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Rob Andrews on the health care endgame

by: Hopeful

Tue Sep 29, 2009 at 12:31:00 PM EDT



Yesterday, A-list national blogger Booman laid out the optimist's case on what Obama's health care strategy is:

To get the bill he ran on, he was going to have to make sure that the public option passed on the House side and, since it could not pass on the Senate side, that it be included in the Conference Report. At that point, one of three things would happen.

     1. If the Dems didn't have 60 votes, the Republicans would filibuster and take the blame for obstruction, setting up the argument for using reconciliation.
     2. Seeing the momentum for health care reform, one or two Republicans would vote for cloture and the bill would pass.
     3. If the Dems did have 60 votes, they could muscle the few doubters to vote for cloture, even if they opposed the underlying bill.

The only thing that could go wrong is if there were any Democrats who were willing to filibuster the president's highest priority item. This was the strategy, and it hasn't changed much at all.

The Democrats are in good position.

The pessimist's case, widely available at other blogs, is that the Democrats will abandon the public option and leave us with a poor bill. This theory emphasizes the Obama administration's repeated statements that the public option is not essential.

All this setup is for Michael O'Brien of The Hill's talk with Rob Andrews. I interpret it as saying Booman's optimist case is right:

Andrews predicted that the preliminary Senate bill would not include the public (or "government-run") option coming into conference, but predicted "some accommodation" between the two chambers' versions of health legislation coming out of conference.

The New Jersey lawmaker seemed confident, though, that reconciliation would come into play in the later stages of the health debate to pass the public option. The budgetary rule allows the Senate to short-circuit filibuster rules, and pass legislation with a simple majority of votes.

It seems to me that every Democratic Senator should vote against a filibuster, but reconciliation would work too for the public option. Although there is an October 15 deadline, according to Chris Bowers there are easy ways around the deadline. In any case, Rob Andrews is warning us that he does not expect a public option in the initial Senate bill. Public pressure seems necessary to encourage the negotiators, because it sure takes a lot of faith to think Democrats will suddenly improve the bill at the end.

Hopeful :: Rob Andrews on the health care endgame
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Yes, That's Obvious....... (4.00 / 1)
.....it seems clear that something with the label "public option" may be rammed through "at the end of the day".

(Pharma and the insurance industry WANT "reform" that puts a trillion more dollars in their pockets and staves off single payer for a few more years.  It's all about the money, stupid.)

But if that "public option" is so watered down as to be counterproductive; then we will be in the worst of all possible worlds.

The right will hate and Oppose Obama no matter what he does, he can't compromise and "water down" enough to satisfy that bunch.  It's impossible (short of doing a Lieberman).

If a "public option" that passes is not something that anyone in the PUBLIC can OPT for; then it's just going to take even more wind out of the sails of progressives who all wanted single payer from the get go.

Or if the "public option" is structured so the "coverage" is the kind of fifth class crap that now exists for Medicaid, then it will be seen as little more than a welfare program and be ghettoized as is the current Medicaid program which very very very few docs will touch........and those that do tend to practice assembly line medicine.

Would a watered down weak public option be better than nothing at all?   Yes and no......it's complicated (and a topic for another diary).

Suffice it to say that it would be much better if we DON'T get a watered down cosmetic public option that is no threat to the insurance industry.   Getting no bill at all would be better than that kind of fraud.

 


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