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Carper: Lieberman And Snowe Have Been Very Constructive In Public Option Negotiations

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Sen. Ben Nelson (D-NE).

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Today, we may learn the answer to two very related, very important questions. First, what will Sen. Ben Nelson (D-NE) do if his abortion amendment fails? And second, if he decides he'll join a filibuster, what does that mean for the public option alternatives, currently under discussion. If he's out, then Democrats need both Sen. Joe Lieberman (I-CT) and Sen. Olympia Snowe (R-ME) to back whatever public option compromise emerges from meetings between conservative and liberal Democrats.

This morning, Sen. Tom Carper (D-DE), who's played a key role in these negotiations, told me and one other reporter, "Senator Lieberman and Senator Snowe have been very much involved in discussions not just with me but with a lot of folks on our side, and I'm sure on the Republican [side].... I think they're being very constructive."

That could come as a relief to Democrats and reformers, who've noted that neither Snowe nor Lieberman have been participating in the daily public option negotiations. But Democrats better hope they like the ideas being tossed around--a Medicare buy in, an expansion of the system that insures members of Congress, a Medicaid expansion. Because if they don't, and Nelson defects, then we're back to square one.

"I've made it clear. Nothing's changed," Nelson told reporters this morning. "I have not attempted to draw a line in the sand to create conflict. I've just stated my position."

One Senate Democratic aide is optimistic: "With Sen. Nelson showing initial support, this new proposal is headed in the right direction to get the 60 votes we need to pass this bill." We'll be watching to see how it all plays out.

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December 8, 2009 11:34 AM   

All I can say is Corruption is Bliss! LOL

RT
www.be-anonymous.bg.tc

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December 8, 2009 11:35 AM   

With each idea that changes the orginal intent of the health care bill, more and more voters are wondering why we voted at all. Abortion should never have been part of the bill proposals. Thousands of Americans have no health care and we are being held hostage by these folks?

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December 8, 2009 11:35 AM   

Not to be dense, but - If it gets that stuck, why can't they use reconciliation instead? And why can't they use the threat of reconciliation - and perhaps the more liberal bill that could emerge if only 51 senators had to vote for it - to push the blue dogs?

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December 8, 2009 11:36 AM   

If Ben Nelson isn't careful, he could become a huge gift to Joe Lieberman. He could replace Joe as the most disgusting Democrat in the Senate.

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December 8, 2009 11:41 AM   

It's getting close to the time to let these Republicans masquerading as Democrats effectively sabotage this bill, and then actively recruit primary challengers against them, making their blatant corruption and disregard for the welfare of ordinary people Issue Number 1.

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December 8, 2009 11:47 AM   

Something serious has to emerge from this health care reform process. That means either a strong public option that becomes more than just a dumping ground for the uninsurable, or serious insurance industry reform that nixes the anti-trust exemption and creates a genuinely competitive national market, and preferably both. It CANNOT be neither, because if it is neither, reform will fail.

So, whatever it takes to achieve at least one, or the other, or preferably both. I'd go with reconciliation at this point, although I'd also like both policy analysts and both the staunch liberals and staunch conservatives in the Democratic caucus to at least consider how a focus on insurance reform would work in practice, as I'm honestly pretty skeptical that a decent public option will emerge.

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December 8, 2009 11:47 AM   

I suspect the "public option" is now dead, and the stench you smell is from its corpse. So, that opens the door to other options. I think there is great merit to expanding Medicare to age 55. Most of our serious medical bills occur after that age, so it does fill part of the need. But, along with that has to come the elimination of the subsidies to insurance companies provided for "medicare advantage", actually "insurance company advantage" policies. And, restrictions on the amount of health care insurance premium income to insurance companies that can go to other than providing health care. Kaiser spends less than 10% on non-health care, while the other insurance companies spend closer to 20% now. So, lets lump in anti-insurance company welfare acts with the health care bill, and reduce the age of eligibility to 55, as the price for dropping the public option.

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December 8, 2009 12:59 PM    in reply to hoppycalif2

hoppy,

I agree, allowing people at 55 to join Medicare might bring in enough healthy subscribers, which Medicarfe now lacks, to help offset the costs to insure the elderly and lame. Its the way "insurance" is supposed to work.

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December 8, 2009 2:53 PM    in reply to hoppycalif2

No, I think the stench comes from the rotting collective carcass of a group of people who are too wealthy for their or our own good, people with whom I share no sense of humanity.

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December 8, 2009 11:51 AM   

Opening the door to expanding Medicare is a doorway to legitimizing Medicare for all. I like that.

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December 8, 2009 11:53 AM   

without details, passing judgement on this expansion is pointless.

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December 8, 2009 12:31 PM    in reply to Indie Pro

Pass judgment without details?! On the Internet?! Say it ain't so!

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December 8, 2009 11:54 AM   

It's pretty clear.....Ben Nelson is no democrat and it's time he goes to join his fellow repub far right whack jobs.

Gee - is good ole Ben on Warren Buffet's Christmas card list....Warren's GEICO insurance company has been riding the health care insurance profit boondoggle for years.

Ben looks like another big fat white male of the Republican Party...Ben, don't let the door hit you on the way to purgatory (land of the far right extremist hiding behind the Republican banner).

Amazing - Ben and all his repub whack jobs are pushing and funding socialist states in Iraq and Afghanistan....but when it comes to the US, they want their theocracy and tax cuts for the rich.

Ben loves spending trillions on wars...and pennies on health care for common Americans. Ben loves religious intrusion into the US government....but calls such moves in Iraq and Afghanistan as extremism and terrorism. Which is Ben - are you a religious extremist yourself?

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December 8, 2009 12:00 PM   

What about Collins (R-ME)? Now that the PO is being replaced, does that make her vote gettable? If so, Nelson wouldn't be needed and abortion would remain unchanged.

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December 8, 2009 12:00 PM   

Isn't opening Medicare to people over 55 a tremendous gift to insurance companies, since this group will have more medical problems? A large group of people with more medical problems will end up with ridiculous premiums unless their costs can be distributed amongst a healthier group. This is shaping up like a bad joke.

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December 8, 2009 12:01 PM    in reply to dick c

spot on.

yes, it would. That's why the details are important.

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December 8, 2009 12:37 PM    in reply to dick c

The unhealthier risk pool could potentially be balanced out by the lower reimbursement rates. Keep in mind, people in this age group would still be paying 210% the base individual market premium even if they were signed up for the public option. One should also consider the fact that this idea was one of the pillars of Howard Dean's plan in 2004, and I'm guessing that means that some progressive health care economists have signed off on it.

With that said, we do need to see comparative CBO numbers before we embrace it, but we shouldn't dismiss because of the context in which it is raised either.

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December 8, 2009 12:07 PM   

Abortion is a form of birth control. Are birth control prescriptions usually covered under most usual health insurance policies? I wouldn't have that much of a problem with dropping it from a public option, except for cases of incest, rape and welfare of the mother. But the trade-off had better get a more robust, viable, and affordable public option. And no, I do not consider expanding medicare to people 55 and over as more robust. It just adds more burden to the younger people to carry while making it difficult for them to afford insurance themselves. It pits the young against the old. And before you ask, I'll be eligible for Medicare in a couple of years, as things stand now, with no changes.

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December 8, 2009 12:09 PM   

No corruption here. He's only taken in $452,586 from the insurance industry this cycle, its just a coincidence that he's trying to torpedo healthcare reform...

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December 8, 2009 3:11 PM    in reply to Morbo

I guess that's what's passing for ethics in the Senate nowadays - when you're bought, you stay bought.

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December 8, 2009 12:19 PM   

When is somebody going to stick a cream pie in this guy's face?

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December 8, 2009 12:20 PM   

Why is tail of abortion wagging the dog of health care reform? Frankly, it's ridiculous. The President and Congress can easily allocate funds to abortion providers outside of the health care reform initiative, subject to later reconciliation.

Frankly, I'm fed up with this legislative nightmare. With a pro-reform President, a pro-reform Congress, and the plain fact of sky-rocketing health care prices, how on Earth have we ended up facing the stark reality that no meaningful reform will be enacted?

While I'd like to point the finger of blame at those who've fought against any significant reform of the health care system, they're in the minority (both in politics and in the electorate) and lack the practical power to derail anything. While I believe they have played a role in what appears to be the slow death of the current reform effort, I can't help but wonder if the approach taken by President Obama and the Congress is really to blame.

Countless opportunities were lost to engage the public in both finding and implementing appropriate solutions. The bully pulpit, which ought to have been the President's forte, seemed to be a complete afterthought. Sure, Obama campaigned on the public option, but we don't elect Presidents on the basis of regulatory proposals. To this day, I think that most Americans have no clue about what a public option really means, and how it might impact on their lives. When thousands of pages of competing bills were dropped into this education vacuum, there was opportunity aplenty for naysayers and critics to step in and control the discussion. And, as could have been predicted, boy did they ever. And because some of the issues they raised had some degree of merit, and the answers were often subtle, the din prevented calm, reasoned discussions. It's apparent to me that the political parties have now completely lost their credibility as honest brokers in this debate. They have been reduced to insult-slinging partisans who want to ram through a result -- pro or con -- and leave the American people to proceed on a wing and a prayer. I'm a regulatory lawyer (and a philosophy major with an emphasis on German existentialism), and I have a hard time getting my arms around what Congress is doing here. The more I dig, the less the "public option" seems to make sense, and the less confident I am in anyone making sense of the underlying medical, economic, and social dynamics that have led the United States to spending so much more than anyone else on health care while leaving so many people in the lurch.

What we need, more than ever, is a blue-ribbon, non-partisan commission that takes on reform afresh, and produces a report that answers key questions and gives a recommended solution -- which Congress needs to vote "up or down" on (much like the base closing commission which finally ended the political stalemate on military base decommissioning). We need the commission to reliably answer basic questions free of partisan politics:

(1) Why are US health care prices skyrocketing? And how do we stop that surge? Doctors and hospital administrators that I know point to underfunding of health care costs by Medicare and Medicaid as driving up prices (to shift those costs to private insurers). Others point to gouging and inappropriate spending (and salaries) by hospitals, doctors, and insurance companies. What is the truth? Why does it cost $7,000 a night for a semi-private room? Or $150,000 for ten days worth of medications?

(2) How does increasing competition in the insurance market affect the rising prices of health care services? Just how far can insurance premiums be reduced if health care prices continue on a rapid, upward trajectory?

(3) Why are health care premiums so expensive? How will they be affected if insurance provides are required to cover pre-existing conditions and persons at high risk of expensive treatment?

(4) How good (or bad) are the health care systems in other nations, including Canada, France, Great Britain, and Denmark? What can we learn for their experiences? How can those approaches be applied to our own health care system?

(5) Is the United States effectively subsidizing the health care systems in other countries? I've seen significant evidence that prescription drugs in other countries are inexpensive because drug companies foist the R&D costs on us. Is that true?

We don't have a clear, reliable source of answers to any of these questions, and, without that, we're basically flying blind as a nation.

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December 8, 2009 12:33 PM    in reply to david1225

Your points would have been interesting if I hadn't already read them on another thread.

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December 8, 2009 12:37 PM    in reply to Dorn76

I posted them here because the other thread had about three visitors. I'm looking for answers anywhere I can find them.

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December 8, 2009 12:20 PM   

I hope Reid makes sure this pig doesn't get any farm subsidies specifically for his state. Appparently he's a real deficit hawk so he should be just fine with that.

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December 8, 2009 12:23 PM   

I still think Nelson's a wimp. In the end, he will come back to the coop.

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December 8, 2009 12:37 PM    in reply to ilovebacon

Yeah, and people were saying that Lieberman would cave in the end after he announced his plans to filibuster over a public option. How did that work out?

When you represent a state that clearly opposes the bill being discussed (and please don't try and claim that Nebraskans support this bill) and your state is very conservative, it makes opposition to this bill a whole heck of a lot easier. If a senator from CT. can successfully threaten to filibuster this bill, a moderate from a conservative state will have no problem sticking to his guns, particularly when he would look beyond foolish if he changed his mind now.

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December 8, 2009 1:04 PM    in reply to masanf

Nelson is not Lieberman. He still seems to have some sanity left. And Nelson doesn't want to be the Bill Buckner of the Democratic Party (as someone aptly put it).

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December 8, 2009 2:21 PM    in reply to masanf

So, accepting that premise (which I don't), why can't Sen Nelson vote against the bill but not support the Republican filibuster?

The guy is a Democrat in name only. I can't think of a time he has either a) been publicly supportive of a Dem initiative or b) criticized a Republican idea.

At some point the Dems need some accountability. We passed that point months ago!

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December 8, 2009 9:38 PM    in reply to AlphaLiberal

Exactly. For years, Senators voted for cloture and then voted against the bill. Filibustering was reserved for severe things, like a nomination of a Klansman, or something akin.

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December 8, 2009 2:22 PM    in reply to masanf

Also, is Nebraska some kind of oasis in our health care system? Are Nebraskans really happy with the status quo in health care?

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December 8, 2009 12:54 PM   

Here's an analogy, maybe not a good one, but an anology nonetheless.

If over a period of time a man pursued a certain woman who he found attractive, and if during this pursuit that woman caused him much consternation and heartache before agreeing to marry him, then the man will not be able to enjoy his marriage to her
as much as he would like due to the resentment he might have over the difficult pursuit she put him through.

Some form of health care reform will probably pass, but I think there will be some boiling resentment in the Democratic Party that will linger against Nelson, Lieberman, and to a lesser degree, Lincoln, Landrieu, and Conrad.

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December 8, 2009 1:21 PM   

Speaking of Snowe, this may be of interest. Don't know how sure the guy is but:

http://twitter.com/Jordanfabian/status/6466969801

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December 8, 2009 2:15 PM    in reply to masanf

He is a reporter for The Hill.

GOPs have party discipline. Dems are too fricken weak to enforce discipline.

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December 8, 2009 2:11 PM   

Ben Nelson is way out of line here. If he doesn't like the bill he should vote against it. But to screw your own party on one of their key issues is traitorous and wrong.

Senator Ben Nelson never criticizes a single Republican idea! Not one! Can anyone name one Republican idea he has criticized, let alone stopped from coming to a vote?

Time for the Dems to punish Nelson for being such an obstructionist ingrate.

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December 8, 2009 2:14 PM    in reply to AlphaLiberal

To be clearer, I'm saying Nelson should vote against the bill but not vote for the Republican filibuster.

They can't let this go unpunished and expect to get anything done. It's dumb and weak.

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December 8, 2009 2:47 PM   

Somebody get on their hands and knees behind him and someone else push.

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December 8, 2009 2:54 PM   

The senate of the United States used to serve a purpose. This is no longer true. Some institutions just outlive their usefulness.

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December 8, 2009 3:14 PM   

I think it's too soon to draw any conclusions about anything.

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December 8, 2009 3:22 PM    in reply to runfastandwin

I recall one time the CEO of a company and I were discussing buying some mac computers for the company. The CFO walked in and said that we should wait because in another year these same machines would cost only a fraction as much. We looked at him and pointed out that, using his logic, we should wait forever, because then ... After that we all laughed.

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December 8, 2009 9:42 PM   

Nelson and Lieberman obviously want some bill. They just want their paw prints on it.

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