Tag healthcare

Brown Victory May Not Kill Healthcare Reform

Mickey Kaus is reporting that a Brown victory in the Massachusetts Senate race may not necessarily kill the healthcare bill. If the house passes the current Senate bill as-is, there will be no need for a conference. A tricky move indeed but we’ll have to wait and see the outcome of the election for the Democrats to make their choice.

Who Wins In Healthcare Reform?

Pending some major catastrophe a la Mr. Karl Rove circa 2006 (Wait, nevermind…), the Senate healthcare reform bill will pass in the Senate in the the next few days. Some liberals are for it, some liberals are skeptical but, when passed, they will have an achieved something that has eluded our government for over sixty years. From a political standpoint, this bill is very unique. It’s gigantic–$871 Billion–and will be passed along party lines. As Megan McCardle points out, this has never happened before. So which party wins more political cache?

On one hand, there are the Republicans who have said no since the summer, refusing to do anything but obstruct. On the other, are the Democrats who have chosen to go the road alone and ended up with a bill that few are happy with. In the short term, it will be easy to frame this bill in the midterm elections as a massive expansion of government with little foreseeable benefits. Democrats will surely lose some seats for this. Luckily, it seems unlikely that Republicans will get a supermajority in the Senate.

In the long run, this legislation will probably just make people angry and entrenched. The changes won’t fully go into effect for a few years and I imagine this will be a campaign platform for a few years after that. In short, it’s messy. Nobody wins outright, but I guess that’s politics.

Liberals (Hopefully) Banding Together To Pass Healthcare Reform

After last night’s news that the Medicare buy-in had been dropped, it is understandable that progressive activists woke up with a pretty fat hangover. All is not lost though, super-intelllectual liberal bloggers Matthew Yglesias and Ezra Klein looked back on how far we have come in healthcare policy. It is nice, right now, to see that Democrats are looking to unify themselves to achieve an historic victory.

The nay-sayers are not gone though. The new (albeit short) rhetorical battle will be between policy wonks (who think the bill should be passed) and activists (who think there can still be more work). More political, less wonky bloggers want nothing to do with this bill, but my guess is that they will eventually get on board. When it comes down to it, the numbers are showing that more people will be covered. More coverage will lead to more votes, even if the changes don’t kick in for another few election cycles.

Who Will Kill Healthcare Reform?

If anybody does, I can guarantee it will be the Democrats. With the Medicare buy-in gone, the liberal bloggers and probably liberal senators want no part of it. Without any sort of government option to force costs to go down, liberals see this bill as merely a give away to insurance companies. This is, of course, a problem for the Democratic party right now. When Republicans ran the show, there was none of this disunity business. If you didn’t vote with the Republican caucus, you weren’t a Republican, simple enough. The Democratic party is considerably more fractured though. In fact, rather than having their own unified ideology, Democrats have sort of been just the not-Republican party.

Enter the liberal Internet. Sites like DailyKos and MoveOn mobilize thousands of supporters for exactly what they want. Their message is pointed and far-left. They can’t afford to neglect the moderates though. So they are stuck in a tight spot. It’s difficult to be inclusive of the spectrum of the Democratic party when the viewpoints are so varied. This normally isn’t a problem, but when you are trying to rework an entire industry, the faults are exposed and Republicans simply exploit these.

Long story short: The only losers in this situation, politically speaking, are the Democrats. If they emerge from this over half-year discussion with nothing, they will absolutely be to blame. The Republicans had their attempt at killing reform over the summer, people realized it was mostly hot air. Now it’s the Democrats’ chance to kill it–at their own peril.

Lieberman Flip Flops, Tries To Murder Senate Health Care Bill

Smooth one Senator Lieberman. They’re on to you though, a lot of them…

Conservatives have opinions too:

Also, Hot Air is reporting that Lieberman won and the Medicare buy-in that Sen. Lieberman opposed has been dropped.

Do You Think They Will Have Read The Bill By Then?

Top Congressional Democrats said today that a healthcare bill is unlikely in 2009. Now nobody can say that a bill was rushed because the better part of a year is plenty of time for any reasonable person to read 1000+ (times the number of bills) pages.

Obama’s Marketing Problem

Over the summer, there were a fare amount of people repeating a talking point about how the President had a marketing problem. Conservative activists took control of town halls and media outlets all but doomed the healthcare push to failure. For a while, the administration seemed to ignore much of the criticism. Then, however, Barack Obama went out on the ole’ campaign trail, stumping across the country for healthcare reform. To his opponents, this seemed like weakness. To his supporters, this seemed like building a consensus. What was actually happening was that the President needed to find a way to balance the limited powers of the executive branch with his desire to sell his agenda.

At times, these plans failed horribly. More than once, President Obama has been accused of building an enemies list: first with the White House email account to “flag” falsehoods about healthcare reforms, second because of an interesting tactic that the administration has taken to Fox News. Still more recent is the recent controversy over HealthReform.gov, a site set up by the Department of Health and Human Services to help sell the administration’s desired reform plans.

Can this problem be attributed to any one of Obama’s personal qualities? Perhaps. He has been accused of being narcissistic and thin-skinned by his opponents. His constant media appearances still make even his supporters uncomfortable. The problem is more basic than that, though. When George W. Bush (and every president before him) was elected, he did so with a few large media players essentially moderating and mediating the debate between himself and Vice President Gore. What Obama faces is a new foe: a hydra of new and old media.

Example: Health care scare mongering. With mailers and bloggers and townhallers and Internet organizers spreading (at most) half-truths about any number of healthcare bills making their way through congress, what is a president to do? This will be a great challenge to the Obama administration. The office of the president is relatively small compared to the massive effort to stop anymore government involvement in healthcare. Obama has run into the collective action problem. That is to say, it is very difficult to mobilize support for a public good.

One possible solution is to ignore the constant onslaught. As the president, his job has historically been considered above petty legislative bickering. This idea worked for George W. Bush, who managed to push through his agenda with relative ease. Obama seems different though. He has opted for a full-frontal assault on prominent critics. Put my vote as skeptical for whether or not this will be effective.

Health Care Reform Activism

Though I may disagree with their message, Billionaires for Wealthcare made a pretty ballsy (and hilarious) demonstration at an AHIP conference. From digby.

Republicans and Compromise

Now that Baucus’ healthcare bill has passed out of committee, it seems that Republican’s are beginning to realize that obstructionism isn’t going to work. The Democrats, of course, do not need to compromise for their bill to pass, but creating a fully bipartisan bill would be good politics for both parties.

From the beginning, Republicans have been clamoring for medical malpractice reform since the beginning of this battle, and the Congressional Budget Office has said that it will save $11 billion annually. If this is true, then why aren’t the Democrats even acknowledging this as a viable possibility? First, trial lawyers (who have a vested stake in not having tort reform) are major Democratic donors. On a website launched by the American Association for Justice, the lawyer lobby appeals to the morality of the average person in an attempt to turn the public off of the idea of tort reform. The fact that the same organization is deeply in debt does not help their case, however. No matter, the Democrats are still beholden to the hands that fed them into office, and, unless anything radically changes, it will likely stay that way.

On the other hand, maybe this is just obstructionism in disguise. Maybe Enzi has craftily changed his rhetoric after realizing that he is waging an uphill battle. In the middle of August, Moe Lane posted something on RedState that has stuck with me for the past two months:

The Democrats can pass something whenever they like: they have the votes, after all. We’re not going to pretend that they need our help. We’re certainly not going to pretend that they want our input, either. All they want is the ability to share the blame.

This is the feeling that I get from the Republicans, even now.

PricewaterhouseCoopers Admits Their Report Is Flawed

While I was reading yesterday, apparently insurance companies released a report telling people that their insurance premiums were going to rise under the Senate Finance Committee’s healthcare bill. Democrats were quick to jump on the report as an example of insurance companies lobbying to stop reform. Now the news comes out that the report didn’t look at the entire bill and, in particular, left out the entire section on cost savings. Sneaky move, but will it change the outcome of today’s Finance Committee vote?

CBO Reports and GOP Support: Is Healthcare Reform Winning?

Two pieces of positive news for the prospects of a healthcare bill passing (or at least getting to a floor vote).

First, the Congressional Budget Office has released it’s report on the predicted cost of Senate Finance Committee Chairman Max Baucus’ healthcare bill and the numbers look good for Democrats. Ezra Klein has a few summaries of the report. Matt Yglesias stays up late in Europe to read the report. National Review Online has some initial thoughts on how the GOP will respond. Allahpundit at Hot Air as well. Megan McCardle has faith it will pass. Will this report get the Olympia Snowe vote?

The second bit of news is the fact that moderate Republicans are endorsing the Democratic plan for reform. This shouldn’t actually be news because Gov. Schwarzenegger and Mayor Bloomberg have no vote in congress. However, it is more indicative of the politicking that the Obama administration has been doing across the aisle. While Republicans have moved farther to the right, some have become increasingly disenfranchised. The Obama administration reached out and encouraged these moderates to come forward and make the leadership look even more extreme.

The McCaughey Problem

Betsy McCaughey is practically an institution in the healthcare debate. She (almost) single-handedly killed Bill Clinton’s reform plans with her New Republic article in 1994, and has remained a player in the 2009 healthcare fight. The media obsession with her has resurged this week due to a moderated debate with Congressman Anthony Weiner and another article in The New Republic. Moderator Ben Smith doesn’t think that McCaughey will be much of a problem anymore:

In either case, she’s nowhere near the player she was in 1994 — in part perhaps because she’s seen as a partisan, not an honest broker, and that’s due in no small part to the relentless, effective assault from the left, a refighting of the last war that ensures they won’t lose that battle, at least.

Meanwhile, former TNR editor Andrew Sullivan is forced to defend his editorial decisions fifteen years after the fact:

I do not think it’s professional to air the specifics of internal battles after the fact, and I take full responsibility for being the editor of the magazine that published the piece. I accepted an award for it. I stood behind it.

Update: Over at The Atlantic’s Politics Channel, Sullivan colleague Matthew Cooper responds.

Open Tabs

What’s Really Going On In The Healthcare Fight

This morning I woke up to one of the best accounts of what is going on in the current healthcare fight in Congress by NPR:

The work to assemble that coalition began years ago, even before Obama was elected. When consumer groups met with their erstwhile opponents — drugmakers and health insurers — they hired outside mediators to guide their discussions. The result was general agreement on the basic underpinnings of a health care overhaul: Everyone would have to be covered, a boon for insurance companies, and insurers would have to cover everyone — regardless of his or her health, a success for consumer groups.

To sum up: the liberals are mad because they are being sold out to corporations, the conservatives are mad because the liberals are selling out to corporations.

No GOP Filibuster

That is what Talking Points Memo is thinking Michael Steele said.

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