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A health care bill will still probably pass

By | December 18, 2009, 8:13 AM PST

There is a joke making the rounds of the liberal blogosphere.

Is this what Oprah Winfrey meant when she called Barack Obama “the one?” (Image created using Nixon button from Gasoline Alley Antiques and official Presidential portrait from Whitehouse.gov.)

Despite a growing revolt among liberals, despite Ben Nelson’s attempt to overturn Roe vs. Wade, despite even Joe Lieberman, the Administration insists a health care bill will pass the Senate. (Perhaps helped by the ghost of Sen. Kennedy.)

Conservatives are pleased that the debate has divided Democrats into two camps — those who don’t like the bill and those who hate it enough to kill it and give Republicans the victory.

There are signs some liberals are already starting to back-track from their threats. David Axelrod is trying to get the bloggers in line. Some of their heroes, like Al Franken, are fighting hard for the bill. Others, like Paul Krugman, are pounding the table for ayes.

Even some of the conditions Howard Dean laid down for an acceptable bill, like state-based health exchanges, might be met.

The real political news is that bloggers suddenly realize their wing of the Democratic Party did not win the last election, that the President will continue to triangulate in order to move forward, and thus they need to get busy for what they want, supporting causes over candidates.

That could close the current enthusiasm gap between the parties. (Maybe they could start a Coffee Party and claim to be Wide Awake. The President could still triangulate with milk and sugar.)

One of the newest liberal demands actually jibes with a conservative cause. Seeing the public option as the only way to keep insurance companies honest, Daily Kos founder Markos Moulitsas wants the mandate to buy insurance taken out of the bill. He thinks the proposal would put Republicans on the spot, and provide a cause for future changes.

There have been important lessons for everyone. The Administration knows it has to play hardball to get its plans through even a Democratic Congress. Liberals know they have to fight as hard as tea baggers to get their agenda through. And conservatives know that unity makes an opposition stronger.

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Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

Follow him on Twitter.

Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

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0 Votes
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RE: A health care bill will still probably pass
Right now the Dems are trapped between the abortion issue and the public option. They don't have 60 votes in the Senate to pass a health care bill, and further modifications will likely not garner additional support. Additionally, if there is further compromise, the likelihood that the House will just sign off on the Senate bill to pass something is not very likely. I would not venture to say a health care bill will probably pass. Right now I wouldn't even put the odds at 50/50. The administration is leaning hard on the holdouts, but I would not look to Axelrod as an objective source for what is going on in the Senate right now. That's not his job...
Posted by WinstonV
18th Dec 2009
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Health care reform is useless without....
1. Reform that allows comsumers easy access to see how many times and how often a doctor has committed malpractice. This would drive bad doctors out of the field and reduce the number of malpractise claims.

2. Reform that limits the lawyers take in malpractice suits. It is disgusting that a person can "win" a $10 million judgement and walk away with less than $1 million after legal fees.

It is more equitable for everyone involved, except the lawyers, if the patient got $5 million dollars directly.

3. Reform that sets a national minimum standard of coverage that all insurance companies must meet to sell health insurance. The standard could include the requirement to cover preexisting conditions and any other provisions deemed needed.

4. Reform that allows insurance companies meeting the minimum standard to sell coverage in all 50 states. The potential for 1,700 insurance companies to compete across the nation is much more competition than 1 public option.

It is absolutly stupid that state and federal laws have given a handful of insurance companys monopolies in many states.

5. Reform that sets market share caps in each state so a company is prevented from buying out the competition.

6. Reform that prevents consolidation of the health insurance industry nationa wide through mergers.

None of these items are in any form of the current legislation being rammed through Congress.

Amendments to add all of these items have been proposed in bi-partisen efforts by Democrats and Republicans.

All of them have shot down by the White House, House leadership and Senate leadership.

Why?
Posted by Hates Idiots
18th Dec 2009
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RE: A health care bill will still probably pass
Lots of rational meaningful reforms have been shot down because the bill is about a political power grab, not reform. Even supporters recognize this bill is not going to reduce healthcare costs in any meaningful way.
Posted by WinstonV
18th Dec 2009
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RE: A health care bill will still probably pass
The rejection of the public option by the Senate is very sad. There is a very large demographic of people that are being overlooked right now, and a public option would benefit them.
Eva Mor author of (Making the Golden Years Golden) responded beautifully to a key part of the problem:
?The administration of the existing health delivery system is bloated with waste and unnecessary cost. If information was shared by all providers of health services and all insurers by using computerized systems to store all medical records, it would cut costs and reduce errors that would save and improve lives.? http://www.ourblook.com/component/option,com_sectionex/Itemid,200076/id,8/view,category/#catid107
To regulate costs in the medical industry and update the existing Information and communication technologies would certainly cut a large portion of spending, which has featured as primary complaint in this debate all along.
I hope that when the two bills come together to be voted on the public option may make its way back into the bill.
Posted by JMaguire80
19th Dec 2009
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The rejection of the public option by the Senate is very sad. Why?
Look at the simple math.

If the public option is created than consumers where I live in NH would have at best 3 options to choose from. Restrictive state laws are causing this limitation, not the insurance industry.

If the federal government set a nation wide minimum standard of health insurance coverage and the state and federal laws banning the sale of health insurance across state lines were dropped, I would have up to 1,700 insurance companies able to compete for my business. At a minimum the 10 companies who compete in the rest of New England would be allowed to compete in NH. My options go from 2 to 12.

Which OPTION creates more compettion and has a better chance of driving prices down? I'll take door number 2 please with the 12 companies competing.

Supporters of the public option like to point to Alabama as a state where one company holds about 75% of all policies. They blame the insurance industry for this situation.

What they ignore is that Alabama has the most libral health insurance competion rules of any state in the nation. That one company owns the market because it offers a great product at a fair price. Health insurance rates in Alabama is among the lowest in the nation because of competion.

To top it off, customer satisfaction with that company is among the highest in the nation among all 1,700 health insurance companies.

Honest, unregulated competition wins.
Posted by Hates Idiots
21st Dec 2009
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RE: A health care bill will still probably pass
Dana, your use of "teabaggers" reveals your true nature. Name calling is used by those too unintelligent to have an argument.
Posted by pranavb99@...
21st Dec 2009
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Nice Partisanship
You aren't the least bit slanted to the left are you ?

Wait until people see the bill. Someone has to pay for all this. Illegal immigrants sure won't. I like the fact that my tax money will go towards irresponsible behavior and people not wanting to be bogged down with a child. Heaven forbid a responsibility like this would curb their lifestyle.

I currently pay $160 a month and $4,000 deducible. That will explode to the point where I cannot afford having healthcare. Most of us will be in this position. Hey I am just a hard-working taxpayer. And if I do not join my government will take me to jail although they sure will miss my tax money. Nice choice.

Government regulations and entitlement programs are not the answer and this is not reform. This will be another program with budget over-runs and lead us into bankruptcy.

Moreover, there are consitutional matters that will be tried in court if this passes. Our government cannot force us into a program like this. Government only has powers we allow them to have. We are a nation of laws although the Democratic party hates our laws.

The Democrats will anger people and suffer the consequences next year. That's why they are in a hurry to pass this. Their window of opportunity is quite small. Poll after poll states that Americans do not want this.

Nationalized healthcare is a failure the world over and we have to copy failure here ? Instead of helping the poor we are going to hurt everyone in this process....just like the housing crisis was caused by the 1977 Community Reinvestment Act.
Posted by pizzaman7
21st Dec 2009
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RE: A health care bill will still probably pass
Hates Idiots has it exactly correct. Without the items enumerated the passing of any "Health Care" bill is really just a government takeover of the industry and an affront to freedom in this nation. It is crass and open socialism and will have the exact opposite effect as stated. This bill is meant to increase government control of a critical part of our personal lives, providing a simple way to force compliance by denying coverage to selected people and demographics based on their politics or failure to "tow the line".
Think this is fear mongering? Look at other countries and you will see exactly this.
Posted by mallen.paralegal@...
21st Dec 2009
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RE: A health care bill will still probably pass
Comment / Observation
1. USA has the best Government Money can buy.
2. An old saying; To find the root of an issue within the Beltway, follow the Money trail left by the Lobbyist.
3. Following email (Brackets added for clarity & last para was Bold type) says it all when you take into consideration the CHANGE in terminology being used and the absence of key terms.

From: President Barack Obama
Sent: Monday, December 21, 2009 5:32 PM
To:
Subject: Where we stand

Howard --

Early this morning, the Senate made history and (health reform) cleared its most important hurdle yet -- garnering the 60 votes needed to move toward a final vote in that chamber later this week.

This marks the first time in our nation's history that comprehensive (health reform) has come to this point. And it appears that the American people will soon realize the genuine reform that offers security to those who have health insurance and affordable options to those who do not.

I'm grateful to Senator Harry Reid and every senator who's been working around the clock to make this happen. And I'm grateful to you, and every member of the Organizing for America community, for all the work you have done to make this progress possible.

After a nearly century-long struggle, we are now on the cusp of making (health insurance reform) a reality in the United States of America. ?.

What's missing from the equation is: CARE...

It has never been about Health Care for the people of this Nation

This is a classic example of Capitalism at work.
Posted by NightLife6
21st Dec 2009
0 Votes
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RE: A health care bill will still probably pass
Comment / Observation
1. We have the best Government money can buy.
2. An old saying within the Beltway; To determine the identity of the forces behind an issue, you must follow the money trail left by the lobbyist.
3. Following email (Brackets added for clarity) says it all when you take into consideration the CHANGE in terminology being used and the absence of key terms.
**********************************
From: President Barack Obama
Sent: Monday, December 21, 2009 5:32 PM
To:
Subject: Where we stand

Howard --

Early this morning, the Senate made history and (health reform) cleared its most important hurdle yet -- garnering the 60 votes needed to move toward a final vote in that chamber later this week.

This marks the first time in our nation's history that comprehensive (health reform) has come to this point. And it appears that the American people will soon realize the genuine reform that offers security to those who have health insurance and affordable options to those who do not.

I'm grateful to Senator Harry Reid and every senator who's been working around the clock to make this happen. And I'm grateful to you, and every member of the Organizing for America community, for all the work you have done to make this progress possible.

After a nearly century-long struggle, we are now on the cusp of making (health insurance reform) a reality in the United States of America. ?.
************************************************

What's missing from the equation is: CARE...

It has never been about Health Care for the people of this Nation

This is a classic example of Capitalism at work.
Posted by NightLife6
21st Dec 2009
0 Votes
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RE: A health care bill will still probably pass
Good it's about time Washinton did somthing useful.
Posted by saminsc
21st Dec 2009
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RE: A health care bill will still probably pass
Considering how few of the politicians voting on this massive boondoggle have even read a small portion of this gargantuan bill, there is no way the Congress can even hope to make an intelligent vote.
And why is it the votes for this behemoth only seems to happen under cover of darkness? It must be like rats and roaches - they only show up in the dark too.
Sorry "saminsc", Congress STILL hasn't done anything useful and this bill isn't going in that direction either.
As one of the "damocrats" said earlier, this is just their "first step". Like an earthen dam with a leak halfway down the slope, it will only get worse until the entire structure collapses and fails. This will be the watershed event that will lead to collapse of the country our ancestors fought so long and hard to found and preserve and it is being eviscerated by a bunch of self-serving liars and hypocrites (on both sides of the aisle)!
Posted by JTF243@...
21st Dec 2009
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The cost of reform.
Has anyone added up the cost of all the little side deals that have been made to get the endorsements of supporters and the votes to pass this? Let me add up a few for you.

First the endorsements:

The AARP got $80 million in stimulus funds for a job-retraining program for its retired members. Why are we retraining retired people in an economy where no one is hiring?

The AMA will earn $100?s of millions in profits from the licensing of it health care codes as the use of the codes is expanded by the legislative reform. And how did the AMA get the rights to earn a profit off these codes you ask? Congress gave the AMA the monopoly to manage them.

Now the votes:

A TO BE NAMED LATER state will get $100 million for a new hospital. Rumor is this was the cost for votes from Connecticut Senators Lieberman and Dodd.

The infamous Louisiana Purchase II to get Louisiana Senator Landrieu?s vote will cost the US taxpayer $300 million.

Those votes were cheap compared to the extortion committed by Senator Sanders of Vermont who got $10 billion for community health centers.

The winner of it all has to be the Cornhusker Kickback paid for the vote of Nebraska Senator Nelson. The residents of Nebraska are going to get the benefits of Medicare without paying the mandatory state matching funds into the program, forever. The total cost of this bribe paid by the wallets of American taxpayers will be in the TRILLIONS over the next 20 years alone.

The list goes on to include targeted exceptions for certain states from cuts to Medicare Advantage and targeted tax exceptions for non-profit insurance companies in two states key to President Obama?s 2008 victory.
Posted by Hates Idiots
22nd Dec 2009
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Nightlife, if there was any "classic capitalism" at work here...
...we wouldn't be having the discussion. Don't confuse "crony
capitalism" which would be closer to fascism as it's employed in
Washington with "classic capitalism", better know as "free market
capitalism".
Posted by JohnMcGrew@...
22nd Dec 2009
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RE: A health care bill will still probably pass
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Posted by sohbet123
3rd Jan 2010
0 Votes
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No one likes the sausage factory
Even with all the compromises, and even giving conservative critics their due, this bill is still worth passing.

Why? Because it changes market incentives.

Without risk-based rating, insurance profits are based on cutting the costs of care over time. That's not done by reducing covered care, because what's covered is going to be determined by the government (federal or state).

Instead we'll get what big businesses who pay health premiums have long wanted -- patient-centered data, wellness interventions, and a focus on taking personal responsibility for the conditions leading to disease.

Democratic critics should take the half-a-loaf they have been given and, if they're so upset, work to elect Better Democrats.

Republican critics can go to the people in November, although the pump-priming will continue through the year under laws already passed and unemployment is very likely to be lower in November than it is now.
Posted by DanaBlankenhorn
7th Jan 2010
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