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The Note: Progress Over Perfection? -- Obama Allies Seek ‘Breathing Room’ on Health Care
August 13, 2009 9:14 AM
By TEDDY DAVIS
Progress over perfection.
That’s how Paul Begala frames the choice facing Democrats.
In an op-ed in today’s Washington Post, the former Clinton strategist implores his fellow progressives not to make a government insurance option a litmus test for health-care reform.
Begala wants Sen. Max Baucus, D-Mont., and other members of the Senate Finance Committee, to have "a little breathing room" as they work to produce a health-care bill that can garner enough votes to pass the Senate.
“The question is not whether I or other progressives will support a health-reform bill that includes everything we want but, rather, whether we will support a bill that doesn’t,” writes Begala.
Begala says he carries a “heavy burden of regret” for his role in setting the bar too high the last time the U.S. tried fundamental health reform.
“I was one of the people who advised President Bill Clinton to wave his pen at Congress in 1994 and declare: ‘If you send me legislation that does not guarantee every American private health insurance that can never be taken away, you will force me to take this pen, veto the legislation, and we’ll come right back here and start all over again.”
Begala is not the only high-profile Democrat who appears willing to jettison a public option to get a bill through Congress and onto President Obama’s desk.
Dick Durbin, the Senate’s No. 2 Democrat, signaled that he would not let the public option bring down health-care reform while appearing Sunday on CNN's "State of the Union."
While Begala wants Democrats to give the Senate Finance Committee breathing room to come up with a compromise, Rep. Henry Waxman, D-Calif., tells today’s New York Times that the president has assured House members that he did not intend to let the Senate Finance Committee determine the final bill.
“This is going to be a genuine conference with give and take,” Mr. Waxman said. He added: “The president has said he wants a public option to keep everybody honest. He hasn’t said he wants a co-op as a public option.”
While some progressives are trying to lay the groundwork for a compromise, others are stepping up their case that a public option is essential to real health-care reform.
Health Care for America Now, a liberal group which supports a public option, announced Thursday morning that it is expanding its advertising in a handful of states.
The ad targets two Democratic senators -- New Mexico Sen. Jeff Bingaman (D) and Delaware Sen. Tom Carper (D) -- in addition to three House members: Pennsylvania Rep. Jason Altmire (D), South Dakota Rep. Stephanie Herseth Sandlin, and Virginia Rep. Rick Boucher (D).
The group’s ad will also run in upstate New York.
Watch the ads HERE.
White House tries to "go viral" on health care:
“Feeling victimized by misinformation spread virally through the Internet, the White House Thursday is launching its own ‘viral e-mail’ for supporters to spread,” reports ABC’s Jake Tapper.
“The e-mail outlines 24 points -- eight ways the Democrats' health care reform measures will, in Axelrod's view, ‘provide security and stability to those with or without coverage,’ eight ‘common myths’ about reform, and eight reasons why reform is an urgent matter.”
The e-mail also features a Web video from White House health care reform czar Nancy-Ann DeParle in which she refutes an opposition viral e-mail sent to one of her White House colleagues from his father, a physician.
PhRMA-Backed Coalition Makes Big Ad Buy
President Obama’s new “what’s in it for me” message is picking up significant amplification today from a coalition supporting health-care reform.
Americans for Stable Quality Care, a coalition largely funded by the pharmaceutical industry, is launching a $12 million television ad campaign during the congressional recess supporting President Obama on health care.
Coalition members include PhRMA, FamiliesUSA, the Federation of American Hospitals, and the Service Employees International Union, according to an SEIU spokesperson.
“What does health insurance reform mean for you?” asks the ad’s narrator. “It means you can’t be denied coverage for a pre-existing condition, or dropped if you get sick. It means putting health-care decisions in the hands of you and your doctor. It means lower costs, a cap on out-of-pocket expenses, tough new rules to cut waste and red tape, and a focus on preventing illness before it strikes. So what does health insurance reform really mean? Quality, affordable care you can count on.”
Watch the ad HERE.
As of last week, Obama allies were outspending Obama opponents two-to-one in the health-care ad wars, according to Evan Tracey of the Campaign Media Analysis Group.
California: Gay-Marriage Advocates Disagree on Date for Ballot Measure
For several months, gay-marriage advocates in California have been trying to decide whether to pursue a ballot measure in 2010 or 2012.
On Wednesday, one of the Golden State’s largest gay-rights groups, Equality California, went public with its conclusion, saying it was targeting 2012.
Some headlines treat the announcement by Equality California as resolving the 2010 vs. 2012 issue.
It doesn’t.
The announcement from Equality California came an hour after the liberal Courage Campaign said results of an early fund-raising push had emboldened it to push ahead with plans to oppose Proposition 8 next year. Here’s more from the New York Times, Los Angeles Times, and Christian Science Monitor.
Cheney v. Bush
As his memoir takes shape, Dick Cheney’s disappointment with George W. Bush is beginning to surface, according to a front-page Washington Post story by Barton Gellman.
“’In the second term, he felt Bush was moving away from him,’ said a participant in the recent gathering, describing Cheney's reply. ‘He said Bush was shackled by the public reaction and the criticism he took. Bush was more malleable to that. The implication was that Bush had gone soft on him, or rather Bush had hardened against Cheney's advice. He'd showed an independence that Cheney didn't see coming. It was clear that Cheney's doctrine was cast-iron strength at all times -- never apologize, never explain -- and Bush moved toward the conciliatory.’”
Obama’s Thursday
President Obama has no public events today.
In the morning, the President will receive the Presidential Daily Briefing, the Economic Daily Briefing, and meet with senior advisors in the Oval Office.
The Kicker:
“I’m always nervous, and I tell them to be nice to each other. And they’re not always nice.” --Joyce L. Woodhouse explaining that she can barely stand to watch her sons (Brad Woodhouse of the DNC and Dallas Woodhouse of the conservative organization Americans for Prosperity) debate one another The Woodhouse brothers appeared Wednesday on ABC's "Top Line."
Watch them HERE.
For up-to-the-minute political updates check out The Note’s blog . . . all day every day:
http://blogs.abcnews.com/thenote/
August 13, 2009 | Permalink | Share | User Comments (88)
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One would think Grassley will be crossed off the list of workable GOP moderates...
Posted by: matt | Aug 13, 2009 9:27:02 AM
The Democrats & Obama are waaaay off message on the health care reform. The grassroots movement is increasing rapidly & is refuting Obama and his congress more adamantly than ever now. Claire MaGaskill seems to be stepping back on her lingo as she sees that this movement is REAL and is made up of Americans who are against it. Obama's numbers continue to plummet, to the point that they are the lowest EVER for any president at this time in office. I would say that the Obama brainswahing has ended and reality has set in. It's time to move forward Americans, continue to let your voices be heard!
Posted by: dk | Aug 13, 2009 9:47:24 AM
They really need to go back to the drawing board on this one. Why Obama let Congress have the responsibility of writing this monstrosity is puzzling.
The White House should have prepared the bill (a much shorter version, please) and then given it to the Congressional leadership to present.
Letting three or four different Congressional committees write different bills is ridiculous. There's no way out of this mess now since so many people are angry and confused, and the right and left wing zealots are only adding to the chaos.
Posted by: BachisBest | Aug 13, 2009 9:56:21 AM
Obama's numbers drop to 47% approval rating. The lowest rating for ANY president at this same time in office. The Dems have awaken a "sleeping giant", the American public. Americans are refuting Obama and his lies and will continue to do so. The grassroots movement is alive and well and growing rapidly!
Posted by: Mary | Aug 13, 2009 10:03:27 AM
SLLEPING GIANT-fox news talk
The grassmovement is alive and well
RIGHT WING EXTREMISIM IS ON THE RISE THE MILITINTS ARE RISING UP VIOLENCE WILL RISE! In other words the nutcases are coming out!
Posted by: ANGIE IN PA | Aug 13, 2009 10:18:51 AM
Every time the public catches Obama in a lie, it hurts his credibility on the entire issue. Why does he have to lie?
This bill won't survive the light of day. If anything is going to pass on healthcare it is going to be something that both parties and the general public can support. It appears they need to back to the drawing board.
Posted by: Jeff | Aug 13, 2009 10:19:41 AM
The strong public option better be there! It is the only thing that will hold health care in check. Vote public health care straight up or down then we the voters have a choice to make 15 months from now with plenty of time to find good replacements.
Posted by: rightbehind | Aug 13, 2009 10:24:02 AM
Obama's ratings falling now to 47%. WOW! Rasmusen said his numbers have fallen faster than any other president in history. And I agree with you, Jeff. WHY does Obama have to lie? Why can't he tell the truth to the people who voted for him? Why did he lie about AARP? Why does Gibbs have to cover up Obama's lies? Mr President, deception is not a good thing!
Posted by: dk | Aug 13, 2009 10:24:19 AM
Vote strong public health care straight up or down. Then the voters have a choice to make.
Posted by: rightbehind | Aug 13, 2009 10:30:17 AM
This is a mess. The left let the republican naysayers get hold of the reform message and spin it out of control. Trying to get a "bipartisan" bill with neocons? Impossible and fantasy! When is the left ever going to learn that you can't deal with crooks? Grassley is a backstabber that held up reform, but we all knew that! The democrats need to band together and get this reform passed! It's been more than clear for some time now the repubs are not interested in reform. They are interested in big business like health insurance companies. Tell me right wing representatives.......how much $$ are you going to get if you kill health reform??
Posted by: had it | Aug 13, 2009 10:34:51 AM
Thank you Democrats and Obama....because of you, conservatives & independents are banning together better than ever before. Obama is a one-term President. The Dems will lose the house in the 2010 elections. Looks like the Kool Aid has worn off. Even the media has picked up on the deception the Democrats are spewing.
Posted by: dk | Aug 13, 2009 10:39:30 AM
Say what you will, but the grassroots movement is very strong right now. Even Claire MaGaskill, after her town hall meeting, stated these protesters were real and the Democrats had better pay attention. There is power in numbers and the Democrats has solidified the opposition to anything Obama presents on health care. I agree with dk, the Dems have united the conservatives and independents.
Posted by: PeterPaul&Mary | Aug 13, 2009 10:41:52 AM
Jeff
The "lie" you refer to is the fact that although the bill will allow people to keep their current insurance plans, there is nothing in it that will prevent employers from dropping coverage with current providers, just as employers drop or change insurance coverage at any time NOW.
Gee, that's some "lie." Somehow, I don't think its up there, on the lying scale, with telling people this is a government takeover, or that abortions will be covered, or that doctors will be forced to counsel seniors about suicide, or that babies with Down's Syndrome will be brought before a "death panel." Those, my friend, are lies.
Posted by: Amy B Maine | Aug 13, 2009 10:55:31 AM
We do need change - - but, put down the signs and bull horns and stop all this juvenile foolishness.
Just sign me up for the exact same Healthcare program Ted Kennedy has.
Good enough for our elected elite, surely it's good enough for me.
Posted by: JB Sr | Aug 13, 2009 10:57:24 AM
We can’t afford this healthcare reform that is being crammed down our throats by fiscally irresponsible politicians.
• Medicare has a projected unfunded liability (the difference between the benefits that have been promised to current and future retirees and what will be collected in dedicated taxes and Medicare premiums) over the next 75 years of 32,000,000,000,000.00 (32 Trillion) dollars. Social Security also has an unfunded liability but it is nowhere near as large as the unfunded Medicare liability.
• Currently, Medicare claims about 11 percent of federal nonentitlement tax dollars.
• By 2020, Medicare deficits will claim one in every five federal tax dollars that are not already dedicated to Medicare and Social Security.
• This means that in just 13 years the federal government will have to stop doing one in every five things it does today if taxes are to remain at their current level and projected Medicare benefits are paid on behalf of the disabled and the elderly.
• By 2030, the deficits in Medicare will claim one in every three general revenue dollars; by 2050, they will claim one in every two.
In a July 26 letter to the Ranking Republicans on four key committees (Ways and Means, Energy and Commerce, Education and Labor, and Budget), the Director of the Congressional Budget Office (CBO), Doug Elmendorf, made it clearer than he ever had before that the bill, in its original July 14 form, would dramatically widen the already large gap between long-term government revenue and spending. Here’s the key paragraph:
“Looking ahead to the decade beyond 2019, CBO tries to evaluate the rate at which the budgetary impact of each of those broad categories would be likely to change over time. The net cost of the coverage provisions would be growing at a rate of more than 8 percent per year in nominal terms between 2017 and 2019; we would anticipate a similar trend in the subsequent decade. The reductions in direct spending would also be larger in the second decade than in the first, and they would represent an increasing share of spending on Medicare over that period; however, they would be much smaller at the end of the 10-year budget window than the cost of the coverage provisions, so they would not be likely to keep pace in dollar terms with the rising cost of the coverage expansion. Revenue from the surcharge on high-income individuals would be growing at about 5 percent per year in nominal terms between 2017 and 2019; that component would continue to grow at a slower rate than the cost of the coverage expansion in the following decade. In sum, relative to current law, the proposal would probably generate substantial increases in federal budget deficits during the decade beyond the current 10-year budget window.”
In other words, CBO expects the spending in the bill would grow at a rate of least 8 percent annually into the indefinite future, while the revenue to pay for it will only grow at about 5 per cent per year. Hence the “substantial increases” in federal budget deficits beyond 2019.
The first things the idiots in DC need to do is get Medicare under control and then address the growing debt of the federal government. For over 60 years the politicians have been spending at a rate which exceeds the revenue the government has collected, we can’t do this in our private lives and the government can’t do it either as the bill will become due and the only out will be the bankruptcy of the United States.
Posted by: Sandcrab1612 | Aug 13, 2009 10:59:04 AM
PeterPaul&Mary
The "grassroots movement" is alive and well and enflamed by lies spread by media millionares who KNOW they are spreading lies, misinforming the very people who need health care coverage the most, but who are protecting the status quo because it keeps them in their air conditioned offices, and funds their golf trips to the Bahamas.
Posted by: Amy B Maine | Aug 13, 2009 11:00:12 AM
Sandcrab1612........Good Post!
Posted by: Tim | Aug 13, 2009 11:00:58 AM
Here's a bit of truth for all. Republicans over the past 4 years have been thrown out of office as fast as the election process will allow. We overwhelmingly elected a President with the middle name of Hussein. Any talk of alliances between this group or that are purely wishful thinking and these phony baloney poll numbers do not reflect the trend of events. This is a win win for us either way if we get them to vote strong public health care straight up or down. If it fails we now have a list of those to blame and send packing.
Posted by: rightbehind | Aug 13, 2009 11:04:56 AM
Amy B Maine, answer me this, please. Why did Obama lie about AARP in his town hall meeting? Why did he "stage" the little girl to ask a question, when her mother lead Women4Obama in his campaign? Why does Obama deceive and lie so much? You are a supporter, why is he like this. Americans aren't stupid. Why did he go overseas and put down Americans? His numbers are the LOWEST in presidential history at this same time in office. Again, Americans aren't stupid! We're waking up and its not the GOP that is spreading lies, its Obama. Even MaGaskill (D) is saying the grassroots movement is REAL and the Dems had better watch out. Obamacare is over, it will never pass. I agree, we need reform, but not to the extent of deception like Obama is trying to do.
Posted by: Janice | Aug 13, 2009 11:06:38 AM
Don't worry about bipartisonship. Who in their right mind would want a healthcare bill written by republicans. You might end up with lung default swaps, urinary funds, clavicles, scapulators and scapulus.
Posted by: rightbehind | Aug 13, 2009 11:13:44 AM
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