Blog Watch

Picking Apart New CBO Numbers

The Congressional Budget Office finally released its score of the reconciliation bill, sending bloggers running to their keyboards to write up their thoughts.

Time’s Kate Pickert: “Some people say that comprehensive health care reform is like a balloon – squeeze one part and another part expands. … House Democratic leaders worked under severe fiscal constraints in designing their reconciliation package. They had to keep the legislation under $1 trillion over 10 years, make it save more than the Senate bill did, and expand coverage and affordability to satisfy House Democrats. These are not easy rules to follow, especially when the whip count is still volatile and the clock is ticking. But they followed the rules and the package could earn endorsements from some wavering House Democrats today.”

The American Spectator’s Philip Klein: “Democrats have maintained the strategy of delaying the major spending provisions until 2014 to create the appearance that the bill is cheaper over the CBO’s ten year budget window, from 2010 through 2019. In this version, the bill spends $17 billion in the first four years, while the remaining $923 billion, or 98 percent, is spent in the next six years. I’ve illustrated this tactic in the chart below.”

Hot Air’s Ed Morrissey: “Want to see what a shabby fraud these cost estimates are? Check out the line [in the CBO table] for ‘Gross Cost of Coverage Provisions’. This is why they’re delaying the start of the program, of course. If it kicked in right away, the decade-long estimate would obviously be well into the trillions. So they simply stalled it for four years, incurring just $17 billion in costs — or 1.8 percent of the total 10-year estimate — through 2013 so that wavering Democrats could go back to their districts and tell baldfaced lies to their constituents about the pricetag. A perfect ending to this travesty.”

The Washington Post’s Ezra Klein: “The question people generally ask about the final health-care reform vote is, ‘Won’t it be politically difficult for many House Democrats to vote yes?’ But with the release of the CBO report (pdf), I’d flip that question a bit: Won’t it be substantively difficult for many House Democrats to vote no?” He points out that Democrats will be loathe to vote against a bill that extends health insurance to 32 million people, ends some of the most dreaded insurance practices like discrimination based on pre-existing conditions and cuts the deficit.”

And in a separate post Klein says: “[The CBO score] moves the story from process to substance. How Congress will vote is not a good story for the Democrats. What they will be voting on is rather better, and they’re much more comfortable talking about it.”

Cato’s Michael Cannon: “As former Congressional Budget Office director Donald Marron has explained over and over, the figure that Democrats consistently cite for the cost of their bills is only the CBO’s estimate of the cost of federal spending related to the expansion of health insurance coverage.  It is not the full cost to the federal government, because each bill also spends taxpayer dollars on other items.

Marron examined the CBO’s March 11 score of the bill that passed the Senate on Christmas Eve, and found an additional $96 billion of spending over 10 years.  If the most recent iteration of ObamaCare is similar, then new federal spending in that bill would be approximately $1.036 trillion — pushing the total over the president’s spending target.”

The New Republic’s Jonathan Cohn: “After weeks of negotiation, [Democrats] have agreed upon a set of amendments to the Senate health care bill. The changes mean the package as a whole will cover more people, and save more money, than the Senate bill would have originally. House Democratic leaders are saying enactment would produce “biggest deficit reduction act in 25 years.” House Majority Whip James Clyburn described himself as “giddy.”

The Democrats had to confront some tough trade-offs, too. And the amendments reflect that. In order to satisfy Congressional Budget Office accounting standards for projections after 2020, they had to accelerate a tax on benefits and pull back on financial assistance for middle- and low-income Americans for later years. Still, those sacrifices have to be weighed against the other improvements the amendments make, not to mention the lawmaking opportunity it creates.”

Wonk Room’s Igor Volksy: “This package covers 32 million Americans and, as the reduction in Medicare spending suggests, begins to slow the growth in health care spending. It reverses the current trend and lowers the deficit quite substantially over the next 20 years.

So this is something to keep in mind as Republicans ignore the deficit reductions in this score and blanked cable tv to argue that the bill is full of gimmicks (because spending starts before benefits) and the government is taking over. In fact, the reverse is true. The bill reduces the deficit over the full 20 years and slows government spending (in terms of Medicare).”

March 18th, 2010 by Kate Steadman, KHN

Deeming Whether To Pass

Bloggers are focused on an obscure House of Representatives rule known as “Deem and Pass“  (also called the “Slaughter Solution” after Rules Committee Chairwoman Louise Slaughter or the “self-executing” rule) that would theoretically allow Democrats to pass the Senate bill without voting on it.

TPMDC’s Christina Bellatoni reports that House Democrats are being instructed to remain mum: “Rank-and-file members are being told not to engage with Republicans on debates about process. Democratic leadership sent members a memo obtained by TPMDC warning that procedural tactics are “inside baseball” and defending against them won’t help them politically”.

The American Spectator’s Philip Klein critiques comments from House Majority Whip James Clyburn on the “Slaughter Solution”: “For one thing, yes, a health care bill passed the Senate with 60 votes, and a health care bill passed the House with 220 votes. But they’re two different bills, and the same exact bill has to pass both chambers to be signed into law.”

Reason’s Peter Suderman isn’t impressed with the strategy’s politics: “In other words, legislators will still have to cast a vote for the passage of the original Senate bill. And what’s more, they’ll do so using a complicated procedure that makes it look as if they are trying to hide their votes.  Politically, this seems like a far worse option, especially considering how much negative attention has already been paid to the deal-making, gimmicks, and procedural complexities of the health reform process.”

Cato’s Michael Cannon asks if the House passes the bill using tactic, “are we under any obligation to obey it?  The answer may be no.” Cannon points to a WSJ op-ed by a former federal circuit court judge, who argued “passage of one bill cannot be deemed to be enactment of another.”

The Washington Post’s Ezra Klein responds to criticism of the rule and calls for a change:

Congress needs to decide how the place is going to be run and then rewrite the rulebook so that it actually works that way. … Unprecedented use of the filibuster will trigger unprecedented reliance on reconciliation. Unprecedented gridlock in the Senate will lead to unprecedented efforts by the House to protect itself from Senate failure. But you can’t pick and choose. Either unprecedented use of the rules is a problem or it isn’t. But if it is, then you have to be upset about the filibuster. And if it isn’t, then you can’t be upset when the rules are manipulated by both sides. Congress can work by the letter of its laws or by the spirit of their intent, but it’s got to be one or the other.

But The Washington Examiner’s Mark Tapscott says House Speaker Nancy Pelosi and Rep. Slaughter signed amicus briefs to the District Court lawsuit challenging the use of the “deem and pass” rule in 2005.  Tapscott concludes times are different than 2005, saying, “to place the American private health care system under government control — effectively socializing one-sixth of the U.S. economy — that has never been done before.”

March 16th, 2010 by Kate Steadman, KHN

Kicking Off A Busy Week

The week opened with bloggers critiquing the Democrats’ strategy to pass a health overhaul bill sometime this week.

Time’s Jay Newton-Small has a day-by-day time line to help track events.

The New Republic’s Jonathan Cohn wonders, “What’s been taking so long?”  According to Cohn, “The broad outlines of the eventual House-Senate compromise on health care reform have been clear for a while now. But nailing down the details isn’t easy, as the excerpt above suggests. And it’s particularly difficult because lawmakers don’t yet know what the Senate parliamentarian will rule outside the bounds of reconciliation. Throw in the need to get acceptable Congressional Budget Office estimates, and you can see why this process has taken as long as it has.”

The American Spectator’s Philip Klein writes, “Shortly before midnight on Sunday, Democrats released a 2,309 page health care bill that will start the process of reconciliation — but don’t let that fool you, it’s not the actual reconciliation bill with all the changes you’ve been reading about. Instead, as Rep. Paul Ryan, the ranking Republican member on the Budget Committee, explained to me last week, this is just the ’shell’ bill — the vehicle that Democrats need to get moving on health care.”

Although the action today was in the House Budget Committee, the National Journal Online’s Robert Costa says the House Rules Committee “is where the real reconciliation package will be hammered out, probably later this week.” Costa interviews the top Republican on the Rules Committee, Rep. David Dreier of California, who said, ” ‘Our committee’s meeting won’t be the fait accompli…The real fait accompli will be when the bill is scheduled for a vote on the floor. I’m convinced that [Democrats] will pretty much get it done if they can get it there. Having been in that position before, I’m sure they will roll the dice if they’re three or four votes short.’”

TPMDC’s Brian Beutler reports from a meeting with Speaker Nancy Pelosi, who said, “‘Time is important for us here, because this city is the city of the perishable and every special interest group out there who doesn’t want this to pass–including the entire Republican party–benefits from any delay,’ Pelosi told those in attendance. ‘Delay is our enemy.’”

The Washington Post’s Ezra Klein explains, “Pelosi doesn’t have votes for the Senate bill without the reconciliation package. But the Senate parliamentarian said that the Senate bill must be signed into law before the reconciliation package can be signed into law. That removed Pelosi’s favored option of passing the reconciliation fixes before passing the Senate bill. So now the House will vote on reconciliation explicitly and the Senate bill implicitly, which is politically easier, even though the effect is not any different than if Congress were to pass the Senate bill first and pass the reconciliation fixes after. This is all about plausible deniability for House members who don’t want to vote for the Senate bill, although I doubt many voters will find the denials plausible.”

And Hot Air’s Ed Morrissey reacts to news that the White House may change its stance on special deals for individual states in the reform bills, saying, “In case you want to play The Price is Right with Bob Baracker, here are the new rules.  Single state deals are verboten, so no Cornhusker Kickback for you.  If two states get together to demand special deals, well, come on down!”

March 15th, 2010 by Kate Steadman, KHN

Hurry Up and Wait

It’s been a tumultous week, capped by President Barack Obama’s announcement this morning that he is delaying a trip to Southeast Asia in order to focus on the health bills.

Heritage’s Conn Carroll thinks the move “proves, again, how desperate the White House is for the House of Representatives to pass the Senate health care bill before the Easter recess. The Obama administration knows the American people hate Obamacare and that after a week listening to their constituents back home, there is no way the House will take up the Senate bill again.

The Washington Post’s Ezra Klein wonders, “What sort of guarantee does the House want from the Senate?”  

The issue, in this telling, isn’t that the House needs an assurance that the Senate intends to pass a reconciliation package. It’s that the House needs some assurance that the Senate intends to pass a reconciliation package that fulfills the House’s concerns. “One of our takeaways from this whole process is to never underestimate the power in the Senate for just one senator to jam up the works,” says the staffer.

But The Daily Caller’s Jon Ward reports that Dems might have another “trick” option up their sleeve: “It’s called the ‘Slaughter Solution’  (named for Rep. Louise Slaughter, chair of the powerful Rules Committee) … House Democrats have been searching for a way to alleviate members’ concerns that if they vote for the Senate bill and the Senate does nothing to fix it, they will be hung out to dry as having supported a piece of legislation that many across the country dislike… Technically, using the ‘Slaughter solution,’ they’ll never have voted for the bill they find odious, even if their vote on the reconciliation legislation will have been the vote that passed the Senate bill into law.”

Reason’s Peter Suderman has his take on Speaker Nancy Pelosi’s week with the health bill: “To sum up: A procedural barrier was confirmed, an old issue-based conflict proved effectively unsolvable, another issue-based conflict flared up, and the president all but admitted that 1) his timeline was (yet again) unrealistic and 2) the votes to pass the bill don’t yet exist.”

Wonk Room’s Igor Volsky thinks things are still up in the air:  “House Speaker Nancy Pelosi (D-CA) won’t know if she has the votes until the last possible moment and there is certainly no guarantee that they will pass it.”

But Time’s Karen Tumulty is ready to predict: “After all the missed deadlines, I’m hesitant to say this, but here goes: Next week is the week. The House Democratic leadership now expects to schedule a vote on the Senate health care bill and send it to President Obama’s desk next Friday, March 19, or Saturday, March 20.”

March 12th, 2010 by Kate Steadman, KHN

What Do The Polls Say?

There’s little consensus among bloggers about trends in public opinion toward the health care overhaul bills.

Pollster.com’s Mark Blumethal takes a look at recent poll data and concludes, “Any way you slice it, there does appear to be a real tightening of opinion on health reform although as always, these results are snapshots and subject to change.”

The Atlantic’s Andrew Sullivan comments on a WSJ op-ed by poller Scott Rasmussen that argued polling showed health reform is unpopular.  Sullivan thinks Rasmussen is correct, but adds a different vision of “reality” by saying, “And yet the latest YouGov poll, reflecting the direction of many others, now shows a majority favoring reform, 53 – 47, as I noted yesterday. And Pollster’s poll of polls, excluding Rasmussen’s outlier numbers, favoring the old, white and Republican, show a dramatic rise in support this past month, as the consequences of getting nothing at all begin to sink in.”

But The Atlantic’s Megan McArdle disgrees with Sullivan that Rasmussen’s polls are outliers, arguing: “Okay, first off: Rasmussen is an outlier on presidential approval, not on health care, where it has always been pretty much solidly middle of the pack, and occasionally kinder to the Democrats.  The YouGov poll is an outlier.  YouGov polls approval higher because it doesn’t offer a “don’t know” option, and people tend to be biased towards affirmative answers when they’re being polled.”

Mother Jones’ Kevin Drum thinks Pollster.com’s trends are correct. He tries to explain the shift: “What’s really important here, though, isn’t the magnitude of the change, but just the fact that the tide is shifting. This might have something to do with the recent summit and some of Obama’s more aggressive speechmaking recently, but my guess is that it mostly has to do with the fact that there’s an actual bill on the table now; Democrats have something concrete to sell; Republican obstructionism has been a little too screechy for a lot of independents lately; and, most important, it looks like we’re actually in the home stretch.”

In other news, the Congressional Budget Office released updated estimates for the Senate bill today (read CBO director Douglas Elmendorf on the estimates here), but the Washington Post’s Ezra Klein says while the bill is “a pretty good deal…it’s not a very well-understood deal.” According to Klein, voters don’t understand the portions of the bill that save money (like an excise task on high cost insurance plans) so “the projections that show the bill saving money don’t make much sense, and so voters don’t believe them.”

But Hot Air’s Ed Morrissey points out that the updated estimates don’t reflect Obama’s bill or the final package: “This isn’t the reconciliation parallel bill, of course, because as Nancy Pelosi notes, we haven’t seen that yet, and neither has the CBO. This recalculates the CBO’s findings from December, and now they see more federal spending in the first 10 years and slightly less deficit reduction.”

March 11th, 2010 by Kate Steadman, KHN

He Said/She Said

Cusp of victory or death throes? Bloggers on the right and left have very different interpretations of the health reform debate this week.

Critical Condition’s Jeffrey Anderson looks at President Barack Obama’s speeches from this week and says: “The president would like you to believe that he’s riding a wave of newfound momentum. But where would this wave have come from? From his long-winded and widely panned performance at the ‘health summit’? … From polls showing that 81 percent of Americans think Obamacare would cost even more than projected, while only 17 percent think it would lower health costs?”

But The Washington Post’s Ezra Klein thinks public opinion paints a different picture. He posts a chart from the latest Gallup poll and says, “In case you think it’s an outlier, here’s Pollster.com’s trend line on health-care reform. Last night, Stephen Colbert asked me if ‘everybody’ hates health-care reform. The answer is no. The country is closely divided on health-care reform, with a slight plurality in opposition. Moreover, health-care reform is actually getting a bit more popular as it nears passage. Presumably, that’s because people are hearing more about the bill and less about why the bill is failing.”

The Daily Caller’s Jon Ward describes the mood on Capitol Hill Tuesday: “There was churn and noise on Capitol Hill Tuesday, but no discernible progress toward resolution of the health-care fight, as uncertainty prevailed in Washington. … The conventional wisdom is that Pelosi will somehow find a way to pass a bill, despite a staggering set of political and procedural challenges. The complexity and intractability of those challenges is what has much of the city’s political class uncertain if Pelosi can pull it off.”

But The New Republic’s Jonathan Cohn bemoans the procedural bickering over such challenges: “Pointing out the hypocrisy of Republican positions on procedural fairness is getting tiresome, I know.  …. (But) let me get this straight: If Republicans want to introduce an endless stream of amendments simply to prevent a majority of Senators from passing some amendments to health care reform, that’s fine. But if Democrats ask the presiding chair to rule the amendments dilatory, thus ending the debate, that’s a violation of protocol and a breach of good faith?”

Heritage’s Kathryn Nix looks at a new proposal in the House that seeks to change the way the Office of Personnel Management negotiates prescription drug prices for the Federal Employees Health Benefit Program.  According to Nix, the new bill is an example of what could occur under new federal health legislation: “Given the policies embodied in H.R.4489, the FEHBP would be saddled with a new layer of government regulation, an ominous harbinger for the avalanche of federal rule making that would be unleashed under the giant Senate health bill.”

TPMDC’s Cristina Bellatoni reports on a resurgence of television ads spotlighting pro or con positions on the health overhaul bills after a slowdown in the past months.  “The U.S. Chamber of Commerce started a new campaign yesterday as well and Evan Tracey, [president of the Campaign Media Analysis group] expects interest groups to continue jumping into the fray. “These ads are here to stay, we know both sides will make the fall a referendum on health care,” Tracey said.

And The Plum Line’s Greg Sargent also noticed the trend: “Major liberal groups and labor unions allied with the White House are planning a massive TV ad push in coming days to get health reform across the finish line, and are vowing to match the huge amounts conservative groups are spending on the air attacking reform, multiple sources familiar with the plans tell me.”

March 10th, 2010 by Kate Steadman, KHN

Herding Cats

Bloggers continue to be consumed with whether Democratic leaders will garner the votes needed to pass a health overhaul bill. Check in with The Hill to see the most up-to-date vote counts.

Heritage’s Conn Carroll declares, “Another day, another stream of health care fantasy from the White House. A quick look at two health care events from yesterday, one in Glenside, Pennsylvania, and the other in Tawas City, Michigan, clearly exposes the yawing gap between the Obama administration’s health care rhetoric and cold hard legislative reality.”

Keith Hennessey makes a similar point, saying, “Public signs of optimism from the President, his team, and Democratic Congressional leaders tell us little.  We don’t know if they actually think they will have the votes, or if they are asserting that to try to make it true.  Imagine the impact if Speaker Pelosi were to tell the press ‘We might not succeed.’  Doing so would further embolden those marginal Members she is trying to convince to vote aye.  They are telling us they think they will succeed, but they have to say this whether or not it’s true.”

Politico Pulse’s James Hohmann reports that Secretary of Health and Human Services Kathleen Sebelius spoke Tuesday to the National Association of Counties annual legislative conference,saying, “We are calling on Congress to step up, have an up-or-down vote, help us pass comprehensive health reform once-and-for-all and begin to change a system that’s broken and not serving many Americans.”

Bob Laszewski wants to know “Just where is the moral imperative in ramming a trillion dollar entitlement expansion through knowing full well it will make our long-term deficit nightmare even worse—for those now uninsured and for everyone else?”

Reason’s Peter Suderman looks at reports that Rep. Bart Stupak, D-Mich., might reach a compromise on the abortion language that will ultimately be put forward, but thinks “no one really knows for sure, and what we’re left with is a waiting game.”

Should Democrats muster the votes to pass a bill, Time’s Adam Sorenson says “I’m very skeptical of Senator McConnell’s assertion that every election in November will be a referendum on the issue. The notion that health care will totally overshadow jobs and the economy is far-fetched and, as Kate suggested, Republicans are probably just saying this to spook skittish House Dems.”

And The Washington Post’s Ezra Klein appears on The Colbert Report to explain budget reconciliation.

The Colbert Report Mon – Thurs 11:30pm / 10:30c
Action Center – Health Care Bill – Ezra Klein
www.colbertnation.com
Colbert Report Full Episodes Political Humor Skate Expectations

March 9th, 2010 by Kate Steadman, KHN

How Will Stupak’s Coalition Vote?

Bloggers are trying to guess which members of the House of Representatives are aligned with Rep. Bart Stupak, D-Mich, and his promise to vote against the Senate version of a health overhaul bill because of its less stringent language on abortion funding.

TPMDC’s Brian Beutler tries to “to whittle down a list of likely suspects” of Stupak’s 12 representatives who pledged to vote against the bill. Beutler says, “with leadership and the White House teaming up to twist arm, it’s hard to imagine all of [Stupak's] supporters will stick together. But at the same time, there’s some indication that when Stupak says 12, he’s not far off,” and provides a list of the lawmakers who might vote “no.”

Hot Air’s Ed Morrissey looks at news that one of Stupak’s cohorts, Rep. Dan Lipinksi, D-Ill., says he will vote “no” on the Senate bill and says, “So far, Stupak appears to have accurately described his caucus. There is still a core group of pro-life Democrats who refuse to get rolled by the Senate, especially after going out on a limb and succeeding in passing the Stupak amendment. It will only take a few of them to flip to No to stop the Senate bill from passing the House.” Morrissey cautions, however, that “we have to wait and see whether they remain firm in that opposition.”

Heritage’s Chuck Donovan thinks there’s reason for the pro-life Dems to vote “no” — and calls the current strategy to address abortion language in a reconciliation bill a “pie crust promise.” Donovan says, “The pro-life House members are being asked to believe that once the Senate-passed bill is adopted in toto by the House and signed by President Obama, the Senate, with its pro-abortion majority, will proceed to enact a permanent abortion funding limitation and other provisions that it did not deem wise to include in its own bill, which will be the law of the land.”

But if Speaker Nancy Pelosi manages to crack Stupak’s coalition and garner enough votes to pass a bill, Republicans have a strategy for that scenario too.

ABC News’ Rick Klein reports that “the chairman of the National Republican Senatorial Committee said today that GOP candidates will coalesce around a pledge to repeal a health care bill that’s passed by the Democratic controlled Congress this year.” But a number of prominent Republican Senate candidates haven’t signed on to the idea yet.

The National Review’s Mark Steyn argues that “Nobody has ever attempted this level of centralized planning for an advanced society of 300 million people.” He continues, “A bigtime GOP consultant was on TV crowing that Republicans wanted the Dems to pass Obamacare because it’s so unpopular it will guarantee a GOP sweep in November. Okay, then what? You’ll roll it back — like you’ve rolled back all those other unsustainable entitlements premised on cobwebbed actuarial tables from 80 years ago?”

The Washington Post’s Ezra Klein disagrees with one part of Steyn’s argument, saying, “calling it centralized planning suggests that Steyn doesn’t know what the words ‘centralized’ or ‘planning’ mean. But this is what people on the right are reading. No wonder they’re scared.”

Elsewhere, Open Left’s Chris Bowers lists progressive priorities that were included and ditched in the health overhaul bills, and says, “Still, it is an impressive list that should make any progressive activist who participated in the health reform fight proud, even if dissatisfied.  You really did improve the bill, and have the opportunity to keep improving it.”

And a frustrated Karen Tumulty reports (or at least tries to) from Obama’s health care speech in Glenside, Pa. this morning. According to Tumulty, the press corps was sequestered from attendees, “So all I can report is this: The President gave a speech on health care this morning. People applauded and cheered. What motivated them to be here, and what bearing this issue might have on their individual lives — well, I can’t answer that.”

March 8th, 2010 by Kate Steadman, KHN

Will Health Reform Pass?

Bloggers are wondering whether a health overhaul bill can actually pass — and most are focused on Speaker Nancy Pelosi’s ability to drum up enough votes in the House.

Time’s Karen Tumulty says Democratic lawmakers are caught in a “prisoners’ dilemma.”  According to Tumulty, “Every endangered member will be trying to figure out not only his or her own vote, but also which way colleagues are likely to go. This one is going to be so difficult to predict–right up until the very last minute.”

Five Thirty Eight’s poll reader extraordinaire Nate Silver points out that InTrade’s bettors set the bill’s odds for passage at just better than even — which has moved up “fairly significantly in the past 72 hours.” Silver examines what’s changed in the last several weeks, and decides: “That’s a lot of evidence to weigh. My head says yes — Pelosi will squeak this through — while my gut frankly says no. Either way, I’m not sure there’s a lot of arbitrage against that 52 percent number at Intrade, but I’d hesitate to call the bill a favorite to pass.”

Health Beat’s Maggie Mahar says she’s “all but certain” that a health overhaul bill will pass. Her reasoning? “Unless the president and Pelosi have signed a secret political suicide pact, they wouldn’t be doing this unless they were quite sure they could pull it off. ”

Huffington Post’s Sam Stein reports that Democratic leaders estimate they are short between 6-12 votes in the House, so “To convince these lawmakers, House leadership is preparing a whip operation described as “all hands on deck.” Pelosi and Rep. James Clyburn (D-S.C.) will dispatch loyal lieutenants to help rub elbows and twist arms. Once the party settles on a final set of reconciliation changes, leaders in the labor community are set to launch a major campaign to help with the whipping, officials say.”

Slate’s Chris Beam explains how a Congressional whip actually works: “They count votes. The principle task of a party whip, formally known as ‘assistant party leader,’ is to keep track of the number of votes for and against a piece of legislation. They’re also responsible, along with the party’s leader, for “whipping up” support for a particular position.”

The American Spectator’s Philip Klein notes that a resigning Republican House member is delaying leaving his post so he can vote no on health reform, which means Pelosi still needs 217 votes to pass a bill.

But Hot Air’s Ed Morrissey thinks another scenario altogther may unfold: “The real nightmare scenario isn’t that the House might pass the Senate bill now, or in April.  It’s that Democrats might get stymied now, and then pass the Senate bill after the midterms in late November, and allow Obama to sign it into law well after the time when voters have held them accountable for their radical agenda.”

March 5th, 2010 by Kate Steadman, KHN

Irreconcilable Differences

Bloggers take in President Barack Obama’s speech urging the passage of the health reform bill, in part through budget reconciliation, by Easter. But there’s still vehement disagreement over the legislations’ substance.

Heritage’s Conn Carroll reacted to yesterday’s event, saying, “there is one huge difference between the Senate bill and what the President kept referring to as my/our proposal: the Senate bill actually exists. For all the talk in Washington about Democrats in the Senate using reconciliation to pass a final version of Obamacare, one key fact has been overlooked: no reconciliation bill exists. Not in the House. Not in the Senate. Nowhere. It simply has not yet been written, and there are plenty of reasons to believe it never will.”

The Washington Post’s Ezra Klein emphasized that this speech seemed different than Obama’s previous presidential statements: “What’s important about this speech is that it didn’t leave any paths open. It attacked the Republican bills, the arguments for piecemeal reform, and the idea that procedural impediments are sufficient to excuse the further delay of a verdict. This is the end of the line.”

Critical Condition’s Jeffrey Anderson says Obama’s claims about what his health plan will do are false, and argues “In reality, here are the three main things that Obamacare would change about the current health system:  One, it would reduce freedom. Two, it would raise costs. Three, it would ultimately reduce costs in the only way that a government-controlled system can: by rationing care.”

Cato’s Michael Cannon says Obama’s move to include health savings accounts in his new plan didn’t gain any Republican support, and “it may have cost him some Democratic support — or at least frayed the nerves of a few House Democrats.”

 Elsewhere, Brad Wright of Wright on Health hosts the newest edition of Health Wonk Review, a biweekly compendium of health policy blogging, where he charts the cyber chatter surrounding key developments feeding into the health reform dynamic — everything from the fracas surrounding insurance premium hikes to an analysis of the good and bad ideas that emerged at the president’s health summit.

The New Republic’s Jonathan Cohn looks at a new ad from a conservative group that urges Democrats to vote against a reform bill.  Cohn thinks the add is “a vivid illustration of why changing votes is such a bad idea. Just read that script again. But, this time, stop after the first paragraph. That’s the ad conservatives will run against these members even if they change their votes. And it’s still devastating.”

Wonk Room’s Igor Volsky fact-checks statements on abortion funding from Rep. Bart Stupak, who authored an amendment restricting funding of abortions in the health bills.  Volsky says: “Stupak is just shifting the goal posts. First he complained about taxpayer funding for abortion and once Democrats strengthened the Senate language, he began arguing that private funds will not go towards abortion coverage. He simply can’t have it both ways.”

And Slate’s Timothy Noah created a ‘Mix-Up’ of health care statements from President Obama and former Gov. Mitt Romney, R-Mass.

March 4th, 2010 by Kate Steadman, KHN