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Swallow It Whole! How Democrats Could Pass Health Care Without Coakley's Vote

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It's become conventional wisdom at this point that Senate Majority Leader Harry Reid can't accept any major changes the House might make to his health care bill, because he needs to retain the support of all 60 of his members. But what happens if Martha Coakley loses her Senate race, and that number drops to 59--one shy of the threshold needed to stop a filibuster? There may be an out. Technically.

For a bill to become law, the House and Senate have to pass identical versions of the same legislation. Because the Senate already passed a health care bill, if the House just adopted it word for word, the President could sign it, and health care reform would be done.

Senate aides are aware of this backdoor, though they caution that it would create major political problems. House Democrats aren't exactly big fans of the Senate language, and wouldn't take too kindly to the notion that they should scrap all the hard work they put into their own reform bill.

"There is not a snow balls chance in hell that the House will pass the Senate bill," one top Senate aide noted.

That may or may not be correct. Faced with a lost vote in the Senate, the pressure on the House to pass a bill at all costs would be enormous. But Democrats are clearly focused on succeeding without losing Coakley's vote. Probably a better use of their energy.

As I noted here, once the House passes a modified version of the Senate bill, the legislation has to return to the Senate for yet more votes, which the GOP will surely filibuster.

Frustrated House leaders are coming to terms with the fact that Reid's hands are tied: he can't afford to lose a single health-care vote within his caucus, and, thus, can't veer too far from the bill he passed last month. That means there are very few changes they can demand to the Senate reform package. But unless Coakley loses, they'll certainly be able to demand some.

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January 12, 2010 9:50 AM   

Or they could stop pretending they HAVE to have 60 votes to pass any form of legislation and go back to the days where a simple majority was sufficient. Let the "party of no" filibuster, and call their bluff for once!!!!!!

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January 12, 2010 9:59 AM    in reply to docrocktex

Except that if the legislation doesn't get passed, moderates and independents are not going to care that the Republicans fillibustered it. They're going to blame the Democrats, since they're the party in charge.

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January 12, 2010 11:46 AM    in reply to jdb316

They can dispose of the filibuster with 51 votes any time they choose.

They can still split the bill up and pass parts of it using reconciliation.

But that would require Violatin Tha Sacred Comity of Tha Senate! oh heavens. Health care is as nothing by comparison.

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January 12, 2010 9:59 PM    in reply to tatere

Do you even understand the consequences of trying reconciliation?

1. The Republicans would have put forth so many amendments that it would have been hard to even keep 51 votes together for the entire time. You think they were obstructionist before? Just imagine what would have ensued if the Democrats tried to go around them. Say what you want about the Republicans - they stay unified.

2. The spending authorization for anything passed via reconciliation would have to be renewed after five years. If the Republicans took control of the Senate by then, or even just picked up a few more seats, that would be the first thing they would decide to let expire. And health care reform would be dead before it even had a chance to work.

I'm sure not crazy about the final bill either. But this is probably the best that can be done right now, given the political realities of the country, and the hard core progressives need to understand that. It's either start with this and hope to improve on it once the public has seen some positive benefits (and realized there was no boogeyman after all) or have to wait another 15-20 years before starting from the very beginning.

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January 12, 2010 9:59 AM    in reply to docrocktex

The Dems don't have the political courage to do that!

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January 12, 2010 12:16 PM    in reply to docrocktex

YES YES YES. Make them actually filibuster, instead of just threaten.

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January 12, 2010 10:06 AM   

Thank God I bough insurance company stock!!! Go Democrats!!!

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January 12, 2010 1:38 PM    in reply to T Groan

Me too! They are on a roll

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January 12, 2010 10:08 AM   

talk about killing a party. The Baucus bill or nothing.

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Tim

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January 12, 2010 10:10 AM   

Why is there a senate, and is that reason still valid?

At the very least, pass an amendment to the constitution that allows the house to override a 'senate veto' with 56% majority vote or something like that.

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January 12, 2010 10:16 AM    in reply to Tim

Interesting proposal, from a political science point of view. What is more likely to occur is, eventually, a further weakening of the filibuster rules in the Senate. Filibuster's are a procedural-and customary-practice in the Senate. What you propose would require a change in the US Constitution. Which is unlikely.

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January 12, 2010 10:25 AM    in reply to Tim

That's a great idea. The Senate is worthless and more out of touch with the people back home.

They keep saying the Senate of where legislation that gets passed by the House by big numbers goes to "Simmer". They need to change that phrase about the Senate being where Legislation goes to Die!!

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January 12, 2010 10:30 AM    in reply to lapdogs

I hate to say this, but we really need to repeal popular voting for senators, and give it back to the state legislatures, most of which are not amused by the Party of No.

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January 12, 2010 10:57 AM    in reply to Steaming Pile

Popular voting for Senators exists because the Senate was even more corrupt than it is now when it was controlled by state legislatures.

If state legislatures were put back in charge, they would promptly be bought lock, stock and barrel, as they were in the old days, by the same interests that control the Senate today.

To really change the Senate's behavior, we need two things:

1) Changes in the rules so that a majority can pass legislation, and
2) A change to population-based representation so that the most conservative 21% of the population no longer has a veto.

Unfortunately, 2) will never happen without a new constitution, which is, well, not too likely.

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January 12, 2010 10:27 AM   

PASS THE DAM THING WOULD YA!


WHO EVER DOESN'T LIKE IT THEY CAN TURN THEIR SOCIAL SECURITY CHECKS IN AND THEIR MEDICADE/MEDICARE CARD BACK TO THE GOVERNMENT.


YOO WHO

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January 12, 2010 10:30 AM   

They're still debating this?? Why haven't they passed it already. This fight needs to be over.

The House has no leverage, pure and simple. They are wasting political capital and precious time to build more. At the end of the day any bill that can pass will essentially be the Senate bill anyway.

They should stop wasting time. THIS FIGHT NEEDS TO BE OVER!

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January 12, 2010 10:47 AM   

At this point they can do whatever they want...nothing in either bill helps me in the least...and nothing prevents Ins co's from using my cash for private jets.

Thanks for nothing dems...at least now I don't have to waste a tuesday in November!

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January 12, 2010 10:58 AM    in reply to madmatt

You mean other than the 85% loss ratio requirement?

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January 12, 2010 10:52 AM   

Gee! Just think! If the Senate democrats had pushed harder to make the bill easier for the public to swallow and followed the House's lead on it, HCR would have been law on Christmas Eve.

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January 12, 2010 11:12 AM   

It's no wonder Max Baucus has that shit eating grin. He has come to the realization to what he has cost our country and the damage he inflicted on meaningful health care reform. May the history books portray this money grubber for exactly what he is. A disgrace to this country. Sorry had a teabag moment there.

No no no, I can't take it back it's all true.

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January 12, 2010 11:12 AM   

Health Reform is about Saving the Lives of the 44,000 Americans who die every year because they have no access to health care. The Harvard Study and others are factul

Unfortunately in the U.S. this has no bearing on making sure we pass this bill to STOP THE DYING!

Those fighting this bill have made it about everything but SAVING LIVES!

Has Americans, some, become that uncaring and that cynical that what we see in this fight to IGNORE THE DYING has become common place in our country?

Human Rights Issues? Is this not one?

We rae the only Industrialized country in the world that doesn't provide health insurance/coverage for all its citizens

Republicans spent $5 TRILLION DOLLARS ON TAX CUTS FOR THE RICH AND HAD NO WAY TO PAY FOR IT AND IT WENT STRAIGHT TO THE NATIONAL DEBT

REPUBLICANS are whaling about STOPING HEALTH CARE AND CHOOSE TO IGNORE THAT THIS BILL IS ABOUT SAVING LIVES

The same 44,000 dying and paying taxes are paying their monthly checks to take care of their families, amazing

Media refuses to addres the real reason we need health reform because it doesn't get RATINGS!

Millions with health insurance have filed Bankruptcy because health insurance carriers did not pay significant portions of their claims forcing them to file bankruptcy another issue no one wants to talk about

Until it happens to those fighting this Life Saving Needed Reform they will never get it

Death PANELS? They already exist! 44,000 Americans are dying every year and congress has a chance to stop it but

The Republican party is only interested in GREED & RETURN TO POWER WITH NO IDEAS AND SOLUTIONS FOR FIXING THE MESS THEY MADE OF OURS AND THE WORLD'S ECONOMY

WHAT HAVE THE REPUBLICANS DONE TO HELP FIX THE MESS THEY MADE?

JUST SAYING NO WILL NOT RETURN THEM TO POWER BUT THEY THINK THE AMERICAN PEOPLE ARE CLUELESS ENOUGH TO RE-ELECT THE PARTY OF NO SIMPLY BECAUSE

THEY HAVE BEEN SITTING COLLECTING OUR TAXPAYER DOLLARS WHILE WE PAY THEIR PAYCHECKS

AND THEY HAVE DONE ABSOLUTELY NOTHING TO EARN THEIR PAY CHECK

WHAT WOULD HAPPEN TO YOU AND ME IF WE SIMPLY WENT TO WORK EVERY DAY AND TOLD OUR EMPLOYERS NO!

IT'S TIME TO SEND THE REPUBLICANS A MESSAGE THAT WE WILL NOT ACCEPT THEM PLAYING HOOKEY ON OUR DIME!

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January 12, 2010 12:40 PM   

Nate Silver still has Coakley by >8%. Are we trying to scare ourselves, or what?

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January 12, 2010 12:43 PM   


Lieberman will filibuster if he isn't given the MA senate seat too.

TheWeekinRebuke.com

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January 12, 2010 1:27 PM   

A better option would be to leave in the public option and slam health care reform (at least the big sticking points like public option) through the Senate via reconciliation.

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January 12, 2010 3:00 PM   

HIR is a dead issue. I would not be shocked at this point if nothing ever got to the President's desk. The House and Senate versions, in my mind, are irreconcilable. Potentially asking progressive and moderate dems in the House to "swallow it whole" is a bridge too far. They are never going to do that.

Besides.

The right and the elderly hate the entire concept. The left and labor doesn't support what Congress is offering (especially the Senate version). And the vast majority of Americans (the so called "moderate" center) are clueless to the true effects of HIR'S core provisions.

Where is the support for HIR supposed to come from? Thin air?

Either make it into something the majority of Americans can simply understand and support (like single payer or a form of it), or drop the effort.

As it is, we are wasting our time.

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