Editore"s Note
Tilting at Windmills

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April 10, 2009

LET IT SNOWE?.... If Democrats are going to need some Republican votes to pass a major health care reform initiative, it looks like they should start with Sen. Olympia Snowe (R) of Maine.

Snowe hosted a "listening session" on health care reform this week and made it clear that she wants to support significant changes to the status quo. (thanks to reader A.F. for the tip)

Speaking to the members of the group before taking their testimony, Snowe, a senior member of the Senate Finance Committee, said the committee is determined to draft legislation by June and to have it ready for debate on the Senate floor by July. The last attempt to overhaul the nation's health care system was proposed in 1993 and dissolved in "polarization and partisanship," she noted.

"I believe the climate in Washington is different now," Snowe said. Recognition is widespread that the nation's health care system is unsustainable, ineffective and inequitable, she said, and the current economic crisis is only making things worse.

"This is precisely the right time" for national reform, Snowe said.

Snowe added that she expects to see a vote in the Senate before the end of this year.

"We have a totally dysfunctional system now," she said. While like most Republicans she would prefer to see the private sector collaborate on an effective change, a government-run health care system may be the only way to get the job done, she said. [emphasis added]

Now, that's obviously a paraphrase, not a direct quote. But if Snowe really said this -- the Bangor Daily News, which ran this report, has not run a correction -- it seems like a pretty encouraging development.

Steve Benen 10:35 AM Permalink | Trackbacks | Comments (12)
 
Comments

The Bangor Daily News also leans right. Both Snowe and Collins are from the Second District, the northern half of the state which is more conservative than those crazy libs who live in Portland and the surrounding suburbs.

If a "city" of a hundred thousand can be said to have suburbs. But it is the biggest city in the state.

Posted by: jayackroyd on April 10, 2009 at 10:38 AM | PERMALINK

Snowe is clearly the better of the two Maine senators. She's smarter, more articulate, and more moderate than Susan Collins. And I think she does really care about health care.

Posted by: Susie on April 10, 2009 at 10:45 AM | PERMALINK

I have a libertarian friend in Mass. who told me the exact same thing. While he would prefer to see the private sector collaborate on it, he thinks a government-run health care system may be the only way to get the job done.

And he voted for Ron Paul.

Posted by: DR on April 10, 2009 at 10:51 AM | PERMALINK

prefer to see the private sector collaborate

So, she prefers monopolistic collusion over free market competition?

Can't have it both ways, honey.

Posted by: Jay on April 10, 2009 at 11:38 AM | PERMALINK

It would be nice if Snowe actually supported health care for the entire population. However, being Republican, her morals, ethics and independent thinking have been put away in a lock box. The RNC leadership will tell her how to vote. The lemmings need to all run over the same cliff.

Posted by: Darsan54 on April 10, 2009 at 11:55 AM | PERMALINK

Two bits says Snowe goes all Arlen Spector on this; sounds good for now, but wait for crunch time. She will find something that "forces" her end up in opposition.

Posted by: Michael Carpet on April 10, 2009 at 12:05 PM | PERMALINK

What I believe differentiates Snowe & Collins from going 'Spector' on health care will be if there is overwhelming support for government run health care in the state of Maine.

Spector has always been a self promoting windbag who ends up toeing the rethug line. Snowe & Collins are self promoting windbags who will end up voting in such a way that will not get them dis-elected.

Posted by: SadOldVet on April 10, 2009 at 12:10 PM | PERMALINK

Maine is currently working toward a single payer system itself is it not?

Posted by: jhm on April 10, 2009 at 12:14 PM | PERMALINK

She's smarter, more articulate, and more moderate than Susan Collins.

I am holding a head of cabbage that is smarter, more articulate, and more moderate than Susan Collins.

[Holds cabbage]

Posted by: Davis X. Machina on April 10, 2009 at 12:36 PM | PERMALINK

Anybody who really understands insurance markets knows that insurance "reform" is not only incredibly difficult, but that, even if achievable, it will not achieve other important goals, like meeting cost and quality objectives, and just doing better to ensure that only treatments reasonably likely to be effective are being covered and paid for.

I think single payer is unrealistic at this point in time, however, "Medicare for all" will hold the feet of both the provider and insurance sectors to the fire -- they will have to start cooperating and stop pointing fingers at each other in order to compete with a government plan. If providers want more reimbursement than Medicare allows, they will start having to give up the notion that they can provide lots of useless stuff and still get paid. On the other hand, if insurers want to continue they will have prove their efficiency and their ability to actually add value to the system, and not just pick risks well. Some insurers actually have amazing data, but they can't really use it because providers simply don't want to be part of a system, but want more or less complete autonomy. As far as I'm concerned if autonomy is their goal, they can get paid less for it.

I am so f'ing tired of both of them.

Posted by: Barbara on April 10, 2009 at 1:16 PM | PERMALINK

From where I sit the main opposition to at least a partial public option is not republicans or the population at large but rather certain segments of democratic party leadership.

btw: the argument (which came complete with sloganeering about govt bureaucrats and socialism) i heard from some of that segment is that the problem with health care right now is that 1) insurance companies (who they call health care providers) currently unfairly bear all the risk 2) americans want too much health care 3) health care is currently a good bargain and 4) doctors should be making more money.

it sounded clear to me that they just want to institute Mass. style everyone must buy health insurance "reform". we need to hold democrats feet to the fire, the moderate republicans will come around if a sound plan is put together.

Posted by: Clancy Pendergast on April 10, 2009 at 2:01 PM | PERMALINK

Note that the post says "if" in "If Democrats are going to need some Republican votes to pass a major health care reform initiative..."

They may not need any Republicans. They may not need to make the bill do far less good to get Republicans, because it appears that Obama can structure the bill so that it's not filibusterable, so that it only needs 50 votes (plus a tie breaking vote from Vice-President Biden). With 59 Democrats in the senate (counting the two independents caucusing with them, and assuming Al Franken can take the Minnisota seat by then), if Obama is really willing to fight for great good here, rather than looking new-age, fairy-land, post-partisan, he can get it; he can get a truly good universal health plan certainly, if, as it looks, the bill can be structured (as a reconcilliation bill) so that senate rules do not allow it to be filibustered. For details on this, see the March 17th McClatchy article, "White House may seek to bypass filibuster rule in Senate".

In addition, New Republic Senior Editor Jonathan Chait writes in his 2007 book, "The Big Con: The True Story of How Washington Got Hoodwinked and Hijacked by Crackpot Economics", the Clinton health care plan could have been structured as a non-filibusterable bill:

Perhaps the most incredible thing about the [1993 Clinton] health care debacle is that the Democrats could have avoided the filibuster that ultimately killed the reform if not for the stubborn insistence of one senator � a liberal Democrat, at that. Passage would have been all but guaranteed if the senate has included health care as part of a "reconciliation bill". This is a senate term for an annual piece of legislation dealing with the budget. A reconciliation bill, unlike any other, cannot be filibustered and therefore can pass with a simple 51-vote majority. Given that the Democrats controlled 57 senate seats, the numbers would have allowed for easy passage even with a half dozen defections.

Yet the Democrats did not do this because West Virginia's Robert Byrd adamantly refused. Byrd was an old fashioned New Deal Democrat who supported reform but cared more about the traditions of the Senate than anything else. He was given to interminable speeches quoting Cicero and other orators of antiquity, and his sense of importance exceeded even Moynihan's. Byrd objected on the grounds that reconciliation bills could be subjected to a twenty-hour debate limit, and he felt the issue too important to be so circumscribed. He would not budge in the face of pleas from Clinton and his fellow senators, and his ability to tie the senate in knots if so inclined deterred the Clinton administration from crossing him. In the end, Dole spearheaded a filibuster that killed the potential reform. (page 204)

You can also read about this in a March 14th, 1993 Washington Post article, "Shortcut for Health Care Plan Blocked".

Posted by: Richard H. Serlin on April 10, 2009 at 9:23 PM | PERMALINK




 

 
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