
Democratic insiders, members of Congress, and health care reformers are now ramping up pressure on the Senate to take procedural steps to assure a comprehensive bill can become law. The House is signaling that it's ready to pass the Senate's health care bill, but only if the Senate gives concrete signs that they will follow suit, and pass a separate amending bill through the budget reconciliation process--a move that is increasingly seen as a necessary precondition of a successful reform push.
Today, 49 leading health care experts--who recently urged the House to act--are now acknowledging that the House deserves an act of good faith from the upper chamber before it pulls the trigger on reform.
"Key differences between the bills, such as the scope of the tax on high-cost plans and the allocation of premium subsidies, should be negotiated through the reconciliation process. Key elements of a reconciliation compromise enjoy broad support in both houses," reads a new letter from the experts to Senate Majority Leader Harry Reid (D-NV); Sens. Tom Harkin (D-IA) and Max Baucus (D-MT); and President Obama. "Other discrepancies between the House and Senate bills can be addressed through other means."
Last Friday, we urged the House to adopt the Senate-passed bill along with improvements that can be immediately achieved through reconciliation. We urge the Senate to join the House in this effort, and we urge the President to sign both bills.
The experts, including public option founder Jacob Hacker and progressive economist Dean Baker, also say that Congress should discard calls for paring down the scope of reform, or trying to break health care legislation into smaller chunks, and passing them one by one.
"Some have proposed dividing the bill or starting anew with negotiations to produce a less comprehensive bill," they write.
From the perspective of both politics and policy, we do not believe this is a feasible option. We doubt that the American public would welcome more months of partisan wrangling and debate. We doubt that the final product would match what has already been achieved. Indeed we doubt that any bill would reach the President's desk should congressional leaders pursue this misguided course.
You can read the entire letter here.
wbgonne
January 27, 2010 9:42 AM
I just got off the phone with Sen Kerry's office. I asked if the Senator favored using reconciliation to fix the health care bill. She said the senator preferred other approaches. I asked what they were. She said Kerry wants to reach across the aisle for a bi-partisan compromise. I was stunned. She reminded me that a Republican just won the MA senate seat and Kerry interprets that to mean that the country wants bi-partisanship. I told her Kerry was both spineless and stupid. It was downhill from there. So now we see where the problem is. Anybody from MA want to give Kerry a call, his number is 202-224-2742.
(I apologize for the repostings but I am outraged.)
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Indie Pro
January 27, 2010 9:47 AM in reply to wbgonne
Wow.
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alkali
January 27, 2010 10:02 AM in reply to wbgonne
I think trying to get some kind of bipartisan compromise at this point is a great idea because it sends a clear message that the Democrats were prepared to ram through a trainwreck and that the Republicans alone saved the country by forcing the recalcitant Democrats to negotiate.
Oh wait, maybe that's not such a hot idea.
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VictorLH
January 27, 2010 10:13 AM in reply to wbgonne
Hasn't he read the polls recently? The people are incensed with the Senate for wasting time with this stupid Bi-Partiansanship nonsense.
This pretty much demonstrates why that idiot jackass Kerry lost the election to Bush.
I really think we are being Fucked by the Democratic Party. Obama hasn't done shit to get these idiots in line the get anything doen. They are all owned by the wealthy.
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ilovebacon
January 27, 2010 10:50 AM in reply to VictorLH
It is why Kerry lost. Anyone else would have beaten W. Kerry said "let's take the highroad," then Rove swiftboated him. Kerry foundered. It was over the moment Kerry beat Dean. (And this from someone who voted for Kerry in the primary and election.)
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cube3u
January 27, 2010 10:20 AM in reply to wbgonne
Good grief!
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Moose49
January 27, 2010 10:25 AM in reply to wbgonne
Kerry translation: "Lucy, come hold the ball for me!"
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alkali
January 27, 2010 10:46 AM in reply to Moose49
She couldn't pull it away this time. There's a signed document!
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Schmed
January 27, 2010 10:51 AM in reply to alkali
There's a signed document!
What's that? -- a strongly worded letter from Reid to the GOP to play nice this time?
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Schmed
January 27, 2010 10:49 AM in reply to wbgonne
She said Kerry wants to reach across the aisle for a bi-partisan compromise.
Compromise?! What the hell else is there for the Dems to give up that'll get the GOPers on board?!
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Alex39
January 27, 2010 11:15 AM in reply to wbgonne
I'm hearing a diametrically opposed characterization of Kerry's position on a thread over at balloon juice.
http://www.balloon-juice.com/?p=33509&cpage=2#comment-1556820
Someone in MA needs to call to confirm.
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wbgonne
January 27, 2010 1:42 PM in reply to Alex39
I'm not sure what comment you're referring to. But I know what Kerry's office told me, Regardless, I strongly encourage everyone in MA who wants the Senate to act to call Kerry's office and say you expect the Senate to reconcile the bills so they can be passed.
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Hyla Brook
January 27, 2010 2:25 PM in reply to wbgonne
Jesus! Lose one election and the Dems start wetting their pants.
It doesn't seem to occur to them that they were elected to DO SOMETHING, not whine about how some people's feelings aren't hurt.
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W T F
January 27, 2010 10:02 AM
Fix and pass the damn bill ASAP. Harry Reid, who singlehandedly allowed his own party to turn health care reform (an issue that more than 65% of the population agreed needs reform) into a millstone hanging on the Democrat's neck, simply can't be trusted to lead the Democratic agenda in the Senate. We can't afford to allow him to start over again. He might be the most politically tone-deaf and naive Senate leader in the past 50 years.
In spite of Harry Reid's ineptitude and fecklessness, the threatened Republican filibuster can become the Democrats most potent weapon when the Democrats use it wisely.
Passing the health care bill doesn't win the game, it is the start of the game. A long, long game.
We are talking decades here folks. Decades.
First, the Democrats must complete the current health care reform legislation and send it to the President to sign. The key is to quickly pass something quantifiable so that we can re-start the public debate on health care reform based on the specific elements in that legislation. The existing legislation, for all its faults, contains an enormous number of changes that Americans want right now. In this instance perfection is the enemy of good enough.
Second, the President, in his State of the Union speech, should press forward on health insurance reform. The President should state that a key element in health insurance reform is competition: health insurance companies should be allowed to compete in a national market.
Third, the day following the Presidents speech Democrats in both the House and Senate should propose legislation that would strip the anti-trust exemption from the health insurance companies. This bill should be as simple as possible, should be posted on the House and Senate's websites for all citizen to review for 72 hours, and then immediately moved the floor (of the Senate first) for debate and vote.
A vast majority, a silent majority, of Americans want health insurance reform.
Right now.
There is one key point House Democrats must remember.
It is possible to argue whether or not the Senate's health care reform bill is a "winning" policy or political result for House Democrats. I grant you that.
However we all know that subsequent health care and health insurance reform legislation can be constructed to be be a devastating policy and political weapon to the advantage of the Democratic Party in both houses of Congress. For decades.
The Democrats must pass health care reform as quickly as possible. Passage of that legislation is the opportunity to begin the process of on-going health care and health insurance reform.
Think of it this way: once the Democratic party passes the legislation and the President signs it, what do the Republicans do? They are between a rock and a hard place. Do Republicans offer to revise it? Wonderful, we have a debate the Democrats can win. Do Republicans promise to repeal it? They'll be seen as protectors of the health care industry - checkmate.
When the Democrats introduce bills to require health insurance companies to compete nationally, what options do the Republicans have? Do the Republicans or blue dog Democrats dare to filibuster a bill to bring true national competition to the health insurance industry? This is a political death sentence for them. While the Republicans and blue dogs are filibustering this legislation every Democrat should be on national TV asking the public why the Republicans are opposed to free market capitalism. And the Democrats damn well better schedule this bill so that the filibuster begins before a long Congressional recess. During this long recess I want to see Republicans hold town halls and respond to their constituents questions as to why Republicans are against competition for the health insurance industry.
This one issue can change the complexion of the 2010 elections in a heartbeat.
The Republicans need to tread carefully here. And they know it.
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mans_best_friend
January 27, 2010 10:26 AM in reply to W T F
You are exactly right. Every poll shows that the public is overwhelmingly in favor of every element of this measure. The only reason there is opposition is because of the relentless misinformation campaign. But once it passes and people experience it, they will never want to go back. It's like Social Security and Medicare. Republicans opposed them from the beginning and have never stopped trying to kill them, and it's cost them at the polls.
Neither Social Security nor Medicare was anything close to the programs we have today when they were passed. They were amended and enhanced over a period of years. This is the approach to health care reform. Get a start, no matter how imperfect, and keep the reforms coming. You can absolutely count on the Republicans to stand in front of the train.
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W T F
January 27, 2010 11:48 AM in reply to mans_best_friend
mans_best_friend wrote "Every poll shows that the public is overwhelmingly in favor of every element of this measure."
No. There are real problems with the Senate's bill. Some of the problems can and should be fixed - in my opinion via follow-up legislation once the health care bill is signed into law. I re-iterate what I wrote earlier:
"Passage of that legislation is the opportunity to begin the process of on-going health care and health insurance reform."
Are there parts of the Senate's bill that are give-aways to the health insurance industry? Yes. Can those give-aways be taken away over time? Absolutely.
mans_best_friend wrote "But once it passes and people experience it, they will never want to go back. It's like Social Security and Medicare. Republicans opposed them from the beginning and have never stopped trying to kill them, and it's cost them at the polls."
Absolutely. And that Republican opposition is the gift that keeps on giving. For Democrats. For decades. Because it makes it easy for voters to elect Democrats who protect the interest of American citizens.
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Hyla Brook
January 27, 2010 2:31 PM in reply to W T F
Republican opposition WOULD be the gift that keeps giving, unfortunately the Democrats don't seem to understand that.
This is turning into the 'battered politician syndrome' as soon as the Republicans push back, the Dems try harder to win their approval.
I just don't get why the Dems don't see this? the only Democrast can do to please the Republicans is to lose every single house and senate seat. And what is that going to accomplish?
For heaven's sake - is their some political viagra we could serve at the democrat's causcus meetings.
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Moose49
January 27, 2010 10:27 AM
In what bizarre world is it that a filibuster that blocks the will of the majority is somehow more democratic than a reconciliation that upholds the will of the majority?
As the Center on Budget and Policy Priorities noted:
It is long past time for Democratic senators to drink their Balls Beer and get with the program. And time for President Obama to put it all on the line to make this happen.
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Maritza
January 27, 2010 10:29 AM
Pass the bill.
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OhioGuy
January 27, 2010 10:56 AM
The best option by far is for the House to just pass the damn bill right now.
The second best option is for the House to tell us exactly what they want from the Senate and let us decide which side is being the primadonnas here. Most of the changes rumored to be in the compromise package are so tiny they can't be rational reasons for the holdup.
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Alex39
January 27, 2010 11:17 AM in reply to OhioGuy
The excise tax is fiercely opposed by unions. And the Nebraska deal stinks, politically. Those are the main reasons for opposition.
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OhioGuy
January 27, 2010 11:48 AM in reply to Alex39
The excise tax fixes are tiny and there's plenty of time to make them before the tax kicks in. This kind of marginal tax adjustment always happens.
The Nebraska deal stinks. It stinks so badly I can't believe the Senate wouldn't remove it if that's the only sticking point.
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wbgonne
January 27, 2010 1:44 PM in reply to OhioGuy
No, that isn't the best option. THe best option is for the Senate to fix the bill in reconciliation. I also want to report, sadly, that after my Kerry call I spoke (very nicely) with Rep. Capuano's office. And THEY told me that Capuano hasn't yet decided on his position. I think HCR is dead.
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Xantar
January 27, 2010 11:54 AM
It's a baby step but it's encouraging. Remember a few days ago when it looked like the House Democrats were ready to abandon ship altogether? Or when some of them thought now would be a good time to fight for the public option? Now they're ready to do something at the one yard line and the only question is how exactly that happens. It's annoying that it took them this long to realize the obvious path, but now they're getting it. Keep calling all your Congresscritters (even if they are Republicans. You can be sure Democrats get calls from teabaggers so it's only fair). This is going to happen.
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jay22
January 27, 2010 3:15 PM
Obama and his cohorts just do not get it! If they try to pass this unpopular horrific bill we will vote them out of office-end of story! All meaningful reform has been either eliminated, watered down or loop-holed. This bill is a total sellout of the American people. Your health care will be severely rationed and your premiums will go up, not down. Medicare will be all but gutted. If you think getting a doctor to accept medicare coverage is hard now, wait to they cut reimbursement rates another 20% and cut medicare by 500 BILLION DOLLARS! Do think that will affect seniors in a positive way?!
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JohnMcCSF
January 27, 2010 4:02 PM in reply to jay22
I think you don't know what you're talking about
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JohnMcCSF
January 27, 2010 4:03 PM
Cut the games, stop the dance
Pass the Senate bill or HCR dies at the hands of House Democrats
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JohnMcCSF
January 27, 2010 4:07 PM
Nate Silver:
Struttin about like a bunch of Bantam roosters with their heads cut off
Are we sick of this yet?
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