Editore"s Note
Tilting at Windmills

Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for Free News & Updates

November 30, 2009

GEARING UP FOR ROUND TWO.... After a three-day debate over whether to debate health care reform two weeks ago, Senate Majority Leader Harry Reid (D-Nev.) was relieved -- to a point. He got the bill to the floor, but realized he's still pushing uphill.

"We can see the finish line, but we're not there," Reid said after the Nov. 21 cloture vote. "The road is a long stretch."

The first step on that road will begin in about six hours, when the debate over health care reform gets underway on the Senate floor for the first time ever. Reid's plan is pretty straightforward -- pass a bill before Christmas and send it to conference. The Republicans' plan is equally clear-cut -- delay as long as possible, obstruct as much as possible, and bring up as many embarrassing amendments as possible.

Republicans will seek to stop some of the Democrats' proposed Medicare changes, including cuts to privately run Medicare Advantage plans that provide enhanced benefits mostly at higher cost.

Republicans are likely to try to eliminate or sharply reduce some of the Democrats' proposed new taxes, including an increase in the Medicare payroll tax for high earners.

There will also be amendments on the politically volatile topics of abortion and immigration. Most of the Republican amendments will fail because the Democrats have the votes to set them aside.

And Republicans will face the challenge of explaining why they need to offer so many amendments when their party leaders have made clear that they simply want to kill the measure.

Ordinarily, amendments are proposed to improve the bill. It's what makes the Republican amendments pointless -- even if their measures pass, they'll still oppose reform. But the GOP caucus is nevertheless lining up hundreds of possible proposals. They're also strategizing about having amendments read word for word to slow the process down even further.

Among Dems, as expected, the most contentious point continues to be the public option, which will continue to be the subject of intense behind-the-scenes debate. The search for another compromise on the matter is ongoing, but satisfying the various contingents won't be easy. Snowe's "trigger" is still very much in play, as is the notion of a trigger coupled with an option for states to create their own public plans faster.

What's more, a Politico item noted this morning, "There is one idea that supporters hope could rally the centrists: Call it the nonpublic 'public option.' It's an idea from Sen. Tom Carper (D-Del.) for a national insurance program that is neither run nor financed by the government. It could win over moderates because it wouldn't be a direct government expansion, but it would also satisfy liberals because it would be a national health insurance program designed to compete with private insurers from Day One."

Something to keep an eye on.

Steve Benen 8:40 AM Permalink | Trackbacks | Comments (19)

Bookmark and Share
 
Comments

it doesn't matter. nothing will pass. healthcare is dead for six generations. i loved obama like a brother and now I hate him like my bitterest enemy. if only you had listened to me everything would be just fine now. did I mention everything sucks?

Posted by: the usual suspects on November 30, 2009 at 8:46 AM | PERMALINK

Obamacare is in its death throes, no matter how much in denial liberals are. Democracy has triumphed.

Posted by: Al on November 30, 2009 at 8:54 AM | PERMALINK

What's more, a Politico item noted this morning, "There is one idea that supporters hope could rally the centrists: Call it the nonpublic 'public option.' It's an idea from Sen. Tom Carper (D-Del.) for a national insurance program that is neither run nor financed by the government. (emphasis mine)

So who will finance this "non-public 'public option'"? I thought the Supply-side Fairy only worked for the Republicans.

Maybe the Underpants Gnomes?

Posted by: SteveT on November 30, 2009 at 8:57 AM | PERMALINK

What is that Politco piece this morning on "7 stories Obama doesn't want told". Yikes...this just plain tabloid journalism. Must be someone had nothing to do over the Holiday weekend and apparently didn't like his turkey and dressing. I always read Politico with a somewhat jaundiced eye, but this article is worthy of the Enquirer.

Posted by: DTR on November 30, 2009 at 8:58 AM | PERMALINK

Anyone read the Booman Tribune today, apparently the Family is funneling tons of cash into Uganda to finance the extermination of gays.

Posted by: JS on November 30, 2009 at 9:00 AM | PERMALINK

The conservatives keep saying that healthcare reform is dead but here it at this stage. Keep on dreaming.

Posted by: Micheline on November 30, 2009 at 9:15 AM | PERMALINK

So who will finance this "non-public 'public option'"?

I expect it could be funded by payments from the people using it.

But who would run it? If it's simply run by an private company then what would be the point?

Posted by: Jinchi on November 30, 2009 at 9:15 AM | PERMALINK

Like Amtrak or the USPS, eh? Whoopee. Still, it's better to crack that door open and plan on reforms down the road than not to get a bill passed at all.

Posted by: T-Rex on November 30, 2009 at 9:19 AM | PERMALINK

Snowe's "trigger"


Well I guess there's not going to be a public option, but there's not going to be a Senator Snowe anymore either. After pissing off both parties, she will lose her primary next year whether she runs as a Republican or as a Dem. I will not miss her.

Posted by: anon on November 30, 2009 at 9:29 AM | PERMALINK

Call it the nonpublic 'public option.' It's an idea from Sen. Tom Carper (D-Del.) for a national insurance program that is neither run nor financed by the government.

Wait, wait -- am I missing something? The public option is supposed to be financed by member premiums like any other insurance company. I've been looking for the wrinkle in how it's "run" so that Blanche Lincoln and Mary Landrieu et al can say, Aha! It's not "government-run," so now I can support it! But how was it ever supposed to be "run" if not like this?

Maybe I'm admitting my own cluelessness, but the Carper proposal sounds like what I've understood the public option to _be_.

(And I've been a bit chagrined by it because it seems needlessly inefficient, but we have stupid politics and can't jump right to better solutions.)

Posted by: FlipYrWhig on November 30, 2009 at 9:37 AM | PERMALINK

@micheline

I thought it was the so-called progressives who "keep saying that healthcare reform is dead".

See #1 comment above.

Posted by: converse on November 30, 2009 at 9:38 AM | PERMALINK

There are no more compromises to be had on the Public Option. We've compromised enough. If Conservatives aren't willing to compromise, and moderates aren't going to have our back on this, then it's clear that Democrats just don't want us to be part of their party and we will act accordingly.

Posted by: soullite on November 30, 2009 at 9:44 AM | PERMALINK

Yeah Converse, how dare the largest faction of the party be pissed that Obama has spent his entire term playing sock-puppet to Golman Sachs instead of actually doing it's job.

I'm sure you pissing in our faces is REALLY likely to get us to vote for you.

Posted by: soullite on November 30, 2009 at 9:46 AM | PERMALINK

I'm sure you pissing in our faces is REALLY likely to get us to vote for you.

Nothing is likely to get you to stop being a self centered screeching brat in every single post, and everyone needs to pee sometimes, so heads up, crybaby. You'll get less piss in your piehole if you close it for five minutes.

Posted by: averse on November 30, 2009 at 10:02 AM | PERMALINK

I haven't read Carper's proposal, but it sounds like a national co-op. That may be the one way a co-op could work.

They just want to ensure that the evil gubmint keeps it's hands off of the option.

Posted by: howie on November 30, 2009 at 10:12 AM | PERMALINK

A national co-op would be good, but only if anyone was allowed to join. For sure it would be big enough to create competitive pressure against the smaller pools in the states and if it is well regulated, it could be a good option for consumers. But I doubt that such a plan would satisfy centrists anymore than the government run public option. Because the real issue for them is not that it is government control but rather that they prefer not to have any real competition for the insurance industry. To the extent that any option does that they will be against it. So really Carper is wasting his time.

Posted by: brent on November 30, 2009 at 10:33 AM | PERMALINK

'I always read Politico with a somewhat jaundiced eye, but this article is worthy of the Enquirer.' DTR
Seen Huffpo lately? A VERY low info site.

Posted by: jean on November 30, 2009 at 11:07 AM | PERMALINK

Because the real issue for them is not that it is government control but rather that they prefer not to have any real competition for the insurance industry.

Hmm. Good point. But it seems like people like Lincoln and Nelson and Landrieu should be vulnerable to shame (Lieberman has none, so that won't work) -- they've been saying The Problem is government overreach, and that phrase "government-run" is one of their favorites: they don't support the plan because it'd be "government-run." So find out a way to let them say that it isn't "government-run" and they can save face with their voters. But you're right that it doesn't mean squat to insurance company chieftains.

Posted by: FlipYrWhig on November 30, 2009 at 11:19 AM | PERMALINK

A national co-op would be good, but only if anyone was allowed to join. For sure it would be big enough to create competitive pressure against the smaller pools in the states and if it is well regulated, it could be a good option for consumers.

I agree. It is theoretically possible to craft an independently chartered and operated national non-profit health insurance program that is actually *better* than the public option currently on the table in the Senate, because removing the dread "government control" from the public option could be bartered in exchange for allowing a larger slice of the public to buy in.

Unless we're going to get rates linked to Medicare, it doesn't especially matter whether the public option is controlled by the government. What matters is that it's a tightly regulated non-profit option with nationwide negotiating power.

But this compromise would require the "centrists" to be arguing in good faith against government control, rather than shilling to protect the insurance industry from competition... so don't hold your breath.

Posted by: LaFollette Progressive on November 30, 2009 at 11:55 AM | PERMALINK




 

 

Read Jonathan Rowe remembrance and articles
Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for Free News & Updates

Advertise in WM



buy from Amazon and
support the Monthly


Place Your Link Here

--- Links ---

Boarding Schools

Addiction Treatment Centers

Alcohol Treatment Center

Bad Credit Loan

Long Distance Moving Companies

FREE Phone Card

Flowers

Personal Loan

Addiction Treatment

Phone Cards

Less Debt = Financial Freedom

Addiction Treatment Programs