The Senate is racing the clock to pass a health care bill before it adjourns for the year. Time is running out, with 11 days before Christmas, and with one Democrat-leaning senator flat-out refusing to vote for what he's heard is the latest version of the bill.
Two indications it's do-or-die time? First, Senate Democrats huddled this evening to try to craft a new compromise on health care reform. The closed-door meeting took place in the Mansfield Room, just off the Senate floor.
And on Tuesday afternoon they're heading to the White House to talk health care.
Democratic leaders thought they had a compromise that could pass this week, but it crumbled Sunday as Sen. Joe Lieberman, I-Conn., took issue with a central feature of the compromise: allowing Americans between the ages of 55 and 64 to buy into Medicare.
"It will add taxpayer costs. It will add to the deficit. It's unnecessary," Lieberman said on CBS's "Face the Nation" Sunday.
Senators emerging from the special Democratic caucus confirmed that the Medicare buy-in proposal will have to be stripped from the Senate bill in order to achieve 60 votes, marking a major concession on behalf of liberal Democrats fighting to have a public option, or some kind of alternative. They did not comment on what other changes were made.
While Lieberman left the meeting beaming, saying "we made good progress tonight," liberal Democrat senators seemed less happy.
"Let's not pass something just to pass something," said Sen. Roland Burris, D-Ill., the only Senate Democrat who has said he would oppose a bill without a public option.
Yet Democrats are rallying around the idea that it is their responsibility to swallow their collective pride and govern.
"I am confident that by next week we will be on the way toward sending this bill to the president," said Senate Majority Leader Harry Reid after the meeting.
He compared the legislating process to a steeplechase race, which is long, with hurdles and a big puddle that runners fall in.
Earlier Monday afternoon, Lieberman was dogged by reporters as he emerged from his office in the afternoon. He said then that he liked the core of the bill Democrats are currently debating, but would like to stick just to that.
"The core of the Reid bill is a good bill and I've been focused on trying to get it back to its strong core and take off some of this stuff that runs the risk of creating federal debt and moves toward a government takeover of insurance which I think would be bad," he said.
Congressional sources told ABC News the White House is urging Senate Democrats to give in to Lieberman and to move forward with a scaled-down bill that includes no public option and no Medicare buy-in. White House sources deny this.
According to the actuary for Medicare and Medicaid, the latest version of the bill would add $234 billion to health care costs in the next 10 years.
"I would have a hard time voting for it, because it had reportedly has some of the same infirmities that the public option did," Lieberman said.
Lieberman said he believes the system of subsidies in Reid's current bill is good enough that it makes the expansion of Medicare unnecessary, and the Medicare buy-in is not central to what is important in the Democrats' effort.