
This morning, after a year-long fight with Republicans, and a weeks-long debate, which ultimately pitted Democrat against Democrat, and liberal against liberal, the Senate passed a historic bill calling for major reforms of the U.S. health care system by a vote of 60-39.
Presiding over the Senate, in a rare appearance, was Vice President Joe Biden. As Senate chair, the Vice President can serve as the tie-breaking vote in the event of a 50-50 deadlock. But tonight's victory for Democrats was never in doubt.
Over the course of this week, Democrats have passed several test votes--set at a 60-member, supermajority threshold. The only question this morning was, would they keep all of their members united for the final vote.
In the end they did.
Now, Congressional Democrats face one more major challenge: merging the House's and the Senate's two different reform package, so that each chamber can pass the same bill. That merging process kicked of behind the scenes weeks ago, but will begin in earnest in the days ahead, and could last several weeks. We'll keep you abreast of all developments.
Senate Minority Leader Mitch McConnell (R-KY) warned Democrats in a speech before the vote they would face a "truly outraged public" when they are on break.
"People who voted for this bill are going to get an earful when they finally get home for the first time since Thanksgiving," McConnell said.
"This fight is long from over," he said. "My colleagues and I will work to stop this bill from becoming law. That's the clear will of the American people."
Sen. Jim Bunning (R-KY) was the only absent senator.
Maritza
December 24, 2009 7:22 AM
Congratulations!!!!
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RhodaA
December 24, 2009 7:24 AM
TPM:
Thanks for all your great coverage in the Health Care Wire.
This is my favorite picture of Reid.
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Bill E Pilgrim
December 24, 2009 7:26 AM
Watching this on c-span, after the "aye" and "nay" verbal votes on HRC, for the funding bill she's just calling out the names while everyone mills around, what's the story? Do they agree to some protocol where no response is assumed a yes? Is she just reading a role call? Someone splain?
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kash79
December 24, 2009 7:54 AM in reply to Bill E Pilgrim
Bill E
That was after the HRC was passed, a second bill on expanding federal budget so something.
It is quite normal for the Senators to stand and stroll around the floor for routine bills, but for HRC everyone remained seated, and when called by the Senate clerk each on stood up and yelled "yea" or "nay."
Bernie Sanders happen to be the one to cast the 60th vote, Tester to cast the 51st vote and Reid flubbed and said "Nay" first then corrected himself to a "Yea" vote invoking brief laughter in the chambers.
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Bill E Pilgrim
December 24, 2009 8:15 AM in reply to kash79
No I knew it was the other bill, but thanks for the explanation. I couldn't hear anyone answering the roll call for the second one, nor was she repeating "Senator X votes "aye" as she had for the other. Not being familiar with watching the Senate, I didn't realize that the health bill was unusual in the way they all sat attentively for that vote.
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Old-Style Progressive
December 24, 2009 7:59 AM in reply to Bill E Pilgrim
Something like that. Unlike the House, which uses an electronic vote system, the Senate still uses a voice vote roll call system, which is why they keep the votes open for 15 minutes. The only rules are that the senator must be in the chamber to vote within that 15 minute window (or risk being ordered in by Capitol Police), and that they must all be available for the vote, unless they've got a good reason (i.e. Ted Kennedy's declining health preventing him from voting for Sotomayor). So, the reason for only 39 Republican votes, Bunning's absence, must have been a good one, and wanting to go back home doesn't count. Apart from that, none of them are required to, say, sit in their seats (though many do), or stay in a particular area of the chamber. So, if they want to protest a vote in the chamber, that's their right, as long as they still vote
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exjournalist
December 24, 2009 7:26 AM
THIS IS GREAT NEWS!!! FOR ME!!!
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exjournalist
December 24, 2009 7:44 AM in reply to exjournalist
Oh, wait.
THIS IS EXCELLENT NEWS!!!!FOR ME!!!!
(Sorry, Idiotic.)
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kash79
December 24, 2009 7:48 AM
Congratulations Democrats!
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AirBoss
December 24, 2009 7:49 AM
Soon, the gnashing of wooden Republican teeth begins...
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johnhkennedy
December 24, 2009 7:51 AM
Congratulations to Senate Democrats on passing the Health Care Bill. It is indeed an historic achievement. But this bill is still a travesty unless it can be fixed in negotiations with the House. So far it is everything for rich Insurance executives and not so much for the rest of us. A public option or expanded Medicare should be included and womens right to choose any medical procedure allowed by existing law must also be included. Actions have consequences which may emerge in the November 2010 Election. Please get it right this time. We want you to keep control of the House and Senate. Ignore the Left at your own risk.
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magurakurin
December 24, 2009 8:05 AM in reply to johnhkennedy
If the bill is such a great deal for the Insurance industry, and the Republicans are in the pocket of corporations and don't care about the people at all, why didn't any of them vote for the bill? That's been bugging me. Maybe you could ask Jane Hamsher for me, I think she's having lunch today with Grover...
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lousgirl84
December 24, 2009 11:55 AM in reply to magurakurin
I'm with you - good questions.
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gharlane
December 24, 2009 4:53 PM in reply to lousgirl84
That's because you haven't thought about them. Not an independent thought in that little head of yours, as usual. That's part of what makes you so.... endearing. Or something.
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hewhohasnoname
December 24, 2009 12:01 PM in reply to magurakurin
"Maybe you could ask Jane Hamsher for me, I think she's having lunch today with Grover..."
HAHA!
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gharlane
December 24, 2009 4:49 PM in reply to magurakurin
Cawleybo answers you here:
The howling and gnashing and posturing from the Republicans and their friends in Big Pharma and Big Insurance has of course also served to push the bill even further to the right, at the hands of the Democrats who are also great friends of Big Pharma and Big Insurance. So it's a win-win-win-win. The howling and gnashing will continue as long as there's any opportunity to get further concessions for pharma and insurance, and any opportunity for additional rents from the taxpayers.
Oh, and of course an insurance industry insider answered you as well a couple of weeks ago:
And of course the Wall Street investors are answering you as well -- they're lovin' themselves some health insurance stocks right now, where they've hit 52-week highs and are continuing to significantly outperform the S&P 500, with their prices closely tracking activity in Congress -- or more precisely, how that Congressional activity is projected to affect the "industry's" profits. (I put "industry" in scare quotes because they don't, you know, make stuff; they profit from being middlemen and from denying care. Good work if you can get it.)
As Reuters noted (h/t Shahien Nasiripour at HuffPo):
www dot huffingtonpost dot com slash 2009 slash 12 slash 21 slash seeing-public-subsidy-not_n_399733.html
Nasiripour describes it further:
The OpEdNews story linked above provides more of a blow-by-blow breakdown of the stock moves at various points in the machinations of the sausage factory.
This bill was largely written by and for the insurance industry. In part, they're doing the Br'er Rabbit cry right now. It's been the job of Big Insurance and Big PhRMA, together with the Republicans, to howl against this "socialist" bill, even after the WH bought them off with backroom deals. You know, this horrible, socialist bill that hands the private health insurers 30 million new customers, mandated by federal law, with no significant controls on how much they can charge these new customers (or their old customers) in premiums. The bill that continues to prohibit reimportation of drugs from Europe and Canada (which, oddly enough, was also part of the Obama campaign platform and something Obama voted for when he was in the US Senate.) You know, that bill. The bill that amounts to a massive wealth and income transfer from American workers to the health insurance and PhRMA giants -- whether directly through mandated premium payments, or indirectly through tax-financed subsidies. (If the numbers turn out to be wrong and the subsidies need to be deficit-financed, that's yet another wealth transfer: from US taxpayers to the holders of US government debt.) This wealth transfer, of course, only strengthens this parasitic "industry" and makes them even more able to resist change the next time round.
That's how the game is played, folks (for those who know how to play it, which includes AHIP, PhRMA, the WH, and one political party in Congress, although seemingly not the majority party).
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RhodaA
December 24, 2009 8:15 AM
Reply to maqurak:
Here are some comments about her from Daily Kos:
"I guess according to Jane The Teabagger...
the only "true progressives" are republicans now."
"She called to primary Sander and Feingold if they voted Aye LOL."
"She's done as a progressive voice."
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kash79
December 24, 2009 8:20 AM in reply to RhodaA
Primary Sander and Feingold? Ha ha...
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HCTexas
December 24, 2009 8:57 AM in reply to kash79
Yes, that's idiocy.
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714Day
December 24, 2009 12:49 PM in reply to RhodaA
These are comments from DK, NOT things Hamsher said.
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David
December 24, 2009 9:02 AM
Not the perfect bill, but a huge step forward. Several friends and family members who have suffered greatly from our insane "system" will now have access to excellent and regular care once all the reforms kick in.
The bill can and will be improved in coming years: better cost controls, government-set pricing & a public option would be good. In the meantime (i.e., in Conference), I'm hopeful that the House will restrain itself due to my lack of hopefulness about the Senate a-holes (particularly Nelson & Lieberman). But I am hoping for an increase in subsidies and an earlier start to the benefits. On the other hand, I think the Senate has the better idea with the taxing of high-cost plans.
So it really does mean something to have a Democratic (super) majority.
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RhodaA
December 24, 2009 9:10 AM in reply to David
Why do you think it is better to tax high-cost plans than increase taxes on the super wealthy? A lot of the high-cost plans were offered to union employees who traded higher wages to get these better plans.
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JEP07
December 24, 2009 9:02 AM
McConnell needs to hear from more Kentucky liberals, he obviously thinks the minority is the majority. He must be hanging out with nothing but Republicans.
It is the same here in Kansas, so many of us have given up even trying to contact out lawmakers because w know our pleas fall on deaf ears. So we just don't try.
I'd wager he same is true with Kentucky's Senator, he only hears from conservatives, and the few liberals who bother to contact him get ignored.
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The Commenter Formerly Known as NCSteve
December 24, 2009 10:33 AM in reply to JEP07
Don't worry, both liberals in Kentucky have already called him.
(j/k. I'm in Kentucky today, as it happens, cooking the Christmas country ham for my hopelessly culiniarially deficient family.)
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Lovelynina
December 24, 2009 9:30 AM
And wherefor McConnell's stupid, empty threat in his vow "to stop this bill from becoming law"? Does he not own a Reader's Digest condensed version of the U.S. Constitution? Can someone read the relevant chapters and verses to him? Or must he play to his base with such hyperbole that he can't make a reasonable colloquy to conclude his opposition to health care reform?
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666dorado
December 24, 2009 9:31 AM
there's such thing as a kentucky liberal?
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714Day
December 24, 2009 12:51 PM in reply to 666dorado
Nick Clooney.
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MNPundit
December 24, 2009 9:51 AM
Now, I hope the True Progressives vote against the bill. I demand unity on procedural votes but when it comes to an upperdown vote, go with what is right.
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bill
December 24, 2009 10:10 AM
Much discussion these days about whether the Senate bill is a ‘sham’. Here’s a fact you may want to throw into the discussion.
The Senate bill guarantees private for-profit health insurers that they can provide less than $81 of health care for every $100 you pay.
“And all insurance companies would be required to spend at least 80 cents of every dollar they collect in premiums on delivering care to their customers.”
Washington Post Saturday Dec 19
Is that a ‘sham’?
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bushwhacked
December 24, 2009 10:19 AM in reply to bill
It might not exactly be a 'sham', but. If the return were around say 96 percent, then I might just see some relief from what I call the five o'clock pharmaceutical hour that was once called the evening news. Maybe its a good thing the drug companies are advertising non stop 24-7. That way when the non stop pickup truck commercials give me blasted headaches, the drug companies can steer me in the right(no pun intended) direction.
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pl3bian
December 24, 2009 10:21 AM in reply to bushwhacked
You're looking for things to complain about.
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The Commenter Formerly Known as NCSteve
December 24, 2009 10:41 AM in reply to bill
Yeah! If we had single payer, they would be able to spend 100% on paying providers because it's a well known economic fact that only private entities have overhead. Government doesn't have to pay its employees, rent, utilities, equipment, or any of that stuff. It's all free.
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gharlane
December 24, 2009 3:29 PM in reply to The Commenter Formerly Known as NCSteve
A typical reductio ad NCStevium.
Tell me, Mr. NCStrawman, what is Medicare's overhead? What is the overhead of the private insurers'? What is the difference between them, multiplied out over the size of the health care sector (or the relevant portion of it)? What else could we be doing with that money other than lining executives' pockets and paying for expensive Caribbean junkets for health insurer managers?
Nobody -- NOBODY -- said govt health care overhead is, was, or would be, zero. Nobody -- NOBODY -- ever said that govt-provided stuff is free. You are just makin' that shit up. It's another example of your constant use of Propaganda Rule #47: when you've got no rational arguments, pathologize the opposition.
All of which proves that you actually have no point.
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BrookJolley
December 24, 2009 11:08 AM in reply to bill
If that is the case, it's a hell of an improvement. The worst companies now are more near 50 cents on the dollar. That would generate a HUGE savings. Seems like a very logical compromise.
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pl3bian
December 24, 2009 10:12 AM
Anyone who spends their time bitching about this bill does not understand healthcare reform in a historical context.
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RhodaA
December 24, 2009 10:30 AM in reply to pl3bian
Exactly. And, don't forget that LBJ had 68 Democratic senators in his congress. We have 58-1/2. In looking back at everything that's happened, I think Obama played the stars correctly from the beginning; he knew it would be the only way to get this passed.
The only other way would have been to go with reconciliation from the start; but the Republications were cooperating at the beginning and only united in No after it was too late to go that route without having to start all over.
From what I've been reading, I think the pharma deal is going to be revised at some point in the future (as well as many other things), but getting to this point had to come first.
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pl3bian
December 24, 2009 10:37 AM in reply to RhodaA
Obama proved me wrong. He is smarter than I am. Guess that's why he's the President and I'm some dude commenting on blogs.
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lousgirl84
December 24, 2009 12:01 PM in reply to pl3bian
Good posts and yes he is smarter than most of us. I have always believed and have never waivered that Obama IS a man of integrity. He is not stupid to have achieved such a position after gaining the trust of so many, to just abandon the cause. He knew it would be tough going and learned the mistakes of Clinton and what is most brilliant is he made the Republicans show their true selves and just how despicable they are.
He is brilliant and has had to make very touch decisions, Afghanistan for sure which was an almost impossible situation. You can't be everything to everyone all the time but he works hard and is committed to doing the right thing. I believed it then and I believe it now. We should thank our lucky stars we have such a brilliant, decent man for a President.
I don't care who doesn't agree with me.
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pl3bian
December 24, 2009 12:31 PM in reply to lousgirl84
I'm seriously thinking of switching by Party affiliation from Green to Democrat over this. Because the myopic tantrums from my fellow progressives is making me want to punch a kitten.
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theWalrus
December 24, 2009 11:04 AM in reply to pl3bian
As in "I'll be bankrupt by 2014 when most of the (industry-controlled) exchanges kick in"?
Ironically, I got my yearly letter from my health insurer yesterday informing me that my monthly premium is going up from $902 to $1073. How will this healthcare "reform" bill help me cope with the ability to afford the most overpriced, expensive healthcare in the world?
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pl3bian
December 24, 2009 11:25 AM in reply to theWalrus
Yeah, I understand. It won't help *you* therefore it sucks.
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theWalrus
December 24, 2009 1:43 PM in reply to pl3bian
Excuse me for thinking about myself for a minute.
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pl3bian
December 24, 2009 1:55 PM in reply to theWalrus
I highly doubt its for only a minute. So no.
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Mr.E.
December 24, 2009 11:35 AM in reply to theWalrus
That's not irony. That's just outright greed and cynicism by the insurance industry. Same as the banks raising credit card rates just before reform kicks in. Increase in short-term profit, but builds a better case for additional, punitive responses from the government.
If you can't see how modification of the status quo is the best chance to improve health insurance for everybody, over time, then you're just not paying attention, or are being willfully obtuse.
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geofu54
December 24, 2009 10:43 AM
What a relief. Congratulations Harry and Democrats!
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Bloggin
December 24, 2009 10:49 AM
CONGRATULATIONS AMERICA!!
What the GOP refuse to understand is that Americans and the World support a government that is 'for' the people and 'by' the people, and NOT elected officials who are 'against' their own government, 'against' people not like them, and only 'for' themselves.
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theWalrus
December 24, 2009 11:00 AM
All the Senators can now take a much deserved hike on the Appalachian Trail.
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hoppycalif2
December 24, 2009 11:11 AM
This is the first step towards true universal health care in America. Once this is reconciled with the House bill, and both houses pass the final bill, we can start working to improve on this. Until then I say let's relax and enjoy the Holiday season. This is as good a present as we are going to get this year.
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theWalrus
December 24, 2009 11:21 AM in reply to hoppycalif2
I predict Universal Health Care by 2082. Unfortunately, it will only cover those living in the "New Liberal States" (most of the South having seceded in 2045).
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hoppycalif2
December 24, 2009 11:25 AM in reply to theWalrus
I doubt it taking that long, but my bet is that it will take 50 years before we truly do have universal, single payer health care. This is the first step, however small a step it is. And, it was an essential step. That was Obama's stated reason, during the campaign, for his desire to make an important but incremental move towards universal health care.
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JohnMcCSF
December 24, 2009 11:23 AM
Finally!
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RhodaA
December 24, 2009 11:54 AM
In addition to my earlier post (above), Obama has accomplished the following:
-By not going with the Snowe trigger, he has made the GOP 100% irrelevant as well as relegated them to an historical context they so rightfully deserve.
-He learned from the failures of Ted Kennedy and Clinton not to dictate to Congress. Only now, after it has passed the House and Senate, will he “roll up his sleeves.”
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ilovebacon
December 24, 2009 11:57 AM in reply to RhodaA
YES! Finally!!!
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pl3bian
December 24, 2009 12:39 PM in reply to RhodaA
Wise observations.
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traitorjoe
December 24, 2009 11:57 AM
I kept waiting for Traitor Joe to say "I'm withholding my vote until you give me a mansion in the Swiss alps."
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cowbellguy
December 24, 2009 12:31 PM
Yet again, another 60-39 vote. Republican "party unity" is a complete sham with worthless leadership.
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714Day
December 24, 2009 1:03 PM
I can't believe I'm in agreement with McConnell
This bill is another blight on the populace. Dems are going to lose big in the next round of elections if this warm bucket of spit is the final apparition of the bill with unenforceable regulation and mandates that force us to purchase the manure after subsidizing it our own the tax dollars.
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atticus1104
December 24, 2009 1:08 PM
Here is a perfect example of why Americans (Fox viewers in particular) are so misinformed about health care.
http://progressnotcongress.org/?p=3461
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RobbyLove
December 25, 2009 2:01 AM
An absolute ABOMINATION of legislation.
Does not have a public option.
Steals from Medicaid.
Does not cover all Americans.
Does not reduce costs.
The voters are going to absolutely *punish* the Democrats for this.
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leo12
April 23, 2010 11:49 AM
Protest the "health care" bill. Tear up your organ donation card and mail it to a "yes" Representative with a note that they can nationalize health care, but not your body. Regards Fairy Costumes
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