TPMDC

Quelling The Drama: Democrats Mum On House-Senate Health Care Negotiations

Spread the word. Share this article on Facebook!

Share

President Barack Obama talks with Senate Majority Leader Harry Reid in the Oval Office.

Share

Twitter Fark Reddit Send to a Friend

Send to a friend!

To email:    Your Name:    Your email:

It's been a difficult year for President Obama and Senate Majority Leader Harry Reid. The two have clashed with each other, and Reid has clashed with his caucus, over how to solve a seemingly insoluble problem: how to push a health care bill through the Rube Goldberg-like legislative factory better known to most as the United States Senate.

But, in fits and starts, and after several near-stalls, they've done it. Today, 60 senators will vote to end the last of several filibusters, and tomorrow morning, more than 50 will vote to pass a single, historic piece of legislation. Time for a victory lap, right? Hardly.

Now that all 60 members of Reid's caucus have formed a fragile alliance, though, wouldn't you know that all anybody cares about is whether, and how, it can survive the next theater of battle--a contentious conference process where it will be merged with different, and farther-reaching, House health care legislation. In response, in a bid to keep the next weeks free of the drama of the last several months, Democrats are doing the obvious thing: keeping it extra quiet.

Exhausted aides and negotiators in both the House, Senate, and White House have other things in mind. The last thing they want to do right now is fuel the disappointment many liberals feel in the product coming out of the Senate--which will likely serve as the main vessel for the final bill. They want to take a victory lap. And, more importantly, they want to come out of conference without ruffling anybody's feathers. Thus, in an effort to keep that process from turning into a health care fight redux, and to prep a final bill before teh President's State of the Union address early next year, everyone's keeping as mum as possible about the current and future state of negotiations.

Discussions between principals on the Hill and at the White House have been ongoing for weeks, but getting an inside view of those discussions can at times be like milking an octopus.

House Democrats, bombarded with questions about the looming health care compromise, have switched their Blackberries to auto-reply and their voicemails to season's greetings.

The White House declined to comment on every request.

Senate aides would rather take a victory lap than answer questions, which, by their very nature, imply that the Senate bill is a bit of a letdown for the reformist base and House Democrats.

Still, a hazy picture is emerging of what, exactly, is and will be on the table as Democrats agree on a single health care bill. The public option is out. Still in play are questions like, how the bill will be paid for--a compromise could emerge between the extremely different funding mechanisms in the two bills--and how the health insurance exchanges will be organized. (The House regulates its state exchanges at the national level, while the Senate lets states set their own standards.)

One idea gaining traction as a way to ease the disappointment of House progressives is by advancing the implementation date of the final bill's most significant reforms.

Still, all of this is very tenuous, and, aides warn, still in its early stages. As negotiations heat up, we should know more--and we'll tell you all about it.

Additional reporting by Christina Bellantoni

Comments (34) | Join the Conversation!

Recommend Recommend (0)

December 23, 2009 9:56 AM   

"I'm going to have all the negotiations around a big table. We'll have doctors and nurses and hospital administrators. Insurance companies, drug companies -- they'll get a seat at the table, they just won't be able to buy every chair. But what we will do is, we'll have the negotiations televised on C-SPAN, so that people can see who is making arguments on behalf of their constituents, and who are making arguments on behalf of the drug companies or the insurance companies. And so, that approach, I think is what is going to allow people to stay involved in this process."

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:01 AM    in reply to Indie Pro

How quaint.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:10 AM    in reply to wbgonne

Isn't it? Obama was once for the PO, getting rid of the anti-trust exemption, allowing Medicare to negotiate with drugmakers and he was against mandates, and McCain's idea to tax cadillac plans, etc.

It's truly a historic capitulation to lobbyist and corporate interests.

http://www.huffingtonpost.com/2009/12/22/after-ripping-clinton-and_n_401270.html

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 11:58 AM    in reply to Indie Pro

Poor Indie...he still thinks Obama makes the laws all by his very own self. How stupid are you? C'mon, give us your eye-que. Give us Woe Be Gone's, too, while you're at it.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:33 PM    in reply to Tintin

its sad when you have nothing of substance to argue, you must turn to derision. It makes you look so noble.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:36 PM    in reply to Tintin

Because we've never seen a President propose legislation or fight for what he wants in it. He just sits up in the big white house and signs whatever they put in front of him.

I assume during the Bush years, you were blaming everything on Congress?

Is your denial that deep or are you being intentionally disingenious?

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:06 AM   

wow just like that a womans right to chose out the window.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:21 AM    in reply to beanie

Yes, we haven't heard the last on this one. My thought is it is unconstituional and most in the Senate and House know it is. To me it looks like a violation of the Commerce and Equal Protection clauses and finally the consitutional right to have an abortion unquestioned in during the 1st trimester.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:22 AM    in reply to beanie

where in the bill did they overturn Roe v. Wade?

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:24 AM    in reply to Viva!America!

Denying those who can't afford it, insurance for a medical procedure.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:44 AM    in reply to VictorLH

You're just making shit up. They can buy insurance with their own money by writing a separate check.

FYI, currently 85% of women who have abortions pay out of their pockets rather than use their health insurance because they don't want that on their health records.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 1:52 PM    in reply to FreeRider

Seems like your the one making hay with the real world. If people can't afford insurance now, how can they do so under the so called reform.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:16 AM   

House Democrats, bombarded with questions about the looming health care compromise, have switched their Blackberries to auto-reply and their voicemails to season's greetings.

Yeah, probably has nothing to do with the fact that it's December 23rd.

Victory lap, however, is a great idea; I plan to go to the Y right after the vote tomorrow morning and take one in honor of our President and his commitment to changing this country for the better.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 10:23 AM    in reply to converse

yea, Change We can Believe in.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 11:17 AM    in reply to VictorLH

cronyism we can believe in....

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 11:27 AM   

what are the odds that Joe gets an itch and decides to see if the reps will scratch it if he filibusters the final bill?

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:04 PM   

It ain't over yet, folks, Traitor Joe reserves the right to change his mind and stab America in the back ... again.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:05 PM   

Now that it's out that they bought Nelson's vote, they better be extra quiet.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:12 PM   

In the last election it was good to see so many people get involved who were new to the political process. Now a lot of them seem surprised that dramatic change doesn't occur with the efficiency of a 30-minute sitcom.

Alas.

It's easy to blame someone. It's even easier to point to an alleged character flaw. Yup, THE problem is that Obama caved to big business because he lacked backbone.

So take one's bat and ball and go back to watching 30-minute sitcoms.

That's exactly what the Republicans -- and their allies in the healthcare industry -- would like us to do.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:37 PM    in reply to Dr Lemming

Well said! As disappointing as it is, this is evidently the best bill we can get now with this Senate. Next year, there may not even be 60 Dems there. Or, if we work hard, maybe a better Senate then. Who would have thought that the Corporate Behemoths would not have given up their money and power without a fight? Who would have thought that they may know a thing or two about legislative fighting? Our work is just beginning.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:14 PM   

And in breaking news, Generalissimo Francisco Franco is still dead.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:32 PM   

We're all supposed to shut up now. The die is cast and we're going to continue outsourcing national health care to private industry. If it makes you go broke, or get sicker than you are because you hesitate between making an unaffordable deductible (on your affordable, bronze premium with an actuarial value of 60%) and fixing your car so you can make it to work, tough it.

And of course the President had nothing to do with the legislation. His hands were tied, and he wasn't supposed to bring the issue to the people at all. That's not his job. He's just supposed to give them a budget they have to meet, let them work it out and sign the paper that says 'health care reform'. Hey, he's a minimalist. Less is more. Now shut up: no criticism allowed. There are starving people in India. Things could be a lot worse.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:35 PM   

It's astounding how many people are rationalizing Obama's promising one thing, generally to fight for the public against special interests, to obtain votes and his quick turnaround once those votes were obtained to appeasing and catering to those special interests.

There are no end to the excuses for his rapid aquiesence to the demands of any powerful special interest if fighting that interest was required to fulfill a campaign promise. Pharma, Banks, Wall Street, health insurers, the defense industry, you name it, he caved and caved quick.

Yes, how naive and foolish and wrongheaded of people to have taken him at his word and to expect him to at least attempt to do what he said he would.

Hurry up and get in line to buy your crappy, mandated, overpriced private insurance.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:41 PM   

To all the 'Obama Sucks' commenters: tell us all one thing -- one single thing -- Obama could have done to get Lieberman's vote for a public option or Medicare expansion. Go ahead. Tell us. ONE. SINGLE. THING. And not fantasy lile 'threatening reconcilation' or 'taking away his chairmanship.' Tell us how you truly have come to believe that Lieberman was not really a sociopath with deep hatred for anything progressives wanted. The truth is, you can't. And because you can't, all your slams of Obama are utter nonsense.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 1:04 PM    in reply to Weeferdog

I agree. Lieberman loves the role of spoiler. And I'm sure he's been raking in the money from his unprincipled stances, masked by his piety.

Can you really be blaming Obama because we live in a democracy, with a lot of squirrelly representatives elected by the people? How odd.

Perhaps Bush/Cheney trained us to be thinking of the President as a dictator, and you are angry Obama isn't?

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 2:39 PM    in reply to Weeferdog

I agree with this too. Nice to hear some sanity these days...

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 3:04 PM    in reply to Weeferdog

Lieberman didn't ruin this bill. It was ruined when Obama decided not to fight for any of the things he promised to fight for when he was campaigning.

The public option, medicare drug competition, drug reimportation and ending the insurance company anti-trust exemption, these and more were things he promised to fight for and didn't.

He is clearly unwilling to fight powerful special interests, whether it's the health insurers, banks, Wall Street, the defense industry, you name it.

That is what I'm upset about, not his inability to get Lieberman to vote for a public option. And yes, it should have been clear to anyone from the beginning that reconciliation was the only way to pass a decent bill. The needless pursuit of a 60 vote Senate passage is what empowered the likes of Lieberman and Nelson.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:42 PM   

That's a good idea. Don't say anything else until it's a done deal and we have 'facts' and not more media speculation.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 12:55 PM   

It is worth noting how well written this piece is. Thanks for your good work since coming on.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 1:36 PM   

Hey, but the Democrats have found a solution to many of our problem!

We now know how to solve homelessness: order people to buy a house and fine them if they don't.

Hunger: order people to buy food and fine them if they don't.

The solution is sooo simple and it has been under our nose for so long.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 2:07 PM    in reply to highplainslawyer

Good analogies. We could also end unemployment by fining people who don't have jobs.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 7:16 PM    in reply to eric the red

Criminalize unemployment. Put them in jails. Prison outsourcing is a burgeoning industry.

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 23, 2009 2:33 PM   

curious about care to homeless and immigrants.
i assume the first would normally fall under medicaid? what about the second?

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

December 24, 2009 11:56 AM   

My faith in the Democratic Senators is restored. FINALLY!

Reply | Flag Abuse

Are you sure this comment violates TPM's Terms of Service?

Leave a comment

Your response:

Follow us!

Most Popular

TPM Stories Now Surging on