health care reform

There's no questioning the historic nature of the vote. What the Democrats did to get there is pretty ugly (I can't believe we cut a deal with anti-woman C-Street true believer Bart Stupak), but we did get there, and most people will see some real improvements in their lives as a result. Now it's on to the Senate, where hopefully women's rights won't be treated as peripheral to the political process.

And in the meantime, John Boehner warns us that the bill "will dim the light of freedom." Uh huh.

Hours after President Obama exhorted Democratic lawmakers to "answer the call of history," the House hit an unprecedented milestone on the path to health-care reform, approving a trillion-dollar package late Saturday that seeks to overhaul private insurance practices and guarantee comprehensive and affordable coverage to almost every American.

After months of acrimonious partisanship, Democrats closed ranks on a 220-215 vote that included 39 defections, mostly from the party's conservative ranks. But the bill attracted a surprise Republican convert: Rep. Anh "Joseph" Cao of Louisiana, who represents the Democratic-leaning district of New Orleans and had been the target of a last-minute White House lobbying campaign. GOP House leaders had predicted their members would unanimously oppose the bill.

Democrats have sought for decades to provide universal health care, but not since the 1965 passage of Medicare and Medicaid has a chamber of Congress approved such a vast expansion of coverage. Action now shifts to the Senate, which could spend the rest of the year debating its version of the health-care overhaul. Majority Leader Harry M. Reid (D-Nev.) hopes to bring a measure to the floor before Thanksgiving, but legislation may not reach Obama's desk before the new year.

At the Capitol, Obama urged the few Democrats who were still wavering on Saturday afternoon to put aside their political fears and embrace the bill's ambitious objectives. "Opportunities like this come around maybe once in a generation," he said afterward. "This is our moment to live up to the trust that the American people have placed in us. Even when it's hard. Especially when it's hard. This is our moment to deliver."

The House legislation would for the first time require every individual to obtain insurance, and would require all but the smallest employers to provide coverage to their workers. It would vastly expand Medicaid and create a new marketplace where people could obtain federal subsidies to buy insurance from private companies or from a new government-run insurance plan.

Though some people would receive no benefits -- including about 6 million illegal immigrants, according to congressional estimates -- the bill would virtually close the coverage gap for people who do not have access to health-care coverage through their jobs.



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So how's that promise from Joe Lieberman working out for you Harry? We can trust Joe Lieberman huh? Yeah right. Transcript from Think Progress:

LIEBERMAN: A public option plan is unnecessary. It has been put forward, I’m convinced, by people who really want the government to take over all of health insurance. They’ve got a right to do that; I think that would be wrong.

But worse than that, we have a problem even greater than the health insurance problems, and that is a debt — $12 trillion today, projected to be $21 trillion in 10 years.

WALLACE: So at this point, I take it, you’re a “no” vote in the Senate?

LIEBERMAN: If the public option plan is in there, as a matter of conscience, I will not allow this bill to come to a final vote because I believe debt can break America and send us into a recession that’s worse than the one we’re fighting our way out of today. I don’t want to do that to our children and grandchildren.

Lieberman's promises are as empty as his rhetoric. And if Reid got any assurances from him, why is he coming on the T.V. again threatening to filibuster with the Republicans? This man should not be chairing any committees if he's going to filibuster his own caucus.


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One of John Boehner's more childish moments on the House floor tonight, asking Charlie Rangel for assurances on what's going to come out of the Conference Committee in the final bill, and cutting him off before he has a chance to answer him.


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Steve King is out of his "freedom-loving" mind. In what world do all Americans have health care coverage? Oh yeah, the emergency rooms. That's the GOP's idea of health care coverage and "freedom".


Three unreal videos

Last week over at StarkReports.com, I began asking Republican opponents of health care reform if they could tell me how many of their constituents are uninsured. I asked Joe Wilson, Steve King, Jim DeMint, Darryl Issa and Virginia Foxx. None of them could answer the question.

Today, after months of debate, the House vote is upon us. Steve King decided to rally the tea-baggers on the Capitol lawn one more time. About 15-25 other Republicans joined him on the stage at various times. I caught several of them as they made their way between their offices, the chamber and the rally. Once again, not a single republican I spoke with knew how many of their constituents are uninsured. The lonely guy in the middle of the video that did know? That's Dan Boren, a Blue Dog Democrat from Oklahoma...

Next up… Rep. Louie Gohmert (also in the first video) tells me my private insurance will be taken from me by this bill:

Finally, and I wish I could say the last video is shocking, but, alas, this is where we find ourselves today ... Representative Steven King, the leader of today’s anti-reform rally, tells a crowd that the Democratic bill requires the government to encourage suicide and/or assisted suicide. Not making it up; he’s explicit ... he uses those very words:


Sunday Morning Bobblehead Thread

Here it is, the somewhat anticlimactic morning after the historic vote on health care reform in the House of Representatives. I thought it would be nice to have a reminder of why we are fighting and why the fight continues.

This version of health care reform was never going to be the final product. Certainly, the inclusion of the Stupak amendment makes its current version unpalatable to me and others. But we must remember Lisa and Cathy and her son and stake out this new ground and then push for more and more, until we have truly universal health coverage and we catch up with the rest of the industrialized world.

Health care will be topic one with the bobbleheads. Joe Lieberman gets the attention he so whorishly craves, with an appearance on Fox News Sunday. The rest of the shows seem to take pains to offer up matched sets: DNC chair Tim Kaine with RNC chair Michael Steele on This Week, Governors Ed Rendell (D-PA) and Haley Barbour (R-MS) on Meet the Press. Astroturf King Dick Armey will be on Face the Nation, (note the description isn't his current gig with FreedomWorks, but as a former House leader...sneaky). New Virginia Governor Bob McDonnell gets dual exposure on Fox News Sunday and State of the Union. Think they'll mention his rather retro-notions on gender roles? Nah, I don't think so either. My favorite round table guest, Rachel Maddow, is back on Meet the Press. Let's see her show David Gregory for the chump he is.

ABC's "This Week" - Democratic National Chairman Tim Kaine and Republican National Chairman Michael Steele; Army chief of staff Gen. George Casey.

CBS' "Face the Nation" -Sen. Robert Menendez, D-N.J.; former House Majority Leader Dick Armey, R-Texas; Rep. Debbie Wasserman Schultz, D-Fla.

NBC's "Meet the Press" - Govs. Haley Barbour, R-Miss., and Ed Rendell, D-Pa.

NBC's "The Chris Matthew Show" - Panel: Kathleen Parker, Andrew Sullivan, John Heilemann, Savannah Guthrie. Topics: Election Fallout: How Will Democrats Both Stick with Obama and Move to the Center? The GOP's Strange Bedfellows: Do the Wingnuts Run the Show? Meter Questions: Will Tuesday's vote scare moderates on health care? YES: 1 NO: 11; Will Afghanistan define President Obama's legacy more than health care? YES: 6 No: 6.

CNN's "State of the Union" - Army chief of staff Casey; Virginia Gov.-elect Bob McDonnell.

CNN's "Fareed Zakaria GPS" - A star-studded panel of historians discusses Obama's first year in office and the political climate in America. Plus, as Hamid Karzai gets another term as President of Afghanistan, we get the view from across the border: Pakistan's former President Pervez Musharraf on Karzai, corruption, and the prospects for peace in Afghanistan.

CNN's "Amanpour" - Christiane talks to Iranian mastermind of 1979 US Embassy takeover, plus a hostage, and Pres. Carter's Iran point man.

"Fox News Sunday" - McDonnell; Sen. Joe Lieberman, Connecticut independent; Reps. Chris Van Hollen, D-Md., and Mike Pence, R-Ind.

So, what's catching your eye this morning?


Gingrich and Perry Tout Texas Health Care Mess

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Everything, they say, is bigger in the Texas. So it is with the failure of the health care system. Leading the nation with a jaw-dropping 25% of its residents uninsured, Texas ranked 46th in the Commonwealth Fund's 2009 scorecard of state health care performance. All of which makes Friday's op-ed by Newt Gingrich and Governor Rick Perry touting the mess in Texas all the more puzzling.

Just two days after the CBO dismissed a House Republican plan that would barely dent the rolls of the uninsured, Perry and Gingrich blasted Democratic health care reform in a Washington Post screed titled, "Let States Lead the Way." Besides dredging up Newt's worn out 1990's vintage talking points on unfunded mandates, the duo insist it is the Lone Star State which should be at the front of that vanguard:

Texas, for example, has adopted approaches to controlling health-care costs while improving choice, advancing quality of care and expanding coverage. Consider the successful 2003 tort reform. Fewer frivolous lawsuits have attracted record numbers of doctors to the state as medical malpractice insurance premiums dropped by half. Christus Health, a large Catholic nonprofit system with a significant presence in Texas, spent about $100 million on liability defense payments in 2003. Last year, Christus spent $2.3 million on such payments. Much of that savings has gone into expanding health-care services in low-income neighborhoods.

As the Post's Erza Klein asks, "how's that working out?"

The answer, of course, is quite poorly. While from 2007 to 2009 Texas nudged its way from a horrific 48th to a merely miserable 46th in the Commonwealth Fund rankings, the health care system there remains an ongoing calamity for its residents. Among the poster children for the failure of red state health care, Perry's state brought up the rear across the five indicators measured. When it comes to health care access and equity, Texas is dead last. (See table above.)

While it is predictable that Republicans Gingrich and Perry cite Texas' draconian tort reform law as an example for the nation, the data is far from clear as to its benefits in actually reducing malpractice premiums, lowering costs and attracting physicians to the underserved state.

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Rep. Edward Markey on the Republican's "do nothing substitute" health care bill. Well said Congressman.

Markey: You know the G.O.P. used to stand for Grand Old Party. Now it stands for grandstand, oppose and pretend. They grandstand with phony claims about non-existent death panels. They oppose any real reform and with this substitute they pretend to offer a solution while really doing nothing. G.O.P.--grandstand, oppose and pretend and make no mistake about it the Republican substitute is not real reform. It does nothing to curb skyrocketing healthcare costs. It does nothing to provide real insurance coverage to millions who are now uninsured. It does nothing to stop the unfair practices of insurance companies. I urge my colleagues to vote no on the Republican do-nothing substitute.


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Rep. Jeb Hensarling fear mongering over European health care systems and claiming that his father who had a heart condition would have been possibly died had he been in one of their systems.


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Rep. Elijah Cummings during tonight's debate on the health care bill on not allowing insurance companies to discriminate for pre-existing conditions.


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(h/t Heather at VideoCafe)

Woot! I love it when we get some plain-spoken truth on the House Floor. Such a refreshing change from the Republican lies and fear-mongering.

The Republican record defies their rhetoric. Remember their so-called Prescription Drug Benefit for Seniors passed in the dark of the night? No one read the bill, didn’t know what was in it. Cost 700 billion dollars ‘cause that was subsidizing the pharmaceutical and insurance industry. But now, they’re worried about costs. It gave the seniors a donut hole.

Now their concern is not about what they’re stating. It’s about their patrons in the insurance industry. Because this bill has real reforms of the worst abuses of the insurance industry. It takes away their unfair anti-trust immunity, so they can no longer collude to drive up premium prices or restrict coverages. The Republicans would continue the anti-trust exemption. This bill outlaws the unfair pre-existing condition restriction. Republicans would continue that for the insurance industry. This bill would not allow the industry to cancel your policy even though you’ve been paying your premiums when you get sick. It’s called recission. The Republicans allowed that abuse to continue. This bill, on our side, outlaws the small print that limits your lifetime coverage, which bankrupts families every day in America. The Republicans allow it to continue.

And that’s not enough. They’ve opened up a new loophole, their so-called national plan: a company would only be regulated by the laws of the state in which it was based when it sold you a policy. If you live in Oregon, but you bought a policy that was written--and oh, by the way, they expand the definition of state to include the territories in the Mariana Islands—so if you’ve got a problem, call the Mariana Islands Insurance Commissioner. That’s the Republican plan and profits to the insurance industry!


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Keith and Eugene Robinson had the same reaction I did to watching members of Congress out there calling for something close to the overthrow of our government. I agree completely with Eugene Robinson—it was frankly appalling.

OLBERMANN: Good evening from New York.

An elected Republican official today is leading a protest on the west steps of the Capitol that compared health care reform to Nazi death camps and encouraged mindless harassment of and possibly violence against the government. Not tea baggers anymore, not demagogic commentators, an actual congresswoman inciting a hateful rebellion against the rule of law and order. Her name is Michele Bachmann.

Our fifth story on the COUNTDOWN: As if that were not bad enough, Ms. Bachmann today joined by the House minority leader as well as countless other GOP representatives. This orgy of veiled threat and not so veiled racism of white power minority rule now fully the province of the Republican Party. Welcome to the coup!

Congressman Bachmann staging what she tried to claim was a spontaneous meet-up of opponents to health care reform, in 25 buses paid for by the AstroTurf group Americans for Prosperity, could be considered spontaneous. An estimated 4,000 people today answering Ms. Bachmann‘s call, bringing with them on those buses, not just their misunderstanding of health care reform but also their hatred of President Obama, as well as pure hatred, period.

Lee Fang of ThinkProgress.org taking these photographs of a sign that reads “National Socialist Health Care, Dachau, Germany, 1945,” superimposed over the horrific images of the corpses from Dachau. Other signs are slightly less shameful but many in no way related to health care.

Congresswoman Bachmann urging these people to rebel.

(BEGIN VIDEO CLIP)

BACHMANN: It was Thomas Jefferson who said—a revolution every now and then is a good thing. What do you think?

(CHEERING)

BACHMANN: You feel so good right now, and we, the members of Congress that are gathered on these steps for this press conference, are so honored that you are here.

(END VIDEO CLIP)

OLBERMANN: Press conference? The geniuses at the Republican study committee trying to rebrand today‘s event not as a protest, nor a rally, but as a press conference. Urging House staffers in an e-mail last night to please make sure your boss does not turn this event a rally.

Does any of this sound like press conference to you?

(BEGIN VIDEO CLIP)

REP. PAUL BROUN, GEORGIA: Who will kill this bill? You will! You will! And we must. The Constitution of the United States starts with three very powerful words: “We, the people.” And we the people are speaking. Nancy Pelosi, listen.

Fellow patriots, go tell your congressman you‘re not going to eat this rotten stinking fish that is Pelosi health care! We are going to put a stop sign in front of her steamroller of socialism. Go to it, Patriots!

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Marsha Blackburn does a good job of turning into a drama queen when it suits her, doesn't she? During the debate on the House floor over the health care bill being voted on today, Blackburn railed on about who's going to pay for this. I want to know when she's ever asked the same question about paying for war funding?


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Washington Journal host Peter Slen asks Marsha Blackburn about an editorial in The New York Times The Republican Health Plan and reads this passage:

It has some good provisions, such as prohibiting insurers from imposing annual or lifetime caps on what they will pay and automatic enrollment of workers in employer-sponsored group coverage. But it would not prevent insurers from denying coverage or charging higher premiums based on pre-existing conditions.

Blackburn's response:

Blackburn: Well, one of the ways to address that is going another route and getting to that universal access component that so many people want to see but doing it through high risk pools and through re-insurance and this is a model that many of our businesses are accustomed to dealing with. You know, they have different high risk for things—worker’s comp and other issues—and there is a way to do that and to address that and bring people into that, into those high risk pools. Addressing pre-existing and chronic conditions absolutely and being certain that there is a pool for that, that is set up, and there again, people can go to gop.gov and look at that, look at the bill and see how that is specifically addressed.

So the GOP's plan according to Rep. Blackburn is if you have a pre-existing condition, you're going to be put into a high risk pool. I don't believe she explained how that would prevent people from paying higher premiums for pre-existing conditions or from being denied care—quite the opposite.

Under conservative plans for health care reform, many more Americans with pre-existing conditions would find it even more difficult to obtain reasonably priced care. This is because conservative plans often seek to substitute insurance coverage purchased in the individual market for group coverage, such as the insurance that many Americans have through their employers. These proposals also call for expanding existing high-risk pools, such as the Maryland program, to provide coverage for people with chronic illnesses and costly health histories. Today’s state-based high-risk pools provide an important coverage option for some individuals, but the coverage is expensive, and it’s only available to a small portion of those eligible.

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The GOP has embarrassed itself once more. How can they actively promote an event like their tea party/anti health care protest in DC and watch silently as disgusting signs and insane wackos fill their ranks? Well, it's easy to do when you have Rep. Michele Bachmann telling the teabaggers to "scare" her colleagues into voting against health care reform during this "Super Bowl of Freedom." I mean, come on. First of all she should be arrested for actively promoting this type of hatred form a current member of Congress and can she at least come up with a name that's not as ridiculous as she is?

OK, that's asking too much.

In a conference call Wednesday night with bloggers and activists for the advocacy group Americans for Prosperity, Rep. Michele Bachmann (R-Minn.) called on protesters to “scare” members of Congress into killing the proposed health care reform bill.

If the protesters succeed in scaring lawmakers, Bachmann said that it could cripple efforts to restructure health care for a decade.

“Nothing scares members of Congress more than freedom-loving Americans,” Bachmann said.

She said that members were frightened by the August town hall meetings, but “then they came back to Washington, and they got back in the bubble and Speaker Pelosi put the hammer down on the Democrats.”

Rep. Todd Akin is also one of those special kinds of idiots that occupy the rank and file tea party and he led the crowd in the Pledge of Allegiance because the word "God," just drives us all crazy. I guess he doesn't understand history very well because the original "Pledge of Allegiance" never had the word "God" in it at all, but nothing is allowed to interfere with their conservative/religious talking points.

At the Capitol Hill Tea Party just now, Rep. Todd Akin (R-MO) stepped up to lead the crowd in the Pledge of Allegiance -- which he said drives the liberals crazy.

"And so as we now renew our commitment to the Red, White and Blue, let us with boldness proclaim the fact that we are one nation under God," said Akin. "It is altogether fitting that we should do this -- and it drives the liberals crazy."

The crowd laughed, and joined Akin in the Pledge, with a genuine shout given to the key words, "...one nation, UNDER GOD, with liberty..."

And no matter what Eric Cantor says, signs that use images of Holocaust victims are just sick and were not planted by anyone but his own. Has he not seen even one teabagger protest? My God, (I used the bad word) that's the norm at these astroturfed gatherings.
And our pal Dana Milbank fills us in even more.

Many of the demonstrators chanted "Weasel Queen," their pet name for the speaker of the House. Others wore masks of Pelosi (D-Calif.) and Senate Majority Leader Harry Reid (D-Nev.); they were covered in fake blood and carrying dolls representing aborted fetuses, as the Grim Reaper led them in chains to hell.

In the front of the protest, a sign showed President Obama in white coat, his face painted to look like the Joker. The sign, visible to the lawmakers as they looked into the cameras, carried a plea to "Stop Obamunism." A few steps farther was the guy holding a sign announcing "Obama takes his orders from the Rothchilds" [sic], accusing Obama of being part of a Jewish plot to introduce the antichrist.

But the best of Bachmann's recruits were a few rows into the crowd, holding aloft a pair of 5-by-8-foot banners proclaiming "National Socialist Healthcare, Dachau, Germany, 1945." Both banners showed close-up photographs of Holocaust victims, many of them children.

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