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Obama's New Health Care Plan To Have Both Substance And Process


Press Secretary Robert Gibbs

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President Obama Wednesday will detail both the substance of his final health care reform legislation proposal and the process for getting it through Congress once and for all.

White House Press Secretary Robert Gibbs told reporters during his daily briefing today that Obama will offer the pathway to final passage by outlining the "next steps." But Gibbs also dodged questions on specifics or how the president would help Speaker Nancy Pelosi or Senate Majority Leader Harry Reid secure enough votes in their chambers.

Gibbs said there were several meetings about health care today and over the weekend, and Capitol Hill sources tell us they believe the president's announcement coming so soon after his health care summit at the White House last week that health care is likely to get the momentum necessary to break the logjam.

Democrats and the Obama administration have switched up their language when referring to reconciliation to make it more politically palpable, calling it an "up or down vote" whenever possible.

When asked if voters would fret about the use of reconciliation, Gibbs pointedly said today that both bills passed the House and Senate last year. He added the Senate's measure passed with a "supermajority" of votes and said, "Republicans could decide not to filibuster."

Reporters asked Gibbs if Obama would help Pelosi and Reid lock down Democratic votes, and the press secretary said the president "helped get votes in all the go-arounds" last year and would keep that up.

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March 1, 2010 6:33 PM   

Harkin was just on the Ed Schultz show on MSNBC in which he explained just why there won't be a
public option in the bill.

He basically said that it has all to do with getting 216 votes in the House. Because there isn't the Stupak amendment, some House members who voted for the bill will now not vote for it. As a result, Pelosi needs to pick up voted from conservative Dems to make up the difference in those who won't vote for the bill without the Stupak amendment.

Thus this is all about getting 216 votes in the House.

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mcc

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March 1, 2010 7:14 PM    in reply to Maritza

What I would wonder is whether a medicare buy-in might be able to have better luck. The bill with a buy-in seemingly had as many as 59 votes in the Senate. If it is deemed tolerable among House blue dogs by the margins it was deemed tolerable among the Senate conservadems, then getting to 216 without Stupak might be possible?

Of course this would require the leadership to do something risky in the absence of much evidence the base will reward them for it, so I don't feel like I should be expecting it to actually happen...

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March 1, 2010 7:27 PM    in reply to mcc

I think a medicare buy-in would be great. It could be for 55 to 64 year olds who don't have employee-based insurance.

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March 2, 2010 6:41 AM    in reply to Maritza

Medicare sounds like a great idea until you look at the cost of buying in. It would be great for those who could afford it though. Democrats have failed to or been unable to seriously tell people what the cost to them would be for all these options. I understand they don't really know, but I fear it leaves a lot of people with false hope. Those close to poverty will be helped and those above the national average can afford to buy in, but I think when it all comes down, there will be far more who can't afford to buy insurance and aren't qualified for subsidies.

Yes, it's better than nothing, but so in putting out the fire in the kitchen while the whole house is burning to the ground.

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March 2, 2010 12:41 AM    in reply to mcc

It might be easier to slip that in later. A Medicare expansion could be passed as a standalone reconciliation bill.


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March 2, 2010 1:36 AM    in reply to mcc

I don't see the buy in getting the house to drop Stupak. Who do you see voting for the bill with a buy in who didn't vote for it before (when HCR was polling higher)? There's Kucinich, but anyone else? REPs won't. Centrist DEMs are the Stupak crowd.

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mcc

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March 2, 2010 2:32 AM    in reply to ds101

Sorry, let me be a little clearer. I'm assuming:

- Dropping the Stupak amendment causes us to lose votes (although I don't really know how many).
- Adding the public option causes us to lose votes.
- Adding a medicare buy in would cause us to lose votes, but not as many as we would lose with a public option.
- Therefore, even if "no stupak, public option" can't pass, maybe "no stupak, medicare buy in" can pass.

All of these statements are guesses.

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March 2, 2010 4:06 AM    in reply to mcc

Oh. I see what you're saying now. Sorry.

I'm seeing Stupak as 10-12 DEM's plus Cao (R-LA). Since there's only 4 to lose, switching the buy in for the public option would have to pick up 7-9 of the 36 moderate DEMs who voted against it (and who are concerned that their constituents would rebuke them ih November if they switch).

It'd probably be easier to just sell the liberal DEMs on the idea that keeping Stupak is the price to pay for comprehensive HCR. (Would they rather let the GOP win on health care like '93?)

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March 2, 2010 4:10 AM    in reply to mcc

Shoot - forgot Kucinich again.

Change that to: "6-8 of the 35 moderate DEMs".

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March 2, 2010 4:45 AM    in reply to mcc

No- I messed up again.

Let's see...
A. Cao is gone.
B. Stupak is 10 to 12 DEMs.
C. The buffer was 4.
D. Kucinich will probably come onboard.
E. 39 DEMs voted against.
F. 2 'ayes' retired and one died.

okay...

You'd need 9 of 38 moderate DEMs assuming 0 defections. The Blue Dogs (there are 54) and anyone in a tight race may not even support the use of reconciliation.

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March 2, 2010 5:48 AM    in reply to mcc

aaaarrrrgh

10 of 38!

I was adding to 217 (don't know why)
so the buffer was 3

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March 2, 2010 5:57 AM    in reply to ds101

"I wasn't adding to 217 (don't know why)"
or
"I was adding to 216 (don't know why)"
not
"I was adding to 217 (don't know why)"

need sleep

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March 2, 2010 8:11 AM    in reply to Maritza

Harkin is full of shit.

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March 1, 2010 6:34 PM   

Voters will not fret about reconciliation. The tea party loons and their handlers will scream and the media will dutifully report, but most people won't even be paying attention. They'll notice when they or someone they care about sees the benefits.

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March 2, 2010 1:40 AM    in reply to Powkat

I don't see that helping DEMs. HCR poll #'s are abysmal, GOP will make tons of campaign ads about reconciliation, and the lion's share of benefits are years away.

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March 1, 2010 7:04 PM   

If you want to see where Obama’s going, you have to watch this Brand New, Viral

OBAMACARE - YEAR IN REVIEW video: http://www.youtube.com/watch?v=6Rv7aW3NF7w

This Hilarious and Shocking Video provides a Fast-Paced Look at the No-Lie-Too-Big, Socialist Ideologues Who Now Run Our Country.

MUST WATCH! 

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March 1, 2010 7:22 PM    in reply to CommieBlaster

Anyone who thinks "socialist ideologues" run the U.S. government doesn't know WTF "socialist" means. Period.

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March 1, 2010 9:18 PM    in reply to CommieBlaster

Go peddle your crap somewhere else

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March 1, 2010 9:56 PM    in reply to CommieBlaster

Well when it comes to health care, better red than dead.

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March 1, 2010 7:33 PM   

I'd bet on the bill being a scaled-back version of his blueprint issued last week. He has to see the writing on the wall regarding a sweeping overhaul. He can't afford to lose folks like Kent Conrad over scope. It will be a smaller bill.

http://www.political-buzz.com/

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March 1, 2010 7:59 PM   

The ‘reforms’ the White House wants 'an up or down vote on' are variously considered a sham, trivial or an
 institutionalization of the current disastrous health care system (only with 
more public subsidies to the insurance industry).

The substance of the President’s proposal is the current costly, inefficient and 
ineffective insurance system on Federal steroids.

Read the summary of the plan. Even in the summary, confusion and endless gyrations are evident. The muddle is the result of trying to fit ‘reform of the system’ into the system’s current contorted, inefficient and costly contours (in other words, the plan is not a ‘reform’, but more pasting things on to a broken system).

Here’s what the people wanted when the Democrats started:

“A mere seven months ago (that would be around June 2009), The New York 
Times/CBS poll found that 72% of Americans ‘supported a government-
administered insurance plan—something like Medicare for those under 65—
that would compete for customers with private insurers.’”

From then until now, Obama has:


1. Rejected single payer;

2. Stiff-armed the government option;

3. Mandated individuals and families pay premiums to private sector insurers; 

4. Assured billions in tax payer subsidies for private sector insurers; 

5. Stipulated actual health care service at 80 cents of every dollar, while 
insurers can spend
20 cents of every premium dollar on lobbying, ‘sympathetic’ 
candidates, CEO bonuses, ‘administration’, fighting claims for treatment and, 
now we can add, participating on the new Federal ‘rate review’ Board.

What Obama wants an up or down vote on is the current system supplemented with taxpayers’ money in the form of mandated premium payments and Federal ‘subsidies’. That’s no reform at all.

The plan the White House and Democratic 'leaders' have put forward deserves a resounding 'down' vote.

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March 2, 2010 1:23 AM    in reply to bill

Excellent analysis.

The current system is in need of more than the reform being peddled now. Trying to get a hybrid between private & public via subsidies & an exchange is nonsense. I seem to remember a claim that HCR was an urgent priority amidst an economic recession BECAUSE it'd "bend the cost curve". I don't see any serious attempt to accomplish that anymore.

Single payer will probably not be politically viable for a generation, but I don't know why we couldn't expand (raise age limits and maximum income) SCHIP and offer younger people a medicare buy in in order to move in that direction.

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March 1, 2010 8:17 PM   

"Politically palpable"? Do you mean "palatable"?

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mcc

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March 1, 2010 8:47 PM    in reply to navamske

pulpable

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March 1, 2010 11:42 PM    in reply to mcc

poopable

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March 1, 2010 10:48 PM   

The President's bill (if it does not contain a single payer) does not deserve 216 votes in the House or anywhere else.

The President's bill is basically the same old crap citizens and families have now, except everyone becomes a captive 'customer' of the private sector for-profit insurance industry and for those who cannot afford to pay the private sector all it wants, the Federal government will pay the private sector from tax money (and/or from debt).

The 'reform' is nothing more than the current system embedded and enshrined for the future with more and more tax money going to more and more corporations for non-value-added and non-health care services.

The bill deserves the 'down' vote it will hopefully get. Honestly , the Democrats are better off going into the elections with nothing than with the mess they've made.

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March 2, 2010 12:43 AM    in reply to bill

A single payer?

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March 2, 2010 1:46 AM    in reply to bill

Kudos bill!

(the 'bill' the person who commented on single payer - not the train wreck of a bill being pushed through congress)

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