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The Note: Curve Ball -- Another Week, Another Set of Obstacles to Health Care Reform
July 17, 2009 8:20 AM
ABC News’ Rick Klein reports:
On the vice president’s advice, we’re taking a look around -- and it’s spinning.
We’re seeing sticker shock spread through the Capitol. We’re seeing Democrats fight with each other. We’re seeing middle-of-the-night committee votes. We’re seeing the unemployment rate rising. We’re seeing a presidential approval rate falling.
We’re seeing a story that just is not meant to be covered hour by hour examined in every ugly detail.
President Obama always wanted to connect health care reform to the economy. He’s gotten that wish, but not quite in the way he envisioned.
If there’s going to be a heavier touch, now might be a nice time to apply it. The president still has the capacity to make some order out of the chaos on the Hill, and just may be able to carry something through, now that it’s clear that nothing is going to carry itself.
Things are still moving. Yet August has never looked so close -- yes, Mr. President, it’s getting hot in here -- while its goals have never looked so far away. (And how many more lost weeks can the president afford?)
Watching those trend lines: “Democratic momentum is slowing but not yet reversing,” Charlie Cook writes in his National Journal column. “What Republicans should hope for, and Democrats should fear, is that we are nearing an inflection point, when the directions change. That hasn't happened yet. The key indicator to watch for the rest of the summer is public confidence in Obama.”
The Senate Finance Committee ended talks Thursday night with leaders there saying there would be no agreement this week. An overnight House Ways and Means Committee session did produce a bill (with three Democrats on the panel voting no) -- but it, like the Senate HELP measure, cannot and will not pass the full Congress.
Watching those numbers: “Congress's chief budget analyst delivered a devastating assessment yesterday of the health-care proposals drafted by congressional Democrats, fueling an insurrection among fiscal conservatives in the House and pushing negotiators in the Senate to redouble efforts to draw up a new plan that more effectively restrains federal spending,” Lori Montgomery and Shailagh Murray write in The Washington Post.
“One of the main arguments made by the President and others for investing in health reform now is that it will save the federal government money in the long run by containing costs,” ABC’s Z. Byron Wolf reports. “Turns out that may not be the case.”
CBO Director Doug Elmendorf: “The curve is being raised.”
Rep. Mike Ross, D-Ark.: “There's no way they can pass this bill on the House floor. Not even close.”
Sen. Olympia Snowe, R-Maine: “We shouldn't be restrained by an artificially compressed timeline.”
Sen. Max Baucus, D-Mont.: “Basically, the president is not helping us,” since he opposes the concept of taxing health benefits.
(And look what’s back in the stump speech: “First of all, if you’ve got health insurance, you like your doctors, you like your plan, you can keep your doctor, you can keep your plan. Nobody is talking about taking that away from you,” the president said in New Jersey Thursday, per ABC’s Jake Tapper and Sunlen Miller.)
White House spokesman Bill Burton: “There are obviously bumps along the way getting final passage of the legislation in both the House and the Senate. We have been able to make a lot of progress and those comments notwithstanding, this week has been a great week.”
But it was a non-member of Congress who has the loudest voice at this moment in the debate: “The sobering assessment from Congressional Budget Office Director Douglas Elmendorf came as House Democrats pushed to pass a partisan bill through committees, while in the Senate a small group of lawmakers continued to seek a deal that could win support from both political parties,” the AP’s Ricardo Alonso-Zaldivar reports.
“The CBO assessment quickly reverberated around Capitol Hill, where House and Senate Democratic leaders are struggling to secure votes to advance health legislation before a scheduled break in August,” Greg Hitt writes in The Wall Street Journal. “The testimony undercuts one of Mr. Obama's central arguments: that the initiative will control long-term costs for the government as well as ordinary Americans and businesses.”
More of an uppercut than an undercut: “It’s a waste of money to have Democrats running ads against Democrats,” Senate Majority Leader Harry Reid, D-Nev., said of the Organizing for America ads that press Democrats on health care, per ABC’s Jonathan Karl.
(“Senator Reid was led to believe by the question posed to him that the DNC was attacking members of his Caucus,” said Reid spokesman Rodell Mollineau.)
It’s OFA’s “first big splash” of the Obama presidency, Jill Lawrence writes for Politics Daily. Said executive director Mitch Stewart: “Our mission is to support the president's agenda.”
Mark Leibovich of The New York Times reports on the booming, missing voice: “[Sen. Ted] Kennedy’s office says the senator is in touch with his staff and monitoring the progress of health care legislation by phone and C-Span. ‘He’s doing well, continuing to balance his treatment with his work,” said Mr. Kennedy’s spokeswoman, Melissa Wagoner.’ ”
“But conversations with friends and colleagues about Mr. Kennedy’s condition now typically include a weary acceptance of the inevitable: that his cancer -- whose survival time for people similarly afflicted is typically measured in months, not years, from diagnosis -- is taking a mounting toll,” Leibovich said.
On that other front: “The debate over the effectiveness of the government's massive stimulus act hit a fever pitch yesterday, as Vice President Biden took the White House message straight to the district of Rep. Eric Cantor (R-Va.), a leading critic of the president's economic policies,” The Washington Post’s Michael D. Shear and Alexi Mostrous report.
The line that may launch a dozen or so campaign ads: “To those who say that our economic decisions haven't saved jobs, it simply hasn't worked, I say, ‘Look around you,’ ” the vice president said.
What else he’s literally saying: “Now, people when I say that look at me and say, ‘What are you talking about, Joe? You’re telling me we have to go spend money to keep from going bankrupt?’ ” Biden said. “The answer is yes, that's what I’m telling you.”
Attention, goalpost watchers: “Turns out the $787 billion ‘American Recovery and Reinvestment Act’ (AARA) was not designed for full economic recovery, but rather to ‘stabilize’ the downturn. That's the word from White House officials today, who held off-camera briefings with reporters on how the AARA is working so far,” per ABC’s Yunji de Nies.
Among the obstacles: “You've never seen the president or vice president go out there and say, 'We're shooting for less worse, and damn it, we're there,' " Jared Bernstein, Biden’s chief economic adviser, told reporters, per the Los Angeles Times’ Peter Nicholas.
Bloomberg headline you don’t have to be an economist not to like: “Obama Stimulus Fails to Reboot Economy as No Multiplier Effect.”
Think Biden is welcome back in Richmond? Eric Cantor took a look around: “Since the stimulus bill passed and was signed into law, unemployment is up in Richmond, up in Virginia and up across this country.”
And wait -- was there something going on in the Judiciary Committee this week? (Anyone else miss Biden and his Princeton hat?)
Even Frank Ricci himself couldn’t change the calculus: “Supreme Court nominee Sonia Sotomayor is on track for an early August confirmation vote, following four days of testimony that won her praise from even some of the Senate Judiciary Committee's more conservative members,” Kathy Kiely and Joan Biskupic report for USA Today.
“The lead Republican on the panel, Sen. Jeff Sessions of Alabama, commended Sotomayor on Thursday for her humor and ‘direct’ manner and said he has no plans to block a vote on her nomination in the full Senate.”
“Outnumbered, often-frustrated Republicans launched what's likely to be a futile, last-ditch effort Thursday to heighten doubts about Supreme Court nominee Sonia Sotomayor's judicial temperament, grilling her hard on a key affirmative-action case, gun rights and other volatile issues,” McClatchy’s David Lightman reports.
Your upshot: “Lacking the votes to block Sonia Sotomayor from the Supreme Court, Republicans established lines in the sand for challenging any future nominee for the high court and tried to limit President Barack Obama's hand if he gets another opportunity to pick a nominee,” the AP’s Tom Raum reports.
“I think she’s been very steady but confusing in her testimony,” Sen. John Cornyn, R-Texas, said Thursday on ABCNews.com’s “Top Line.” “I think the biggest conundrum that I have, and I think other members have, is how do you reconcile the two Sonia Sotomayors.”
Opportunity lost, says the Washington Examiner’s Byron York: “For Republicans, the confirmation hearings for Supreme Court nominee Sonia Sotomayor were a missed opportunity. Not an opportunity to defeat her -- with 60 Senate Democrats determined to confirm President Barack Obama’s first Supreme Court choice, Sotomayor will undoubtedly prevail. But Republicans had a chance to delve deeply into Sotomayor’s record, to reveal the worldview and background of the next Supreme Court justice, and they didn’t take advantage of it.”
A big night in New York: “President Obama, in a rousing address to the NAACP Thursday night, paid tribute to the civil rights pioneers who made his historic presidency possible and declared the legacy of discrimination ‘must not stand,’ ” the New York Daily News’ Michael Saul writes.
“No one has written your destiny for you,” the president said, directing his remarks to “all the other Barack Obamas out there” who might one day grow up to be president, per The New York Times’ Sheryl Gay Stolberg. “Your destiny is in your hands, and don’t you forget that. That’s what we have to teach all of our children! No excuses! No excuses!”
Tough day ahead in Alexandria: “The American Conservative Union asked FedEx for a $2 million check in return for the group’s endorsement in a bitter legislative dispute, then flipped and sided with UPS after FedEx refused to pay,” Politico’s Mike Allen reports.
“In return for the $2 million, ACU offered a range of services that included: ‘Producing op-eds and articles written by ACU’s Chairman David Keene and / or other members of the ACU’s board of directors. (Note that Mr. Keene writes a weekly column that appears in The Hill.)’ The conservative group’s remarkable demand -- black-and-white proof of the longtime Washington practice known as ‘pay for play’ -- was contained in a private letter to FedEx that was provided to POLITICO.”
Cue the left: “The U.S. may not be able to move all eligible detainees at Guantanamo Bay, Cuba, to other countries before President Barack Obama’s January deadline for closing the prison, an Obama administration official said,” Bloomberg’s Janine Zacharia and Justin Blum report. “The effort to resettle prisoners has been hampered by legislation that bars their release in the U.S. through Sept. 30, said the official.”
The drumbeat starts again on Gov. Mark Sanford, R-S.C., as reporters probe his state travel records: “The records detail more than $468,000 worth of state-funded travel for Sanford and show that he routinely billed taxpayers for high-end airline seats, racking up more than $44,000 on business- and first-class tickets. He often stayed in pricey hotels that far exceeded the rates he imposed on other state employees,” Politico’s Kenneth P. Vogel reports. “On one overseas trip, the state appears to have spent more than $12,000 for the GOP governor’s business-class tickets for a September 2007 trade mission to China, while his aides flew in economy class for airfares as low as $1,900.”
More from the curse of C St. SE: “The estranged wife of former Republican U.S. Rep. Chip Pickering alleges in a lawsuit that his ongoing affair with a former college sweetheart damaged their marriage and led him to give up his political life,” Jimmie E. Gates reports for the Clarion Ledger.
David Brooks likes the Obama colleges proposal: “It’s a reminder that the Obama administration can produce hope and change -- when the White House is the engine of policy creation and not the caboose.”
The Kicker:
“What he should do is maybe run for Congress.” -- Senate Majority Leader Harry Reid, offering one path toward replacing CBO Director Doug Elmendorf.
“The DNC cheated.” -- White House deputy press secretary Bill Burton, having some fun with his friends in the wake of the party’s 18-17 softball victory over the White House troops, per Politico’s Amie Parnes.
For up-to-the-minute political updates check out The Note’s blog . . . all day every day:
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July 17, 2009 in Congress, Democratic party, Obama Agenda, The Note | Permalink | Share | User Comments (80)
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Americans want health care reform, the AMA wants health care reform, Congress wants health care reform...
Only the do-nothing GOP stands in the way of this. And they will pay (again) come election time.
Posted by: matt | Jul 17, 2009 8:53:54 AM
I am an Independent, a conservative one. In defense of the Rep. I have to say that when they screw up they are attacked and then sent to the dugout. Whereas, when a Dem screws up - there is laughter, shaking of heads and then business as usual. As for Sanford getting the upgrade seats, that's normal for all the Washington bloodsucking members.
Posted by: artinthewild | Jul 17, 2009 9:02:54 AM
By Gallup Poll, you are correct, BUT what they want seems to be different then what they are trying to pass.
"A majority of Americans (56%) favor Congress’ passing a major healthcare reform bill this year. When asked to choose, Americans say controlling costs (52%) is a more important goal of reform than expanding coverage to nearly all Americans (42%).More ..."
Posted by: ajax | Jul 17, 2009 9:08:19 AM
A no Matt, the Americans I have spoken with (and we all work in the healthcare industry), DO NOT want healthcare reform. The doctor's we work with are against it as well! I suspect it's mostly the same old welfare recepients want it, the expect the working middle class to take care of them.......same old, same old............
Posted by: maniteu | Jul 17, 2009 9:09:03 AM
Leave it to the Democrats to screw up an opportunity to improve the lot of the middle class American worker by over-reaching and trying to push through political entitlements for the politically connected. Screw ups!
Posted by: LongT | Jul 17, 2009 9:18:44 AM
Oh well (sigh)... It was a nice idea and certainly got some interest but as usual the have get more and the rest of us are still waiting, (in the emergency room). Gee whiz, I shouda listened to my dad when he told me to become a doctor and get rich rather than become an electronic engineer and get UNEMPLOYED!
Jimmy Mac
Posted by: jmczzz | Jul 17, 2009 9:27:29 AM
Will love to have a Wealth Care Reform after this is through.
Posted by: Freedom. | Jul 17, 2009 9:51:15 AM
This government has not had one instance where they have spent money now only for the cost to be reduced later. Never, ever has this happened. It won't happen with the Obamacare either. My prayer is that this effort will go down in flames. Then perhaps someone in Congress will give the freedom and authority to spend their money on competitive health care plans and circumvent this monstrously big government.
Posted by: Gina | Jul 17, 2009 9:52:47 AM
TO--Posted by: matt | Jul 17, 2009 8:53:54...So what do you call the democrats that dont want this as well...hmmmm Let me guess you're an illegal looking for a free handout..yeah thats what we thought
Posted by: jmw1824 | Jul 17, 2009 9:59:02 AM
If you love the IRS and all of it buracracy then you will love government healthcare. Please, no government healthcare for me.
Posted by: Jeff | Jul 17, 2009 10:06:03 AM
Obama's biggest mistake will be this healthcare bill just like Hillary and Bill Clinton. I am pretty sure he is taking advice from Hillary about this bill. It will be an even bigger albatross around Obama's neck. Maybe this is what Hillary wants! Maybe she wants to run in 2012 and this is her way of assuring Obama's demise and no re-election. The last thing anyone in America wants is more unemployment, another bill in the mail to pay (while unemployed), and not to be able to pick their kids hospital or doctor or to be told to 'come back tomorrow' or 'there will be a 2 to 10 hour wait' by some witless government official when a mother can just go to the doctor pay her co-pay and leave in a half hour to an hour tops.
Again Obama is a politician and he is only trying to do and say what he feels is popular. In February and March he said priority one was to get the unemployment rate down and 'create or save 4 million new jobs' now that he realizes he can he is talking about passing this 'healthcare bill' as he thinks its popular with 46 million uninsured voters. The problem is of those 46 million uninsured 1/3 are illegal aliens and dont vote so the real number is more like 31 million voters who are for public healthcare and since there are 300 million people in the USA (counting the 50 million illegal aliens who dont vote ) thats like 200 million voters AGAINST the plan for nationalized healthcare (give or take 50 million). So its really NOT popular especially considering the extra taxes, unemployment and another bill in the mail to pay part. No one wants the govt picking their doctors or choosing their medical treatments either. They know its a recipe for disaster. No matter what Obama says.
Posted by: guesswhaturwrong | Jul 17, 2009 10:07:37 AM
If you say to someone that they can have free gasoline for the rest of their life than what bdo you think that person is going to do. They are going to drive a lot more. If you tell a person they can have free health care the rest of their life what do you think they are going to do? They are going to go to the doctor a lot more. I have seen this many times through employer provided insurance. The anwser here is to make everyone pay somthing, not just the rich and small business.
Posted by: billy bob | Jul 17, 2009 10:16:34 AM
I don't know what Fantasy Island that Matt is living on (the guy that comment that everybody wants National Healthcare but the GOP) but I don't want socialized medicine. Put any "pretty" label you want to on it, but it's still socialized medicine. The government has proved time and time again that it can't handle managing something this big. Look at Medicaid, Medicare, and Social Security. Dems. and Reps. alike have shown this to be true. My prayer is that people like Matt would MOVE to a country that has socialized medicine if he wants to socialized healthcare so badly. Why should those of us who KNOW! that it's a bad idea have to suffer, yet again, because of liberalist ideas that are full of philosophy that the middle class has to foot the the bill for, again. Don't get me wrong, it's not that I am not for healthcare for everyone, I just think it's a BAD idea for the government to DICTATE our healthcare. I keep praying the liberals and other democrats will hear that this is tyrannical and not part of a democracy. We REALLY don't want the government DICTATING to us every aspect of our lives like they are REALLY doing more of than people seem to realize.
Posted by: john | Jul 17, 2009 10:40:02 AM
When they have balanced the budget and figure out a way fund with no new taxes then I will be interested to hear what they have to say. Until then we simply cannot afford another big ticket item so why waste our time.
Posted by: Brian | Jul 17, 2009 10:45:49 AM
Well once again the Republicans FEAR MONGERING With Healthcare, The people have Spoke we want and need Healthcare Reform but since when do the Gop Listen to the People? they only listen to lobbisit and Wall ST! The republicans do not care the only thing they care about is regaining power but why what do they do for us?
Posted by: Angie in PA | Jul 17, 2009 10:54:07 AM
STOP WITH THE Fear mongering
THE HEALTH CARE REFORM IS NOT I REPEAT NOT SOCIALIZED MEDICINE Stop letting the Republicans fear monger you we all know thats what their good at DO YOUR OWN RESEARCH!
Posted by: Angie in PA | Jul 17, 2009 10:56:25 AM
This is in response to Angie's comment. At least the GOP is listening to somebody and not, as per usual, intent on furthering their own agendas without regard to what the majority of the people want which apparently is controling healthcare costs versus the government controling healthcare which, again, it's proved repeatedly that it is not capable of effectively doing and just because a bunch of liberals scream and jump up and down and say that this is right doesn't make it right or smart.
Posted by: john | Jul 17, 2009 11:01:19 AM
I think that from what I read in my local paper this morning that the CBO says that the current bills under consideration will not reduce costs and would probably increase cost in the long run should be a signal to Congress that they don't have it right and need to start over and do it right. With the growing federal government debt we cannot afford to get it wrong.
In his first 170 days in office Obama has increased the debt of the government by 901.25 Billion dollars. At this rate he will increase the debt of the Government by 1.82 Trillion dollars in his first year alone and 7.74 Trillion dollars by the end of his 4 year term in office. If he is elected for a second term with the same rate of spending then the government debt will increase by 15.48 Trillion dollars. Since the debt owed by the Government was 10.6 Trillion dollars when he took office an additional 7.74 Trillion will almost double the debt in just 4 years to 18.34 Trillion dollars and at the end of his second term it will have increased to an unthought of 26.08 Trillion dollars. The interest alone on this amount of debt will consume more than half of the entire federal budget. This does not even include what Obama wants to put into healthcare which has been estimated may actually cost upwards of 1.6 Billion dollars by the Congressional Budget Office. This is money that the Government does not have and cannot conceivably have without raising taxes to the point where everyone in the country will be paying a much higher tax rate than they are currently paying. No matter how you want to put it any healthcare reform will require government involvement which will lead to required government spending so the money is an important issue, if it’s not there then healthcare will have to wait until such time as it is available. Obama promised change but this is ridiculous he makes all who came before him look minor on their spending while in office. Time to stop spending and do what should have been done long ago, cut spending which is not specifically authorized in article 1 of the constitution.
Congress should focus their efforts on tort reform and then when the results are in from how it effects the costs of healthcare would be the time to take the next step. There is no need to pass something quickly that we will be sorry for down the road like Medicare.
When Medicare was created in 1965, benefits were relatively limited and retirees paid a substantial percentage of the costs of their own care. In 1965, Congressional actuaries expected Medicare to cost $3.1 billion by 1970. In 1969, that estimate was revised to $5 billion, and it actually came in at $6.8 billion. Things have gotten worse since, and Medicare today costs $455 billion and rising. Medicaid was intended as a last resort for the poor but now covers one-third of all long-term care expenses in the U.S. -- that is, it has become a middle-class subsidy for aging parents of the Baby Boomers. Its annual bill is $227 billion, and so far this fiscal year is rising by 17%.
Additonally the house bill will add a large group of new folks to Medicade which means that the Federal Government won't come up with all of the funding, the funding will be coming from the states many of which are sufering financial problems and cannot take on the new unfunded mandate from the federal government.
Posted by: Sandcrab1612 | Jul 17, 2009 11:03:51 AM
The Ways and Means panel endorsed central elements of Mr. Obama’s blueprint for health care, including the creation of a new government health plan and a requirement for employers to provide insurance to their employees or contribute to its cost. The panel also voted to impose a surtax on families with incomes of more than $350,000 a year.
The latter being the likely reason for the GOP resistance.
Posted by: gus amaral | Jul 17, 2009 11:14:27 AM
Steamroll the republicans! Straight up or down vote on public healthcare. Grow a spine democrats! More than 70% of the public want public healthcare!
Posted by: rightbehind | Jul 17, 2009 11:23:27 AM
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