Sunday, November 22, 2009

Deep Into Saturday Night's Health Care Vote


Jillian Bandes
Saturday, November 21, 2009

Democratic Sen. Mary Landrieu's vote in favor of Obamacare was purchased for $300 million on Saturday, giving Democrats the 60-vote supermajority that will, barring a miracle, pass health care reform that will possibly include a public option and abortion coverage. The $300 million comes from a 2-page earmark inserted into the bill specifically for Louisiana, though the wording of the earmark didn't specifically name Louisiana as the recipient. It simply designated victims of national disasters within the last 7 years as eligible for certain federal funds — and the only citizens who that applies to are Katrina victims in Louisiana.

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It's something Landrieu says they're entitled to.

"Our state is as poor as it was if not poorer, and I am not going to be defensive about asking for help in this situation," she said on the Senate floor.

Landrieu went as far as loudly correcting lower estimates on how much the special earmark would bring her state. Early on Saturday, the Congressional Budget Office said brought her $100 million, but in fact, it was three times that.

“I’m proud to have asked for it and I’m proud to have fought for it and I will continue to. That is not the reason I am moving the debate," Landrieu said on the Senate floor. In the same breath, she insisted that the earmark was not why she was voting for the bill.

"That is not the reason I am moving to debate," she said.

Landrieu was the second-to-last hold-out on the bill, the last being Sen. Blanche Lincoln, who, like Landrieu, emphasized that she would not vote for the bill if it contained some version of the public option.

"I'm prepared to vote against moving to the next stage of consideration as long as a public option is included," said Lincoln.

But Democratic leaders will undoubtedly massage the public option provision to meet the requirements of these moderate Democrats, which could mean that the the so-called "state opt-out" provision in the public option will be included. If that's the case, the Congressional Budget Office estimates that over a third of states will simply decline to accept the public option, leaving less than 4 million Americans covered by it. That's at a cost of almost $3 trillion, according to some independent analysts.

There are several other noteworthy provisions that are included in both bills and are likely to be passed. First, "exchange marketplaces" will be introduced, with the possible government option as one of the plans Americans can pick from if they are self-employed, unemployed, uninsured, or part of a small business. In the exchange marketplace, the government will dictate what are acceptable standards for coverage for all of the insurance plans.

Second, language in the Senate bill still enables the coverage of abortion. Specifically, the bill states that within the exchange marketplace, one plan must offer abortion coverage and another plan must not. Analysts say that the inclusion of the much-heralded Stupak Amendment, ostensibly preventing the coverage of abortion in any forthcoming health care legislation, does nothing to reverse this.

Third, exactly how the bill will be paid for is still in question. The Senate bill taxes gold-plated insurance companies, in addition to raising Medicare taxes for individuals making over $200,000 and couples making over $250,000. The House bill simply adds income taxes on high-earning Americans. Other fees will probably imposed on insurance carriers, medical devices, cosmetic surgery and prescription drugs.



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Comment:This only about pure politics of the moment. LA. was bought for $300 million-only purchasing a necessary vote by holding out to the end. You don't believe it then you are ignorant,naive or lying to yourself. Given the "desperate" conditions described by the good Senator, why did the government not move earlier to fund her needs? It need not be an "earmark" as it turned out to be. The "but you must be passionate" card does not influence me one bit-this was ugly politics. The "good" Senator turned her back on her principles as did the final Senator to vote.This bill will fundamentally change the country for several generations and the USA will cease to be prosperous as it is now-you are saddling your children and grandchildren with a life style less than the one this country afforded you. It was for generations the creed of American families to produce for one's family better than what you had-pss this bill and this ends for the rest of your life! Don't believe me, "run the numbers" rather than your immature emotions!

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