarize this on a whole different level with abortion.
Thank you Obama for your cowardly leadership. This would never have come to ahead had you taken any initiative in this. It was entirely foreseeable (and hence avoidable) that Stupak blue dogs would exploit this issue... Progressives will not VOTE for a de facto reduction in pro-choice rights. (see forceful Planned Parenthood release). What happens now?
1.Stupak amendment passes
2.Progressives + Republicans block final bill
3.Bill is redrafted; exchanges removed, public option removed entirely.
4.minor health insurance law reform passed.
I can only congratulate Obama and Democrats with expending all their political capital on a bill that John McCain could have passed.
The greatest blame goes to Obama on this for his lack of leadership behind the scenes. He has lost all sway and clout, when a New Jersey first term representative dismisses the White House overtures to support the bill!!!
This Presidency is over here and now.

In the unlikely scenario, that the anti-abortion Health Reform Plan does pass, it may bode even worse for the future of Obama reforms: capitulate on hard-fought progressive rights in exchange for a facade of new reform.

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November 7, 2009 12:54 PM    in reply to sanssouci0

That does sound like a page out of the Republican playbook, doesn't it?

As I get older I'm less inclined to freak yourself out about things that have not yet happened. The simple truth of the matter is that we don't yet know how this is going to play out. You may be right, but you may also be embarrassingly wrong.

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November 7, 2009 4:09 PM    in reply to Dr Lemming

Thank you Doctor!

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November 7, 2009 3:13 PM    in reply to sanssouci0

I'm with you on this one in terms of prediction. This could turn out to be the worst day for the democratic party and the country. Stupak amendment is the window-dresser to kill much of it, if not kill the bill altogether.


I'm hoping I will be proved embarrassingly wrong.

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November 7, 2009 5:11 PM    in reply to kash79

And few of us here would mock or redicle you if you are proven "embarassingly wrong" on that prediction.

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November 7, 2009 12:41 PM   

What a show the Republicans are putting on C-SPAN?!
It is embarassing to see adults acting like grade school childern.

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November 7, 2009 12:54 PM   

Anybody see the press conference Boehner and Cantor just gave? Actually it should be labeled as a show and tell for kids with learning disabilities.

http://www.c-span.org/Watch/watch.aspx?MediaId=HP-A-25681

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November 7, 2009 1:05 PM   

It's sad to see so many elected officials so willing to betray their own constituents and lie and parrot pre-determined talking points in a childlike attempt to stand in the way of progress.

I am personally very happy that so much attention is being given to these buffoons and that they are getting a lot of face time with their petty lies and childish behavior. Those clips will come in very handy in upcoming elections.

I just hope that everyone who wanted a more progressive bill to bear in mind that this is the first step, and if we continue to support progressives and weed out the right-wing fringe, the bill can be improved in the future.

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November 7, 2009 1:25 PM   

I just hope all the progressive blogs are keeping track of who maneuvered to weaken reform, who was a hero holding the line, and how every member voted. Then we need a calendar so we get reminders when their primary and general elections approach. I can't keep track of so many players, but I would like the opportunity to support the heroes and those who challenge the villains.

Over the long haul, we need to improve the mix of Democrats we have to work with so that once this bill is law, we can improve it over the decades to come.

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November 8, 2009 6:25 PM   

This is the endgame. The Democrats - especially the Administration - has to pass something just to say it passed something. No matter what the President signs, it's going to be: "historic" and "sweeping". Burp.

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