Barack Obama

New Poll Shows Strong Support For Obama, Congress Among Latinos

Evan McMorris-Santoro | November 30, 2009, 6:45PM

President Barack Obama

Support for President Obama and the Democratic Congress has dipped a bit this year, according to a new poll commissioned by the Robert Wood Johnson Foundation out this week. But it's unlikely the declining support will cause Obama or the Democrats to lose any sleep -- 74% of respondents said they approve of the job Obama is doing (down from 81% in April) and just 23% said they disapprove of the way Obama is doing his job.

For Congress, the drop was more worrisome. In April, 67% of respondents to the poll approved of the job Congress was doing. Now that number has dropped to 52%.

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Health Care

White House Officials, Reid, Meet Tonight To Discuss Health Care

Brian Beutler | November 30, 2009, 5:46PM

White House Chief of Staff Rahm Emanuel

With the health care debate under way in the Senate, Majority Leader Harry Reid will be in continuous discussion with top White House officials regarding legislative strategy and other issues until a bill can pass with 60 votes. Tonight, Reid will meet with Health and Human Services Secretary Kathleen Sebelius, White House Chief of Staff Rahm Emanuel, Tom Daschel and others, and an aide says "they'll continue to be highly involved throughout the process."

Sometimes these meetings pass without incident. Other times they're the font of big news. We'll keep you posted on major developments.

Blanche Lincoln

Republican Interest In Transparency Trumped By Interest In Obstructionism?

Brian Beutler | November 30, 2009, 4:56PM

Sen. Mike Enzi (R-WY)

For months, Republicans have sought to slow down the pace of health care reform legislation by demanding unprecedented gestures toward transparency from Democrats. They've insisted that all aspects of the legislation be posted on the internet for days at a time before action can be taken.

Well, now that the bill is on the floor, and a flood of amendments is the surest form of obstruction, Republicans are perfectly willing to dispense with the whole transparency thing. This time around, it was the Democrats seeking to impose transparency requirements on the amendment process. Republicans no longer seem interested.

"In light of some of the trust problems and transparency problems we have, while this appears to lead to greater transparency, we can also see ways that this can limit the ability for the minority to offer amendments," said Sen. Mike Enzi (R-WY), and, therefore, I object."

Enzi was objecting to an idea proposed by Sen. Blanche Lincoln (D-AR) to require all amendments be posted online before they're considered on the floor. Looks like that won't be happening.

Health Care

Reactions Vary To New CBO Health Care Analysis - Dems: YAY! Republicans: BOO!

Christina Bellantoni | November 30, 2009, 3:42PM

Deputy White House Communications Director Dan Pfeiffer

As the debate kicks off in earnest today, the parties are predictably using the new Congressional Budget Office analysis of the Senate health care bill to their own benefit.

The White House is hailing the report as "more good news" about what the bill would mean for families.

Read more »

Health Care

Dems, GOPers Ready Amendments For Senate Health Care Bill

Brian Beutler | November 30, 2009, 3:00PM

Sen. John McCain (R-AZ)

Democrats and Republicans will begin considering amendments to far-reaching health care legislation on the Senate floor momentarily. This process will go on for weeks, and involve hundreds of proposed changes. But to touch things off, Senate Majority Leader Harry Reid will likely introduce Sen. Barbara Mikulski (D-MD) who will offer a women's preventive health care amendment, according to a Senate Democratic aide--the first amendment of the process.

By contrast, the first Republican amendment will come from Sen. John McCain (R-AZ), who will propose that the bill be recommitted to the Finance Committee, which would be instructed to strip it of its Medicare cuts. At a 60 vote threshold, the amendment won't pass, but if it did, it would likely be the end of health care reform this Congress.

In other words, we're dealing with two very different species of amendments.

Mark Kirk

GOP Senate Candidate Kirk: Health Care Bill Would Deny Women Mammograms!

Eric Kleefeld | November 30, 2009, 2:59PM

Rep. Mark Kirk (R-IL)

Rep. Mark Kirk (R-IL), who is running for President Obama's former Senate seat in 2010, is now embracing an offshoot of the "death panel" line -- warning that the health care bill could result in women being denied mammograms!

As Greg Sargent reports, Kirk's campaign sent out an e-mail, officially a "questionnaire":

This month, the U.S. Preventive Services Task Force recommended eliminating mammograms for women ages 40-49. The panel concluded that while thousands of women's lives would be saved by continuing the test, "the net benefit is small" for the population as a whole.

Currently, this is only an advisory recommendation. But under the health care bill moving through the Senate, this recommendation could become law.

TELL ME WHAT YOU THINK: Should women between the ages of 40 and 49 be denied access to life-saving mammograms?

However, the fact is that the Senate health bill would not do such a thing. But that panel recommendation has become a big talking point of the right in the past couple weeks, warning of government-rationed care -- and this e-mail is a strong sign of how conservative Kirk is going in this statewide race, after years of maintaining a moderate profile in a Democratic district.

Tea Party

Mark Your Calendars: Thursday Is Tea Party Recruitment Day

Evan McMorris-Santoro | November 30, 2009, 2:55PM

Don't be surprised if someone asks you if you love freedom this Thursday. The national organizers of Tea Party Patriots have singled out Dec. 3 for a national recruitment drive, calling on all good tea partiers "to reach out to 1 new person who is not a member of Tea Party Patriots" and ask them to join up.

From the TPP email sent to tea partiers today and obtained by TPM:

Tell them why you are a member of the tea party movement and ask them if they agree with our core principles of fiscal responsibility, constitutionally limited government, and free markets ... If you send emails, follow up with phone calls to the people to add a personal touch.

Read more »

Barack Obama

Dems Add Entitlement Reform To Packed Agenda Ahead of 2010 Elections

Brian Beutler | November 30, 2009, 1:04PM

President Barack Obama, Senator Kent Conrad (D-ND)

Moderate and conservative Democrats want to empower an outside entitlement commission to reshape major domestic spending programs like Medicare and Social Security, and they're threatening a truly nuclear option to get their way. If Congress does not create this commission, they say, they will vote against must-pass legislation to raise the nation's debt ceiling, which would trigger a default, and, perhaps, economic calamity.

"I will not vote for raising the debt limit without a vehicle to handle this," Sen. Dianne Feinstein (D-CA) told McClatchy. "This is our moment."

On the one hand, the threat is so outlandish as to be self-defeating. Would Democrats really extract such a devastating toll, both on their own political fortunes, but also on the national and global economy, just to prove that they're serious about entitlement reform?

But on the other hand, Senate Majority Leader Harry Reid may not want to rock the boat too hard in the midst of a health care debate in which Democrats are hanging their political fortunes on many of the same centrist senators making the threat. And the Obama administration has been broadly supportive of the idea of reining in deficits and paying down the national debt for some time now.

So it seems fairly likely that, whether this commission passes in the form deficit hawks would like to see, debt reduction will be a key theme, both at the White House and on Capitol Hill, after the fight over health care is over.

Read more »

Congressional Budget Office

CBO: Health Care Reform Will Lower Out-Of-Pocket Burden For Most Consumers

Brian Beutler | November 30, 2009, 12:10PM

Sen. Evan Bayh (D-IN)

A new CBO report, requested by Sen. Evan Bayh (D-IN) contains some helpful, though not unexpected information about the impact of Senate health care legislation on insurance premiums, particularly in the individual market.

According to CBO, average premiums in the individual market would increase 10 to 13 percent because of provisions in the Senate health care bill, but, crucially, most people (about 57 percent) would actually find themselves paying significantly less money for insurance, thanks to federal subsidies for low- and middle-class consumers, than they would under current law.

Those are two separate findings, but it seems likely that Republicans will use the former finding to attack reform, claiming it will raise people's premiums, and leave people confused about the second finding, which is actually the one that impacts people's pocket books.

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Health Care

Biden Goes On The Attack As Senate Begins Health Care Debate

Evan McMorris-Santoro | November 30, 2009, 9:56AM

Vice President Joe Biden

Senators will gather this afternoon to start banging out a final health care reform bill. Vice President Biden is doing a little hammering of his own in advance of the debate, taking on reform opponents in a new video posted to the White House website. Biden enlists a slew of health care providers advocating reform to take on those who have criticized the Obama administration's efforts to drive health care reform.

"When it comes to explaining what health care reform means to you, who do you trust?" Biden asks in the video. "Do you trust the people who defend the status quo, who say you'd be better off leaving things just the way they are? Or, would you rather hear from the people who actually know something about what's going on in our health care system?"

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Republicans

From Dollars To Death Panels: How Republicans Distorted Debates On Capitol Hill

Brian Beutler | November 27, 2009, 8:42AM

With Thanksgiving recess now upon us, it seems an appropriate time to revisit the hysterical Republican whoppers and talking points about the Democratic party agenda that have dominated this Congress. Herewith a top-five list:

Number Five: Paul Ryan Draws Line On Graph

Back in the Spring, when Democrats were putting together the federal budget, House Budget Committee ranking member Paul Ryan (R-WI) released a much-mocked Republican alternative, which would have basically canceled the stimulus and instituted a spending freeze of sorts. The ideas in the Republican alternative budget were roundly rebuked by experts, but Ryan wasn't deterred. Instead of accepting defeat, he unveiled some graphs suggesting that, under Republican budgets, spending would be restrained, while under Democratic budgets, it would blow through the roof.

Except his numbers weren't based on any analysis at all. Instead, Ryan used CBO numbers through 2018 and then drew an upward-sloping line on the graph completely at random. It didn't take long for Republicans to catch on and begin claiming that Democratic policies would make government spending half of GDP before the end of the century.

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Tea Party

Death And Taxes (And Tea): The Top Right-Wing Protest Moments Of 2009

Evan McMorris-Santoro | November 25, 2009, 6:14PM

Hell hath no fury like a conservative scorned. Or over-taxed. Or "under-freedomed" or whatever.

From the August town hall meetings to Michele Bachmann's very own Tea Party a couple of weeks ago, here's a look back at the special moments that have defined this year's right-wing protest meme.

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Health Care

Single Payer Advocates Say Bernie Sanders 'Not A Fighter'

Evan McMorris-Santoro | November 25, 2009, 12:20PM

Sen. Bernie Sanders (I-VT)

Universal health care advocates called on President Obama and progressives in Congress the scrap both reform bills on Capitol Hill and "start from scratch" on a bill that creates single payer coverage for all Americans at at press conference today. They specifically aimed fire at Sen. Bernie Sanders (I-VT), who they called too weak to vote no on the Senate health care reform package they say doesn't go far enough.

Russell Mokhiber, the president of Single Payer Action, said he had "low expectations" that Sanders would vote to stop the bill his group says is nothing more than a "bailout for health insurance companies."

"We have had a history of fighters in the Senate," Mokhiber said today. "Bernie Sanders is apparently not that."

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Health Care

The Final Four: Who's Standing In Reid's Way, And Can They Be Won Over?

Brian Beutler | November 24, 2009, 4:29PM

From left to right Top: Sen. Blanche Lincoln (D-AR), Sen. Ben Nelson (D-NE) Bottom: Sen. Joe Lieberman (I-CT), Sen. Mary Landrieu (D-LA), Center: Senate Majority Leader Harry Reid (D-NV)

Toward the end of the summer, when it was unclear whether Senate Majority Leader Harry Reid would include a public option in his health care bill, progressives let it be known that he would not be forgiven if he allowed a handful of nameless Democrats silently filibuster the provision. In the end, this pressure, and various other factors, ultimately convinced Reid to include the opt out public option in the legislation, and the opponents have had to come forward. Their names won't surprise students of Democratic politics: Sens. Joe Lieberman (I-CT), Blanche Lincoln (D-AR), Ben Nelson (D-NE), and Mary Landrieu (D-LA).

These conservative Democrats are known for taking stances at odds with the party on key issues, but in this health care debate they are ultimately driven by very different motives. They have suddenly become the targets of every major reform organization in the country, and understanding what makes them tick will be key to the advocates who are now trying to change their minds.

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Barack Obama

White House Takes On Gun Lobby's Health Care Reform Attacks

Brian Beutler | November 24, 2009, 1:01PM

President Barack Obama

You might not necessarily think that health care reform would end up in the crosshairs of the gun lobby. But you'd be wrong. Gun Owners of America have been raging against the Senate health care bill for all sorts of imagined threats to the Second Amendment, and now the White House has taken notice.

What exactly are their concerns? Well, for instance, "Special 'wellness and prevention' programs (inserted by Section 1001 of the bill as part of a new Section 2717 in the Public Health Services Act) would allow the government to offer lower premiums to employers who bribe their employees to live healthier lifestyles -- and nothing within the bill would prohibit rabidly anti-gun HHS Secretary Kathleen Sebelius from decreeing that 'no guns' is somehow healthier."

The White House says: "Section 2717 section creates guidelines for insurers to report on initiatives that improve quality of care and health outcomes, and it specifically lists what types of programs would be involved - such as smoking cessation, physical fitness, nutrition, heart disease prevention. There is no mention of guns, and there is no language that could result in higher premiums for gun owners or lower premiums for people who do not own guns."

You can read the gun owners' gripes here, and the fact-check here.

Barack Obama

Rahm Orders Health Care Article Be Must-Read For Staffers

Christina Bellantoni | November 24, 2009, 11:35AM

President Obama, Chief of Staff Rahm Emanuel, and Ron Brownstein

When President Obama likes a magazine article, White House staffers had better read it.

Obama's must-read is Ron Brownstein's Saturday blog post "A Milestone in the Health Care Journey" at the Atlantic's political Web site.

Politico noted today that Obama found the article, which lauds Max Baucus' approach to health care, a good summary of the cost controls in the health care bill.

An administration official tells TPMDC that White House Chief of Staff Rahm Emanuel assigned the article as homework during a recent meeting.

According to the official, Emanuel told senior staffers "not to come back to the next day's meeting if they hadn't read the article."

Alex Castellanos

In Quest To Reform Steele's Image, RNC Hires Republican Attack Dog Castellanos

Brian Beutler | November 24, 2009, 11:28AM

RNC Communications Director Alex Castellanos

Pretend for a moment that you're Michael Steele. You won the RNC chairmanship earlier this year, and have been at the helm of the GOP for months as it has waged a fierce internal battle over the future of the party. You also have a reputation for being a bit of a buffoon. So the off-year elections roll around, and things go OK. Dede gets Scozzafav'd, but for the most part the media trains its eyes on gubernatorial pick ups in New Jersey and Virginia and declares victory for the GOP.

You might think that's a pretty good outcome. But Steele apparently wanted more credit for the Christie and McDonnell wins. So what's a political chief to do?

According to Politico the answer he arrived at was 'fire my communications director and fill the void with CNN's celebrity GOP talking head Alex Castellanos."

Read more »

Health Care

Race For The Cure Founder Dismisses Socialized Medicine Scare Over New Mammogram Guidelines

Evan McMorris-Santoro | November 23, 2009, 6:04PM

Nancy Brinker, founder of Susan G. Komen for the Cure

Nancy Brinker, the founder of the world's largest breast cancer cure advocacy group, is dismissing claims that last week's battle over new proposed breast cancer screening guidelines should be a warning sign in the health care reform debate. She told nervous women not to read anything into the timing of the controversial new guidelines, which she rejects.

"People release data all the time," Brinker said at a press conference this afternoon. Brinker is the founder of the Susan G. Komen For The Cure foundation, the largest organization in the world devoted to breast cancer research. She attacked the report, but dismissed attempts to make the report a political football in the health care debate.

"I don't think so," she said, when asked if the panel was "influenced" by the debate over reform.

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Health Care

GOP Meme: Senate Health Care Bill Actually Costs $2.5 Trillion

Brian Beutler | November 23, 2009, 3:50PM

Sen. John Ensign (R-NV)

Whenever a Democratic agenda item spends some time in the spotlight--be it health care or energy--Republicans do a little hocus pocus and claim that, whatever the CBO might believe, the true costs of reform are sky high. So it's no surprise that the new GOP line regarding the Senate health care bill is that it's actually three times more expensive over a 10 year window than the CBO says it will be.

Where does this number--$2.5 trillion--come from? In this USA Today counterpoint, Sen. John Ensign (R-NV), cites this article in The Hill. But the article in question simply quotes Senate Minority Leader Mitch McConnell (R-KY) who seems to pull the number out of thin air. "When fully implemented, it will cost $2.5 trillion," McConnell said.

And where did McConnell get this idea?

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Health Care

Sebelius Unveils State By State Analysis Of Impact Of Health Care Reform

Brian Beutler | November 23, 2009, 12:55PM

Health and Human Services Secretary Kathleen Sebelius

Health and Human Services Secretary Kathleen Sebelius today unveiled state-by-state analyses of the beneficial impacts of health care reform. Using the Senate bill, the report underlines, among other things, the number of working and middle class people who would receive federal assistance, and the extent to which the legislation would reduce the number of uninsured in that state.

So, to pick three states totally at random, if you wanted to know what the goodies for Nebraska, Arkansas, and Louisiana, would be, you can just click.

And, in case you're wondering, the reports do not address the state-by-state impact of the public option.

Health Care

Poll: Health Care Bill Could Hurt Dems -- And Not Passing It Would Be Worse

Eric Kleefeld | November 23, 2009, 12:26PM

United States Capitol

A new national survey from Public Policy Polling (D) finds that health care has put the Democrats in a tricky situation -- passing a bill with a public option doesn't offer a clear political benefit, but not passing anything would cause an even greater problem.

The Democrats lead on an initial generic Congressional ballot by 46%-38%. If they pass a health care with a public option, the gap becomes 46%-41%. If they don't pass a health care bill at all, though, it becomes a 40%-40% tie -- reminiscent of the loss in Democratic support in 1994, after they failed to pass a health care bill.

"Clearly Democrats need to pass a health care bill if they want to do well at the polls next year," said PPP president Dean Debnam, in the polling memo. "But they don't need to take an all or nothing approach. Allowing the status quo to remain rather than accepting a bill without a public option would be a poor decision politically."

The poll was conducted from November 13th to November 15th, before this past weekend's vote in the Senate to proceed with debate on the health care bill. The margin of error is ±3%.

Harry Reid

What Did We Learn From Saturday's Health Care Vote

Brian Beutler | November 23, 2009, 11:50AM

Senators Nelson (D-NE) and Lieberman (I-CT)

Senate Majority Leader Harry Reid got his 60 on Saturday, and when the Senate returns from Thanksgiving recess next week, they'll be debating and amending a major piece of health care legislation. However, the vote, and its aftermath exposed or clarified the cleavages within the Democratic party that will have to be bridged if Reid hopes to keep his caucus in line on the next cloture motion--to end a Republican filibuster and hold a simple majority vote on reform.

If you thought the opt-out compromise was a silver bullet for the public option, you may have gotten a bit ahead of yourself. It held up for a while, and could still survive, but that's going to require some interesting gymnastics from Democratic leaders. Leading up to Saturday's vote, and in its immediate aftermath, conservative Democrats entrenched their opposition to the public option in the Senate bill. Sen. Joe Lieberman (I-CT) repeated his threat to support a health care filibuster if it includes a public option of any kind, and, despite her earlier support for the provision, Sen. Blanche Lincoln (D-AR) took to the Senate floor Saturday and announced, "I'm promising my colleagues that I'm prepared to vote against moving to the next stage of consideration as long as a government-run public option is included." That gives her a bit more wiggle room than Lieberman's left himself, and Sens. Mary Landrieu (D-LA) and Ben Nelson (D-NE) have a bit more still, but that makes 60 for the opt out a tough climb. On the other side of the caucus, though, Sens. Bernie Sanders (I-VT), Sherrod Brown (D-OH), and Roland Burris (D-IL) have inched closer to threatening to block a health care bill from the left if the public option is weakened further. If reform is to pass, one side of the caucus will have to hold its collective nose and vote for something they don't like.

Read more »

Chuck Schumer

Spokesman: Schumer Open To Public Option Negotiations, But They Haven't Started

Brian Beutler | November 21, 2009, 9:56PM

Sen. Chuck Schumer (D-NY)

In light of Senate Majority Leader Harry Reid's statement tonight--that he welcomes negotiations on a public option compromise--Sen. Chuck Schumer's spokesman Brian Fallon emails a statement to TPMDC. He says discussions with centrists, such as they are, are in the earliest stages.

"Leading up to tonight's vote, some senators expressed a desire to discuss the public option currently in the Senate bill. Of course, Senator Schumer did not rule that out. But no such talks have yet taken place, and there is not any compromise at hand beyond what Leader Reid has already inserted into the bill. Senator Schumer remains a strong proponent of the opt-out, level playing field public option."

Sen. Mary Landrieu (D-LA) told TPMDC earlier today that Schumer had been tasked as the point man in negotiations between senators who support a public option, and those who prefer a "trigger" compromise.

This statement seems to suggests that those discussions are in their infancy, whatever Schumer's role in them is.

Barack Obama

Lieberman Repeats Claim That Public Option Not Part Of 2008 Presidential Campaign

Brian Beutler | November 21, 2009, 9:15PM

Sen. Joe Lieberman (I-CT)

Sen. Joe Lieberman (I-CT) raised hackles among liberals earlier this week when he claimed that the public option wasn't a part of the 2008 presidential campaign. He repeated that claim to reporters tonight, though acknowledged, when pressed, that then-candidate Barack Obama did in fact include a public option in his campaign health care proposal.

"This is a kindof 11th hour addition to a debate that's gone on for decades," Lieberman told reporters tonight. "Nobody's ever talked about a public option before. Not even in the presidential campaign last year."

I asked in response, "How do you reconcile your contention that the public option wasn't part of the presidential campaign given that all three of the [leading Democratic] candidates had something along the lines of the public option in their white papers?'

Read more »

Harry Reid

Reid: 'I Welcome Schumer, Landrieu, And Carper, As They Work On Public Option Compromise'

Brian Beutler | November 21, 2009, 8:51PM

Senate Majority Leader Harry Reid (D-NV)

After a successful vote to begin debate on a landmark health care bill. Senate Majority Leader Harry Reid addressed the news, first reported by TPMDC, that conservative Democrats are working with public option supporter Sen. Chuck Schumer (D-NY) on a compromise.

"I welcome Sen. Schumer, Landrieu and Carper--Landrieu said that they're working together on a public option that's acceptable to [all parties]."

Asked by TPMDC about Schumer's role in the negotiations, Sen. Ben Nelson (D-NE) applauded his colleague. "Senator Schumer, when he's not hunting, works with a lot of different individuals on a lot of different points," Nelson said. "He was the one that came up with the idea of opting out--I don't think it sold very well, but he has the ability to be very pragmatic about a lot of these issues, and that makes him very important in the process."

Public option stalwart Sen. Jay Rockefeller (D-WV) said he hopes that triggers aren't ultimately affixed to the public option, but isn't alarmed that Reid isn't tamping down on the negotiations.

"That's been Harry from the very beginning. He's always said that, and he's always meant it," Rockefeller said.

Late update: Schumer spokesman Brian Fallon emails a statement to TPMDC. He says discussions with centrists, such as they are, are in their earliest stages. "Leading up to tonight's vote, some senators expressed a desire to discuss the public option currently in the Senate bill. Of course, Senator Schumer did not rule that out. But no such talks have yet taken place, and there is not any compromise at hand beyond what Leader Reid has already inserted into the bill. Senator Schumer remains a strong proponent of the opt-out, level playing field public option."

Health Care

Senate Agrees To Debate Health Care Bill

Brian Beutler | November 21, 2009, 8:08PM

Senator Harry Reid (D-NV), Senator Dick Durbin (D-IL)

On a perfectly partisan, 60-39 vote, the Senate agreed tonight to debate and amend a far-reaching health care bill. That debate will get started in earnest after Congress returns from next week's Thanksgiving recess. Democrats and Republicans expect to offer hundreds of amendments (each of which will be held to a 60 vote threshold) and debate for several weeks before holding yet another procedural supermajority vote--to end debate. If that gets 60 votes, then there will be an up-or-down vote on passage of the bill.

If the bill passes it will likely undergo yet more changes in conference with House negotiators. The "conference report" that emerges from that process can't be amended, but can be filibustered in the Senate, so will likely require 60 votes for passage. Only after both chambers have passed the conference report can the bill be sent to President Obama for a signature.

Health Care

Spokesman: Schumer's Not Initiating Any Trigger Negotiations

Brian Beutler | November 21, 2009, 4:34PM

Sen. Chuck Schumer's spokesman Brian Fallon says his boss stands foursquare behind the opt out public option, and any suggestion that he's been involved in negotiations regarding a triggered public option are false:

"Since Leader Reid announced the opt-out public option would be included in the Senate bill, Senator Schumer has not approached anyone about compromises," Fallon said in a statement to TPMDC. "He is fully behind the level playing field opt-out, which he himself helped advance."

That's a direct contradiction to the assertion in this post, by a Democratic aide, that Schumer recently approached Sen. Mary Landrieu (D-LA) about a public option compromise. But it doesn't address Landrieu's contention, that Schumer is a point man in behind the scenes negotiations regarding a potential trigger compromise.

We'll try to get more clarification on that last point.

Chuck Schumer

Dem Aide: Schumer Dealmaking On Public Option "Inappropriate"

Brian Beutler | November 21, 2009, 3:28PM

Sen. Harry Reid (D-NV) and Sen. Charles Schumer (D-NY)

The plot thickens!

A Senate Democratic aide tells me that folks aren't too happy with the news that Sen. Chuck Schumer (D-NY) is negotiating a public option "trigger compromise with members of the caucus.

"He went on his own to talk to Landrieu about the trigger option," the aide says. "That's rather unseemly, especially for Schumer to have reached out to Landrieu before we had the vote. It's very inappropriate."

Obviously there are plenty of reasons for plenty of people to say they're upset about this. But the fact that Schumer began these discussions before today's vote does seem notable, given that Harry Reid was supposed to be negotiating for the votes.

Landrieu and her fellow conservative Democrats have been very adamant today that the public option as it is will earn this health care bill a filibuster. Schumer is apparently involved in discussions with them, and other members, to reach a compromise.

AARP

AARP To Reid: Congrats On Your Bill, But We're Still Thinking

Brian Beutler | November 21, 2009, 3:12PM

Senate Majority Leader Harry Reid (D-NV)

The good folks at AARP endorsed the House health care bill, and it seems likely that they'll do the same with the Senate bill. But they're not ready just yet. In a letter to Senate Majority Leader Harry Reid obtained by TPMDC, AARP CEO Addison Barry Rand says the senior citizens association wants tonight's vote to succeed, but is still evaluating the proposal.

"This comprehensive, health reform legislation moves us one important step closer to enacting historic legislation to control skyrocketing costs, improve quality and expand access to affordable care," the letter reads. "We strongly urge the Senate to vote for cloture this Saturday to begin debate on the Patient Protection and Affordable Care Act.... After further analysis, we will send you a more detailed letter of our views of the legislation."

You can read the entire thing here.

Blanche Lincoln

Lincoln: "I'll Filibuster A Public Option Bill"

Brian Beutler | November 21, 2009, 3:00PM

Sen. Blanche Lincoln (D-AR)

Conservative Democrats are making it very clear that they'll switch their vote and kill the bill down the line if the public option doesn't get stripped out of it.

"Let me be perfectly clear," Sen. Blanche Lincoln (D-AR) said on the floor of the Senate. "I am opposed to a new government administered health care plan as a part of comprehensive health insurance reform, and I will not vote in favor of the proposal that has been introduced by Leader Reid as it is written.... I've already alerted the Leader and I'm promising my colleagues that I'm prepared to vote against moving to the next stage of consideration as long as a government-run public option is included."

That's pretty compatible with what Mary Landrieu told reporters earlier this afternoon.

"I believe it's going to be very clear at some point very soon that there are not 60 votes for the current provision in the bill, and that the leader and the leadership are going to have to make a decision and I trust that they will figure out how to do that," Landrieu said.

Blanche Lincoln

60! Blanche Lincoln Says She'll Support Health Care Debate

Brian Beutler | November 21, 2009, 2:22PM

Sen. Blanche Lincoln (D-AR)

Sen. Blanche Lincoln (D-AR) says she's in for a health care debate, where she'll try to make the bill more like the Finance Committee package.

"Although I do not agree with everything in this bill, I have concluded that it is more important that we begin this debate," she said. "I will vote in support of cloture to debate this bill."

Her decision comes as Republicans gear up to attack the vote--on the question of whether to debate the bill--as a vote for the health care bill itself.

Now all the hold outs are on the record. Nelson, Lincoln and Landrieu will all vote yes. At this point, Democrats just need to make it to 8 pm without any surprises, and then they can call it a day.

Health Care

Landrieu To Reid: No Triggers, No Bill--Negotiating Compromise With Schumer

Brian Beutler | November 21, 2009, 1:41PM

Sen. Mary Landrieu (D-LA), Sen. Blanche Lincoln (D-AR), Sen. Ben Nelson (D-NE)

After announcing her intent to support a health care debate this afternoon, Sen. Mary Landrieu (D-LA) told reporters she thinks Senate Majority Leader Harry Reid will soon have to choose between a triggered public option and no health care bill. She also says Sen. Chuck Schumer (D-NY)--the third-ranking Democrat in the Senate one of its most fierce and vocal public option advocates--has been tasked as a point man on the issue.

"I believe it's going to be very clear at some point very soon that there are not 60 votes for the current provision in the bill, and that the leader and the leadership are going to have to make a decision and I trust that they will figure out how to do that," Landrieu told reporters.

Landrieu has been in negotiations with a number of centrist senators about a compromise that would eliminate the public option, except in states where insurance remains unaffordable. Interestingly, though, Schumer is playing a big role in that process.

Read more »

Mary Landrieu

Landrieu To Vote For Health Care Debate

Brian Beutler | November 21, 2009, 12:30PM

Sen. Mary Landrieu (D-LA)

The suspense has lifted. Sen. Mary Landrieu (D-LA) will announce on the Senate floor this afternoon that she will vote to debate health care legislation.

When she does, she will join her colleague Sen. Ben Nelson (D-NE), another conservative Democrat, in the "yes" column. The lone holdout at this point is Sen. Blanche Lincoln (D-AR), who has yet to publicly announce her intentions.

Health Care

White House Keeping Close Watch Over Health Care Debate

Christina Bellantoni | November 21, 2009, 12:15PM

Pres. Barack Obama

A White House source tells TPMDC they are "monitoring" today's Senate debate, but wouldn't tip off whether President Obama is making last minute phone calls to the holdout Democrats.

Volunteers with the DNC's Organizing for America are flooding Senate switchboards, and as we noted earlier, Sarah Palin is asking her fans to make calls and help "KILL THE BILL tonite."

The White House also is pushing back on critics who blast the health care bill as too long.

Communications director Dan Pfeiffer wrote on the White House blog late last night: "Since some opponents of reform seem too obsessed with the length of the Senate health insurance reform bill to even bother looking at what's in it for American families, we thought we'd make it a little easier for them to find some key of provisions they're working so hard to kill."

He highlights eight elements of the bill the White House likes the most.

Read Obama's statement of administration policy on the Senate bill here.

Late Update: The president can't be watching too closely - Obama is golfing this afternoon.

Abortion

Stupak Fires Back At GWU Study, Says Abortion Amendment No Big Thang

Brian Beutler | November 21, 2009, 11:16AM

Rep. Bart Stupak (D-MI)

Rep. Bart Stupak (D-MI) takes issue with a George Washington University study, which found that his anti-abortion amendment to House health care legislation would ultimately cause insurance companies to stop covering abortions altogether.

"The idea that insurers will stop providing abortion services because of the Stupak-Ellsworth-Pitts amendment is nothing more than speculation," Stupak says, in a statement to TPMDC. "There is no language in this amendment that in any way prohibits private health insurance companies from offering these services."

To the contrary, the amendment clearly states, "nothing in this section shall restrict any nonfederal QHBP offering entity from offering separate supplemental coverage for abortions for which funding is prohibited under this section." The language in Stupak-Ellsworth-Pitts is completely consistent with Hyde language, which in its 30 years of existence has not inhibited private health insurers from offering abortion services. There is no reason to believe a continuation of this policy would suddenly change that.

It should also be pointed out that the Federal Employee Health Benefit plan, with more than 8 million members, does not allow abortion coverage. Yet the companies that offer abortion free plans to federal employees also offer plans with abortion coverage to private individuals. Given insurance companies are already offering separate plans with and without abortion coverage it seems unlikely it will be a significant hardship to continue to do so on the Exchange.

The GWU study concluded that insurance companies would respond to the abortion restrictions in the Stupak amendment by whittling down abortion coverage over time until they stop offering it altogether--a business decision not strictly mandated by the legislation itself, but the impact would be the same. .

David Broder

Reid Slams Broder As A Retiree Who 'Writes A Column Once In A While'

Brian Beutler | November 21, 2009, 10:47AM

Senate Majority Leader Harry Reid may have just endeared himself to liberal bloggers across the land. This morning, he took some heat from Minority Leader Mitch McConnell (R-KY), who cited a Washington Post column to attack health care reform:

"In tomorrow's Washington Post, David Broder, their distinguished senior columnist, certainly not a political conservative, expresses his reservation as a citizen about the steps that we could be about to take," McConnell said.

Reid couldn't have been less impressed. "To focus on a man who has been retired for many years and writes a column once in a while is not where we should be."

No doubt the most hilarious moment of the day. But...sour grapes?

Late update: You want video? I got video!

Health Care

Senate Debates Historic Health Care Bill

Brian Beutler | November 21, 2009, 10:14AM

Sen. McConnell (R-KY) Sen. Reid (D-NV)

We'll be following today's proceedings live from the U.S. Capitol, gavel-to-gavel. Check in all day for breaking updates.

Read more »

Tea Party

Tea Partiers Admit Defeat In Health Care Fight?

Evan McMorris-Santoro | November 21, 2009, 12:29AM

TPMDC just obtained an extraordinary email from inside the Tea Party Patriots movement. As the Senate prepares to open debate on a health care reform bill tomorrow, tea partiers appear to be admitting defeat in their push to stop reform and are promising a "change in tactics" movement leaders say will appease the "outrage and frustration" among tea partiers over the movement's failure to stop a Democratic health care bill from moving forward on a path to final passage.

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Health Care

Senate Switchboards On Fire As Health Care Calls Flood Zone

Christina Bellantoni | November 20, 2009, 6:48PM

Women at a switchboard

We've heard all day about senate offices getting flooded with phone calls about the upcoming vote on the health care bill tomorrow.

As we reported earlier, Organizing for America is doing a call blast urging supporters to ask their senators to back the first procedural vote to start debate. Republicans also have been working the phones to ask senators to block the bill.

An aide to a Senate Democrat tells TPMDC their boss' phone rang so frequently today, the lines were busy for hours.

The calls "continued to fill our voicemail box over and over again," the aide said.

The overflow prompted another flood of calls to state offices. The majority of calls to this senator, who already supports the legislation, were in favor of the bill.

Health Care

Obama Administration: We (Heart) Senate Health Care Bill

Christina Bellantoni | November 20, 2009, 5:59PM

Pres. Barack Obama and Sen. Harry Reid (D-NV)

The White House has released a statement of administration policy about the Senate health care bill that will receive its first test vote tomorrow.

If the headline above sounds familiar, so does the statement. They released a very similar one before the House health care vote earlier this month.

"They have forged a strong consensus that represents an historic step forward," the administration said of both the House and Senate bills.

Each statement talks about the bill being "the product of unprecedented cooperation and countless hours of hard work by Members of the Senate who share the President's conviction that the Nation cannot wait another year for health insurance reform."

The biggest difference - the statement on the House talked about its strong public option.

The Senate statement lauds that the bill "includes important health care delivery system and insurance reforms and cost-containment initiatives, and it would extend the solvency of Medicare's hospital insurance trust fund."

Statement in full after the jump.

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Ben Nelson

Tomorrow's Health Care Vote: A Cheat Sheet

Brian Beutler | November 20, 2009, 5:40PM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

With Ben Nelson now in the "yes" column, there are now two known Democratic hold outs on tomorrow's health care vote: Sen. Mary Landrieu (D-LA) and Sen. Blanche Lincoln (D-AR).

Landrieu told reporters today that she'll likely make an announcement tomorrow morning. Lincoln, on the other hand, has been unreachable, and it's unclear if, or when, she'll announce her intent publicly before the vote, which will come at 8 p.m. tomorrow night.

It's probably a safe guess that, if at the end of the day, there's something standing between Senate Majority Leader Harry Reid and 60 votes on the motion to debate to his bill, he won't hold the vote. As unlikely as that is, here are the potential hangups.

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Chuck Schumer

Is Chuck Schumer Taking Temperature On Carper's Public Option Compromise?

Brian Beutler | November 20, 2009, 5:15PM

Sen. Chuck Schumer (D-NY)

I'd missed this before, but check out what Sen. Mary Landrieu (D-LA) told reporters last night about conservative Democrats' push for something like a public option trigger mechanism.

"Senator Carper has been trying to help forge a compromise and I'm very proud of his efforts, and he's still at work, I understand, on that, so is Senator Schumer. They've been trying to negotiate this compromise among the various factions for a while and I think actually we're getting closer. We're not there yet. But we're a lot closer than we were two months ago, where it was just a logjam."

Schumer's name, in this context, is interesting. It's possible that she simply means Schumer is talking to all parties, trying to get everybody on the same public option page as he has been for months. But it certainly sounds like she's saying he's taking the caucus' temperature on this Carper compromise, which I outlined here.

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Tea Party

Tea Partiers Plan Anti-Cloture Vote Rally In D.C. Tomorrow

Evan McMorris-Santoro | November 20, 2009, 4:09PM

The Tea Party Patriots just issued an urgent plea to followers across the country in advance of tomorrow's procedural vote on a health care reform package in the Senate. The group is calling on Tea Partiers across the country to "Converge on the Capitol" tomorrow at 1 p.m. for yet another protest rally opposing reform.

"It's not too late to kill the bill," the Tea Party Patriots "National Coordinator Team" wrote in an email sent to supporters this afternoon.

Read more »

Health Care

Sen. Landrieu Remains Undecided On Eve Of Test Health Care Vote

Christina Bellantoni | November 20, 2009, 4:04PM

Sen. Mary Landrieu (D-LA)

Several conservative Democrats have signaled they will vote with the party to bring the health care bill to the Senate floor for debate, but Sen. Mary Landrieu is still on the fence.

TPMDC's Brian Beutler is on the scene at the Department of Health and Human Services, where Landrieu (D-LA) joined an Adoption Day event.

"I haven't made a final decision, because I literally have been...reading the bill, and that's going to continue 'til about 6 or 7 tonight, and then after I have all the information in front of me I'm gonna make a final decision."

Landrieu said she had been leaning against voting "yes" on the motion to proceed until a meeting with Majority Leader Harry Reid yesterday, which tilted her into "neutral" territory.

She said she will likely release a statement regarding her final decision in the morning.

Health Care

With Reid's Support Wyden And Baucus To Cosponsor 'Free Choice' Amendment

Brian Beutler | November 20, 2009, 2:33PM

Sen. Ron Wyden (D-OR), Sen. Harry Reid (D-NV), Sen. Max Baucus (D-MT)

If this amendment passes, it could significantly change--and most experts would say improve--the Senate health care reform bill.

As part of an agreement hashed out at the end of the Finance Committee mark up process, Sen. Max Baucus (D-MT) and Sen. Ron Wyden (D-OR) will join forces to amend the Senate health care bill with Wyden's "Free Choice Act." If it can attract 60 votes, it would give low- and middle-class Americans with employer-provided insurance the option of purchasing subsidized insurance in the exchanges.

Baucus and Wyden have the support of Senate Majority Leader Harry Reid (D-NV).

"Senator Wyden has worked tirelessly to reform our health system, and I am pleased to have his support for the Patient Protection and Affordable Care Act," Senator Reid said. "I will support the inclusion of his proposal for workers whose employer coverage is unaffordable but are not able to access the exchange."

Sixty is a tough climb. It would have likely been impossible under the original terms of the Wyden amendment, which would have opened the exchanges up to everybody. This is a scaled down version of that, and it will be a hard amendment for Democrats to vote against.

Health Care

Tag Team: Obama, Biden, Interest Groups Push On Health Care

Christina Bellantoni | November 20, 2009, 2:24PM

OFA Organizers Mitch Stewart and Jeremy Bird

The White House, Democratic National Committee and pro-health care groups are going full force to build support in advance of tomorrow test vote on the Senate health care bill.

President Obama had nothing on his public schedule following a return from his 8-day trip to Asia, and administration sources said they believe he and the White House team are pushing senators to at least vote to bring the bill to the floor. So far, they've had good news today as conservative Democrats agree to that first step.

Vice President Joe Biden, who is celebrating his 67th birthday home in Delaware today, has been on the phone with lawmakers to bend their ears and ask for their support on the health care bill.

The DNC used the Obama Twitter feed today to urge: "The senate has unveiled an excellent health reform bill. Call your senators and ask them to move forward."

Organizing for America is asking supporters to phone Senate Majority Leader Harry Reid and Minority Leader Mitch McConnell, and OFA volunteers showed up yesterday on Capitol Hill when Reid released the bill.

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Blanche Lincoln

OOPS! Durbin Walks Back Statement Suggesting Lincoln's Health Care Vote Is In The Bag

Brian Beutler | November 20, 2009, 12:28PM

Earlier today, Senate Majority Whip Dick Durbin (D-IL) told reporters that Sen. Blanche Lincoln (D-AR)--a vulnerable incumbent, and a key health care swing vote--had confided in Majority Leader Harry Reid that she'd made up her mind about tomorrow's test vote on health care reform.

That must've touched off some nerves, because he's now issued a statement walking back that contention.

"In a conversation with reporters earlier today, some of my remarks regarding Senator Lincoln were unclear and have been incorrectly interpreted," Durbin's statement reads. "Let me be clear: Senator Lincoln has had a number of conversations with Sen. Reid about the health care reform legislation. She has asked important questions and there has been a positive and healthy give and take. But Sen. Lincoln has not yet signaled her intention as to how she will vote on tomorrow's cloture motion."

Back on the fence, I guess? You can read the entire statement below the fold.

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Ben Nelson

Nelson: Let's Debate This Health Care Bill

Brian Beutler | November 20, 2009, 12:13PM

Sen. Ben Nelson (D-NE)

Sen. Ben Nelson (D-NE) just announced that he will vote yes tomorrow on a motion to proceed to debate on Senate health care legislation, though he says he will filibuster the bill if parts of it are not tailored to his liking during the amendment process.

"This weekend, I will vote for the motion to proceed to bring that debate onto the Senate floor," Nelson says. "The Senate should start trying to fix a health care system that costs too much and delivers too little for Nebraskans."

"In my first reading," Nelson said, "I support parts of the bill and oppose others I will work to fix. If that's not possible, I will oppose the second cloture motion--needing 60 votes--to end debate, and oppose the final bill.

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Blanche Lincoln

Reid Knows How Lincoln Will Vote On Early Health Care Test Vote

Brian Beutler | November 20, 2009, 11:30AM

Sen. Blanche Lincoln (D-AR)

What will Sen. Blanche Lincoln (D-AR) do tomorrow? Perhaps Harry Reid knows.

"She's told Senator Reid," Sen. Minority Whip Dick Durbin (D-IL) told reporters after a Friday press conference. "You will have to ask Senator Reid."

Reid has zero margin for error tomorrow, and it's difficult to imagine he would move forward if he knew Lincoln planned to vote "no." A very telling sign in.

Of all the health care reform fence-sitters in the Democratic party, Lincoln is the only one that faces re-election next year, and her prospects don't look particularly good. As a result, pinning down her intentions has been particularly difficult. But in a coup, Congress Daily caught up with Lincoln yesterday, and she hinted that she may be on board herself.

"Without a doubt [Reid] has always stressed ... that you gotta believe in a little bit of the process," Lincoln said. "That's what we're here for. I mean, certainly knowing that not all 100 of us are going to agree on anything, you gotta be able to depend a little bit on the process. It gives you an opportunity to make the case and move things forward."

Lincoln stressed, of course, that she has to finish reading the bill before making up her mind, but said she'd announce her intentions publicly before the vote.

Organizing for America

Like An '08 Flashback: OFA Targets Sarah Palin As 'Dangerous'

Christina Bellantoni | November 20, 2009, 10:30AM

Fmr. Gov. Sarah Palin, Sen. John McCain (R-AZ)

Organizing for America, the DNC's campaign arm set up to support President Obama's agenda, has a familiar target today: Sarah Palin.

Mitch Stewart, OFA's director, told supporters in an email just now they need help to raise "$500,000 in the next week to push back against Sarah Palin and her special interest allies."

His argument is that Palin's "lies" about health care are "widely covered by the media, then constantly echoed by right-wing attack groups and others who are trying to defeat reform." He uses her death panels meme as an example.

In his book "The Audacity to Win," Obama campaign manager David Plouffe said he was shocked that Palin was such a good fundraising driver for the team.

He writes that he looked at the online fundraising numbers a few hours after Palin made her big debut at the Republican National Convention going after Obama as his only experience being a community organizer.

"I couldn't believe what I saw," Plouffe wrote.

More from the book:

"We had taken in millions of dollars in the three hours since Palin had started speaking. We hadn't even asked for most of it; we had sent out just a single unplanned fund-raising email highlighting her attacks on community organizers, but it was just starting to hit people's in-boxes as I checked the numbers. So the big response from the last three hours meant people were merely venting via contribution. Her speech might have ginned up their base, but apparently it had sent ours into orbit."

He said he thought, "I hope she keeps this up. Sarah Palin has now become our best fund-raiser."

Sounds like that hasn't changed much.

Stewart's email from today after the jump.

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Health Care

Though Still Undecided, Landrieu Looks Ahead To Health Care Debate

Brian Beutler | November 20, 2009, 9:53AM

Sen. Mary Landrieu (D-LA)

Sen. Mary Landrieu (D-LA) spoke to reporters last night about her intentions going forward on health care reform. I wasn't present, but a colleague passes along the audio. The short version is, Landrieu is still uncommitted on tomorrow's test vote on the motion to proceed, but she's looking forward to changing the bill (particularly the public option) on the floor, indicating she doesn't imagine the bill will falter at this stage.

"I have leverage now, I'm using it to the best of my ability, I'm going to use it on the Senate floor," Landrieu said. "I have people voting for me who are liberal Democrats, independents, conservative Democrats, and some moderate Republicans. I understand what my base is. My base is very broad."

And in that spirit, Landrieu says that even if her vote is there tomorrow, it won't necessarily be there down the line.

"The other thing that remains a concern to me is the shape of this public option," she says. "We have made a lot of progress taking it from a robust, government run [plan] to now something that is more mainstream, more narrow, more private sector oriented, I'd like to take it a step or two even further. So that will be debated on the floor. And if it's not done that way, maybe my vote's not there at the end."

Ben Nelson

Landrieu, Nelson Win Goodies As Reid Seeks Their Vote On Reform

Brian Beutler | November 20, 2009, 9:27AM

Sen. Mary Landrieu (D-LA), Sen. Ben Nelson (D-NE)

Sen. Mary Landrieu's state of Louisiana is still ailing years after Hurricane Katrina devastated its largest city. So Senate Majority Leader Harry Reid could be killing two birds with one stone by including in his health care bill $100 million in federal Medicaid aid for any states (aka, Louisiana) that have suffered a natural disaster in the last seven years. That's much needed help for the poor in Louisiana, and also a sweetener for Landrieu, whose support for health care reform has never been terribly certain.

That appears to be a more justifiable offer from Reid than a separate concession to Sen. Ben Nelson (D-NE), another health-care fence sitter. In a move that appears designed to win Nelson's initial procedural votes, Reid decided not to include a measure ending anti-trust exemptions for the insurance industry.

Reid originally fought hard to lift the exemption, even testifying before the Senate Judiciary Committee on the need to end insurance companies' monopolistic practices. But his decision may be paying political dividends, as Nelson inches toward supporting a key health care test vote on Saturday.

The only remaining question: What's in it for Arkansas?

AR-SEN

HCAN: Health Care Swing States Want An Up-Or-Down Vote On Reform

Brian Beutler | November 20, 2009, 9:13AM

Sen. Mary Landrieu (D-LA), Sen. Ben Nelson (D-NE)

Congressional procedure can be confusing even for politicos, but the reform campaign Health Care for America Now has boiled it down. The group has distributed polling data to its largest member organizations indicating that voters in key swing states believe health care shouldn't be stymied by procedural supermajority requirements in the Senate.

The polls were taken in Nebraska, Louisiana, and Arkansas, home of reform skeptics Ben Nelson, Mary Landrieu, and Blanche Lincoln, don't believe their senators should kill reform by voting with Republicans to block either a debate or a vote on the bill.

"In the Senate, before a bill can be voted on, there must be a vote to allow it to be debated," reads the first survey question. "Regardless of whether you support or oppose the health insurance reform plan itself, do you believe that it should be debated on the floor of the Senate?"

In all states, voters overwhelmingly said the Senate health care reform bill should be debated on the floor. Nebraska: 88-9, Louisiana: 82-9, Arkansas: 84-11.

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Health Care

Coburn Drops Demand For Health Care Bill To Be Read Aloud, In Exchange For Day-Long Debate Saturday

Brian Beutler | November 19, 2009, 6:02PM

Sen. Tom Coburn (R-OK)

The headline pretty much says everything you need to know. Senate Republicans, led by Sen. Tom Coburn (R-OK) had been threatening to require that the entire 2000-plus page health care bill be read aloud on the Senate floor once it overcomes its first major procedural hurdle. Now, I've confirmed that the Republicans have agreed to back off this plan in exchange for Democrats allowing a full-day's debate on Saturday, before the scheduled evening vote.

Also, and importantly, as part of a unanimous consent agreement, the Saturday vote will serve as the motion to proceed itself. If there are 60 votes on Saturday, the bill will be on the floor, and debate can begin.

Happy Saturday!

Blanche Lincoln

Poll: Blanche Lincoln Could Lose In 2010 If She Supports Health Care Bill

Eric Kleefeld | November 19, 2009, 5:11PM

Sen. Blanche Lincoln (D-AR)

A new Zogby poll suggests that Sen. Blanche Lincoln (D-AR) could seriously endanger her 2010 re-election by supporting the health care bill.

In initial match-ups, Lincoln leads state Sen. Gilbert Baker by 41%-39%, within the ±4.5% margin of error, and has a healthier lead of 45%-29% over state Sen. Kim Hendren.

In a series of follow-up questions, respondents were then asked how they would feel if Lincoln supported the bill. In a new match-up with Baker, Lincoln's previous edge of 41%-39% turns into a Baker lead of 49%-37%.

Abortion

Flip Flop? Republicans Attack Reid's Abortion Language Even Though Gang Of Six Endorsed It

Brian Beutler | November 19, 2009, 5:08PM

Sen. Olympia J. Snowe (R-ME)

Earlier today, I had an interesting exchange with Sen. Olympia Snowe (R-ME) about the abortion language in the Senate health care bill. She seemed to think Harry Reid made the right call--that the provision is similar in many ways to the provision passed by the Senate Finance Committee, which she supported. Interestingly, though, she also said the notorious Group of Six health care negotiators--including staunch conservatives Chuck Grassley and Mike Enzi--also thought that language was acceptable.

"We discussed that for an extensive period of time within the Group of Six and what approach to take that would work, and be consistent, with codifying current law, and we thought that the approach that was embraced in the Senate Finance Committee did that."

Now, of course, Republicans are all up in arms. I asked Snowe whether Grassley and Enzi believed at the time that Reid's approach--segregating federal and private funds to prevent tax payer dollars from financing abortion--was sufficient.

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Health Care

Dems Push Back On GOP Claims: Abortions Not Covered

Christina Bellantoni | November 19, 2009, 4:56PM

Sen. Harry Reid (D-NV)

Democrats are jumping all over House Minority Leader John Boehner's claim the Senate health care bill includes an abortion "fee."

The DNC added the remark to its rapid response blast, and Senate Majority Leader Harry Reid's office sends word (again) that nothing in the bill mandates abortion coverage.

Reid's office says "no one will be forced to enroll in a plan that covers abortion services," and the bill requires each state's public plan make available at least one plan that won't cover abortion, a guarantee that pro-life customers can buy a policy that does not offer abortion coverage. (That guarantee doesn't currently exist.)

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Health Care

Snowe, Carper In Discussions About Trigger-Like Amendment

Brian Beutler | November 19, 2009, 4:48PM

Sen. Olympia Snowe (R-ME)

This afternoon, I asked Sen. Olympia Snowe (R-ME) whether she'd been looped in on an idea, floated recently by Sen. Tom Carper (D-DE), to tweak her proposal to affix a public option to a trigger mechanism. Indeed she and Carper have discussed his plan, but she remains pessimistic that it'll ever be adopted.

"Tom and I have been working on it, we've had discussions and so on, but, you know, we haven't got down in concrete terms, and he'd like to have my affordability language and so on," Snowe said. "But nevertheless it's still going to require 60 votes so I don't know when that would happen, and frankly I would have preferred that to happen at the outset of this process, rather than going through this convoluted procedural gymnastics."

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John Boehner

DNC Responds To Boehner 'Monthly Abortion Premium' Claim, Would Like To Believe He Won't Say It Again...

Eric Kleefeld | November 19, 2009, 4:29PM

House Minority Leader John Boehner

The Democratic National Committee released a rapid response to House Minority Leader John Boehner (R-OH), who claimed that the Senate Democratic health care bill would result in Americans paying a "monthly abortion premium."

The response cites various media outlets that have fact-checked and/or debunked the claim that the Democratic bill would pay for abortions: "With such clear evidence to the contrary, we'd like to believe that this is the last time we'll hear this scare-tactic from Boehner and the Party of NO... but since all Republicans have to offer are more lies, we're not counting on it."

Filibuster

UPDATE: Reid Files Cloture, First Floor Vote On Senate Health Care Bill Saturday, 8 PM

Brian Beutler | November 19, 2009, 4:23PM

Sen. McConnell (R-KY) Sen. Reid (D-NV)

UPDATE: Senate Majority Leader Harry Reid just filed for cloture on the motion to proceed to debate on his health care bill. That pretty much seals it. Unless conservative Democrats take a very public stand by voting "no," the bill unveiled yesterday will be the bill the Senate hashes out on the floor.

The Senate will be in session this Saturday evening, ahead of a scheduled 8 pm cloture vote on the motion to proceed to debate historic health care legislation, TPMDC has learned. Assuming Majority Leader Harry Reid has the 60 votes he needs to leap that hurdle, Democrats will likely have to eat up 30 hours before they can hold the actual vote--at a 51-vote threshold--on the motion to proceed itself. Still with me?

Doing some math, that means the bill won't be cleared for debate and amendments and so forth until, at the earliest, 2 am Monday morning. Even if that happens, the bill will likely have to be read aloud (another two day process) so we're still looking at debate in earnest after Thanksgiving recess.

And since nothing says Saturday night like Senate cloture votes on procedural motions, we'll bring you all the action live.

Abortion

Nebraska Republican: A Vote To Proceed Is A Vote For Abortion

Brian Beutler | November 19, 2009, 2:42PM

Sen. Ben Nelson (D-NE) better have a chat with his friends on the other side of the aisle.

At a press event this afternoon, Republicans lambasted the Senate health care bill for not adopting the language in the House's Stupak amendment, and reiterated their point that a vote to proceed to debate may as well be a vote for abortion.

"This first vote is the key vote," Nelson's Nebraska colleague, Sen. Mike Johanns, told reporters today.

That statehood camaraderie isn't likely to be lost on Nelson, who will soon have to decide whether to vote to allow the bill to proceed to debate. Nelson has gone to great lengths to distinguish this early procedural votes for more consequential votes down the line. But he says he still hasn't decided what his next move is, and isn't too pleased with the abortion provision in the Senate health care package.

Health Care

GOP Claims Senate Bill Forces Taxpayers To Pay 'Abortion Fee'

Christina Bellantoni | November 19, 2009, 2:39PM

House Minority Leader John Boehner (R-OH)

House Minority Leader John Boehner's office has posted a long statement blasting the Senate health care plan, specifically targeting the abortion provisions with an accusation it levies an "abortion premium fee."

As we have been reporting, abortion has been a major negotiating point, though the Senate version of the health care bill seems to be winning approval from pro-choice lawmakers today.

Boehner (R-OH) claims on his blog that "a monthly abortion premium will be charged of all enrollees in the government-run health plan" under Senate Majority Leader Harry Reid's plan.

The GOP office says:

"It's right there beginning on line 11, page 122, section 1303, under 'Actuarial Value of Optional Service Coverage.' The premium will be paid into a U.S. Treasury account - and these federal funds will be used to pay for the abortion services. ... The Commissioner must charge at a minimum $1 per enrollee per month.

We've asked senate officials for a response and will update when we hear back.

After the jump, the language from page 122 (and more) of the bill related to abortion. Read the bill in full here.

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Abortion

Senate Abortion Provision Wins Support Of Key Pro-Choice Democrats

Brian Beutler | November 19, 2009, 1:54PM

Rep. Diana DeGette (D-CO)

We now have much more clarity on how the abortion provision in the Senate health care bill will work, and it's won the support of both senior administration officials, pro-choice Senators, and the co-chair of the House pro-choice caucus.

"I am pleased that the U.S. Senate has maintained current law when addressing the abortion issue," says Rep. Diana DeGette (D-CO) in a statement to reporters. "By adopting a common-sense abortion provision, the U.S. Senate ensures that no federal funds will be spent on abortion coverage while not further restricting a woman's right to choose. The health care bill is about providing access to quality health care to over 36 million Americans. I encourage the U.S. Senate to work towards producing a bill that works for everyone."

DeGette included a breakdown of the Senate's abortion provision, which I've included below the fold. One of the key sections reads, "Issuers of health insurance plans that offer coverage for abortion beyond those permitted by the Hyde amendment must segregate from any premium and cost-sharing credits an amount of each enrollee's private premium dollars that is determined by the Secretary to be sufficient to cover the provision of those services."

Which is a fancy way of saying insurers will have to set up an accounting system to keep private money separate from federal money, and only draw upon the private money when paying providers for abortion. Compare that to the Stupak amendment to the House bill, which both requires separation of funds, but also prevents women who receive federal premium assistance from purchasing policies that cover abortion, and it's no wonder Harry Reid's compromise is being met with praise by pro-choice members.

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Filibuster

Reid On Passing Health Care: 'I'm Not Using Reconciliation'

Brian Beutler | November 19, 2009, 1:30PM

Senate Majority Leader Harry Reid (D-NV)

Yesterday, I asked Sen. Ben Nelson (D-NE) what he and other moderates had heard from Senate Majority Leader Harry Reid at an impromptu afternoon meeting about health care reform. Nelson said Reid "talked about process, procedure, discussion about reconciliation and a whole host of issues of that sort."

Reconciliation is a complicated legislative process that would allow Reid to pass some version of reform without having to contend with a filibuster. "Nobody's really jumping up and down to push for reconciliation," Nelson added, "he's not threatening that, but anybody can conclude that if you don't move something on to the floor, that is one of the possibilities."

Today, at an event celebrating the unveiling of his health care bill, I asked Reid what specifically he'd said to Nelson--along with Sens. Blanche Lincoln (D-AR) and Mary Landrieu (D-LA)--about reconciliation. His answer left no wiggle room: "I'm not using reconciliation," he said.

Health Care

DeParle: Reid's Abortion Provisions Are 'In The Middle,' 'Status Quo'

Christina Bellantoni | November 19, 2009, 1:29PM

Sen. Majority Leader Harry Reid (D-NV)

White House health care "czar" Nancy-Ann DeParle spoke with reporters this afternoon lauding the historic steps Congress has taken toward passing health care and to outline the next steps.

As we just reported, DeParle lauded Sen. Blanche Lincoln, a possible Democratic holdout on the procedural vote.

Reporters also asked about the provisions related to abortion, and both aides dodged the question by saying the issue was working its way through Congress and noting members are talking amongst themselves.

President Obama last week said he doesn't support the Stupak amendment, saying it was a health care, not an abortion bill, and DeParle took that a step further today.

DeParle signaled she prefers the Reid approach, saying the majority leader "carefully" worked on the issue and not mentioning the Stupak amendment.

Read more »

Health Care

White House Heaps Praise On Sen. Lincoln's Contributions To Health Care

Christina Bellantoni | November 19, 2009, 12:56PM

Director of the Office of Health Care Reform Nancy-Ann DeParle, Senator Blanche Lincoln (D-AR)

The White House is going for the attract 'em with honey strategy, heaping praise on some of the holdouts in the battle to get a health care reform bill passed.

Sen. Blanche Lincoln has been "and important and constructive player in this process and has made this a much better bill in this process," White House Communications Director Dan Pfeiffer said when asked on a conference call about where the conservative senator is leaning.

"She was a stalwart in working to protect seniors and taxpayers," White House health care czar Nancy-Ann DeParle chimed in.

They each said Lincoln (D-AR) was instrumental in improving the early version of the bill when it was clearing the Senate Finance Committee.

DeParle said Lincoln "was up there fighting" to get the Elder Justice Act included in the bill and said she saved taxpayers $600 million by capping tax deductions for CEO pay.

"That is huge that she got it in the bill," DeParle said.

Read more »

Nancy Pelosi

Pelosi Says Stupak 'Goes Beyond Status Quo', 'Optimistic' It Won't Stop Reform

Evan McMorris-Santoro | November 19, 2009, 11:50AM

House Speaker Nancy Pelosi

Speaker Nancy Pelosi said she's feeling positive that a controversial abortion amendment found in the House-passed health care bill won't derail reform if and when a bill leaves the Senate.

"I'm optimistic we'll find common ground," she told reporters this morning. "This is not a bill about abortion, this is a bill about health care."

The Senate reform package which made its debut last night doesn't contain the Stupak Amendment language found in the House bill. In her first public comments on the controversy the amendment has created among members of her caucus on both sides of the abortion debate, Pelosi said she sides with pro-choice advocates who say the language in Stupak goes too far.

"Stupak goes beyond maintaining the status quo" on abortion funding, Pelosi said.

Read more »

Ben Nelson

Will Concessions, And A Trim CBO Score, Appease Conservative Democrats On Health Care?

Brian Beutler | November 19, 2009, 11:37AM

Sen. Mary Landrieu (D-LA), Sen. Ben Nelson (D-NE)

Conservative Democrats couldn't have asked for better top-line numbers from the CBO on Senate health care legislation. Low total cost, big long-term deficit reductions, millions insured, and a public option that insures perhaps one percent of the population. But is that enough to actually cool their heartburn?

Well, yes and no.

"Listen, anytime you add more to deficit reduction, you have to say that it's a move in the right direction," Sen. Ben Nelson (D-NE) told reporters yesterday. "So there's no doubt...that clearly would be one [area of improvement]--but again you have to have a lot of faith and trust in the scoring system."

Nelson cautioned that the CBO numbers released yesterday are preliminary, and subject to some uncertainty, but basically applauded the bill for being fiscally responsible.

But is that what's really driving the moderates' skepticism?

Read more »

Health Care

Clearing The Way: Sen. Bayh Says He'll Bring Health Care Bill To Floor

Christina Bellantoni | November 19, 2009, 10:37AM

Sen. Evan Bayh (D-IN)

Sen. Evan Bayh (D-IN) has pledged to vote to bring the health care bill to the floor, a procedural hurdle that would allow the Senate to start debating the $849 billion plan.

Without promising he'd back the final plan, Bayh told the Hill newspaper he would support the first cloture motion that Senate Majority Leader Harry Reid files. Several conservative Democrats had suggested they might vote against that, and Republicans have threatened to use those procedural votes as political fodder.

Bayh said:

"At the end of the process, I'll avoid the Washington two-step of voting to go forward but then voting against the final bill. But this is just a starting point, so at this point I do think there's a difference."

He joins Sen. Ben Nelson (D-NE), who suggested yesterday he would do the same.

Health Care

Can States Opt Out Of The Public Option Immediately?

Brian Beutler | November 19, 2009, 9:22AM

Sen. Harry Reid (D-NV)

When Senate Majority Leader Harry Reid first announced that he'd chosen to include a public option with an opt-out provision in his health care bill, he suggested that states would be required to offer the government insurance plan for a year before opting out. Well, it appears as if he's dropped that requirement.

In general, the bill reads, "A State may elect to prohibit Exchanges in such State from offering a community health insurance option if such State enacts a law to provide for such prohibition." Separately, if a state opts out, they can also opt back in, if they repeal the law they used to opt out. But one of the key selling points of the opt out provision to liberals is that states wouldn't be able to opt out until after the public option became somewhat entrenched. We're looking for more guidance on this, but it seems as if that entrenchment period is gone.

Health Care

No Public Option Or Mandates Until 2014 Under Senate Bill, But There Are Some Early Goodies

Brian Beutler | November 19, 2009, 9:07AM

Rep. Nancy Pelosi (D-CA) with Sen. Harry Reid (D-NV)

For liberals, one of the most frustrating aspects of health care reform is that the most tangible goodies (the exchanges, and, within the exchanges, the public option) won't be available to the public for years. In the House bill, the main structural changes to the health care system--including the exchanges/public option, mandates, taxes, and the Medicaid expansion--go into effect in 2013. Under the Senate bill, they take until 2014.

But there are some aspects of the bill that would take effect right away if the bill became law as is. For instance, the Senate bill would immediately ban insurance companies from imposing annual and lifetime caps on benefits, and would make it illegal for them to cancel people's policies (a practice called rescission) except in cases of fraud.

There's more, too, and we'll bring you a fuller set of details later today.

Health Care

Harkin On Senate Bill: 'We've Rounded Third Base And We're Heading To Home'

Evan McMorris-Santoro | November 19, 2009, 8:40AM

Sen. Tom Harkin (D-IA)

Sen. Tom Harkin (D-IA) says that the health care reform bill Democrats presented in the Senate last night has what it takes to turn the months-long legislative fight into a home run for reform advocates.

"To put it in baseball terms, we've rounded third base and we're heading to home," Harkin told MSNBC's Rachel Maddow last night. "No member of our caucus is going to want to be the one person that stops us from getting to home plate."

"I believe now that the team is together," he added. "And our team is going to hold together and we'll have those 60 votes to move ahead."

Harkin said that the Senate bill is a "reasonable compromise" for health care progressives like him and he called on Democrats to remain unified through the rest of the legislative process.

Read more »

Health Care

Health Care Reactions Expected To Dominate Capitol Hill Today

Christina Bellantoni | November 19, 2009, 7:45AM

United States Capitol

It's a big day for health care and the reactions will be flooding the zone today.

Senate Majority Leader Harry Reid revealed his health care bill last night, with a $849 billion price tag. He's holding a big event at 12:15 at the Capitol Visitors Center (and the White House is reacting via a noon conference call).

Speaker Nancy Pelosi is holding her weekly press conference at 11 on Capitol Hill, Minority Leader John Boehner will talk about health care at 11:45.

Republican Sens. Judd Gregg and Lamar Alexander are briefing reporters this afternoon.

Volunteers from Organizing for America and pro-reform groups plan to attend Reid's event and show their health care spirit.

Sen. Chuck Schumer was on MSNBC this morning and predicted the bill will get the needed votes to pass.

He added, "When we get this done, poll numbers will go up."

Read more »

Abortion

National Right to Life Committee: Shame On Reid

Brian Beutler | November 19, 2009, 1:09AM

Sen. Majority Leader Harry Reid (D-NV)

The National Right to Life Committee blasts the Senate health care bill for allowing people who receive federal premium assistance to purchase insurance that covers abortion.

"Senate Majority Leader Harry Reid (D-Nv.) has rejected the bipartisan Stupak-Pitts Amendment and has substituted completely unacceptable language that would result in coverage of abortion on demand in two big new federal government programs," reads a statement from NRLC director Douglas Johnson. "Reid seeks to cover elective abortions in two big new federal health programs, but tries to conceal that unpopular reality with layers of contrived definitions and hollow bookkeeping requirements."

The key: "the bill creates new tax-supported subsidies to purchase private health plans that will cover abortion on demand."

The Stupak amendment to the House bill would prevent anybody who receives such subsidies from buying insurance that covers abortion, except in rare instances.

You can read the entire statement below the fold.

Read more »

CBO

CBO Says Higher Premiums Under Senate Public Option, 'Opt-Out' Clause Would Impact One-Third Of Consumers

Brian Beutler | November 19, 2009, 12:37AM

Sen. Harry Reid (D-NV)

The CBO has posted its first analysis of the Senate's health care bill, which you can access
here.

As advertised, the bill reduces the deficit considerably in both the near- and long-term, while expanding coverage to 94 percent of Americans. By 2019, 25 million people would be buying insurance through a health insurance exchange.

However, it's not all roses. For instance, based on an assessment of the political popularity of the public option, the CBO has concluded that enough states will "opt out" to prevent a full third of consumers from purchasing government insurance.

Read more »

Health Care

Reid Outlines Bill For Caucus, Warns Conservative Dems That Reconciliation Is Still An Option

Brian Beutler | November 18, 2009, 6:45PM

Sen. Harry Reid (D-NV) and Sen. Charles Schumer (D-NY)

At a special evening meeting of the Democratic caucus tonight, Senate Majority Leader Harry Reid outlined, in broad strokes, the details of his health care bill, which the CBO has found, in a preliminary analysis, will expand coverage to 94 percent of Americans while reducing the deficit. And earlier in the day, during a separate meeting about floor procedure, Reid let three of his party's key skeptics know that if they join Republicans at any stage of the process to block the bill, he still retains the option of passing major parts of it through the filibuster proof budget reconciliation process.

In response to a question from TPMDC Nelson told reporters that, at a meeting this afternoon with Sens. Mary Landrieu (D-LA) and Blanche Lincoln (D-AR), Reid "talked about process, procedure, discussion about reconciliation and a whole host of issues of that sort."

"Nobody's really jumping up and down to push for reconciliation," Nelson said, "he's not threatening that, but anybody can conclude that if you don't move something on to the floor, that is one of the possibilities."

Nelson said he has still not committed to vote for even the first procedural vote, but in a sign that he's leaning toward bringing a bill to the floor, he emphasized his view that the floor debate is a chance to improve the legislation. "I wanted to make it clear that that is, unlike some are suggesting, is not the vote...it's a motion to enter into the debate and possible amendments and improvements of the legislation" Nelson said. "The vote is the second cloture vote, and that is the cloture on a motion to cease debate, and I wanted that clear, because I've already begun to see people out there say, 'oh no, no, if you vote [to take it up] you've voted for health care."

Senate Minority Leader Mitch McConnell (R-KY) has explicitly stated that the Republican party will treat Democrats who vote for any procedural motion as if they've voted for the entire health care bill.

Read more »

Health Care

Obama's Campaign Arm Plans Rally For Senate Bill

Christina Bellantoni | November 18, 2009, 5:53PM

President Barack Obama

As the Senate Democrats dropped their health care bill tonight, the DNC's Organizing for America is arranging asking supporters to attend an "impromptu" rally to encourage senators to back the bill.

OFA volunteers were calling Washington, D.C.-area people on the campaign mailing list tonight asking them to show at the Capitol Visitors Center at noon Thursday.

A volunteer who called TPMDC said the goal was "just to show support for reform."

Late update: This post has been updated. A Democratic source tells us it's not an official OFA event, and said volunteers have been directing supporters to Majority Leader Harry Reid's official roll out of the health care plan.

CBO

CBO: Senate Bill Costs $849 Billion, Major Deficit Reducer

Brian Beutler | November 18, 2009, 4:52PM

Sen. Majority Leader Harry Reid (D-NV)

Democratic leadership has distributed figures to reporters from a CBO analysis of Senate health care legislation. The numbers affirm what we reported this morning--that Majority Leader Harry Reid is very pleased.

The health care bill--which includes an opt-out public option--will require $849 billion over 10 years in new spending, to be paid for with cuts to Medicare, while reducing the deficit by $127 billion.

In that time it will extend coverage to 31 million Americans--94 percent of citizens will be covered by 2019.

Over the second 10 years, CBO projects even greater cost savings--up to $650 billion, with the caveat that after 10 years, their analyses become highly uncertain.

This meets all of President Obama's goals, and, as has been the pattern during this legislative process, the Senate bill comes at a lower cost, and with greater cost-savings than the House bill, while the House bill covers more Americans.

Abortion

DeGette: Study Confirms Radical Implications Of Stupak Amendment

Brian Beutler | November 18, 2009, 2:26PM

Rep. Diana DeGette (D-CO)

I just spoke with Rep. Diana DeGette (D-CO), co-chair of the Congressional Pro-Choice Caucus, who insisted that the findings of a new George Washington University study confirm many of her suspicions about the Stupak abortion amendment.

"Certainly if it doesn't confirm my suspicions about the intent, it concerns my suspicions about the effect the Stupak amendment would have," DeGette said. "What the findings show are that women who want to purchase policies with their own money--with their own premiums--will not be able to buy insurance policies.... That's frankly the intention of the anti-choice movement now."

DeGette says she's spoken in private to many of the pro-life Democrats who voted for the Stupak amendment, some of whom have acknowledged that they didn't realize what they were voting for.

"I will say that I have spoken privately with several pro-life members about the Stupak amendment, and they acknowledged that the Stupak amendment goes far beyond where they thought it did," she told me.

Read more »

Sarah Palin

Palin Digs In On Death Panels, Also Calls For Primary Against Lindsey Graham

Eric Kleefeld | November 18, 2009, 12:22PM

Former Alaska Gov. Sarah Palin and Sen. Lindsey Graham (R-SC)

In an interview with National Review, Sarah Palin explained how "death panels" are not meant to be taken literally -- and then gave a pretty much literal description -- and also called for a Republican primary challenge against Sen. Lindsey Graham (R-SC).

On death panels:

"To me, while reading that section of the bill, it became so evident that there would be a panel of bureaucrats who would decide on levels of health care, decide on those who are worthy or not worthy of receiving some government-controlled coverage," she explains. "Since health care would have to be rationed if it were promised to everyone, it would therefore lead to harm for many individuals not able to receive the government care. That leads, of course, to death."

"The term I used to describe the panel making these decisions should not be taken literally," says Palin. The phrase is "a lot like when President Reagan used to refer to the Soviet Union as the 'evil empire.' He got his point across. He got people thinking and researching what he was talking about. It was quite effective. Same thing with the 'death panels.' I would characterize them like that again, in a heartbeat."

There are two problems here. As Dave Weigel notes, Reagan was not speaking figuratively about the Soviet Union -- they were an empire, and they were evil. But beyond that, Palin gives a literal description of a panel of bureaucrats deciding that some people won't be worthy of getting any health care.

Read more »

White House

White House Disputes Fox Report On New Breast Cancer Screening Guidelines

Christina Bellantoni | November 18, 2009, 11:53AM

Deputy White House Communications Director Dan Pfeiffer

The White House is pushing back against a Fox News report spinning the results of a new study on breast cancer screening.

White House Communications Director Dan Pfeiffer blogged a response to a Fox report suggesting "Critics See Health Care Rationing Behind New Mammography Recommendations."

Pfeiffer quoted from the report, which suggested "some lawmakers on Capitol Hill are blasting new guidelines from a government task force that recommends against routine mammographies for women under 50, questioning whether they are tantamount to health care 'rationing' in the fight against the No. 2 cancer killer in U.S. women."

His response:

Read more »

Joseph Cao

Americans United To Run Another Ad Praising GOP Rep. Joseph Cao

Eric Kleefeld | November 18, 2009, 11:31AM

Rep. Joseph Cao (R-LA)

Rep. Joseph Cao (R-LA) is getting more support for his status as the only House Republican to support health care reform -- from the pro-Barack Obama, labor-backed group Americans United For Change.

Americans United has already run an ad in support of Cao, as part of their ad campaigns praising key swing members who voted in favor of the bill. And they'll be having another one soon, too, the Hotline reports.

Cao is widely seen as a vulnerable incumbent going into 2010, having been elected in an upset against an indicted (and later convicted) Democratic incumbent in a district that voted 75% for Barack Obama.

Bart Stupak

Study: Stupak Amendment Will Eliminate Abortion Coverage 'Over Time For All Women'

Brian Beutler | November 18, 2009, 10:56AM

Rep. Bart Stupak (D-MI)

A new study by the George Washington University School of Public Health and Health Services adds some expert imprimatur to what many progressives have been saying all along: The Stupak amendment to the House health care bill--which will prevent millions of women from buying health insurance policies that cover abortion--is likely to have consequences that reach far beyond its supposedly intended scope.

The report concludes that "the treatment exclusions required under the Stupak/Pitts Amendment will have an industry-wide effect, eliminating coverage of medically indicated abortions over time for all women, not only those whose coverage is derived through a health insurance exchange."

In other words, though the immediate impact of the Stupak amendment will be limited to the millions of women initially insured through a new insurance exchange, over time, as the exchanges grow, the insurance industry will scale down their abortion coverage options until they offer none at all.

Read more »

CBO

Reid To Unveil Health Care Bill To Caucus At Evening Meeting

Brian Beutler | November 18, 2009, 9:36AM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

Senate Majority Leader Harry Reid will unveil and discuss his health care bill to Democrats at a special 5 pm caucus meeting tonight, leadership sources say. Reid hopes to brief the caucus before the bill is publicly unveiled, and that could happen late tonight. A CBO analysis of that legislation is expected to be unveiled publicly somewhat earlier in the day, and despite some last minute road bumps, Reid is very pleased with the report.

Reid may give the public 72 hours to review the bill before holding a cloture vote on a motion to proceed this weekend, though he may call for that vote slightly earlier.

Republicans, led by Sen. Tom Coburn (R-OK) are expected to call for the entire bill to be read aloud before debate can begin in earnest after the Senate returns from a week-long Thanksgiving recess at the end of the month.

Health Care

Health Care Wednesday: Biden Meeting With Reid Before CBO Score Released

Christina Bellantoni | November 18, 2009, 9:20AM

Vice President Joe Biden

Fresh off his Daily Show appearance, Vice President Joe Biden is on Capitol Hill this morning to speak privately with Senate Majority Leader Harry Reid about health care.

As we reported earlier, Biden agreed it's "baffling" that Democrats need 60 votes to get anything done in the Senate.

The health care plan is far from a sure thing in the Senate, and a first test procedural vote is expected to get debate started either Friday or Saturday.

Biden and Reid are huddling this morning, hours before Reid is expected to reveal the chamber's bill and Congressional Budget Office score to his caucus members tonight. Former Senate Majority Leader Tom Daschle and Interior Secretary Ken Salazar, a former senator from Colorado, also are reportedly attending.

Health Care

Carper: Conservative Democrats Not Likely To Support Senate Public Option

Brian Beutler | November 17, 2009, 5:22PM

Sen. Thomas Carper (D-DE)

Sen. Tom Carper (D-DE) cast serious doubt tonight on whether conservative Democrats will ultimately vote for cloture on the Senate health care bill if it retains a public option with an opt-out clause, and gave new details on yet another compromise that he says might work for them.

Carper, who voted for a public option amendment during the Senate Finance Committee proceedings, first floated his idea last week as a potential alternative, in the event that Reid's public option proposal failed to muster enough Democratic support to overcome a filibuster. Now he says he doubts the support is there.

"We're concerned that a number of centrists aren't prepared to vote for a national public plan, even with an opt-out," Carper said in response to a question from TPMDC. "We're trying to find something that addresses their concern about government run, government-funded, but still addresses the need for the affordability needs and the need for more competition in states that don't have it."

"What we're asking centrists is, What concerns do you need to have addressed so that you can vote for cloture, either to bring the bill to the floor, or to take the bill off the floor and to go to conference? And the two concerns we keep hearing over and over again: government-run, government funded."

(The opt-out plan Reid has proposed would not be government funded, though it's not clear whether it would be run directly by the government, or outsourced to a non-governmental body accountable to Congress.)

Read more »

Health Care

OFA Picks Ad Starring Children: 'I'll Die ... Because We Couldn't Afford Health Care'

Christina Bellantoni | November 17, 2009, 5:10PM

David Plouffe

Last month Organizing for America solicited homemade health care ads from supporters, and today they released the winning video.

It stars several children with health care messages, including:

"Two years from now, I'll be diagnosed with Leukemia and I'll die, because we couldn't afford health care."

and

"There are over 8 million uninsured children in America. ... We all deserve health care."

In an email asking for donations to put the ad on television, David Plouffe says the Organizing for America Health Reform Video Challenge shows "our supporters' creativity and passion is more than a match for the slick ads and partisan spin doctors on the other side."

Read more »

Health Care

Influential Economists Say Tax On Cadillac Health Care Plans Must Remain In Health Care Bill

Brian Beutler | November 17, 2009, 4:41PM

Sen. Harry Reid (D-NV)

A number of high-profile economists are asking Senate Majority Leader Harry Reid not to change a number of key aspects of his health care legislation, including a controversial tax on insurance companies that sell luxurious insurance policies.

"Four elements of the legislation are critical: 1) deficit neutrality, 2) excise tax on high cost insurance plans, 3) independent Medicare commission, and 4) delivery system reforms," they write in a letter delivered to Reid today.

Here's what they say about the excise tax, specifically: "Like any tax, the excise tax will raise federal revenues, but it has additional advantages that are essential."

The excise tax will help curtail the growth of private health insurance premiums by creating incentives to limit the costs of plans to a tax-free amount. In addition, as employers and health plans redesign their benefits to reduce health care premiums, cash wages will increase. Analysis of the Senate Finance Committee's proposal suggests that the excise tax on high-cost insurance plans would increase workers' take-home pay by more than $300 billion over the next decade. This provision offers the most promising approach to reducing private-sector health care costs while also giving a much needed raise to the tens of millions of Americans who receive insurance through their employers.

Read more »

Ben Nelson

Reid: No Health Care Bill Today, First Vote May Come This Weekend

Brian Beutler | November 17, 2009, 2:58PM

Senate Majority Leader Harry Reid did not present his caucus with a CBO analysis of his health care bill at a weekly lunch meeting this afternoon. And though that report may still come in later this afternoon, according to his spokesman, Jim Manley, Reid is unlikely to unveil his bill until tomorrow at the earliest.

"He didn't go into any of the numbers...nothing yet. He said he would have that information for us soon, soon meaning not giving us a particular time to come here and announce it. He'll announce it." said Sen. Ben Nelson (D-NE) as he emerged from the meeting.

Once the numbers are in and the bill has distributed to Democrats, Reid will likely old one or two more meetings with the caucus, to answer any questions, and allay any concerns, before holding the first procedural vote--on the motion to proceed to debate--later this week, or possibly this weekend. "We're going to hold it as soon as we can," Reid told reporters today.

Read more »

Health Care

Progressives To Moderates: Do You Really Want To Kill Health Care Reform?

Brian Beutler | November 17, 2009, 12:46PM

Senator Jay Rockefeller (D-WV)

The urgency of last night's meeting between Senate progressives and Majority Leader Harry Reid surrounded the fact that, though the overwhelming majority of Democrats want a public option, and several think they've already compromised enough on that score, the votes still aren't there. So, with key votes just around the corner, how can those moderate hold-outs be swayed, and what happens if they can't be? One possibility is simply leaving the ball in the moderates' court.

"There's potentially a dynamic that works in all of this that as you get closer and closer to the vote, you say--you really do say--we're going to make or we're not going to make history, and it takes on another dimension, psychologically," Sen. Jay Rockefeller (D-WV) told reporters. "I mean I've been through that myself. I've gone downstairs thinking maybe I'm not going to vote for that, and then suddenly I see its dimension, think of it in large terms, and then vote for it."

Rockefeller downplayed the possibility that, at the end of the process, there won't be 60 votes to end a filibuster.

"We're not taking that tack, what if we can't--we're talking about how we can," Rockefeller told TPMDC. He said using the budget reconciliation process as a procedural tool to circumvent a filibuster would be ugly, and, for that reason, the focus has to be on making sure Democrats (and perhaps Olympia Snowe) stick together to against a filibuster.

Read more »

Health Care

Poll: Plurality Opposes Health Care Bill -- Some From Right, Some From Left

Eric Kleefeld | November 17, 2009, 12:34PM

President Barack Obama

The new CNN poll has mixed news for President Obama and the Democrats on health care, with a plurality against the health care bill that just passed the House -- but their reasons vary, coming from both the right and the left.

The poll found 46% in favor of the bill, with 49% against it, with a ±3% margin of error.

"Roughly one in three Americans opposes the House bill because it is too liberal, but one in 10 oppose the bill because it is not liberal enough," says CNN Polling Director Keating Holland. "That may indicate that a majority opposes the details in the bill, but also that a majority may approve of the overall approach taken by House Democrats and President Obama."

In addition, President Obama's approval rating remains in good territory, with 55% approving to 42% disapproving. The poll also gives the Democrats a continued lead in the generic Congressional ballot, with a 49%-43% lead over Republicans among registered voters.

Health Care

Poll: Public Split On Health Care, Heavily In Favor Of Public Option

Eric Kleefeld | November 17, 2009, 10:07AM

President Barack Obama

The new ABC/Washington Post poll finds Democrats in a tricky the public divided on health care reform as it now stands -- but some internal numbers find potential for Democrats to break through, with no clear Republican alternatives in sight.

The poll found 48% of respondents in favor, and 49% against, the health care proposals current being developed by Congress and the Obama administration. In addition, opponents were more intense, with 39% strongly against and 10% only somewhat against, compared to 30% strongly in favor and 18% somewhat in favor.

In addition, 52% expect their own personal health care costs to increase if the bill is passed, and 56% expect the country's overall costs to increase.

However, respondents were also asked: "Do you think leaders of the Republican Party are mainly presenting alternatives to
Obama's proposals, or mainly criticizing Obama's alternatives?" In this case, only 31% said the Republicans were presenting alternatives, with 61% saying they were mainly criticizing Obama.

Read more »

Health Care

Progressives Push Reid On The Public Option

Brian Beutler | November 17, 2009, 9:02AM

Sen. Sherrod Brown (D-OH)

Last night, a number of Senate progressives, led by Sherrod Brown (D-OH), met with Majority Leader Harry Reid to make sure his eyes are still trained on the importance of a public option, and to game out a strategy for getting 60 votes to pass a health care bill with a public option on the floor.

According to sources, the meeting was meant to serve as a reminder to that progressives still feel very strongly about the importance of including a public option in the Senate's health care bill and that they've compromised enough.

Today, Reid expects to receive an analysis of his bill from CBO, which he'll circulate among members of his caucus. It should show that the cost of the bill is below $900 billion, and that it reduces the deficit in both the near and long term.

Joe Lieberman

CT Religious Leaders Pray For Lieberman 'To Come Home' On Health Care

Evan McMorris-Santoro | November 16, 2009, 3:36PM

Sen. Joe Lieberman (I-CT)

A growing number Connecticut's religious leaders are calling on Sen. Joe Lieberman to appeal to a higher power and change his mind about including a public option in a health care reform bill.

Last night, hundreds of reform supporters from congregations across the state held a candlelight vigil outside Lieberman's home in Stamford, CT. Today, a group of more than 70 religious leaders from Christian and Jewish congregations sent a letter calling on Lieberman to abandon his threats to filibuster any health care reform bill in the Senate that includes a public option.

"A lot of groups who have historically supported [Lieberman] are praying for him to come back home," Rabbi Ron Fish, leader of the Concerned Clergy Of Connecticut, which sent the letter, told TPMDC.

Read more »

Health Care

Senate Dems Will Force Republicans To Debate Long Hours If They Obstruct

Christina Bellantoni | November 16, 2009, 12:36PM

Sen. Tom Harkin (D-IA)

The health care debate will be restarted in earnest tomorrow as Senate Democrats expect the Congressional Budget Office to score their version of the bill, which includes the opt-out public option.

But Sen. Tom Harkin (D-IA) today on a radio show laid out a schedule that would put the bill on Obama's desk in January, another delay.

Harkin was not very optimistic about the timing of final passage, saying on the "Bill Press Radio Show" the Senate would need to work every weekend in December to pass the bill by Christmas, according to The Hill.

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Abortion

DeGette: Stupak Agenda Is Much Wider Restrictions On Abortion

Brian Beutler | November 13, 2009, 5:24PM

Rep. Diana DeGette (D-CO)

As co-chair of the Congressional Pro-Choice Caucus, Rep. Diana DeGette (D-CO) is leading the fight in the House to strip the Stupak amendment, which would forbid millions of women from buying comprehensive insurance policies that cover abortion, from the final health care bill. And she takes issue with Stupak's interpretation of the events leading up to the vote that completely changed the stakes of reform debate.

"Basically Congressman Stupak moved the goalposts, and I think it really took [House] Speaker [Nancy Pelosi] and other people by surprise," DeGette told me in an exclusive interview.

She says, after his abortion amendments went down in the House Energy and Commerce Committee (a panel on which she also sits), he demanded he get another crack at it when the Rules Committee set the contours of the floor debate.

"After we defeated him in committee," she said, "he said that he wanted to have an amendment in order on the floor... and that if he didn't have his amendment made in order then he had 40 people to vote against the rule."

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Abortion

CREDO To Send Coat Hangers To Pro-Choice Dems Who Voted For Abortion Restriction Amendment

Brian Beutler | November 13, 2009, 4:36PM

Credo Action Pro-Choice Petition Website

This isn't for the squeamish. It's about as hardball and brutal as it gets.

The liberal group CREDO Action will soon ask over 1,000,000 members to sign a petition condemning the Stupak amendment...and with each signature, CREDO will send a coat hanger to the 20 supposedly pro-choice members of Congress who voted for it.

"We know what happens when women are denied access to reproductive health care including abortion," the petition reads. "And we can't go back to an era of coat hangers and back alley abortions. Reconsider your vote on the Stupak Amendment. Tell House Speaker Nancy Pelosi and Senate Majority Leader Harry Reid that the final health care bill that emerges from the conference committee can't turn the clock back on women's rights."

The email hasn't been sent yet, but you can read the language below the fold.

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Health Care

Michelle Obama Uses Stories That 'Touch Our Hearts' In Health Care Pitch

Christina Bellantoni | November 13, 2009, 3:59PM

First Lady Michelle Obama

With President Obama abroad, First Lady Michelle Obama is stepping in for a few days with a focus on health care.

At an event with women at the White House this afternoon, the first lady joined health care czar Nancy-Ann DeParle. They showcased the stories of women whose families had suffered due to bad insurance and the Medicare "donut hole."

"These stories touch our hearts and they spark in us a fundamental source of unfairness," she said.

Obama said she can't say what the bill "that ultimately will cross my husband's desk will look like," but said it would be true reform.

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Tea Party

Tea Party Group To Get 'Fired Up For Freedom,' Burn Rep. Perriello In Effigy

Eric Kleefeld | November 13, 2009, 3:01PM

Rep. Tom Perriello (D-VA)

The local Tea Party organization in Danville, Virginia, is taking their opposition to freshman Democratic Rep. Tom Perriello to a whole new level -- announcing that they will burn him in effigy, along with a similar image of Speaker Nancy Pelosi, at a rally called "Fired Up For Freedom."

"At this point we feel we have no representation in Congress," Danville Tea Party chairman Nigel Coleman told the Chatham Star Tribune, with the chief complaint being Perriello's vote for the House health care bill this past weekend.

Perriello's office declined to comment to TPM about this.

Late Update: DCCC chairman Chris Van Hollen has responded in a statement. "These shocking and despicable acts are becoming all too common at extreme right-wing Republican rallies. Hanging Members in effigy or displaying images of Nazi concentration camps on the steps of the Capitol have no place in any debate and Republican Members of Congress must condemn these actions," said Van Hollen. "While there should be a robust debate about reforming America's broken health insurance system, violent expressions are beyond the boundaries of a respectful debate. The American people are counting on Republicans to join Democrats in a constructive debate to help President Obama bring about urgently-needed health insurance reform."

AMA

MoveOn Pulls The Lever, Calls On AMA To Ditch The Chamber

Brian Beutler | November 13, 2009, 2:18PM

Chamber of Commerce President and CEO Tom Donohue

The liberal group MoveOn is exploiting an interesting opening to both support health care reform and weaken the Chamber of Commerce.

Citing the American Medical Association's endorsement of House health care legislation, and the Chamber of Commerce's unapologetic opposition to it, MoveOn is calling for the AMA and the Chamber to part ways.

MoveOn is calling on their doctors to sign a petition demanding that the AMA pull out.

"The American Medical Association has been running ads for months supporting President Obama's health care plan," reads a letter from MoveOn to supportive doctors.

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Abortion

Stupak Sticks To His Guns, Blames Liberals For Abortion Amendment

Brian Beutler | November 13, 2009, 12:42PM

Rep. Bart Stupak (D-MI)

Rep. Bart Stupak (D-MI) says that House liberals backed themselves into a wall during health care negotiations, and got stuck with a harsher abortion amendment than they would have had if they'd just played nice. And now, he says, there's no going back.

In an interview with The Atlantic, Stupak says "Speaker Pelosi went to present [House liberals] what she agreed to with us, that it would be part of a manager's amendment.... [T]hey're the ones who insisted, 'No, Stupak doesn't get to go in the manager's amendment, we want it on the floor.' They're the ones who insisted on bringing it to a vote. They're the ones who wanted to vote against me, they were the ones who said they would win this vote."

If they hadn't rejected the Speaker on Friday night, to use their words, there would have been a less restrictive amendment that would have been part of the manager's amendment. They rejected that. They could not live with it. Even the less restrictive language. And therefore the Speaker came back and said, 'Bart, I'm sorry, but our deal's off. So I have no choice, because we made an agreement, I'm gonna have to give you an amendment,' and I said, 'Well, with all due respect, Madame Speaker, I'm not gonna send the amendment we agreed to, because if the deal's off, then I don't have to hold to that agreement, Hyde-lite, and I'm putting up the original Hyde language that I offered in committee, that Joe Pitts and I offered.' That's why it's called the Stupak-Pitts amendment.

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CBO

CBO Senate Health Care Score Now Expected Early Next Week

Brian Beutler | November 13, 2009, 11:06AM

Senate Majority Leader Harry Reid (D-NV)

Sigh. Washington waited through a slow holiday week with bated breath for a CBO analysis of Senate health care legislation, which had been expected today. But now sources say the report won't likely be ready until early next week.

The development calls into doubt the likelihood that the bill itself will be introduced on the Senate floor next week. Democratic leaders have vowed to post the bill online for 72 hours before moving the bill toward the floor, and in those 72 hours, they will have to corral all Democratic caucus members into agreeing to proceed to debate.

This week, Senate Majority Whip Dick Durbin (D-IL) suggested Democrats would be lucky to get the bill on to the floor before Thanksgiving recess. Looks like they'll be pushing up against that deadline.

Health Care

Busted! GOP Drops Abortion Coverage For RNC Employees

Brian Beutler | November 13, 2009, 10:15AM

RNC Chairman Michael Steele

Faced with the charge of hypocrisy for providing employees health insurance that covers abortion, the Republican National Committee has moved to strike the benefit from their policy.

"Money from our loyal donors should not be used for this purpose," said chairman Michael Steele. "I don't know why this policy existed in the past, but it will not exist under my administration. Consider this issue settled."

With one exception--Rep. John Shadegg (R-AZ) who voted 'present'--House Republicans voted unanimously for an amendment to health care legislation that forbids women who receive government insurance subsidies from buying policies that cover abortion.

Of course, given the definition of "insurance," the RNC can only really escape the sin of financing abortions by buying insurance from a company that has a blanket policy against covering abortions.

Chuck Grassley

Judiciary Committee Ranking Member Ventures Into Tentherism

Brian Beutler | November 13, 2009, 9:02AM

Sen. Jeff Sessions (R-TX)

Sen. Jeff Sessions (R-AL)--the highest ranking Republican on the Judiciary Committee--is unclear about the Constitutionality of current health care legislation, and he's turning for clarity to the Federalist Society.

"I think that's a good question," Sessions said on a panel at the Federalist Society's National Lawyers' Convention. "Matter of fact I met with my staff...we were talking about, and you know what I said Leonard? I said we ought to ask Federalist society folks what they think too. I said let's begin to think about that question and what's the constitutional thing...can the government require to do what we think is in your best interest if you don't think it's in your best interest?"

Sen. Chuck Grassley (R-IA), who also sits on the Judiciary Committee, once said there was a bipartisan consensus in favor of individual mandates. But he too seems to have joined the tenther fringe.

You can see the video here. The exchange occurs about 27 minutes in.

CBO

Tomorrow Could Be A Really Big Day For Health Care--Here's Why

Brian Beutler | November 12, 2009, 6:13PM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

Senate Majority Leader Harry Reid has been trading options and numbers with the CBO for weeks now, and they're reportedly nearly done. A final analysis on a complete package could be available as early as tomorrow. If that happens, it will be yet another big day for Senate Democrats as they struggle to reach consensus over landmark health care reform legislation.

Once it's unveiled, and the bill meets daylight, it will be crunch time for conservative Democrats--most notably Ben Nelson, Mary Landrieu, and Blanche Lincoln--who have been withholding their commitment to supply the bill much-needed procedural votes until they've had a chance to see it and hear from CBO.

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Abortion

Who Would Be Most Impacted By The Stupak Amendment?

Brian Beutler | November 12, 2009, 2:47PM

Rep. Bart Stupak (D-MI)

The Stupak amendment has touched off a furious argument among Democratic politicians and elites--one that could tank the entire health care reform project if it's not resolved by the time legislation comes up for a final vote in the House.

For the most part, the argument has been about justice. The Stupak amendment would forbid anybody who receives new government health insurance subsidies from buying policies that cover abortion. So why should women's health care be treated differently than other kinds of health care? Is it fair to prevent women, forced into the health care market, from buying any insurance policy she wants, even if they have some government assistance?

But somewhat less prominently, these same combatants have been at odds about what the practical effect of the Stupak amendment would actually be. There's substantial lack of clarity on that score--many say it's likely that there will be no abortion coverage in the exchange at all, and others hypothesize that, over time, the norms in the exchange will come to dominate the norms across the insurance market. At this point, that's all theoretical. But there is at least some data on the immediate practical implications of the Stupak amendment: It will, at least, directly and immediately impact a small, but growing number of poor and middle-class women.

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Health Care

RNC Adds Nelson To 'Flip-Flop' Campaign

Christina Bellantoni | November 12, 2009, 2:16PM

Sen. Ben Nelson (D-NE)

Even though it's cold outside, flip-flops are back in season.

As Evan reported earlier this week, the RNC is exploiting tensions within the Democratic party to compare wavering senators with Sen. John Kerry, using his "I voted for it before I voted against it" video.

Sen. Ben Nelson (D-NE) is the next target.

Mike Steele:

"Ben Nelson has taken part in the classic Potomac two-step of telling his constituents one thing in Nebraska and doing another thing back in Washington, D.C. Ben Nelson's double-speak has not gone unnoticed by voters in Nebraska and now it looks like Nelson may take this double-speak on health care reform one step further by voting for government-run health care before voting against it. Politicians cannot have it both ways - just ask John Kerry. Nebraskans can spot a phony politician when they see one and they know that any vote to move the Democrats' health care bill forward is a vote for a government-run health care experiment."

Ad after the jump.

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Barack Obama

Administration Approvingly Cites Report Critical Of Key Elements Of Health Care Reform

Brian Beutler | November 12, 2009, 12:32PM

President Barack Obama

The White House is touting a new report from the typically conservative Business Roundtable, which has some kind things to say about health care reform proposals making their way through Congress.

"A new report released today by the Business Roundtable underscores what experts and businesspeople have told us all along - comprehensive health insurance reform is one of the most important investments we can make in American competitiveness," President Obama said in a statement.

And indeed, the report does have some kind things to say about current legislation. But it isn't wholly positive. "The current proposals are missing some ingredients needed to drive the type of system-wide change that can "bend the future trend" significantly and permanently," the report reads.

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Health Care

Conservative Seniors Group Targeting Dem Reps Over Health Care Vote

Evan McMorris-Santoro | November 12, 2009, 12:31PM

Pat Boone, "National Spokesperson" for the 60 Plus Association

The 60 Plus Association has a message for those participating in the next phase of the health care debate in Washington: "Senators Beware!!!"

60 Plus, the self-proclaimed "conservative alternative to the AARP," promises to go after Senators who vote for a health care bill that includes the changes to Medicare funding found in the House version of the bill. To prove its threats aren't idle ones, the group launched a TV ad campaign today aimed at Democratic Representatives who voted for the bill in the House Saturday night.

"I have a warning for Congress," 60 Plus president Jim Martin said in a statement. "There is a senior citizen tsunami flooding towards the halls of Congress, unless it subsides, they can expect their offices to be flooded with angry voices."

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Michele Bachmann

Bachmann: 'I Agree' That Use Of Holocaust Images At Capitol Tea Party 'Wholly Inappropriate'

Eric Kleefeld | November 12, 2009, 11:03AM

Rep. Michele Bachmann (R-MN)

Rep. Michele Bachmann's (R-MN) is now distancing herself from the use of Holocaust imagery at last week's Capitol Tea Party, which she had organized and promoted, after a Jewish Democratic Congressman called on her to apologize for leading the event and not denouncing the offending posters.

"Sadly, some individuals chose to marginalize tragic events in human history, such as the Holocaust, by invoking imagery and labels which have no purpose in a policy debate about health care," Bachmann said in a statement. "These regrettable actions negatively shift the focus of the current discussion on this issue. The American people deserve an open and honest debate to ensure the best possible solution to our health care problems, and I agree that these unfortunate instances are wholly inappropriate."

Rep. Steve Israel (D-NY) had said in a YouTube last week: ""I can't believe that Congresswoman Bachmann would stand where she stood, and see those images, and not have the common decency to say, 'I disagree with the use of those images.' I think that she owes the memory of those who perished in the Holocaust an apology. She owes us all an apology. And I'm waiting. We're all waiting."

(Via Dump Bachmann)

Late Update: Rep. Israel has released this statement, responding to Bachmann: "It shouldn't have taken peer pressure, media inquiries or national outrage to get Rep. Bachmann to take a stand in defense of Holocaust victims."

Health Care

GOP Sees 2010 Window, Gloat That Dems Who Opposed Health Care Will Take Dual Heat

Christina Bellantoni | November 11, 2009, 5:38PM

(Top, L-R), Rep. Boucher (D-VA), Rep. Shuler (D-NC), Rep. Ross (D-AR). (Bottom, L-R), Rep. Altmire (D-PA), Rep. Nye (D-VA), Rep. Tanner (D-TN)

Much like Sen. Blanche Lincoln and Sen. Ben Nelson, looks like the 39 Democrats voting against the House health care bill Saturday are getting squeezed from both sides.

We've been writing about all the left-leaning campaigns going after Democrats on health care, and plenty of efforts to hit Republicans as party of "no."

TPMDC has been chatting with Republicans who want to pick off vulnerable House Democrats in 2010 and they (not surprisingly) are pleased as punch by the internal warfare.

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Bart Stupak

Think The Stupak Amendment Is Bad Now? It Could Have Been Worse

Brian Beutler | November 11, 2009, 2:57PM

Rep. Bart Stupak (D-MI)

Rep. Bart Stupak (D-MI) sits on the House Energy and Commerce Committee, which voted way back in July to advance health care legislation to the House floor. At the time, the legislation stipulated that no federal funds authorized by the bill would be used to pay for abortions, except in cases of incest, risk to the life of the mother, and rape. And at the time, that was good enough.

But even back then, Stupak was trying to strengthen the language in the bill restricting the availability of abortion services under the House health care plan.

A day before the bill passed out of committee, Stupak co-sponsored, and voted for an amendment written by Rep. Joe Pitts (R-PA)--distinct from the now notorious "Stupak amendment"--that would have limited the government's ability to include abortions in benefits plans to cases of incest, life of the mother, and forcible rape.

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Bart Stupak

Clyburn: Stupak Amendment Won 10 Votes

Brian Beutler | November 11, 2009, 10:15AM

Rep. James E. Clyburn (D-SC)

On Monday, I noted that 40 Democrats had voted for the Stupak amendment--which would prohibit low- and middle-class women from buying health insurance policies that cover abortion--and then voted for final passage of the health care bill. That's a large number, but a key question remained unanswered: How many of those 40 would have voted against the final bill if the Stupak amendment had failed, or not been given a vote?

Well, House Whip James Clyburn (D-SC) has some answers.

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Health Care

GOP Brings Back Health Care Town Halls

Evan McMorris-Santoro | November 11, 2009, 8:59AM

Rep. Jim Moran (D-VA) town hall.

For Republicans battling Democratic-led health care reform, there's August -- and then there's everything after. Starting in a couple of weeks, the GOP hopes to take the country back to the heady days of the health care town halls.

The late summer was the high-water mark for the GOP on health care, when poll support for Democratic reform lagged after an August full of raucous town hall meetings with members of Congress across the country. The town halls caused the reform debate to shift from "public options" and "mandates" to "death panels" and "socialized medicine." President Obama gave a primetime address before a joint session of Congress to address the fears raised by the town halls, and polls began to shift back toward support for Democratic reforms.

Now, the GOP wants to capture some of that August magic again as the Senate takes up a reform bill.

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Barack Obama

Influential Players: How Six Big Stakeholders Shaped Health Care

Brian Beutler | November 11, 2009, 8:39AM

President Barack Obama

The biggest players in the health care reform debate often blur together into a swirl of acronyms and policy jargon. But they're also key to understanding how health care reform has been shaped, and how it's come as far as it has.

At this point in the health care debate, pro-reform groups have spent more money on health care ads than have well-heeled health care opponents. That's a testament to just how important the issue is to the liberal base, but it's also the precise effect President Obama was seeking when he partnered with the health care industry's most powerful stakeholders.

What sets the following six players apart is how they've defied the usual expectations and taken positions that don't easily fit into the usual left vs. right or corporate vs. consumer paradigm.

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Organizing for America

TPMDC Exclusive: Inside DNC's Organizing For America

Christina Bellantoni | November 11, 2009, 8:15AM

Nine months ago when the Democrats who ran Barack's Obama campaign created Organizing for America, no one was sure exactly how it would work or whether it was possible to harness the enthusiasm for the new president and translate it into action.

But nearing the anniversary of Obama's election, OFA has strengthened into a (smaller) mirror of the campaign, with volunteers in every single Congressional district and staff on the ground in every state but Oklahoma.

They also are growing the Obama donor base.

TPMDC has learned that 24.7 percent of the donations made online to OFA are new donors - people who didn't give during the campaign. That's a pretty striking figure give that a record 3 million people donated during 2007 and 2008.

Organizationally, the boots-on-the-ground, Washington outsider vibe has translated into real results as well. Saturday morning, an OFA volunteer in Louisiana flagged for the team that Rep. Joseph Cao (R-LA) might end up supporting health care.

The administration had been talking to Cao behind the scenes, but it was the volunteer who emailed OFA staffers to report that the Republican's office wasn't saying he was against the bill which opened the floodgates. OFA volunteers made 550 calls to the district office on Saturday in the hours before he became the lone Republican to back the bill.

In an exclusive interview with TPMDC, OFA officials laid out their metrics so far and stressed the results have exceeded expectations.

It was no surprise that Mitch Stewart, OFA's director, and Jeremy Bird, the deputy director, remained on message at all times. They told me nearly a dozen times the OFA mission is to support the president's agenda, and downplayed any disappointment that Obama voters couldn't make the difference in last week's state races in Virginia and New Jersey.

But the wide-ranging interview did lift the curtain on the organization, officially deemed a special project of the Democratic National Committee.

As I detailed earlier this year, OFA and the DNC share a building and merged finances, but keep many things separate. Among those are the list of email supporters, which stood at 13 million at the end of the long campaign. (They won't disclose its size today.)

Campaign geeks may like the transcript of our interview, and come along after the jump to delve into how OFA is doing.

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Health Care

Lieberman On Trigger Option: 'I Don't Feel Like Wiggling'

Evan McMorris-Santoro | November 10, 2009, 5:03PM

Sen. Joe Lieberman (I-CT)

In a scrum with reporters just now, Sen. Joe Lieberman (I-CT) was asked how strong his commitment to filibustering any health care reform public option really is. Asked if he saw any "wiggle room" on his pledge -- say, a trigger for example -- Lieberman said he'll stand firm.

"I don't feel like wiggling," he said.

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Health Care

Another Campaign Targeting Lincoln On Arkansas Airwaves

Christina Bellantoni | November 10, 2009, 4:06PM

Sen. Blanche Lincoln (D-AR)

Seems like everyone is hopping on the pressure Sen. Blanche Lincoln train, with the vulnerable senator getting targeted from the left and the right.

Lincoln (D-AR) is the subject of a new ActBlue push dubbed Campaign For Health Care Choice, where 822 people have raised $32,247 so far.

Blue America is organizing the drive and charges Lincoln, a key vote on the health care plan pending in the Senate, "is refusing to commit to a quality public plan to keep the insurance companies honest."

They are using the money to run this ad statewide in Arkansas:

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Bill Clinton

Clinton To Senate Democrats: Whatever You Do, Don't Lose

Brian Beutler | November 10, 2009, 2:40PM

Fmr. President Bill Clinton

After an hour-long lunch with the Senate Democratic caucus, former President Bill Clinton found himself surrounded by dozens of reporters, and summarized his message as one of the urgency of action. "The worst thing to do is nothing," Clinton said of the party's health care reform push. "We can do so much better."

As they emerged from the lunch one by one, a number of senators echoed this rendering.

"His message was very simply it is so important that this be done, that there are so many people, I think 30 percent of the population he said at one point or another, don't have any health care coverage," Sen. Dianne Feinstein (D-CA) told TPMDC, "and so the ability to fix the problem is really upon us."

"He made clear that this is a once in a lifetime opportunity," she added, noting that Clinton did not directly address the politically divisive policy aspects of reform--abortion, the public option--in his presentation.

To members who are facing tough re-election races next year (such as fellow Arkansas native Blanche Lincoln) Clinton's message was equally simple: "You're going to do it, and then people are going to begin to see that none of the bad things that people are talking about will come to pass, essentially," Feinstein said.

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TX-32

Sessions Opponent Raises Cash Off 'Smoker' Remark

Rachel Slajda | November 10, 2009, 2:10PM

Democratic candidate Grier Raggio, Rep. Pete Sessions (R-TX)

Last week, during a Rules Committee meeting on the health care bill, Rep. Pete Sessions (R-TX) angered a lot of people when he implied it's OK to charge women more for health insurance, comparing them to smokers. Now, his Democratic challenger is trying to cash in on the outrage.

First, what happened: At the meeting, Rep. Frank Pallone (D-NJ) had been railing against gender discrimination in insurance pricing when Sessions interjected, "But that's not against the law."

"No, but we would make it against the law," Pallone responded. "Why do you have a problem with that? Why should a woman pay more than a man?"

"Well, we're all different," Sessions said. "Why should a smoker pay more?"

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Abortion

Key Dem Senators Say Stupak Abortion Amendment Goes Too Far

Brian Beutler | November 10, 2009, 12:54PM

Senator Chris Dodd (D-CT), Senator Harry Reid (D-NV), Senator Max Baucus (D-MT)

A number of high-profile senators have come forward today to say that a controversial amendment to House health care legislation that would limit a woman's right to purchase insurance that covers abortions goes too far and should not be a part of the Senate.

At a Capitol Hill event this morning, Senate Majority Leader Harry Reid implied that the Stupak amendment exceeds the strictures of the years-old Hyde amendment which prohibits federal funds from financing abortions. "I expect that the bill that will be brought to the floor will ensure..no federal contribution to abortion, and that [the] rights of providers, health care facilities like Catholic hospitals, are protected," Reid said. "The one thing that we're certain to do is to maintain what we have had in the past. I had the good fortune, as did Senator Durbin to serve with Henry Hyde, the Hyde amendment has been a pretty good way to go through this last couple of decades."

Sen. Ben Cardin (D-MD) was more explicit. At a health care event this morning, Cardin said, "The right policy is to avoid coming down on one side or the other on the abortion issue and to handle health care reform as a separate issue."

Read more »

Health Care

Timeline: Dem Leaders Differ On Likelihood Of Health Care Debate Before Thanksgiving

Brian Beutler | November 10, 2009, 12:21PM

Senator Harry Reid (D-NV), Senator Dick Durbin (D-IL)

During a news conference today regarding Republican obstruction of a Veterans bill, Senate Majority Leader Harry Reid (D-NV) told reporters that he's confident he will be able to bring his health care bill to the Senate floor next week, after Congress returns from a brief Veterans Day recess, and then pass the bill by Christmas. But the number two man in the caucus, Sen. Dick Durbin (D-IL) was far more cautious, suggesting that debate on the bill may have to wait until after Thanksgiving.

A reporter asked Reid whether he believes his hoped-for time line to begin and end debate on the bill is reasonable. Reid responded, "yes, and yes."

Earlier today, Reid met with Sen. Joe Lieberman (I-CT)--a key holdout on the bill, who says he'll filibuster it if it includes a public option. Reid says he's "confident [he and Lieberman] work something out."

Durbin shares that confidence, but isn't so certain about the time line.

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Olympia Snowe

Poll: Snowe Could Lose 2012 GOP Primary In Landslide To Conservative Challenger

Eric Kleefeld | November 10, 2009, 11:07AM

Sen. Olympia Snowe (R-ME)

A new survey of Maine from Public Policy Polling (D) has some dire news for Sen. Olympia Snowe (R-ME), with the moderate Republican potentially losing her 2012 Republican primary against a generic conservative challenger -- and by a landslide, no less.

The numbers: Conservative challenger 59%, Snowe 31%, with a ±4.8% margin of error. It is of course a long way from the idea of a generic conservative challenger to having an actual candidate, but the potential for success by just such an insurgent is certainly there.

Snowe's overall approval is 51%, to 36% disapproval. Democrats approve of her by 60%-29%, Republicans disapprove by 40%-46%, and independents approve by 51%-33%.

The pollster's analysis notes the importance of her vote for a health care bill in the Senate Finance Committee: "Snowe's numbers are steady with independents but down with both Democrats and Republicans compared to three weeks ago, an indication of the perilous political position she finds herself in. Republicans are mad at her for supporting any Democratic bill, while Democrats still are not completely happy with her because of her hesitance to support a public option."

Health Care

Pro-Choice Groups Plan Campaign To Get Senate To Reject Abortion Amendment In House Bill

Christina Bellantoni | November 10, 2009, 9:58AM

Rep. Bart Stupak (D-MI)

The Stupak amendment blocking abortion funding has become the hot button of the left, replacing (for now) the fight over the public option.

As President Obama suggested he doesn't think the measure belongs in the bill, reproductive rights groups are mobilizing to make sure the amendment doesn't make it any farther in the process.

"This is a middle class abortion ban and I don't think women are going to accept it," said Laurie Rubiner, Planned Parenthood Federation of America's vice president of policy.

Read more »

Health Care

Bill Clinton Meeting Today With Senate Democrats

Christina Bellantoni | November 10, 2009, 7:56AM

Fmr. President Bill Clinton

Senate Democrats today are huddling for their first weekly lunch since the House passed its version of the health care plan and they have a special guest with firsthand experience of what can happen when legislation fails.

Former President Clinton will speak to the caucus about health care, a Democratic source confirmed to TPMDC.

The White House has been coy for months when reporters ask if Clinton (or Secretary of State Hillary Clinton) are advising President Obama on health care.

Late update: Another source tells us that Clinton is attending the lunch at the request of Obama Chief of Staff Rahm Emanuel (who worked in Clinton White House) and Senate Majority Leader Harry Reid.

Bart Stupak

Controversial Stupak Amendment Sows Anger, Confusion On Capitol Hill

Brian Beutler | November 9, 2009, 6:55PM

Rep. Bart Stupak (D-MI)

When Rep. Bart Stupak (D-MI) authored an amendment several months ago to prohibit federal dollars from being used to pay for insurance policies that cover abortion, Democratic leaders and health care principals didn't take his proposal very seriously. As a result it was never subjected to the sort of rigorous analysis that controversial legislation is often treated to. That was a miscalculation. Liberals were forced this weekend to accept the amendment as the price of passing an otherwise progressive health care bill through the House. And now, everyone on both sides of the abortion issue is scrambling to try to figure out what the amendment's language actually means and the practical effect it would have if enacted into law.

As one House Democratic health care aide put it, "there are a ton of unanswered questions."

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Abortion

Nelson: I'll Filibuster A Health Care Bill That Doesn't Include Strict Abortion Restrictions

Brian Beutler | November 9, 2009, 6:32PM

Sen. Ben Nelson (D-NE)

Sen. Ben Nelson (D-NE) wants Senate health care legislation to contain strict restrictions on abortion funding, much like the House bills now does. And he says he'll filibuster if he doesn't get his way.

"As a pro-life person, I believe that something like the [Rep. Bart] Stupak amendment should be included in the Senate version," Nelson told reporters this evening. "But if it isn't included to that effect, to make it clear that no government money should be used for support, for the subsidies, or direct payments, or even tax credits, should be used to support abortions," he will oppose it.

"If it doesn't make it clear that it does not support abortion, does not pay for abortion, you can be sure I will vote against it."

I asked Nelson if his promise extended to procedural supermajority votes. He had a one word answer: "Yes."

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Health Care

MoveOn Starts TV Campaign Against Democrats Who Opposed Health Care, Planning More

Christina Bellantoni | November 9, 2009, 5:19PM

Rep. Heath Shuler (D-NC)

MoveOn is targeting Blue Dog Democrats and one Republican who voted against the House health care bill Saturday night with tough TV ads suggesting they are supportive of a "broken" status quo.

The "first round" of 30-second ads go after Reps. Mike Ross (D-AR), Jason Altmire (D-PA), Glenn Nye (D-VA), Rick Boucher (D-VA), Larry Kissell (D-NC), Heath Shuler (D-NC) and Lee Terry (R-NE).

(For more on these Dems check out Eric's smart post on their districts.)

"The health care bill that passed the House this weekend was a historic opportunity to fix our broken health care system," said MoveOn executive director Justin Ruben.

"MoveOn members will make sure that Representatives who did the right thing know they can count on the support of their base, and that those who stuck with the insurance companies and voted for the status quo will face real political consequences," he added.

They also are planning thank-you events and print ad campaigns in the home districts of members who voted for the plan.

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Blanche Lincoln

RNC To Blanche Lincoln: Don't Make Us Turn You Into John Kerry

Evan McMorris-Santoro | November 9, 2009, 3:30PM

Sen. Blance Lincoln (D-AR) and Sen. John Kerry (D-MA)

As the full focus of the health care debate shifts to the Senate, the GOP has a tough job targeting nervous moderate Democrats. The easy part is taking advantage of Democratic Party rifts. Explaining the rules of parliamentary procedure? That's hard.

To help, the RNC has turned to a tried-and-true method of shrinking complicated Senate protocol into convenient take-home size. In a new web video out today, the RNC tells health care reform fence-sitter Sen. Blanche Lincoln (D-AR) that unless she votes with the Republicans on cloture, they'll do to her what they did to John Kerry.

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Health Care

A Closer Look At The Health Care Vote

Eric Kleefeld | November 9, 2009, 3:15PM

United States Capitol

Let's take a look at the breakdown of the vote on the health care bill -- the people who went against their leadership, or the people whose votes run seemingly counter to their districts' presidential votes in 2008 -- and in some cases, both.

Much has been made of the Democrats who voted no, and the fact that most of them come from districts that voted for John McCain. Thus, a vote against a major Obama policy initiative would certainly seem to be the safe thing to do -- just as Rep. Joseph Cao (R-LA) became the only Republican to vote yes, and his district voted 75% for Obama.

The single largest group, however, is one that hasn't been commented on very much: Republicans from districts that voted for