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Posts Tagged ‘Dodd’

Karl Marx vs. Darth Vader: HELP Committee Markup Edition

Preliminary blog coverage of the Senate Health, Education, Labor and Pensions markup of the draft health reform bill reflects a captivating and contentious day on the Hill. The Washington Post’s Ezra Klein featured a entertaining exchange:

Sen. Judd Gregg (R-N.H.) says that he’s not sure who wrote the Affordable Health Choices Act but that if you put “Rube Goldberg, Karl Marx, and Ira Magaziner in a room,” you’d have ended up with something pretty close. A classy, gracious line from the man who was nearly Obama’s secretary of commerce.

Sen. Barbara Mikulski (D-Md.) shoots back, “Our current system is a combination of Adam Smith, Darth Vader, and the Bodysnatchers. So I like our plan better!”

Ceci Connolly reports on the Post’s Daily Dose:

[It] opened with an acrimonious start this morning.

First, Dodd was forced to cool his heels for 15 minutes waiting for a quorum — eight committee members — to begin Day One of marking up a massive health-reform bill.

Once he had the eight senators around the tables, Dodd was immediately interrupted by several Republicans who questioned how they could act on a bill that is not yet completed and has not been scored by the Congressional Budget Office, the advisory panel that calculates the financial impact of proposed legislation.

David Herszenhorn of the Caucus says “it was particularly devastating” when Republican Senator Orrin Hatch, friend and “longtime partner on numerous bills” of Sen. Ted Kennedy, said HELP Committee Democrats “have already made some grave errors in their effort to write legislation overhauling the health care system.”

The New Republic’s Jonathan Cohn notices a trend: “(The Republicans are) the provisional HELP legislation a ‘Kennedy staff’ product–which, as Time’s Karen Tumulty notes (in her twitter feed), seems to be this year’s analogue to attacking the ’secret Hillary taskforce’ in 1994.”

Around the health policy blogosphere:

On the FOX Forum Peter Roff, a fellow at the Institue for Liberty, criticizes ABC News’ decision to host an upcoming edition of their evening news at the White House followed by a live broadcast of a health care town hall with President Obama. Roff says, “by turning the network over to Obama to pitch the American people on his healthcare reform plan, ABC has joined the lobbying arm of the White House and the Democratic Party.”

AHCJ’s Covering Health reports that surgeon and health care writer Atul Gawande spoke to graduates of the University of Chicago medical school about their role in lowering the cost of health care.  You can read Gawande’s comments in full at the New Yorker’s site.

The libertarian Cato Institute has a new Web site dedicated to health reform, with the subhed “Reform, yes … but the right reform.”

Wednesday, June 17th, 2009

Debate intensifies as Senate hearing begins

By Kate Steadman 

It’s the start of another busy day here in the nation’s capital as the Senate HELP Committee prepares to hold a public hearing on the draft of the American Health Choices Act (pdf). There’s a decent probability of protesters, present at a number of Finance Committee hearings (several were arrested), as the committee debates the inclusion of a public plan option — and how much muscle they might grant one.

POLITICO PULSE is reporting that Chris Dodd would consider delaying the markup of the bill, set for Tuesday. According to POLITICO, Dodd said:

My goal is to start a markup on Tuesday… But, look, if we are making a lot of progress on resolving some matters by conversing with one another, if I am achieving that result, then I will stick with that for awhile — meetings and conversations with each other. … Once you get into markup, it is my amendment versus your amendment, yes or no, roll call votes, people come and go.

In the meantime, advocates and stakeholders keep pushing their agendas. The Heritage Foundation’s Marguerite Higgins blogs a speech from Rep. Marsha Blackburn, R-Tenn., who cautioned against a greater government role in health care.  Blackburn’s concerns come from her home state’s TennCare plan, the Medicaid program which tried to expand coverage to more low-income children and adults and subsequently faced huge deficits.

In the other chamber, House leaders are staking their territory. Tuesday the “Tri-Committee Health Reform Draft Proposal” was released, revealing an outline that was less liberal than many commentators had been expecting. POLITICO PULSE is reporting that Nancy Pelosi told MSNBC yesterday afternoon, “A bill will not come out of the house without a public option,” ratcheting up pressure on lawmakers.

Besides the ever-present question of the public plan, Wonk Room’s Igor Volsky reports the Tri-Committee bill is also setting a goal to “reform Medicare payments to doctors in such a way as to discourage doctors from over-prescribing treatments and lower overall health care spending.” They’re currently considering two options to either alter or repeal the Sustainable Growth Rate formula, which is supposed to reduce payments to physicians by about 4 to 5 percent a year to help constrain cost growth in the popular federal program.

Interesting Elsewhere:

Slate’s Timothy Noah has compiled a handly list of “must-reads” to follow the health reform debate (including a nice shoutout to KHN);

The Los Angeles Times’ Booster Shots reports on a new Kaiser Family Foundation study examing racial and ethnic health disparities among women;

Cato’s Michael Cannon takes on Ezra Klein’s explanation of “socialized medicine”;

Colorado Health Insurance Insider looks at the makeup of health insurer profits;

Former Surgeon General Richard Carmona discusses the new CDC Director Thomas Freiden on the Health Affairs Blog.

Thursday, June 11th, 2009

Bloggers React to Senate HELP Bill Draft

by Kate Steadman

A 615 page draft of the Senate Health Education Labor and Pensions Committee bill dropped yesterday afternoon in a most unusual manner: via Sen. Chris Dodd’s, D-Conn., Twitter account

dodd-help-bill-twitter

With that the bloggers went…to their favorite reading spots to digest the mammoth document.  According to Dodd, Democrats on the HELP Committee wanted to give Republicans a chance to weigh in on a public plan option and requiring employers to provide health insurance during a hearing scheduled for Thursday. So the proposal omitted some of the most controversial elements of the proposal — namely the public plan and employer mandate.

As a result, armchair analysis is sparse so far.  The New Republic’s Jonathan Cohn says, “I’ll be back later, maybe tomorrow, with a fuller take–informed, hopefully, by reactions from some of the experts and lobbyists reading through the 600-page document now.”  And sure enough, POLITICO reports the American Health Choices Act (pdf) “is already attracting fire.”

Time’s Karen Tumulty agrees:

Is the HELP Committee getting weak at the knees on [a public plan], which has become the most controversial question in the entire health care debate? With Chairman Ted Kennedy ill, did his staff write a bill that went too far? That’s certainly the speculation we are hearing from the Republicans.

Jason Rosenbaum from Health Care for America Now blogs that he has received “confirmation from high-level sources involved in the discussions” that the HELP bill WILL include a public plan option when it’s released after tomorrow’s hearing. But for the next 48 hours, it remains one of the largest question marks for the beltway crowd.

Finally, the Washington Post’s Ezra Klein is trying to appreciate the moment:

It’s worth taking a step back for a second to consider the weight of the moment. It’s been 15 years since Congress last tried, and failed, to reform the American health care system…It’s easy, in the daily jockeying between committees and factions and caucuses, to forget that something pretty big is happening here…And maybe this time will be no different. Maybe we’ll all be picking through the wreckage of the strategy and showing why it was really quite inevitable that health reform failed. Or, maybe not.

Wednesday, June 10th, 2009

Filling Kennedy’s Void

The New York Times’ Caucus blog reports that the Senate HELP Committee’s progress on a health overhaul bill is delayed by chairman Sen. Ted Kennedy’s, D-Mass., ongoing illness.  Sen. Chris Dodd, D-Conn., Kennedy’s deputy on the committee, has been selected by fellow committee Dems to lead negotiations in his absence. Dodd said, ”We are a little bit behind the Finance Committee because obviously Senator Kennedy hasn’t been with us, our chairman, our leader in all of this.”  The Times calls Dodd’s statement a “rare public acknowledgment.”

The Committee was originally planning to release the bill this week but is not expected back on the Hill for another two weeks.  According to the Los Angeles Times:

[A]mid concerns from some Democratic lawmakers and the White House that the delay would jeopardize progress on healthcare legislation, Senate Majority Leader Harry Reid (D-Nev.) in the last week sought and received Kennedy’s permission to move ahead without him.

However, just Wednesday Dodd told reporters that a bill would be available “in the next several days,” with no mention of Kennedy’s health or a possible delay.

Friday, June 5th, 2009