Blog Watch

Archive for March, 2010

Picking Berwick

Bloggers are reacting to reports that President Barack Obama will soon nominate Donald Berwick as the next director of the Centers for Medicare and Medicaid Services, although some predict a tough nomination fight.

Chris Fleming of the Health Affairs Blog links to several articles and perspectives from Dr. Berwick published by the journal.

The Washington Post’s Ezra Klein is pleased by the choice: “Berwick is about as good a choice as you could hope for (indeed, the health-care community was excited when he was the rumored pick six months ago). As head of the IHI, he has been a pioneering advocate for quality improvements in health care. That’s an important distinction: He’s not a health-care economist whose main focus is cutting costs. He’s a health-care expert whose main focus is improving quality by reducing infections and complications and increasing the use of good evidence and best practices.”

The Health Care Blog’s Maggie Mahar profiles Berwick, saying, “Soft-spoken, and charismatic Berwick is as passionate as he is original. His style is colloquial, intimate, and ultimately absolutely riveting. He draws you into his vision, moving your mind from where it was to where it  could be.  Berwick isn’t just another ivory-tower philosopher. He’s ‘an extraordinary leader when it comes to inspiring people and creating the will to move forward,’ Dartmouth’s Dr. Elliot Fisher told me in a phone conversation Friday.”

Jaan Sidorov of the Disease Management Care Blog calls himself “a big fan of Dr. Berwick’s. Anyone who has done anything about health care quality, patient empowerment, systems of care, access disparities and health care value has certainly read his articles and heard him speak,” but Sidorov predicts a tough congressional hearing because Berwick has written extensively. 

Time’s Karen Tumulty expresses a similar sentiment, saying, “I’m predicting a big fight–mostly, because pretty much everything is a big fight these days. But this is a job that needs to be filled, so it will be unfortunate if this nomination turns into a relitigation of the entire health care debate, rather than focusing on Berwick’s qualifications.”

Critical Condition’s Tevi Troy thinks the nomination’s timing is poor: “The Berwick choice itself is not very contentious. …  But the timing is problematic. Berwick was reportedly slated to get this appointment well over a year ago. The Obama administration, however, held off on going forward until health care was done before making the announcement and pursuing the confirmation, presumably because they — and possibly Berwick, according to Politico — wanted to avoid another health battle while they were pursuing their overhaul bill. … While Berwick himself is not hugely controversial, the bitter feelings over the way health care was passed could lead Senate Republicans to delay his approval.”

Elsewhere bloggers are still looking at health overhaul legislation signed by Obama last week.

Colorado Health Insurance Insider’s Louise Norris, an insurance agent, notes that in the health overhaul bill “it would appear that rescission will still be legal in cases of fraud or intentional misrepresentation.  Which is of course very subjective, since nobody other than the applicant really knows what the applicant’s intentions are.”

And John Goodman thinks the subsidies in the legislation will cause health spending to rise even higher:  “Limiting health expenses to a fixed percent of family income, however, has one huge drawback:  the required subsidies will not only grow through time, they will grow even faster than health care costs are growing!”

Monday, March 29th, 2010

Legal Challenges May Not Come Soon

Bloggers are pondering what’s next for health reform.

Hot Air’s Ed Morrissey interviews Wisconsin Attorney General J. B. Van Hollen, who wants to file a lawsuit to block provision in the new federal health overhaul law mandating that individuals.

AEI’s Ryan Lirette points out that legal challenges to the individual mandate might not occur until 2014, when the mandate goes into effect, thus delaying  “the epic courtroom drama” that many people thought would be coming soon. 

Brad Wright points to conservatives’ “ObamaCare” phrase and wonders about a nick name for proponents of the bill to use, including the “Boehner Armageddon Act” and “What Jesus Would Do Act”.

Wonk Room’s Igor Volksy looks at some immediate changes and says, “the road ahead will be full of speed bumps and sharp turns, and this blogger will try his best to track the progress of implementation piece by piece. After all, ‘[f]ar from having ended, the war to make health care reform an enduring success has just begun. Winning that war will require administrative determination and imagination and as much political resolve as was needed to pass the legislation.’”

The Huffington Post has a slideshow of 18 immediate effects of the health reform bill.

The New Republic’s Jonathan Cohn debunks a rumor that congressional members and staff will be exempt from the health law: “But the members themselves and the people who work directly for them are all covered. And, far from pointing out the problems of reform, it demonstrates its virtues: The politicians believe in it enough to entrust their own lives, and those of their families, to the new system.”

The Washington Post’s Ezra Klein intervies former CMS director Mark McClellan to get his take on the new bill. McClellan says of the bill: “It’s an important step. We have to do something about the problem of access to affordable health insurance. The bill unquestionably does that. The provisions related to changing provider payments are significant in terms of their potential for reducing spending growth, though I’d have liked to see more of those steps.”

Speaking of CMS, President Barack Obama has yet to appoint a new director there.  The New Health Dialogue’s Joanne Kenen points to rumors that Don Berwick may be chosen next week, and that “For anyone who doubts that the Obama administration is committed to saving Medicare, to delivery-system reform, to controlling costs by improving quality — this is your answer.”

Friday, March 26th, 2010

Watching The Dust Settle

There’s a mix of topics as bloggers watch the dust settle following Democrats’ passage of a health overhaul bill.

The Washington Post’s Chris Cillizza examines “what we know — and what we don’t — about the past, present and future of health care politics.”

The Treatment’s Anthony Wright says health reform will continue to be a big issue as the government begins implementation of the new law: “[T]he work under health reform continues… or rather, it explodes. Instead of being concentrated in Congress for just over a year, health reform will spur frenetic activity over the next five years across the nation, at both the federal and state level, in venues both legislative and regulatory.”

FiveThirtEight.com’s Nate Silver tries to make sense of post-health care vote polls: “If we take an average of the four polls that have been conducted entirely after the health care bill passed the House, rather (those from Gallup, Rasmussen, Quinnipiac and CBS), they average out to 43 percent in favor and 46 percent opposed. Those are numbers that I think Democrats would gladly take relative to where health care has been in the past, but it’s not exactly as though the bill has become wildly popular — nor is it likely to do so in advance of the midterms.”

Economist Uwe Reinhardt recommends documents on the blog Economix to help readers “wrap [their heads] around the health bill.”

Heritage’s Rob Bluey says the House health care reconciliation bill contains more taxes than the Senate version: “By signing the legislation, Obama already broke his campaign promise not to raise “any form” of taxes on families making less than $250,000 per year. The reconciliation bill adds even more taxes for Americans — an estimated $52.3 billion over 10 years, according to a new analysis from Americans for Tax Reform.”

Sen. Orrin Hatch, R-Utah, defends his health care position on Critical Condition: “It’s regrettable that instead of examining the legality of their health-care monstrosity, the administration and its allies are simply going on a smear campaign. From one experienced legislator, let me give Washington one very important piece of advice: Don’t think you are right 100 percent of the time with everything you do. Arrogance and are a terrible mix, and one the American people will not support.”

Elsewhere, bloggers look at reports of harassment and death threats to lawmakers after the heated debate on the bill.

Hot Air’s Ed Morrissey points to comments about harrassment from Rep. Eric Cantor, R-Va., who said he has experienced harrassment and thinks lawmakers publicly discussing them are “fanning the flames.” Morrissey says, “I think Cantor put this very well. Threats of political violence come from the fringes of American debate, and represent no one and no movement except the lunatics who make the threats. The ‘I’m getting death threats’ has become a tired meme in the American media, and a handy way for politicians to avoid the responsible accountability that mainstream Americans demand. And it’s not just Democrats who have indulged in that avoidance strategy in the past, although they’re certainly the culprits of the moment.”

The Washington Post’s Ezra Klein thinks public officials should be careful in their framing of issues: “Nuts are nuts. But there is a danger to the sort of rhetoric the GOP has used over the past few months. When Rep. Devin Nunes begs his colleagues to say “no to socialism, no to totalitarianism and no to this bill”; when Glenn Beck says the bill “is the end of America as you know it”; when Sarah Palin says the bill has “death panels” — that stuff matters. … But you can’t count on people to simply cower when they’re afraid, or write letters to the editor. Sometimes, they fight. It’s a dangerous emotion, and high as the stakes are, public figures need to be a lot more careful manipulating it.”

And The Plum Line’s Greg Sargent writes, “The whole thing is reminiscent of the summer, when Dem officials worked hard to elevate the town hall “mobs” in order to blame the unruly behavior on GOP rhetoric. It’s unclear, however, whether that effort did anything more than create a general sense in the public mind that the health care bill was deeply unpopular, and it’s equally unclear whether the current effort will accomplish anything more than that this time around.”

Thursday, March 25th, 2010

Challenge and Repeal?

The surge of energy and emotion on display across the blogosphere was echoed during President Barack Obama’s raucous bill-signing ceremony this morning.  But many bloggers are focused on some Republicans’ efforts to repeal the bill and whether successful legal challenges can be brought in the nation’s courts.

TPMDC reports that Sen. Jim DeMint, R-S.C., unveiled his legislation to repeal the health bill this afternoon.

Insure Blog’s Bob Vineyard points to the repeal of the Medicare Catastrophic Coverage Act in 1989 after beneficiaries complained bitterly about the program. He says that while much of the focus of the current health overhaul has been on changes affecting major medical care for people under the age of 65, ” it is almost forgotten that significant changes will touch Medicare participants. Most notably, some of the free to almost free Medicare Advantage plans that have been so popular will be eliminated. Will the torch and pitchfork crowd rise up again and force a repeal of Obamacare?”

Heritage’s Mike Brownfield looks at comments made by a few state attorneys-general yesterday and says, “The Heritage Foundation’s legal scholars have documented why an individual mandate violates the U.S. Constitution, noting, ‘Nowhere in the Constitution is Congress given the power to mandate that an individual enter into a contract with a private party or purchase a good or service.’ That fact, however, did not stop Congress from acting outside its authority. Now, it seems, states are taking up arms to defend the tenets of our Constitution that Congress has been so quick to ignore.”

Hot Air’s Ed Morrissey links to a new Rasmussen phone poll on whether Americans want their states to sue the federal government over the individual mandate requirement in the bill: “Americans want tort reform, but ObamaCare has them so angry that they want states to sue to block it.  Only 37% oppose the idea, according to Rasmussen.”

But the Atlantic’s Marc Ambinder thinks legal challenges are unlikely to be successful: “The chances of success in the Supreme Court are low, but the point of the lawsuits isn’t legal — it’s political.  It advances the politics of conservative jurisprudence, and the political ambitions of conservatives, and it keeps the legislation itself in a state of suspended political animation.” Ambinder goes on to examine recent legal findings that might be used to argue against an individual mandate, saying, “Congress believes that the mandates, by creating a pool of healthy and unhealthy folks, will help contain the cost of health care. That’s their intent; the court would be hard pressed to argue policy with Congress.”

The Washington Post’s Ezra Klein thinks it won’t happen either: “When people think about the GOP’s threats to repeal the health-care bill, they need to think about the actual votes that Republicans would need, and when they would take place. In the short term, they’d need not just a majority in the House and Senate, and not just a supermajority in the House and Senate, but a two-thirds majority in the House and Senate because they’d need to override the president’s veto. In the Senate, that’s not even a plausible electoral outcome.”

And Time’s Jay Newton-Small thinks Republicans might want to drop the issue altogether: “Health care reform has been a rich vein for the GOP. Think back to the August town hall meetings and Sarah Palin’s death panels. Indeed, polls show the bill is incredibly unpopular – which is why Dems are more than happy to move on to jobs, the economy, and more jobs. But, keeping the bill in the forefront of news doesn’t come without risk to the GOP.” Newton-Small lists five reasons for Republicans to consider dropping their vocal opposition, including, “The ‘Party of No’ label.”

Tuesday, March 23rd, 2010

Range Of Emotions In Reaction To House Vote

 Bloggers’ reactions to Sunday’s historic health care bill vote ranged from reflective to outraged.

FiveThirtyEight.com’s Nate Silver tries to break down the polling stats to figure how why lawmakers voted the way they did, including plenty of graphs: “Basically, each Democrat’s vote [was] determined by two things: a member’s confidence that [President Barack] Obama could be an asset to them (he tended to get the benefit of the doubt on this — but only up to an extent) and frankly their conscience — as it regards both health care overall and the side issue of abortion.”

The National Journal’s Marilyn Werber Serafini asks her experts if the vote was the first step or a “done deal”? Responders include Newt Gingrich, John Goodman, John Sheils, Rep. Pete Stark and Grace-Marie Turner.

The Washington Post’s Ezra Klein announces he’s dedicating the blog to explaining the content of the health bill. He also derides political posturing during yesterday’s vote, saying, “It was a reminder of how far our politics have strayed, and how much more extreme our rhetoric has become, than the underlying legislation warrants. The deafening volume of the debate long ago drowned out its subject. Sadly, the Senate bill remains a careful contradiction that most people still don’t understand. It is a comprehensive reform with an incremental soul, but neither side has done enough to explain it that way.”

Critical Condition’s Jeffrey Anderson: “But far from striking a fatal blow to the cause of limited government and fiscal responsibility, Obama has awakened a sleeping giant. …So, the war has just begun, and we must be prepared to dig in for the long haul. Repeal will be a three-year process — more like a marathon than a sprint. If those of us who oppose Obamacare show as much determination to repeal it as Obama has shown in imposing it, we will prevail. Until victory is achieved, let us be committed to this five-word goal: Repeal, and then real reform.”

Brad Wright of Wright on Health: “Today I just want to say one simple thing: Sometimes politicians set aside personal interests to do what is right for the country. When they do so, they ought to be applauded for it.”

Newt Gingrich: “The Obama-Pelosi-Reid machine combined the radicalism of Alinsky, the corruption of Springfield and the machine power politics of Chicago. Sunday was a pressured, bought, intimidated vote worthy of Hugo Chavez but unworthy of the United States of America.”

 Health Beat Blog’s Maggie Mahar: “I am sorry to see the nation divided, but in this case, I believe that such sharp differences provided clarity. The moral choice was clear—as clear as it was when Congress enacted civil rights legislation.  To his great credit, despite an extraordinarily hostile environment, President Barack Obama persevered, and in the end he stood up. Last night, he quoted Lincoln: ‘I am not bound to win, but I am bound to be true.’  Often, being true to yourself , and to principle, is the only way to win.”

Hot Air’s Ed Morrissey asks if the bill can be repealed: “I agree that this bill has to be repealed, but let’s not underestimate the difficulties that presents.  It will be just as ugly as any real entitlement reform will be, with plenty of opportunity for opponents to demagogue Republicans as heartless meanies that want to strip the poor of their health care.”

Mark Trahant: “The three most important things to know about what health care reform means to Indian Country are simple ideas. First, the United States, officially and permanently, recognizes its trust and treaty obligation for health care delivery to American Indians and Alaska Natives. Second, there will be more money (not enough, but more) pumped into the Indian health system. And, third, President Barack Obama has delivered on a major, long-sought promise to Indian Country.”

The Health Care Blog’s Matthew Holt: “So it’s almost time to turn our attention away from payment reform, to delivery reform. Now every time in the past that we’ve had reform or something approaching it, those organizations who have shaped themselves to operate in an environment that rewards cost-effective innovation have ended up losing their financial shirts. … So the big question for the health care system going forward is, if providers start making the changes that will promote more cost-effective care, will they be rewarded or will they be hung out to dry?”

Heritage Foundation President Edward Feulner recorded a video statement protesting the bill’s passage, saying, “What has happened is intolerable”:

Grace-Marie Turner: “And the people’s voice will be heard the next time they have a chance to speak, at the polls in November. But today is a sad day for our great country. Neither equality nor liberty has been served. As Republican leader John Boehner told his fellow congressmen, by passing this bill, ‘we break our trust with Americans.’”

And The New America Foundation’s Joanne Kenen: “Now what? After 15 months of focus on process and procedures, on incremental steps toward a monumental goal, how will passage of health reform play a few days and weeks from now?”

Monday, March 22nd, 2010

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).”

Thursday, March 18th, 2010

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.”

Tuesday, March 16th, 2010

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!”

Monday, March 15th, 2010

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.”

Friday, March 12th, 2010

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.”

Thursday, March 11th, 2010