By Julie Percha

Mar 12, 2010 8:03am

Processed Goods: Until It’s Done, It’s How It Happens That Matters

By Rick Klein We can talk about fixing a package of fixes that nobody’s actually seen yet. We can talk about missing a deadline that nobody thought anybody would make. We can talk about a reconciliation process that averts a filibuster, or a rule that deems passage, or about how a student loan overhaul belongs in a health care bill, or about how a score from the Congressional Budget Office means the House can, at last, see legislation upon which to base a vote. Or we can talk about health care. How the bill passes takes on more importance with each lingering day: Process eclipses policy when the process isn’t so pretty to look at. It’s not just that President Obama campaigned on process in addition to policy. It’s that process has won the battle for the public’s interest before. (Think more people can tell you about the Cornhusker Kickback or the health insurance exchange?) And we’re not voting yet, which means we can mark off another week where it’s all about health care … House Speaker Nancy Pelosi: “We will take up the bill when we’re ready to take up the bill.” White House Chief of Staff Rahm Emanuel: “We’re getting toward the end.” No one can say they weren’t warned: “Bluntly put, this is the political reality: First, the battle for public opinion has been lost. Comprehensive health care has been lost,” Patrick H. Caddell and Douglas E. Schoen, pollsters for Presidents Carter and Clinton, write in a Washington Post op-ed. “If it fails, as appears possible, Democrats will face the brunt of the electorate’s reaction. If it passes, however, Democrats will face a far greater calamitous reaction at the polls. Wishing, praying or pretending will not change these outcomes.” These are supposed to be comforting numbers: “Since February 1, according to data compiled by [Joel] Benenson, 44 percent of those tested in national surveys support the bill while 45 percent oppose it — a sea change from the 38 percent favor/52 percent oppose average of polls conducted in the three months prior,” Washingtonpost.com’s Chris Cillizza reports. Paul Krugman: “Polling on reform — which was never as negative as portrayed — shows signs of improving. And I’ve been really impressed by the passion and energy of this guy Barack Obama. Where was he last year? … This is a reasonable, responsible plan. Don’t let anyone tell you otherwise.”  Maybe complicating that case (with a Drudge push, to boot): President Obama is at 46 percent approval in the Gallup daily tracking poll (and those two lines have never looked closer). Bob Shrum zags: “Despite the dire predictions, the Obama comeback could be cemented as early as November. Assuming those jobs materialize, Democrats could minimize their losses and hold both Houses of Congress,” Shrum writes for The Week. “By 2012, with a full-blown recovery and wide ranging change achieved, it may well be morning in Obama’s America.  And the Republicans, desperate to explain away prosperity, or still fulminating against socialism, will once again descend ungently into that good night.” More meetings: “House Democrats were meeting again Friday to discuss the still-evolving plan and for leaders to try to soothe lawmakers worried about the price they might pay in November’s congressional elections for supporting it,” the AP’s Alan Fram reports. “Even with initial votes possible next week, few were claiming that Democrats had the votes in hand to prevail — especially in the House, where the roll call is expected to be a cliffhanger.”  “There’s no question that the Democrats will round up the votes,” Donna Brazile told George Stephanopoulos on ABC’s “Good Morning America” Friday. “We will have the votes to pass health care.” “The people have spoken,” Laura Ingraham countered. “The bottom line is, America does not want this. Democrats are ignoring that, and a lot of people feel insulted.” Time to digest — or get indigestion: “The CBO estimate will set off a final push by House leaders to secure the 216 votes they need to pass the bill. Ms. Pelosi said the House would then spend another week reviewing the final package before taking its vote,” The Wall Street Journal’s Janet Adamy reports. “Everyone expressed frustration that we do not have comprehensive cost estimates from the Congressional Budget Office,” said Rep. Gerald E. Connolly, D-Va., per The New York Times. The Times’ Robert Pear: “In addition, lawmakers said, they were not given the text of the latest legislation drafted by House and Senate Democratic leaders and the White House to address widespread concerns about the bill passed by the Senate in December.” Exploiting the trust gap: “Because the tactic requires the House to act first, Republicans are trying to capitalize on the traditional distrust of the Senate by House members to persuade wavering Democrats to vote against the legislation,” Bloomberg’s James Rowley reports. Sorry, Mrs. Slaughter: “The Senate Parliamentarian has ruled that President Barack Obama must sign Congress’ original health care reform bill before the Senate can act on a companion reconciliation package, senior GOP sources said Thursday,” Roll Call’s David M. Drucker reports.  “The ruling means House Democrats would have to rely on a good-faith promise that senators will pass the changes after the healthcare bill is signed into law, a difficult prospect at a time when lower-chamber lawmakers have grown distrustful of their Senate counterparts,” The Hill’s Alexander Bolton reports. “Ultimately, the parliamentarian’s ruling could cost healthcare reform crucial votes in the House, as some lawmakers may view it less likely the Senate will adopt their requested changes at a later date.” (We talk process on ABC’s “Top Line” today with Rep. David Dreier, R-Calif., the ranking Republican on the House Rules Committee. Noon ET ABCNews.com.) Protesting too much? “With a final vote drawing near on President Barack Obama’s health-care overhaul, Republicans’ latest strategy can be neatly summarized: try to scare the daylights out of House Democrats,” The Wall Street Journal’s Naftali Bendavid reports. “For months Republicans have been telling the public that the Democrats’ plan is a government takeover of health care. Now they are ramping up their warnings to Democratic lawmakers themselves, saying a ‘yes’ vote puts their political careers at risk.” Impacting the whip count: Democrats “made their task even more difficult by moving toward writing off anti-abortion members who voted for the bill the first time in the House,” Politico’s Patrick O’Connor writes. “House leaders now believe they can’t change the abortion language in the Senate bill under the reconciliation process, which is only supposed to be used on budgetary matters.” Coming Sunday: Senior White House adviser David Axelrod and Sen. Lindsey Graham, R-S.C., join ABC’s (birthday boy) Jake Tapper on “This Week.” New from the ad wars: Americans United for Change this weekend launches a nearly half-million buy aimed at black listeners. From the TV spot, airing on BET: ”President Obama’s plan would rein insurance rates … prevent the insurance giants from denying coverage when you’re sick. And holding down health care costs will help create jobs.  But the insurance giants and using every weapon in their arsenal to block reform.  We can’t let them succeed.” Remember when this was going to be the big bipartisan accomplishment? “The head of the Senate Banking Committee will unveil sweeping new reforms for the financial system Monday after failing to reach an agreement with Republicans on the panel,” ABC’s Matthew Jaffe reports. “Sen. Chris Dodd, D-Conn., announced today that he will release his proposals to overhaul Wall Street in the wake of the financial meltdown, even though talks with top Republican negotiator, Sen. Bob Corker of Tennessee, left ‘a few outstanding issues’ unresolved.” “The gamble is a bid to speed progress, but it raises the chance that Congress won’t be able to push through a substantive regulatory overhaul,” The Wall Street Journal’s Damian Paletta reports. “The White House and some Senate Democrats now plan to challenge the GOP to a partisan fistfight, daring Republican senators to break ranks and not use the blocking power of a filibuster to kill a measure that would curb Wall Street and create a new government division to write consumer-protection rules.” Perish the thought — not politics! “As the White House reconsiders the decision to prosecute the five alleged plotters of the Sept. 11, 2001, terrorist attacks in civilian court, the likely change of course seems designed to protect vulnerable Democrats in Congress more than it is to improve the chances for conviction,” McClatchy’s David Lightman and Marisa Taylor write. The retiring Rep. Patrick Kennedy, D-R.I., opens up, in a revealing and fascinating profile by The Washington Post’s Philip Rucker: “I want a fuller life,” says Kennedy. “For me, I had an audience of one… That was my dad.” (And count the Kennedy cousins who went on the record for Patrick.) Census wars (?) … going out from the DCCC on Friday: “Our Republican counterparts at the National Republican Congressional Committee (NRCC) and the Republican National Committee (RNC) recently sent out deceptive political fundraising letters that looked like U.S. Census letters so they could fill their campaign accounts with cash from a misleading and deceptive fake census letter, leaving taxpayers like us to foot the bill!… Please take this time to forward this information to your friends and family to warn and make sure they are filling out their official US Census form.” In California: “San Francisco Mayor Gavin Newsom will announce Friday that he is running for California lieutenant governor, according to people who were contacted by him,” the Los Angeles Times’ Anthony York reports. Best wishes for a speedy recovery: “Sen. Harry Reid’s wife was listed in serious condition at a suburban Virginia hospital Thursday night after she and her daughter were involved in an auto accident on a major highway,” Steve Tetreault reports for the Las Vegas Review-Journal. “The Honda Odyssey in which Landra Reid and daughter, Lana Barringer, were riding was rear-ended and crushed by a tractor-trailer in heavy traffic about 15 miles south of Washington shortly after 1 p.m. Landra Reid, 69, suffered a broken nose, broken back and broken neck and was listed in serious condition, said Jon Summers, a spokesman for the senator.”
The Kicker: “You know you are supposed to clean this after every use!” — Tom Hanks, checking on the espresso machine he gifted the White House press corps in 2004. “I am elected to serve my constituents and as long as they continue to request federal funding for their projects of interest, then I will continue to do my best to accommodate them.” — Rep. Don Young, R-Alaska, not happy with House Republicans’ new pork-free diet.
For up-to-the-minute political updates check out The Note’s blog . . . all day every day:

http://blogs.abcnews.com/thenote/

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User Comments

I wonder if the pundits and political reporters in the media will ever look back at how they covered the healthcare reform debate and think “boy, did we ever mess that up.”
It seems like the storyline in the media has never been at greater odds with the substance of the issue then with this healthcare reform debate.
I learned more about this bill by slogging through the CBO report than I ever did by reading the mainstream news sites. I learned more by listening to Kathleen Siebelius explain what’s in the bill, on the Sunday talk shows, than I did listening to the reporters throw political punches at her.
Healthcare is a very important issue to me. I have nieces and nephews who are self employed or out of work, whose insurance situation is tenuous. My latest grand-nephew was born prematurely and it cost $300,000 to bring him into the world healthily. Thank God his Dad had good health insurance, how many young parents do? I think the reporters in our national media have stopped caring about how this issues effect the country, and prefer to focus on the political game. I’ve said it a million times, and noone listens, but I am as sick of our media pundits as I am of the politicians. ‘Nuff said.

Posted by: Amy in Maine | March 12, 2010, 8:53 am 8:53 am

These union people who are protesting for health care now. This is a bogus protest. Almost everyone of these protesters have union / employer provided health care. Yes they may have money taken out of their checks and matched by the employer but they have health care. Do you really think the unions want to drop their plans and fall on a government plan that will double or triple their premiums to the government?? If the Unions drop their health care plans then is that not a bargaining tool they will lose for people to join the unions??? What will they say then??? Join our union because we force the government to provide you with a health benifit?? Hahahahah

Posted by: Jim Rod | March 12, 2010, 9:24 am 9:24 am

brian ACORN is left wing not right wing. look over your right shoulder and call that right and look over your left shoulder and call that left. Wait! bad instructions because you do not know left from right??

Posted by: Jim Rod | March 12, 2010, 9:28 am 9:28 am

I agree the media and pundits are beating a dead horse. It is time to move closer to universal health care and hopefully single payer. Those who think their coverage is secure are one step away from disaster if they lose their job, have a major medical problem or try to move to another state with a pre-existing condition. EVERYONE is vulnerable and I wonder who the jerks are who are against this initiative. It is not perfect, but it is a START, so get on-board and let’s GO

Posted by: Gail Lehmann | March 12, 2010, 9:40 am 9:40 am

you miss my point — Nobody but the right cares about whatever Acorn is doing — Its nothing but the Right wing beating an Issue most people don’t care a hoot about !!! Its a Really Really Boring Dead Horse !!!

Posted by: brian | March 12, 2010, 9:46 am 9:46 am

In an almost unbelievable twist of fate, the Democratic congress is drowning in their own political backwash. They followed their utopian mirage deep into the desert..and there they sit, arguing about how to save themselves.

Posted by: cindy | March 12, 2010, 9:48 am 9:48 am

Whenever a right winger throws in the word ACORN in a debate, they know they are on the wrong side of the issue.
Other words they use in their ‘plan B’ strategy are: socialist, radical, communist, government-takeover

Posted by: New Wave | March 12, 2010, 10:08 am 10:08 am

brian=== now its a good point. thanks

Posted by: Jim Rod | March 12, 2010, 10:16 am 10:16 am

If they are going to use legal tricks to pass this thing, then let the lawsuits begin.

Posted by: Jeff | March 12, 2010, 10:21 am 10:21 am

Jim Rod wrote: “Do you really think the unions want to drop their plans and fall on a government plan that will double or triple their premiums to the government??”
Have you even spent five minutes examining the health care reforms? Let me school you. The reforms will NOT replace private plans with government plans. Most of the 30M new plans will be private plans as well. In fact, the CBO expects those remaining with their government plans will see either no change or a decrease in their premiums compared to the current situation. That’s because only 71% of premiums are used for health care now (luxurious overhead and profits account for much of the rest) and the reforms would require 80%. Additionally, the average premium now includes and extra $1000 to compensate providers for those with no insurance. That will obviously drop with these reforms.
You suggest that government insurance would double or triple your premium. Yet it costs the government 13% less per person to provide Medicare B than it costs private companies to provide the alternative Medicare Advantage – and B is preferred 3:1. Over the past decade, private-insurer premiums have risen an average 7.5% per year, while Medicare’s costs have risen 4.5% per year – with NO denials.
How can you get so fired up about something you haven’t taken the time to study?

Posted by: The_Mick | March 12, 2010, 10:55 am 10:55 am

It is time for these politicians to understand that WE the American people are their BOSS and their employer. We the majority of the board do not want health care. We do not need to tell millions upon millions of times over and over again. You will be terminated from your position if you do not do what we the majority are telling you to do. Vote no on this health care and work on jobs first. Claire McCaskill of Missouri your not my mom and I do not care what tone of voice you need to use my tone is your FIRED. How dare you tell us you will talk to us like children in your Mommy voice. Your a complete out of touch fool and take Cl;eaver with you. We know you have some time to go before you election but heed this MOMMY. Your fired for Playing around on DADDY

Posted by: Jim Rod | March 12, 2010, 10:57 am 10:57 am

Jim, “the jerks” who are against this are those with enough sense and perspective to realize that the government fails at everything it touches. Medicare is a disaster with a 10% REPORTED fraud rate and reimbursement rates so low they force providers to squeeze private insurance to cover. Social Security is a failing Ponzi scheme that pays out a tiny fraction of what a private investment of the same amount would. Welfare is a failed system that traps generation after generation of families in a cycle of poverty and entitlement. Public education is a joke that currently pays twice as much per student as 20 years ago with absolutely no improvement in results.
Smart people realize that the government can only hurt health care. As bad as the current system is it CAN get worse and will get worse under Obamacare. The government has never proven it can do otherwise.

Posted by: Erik | March 12, 2010, 10:59 am 10:59 am

Talk about AstroTurf protesters. These were rallied by unions and the political establishment. Unlike the grassroots of the Tea Party movement.
Go ahead dispute it. But check out the origins and source of these organized marches.
This one reminds me of the government/politically arranged marches put on by the Chavez and Ahmadinejad establishments.

Posted by: TX-MBell | March 12, 2010, 11:01 am 11:01 am

UNCONSTITUTIONAL! What you don’t hear about are how they’ve been busy removing all the constitutionally challengable details in the original bill…..shows how stupid they are coming up with that thing last summer/fall with all of Ried’s backroom special deals….I don’t know who is more ignorant..these politicians or the people that vote for them…

Posted by: LongT | March 12, 2010, 11:02 am 11:02 am

This does not insist that everyone pays for their own health care.
People on entitlements do not significantly contribute.
The wealthy are self-insured and are unconstitutionally slapped with a new tax.
The lower middle-class opts out because they are at the bottom end of the income scale and barely get by and would qualify for assistance through the entitlements.
The middle of the middle-class has high deductibles gambling that they won’t have a major medical expense in that year.
The upper middle middle-class has good group coverage but would end up with the Cadillac tax.
In reality there is nothing fair about any of this bill. The middle class gets squeezed for more thus pushing them further down the real-income scale. And small income businesses won’t hire because of the mandated medical coverage or limit their employees to work part-time hours low enough to put them below the mandate for coverage.
Large high-margin businesses will cut deals with the political establishment through tax breaks. i.e. the sweetheart deals in the bill already.
This Bill is ‘NOT’ a health care bill. It is a political and union establishment grab for power. If it were a heath care bill it would be addressing the root causes of the rising cost. Instead it is imposing the will of a political establishment to dictate to the American people.

Posted by: TX-MBell | March 12, 2010, 11:28 am 11:28 am

Erik and Jim Rod
I know a country with little or no government oversight. Perhaps you’d find Haiti more to your liking?

Posted by: Amy in Maine | March 12, 2010, 11:30 am 11:30 am

Premiums for everyone will increase substantially especially if you are in a state like Pennsylvania that doesn’t have the mandates that states like Mass and NY have.
To “The Mick” the CBO can give you their best estimate but what they don’t explain is with the expansion of Medicaid which pays providers sometimes 1/10th of what private insurance pays then the cost shifting involved by the Medicaid expansion will increase the coverage of private insurance. In fact if the press really looked at the studies performed they all say premiums will go up and the Dem leaders only response is some Americans will receive subsidies.
By the way the CBO can’t score rationing of care and the lack of doctors to handle 30 million more people demanding to be seen.
THIS WILL REDUCE THE CARE WE RECEIVE, RAISE TAXES AND PREMIUMS. IF YOU ARE GOING TO HAVE GOVERNMENT INTRUSION IT SHOULD LOWER PREMIUMS SUBSTANTIALLY.
By the way, I don’t believe Obama having the HHS determine rates is allowed to be passed under reconciliation.

Posted by: Can't wait for November | March 12, 2010, 11:48 am 11:48 am

The American People and the fact of Health Care costs rising uncontrollably have spoken. America Voted out Repubs who did nothing… voted in Dems who ran on health care reform. All of you folks who say America has spoken are right, but then you ignore what they actually said.
Repubs say No to Health Care reform, they say No to financial reform… the American populace said No to the Repubs.
Get it? Got it? Good. But since elected Repubs still want to scream NO, I think November will just be another nail in their coffin.
Want to know why Dems have closed door meetings? So something can get done without a Repub blathering non-facts and refusing to co-operate.

Posted by: DewyB | March 12, 2010, 12:02 pm 12:02 pm

“Want to know why Dems have closed door meetings? So something can get done without a Repub blathering non-facts and refusing to co-operate.” Posted by: DewyB | Mar 12, 2010 12:02:41 PM – We call you morons drones for a reason. You bumble around with your eyes closed repeating democratic talking points. These progressive democrats are getting desperate and running scared. Time to round them up and push them off the cliff in the next election.

Posted by: StarveTheBeast | March 12, 2010, 12:26 pm 12:26 pm

How can you get so fired up about something you haven’t taken the time to study?Posted by: The_Mick | Mar 12, 2010 10:55:47 AM
How can you study something when no-one knows whats in it. Just like Pelosi said, lets pass it and then we find out whats in the bill.

Posted by: Lizzie | March 12, 2010, 1:07 pm 1:07 pm

Pelosi the die hard Woodstock player said (if your a writer, artist or music writer) in so many and more words that (you do not have to work and get health care) (you can spend your time writing, singing and drawing) while the rest of Americas working class works. Is this lady Pelosi and Idiot?? Does she need a teleprompt now?? Get off your A– and work for a living. This is what your dems party has stouped too. Please resign Pelosi so we can save a nation

Posted by: Jim Rod | March 12, 2010, 1:31 pm 1:31 pm

This way to pass a bill has never been used before,To just stop the legislative process before the house even votes,and push for reconciliation has never been done before. Why is there student loans tied into this bill?Henry Waxman wants abortion paid for in this bill. A bad bill is a bad bill time to just stop the BS and get a decent bill done.

Posted by: stormerF2 | March 12, 2010, 1:41 pm 1:41 pm

I can understand why the rest of the
world is looking at us and laughing.
What a bunch of idiots we have running
this country and what a bunch of fools
bought into all their crap. Maybe we
do need to update our education standards.

Posted by: wis134 | March 12, 2010, 1:55 pm 1:55 pm

Why do so many seem to ignore the fact that insurance rates cannot come down until such time as the delivery systems are brought under control. It is the cost of the delivery of health care that is driving insurance – the cost of drugs ($100 retail; $10 with insurance); the cost of hospital care (140 for a single tylenol); and the cost of medical devices. Posters complain about the measly 4% profit that insurance companies make, but what about the obscene profits that awarded to the drug companies? What about the defensive medicine that is practiced because malpractice insurance costs our doctors between 150 and 300k annually? Bring those costs down and insurance costs will lower without a total rework of 16% of our economy!!!

Posted by: tired of it all | March 12, 2010, 2:03 pm 2:03 pm

Tell me again why I should bust my hump at work to pay for my neighbors healthcare? Really now! This Nation is turning into an “Entitlement Nation”…Ask not what you can do for your Country, but what your Country can do for you…Great.

Posted by: Mike | March 12, 2010, 3:13 pm 3:13 pm

Mike
This is not an entitlement program, it’s mandatory health insurance with subsidies to those making less than $20,000, to make insurance affordable for them, but they still pay something.
We are all paying for our neighbors’ healthcare now. Uninsured people are treated at hospitals now and the cost is written off by the provider…which is passed on to you.

Posted by: Amy in Maine | March 12, 2010, 3:26 pm 3:26 pm

A group of 40 Democratic Congressmen pledged last year to vote AGAINST any bill without a strong public option.
Not surprisingly, their pledge means nothing to them now.
They will vote FOR the Senate bill with NO public option, the Senate bill with jail terms and massive fines for the uninsured, the Senate bill with new taxes on health care plans (except for union members), the Senate bill with an unconstitutional ‘individual mandate’, the Senate bill which drives up premiums by forcing insurance companies to drop the exclusion for pre-existing conditions (don’t you wish you could buy home insurance after the house burns down?), and the Senate bill with special deals for Louisiana and other places counted in the hundreds of millions.
Take a close look folks, these are the ‘progressives’.

Posted by: Joe White | March 12, 2010, 6:07 pm 6:07 pm

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