I/II.
http://www.nytimes.com/2009/12/21/health/policy/21senatecnd.html?hp

<http://www.nytimes.com/2009/12/21/health/policy/21senatecnd.html?hp>
December 21, 2009
Senate Debate on Health Care Exacerbates Partisanship
By CARL 
HULSE<http://topics.nytimes.com/top/reference/timestopics/people/h/carl_hulse/index.html?inline=nyt-per>
 and DAVID M. 
HERSZENHORN<http://topics.nytimes.com/top/reference/timestopics/people/h/david_m_herszenhorn/index.html?inline=nyt-per>

WASHINGTON — Nasty charges of bribery. Senators cut off midspeech.
Accusations of politics put over patriotism. Talk of double-crosses. A
nonagenarian forced to the floor after midnight for multiple procedural
votes.

In the heart of the holiday season, Senate Republicans and Democrats are at
one another’s throats as the health care overhaul reaches its climactic
votes. A year that began with hopes of new post-partisanship has indeed
produced change: Things have gotten worse.

Enmity and acrimony are coursing through a debate with tremendous
consequences for both sides as well as for the legislative agenda in the
months ahead.

Should Democrats prevail, it will put an exclamation point on an eventful
first year of their control of Congress and the White House and leave
Republicans on the Napoleonic side of what one predicted could be President
Obama<http://topics.nytimes.com/top/reference/timestopics/people/o/barack_obama/index.html?inline=nyt-per>’s
Waterloo. A Republican victory would invigorate an opposition party that was
back on its heels at the beginning of 2009 and would strike a crushing blow
to Democrats and their claims to governing.

The toxic atmosphere is evident on the floor, on television talk shows and
in the hallways of the Capitol. Despite the fact that Democrats appear to
have the 60 votes in hand to push through their legislation, Republicans say
they intend to force a series of six procedural showdowns that would keep
the Senate in session right through Christmas Eve. (In the first, the
Senate voted on party lines early Monday
morning<http://www.nytimes.com/2009/12/21/us/21vote.html> to
cut off a Republican filibuster of a package of changes to the health care
bill by the majority leader, Harry Reid of Nevada.)

The absence of a single member of the Democratic caucus could throw the
process off the rails.

Senator Tom 
Coburn<http://topics.nytimes.com/top/reference/timestopics/people/c/tom_coburn/index.html?inline=nyt-per>,
Republican of Oklahoma and a leading opponent of the measure, said Sunday
that a missing Democrat might be the best hope for foes of the overhaul.

“What the American people should pray is that somebody can’t make the vote,”
he said in a floor remark that Democrats found offensive and suggestive of
wishing misfortune on one of them.

“This statement goes too far,” said Senator Richard J.
Durbin<http://topics.nytimes.com/top/reference/timestopics/people/d/richard_j_durbin/index.html?inline=nyt-per>
of
Illinois, the No. 2 Democrat in the Senate. “We are becoming more coarse and
divided here.”

Members of both parties say the dispute over health care has created bad
blood, left both Democrats and Republicans suspicious of the opposition’s
motives, and shattered some of the institution’s traditional collegiality.

At the same time, Democrats say the apparently unbridgeable health care
divide has convinced them that Republicans are dedicated solely to blocking
legislative proposals for political purposes. Several said they now realized
that they would have to rely strictly on their own caucus to advance such
defining issues as climate
change<http://topics.nytimes.com/top/news/science/topics/globalwarming/index.html?inline=nyt-classifier>
in
2010.

“We have crossed the mark of over 100
filibusters<http://topics.nytimes.com/top/reference/timestopics/subjects/f/filibusters_and_debate_curbs/index.html?inline=nyt-classifier>
and
acts of procedural obstruction in less than one year,” Senator Sheldon
Whitehouse<http://topics.nytimes.com/top/reference/timestopics/people/w/sheldon_whitehouse/index.html?inline=nyt-per>,
Democrat of Rhode Island, said on the floor Sunday. “Never since the
founding of the Republic, not even in the bitter sentiments preceding Civil
War, was such a thing ever seen in this body.”

Republicans say that the pre-holiday legislative rush reflects an artificial
deadline set by Democrats who want to force through a highly complex measure
with minimal public scrutiny; Democrats say Republicans, under pressure from
conservative campaigners and commentators to stall the bill, are simply
unwilling to accept defeat.

Democratic tempers flared during consideration of a Pentagon spending bill,
with lawmakers suggesting that Republicans were playing politics at the
expense of American troops by extending debate over the $626 billion measure
as way of trying to deny Democrats time needed to pass the health care bill
before Christmas.

Democrats first thought they had Republican commitments to back the measure,
but any they had were later withdrawn, settling off complaints of a double
cross. Short of votes, Democrats had to prevail upon Senator Russ
Feingold<http://topics.nytimes.com/top/reference/timestopics/people/f/russell_d_feingold/index.html?inline=nyt-per>,
an antiwar Democrat from Wisconsin, to break his pattern of opposing
military spending bills and join them.

The thin margin also required that Senator Robert C.
Byrd<http://topics.nytimes.com/top/reference/timestopics/people/b/robert_c_byrd/index.html?inline=nyt-per>,
who turned 92 last month, be brought to the chamber in his wheelchair after
midnight to cast his vote. After Democrats produced the needed votes, some
Republicans then cast their votes for the Pentagon measure, drawing an
audible murmur of disapproval from Democrats who considered that bad form.

Tensions have run so high on the Senate floor, with Democrats so perturbed
by Republican stalling tactics, that party leaders told senators to object
to any senator who asked for additional speaking time — even the routine
extra minutes that senators request to finish a sentence.

At one point during debate, Senator John
Cornyn<http://topics.nytimes.com/top/reference/timestopics/people/c/john_cornyn/index.html?inline=nyt-per>,
Republican of Texas, made just such a request for two minutes but was
blocked by Senator Mark
Begich<http://topics.nytimes.com/top/reference/timestopics/people/b/mark_begich/index.html?inline=nyt-per>,
Democrat of Alaska, who was presiding over the chamber at the time.

Mr. Cornyn was flabbergasted. “I’m looking around — I don’t see any other
senator waiting to speak,” he said. Mr. Begich relented, but similar
incidents followed.

On Sunday, Republicans did not mince words when characterizing provisions
put in the health care bill to attract the final votes for passage,
particularly that of Senator Ben Nelson, Democrat of Nebraska.

Some suggested that special Nebraska considerations in the bill amounted to
bribery and corruption. Senator Lindsey
Graham<http://topics.nytimes.com/top/reference/timestopics/people/g/lindsey_graham/index.html?inline=nyt-per>,
Republican of South Carolina, said on CNN’s “State of the Union” that it was
reflective of “seedy Chicago politics.”

“In order to try to get the 60 votes, there has been basically a pay to play
approach to this, and it’s just repulsive,” Mr. Cornyn said.

The Republican leader, Senator Mitch
McConnell<http://topics.nytimes.com/top/reference/timestopics/people/m/mitch_mcconnell/index.html?inline=nyt-per>
of
Kentucky, said the increasingly hostile relationship between the parties
reflected differences in issues, not personalities.

“This is not about acrimony; this is about policy,” Mr. McConnell said. “So,
we’re upset about it, but it’s not a personal thing.”

But some of the issues do seem to have become personal. “We’ve allowed
political disagreement to spill over into our relationships and friendships
here,” Mr. Durbin said, “and that really does hurt the institution.”

Whatever the cause, things have gotten bad enough that Senator Arlen
Specter<http://topics.nytimes.com/top/reference/timestopics/people/s/arlen_specter/index.html?inline=nyt-per>,
Democrat of Pennsylvania, said the Senate should be stripped of one of its
illustrious institutional claims.

“This body prides itself on being the world’s greatest deliberative body,”
Mr. Specter said. “That designation has been destroyed with what has
occurred here the past few days.”

II.

http://www.politico.com/news/stories/1209/30844.html

*Health plans on collision course*
By: Carrie Budoff Brown and Patrick O'Connor
December 20, 2009 08:01 PM EST

Despite a last-minute weekend deal that put the
Senate<http://topics.politico.com/index.cfm/topic/Senate> on
the brink of passing health care reform this week, liberal and moderate
Democrats remain on a collision course over the bill, as both sides dug in
Sunday for the next phase of negotiations.

President Barack
Obama’s<http://topics.politico.com/index.cfm/topic/barackobama>
liberal
base and powerful union leaders once hoped the expected House-Senate
conference would partly undo a year of retreats and compromises, with Obama
weighing in to nudge the moderate Senate bill to the left.

But the titanic struggle to lock in Sen. Ben
Nelson<http://topics.politico.com/index.cfm/topic/bennelson> (D-Neb.)
as the 60th senator for the first key test vote early Monday morning has
changed all that. The need to hold Nelson and other moderates in line means
major changes on the public option, abortion, taxes, Medicare and Medicaid
are unlikely — and that the Senate’s vision of health reform is likely to
prevail over the House’s in the final talks.

“It is very clear that the bill — the final bill — to pass in the United
States Senate is going to have to be very close to the bill that has been
negotiated here,” Sen. Kent
Conrad<http://topics.politico.com/index.cfm/topic/kentconrad> (D-N.D.)
said on “Fox News Sunday.” “Otherwise, you will not get 60 votes in the
United States Senate.”

Nelson, who received assurances of a “limited conference” to secure his vote
for the Senate bill, has already laid down at least two deal breakers in the
House bill that he can’t support: the inclusion of a government insurance
plan and an income tax increase on wealthy individuals.

“That would break it,” Nelson said on CNN’s “State of the Union.”

House Democrats
<http://topics.politico.com/index.cfm/topic/housedemocrats>
acknowledge
that they will be limited in how far they can tweak the Senate compromise.
But House leadership also knows that its rank and file need to force some
changes, however small, before they will accept the final package — as a
face-saving measure to be able to swallow late changes to the bill in the
Senate, most notably the decision to eliminate a public option.

But on the left, the sentiments of a liberal base that revolted over
concessions to moderates were channeled Sunday by Howard
Dean<http://topics.politico.com/index.cfm/topic/howarddean>,
the former Democratic National Committee chairman, who last week repeatedly
called on Democrats to scrap the bill.

“This can’t be the final version of the bill,” Dean said on NBC’s “Meet the
Press.” “It simply sets us on a track in this country which is expensive and
where we’re going to have lots more political fights.”

In a slight shift, however, Dean tempered his words, saying the bill is
better than it was earlier in the week.

“I would certainly not vote for this bill if this were the final product,”
Dean said. “I would let this thing go to conference committee, and let’s see
if we can fix it some more.”

Andy Stern, president of the Service Employees International Union,
identified areas beyond the public option in which Democrats in both
chambers could agree, including boosting the federal insurance subsidies for
middle-income Americans and strengthening insurance regulations.

“It is about progress, and we now have to fight for the changes in the
conference committee and decide, when it is over,” whether to support it,
Stern said on CNN’s “State of the Union.”

Senior administration officials contend the conference will not be as
difficult as predicted because the differences between the two chambers have
been known for months. “Once the Senate passes this bill, obviously there’s
work to be done,” White House senior adviser David Axelrod said on “State of
the Union.”

Two big voices in the health-reform debate came out with endorsements of the
measure moving ahead in the Senate this week: the Federation of American
Hospitals, which represents private community hospitals, and AARP, the
nation’s largest seniors organization, which urged the Senate to move ahead
with debate.

In addition, Democrats desperately tried to avoid an ugly public fight over
abortion, but it looks as though the issue will haunt them right up until
the end.

Abortion-rights supporters and foes alike blasted the compromise Senate
Majority LeaderHarry
Reid<http://topics.politico.com/index.cfm/topic/harryreid> (D-Nev.)
cut with Nelson late Friday night. But it’s unclear whether their opposition
will be enough to sink the broader bill.

“I have some deep reservations with this Nelson language on first
examination,” Rep. Diana DeGette (D-Colo.), a co-chairwoman of the
Congressional Pro-Choice Caucus, told POLITICO on Sunday.

Rep. Bart Stupak
<http://topics.politico.com/index.cfm/topic/bartstupak> (D-Mich.),
a leading abortion opponent, said during the weekend, “While I and many
other pro-life Democratic House members wish to see health care coverage for
all Americans, the proposed Senate language is unacceptable.”

The final Senate bill grants state legislatures the right to prevent
insurance plans that operate in the proposed health insurance exchange from
covering elective abortions. The changes also require people who seek
abortion coverage through the exchange to pay two separate checks each month
to their insurance company to “segregate” federal funds from private funds
that pay for abortion.

Reproductive-rights advocates argue the new system would create a more
onerous burden for women seeking coverage for the procedure, while abortion
opponents have argued throughout the debate that segregating payments still
violates the existing prohibition on federal funds being used to pay for
abortion.

Douglas Johnson, the legislative director of the National Right to Life
Committee, called the changes “book-keeping contortions” and said that his
group plans to put pressure on any senator who votes to consider the changes
Reid unveiled.

But the real fight will occur in negotiations between House and Senate
leaders over a final bill.

House Speaker Nancy
Pelosi<http://topics.politico.com/index.cfm/topic/nancypelosi> of
California can’t afford to lose any Democrats. And with Stupak threatening
to vote against the Senate compromise, she’ll need to offset his vote with
other Democrats who voted against it the first time. She might be able to
pick up some moderate-to-conservative Democrats who favor the Senate
approach, but many of these lawmakers will need to be OK with the final
abortion restrictions.

On the other side, a bloc of abortion-rights backers, led by DeGette, has
already promised to vote against any bill that includes Stupak’s amendment,
which would prevent people who receive government subsidies from purchasing
coverage for elective abortions through the exchange. DeGette believes many
of the 41 Democrats who voted for Stupak and “yes” on the House health care
bill are willing to work with party leaders to find a middle ground.

The opposing camps are similarly entrenched on the public option and the
method for financing the health care expansion. The House would create a
government-sponsored insurance plan, but the Senate bill is silent on this
point. After several attempts at compromise, Reid nixed the public option
altogether.

The taxes could prove difficult to bridge. The House relies on a so-called
millionaires’ tax, and has refused to consider the tax on expensive
insurance plans. The Senate has taken the exact opposite posture. But
because the White House has weighed in several times in favor of the tax on
“Cadillac” plans, as a key component to slow the growth rate in health care
spending, the Senate is likely to win this round.

Meanwhile, Republicans increaed their attacks on the bill Sunday,
criticizing a variety of deals cut to win the votes of Democratic senators,
such as Nelson, who got the federal government to pick up the cost of any
Medicaid expansion under the health reform bill in the state of Nebraska
forever. Republicans said Democrats have refused to say which state would
get about $100 million inserted into the bill on behalf of a still
unidentified university hospital.

“This process is not legislation. This process is corruption,” said Sen. Tom
Coburn <http://topics.politico.com/index.cfm/topic/tomcoburn> (R-Okla.).
“And it’s a shame that that’s the only way we can come to consensus in this
country is to buy votes.”

But Nelson defended his efforts. “I always put Nebraska first,” he told
POLITICO in an interview Saturday. “But I looked at this through the
standpoint of Nebraskans and the country. ... There is a difference between
holding out for something and holding up. I was holding out for something to
make it better.”

*John Bresnahan contributed to this report.*


-- 
Peace Is Doable



-- 
Peace Is Doable

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