By Caitlin Taylor

Jul 27, 2009 8:11am

The Note: Divided and Conquered: Dems Set Diminished Goals in Health Care Push

By RICK KLEIN In this moment of farewells — to Sarah Palin, and to a week’s worth of White House distractions that may only be solved over beers — we also bid farewell to the core of the old legislative strategy on health care. Divide-and-conquer works somewhat less effectively when you’re stuck on the “divide” part. The White House strategy for keeping things moving on health care has been predicated on two tracks that could move, more or less, independently. That meant working separate bills in the House and Senate, and aiming to cobble it all together in a conference committee down the road. But those tracks converged earlier than anticipated: House members don’t want to take tough votes if they’re not sure the Senate will be doing the same. Bipartisanship just isn’t there. The Senate pace has left everyone involved frustrated — and not sure how exactly to get to 60. That means diminished goals: Action in the House and Senate before August is no longer possible. Instead, the best Democrats can hope for is getting the House bill out of the Energy and Commerce Committee this week; if Senate Finance can reach agreement, too, that will would count as a major success at this point. It’s movement — but the endgame is murky. Defining bipartisanship — maybe not quite how the White House would: “There are not the votes for Democrats to do this just on our side of the aisle,” Senate Budget Chairman Kent Conrad, D-N.D., told ABC’s George Stephanopoulos on “This Week” Sunday.  “No, it is not possible,” Conrad added, “and perhaps not desirable either. We’re probably going to get a better product if we go through the tough business of debate, consideration, and analysis of what we’re proposing.” Secret weapon? ABC’s Jonathan Karl reports that Sen. Ted Kennedy, D-Mass., is tracking negotiations via TV and news clippings — and has spoken twice with President Obama by telephone over the past two weeks. “Even as he battles brain cancer, he could make one final, critical push for his lifelong goal,” Karl said on “Good Morning America” Monday. “Ted Kennedy’s vote could be the difference between success or failure.” Democrats are looking for legislative victories whenever they can find them — and the possibility of a House vote of significance before the August recess (even if that recess is delayed) remains. House Majority Leader Steny “Hoyer said the House could stay in session on Saturday and perhaps until Aug. 4 to give Members time to review a joint bill before voting on it on the floor. But the Majority Leader also said Democrats may wait until September to merge bills from the Energy and Commerce, Ways and Means, and Education and Labor committees,” Roll Call’s Steven T. Dennis and David M. Drucker report.  Confidence: “When I take this bill to the floor, it will win,” House Speaker Nancy Pelosi, D-Calif., said on CNN’s “State of the Union.” “This will happen.” The Washington Post’s Shailagh Murray and Paul Kane: “The speaker, who has struggled to overcome a series of recent setbacks, raised the stakes by planning to restart talks Monday among bickering Democrats on the Energy and Commerce Committee, one of three House panels with jurisdiction over health care and where the bill stalled last week. Democratic leaders are newly confident that these differences can be resolved, possibly in time to bring a House bill to the floor before lawmakers depart Friday for the August recess, although Pelosi did not commit to a timetable.”  “The diverging assessments show what a tough sell Obama-style health reform is proving to be for some in Congress — particularly among moderates and fiscal conservatives in Obama’s own party,” Politico’s Carrie Budoff Brown reports. “Last week, Obama was still pushing for both the full House and Senate to move bills before going on summer vacation. Now, reform advocates are down to hoping for committee action in each house, and even that isn’t certain.”  Contours of compromise: “A proposal to tax insurance companies on their most-expensive policies appears to be gaining momentum in Congress and the White House, as lawmakers search for politically acceptable ways to fund a health overhaul,” Naftali Bendavid reports in The Wall Street Journal.  Making it happen: “The White House does now seem to realize that a series of press conferences or political speeches across the country, or even an historic address of a joint session of Congress (as Clinton tried), will not be enough to get over the finish line,” Time’s Jay Newton-Small reports. “Health care reform is so politically fraught that it needs a strong White House presence in the room, something that only happened late last week in the House when Emanuel became personally involved in the talks with the Blue Dogs, but has yet to start with the Senate.”  Is failure a real option? “A defeat would be a killer for Democrats,” Bloomberg’s Al Hunt writes. “The trademark of Obama’s first year in office would be failure; the reputations of the president and his celebrated White House staff would be decimated. Less evident, though equally true, it would almost certainly cost congressional Democrats seats in next year’s elections, striking especially hard at some of the same centrist Blue Dogs who are resisting a health-care bill.”  Seeing blue: “Following a week in which the Blue Dogs challenged several key planks of the Democratic plan, most lawmakers agree a delay in the House legislation is likely. The House is set to adjourn next week, and unless lawmakers decide to stay in Washington for a few extra days, a decision would be put off until after Labor Day,” Naftali Bendavid writes in The Wall Street Journal.  Seeing red over the blue: “So what do the Blue Dogs want? Maybe they’re just being complete hypocrites,” Paul Krugman writes in his New York Times column. “Now, however, they face their moment of truth. For they can’t extract major concessions on the shape of health care reform without dooming the whole project: knock away any of the four main pillars of reform, and the whole thing will collapse — and probably take the Obama presidency down with it.”  Seeing red vs. blue: “Fifteen months before the midterm congressional election, health care is appearing in candidate stump speeches and interviews,” USA Today’s John Fritze reports. “That dynamic helps explain why a $1 trillion-plus health care bill stalled last week in Congress. House Speaker Nancy Pelosi, D-Calif., is negotiating with skeptics in her own party, and Senate Majority Leader Harry Reid, D-Nev., said his chamber would not meet an August deadline to vote.”  Fun to explain: “The health care reform plan proposed by House Democrats would create at least a dozen new federal programs, boards and task forces, contributing to the proposal’s hefty price tag that has drawn criticism from Congress’ official scorekeeper,” Jennifer Haberkorn writes in the Washington Times.  Jousting with the CBO: “Following a blow from the Congressional Budget Office, Democratic leaders in Congress likely will make the case this week that the healthcare reform plan has multiple benefits and cost savings that cannot be scored by independent congressional accountants,” the Hill’s Roxana Tiron reports. “Democrats are going to seek to convince skeptics that the healthcare overhaul has other provisions, such as prevention and wellness measures, that will provide benefits and save money, a House leadership aide told The Hill on Sunday.”  (Watch this meme develop: “[CBO director Doug] Elmendorf has established a pattern of analysis on the negative side when it comes to evaluating costs of congressional legislation,” writes a blogger at Daily Kos.)  Ghosts of Clinton care: “Republicans are fixated on what worked for them in the last health-care battle, and Democrats are overly concerned with what contributed to their failure. Just as Clinton’s plan was weighed down by the impression that it would change too much, history may leave Obama’s effort vulnerable to the charge that it is changing too little,” Ezra Klein writes in The Washington Post.  “We talk about everything,” Secretary of State Hillary Rodham Clinton told NBC’s David Gregory Sunday. “I think he’s making a very strong case.  And what’s important here is that people are always for change in general, and then they begin to worry about the particulars.”  July heat: MoveOn.org on Monday launches a new TV ad, “Political Football,” to air “in both Republican and Democratic districts while lawmakers are home, reminding them of the urgency of addressing our nation’s health care crisis and the political and economic cost of inaction. The ads will be accompanied by a month-long grassroots offensive where MoveOn members will lobby their representatives and Senators and educate their communities about the urgency of passing strong health care reform.”  Americans United for Change crushes a snail (but not really) in its latest ad, a DC cable, five-figure buy. From the script: “The Republicans claim the health insurance reform debate has been moving at lightning speed. In fact for 15 years, it’s hardly moved at all. Meanwhile premiums have gone up 3 times faster than wages, health insurance profits have soared and 14,000 Americans lose their health insurance every day. Now the Republicans say Congress should slow down? That’s because when something goes slow enough it’s easy to kill it dead in its tracks.” August heat: “Health Care for America Now, a coalition of labor and progressive groups supporting Obama, will at least match the $2 million in TV ads it’s run this month and send members to lawmakers’ town hall meetings, said Richard Kirsch, its national campaign manager,” per the AP’s Alan Fram. “The U.S. Chamber of Commerce, a foe, will run print ads in Arkansas, Colorado, Louisiana, Maine and North Carolina criticizing Obama’s proposal for optional government-run insurance coverage, place newspaper op-eds and stage events around the country.”  “August is both a peril and an opportunity,” White House Chief of Staff Rahm Emanuel told a group of reporters last week, per Bloomberg’s Kristin Jensen and Edwin Chen. “The peril is that the interest groups will come out and change course. The opportunity, which I think it is, is there’s not a group in the middle saying, ‘don’t do this.’ They’re saying, ‘do it right.’ “  So the media won’t have Sarah Palin to kick around anymore (and if you believe that one, we’ve got a bridge to Ketchikan to sell you). Palin “went out with a bang, delivering a fiery 15-minute long speech to a crowd of supporters in Fairbanks, Alaska, in which she lambasted the media and touted Alaska’s history of energy independence,” ABC’s John Hendren, Neal Karlinsky, and Kristina Wong report.  “Midway through her speech, it sounded as if Palin was back on the vice presidential campaign trail, stumping for fiscal conservatism, the development of natural energy resources, and moral conservatism. Yet she gave no hint as to her future in politics, saying only she stepped down in order to spare Alaskans ‘politics as usual’ from her governorship turning into a ‘lame duck session,’ with a year-and-a-half to go.” The now-former first dude, Todd Palin, told ABC: “It’s been an awesome experience and she’s very happy to serve the residents of Alaska and onto the next chapter of life. . . . I guess we’ll just have to wait and see.”  “She’s a good poker player,” Palin’s father, Chuck Heath, told Politico’s Jonathan Martin. “She never divulged what she’s going to do.”  Writes Martin: “It was widely thought that Palin would appear at the Reagan Presidential Library next month in California for a Republican women event, but Heath and Palin spokeswoman Meg Stapleton said Sunday that her appearance there was not confirmed.” The Anchorage Daily News’ Sean Cockerham: “Palin didn’t disappoint her supporters, tossing out rhetorical grenades at the federal government, the news media, animal-rights activists and the people whose ethics complaints she has said helped to drive her from office. Palin launched the first salvo of her speech at the media, saying democracy depends on it.”  The Washington Post’s Dan Balz: “Palin’s resignation has freed her to begin another phase of her life. Whether it has put additional limits on her ability to rise further will be answered in the coming months. She has an opportunity to step back, to regroup and to start again — but not necessarily to start fresh, given all that has happened since she burst on the scene less than a year ago.”  Tucker Eskew: “Substantive second acts in American politics are reserved for those who stake a claim and defend it. . . . By resigning, she limits her chances for public office and expands her chances for personal good fortune. Somewhere in between public office and personal standing lies her apparent — but elusive — goal of influence.” Next battle, in absentia: “The Legislature is scheduled to meet in special session Aug. 10 in an attempt to override Palin’s parting veto of $28.6 million in federal energy conservation funds, part of Alaska’s share of the economic stimulus package,” the Los Angeles Times’ Kim Murphy reports.  New role for T-Paw: “The Republican Governors Association will name Tim Pawlenty as its vice-chair Monday, giving the Minnesota governor a national leadership post he can use to advance his presidential ambitions,” Politico’s Jonathan Martin reports. Will the beer be flowing at the White House soon? “It’s our hope we’ll get it done. Sgt. Crowley told the president he was game, and I read that Professor Gates is the same way. So hopefully we can get that done in the next several days,” White House Press Secretary Robert Gibbs said on “Fox News Sunday.” Was the president ever racially profiled? “Not in any major way, say those close to him, but he certainly feels there have been times he was treated differently because of his race,” per ABC’s Jake Tapper.  New wrinkle, from The Boston Globe: “The woman whose report of a possible house break-in led to the arrest of Harvard professor Henry Louis Gates Jr. said she never mentioned race during her 911 call and is ‘personally devastated’ by media accounts that suggest she placed the call because the men she observed on the porch were black. . . . The woman, identified in a police report on file in Cambridge District Court as 40-year-old Lucia Whalen, saw the backs of both men and did not know their race when she called 911, said Wendy J. Murphy, a Boston lawyer from New England School of Law.” The damage: “First, it suggests he is an uninformed busy-body,” Jennifer Rubin blogs at Pajamas Media. “Second, he sucked the oxygen out of the health care debate at the very moment Democrats were pleading for him to become more involved.”  A day before the committee vote, Sen. Jeff Sessions, R-Ala., lays out the case against Judge Sonia Sotomayor: “I don’t believe that Judge Sotomayor has the deep-rooted convictions necessary to resist the siren call of judicial activism. She has evoked its mantra too often. As someone who cares deeply about our great heritage of law, I must withhold my consent,” Sessions writes in a USA Today op-ed.  Coming Monday night: the first of three broadcasts featuring Jim Lehrer’s interview with Fed Chairman Ben Bernanke, filmed in Kansas City with a studio audience and online participation Sunday.  “I’m as disgusted by it as you are,” Bernanke said, of the Fed’s efforts to rescue big banks. “Nothing made me more angry than having to intervene, particularly in a few cases where companies took wild bets.”  “Federal Reserve Chairman Ben Bernanke on Sunday said he engineered the central bank’s controversial actions over the past year because ‘I was not going to be the Federal Reserve chairman who presided over the second Great Depression,’ ” The Wall Street Journal’s Sudeep Reddy reports. “Speaking directly to Americans in a forum to be shown on public television this week, Mr. Bernanke pushed back against Kansas City area residents who suggested he and other government officials were too eager to help big financial institutions before small businesses and common Americans.”  Defense Secretary Robert Gates is in the Middle East: “U.S. Defense Secretary Robert Gates says the Obama administration hopes Iran will respond to an offer for talks on its nuclear program soon,” per Voice of America. “Gates spoke in Israel, where he is discussing Iran’s nuclear ambitions with top officials. He said Washington hopes Iran will answer the diplomatic overture in time for the opening of the U.N. General Assembly in September.” 
The Kicker: “So, how about, in honor of the American soldier, quit making things up.” — Sarah Palin, now the former governor of Alaska, on her fiery way out.  “Maybe a little moose hunting, what do you think?” — Todd Palin, on what’s next for the couple.
Today on the “Top Line” political Webcast, live at noon ET: America’s Health Insurance Plan’s Robert Zirkelbach; Time’s Jay Newton-Small. Follow The Note on Twitter: http://twitter.com/thenote For up-to-the-minute political updates check out The Note’s blog . . . all day every day:

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User Comments

Better not be watered down. The public option better be there and it better bring the pricing into check. No more 10 thousand a day for an ICU or 75 thousand for a prosthetic limb.

Posted by: rightbehind | July 27, 2009, 8:38 am 8:38 am

Pork and more pork..No need the gov to push down my throat something I don’t want. I keep my healthcare the way it is.The Gov has failed on every single plan they have conceived and tax the people more an more. Take the plan and shove it !!

Posted by: Frank | July 27, 2009, 8:42 am 8:42 am

It’s always better to aim high and then compromise at a point that still accomplishes something. That is what the president has done with health care.

Posted by: matt | July 27, 2009, 8:42 am 8:42 am

They would be better off to please the people that put them back in control. 2010 is coming soon. The people are tired of this Great Nation Being looted. The majority of this nation could care less about republican support. They are being thrown out of office as fast as the election process will allow. Write a good bill and bring it to a vote. We win either way. We either get a good public health care plan or we get a list of politicians to send packing.

Posted by: rightbehind | July 27, 2009, 9:01 am 9:01 am

We do not need healthcare reform the ways that the democrats want it. We need to put in checks and balances and timelines now so that we don’t have to later (we usually put laws and changes in place without checks and balances and later have to put them in). The dems seem to be acting without any regards for the future and are subjecting us to a great deal of expense without any thought to the burden it places on others. This happens most of the time when dems run things. Most people agree that healthcare reform is needed (although having gone through it in my state since 2006 when the actual reforms were started, the way it was done was poorly planned and implemented and now we’re having to go through it again at our expense because of the government’s poor planning) but it needs to be carefully thought out, planned, and wisely implemented. I just don’t see this happening under President Obama and his people. My prayer is that President Obama and the dems come to recognize this need before it’s too late recognize that this is a smart thing rather than an annoyance.

Posted by: john | July 27, 2009, 9:13 am 9:13 am

Nice news wrap. I would just like to offer my deepest sympathy to those who remain at risk because of their health. President Obama campaigned on changes to the health care delivery system and acknowledged the many who cannot be treated or cannot file claims due to “pre-existing” conditions. He has claimed personal experience with his mom in this area.
I believe he should have never claimed the reform will be budget neutral. Medicare is not and it works. I believe he should have focused on the savings that can be wrung out of the current delivery systems (public and private)and the humanitarian benefits offered.

Posted by: Mary Ann | July 27, 2009, 9:31 am 9:31 am

you people better look at my health care in my state it keeps going up were being taxed more for it dont be fooled its to expensive and also stinks its killing are small businesses.i repeat dont be fooled.

Posted by: natale from mass. | July 27, 2009, 9:42 am 9:42 am

Where will this runaway president and a compliant congress take us? Read and weep!!!_______________________
Socalism.
1: any of various economic and political theories advocating collective or governmental ownership and administration of the means of production and distribution of goods
2 a: a system of society or group living in which there is no private property
b: a system or condition of society in which the means of production are owned and controlled by the state
3: a stage of society in Marxist theory transitional between capitalism and communism and distinguished by unequal distribution of goods and pay according to work done
Socialized Medicine.
: medical and hospital services for the members of a class or population administered by an organized group (as a state agency) and paid for from funds obtained usually by assessments, philanthropy, or taxation
Communism.
1 a: a theory advocating elimination of private property b: a system in which goods are owned in common and are available to all as needed
2 capitalized
a: a doctrine based on revolutionary Marxian socialism and Marxism-Leninism that was the official ideology of the Union of Soviet Socialist Republics
b: a totalitarian system of government in which a single authoritarian party controls state-owned means of production
c: a final stage of society in Marxist theory in which the state has withered away and economic goods are distributed equitably d: communist systems collectively

Posted by: Ed Taylor | July 27, 2009, 9:54 am 9:54 am

It is not hard to give the President what he would like and the people better health care costs. Eliminate or delay the public option for 5 to 10 years, with it coming into effect only if the other measures do not work and the cost savings have been achieved in Medicare/Medicaid and the private sector to pay for it.
We all know when working on our personal budgets, that you have to control your spending first before you cna spend more money. We spent virtual money from projected bonuses, home appreciation, stock margins only to see them evaporate.
The lessons of TOO MUCH debt should nto be forgotten.
Re work the plan to get the costs savings and programs up front,eliminate pre-existing conditions, allow national health insurance companies nad non profit cooperatives, pass an individual and employee mandate for major medical coverage, stop subsidizing cheap food and pay for the costs with the savings from Medicare. there are no reasons why they cannot pass outcome based medicare treatments and payments, drug negogiations for Part D; standardizing medicare payments across the US, and better IT medical records. Spend the money in fixing Medicare and a lot of what ails the private medical market can fix itself.

Posted by: scott jeffries | July 27, 2009, 10:04 am 10:04 am

Vote public health care straight up or down. We win either way. We’ll either have public health care or we’ll have a list of politicians to send packing coming the 2010 elections. It’s time to choose! Please the republicans or please the majority that put you back in charge.

Posted by: rightbehind | July 27, 2009, 10:12 am 10:12 am

The Dems don’t want to accept ANY GOP input, but now realize they need to. I don’t want something thrown together in a short time to appease voters. Get a real deal together and present it with time to read it, debate it, change it and whatever else needs to happen. Get the current fraud, waste and abuse under control before we start a new program.

Posted by: lfrichar | July 27, 2009, 10:25 am 10:25 am

“Even as he battles brain cancer, he could make one final, critical push for his lifelong goal,” Karl said on “Good Morning America” Monday. “Ted Kennedy’s vote could be the difference between success or failure.” >>>>>> As many people have stated if Kennedy was in the public plan he would be told to take a pill and get his affairs in order. WHY would anyone ever get into a policy the CONGRESS wont adopt? People think things are better with this garbage? They are being lied to.

Posted by: ChicagBob | July 27, 2009, 10:29 am 10:29 am

We’ll either have public health care >>>> JUNK CARE is what you want? Better off with no care that a HUGE tax bill and bloated FAT out of control government.
ABC LIST the townhall meetings of all the congressmen.

Posted by: ChicagBob | July 27, 2009, 10:31 am 10:31 am

The public option better be there and it better bring the pricing into check.
rightbehind >>>> THERE IS NOT COST cutting in Obamas plan. ITS GARBAGE. CBO states COSTS will go UP.

Posted by: ChicagBob | July 27, 2009, 10:32 am 10:32 am

Remember: doing nothing is a victory for the health insurance industry. Your premiums will keep going up to satisfy Wall Street and to give huge pay packages to management. That is what this is really all about.

Posted by: Steve in Austin | July 27, 2009, 10:40 am 10:40 am

Socialized medicine kills people. The old and weak are left behind. Do you want the Gov. to decide if your loved one lives or dies?

Posted by: Ben | July 27, 2009, 10:44 am 10:44 am

“Sen. Jeff Sessions, R-Ala., lays out the case against Judge Sonia Sotomayor: “I don’t believe that Judge Sotomayor has the deep-rooted convictions necessary to resist the siren call of judicial activism.”
__________________________
Perhaps Judge Sotomayor doesn’t have the deep rooted convictions that Senator Sessions and his Alabama constituents have. thank goodness.

Posted by: gus amaral | July 27, 2009, 10:55 am 10:55 am

I loved it when Harry Reid, who was unable to bring together a coalition of Democrats to ram it through, said he was willing to step back and give the Republicans more time. What a guy!

Posted by: LongT | July 27, 2009, 11:12 am 11:12 am

Give us more on Nancy Pelosi and Obama.. Its Monday and we all need a big laugh today
The sequel DUMB AND DUMBEST

Posted by: Obamas brownnosing media network | July 27, 2009, 11:13 am 11:13 am

Ben: not sure where you’re getting your statistics.. Fox News?
The healthcare reform package is not socialized medicine.
too bad.
Success of other countries with one-payor system?
Sweden’s entire population has equal access to health care services. The Swedish health care system is government-funded and heavily decentralized. Compared with other countries at a similar development level, the system performs well, with good medical success in relation to investments and despite cost restrictions. According to the Swedish health and medical care policy, every county council must provide residents with good-quality health services and medical care and work toward promoting good health in the entire population.
Costs for health and medical care amount to approximately 9 percent of Sweden’s gross domestic product (GDP), a figure that has remained fairly stable since the early 1980s.

Posted by: gus amaral | July 27, 2009, 11:14 am 11:14 am

This time I hope the politicians at least have an idea what is in this Healthcare bill. “O” was asked if people would be able to keep the healthcare they already had prior. And his answer was I do not know. I understand that was on page 16 of the over 1000 page bill. Now if that doesn’t scare you, it sure does me. So if Congess does not know what is in the Bill the common folk certainly do not, and they were and I guess still are trying to force this down our throats.

Posted by: Retired | July 27, 2009, 11:16 am 11:16 am

Obama says more than $100B is wasted on MEDICARE each year. SO he wants to let the same bunch of incompetent managers run health care for everybody? OBAMA never mentions why health care costs so much and what caused it. Government involvement is the reason so more is worse. If he really wanted to do something eliminate the fraud and then address tort reform.

Posted by: Brian | July 27, 2009, 11:24 am 11:24 am

Why bother with a watered down corporate welfare bill? Let’s face it, meaningful healthcare reform ain’t going to happen. The lobbyists are at the trough and the President and many Democrats have bought in to a lookalike with Bush’s Medicare Prescription Drug Plan, only with health insurance. Who wants that? Let the country continue to avoid reform and degenerate economically into the equivalent of Sierra Leon or Ivory Coast. That is where we’re headed because our population still listens so much to the right wing. Eight years of Bush failure and 30 years of stymied health care reform show that the USA doesn’t want progress, doesn’t want anything rational. So let’s continue our “Rip Van Winkle” act and go back to sleep for another 30 years. Any healthcare “reform” likely to be passed now will be just another corporate giveaway at taxpayer expense. No bill is better than one like that.

Posted by: JL | July 27, 2009, 11:30 am 11:30 am

Does anyone else see the hypocrisy in all of this? I mean in terms of the congressional gander determining what’s good for the geese.

Posted by: LongT | July 27, 2009, 11:34 am 11:34 am

americans have woken up just as they did in the mortgage crisis. they dont want to pay for someone elses responsibility. nothing is free except whan an election comes around. lots of freebies were promissed and fortunately the 300 million plus who work and pay for health care dont like the price tag of giving something away. they want their costs reduced,,,,,which is NOT going to hapen under obama.

Posted by: catman | July 27, 2009, 11:43 am 11:43 am

To Steve in Austin: Do you want the private health insurance industry to survive or would you prefer it doesn’t exist? Is this all about a war on a certain sector of corporate America or is it really about solving the health care “crisis”, whatever that means?

Posted by: Woody | July 27, 2009, 11:43 am 11:43 am

LongT
Like oil through a goose,
there’s more parties in Congress living well in the pockets of large corporations it’d make your head spin.
Healthcare has been a for-profit business in the last 30 years and
the only parties who stand to lose by healthcare reform are the huge pharmaceuticals/insurers/healthcare corporations.

Posted by: gus amaral | July 27, 2009, 11:53 am 11:53 am

Obama’s original proposal was “shovel ready”. Now it sounds like it will be buried.

Posted by: rolandotx | July 27, 2009, 11:53 am 11:53 am

gus amaral then move there .most people in this country like their insurance most people have insurance.oh yeah goverments great at running things o.k. let me tell you another one get real if this goes public hold on to your wallets its gonna be a bumpy ride.

Posted by: natale from mass. | July 27, 2009, 11:56 am 11:56 am

The public is wary. This needs to be done in increments. If both houses of congress were to pass a reasonable bill on tort reform as it relates to medical procedures and malpractice, they could make a huge and immediate impact on lowering the cost of healtcare in this country in the blink of an eye. (None of this waiting till 2013, creating new bureaucracies, and raising taxes.) It would not be the whole answer, but it would be a great start. A start that demonstrated to the American people that this is a serious effort not just politics as usual.

Posted by: elissa | July 27, 2009, 12:02 pm 12:02 pm

Politically the common wisdom seems to be that the Democrats will be damaged should they not deliver on campaign promises. It seems to me that making a little progress is politically speaking the ideal solution. If the Democrats pass their whole agenda (universal health care for illegals and everybody else) paid for by the wealthy, nation definition of marriage to include same sex, path to citizenship for all that break the immigration laws, more dollars for education etc. Very few people will want them to go further or need them to hold the current ground. And of course many will think they have gone too far. So give the electorate changes that they generally support and leave some hungry for further change.

Posted by: merchantilist | July 27, 2009, 12:02 pm 12:02 pm

COngress will never be able to resist throwing money into a public option in the future to keep costs to consumers down resulting in undercutting private insurers and putting them under. That will result in rationed care, the goal of the Dems all along. And the care will be substandard.

Posted by: jschmidt | July 27, 2009, 12:09 pm 12:09 pm

Just give the US citizen the same rates and service that illegals get. No increase in taxes, nowaiting lines, no restricted services, no bills. Then the democrats will have someting we all can live with or without.

Posted by: Bob | July 27, 2009, 12:18 pm 12:18 pm

Yes, Mrs. Clinton we are worried about the particulars of healthcare reform as proposed by both the house and senate. The devil is in the details. Though we favor reform in general, the context of what reform amounts to is important to us, the taxpayers who bear the burden of tax and spend reforms in general. It’s hard to sell a future savings that costs us more now. First go after the causes of high cost ineffective healthcare. Get the cost down now and then we can negotiate from a reduced cost starting point rather than a dangling carrot speculative approach.

Posted by: mmonroeliveson | July 27, 2009, 12:21 pm 12:21 pm

bob…what a great idea…the heck with what congress people get… i want the illegal alien plan…free health care, no income tax….and most of all GET OUT JAIL FREE CARDS.enough with these wacky get me the votes at any cost bills.

Posted by: catman | July 27, 2009, 12:22 pm 12:22 pm

Any chance this dufus will take a lead from Sarah and step down?

Posted by: CWG | July 27, 2009, 12:34 pm 12:34 pm

natale:
congress, or Sweden?
p.s. I’d be great either place. ;-)

Posted by: gus amaral | July 27, 2009, 12:36 pm 12:36 pm

CWG; Careful what you wish for. Joe Biden would become president and Nancy Pelosi is next in line. Sheesh!

Posted by: mmonroeliveson | July 27, 2009, 12:39 pm 12:39 pm

Any healthcare plan has to eliminate free care for illegal aliens and their anchor babies. Why should our tax dollars pay for non-citizens? The admin is including millions of illegals in its “uninsured” numbers, so that number is inaccurate and misleading. The states are going broke having to pay for illegals healthcare and emergency rooms visits and this must stop. Even more illegals will continue to flow in than we already have. Healthcare for citizens only!!!

Posted by: Dee | July 27, 2009, 12:41 pm 12:41 pm

mmonroeliveson—-This is true but I figure Joe ain’t smart enough to do so much damage…Pelosi…well that is a poser!

Posted by: CWG | July 27, 2009, 12:41 pm 12:41 pm

Everyone, including the smug Mr. Gibbs, should be required to read Mitch Albom’s column in yesterday’s Detroit News/Free Press. It’s right on the mark about how demonizing the rich isn’t going to heal our nation.

Posted by: S | July 27, 2009, 1:02 pm 1:02 pm

rightbehind:
The “Public Option” is DOA!
Any reform of the system must come
without the public option.
You can’t force a majority of
the American People onto a single
payer public plan to provide coverage
for the 30-40 million who are without
coverage!
Why not expand Medicare coverage to
the people without coverage?
Drop the age limitation for those
people and don’t meddle with the
majority’s coverage.
Make sure people are not denied
coverage for pre-existing conditions
and institute tort reform to prevent
frivolous lawsuits and lower
mal-practice insurance costs to
doctors.

Posted by: reaganfan | July 27, 2009, 1:36 pm 1:36 pm

Why do they need a new strategy? Pelosi has repeatedly said the Dems have the votes to pass this bill. So schedule the vote already and be done with it.

Posted by: maybe | July 27, 2009, 1:56 pm 1:56 pm

Success of other countries with one-payor system?
Sweden’s entire population has equal access to health care services. The Swedish health care system is government-funded and heavily decentralized. Compared with other countries at a similar development level, the system performs well, with good medical success in relation to investments and despite cost restrictions. According to the Swedish health and medical care policy, every county council must provide residents with good-quality health services and medical care and work toward promoting good health in the entire population.
Costs for health and medical care amount to approximately 9 percent of Sweden’s gross domestic product (GDP), a figure that has remained fairly stable since the early 1980s.
————————————–
gus amaral ,
Sweden has a population of LESS than 10 million people!
if you just 3% of the US population needing highly expensive treatments for end of life care or cancer…etc….
That would be just about equal to the entire country of Sweden requiring all that VERY expensive care!
No one brings up the obvious about all this. We have more people to spread out the cost, BUT we also have a larger population that will require those expensive treatments!
In 2005, the estimate was over 10 MILLION Peopple in this country alone with cancer!. You still think Sweden’s system would work if everyone in the country had cancer?
The idea that this thing will not balloon is a pipe-dream. We have a huge portion of our population headed toward expensive end-of-life care. To not grasp that cost is going to escalate for next 30 years or so is simply foolish.
Throw in million with cancer treatment needs and the idea that Obama tossed out about saying “I mean it” when it comes to not one dime added to the deficit, is just a fantasy.

Posted by: Mike_C | July 27, 2009, 2:03 pm 2:03 pm

take from those who work and give to those who don’t, the mantra of the democratic party

Posted by: alanthe great | July 27, 2009, 2:16 pm 2:16 pm

1st Question, when has the Government ever had more success than the Private sector in running ANYTHING?
2nd Question, aren’t we in this mess because the government put pressure on lending institutions to lend money to those who would eventually default?
3rd and Final Question, how did we ALLOW our Government to become like the government in “V for Vendetta”? It’s there NOW…go watch the movie, just replace the dictator with Obama, V with Rush Limbaugh, and the girl with Sarah Palin….it’s all there. Can anyone argue this point?

Posted by: Cary Vanley | July 27, 2009, 3:01 pm 3:01 pm

1st Question, when has our Government every administrated ANYTHING better than the Private sector?
2nd Question, when has there ever been a TIME in our Nations History that 1 MAN has tried to control so much, so quickly, and so completely?
3rd Question, why have we allowed our Great Country to deteriorate to that like the Government in “V For Vendetta”, watch the movie and replace the dictator with Obama, V with Rush Limbaugh and the girl with Sarah Palin…it’s all there, can anyone argue this point?

Posted by: Cary Vanley | July 27, 2009, 3:05 pm 3:05 pm

The ripple effect of this sweeping legislation is really frightening. Consider the following:
All illegal aliens will be covdered by the plan at tax payers expense- quite a perk for stealing into the country.
All abortions will be mandated – even at Catholic hospitals – at tax payer expense.
The most sensible way to control health cost, limiting malpractice suits, and thus the horribly expensive defensive medicine being practiced today is entirely overlooked as a solution or part of the solution.
If the “gov’t plan” is offered at 10-15% less premium than the public sector’s because it is tax payer subsidized, why wouldn’t all elgible smaller employers switch to it – thus effectively killing the private health insurance industry?
Will the government plan limit coverage for smokers? for drinkers? for dangerous hobbies? for sugar consumption? for the elderly who need care but statistically have few years to live.
Obama plans to drastically reduce Medicare spending to help fund this plan. If we cut Medicare, what happens to the care the elderly will receive?? This sector has paid for this coverage in payroll taxes and Part B premium. No one has explained how cutting Medicare is going to help these recipients?? Almost all Medicare beneficiaries have been forced to buy supplemental coverage because there are so many holes in this Government insurance plan. A retired couple often spends $400/month for this extra coverage. Thats on top of the almost $200 the spend per month for Part B of Medicare.
I would never want a plan until these questions are resolved.

Posted by: craig johnson | July 27, 2009, 4:02 pm 4:02 pm

Rick, You mentioned “divide and conquer” as methods the non-thinkers utilize but you left out the “FEAR” factor which has effectively spooked the herd successfully in the past. That method will not work in these times because Americans have come to realize how Bush/Chaney & Co. deceived us for eight very long years, and we fully comprehend how much this history of malevolence will continue to cost us for years to come. The yellow rabbits/blue dogs are a complete mystery as they make absolutely no sense at all. We’re at a loss!

Posted by: clever bob | July 27, 2009, 7:59 pm 7:59 pm

All this talk about skyrocketing healthcare costs… Isn’t it interesting that no one is talking about tort reform. Could it be that many in congress made their millions through lawsuit representation? I believe the attorneys have a big hand in the cost of everything medical. With healthcare reform, the taxpayer will probably get to pay off the lawyers for frivolous judgements and awards. Thanks again congress for another kick in the teeth. I say vote every incumbent out of office and start over.

Posted by: JustACitizen49 | July 27, 2009, 10:43 pm 10:43 pm

What an interesting caveat on the Swededish health care system-”good medical success in relation to investments”. Sounds like equivocating; it’s “good” compared to nothing?
The “entire population has equal access to health care”-I guess their congress didn’t specifically exempt themselves from the socialized health care like our congress did.
By the way, I wonder if as many people go to Sweden for health care as those coming to America.

Posted by: Jackie | July 28, 2009, 8:06 pm 8:06 pm

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