January 14, 2009
HOUSE EASILY PASSES S-CHIP.... The House passed expanded healthcare for children twice in the 110th Congress, but Bush vetoed the legislation both times. Today, the House got off on the right foot with another successful vote on S-CHIP, this time awaiting a better outcome with a more amenable president.
The House voted Wednesday to expand government-sponsored health care to 4 million more children of working families, making a down payment on President-elect Barack Obama's promise to provide universal health care to all Americans who want it.
After the bill's passage, Obama said he hoped the Senate acts with the "same sense of urgency so that it can be one of the first measures I sign into law when I am president."
"In this moment of crisis, ensuring that every child in America has access to affordable health care is not just good economic policy, but a moral obligation we hold as parents and citizens," Obama said.
The bill, passed by an overwhelming 289 to 139 vote, would increase federal taxes on cigarettes by 61 cents to a dollar a pack to pay the $32.3 billion cost of expanding the State Children's Health Insurance Program for the next 4 1/2 years. Departing President George W. Bush vetoed similar legislation twice in 2007
"Soon we will have a new president who has committed himself to reforming our nation's health care system so every American can access affordable and quality health care." said Rep. Frank Pallone, D-N.J. "The bill we are considering today makes a down-payment on that promise."
The Senate is scheduled to take up the bill tomorrow. If Republicans filibuster the legislation, as they do every major bill, there are more than enough votes to pass it anyway.
The roll call is online here, but I'd note two groups of people of particular interest. There were six House Republicans -- Rodney Frelinghuysen (N.J.), Ileana Ros-Lehtinen (Fla.), Lincoln Diaz-Balart (Fla.), Mike Rogers (Ala.), Mario Diaz-Balart (Fla.), and Thaddeus McCotter (Mich.) -- who voted for the bill, after having opposed it in the last Congress. Elana Schor asks, "What happened, guys? Was it Obama's post-partisan outreach that did it for you?"
On the flip-side, there were only two Democrats who broke party ranks and voted with the Republicans in opposition to the bill -- Reps. Bobby Bright of Alabama and Jim Marshall of Georgia.
Post Script: By the way, E. J. Dionne had a good piece on S-CHIP and its importance in the midst of the economic crisis the other day. Maybe someone should send a copy to Bright and Marshall.
—Steve Benen 4:35 PM
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Passing children's health insurance - Great
Making its funding depend on the country's greatest menace to its collective health - Not so great
Posted by: scott_m on January 14, 2009 at 4:34 PM | PERMALINK
Senate repugs NEVER filibuster.
They pretend to threaten to filibuster, and Harry Reid caves.
Real filibustering involves forcing your members to stand on their feet and talk nonstop with no break and no drinks or food for hours and days.
Mitchie-poo would last about an hour and a half.
Next time he tries another fake, somebody needs to call his bluff.
Posted by: Yellow Dog on January 14, 2009 at 4:43 PM | PERMALINK
I concur with scott_m. Passing legislation to provide healthcare to 4 million more children is good, but paying for it with cigarette taxes is dubious. Sure, it probably will fund the program for a while, but we all know cigarettes pose one of the biggest health threats we face in this country. And what happens if we manage to significantly cut the number of smokers over the coming years?
Posted by: independent thinker on January 14, 2009 at 4:58 PM | PERMALINK
The power behind the threat of a filibuster is the ability to successfully kill a bill with it. Senate Republicans had that power once.
Posted by: wishIwuz2 on January 14, 2009 at 5:04 PM | PERMALINK
Maybe Bright and Marshall will start receiving emails from outraged constituents based on the Obama campaign's enormous mailing list. That would be way cool.
How about we fund the thing with a windfall profits tax on everyone who held a job in the White House between 2000 and 2008? That would be even cooler...not to mention funnier.
Posted by: Curmudgeon on January 14, 2009 at 5:06 PM | PERMALINK
And what happens if we manage to significantly cut the number of smokers over the coming years?
This would be an AWESOME problem to have.
Golly gee, if we had millions more people living healthier, more productive lives, how would we ever figure out how to pay for a little program to insure children?
Seriously, I think we'd muddle through somehow.
Posted by: anonymiss on January 14, 2009 at 5:06 PM | PERMALINK
Various studies put the U.S. health care spending due to smoking alone in the $90-$100 billion range. Seems to me that significantly reducing smoking will free up a bit of health care funding anyways. Of course, then you'll have an increase in geriatric health care costs as well because fewer people die due to lung cancer and whatnot, but anyways, I wouldn't worry all that much about where the funding comes from if smoking plummets disasterously.
Posted by: Elio Garca on January 14, 2009 at 5:12 PM | PERMALINK
And what happens if we manage to significantly cut the number of smokers over the coming years?
We have a big celebration of that major acheivement and, either:
(1) S-CHIP is already rendered obsolete by a comprehensive national healthcare plan that makes myriad specific programs for specific populations unnecessary, or
(2) We find a new funding source to support S-CHIP.
Posted by: cmdicely on January 14, 2009 at 5:27 PM | PERMALINK
I agree with all the points made about my comment, but it is not always so easy to change funding sources. Circumstances change. None of use knows who will be in power in 10 or 15 years. I agree that it would be something to celebrate if we significantly reduced the number of smokers and the related health issues. I'm just pointing out that relying on a revenue stream that ideally we want to eliminate is at best problematic and at worst a conflict of interest.
Posted by: independent thinker on January 14, 2009 at 6:00 PM | PERMALINK
The bill [...] would increase federal taxes on cigarettes by 61 cents to a dollar a pack to pay the $32.3 billion cost -- news at yahoo
The producers have anticipated the passage of SCHIP; my carton of (cheapest available) cigs was a dollar more yesterday than it had been 5 days ago, after holding steady for more than a year (about the only thing that didn't go up, despite the "transportation costs" fluctuations). I think they're planning to raise the prices gradually, a bit at a time, *before* the law actually kicks in so that, by then, we'll be used to it (kind-a like the frog and boiling water).
I'm one of those who'll have to contemplate kicking the dirty habit after all those years (43+), once the prices are firmly set at the peak. But, in the meantime, perhaps I'll move to 4 packs a day (instead of 2), while the going is still good :)
Seriously, though... I'm very happy about the bill's passage and its no-veto prospects. Long overdue and, hopefully, a crack in the door towards universal, single-payer, not for profit healthcare for *all* Americans, irrespective of age.
Posted by: exlibra on January 14, 2009 at 6:12 PM | PERMALINK
The roll call is online here, but I'd note two groups of people of particular interest. There were six House Republicans -- Rodney Frelinghuysen (N.J.), Ileana Ros-Lehtinen (Fla.), Lincoln Diaz-Balart (Fla.), Mike Rogers (Ala.), Mario Diaz-Balart (Fla.), and Thaddeus McCotter (Mich.) -- who voted for the bill, after having opposed it in the last Congress. Elana Schor asks, "What happened, guys? Was it Obama's post-partisan outreach that did it for you?"
What happened to the Floridians was Annette Taddeo, Raul Martinez, and Joe Garcia--they had actual competition for the first time in forever and spent the year getting attacked again and again over S-CHIP, and jumped on the chance to nip that in the bud just in case. I might guess that something like that happened with the others. This is why democracy is good!
Posted by: JT on January 14, 2009 at 6:17 PM | PERMALINK
What if... The Republicans, instead of delaying the bill in the Senate pushed it through and forced it to the president's desk BEFORE 1/20?? Bush could veto it once more as a parting gift.
Posted by: TomByrd on January 14, 2009 at 6:22 PM | PERMALINK
well, it's all very high-minded to speak of unreliable revenue streams and the like, but i object to it on crass personal grounds: why the hell should i and other smokers foot the bill for expansion of children's health insurance? if it's such a jolly good idea, why not make everyone pay for it?
your pal,
blake
Posted by: blake on January 14, 2009 at 6:51 PM | PERMALINK
They tried funding healthcare through cigarette taxes and what happened? Funding dried up as more people quit. Now they try and pass propositions to raise taxes on cigarettes even more so that they can backfill the funding the last time they did it.
Leave it to the federal gov't to do the same dumb thing.
Posted by: dreggas on January 14, 2009 at 7:50 PM | PERMALINK
as an addendum to my post, I am glad S-chip will be funded I just believe the method was dumb.
Posted by: dreggas on January 14, 2009 at 7:51 PM | PERMALINK
blake, @18:51
I'd sooner fund children's health care than the lawyers in all those mass... er... class action suits. Face it... We're gonna get reamed one way or another, 'cause nobody likes us no more.
PS I just heard that, on top of the $0.61-1.00 *federal* tax, I'll be paying $0.31 of *state* tax as well. Just announced by Gov. Tim Kaine (VA), in his state address tonight, my husband told me with glee (reformed smokers are the pits).
Posted by: exlibra on January 14, 2009 at 8:13 PM | PERMALINK
While I'm not crazy about the idea of paying $6.10 more per carton of cigarettes, I'm glad to see this bill finally becoming law.
As far as the funding source drying up as a result of people quitting due to the increased price, I have never known of anyone who quit smoking simply because the price went up. Sad to say the addiction is way stronger than that. I can sadly testify to that from personal experience, unfortunately.
Posted by: bob in fla on January 14, 2009 at 8:39 PM | PERMALINK
Aw, it isn't that we don't like you, exlibra; we've just gotten used to public places not being smoky, and we can't go back.
You guys have all my sympathy. Quitting smoking was the hardest thing I ever did. And I've done some hard things.
Posted by: shortstop on January 14, 2009 at 9:47 PM | PERMALINK
RECORD OPPORTUNITY
In the past its been difficult for the uninsured, especially children, to receive quality ongoing and follow-up healthcare because there was no previous record of their condition or treatments. Valuable time was wasted gathering basic information, and in some cases essential health histories have been lost. The lack of continuity in treating the uninsured is one of the big problems facing our health system. The proposed SCHIP extension will potentially insure 4 million children, making portable electronic health records more important than ever.
More discussion: www.healthcaretownhall.com
Posted by: Jeremy Engdahl-Johnson on January 15, 2009 at 12:35 PM | PERMALINK