The public option remains in limbo. The Senate Finance Committee is fine-tuning the bill it unveiled last week, which does not include a public option. However, Brian Beutler of TPM reports that Democrats have already submitted three separate amendments that might add a public option.
Sen. Chuck Schumer (D-NY) submitted what he calls a "level playing field" amendment, which would, incongruously, create a public option that couldn't set its own rates. A second amendment submitted by Schumer and Sen. Maria Cantwell (D-WA) would create a public option much like that outlined the HELP Committee bill. Finally, Sen. Jay Rockefeller (D-WV) submitted an amendment that would create a robust public option, much like the one originally drafted in the House.
It's pretty clear that no bill containing a public option in its first draft will get 60 votes in the senate. However, as Beutler reports in a second TPM piece, the Democrats are seriously revisiting the prospect of using budget reconciliation to get a health care bill through the senate with a simple majority. However, Beutler explains that Democrats are reluctant to go the reconciliation route because senate rules restrict the kind of bill that can be passed through reconciliation. For example, only provisions that "materially affect" spending can be passed through reconciliation. But what qualifies as a material effect?
Meanwhile, President Obama continues to insist that the public option isn't dead yet, Steve Benen reports in the Washington Monthly.
In other news, women's health remains a hot topic in health care reform. To understand why health care reform is especially critical for women, Public News Service interviewed Dr. Susan Wood, a scientist who famously resigned from the Bush-era Food and Drug Administration over the politicization of the approval of Plan B. Since leaving the government, Wood has returned to academia to study women's health. Some of her key findings include:
About 20 percent of women under the age of 65 have no health care insurance; in some states, women are denied coverage if they have experienced domestic violence; and when women do have coverage, they are charged higher premiums and often see a long list of preexisting conditions that are excluded, with pregnancy sometimes on that list.
If there is a public option, will it cover abortion? Rep. Lois Capps has written an amendment addressing that question. She explains her proposal in her own words at RH Reality Check.
Uncertainty remains high as the senate inches towards a bill.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
While the Senate Finance Committee tinkers with the Baucus Bill, First Lady Michelle Obama is taking center stage in the health care reform debate. Obama's director of communications announced last week that the FLOTUS would be focusing on the health care needs of women and children. Mindful of the conservative backlash against Hillary Clinton's crusade for health care reform, Mrs. Obama is expected to steer clear of policy issues, according to Salon's Judy Berman.
Tying health reform to women's health is a smart political move. The far Right lured anti-choicers into a corporatist tax revolt with tall tales of tax-payer funded abortions. Now the White House is reminding Progressives that it cares, in a very general, non-policy kind of way, about women's health. While Progressives will appreciate the White House shining a spotlight on reproductive health, it won't mean much without policy specifics. It certainly won't make up for the President Obama's waffling on the public option.
The failure of the private insurance system has galvanized Dr. Willie Parker, an obstetrician/gynecologist active in Physicians for Reproductive Choice and Health, as a passionate advocate for health care reform. In RH Reality Check, Dr. Parker tells how the status quo falls short on women's health care:
I am not talking about withholding the latest, cutting-edge, exorbitantly priced medications or treatments. No-I've had patients whose health insurance doesn't cover such basic health needs as Pap smears and birth control prescriptions. And forget about having a baby-many insurance policies don't cover prenatal care or labor and delivery, or they treat pregnancy as a pre-existing condition.
In the Progressive, Mike Ervin reminds us that disability issues are also getting short shrift in the health care debate. Ervin takes aim at a Medicaid system that won't help until a person is completely destitute. He suggests that a robust public option might be a lifeline before disability erases the savings of a lifetime.
This week, expect the wheeling and dealing on the Baucus Bill to continue behind the scenes as the Finance Committee marks up the legislation before the final committee vote. But with Sen Olympia Snowe's (R-Maine) 60th vote in doubt, there are rumblings about reviving budget reconciliation as an option for passing a health bill in the senate with a simple majority.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Last Saturday, veteran right wing watcher Adele Stan of AlterNet covered the Tax Payers' March on Washington (aka the 912 March or the DC Tea Party). About 70,000 conservative protesters converged on Washington to air their grievances, including opposition to President Obama's health care reform agenda. Protesters carried signs warning of death panels, tax-funded abortions, and healthcare for "illegals."
In this interview, Stan explains that while the event was billed as a grassroots convergence, it was in fact orchestrated by Dick Armey's FreedomWorks and the right wing Americans for Prosperity. The rally also received massive amounts of free publicity from Fox News host Glenn Beck, coordinator of the 9-12 project. Stan describes how all the abortion-, immigration- and death panel-talk binds social conservatives, nativists, and big business interests into a cohesive rightwing coalition.
Stan says that ,while the tea baggers have cropped up recently, the leaders of the movement have been at this game since LBJ trounced Barry Goldwater in 1964.
To learn more, check out Addie's recent writing on the Tea Parties at AlterNet. The Wing Nut Code explains the significance of those creepy yellow snake flags and other right wing symbology; and The Same Old Faces explains how old guard Goldwater partisans are still pulling the strings for the right wing.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Opponents of health care reform are trying to pit the insured against everyone else. Conservative Republicans like Rep. Mike Pence warn that if we get a public option, millions of Americans will lose their private coverage because so many employers will stop offering private insurance. What Pence doesn't say is that right now, employers can stop providing insurance at any time and their workers will have nothing to fall back on. As costs rise, fewer and fewer employers are providing any health insurance at all.
Most insured people have no idea how fragile their coverage is under the status quo.
The Uptake carries President Obama's address on the uninsured, in which he hammered home the message that anyone under 65 can lose their coverage at any time. Luckily for those over 65, they have a popular public option, Medicare.
There are lots of ways to become uninsured, including job loss, employers cutting off benefits, or insurers kicking customers off the rolls. As Obama said:
Over the last twelve months, nearly six million more Americans lost their health coverage - that's 17,000 men and women every single day. We're not just talking about Americans in poverty, either - we're talking about middle-class Americans. In other words, it can happen to anyone. And based on a brand-new report from the Treasury Department, we can expect that about half of all Americans under 65 will lose their health coverage at some point over the next ten years.
It's common knowledge that insurance companies drop customers with preexisting conditions and cut paying customers off when they get sick. It might surprise you to learn that domestic violence counts as a preexisting condition in many states.
Amie Newman of RH Reality Check reports that the insurance industry figured out what feminists have been saying for decades: Once a man becomes a batterer, chances are he'll continue to abuse his wife with increasing brutality. If you're a human being, that's an outrage and a tragedy. If you're a conscience-free health insurance provider, it's a big red flag to drop victims because their wounds will cost you money. This is the logic of for-profit health insurance in a microcosm: Identify the most vulnerable and purge them because they hurt your bottom line.
Meanwhile, the Senate Finance Committee is set to unveil its long-awaited bill today. The committee will vote on the bill next week. We'll examine the bill in tomorrow's Pulse.
After a seemingly endless quest for a bipartisan bill, Finance Chairman Max Baucus (D-Mont) is signaling that he's prepared to move ahead without GOP support. Good thing, too. Sen. Chuck Grassley (R-Iowa) swears he's serious about bipartisanship, according to the Iowa Independent, but he spent the summer telling tall tales of death panels and fundraising as an opponent of "Obamacare." Sen. Susan Collins (R-Maine), one potential Republican swing vote, now says she rejects the very idea of public/private competition, according to Steve Benen at the Washington Monthly.
Finally, you can use the Washington Independent's new Public Option Scoreboard to keep track of every senator's position, based on their public statements.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Last night, President Obama laid out his vision for health care reform before a special joint session of Congress. The pillars of his plan are: i) Curbing the worst abuses of private insurance, ii) Requiring everyone to have insurance, iii) Insurance exchanges, which are basically government websites where customers can order insurance off a "menu" of plans, the idea being that if tens of millions of people order the #2 Combo, everyone's lunch will be cheaper.
The president made it clear that the country can't afford to wait for reform. Last night, he took on the self-proclaimed fiscal conservatives who claim that they oppose reform because it would increase the deficit. "Put simply, our health care problem is our deficit problem. Nothing else even comes close," Obama said. The president reminded the audience that each of us pays a "hidden tax" of $1000 dollars a year to subsidize charity and emergency care for the uninsured.
It was an impressive performance, but as John Nichols of the Nation observes, it was hardly a rousing, "to-the-barricades" oration:
Obama still talked about "options" and "choices." But he suggested that they would be offered mainly by insurance companies that would be enjoy "incentives"-i.e., new streams of taxpayer dollars-if they agree to abide by consumer-friendly regulations and come up with strategies for covering more of the uninsured.
The president expressed support for a very limited public option, a kind of welfare program that only about 5% of Americans would choose to join. This is not the public option his liberal supporters had in mind. It's non-threatening to the insurance companies, though. Private insurers love the idea of the government low-grading the insurance pool and taking on the sickest people who can't get coverage anywhere else. That means private insurers can make even more money off the remaining healthy, paying customers.
James Ridgeway of Mother Jones is even less optimistic, "As for the public option, that's pretty clearly gone down the drain."
One GOP legislator decided that a joint session of Congress was basically a town hall with the president. Rep. Joe Wilson (SC) screamed "You lie!" when the president explained, for the umpteenth time that undocumented immigrants will not be covered. As with the town halls, Wilson's performance had a whiff astroturf about it. Sure enough, Sue Sturgis of Raw Story found that Wilson pocketed over $2 million in campaign contributions from the health care industry.
The president also reminded America that health care reform will not pay for abortions. (For more on myth-making around women's health, see Laurie Rubiner's excellent post at RH Reality.)
Instead of presenting a vision and asking Congress to line up behind him, the president stressed that he was synthesizing a compromise position incorporating ideas from the left and the right. Instead of a coherent vision, the president's scheme sounds more like a last-ditch compromise plan to enable him to declare victory. Like many Democrats, the president seems to be confusing the strategic with the expedient. If "reform" means saddling ordinary Americans with expensive mandatory insurance without a meaningful public option to keep costs in check he could doom the electoral fortunes of the Democrats for years to come.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Today, President Obama will spell out his vision for health care reform before a special joint session of Congress. The president's speech marks the final phase of health care reform. This is Obama's last chance to recapture the momentum that Democrats lost to corporate-backed town hall hooligans and misinformation during the August recess.
The Uptake asks movers and shakers in Minnesota what they want to see from the president today (video above). Rep. Keith Ellison (D-Minn) says he wants to see the president explain why the public option is necessary to hold down costs, and reassure them that the public option will not threaten private insurance or lead to cuts in Medicare. "It's going to be the biggest moment of his presidency," Ellison tells the Uptake, "I hope he makes it a Roosevelt moment, a Kennedy moment, a Lincoln moment, because I think he has the ability to do that."
Devona Walker of New America Media on what Obama needs to do today: Explain the plan clearly, enforce party discipline, and convince the public that reforming health care is the only way to reduce deficits in the long run.
Brooke Jarvis of Yes! Magazine offers a history lesson on why so many presidents have tried and failed to achieve universal health care:
In each case, says historian Beatrix Hoffman, "the relentless opposition of medical, business, and insurance interests pushed reformers to design health care proposals around placating their opponents more than winning popular support. In turn, ordinary people had trouble rallying around complex proposals [that didn't recognize] a universal right to health care."
The root of the problem, Hoffman says, was that the proposals came from elites who sought to compromise with interest groups, where they believed real power lay, rather than to ally with grassroots movements.
In the Progressive, Cristina Lopez argues that, while everyone needs affordable high quality health insurance, Latinos and women are most in need of a public option because they are at greater risk of being uninsured and unable to afford private insurance.
Josh Marshall of Talking Points Memo wonders if the Democrats are courting disaster by forcing people to buy heavily subsidized private insurance with no public option to reign in costs:
Am I the only one who thinks that if the Dems pass a bill with mandates and subsidies for poor and moderate income people to purchase it but no public option or competition with the insurers, that it will be pretty much a catastrophe for the Democrats in political terms?
You 'solve' the problem of the uninsured by passing a law forcing them to buy health insurance which, by definition, most a) cannot afford or b) are gambling they won't need because they're young and healthy. Either you end up with low subsidies which still leave it onerous to buy, thus creating a lot of disgruntled people, or you get generous subsidies, which cost a lot of money.
The health care reform battled has created deep divisions within the Democratic Party. Tonight, the president will pick his side. Will he stand with the progressives for a public option, or will he back the Blue Dogs and their watered-down, politically risky compromise proposal? Keep your eyes on tomorrow's Pulse for the post-game breakdown.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Big news broke over the weekend: Evidently, the president lit a fire under Max Baucus (D-Mont) and the Senate Finance Committee by unexpectedly announcing last week that he'd be laying out his own vision for health care reform this Wednesday. Just weeks ago, committee member Kent Conrad (D-ND) predicted the Finance Committee wouldn't have a bill until November. But Baucus circulated a legislative framework over the weekend.
Baucus's bottom line: There will be no public option. Instead, the government will spend hundreds of billions of dollars to subsidize the same old expensive, inadequate private insurance system that health care reform was supposed to reform. The insurance companies get 46 million new customers, and in return, they will pay higher taxes to offset the cost of the subsidies-a kickback to Uncle Sam.
Last week Brian Beutler of Talking Points Memo and I sat down to discuss some burning questions in health care reform: What's the president's thinking on the public option? What leverage does he have over the progressives in the House who demand single payer and/or the Blue Dogs in the senate who reject it? Why is Sen. Olympia Snowe (R-Maine) the last best hope for bipartisanship? (The transcript of our discussion has been edited for brevity and clarity.)
You said the [week of September 1] really stood out from the last month in terms of the health care debate. How so?
Maybe the last two days just stood out from the previous month. ... Obama's approval [rating] slid and popular support for the idea of healthcare reform slid. And August came to an end and the President's vacation is winding down, and suddenly the administration realizes that Congress is coming back and they are going to have to do something. And so, it seems they start leaking to a bunch of high profile reporters that they are going to perhaps ditch the public option as part of a grander move to regain control of the debate.
Are the anonymous leakers saying in so many words that they want to ditch the public option?
Well, it's unclear what they are actually going to do. The Public Option would die with dignity. [If] that is accomplished, the President could maybe win over some Republicans, grab the debate and spell out in clearer terms what he wanted [beyond] the public option. He could do this all in a big speech for Congress which is scheduled to happen Wednesday.
Isn't this just a repeat of what we saw during the week of August 20, when the White House seemed to be doing a good cop/bad cop routine where an anonymous aide would leak "to hell with the liberals and the public option" and then another adviser would say on the record how much the president loves the public option?
It could just be a replay. Once those stories came out, the picture sort of fogged up. [There were] secondary reports that the President was courting Olympia Snowe (R-Maine) again-as if maybe one Senate Republican would vote with him on health care reform. Snowe's idea [includes a] public option, but you attach it to a trigger mechanism so that it is only enacted if the rest of healthcare reform is unsuccessful at bringing down prices and expanding coverage. And that's sort of been unacceptable to reformers and progressives, but ... that might be the pound of flesh that she yields from the bill. It fits in with the picture that the leakers painted ... that the public option was no longer going to be one of the key features of the bill.
You wrote about how budget reconciliation could be used to get around the filibuster. How would that work?
The greater problem is the structure in the Senate, where legislation can pass with a majority vote-but only after Senators have debated the bill for as long as they want. As long as 60 Democrats aren't there to shut the minority up, debate can go on and on and on. [ED note: AKA filibustering.] And for every major piece of legislation you see. this happens. ...
There's this de facto 60-vote rule on most legislation, at least in this Congress and the previous Congress since the Democrats took it over. It's extremely difficult to pass a bill through just the regular procedure without either having to concede a bunch of substantive provisions ... or just give up on the bill entirely. [There are] 59 members of the Democratic caucus right now, and maybe 10 of them are mushy on the more progressive part of the President's agenda. Even if all of them are onboard, you're still one vote short of what you need to end debate. And that is why Olympia Snowe matters right now.
So the House would pass the bill and the Senate would pass a bill with budget reconciliation?
They could in theory. Budget reconciliation is sort of like a magic bullet. Every year, the Congress can pass what is known as a budget reconciliation bill. It sets new taxes, or moves money around within the federal budget to basically do what the Congress's budget lays out. It ... was made exempt from the filibuster because Congress [has to] set a budget. ... They need to make sure that money is there and can't have Senators filibustering it just because they're in a fit of peak. So that bill can't be filibustered, but at the same time, the legislation that can be passed in it has to be relevant to the budget, it has to move money around in some way.
So you can pass a lot of elements of healthcare reform in theory-you can pass subsidies to poor people and middle-income people. And you can pass Medicaid expansion, and you might even be able to pass the public option because the public option may need subsidies of its own and could drive down other costs and be a big moneysaver.
How might the president pressure progressives into accepting the bill?
My sense is that the President [will pressure] progressives to back off on the public option. But that could change. Trying to figure out what is going to happen is kind of like trying to move 23,000 moves ahead in a game of 17 dimensional chess. ...
[Obama can] say is that what he's planning will, while not perfect, help a lot of people make the healthcare system more progressive than it was. ... But it would really harm the democratic party and his presidency if the whole project failed and nothing passed. Obama doesn't have a tremendous amount of leverage. [Many] progressive members of Congress are progressive because they don't have viable challenges. They come from progressive districts, with constituents like them, approval ratings in the 60s, 70s, and they aren't going to lose to a member of the opposite party. So in that sense, they can do what they want.
How can Blue Dogs say that progressives should suck it up and vote for every bill when they are never prepared to do the same thing?
... It would at least be a good experiment, for the party and the country, for the [Blue Dogs] to be put on the spot. They believe that their jobs are on the line if they vote for controversial legislation. I don't know how those conversations go when political members of the administration confront these guys and say 'You got into politics to make the world a better place, not to just have a tenure job on Capital Hill. So you're going to vote yes on this and if you lose your jobs as a result, then you did the right thing and we'll make sure that the Democratic party infrastructure is there for you ... .' But that's not the way the party thinks. [It's a] game of building an unstoppably large coalition, and that becomes the goal in the end. And at some point you lose sight of why you are amassing this giant congressional majority and you're never willing to say, well we built this 70 whatever majority so that we could sacrifice some of these seats and do something really impressive and progressive for the good of the country.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Last night, thousands of Americans attended vigils for healthcare reform sponsored by MoveOn.org. (Photos from the New York vigil here.) The president says that a public option isn't the most important part of health care reform, but it's a make-or-break issue for his liberal base.
Ed. note: The Weekly Pulse is becoming the Daily Pulse for September. Every weekday, we'll bring you highlights from the health care reform debate, including exclusive video interviews with leading experts and independent journalists each Friday. Even better, you can be a part of the conversation. Stay tuned to find out more!
A power shift is underway in Washington. Massachusetts governor Deval Patrick announced on Monday that a special election to replace the late Sen. Ted Kennedy would not take place until January 19, 2010. With Kennedy's seat empty, the Democrats no longer have the 60 votes they need to break a filibuster in the Senate. Up until this point, the White House was hoping for a compromise bill that the entire Democratic caucus, and maybe even a few Republicans, could agree on.
Steve Benen of the Washington Monthly notes that the Gang of Six has made itself irrelevant. These powerful members of the Senate Finance Committee were in charge of hammering out a bipartisan health care bill. They forgot that they were only powerful if people believed a bipartisan compromise was attainable.
Talking Points Memo reports that the White House has given up on Republican gangster Sen. Mike Enzi (R-WY). They finally got the hint when Enzi told a radio listeners that Democrats wanted to kill the elderly with comparative efficacy research. The White House should have cut its losses two weeks ago when Sen. Chuck Grassley (R-Iowa) repeated the "death panel" meme at a town hall meeting. Grassley has also been raising money campaigning against "Obama-care."
It's looking more and more like the Democrats will have to look to budget reconciliation, a special parliamentary procedure that could sidestep a filibuster and pass a healthcare bill by a simple majority vote.
America's Health Insurance Plans, the industry's top lobby group, dispatched 50,000 employees to town halls to fight the public option. Stephanie Mencimer of Mother Jones took a cue from Michael Moore in Sicko. She asks AHIP what kind of insurance their top lobbyist has. Mencimer says AHIP was so standoffish you'd think she had a preexisting condition.
In Mother Jones, Ben Buchwalter and Nikki Gloudeman take a closer look at the corporate megabucks behind the town hall brawls. Corporate enemies of healthcare reform are using front groups like FreedomWorks to organize angry mobs at town hall meetings. Zach Roth of TPM Muckraker reports that "legendary GOP bamboozler" Howard Kaloogian has launched a tea party bus tour to protest healthcare reform.
Speaking of frauds, you've probably heard about so-called crisis pregnancy centers that pose as abortion clinics in order to cajole women into having babies. Ever wonder what happens to those babies? In the Nation, Kathryn Joyce goes inside the world of high-pressure Christian adoption agencies that support desperate women, as long as they promise to give up their babies.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net.
This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
When it comes to the debate around health care, you've heard the same voices of pundits and politicians repeated on the morning and evening news. You've seen a small group dominate the airwaves by shouting and spreading lies at town hall events. You've even seen guns at presidential events enter the fray. But have you seen your personal health care story told? Or that of your friends, families, co-workers, or neighbors?
