8:09 EST: Dodd, presiding over the Senate, said the motion passed, smattering of applause. Motion is agreed to. Clerk is now reporting the bill and amendment.

And that's it for the night. Debate will begin after Thanksgiving, plus amendments, then moving on to the final cloture motion and a final vote.

8:04 EST: Cloture passes 60-39. Debate will start after Thanksgiving.

7:57 EST: Voting continuing.

7:56 EST: Clerk reading cloture motion.

The question is: Is it the sense of the Senate that debate on the motion to proceed shall be brought to a close. Clerk is calling the roll.

Voting now.

7:55 EST: Vote starting 5 minutes early.

7:54 EST: Absence of a quorum noted by Reid, and the roll is being called. Vote coming soon!

7:44 EST: The American people want us to start over. All it would take is just one on the other side of the aisle to not end the debate, but change the debate.

And he's yielded.

Senator Harry Reid (D-NV) is up.

My friend, the minority leader, has had since Wednesday to read the bill. Obviously he hasn't done so.

We debate the right to live free of disease and death by giving health care for all. The road has started many times, never been completed. Merged bills have never been done before. We couldn't have got here without the help of many Senators.

As a matter of principle, that I respect, the senior Senator from Arkansas insisted we have time to read the bill. All Senators have now had ample time. That is why we are voting tonight.

I invite Republicans to join the right side of history. Around dining room tables, families are agonizing over what to sacrifice next to afford health care. Employers are wondering whether they can afford to provide health care. Americans need reform.

Debate is constant, but the only place where silence is evened considered is the Senate. Now, finally, we have the opportunity to bring this great deliberation to this body. That and nothing more is what this vote does.

A yes vote says this issue is important and the Senate should at least talk about it.

Some Republicans would like Americans to think voting to debate the bill is voting to pass the bill. Tonight's vote is only the beginning of debate. It's clear Republicans have no problem talking about health care on TV, at town hall meetings, on the radio, yet now that we have the legislation to debate, to amend, to build on, will they refuse to debate?

If we refuse to let the Senate do its job, what are we doing here? What do we fear? And who's voice to you speak for? In who's interest do you vote?

Certainly debating reform can't be more difficult than American deciding to pay their mortgage or medical bills. It can't be more upsetting than having an insurance company take away your coverage when you need it the most.

Kennedy once said let us not be afraid of debate or discussion, let us encourage it.

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The new talking point by Fox News and conservatives who are attacking health care reform is to complain about the size of the bill. Last night on Greta Van Susteren's show, for instance, Sen. Orrin Hatch tried to tell us that the very size of the bill ensured that it would be a bad thing. Of course, most appropriations bills are bigger than this thing, and Hatch has not only voted for but sponsored his share of those. Maybe he'd find it acceptable if it were printed on golden tablets or something.

How desperate are they? Very f*&king desperate. The Democrats made a smart move by comparing it to Sarah Palin's book:

There are a lot of analogies floating around about how the Senate health care bill compares in size to other notable writings. Republicans have been hyping them all day.

Here's a new one from the Democratic arsenal: Sarah Palin's book, which runs 413 pages.

"This bill if you put in regular type style is about the same size as Sarah Palin's book," said Sen. Mark Begich (D-Alaska). "So it is not that big. There is a lot of show and tell and razzmatazz."

Which would be a better read?

"Depends if you want substance or not," he said.

Looks like the Palin line is a Democratic talking point. Sen. Amy Klobuchar (D-Minn.) told a gaggle of reporters the same thing Wednesday night.

Conservatives were running around trying to wrap the entire bill around DC or something during the House debate.

Fox News jumped in with their usual conservative spin.

Today, Fox News' Live Desk continued the House Republican caucus and Politico's silly obsession with the length and size of the House health care reform bill. During a span of less than 45 minutes, co-host Trace Gallagher repeatedly told viewers the health care reform bill is so long, it makes the Russian novel War and Peace "look like a short story."

This is the time of the day where Rupert Murdoch says Fox News is in its actual "news cycle." If that's true, then why are they actively attacking the length of health care bill? Why does the page count matter to a news organization? Would they rather have a three-page bill handed over to them the way Paulsen did when he asked for $700 billion for Bush?

And Sen. Tom Coburn won't read the health care bill on the floor Saturday.

Republican Senator Tom Coburn is backing off his threat to require that the Senate read the 2,074-page health care bill because some GOP colleagues aren't supporting the effort.

The Oklahoma lawmaker said there's uncertainty about whether reading the bill during Thanksgiving week would be productive. He also said that if the Republicans do decide to tie up the Senate for the dozens of hours it would take, six GOP colleagues have committed to pitching in on reading duty.

Media Matters points out how conservative commentators such as Rush Limbaugh, Glenn Beck, and Michael Savage like to use rape metaphors when discussing progressives or progressive policies.

Right-wing media are very quick to claim progressives are "raping" Americans:

Beck: "People in New York, you're being raped by your government -- raped." On his November 19 radio show, Beck stated:

BECK: When the people lead, the leaders will follow. And we're building life boats, because, right now, you know it to be true -- and I'm hearing it in New York. People in New York, you're being raped by your government -- raped. California, how are you doing it, man? They just took an extra 10 percent withholdings from you, as a forced noninterest loan. Get the hell off my land. My gosh, how are you doing it?

Well, I'm seeing it in New York. People are just starting to see now what has been done to them in the last six months here in New York. And they're starting to look at it and say, "Whoa, whoa, whoa, wait a minute. What the hell -- look at how all of this is adding up?" Well, that's what's going to happen as a collective in this country. I don't how long it's gonna take. It may take three months, six months, a year -- I can't imagine.

Beck: "We're the young girl saying 'No, no, help me,' and the government is Roman Polanski." Discussing health care reform on the November 16 edition of his Fox News program, Beck stated:

BECK: America has spoken clearly, consistently. We don't want this. And for the first time in history, we don't think it's the government's place to give it to us. ... We are -- excuse this analogy, but I feel like it's true -- we're the young girl saying "No, no, help me," and the government is Roman Polanski. In the end, I think we're all going to be cowering in France.

Beck: Health care reform is "good old socialism ... raping the pocketbooks of the rich to give to the poor." On his July 21 Fox News program, Beck stated:

BECK: President Obama has his massive $1.5 trillion health care plan. It's hogging up the news cycle. The Republicans and, you know, a lot of people are starting to say, "Isn't this socialist, here? I mea, this is pretty crazy." The answer to me on that one is really easy: Yep, it's good old socialism -- you know, pretty much raping the pocketbooks of the rich to give to the poor. I think that's socialism.

Limbaugh: Obama ordered his "pay czar" to "rape" bailed out executives. On his October 22 broadcast, talking about Kenneth Feinberg, who was appointed to oversee executive compensation at financial firms that were still holding funds authorized under the Troubled Asset Relief Program, Limbaugh stated:

LIMBAUGH: I think everything about this story, this "pay czar," is blockbuster. It is -- I mean, it's late-night comedy gold. Everything about the story is a lie. ... Every detail about this story has to be a lie. I refuse to believe that Obama didn't know what Feinberg was doing. In fact, the truth probably is Feinberg's following orders. Feinberg is following orders and I guaran-damn-tee you Obama said: "You get up there and you rape 'em. And you make 'em poor. And you make 'em pay. And you let 'em know. Just don't tell 'em that I knew anything about it."

Limbaugh: "Get ready to get gang-raped again, folks." Discussing health care reform on his June 29 broadcast, Limbaugh stated:

LIMBAUGH: Well, isn't this good? Get ready to get gang-raped again, folks. House Speaker Nancy Pelosi says she will not give the public a week to review the final text of a health care reform bill before it's voted on later this year. And Harry Reid has also declined to commit to giving the public a week to read and consider the final health care bill, despite Obama promising that all legislation would be up for five days on one of his stupid websites where everybody could read it.

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November 17, 2009 FOX News

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November 06, 2009 C-SPAN

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November 04, 2009 CNN

(BEGIN VIDEO CLIP)

REP. ALAN GRAYSON: What the Republicans have been doing is an insult to America. They`ve been dragging their feet. These are foot-dragging, knuckle-dragging Neanderthal who thinks they can dictate policy to America by being stubborn.

(END OF VIDE CLIP)

BEHAR: You`re the greatest, "knuckle - dragging Neanderthal" apparently voters in New Jersey and Virginia didn`t agree. The governors- elect in both states both Republicans. I`m joined by the man that threw those bombs, Florida Congressman Alan Grayson, congressman. Thank you for joining me. I really do enjoy you, I must tell you.

GRAYSON: Same here. I enjoy you, too.

BEHAR: But you know the governor`s races were won in Republicans in Virginia and New Jersey. And Obama stump for both of them, what`s this say about Obama`s influence these days? Is it waning or is it OK, what do you think?

GRAYSON: Well look, there`s lesson for both parties. For the Democratic Party we have to activate our vote. The Republicans activate their vote. The Democrats this year have not done as good a job as the Republicans in that regard. The voter turnout in Virginia was down by half since last year. Now, I don`t think half of all voters in Virginia disappeared. What happen was some of them felt motivated to vote. And too many of people on our side didn`t feel motivated to vote. And that`s why there was a sharp drop in Democratic performance in both states. So we have to motivate our base.

BEHAR: It was interesting the exit polls in Virginia and New Jersey, all -- both of them said they still like President Obama. That their vote had nothing to do with him. Do you agree with that?

GRAYSON: Well look, people elected Obama, they elected me, they elected the Democrats and put us in charge of the government because they want change. And they need to see more of it. We need to deliver. We need to make sure that the people who voted for us with expectations in mind have those expectations satisfied. It`s that simple. There are lessons for Republicans too. You didn`t talk about the election in New York.

BEHAR: I`m about to ask you about that one because that was one for the team.

GRAYSON: Well listen, I think we`re witnessing the disintegration of a major political party. Something that happens only about once a century. The last time that two of those counties that New York congressional district were represented by Democrats was in 1850. 1850. So I think what we`re seeing is that the tea baggers are no longer obeying the corporate pay masters.

BEHAR: It`s interesting because both Limbaugh and Palin both backed the Republican up there. And it didn`t work. I love that. Does it mean the attack machine -- what is it about the right wing attack machine. That they`re full of bluster and they`re out there all the time voicing their hatred, a lot of it. And it still doesn`t translate into votes, by and large.

GRAYSON: They`re down to 20% of Americans identify themselves as Republicans now. And even at 20% split -- they`re split and splintered and falling apart.

BEHAR: What does it about independent voters, this whole thing, do you think?

GRAYSON: Well the independent voters have a lot of say. They`re the balance of power between the two parties. But I think at this point we`re down to 1 1/2 parties. Because the Republicans just can`t seem to get it together. They have nothing to offer ordinary people. You know you ask what people want for health care, for education, for jobs, the Republicans have no answers for any of that. They`re the party of no, and no don`t cut it anymore.

BEHAR: OK and thank you very much for joining us I hope that you`re going to keep speaking out and saying those wonderful things that you say. We like them.

GRAYSON: Thank you, Joy.

And here we have another nut job Republican who claims health care reform will destroy America. Where's the outrage by the Villagers over these statements?
Media Matters:

It's an impressive feat, but there may not be a Republican member of Congress who has been more openly scornful of President Obama's plans for health care reform than Rep. Paul Broun (R-GA).

In July, Broun declared that the public insurance option "is gonna kill people." Later in the month, he argued that "ObamaCare" would "give every single one of those illegal aliens health insurance." At a town hall meeting in September, Broun literally walked away from a constituent who couldn't get health coverage after telling him, "If you have a suggestion, send it to me." And, just a few weeks ago, he introduced "alternative" legislation that would eliminate Medicare altogether.

Yesterday, Broun escalated his attacks on the Democratic reform bill, saying that its passage "destroy America as we know it today."

Right -- if a liberal like Grayson calls out Republicans (who have no health care plan), they get their freak on. But I guess they have already been immunized to conservative insanity.

Oh, and we have Rep. Gohmert saying this: Dems Would Allow Seniors To "Die Off More Quickly"

This is standard conservative behavior that never gets mentioned by the media. It only comes up when a liberal is attacked and then they spend 24-48 hours to defend themselves and are forced to use these outrageous statement made by Republicans. And of course they have no traction, because of the defensive position the media puts liberals in.

I was writing something pretty close to this and decided to link to the Great Orange Satan.

KOS:

There will be much number-crunching tomorrow, but preliminary numbers (at least in Virginia) show that GOP turnout remained the same as last year, but Democratic turnout collapsed. This is a base problem, and this is what Democrats better take from tonight:

1. If you abandon Democratic principles in a bid for unnecessary "bipartisanship", you will lose votes.

2. If you water down reform in favor of Blue Dogs and their corporate benefactors, you will lose votes.

3. If you forget why you were elected -- health care, financial services, energy policy and immigration reform -- you will lose votes.

Tonight proved conclusively that we're not going to turn out just because you have a (D) next to your name, or because Obama tells us to. We'll turn out if we feel it's worth our time and effort to vote, and we'll work hard to make sure others turn out if you inspire us with bold and decisive action.

The choice is yours. Give us a reason to vote for you, or we sit home. And you aren't going to make up the margins with conservative voters. They already know exactly who they're voting for, and it ain't you.

Health care should have been passed by the August recess, but to have it go on and on has been a huge mistake. And waiting until next year only makes it worse.

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November 03, 2009 C-SPAN

From the floor of the House Congressmen King, Akin and Hoekstra rally the GOP troops to come to Washington and let their Representatives see the "white of their eyes".

Okay, maybe requiring minimum IQs as a standard to run for national office is a bit harsh, but can we at least insist that politicians prove that they are actually human and not some mindless automaton programmed with talking points?

(In the past,) Foxx has claimed Democratic reforms would mean seniors are “put to death by their government,” that health reform is a “distraction,” and that “there are no Americans who don’t have health care.” She was at it again today on the House floor, arguing that health reform is a greater threat to our country than “any terrorist right now in any country”:

Everywhere I go in my district, people tell me they are frightened. … I share that fear, and I believe they should be fearful. And I believe the greatest fear that we all should have to our freedom comes from this room — this very room — and what may happen later this week in terms of a tax increase bill masquerading as a health care bill. I believe we have more to fear from the potential of that bill passing than we do from any terrorist right now in any country.

Normally, this is where my head makes a very loud thunk against my desk at the stupidity, but instead I just find myself really angry at this illogical fear mongering and ugliness. But what can you expect from a politician ugly enough to call Matthew Shepard's murder "a hoax"?. Obviously her lip service towards valuing life doesn't really mean any living people.

Rep. Foxx, the lives of those 44,000 Americans who die needlessly every year because they do not have insurance is blood on your hands.

Linda R. Monk, J.D.: Let Us Now Praise Uppity Women (h/t Where’s the Outrage?)

The Plum Line: Harry Reid calls GOP's transparency bluff: Is your health care bill a secret, or merely non-existent?

AMERICAblog News: Top McCain campaign advisor running out of insurance. He has a "pre-existing condition."

Apoliticus: Top 5 annoying talents of President Obama

Bill in Exile (not work safe) : New York Twenty Three

Family and Friends blog: Our Achilles Heel

The House has released its health care bill. I'm going on a conference call now, so I can't really discuss the bill, but you can read it here with many other links provided.

Mcjoan discusses it here.

House leadership has released this fact sheet on the key elements of the House healthcare reform bill that will begin in 2010 [pdf].

Among the most important of these front-loaded provision are the creation of the high risk pool, extension of COBRA benefits (which should also include some sort of subsidy program, since COBRA rates are often unaffordable, though select groups do receive assistance under the Recovery Act), upping the age that people can be covered by their parents' plans, and the increased funding for Community Health Centers are all very good starts for 2010. The most key for staunching the bleeding in our system, if you will, are the high risk pool and the Community Health Center funding. More of the uninsured will be able to get insurance through the pool and the CHCs, which are absolutely critical to providing care for the uninsured, will at least see some increased ability to do so.

A handful of the reforms will immediately address issues for Medicare beneficiaries, all solid reforms that should also provide some political help in 2010--seniors vote.

Looks like the Blue Dogs won a victory in this bill, but they wanted to kill the public option all together. And remember when the media said the public option was dead completely?

I'm on a conference call with Nancy Pelosi right now. At least she's coming on to discuss it with us for a few minutes. Many politicians would not.

Please leave your thoughts down below.

UPDATE: The House has not respected the PHarma deal cut by the White House and the Speaker is happy about that.

MyDD : The worries of Joe Lieberman

MOMocrats: A cry for help

Amygdala: Let's burn all the Bibles!

PERRspectives: Broun joins Palin in backing GOP plan to privatize Medicare

Lean Left : Dumbest painfully serious political metaphor of the day

cab drollery: A top cop gets it

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In the wake of its shocking assessment that employer-provided health insurance now covers only 54.6% of the American people, Thomson Reuters released a disturbing assessment of wasteful spending in the U.S. health care system. Echoing the estimates of Obama OMB chief Peter Orszag and others, the analysis highlighted by Keith Olbermann Tuesday concluded that the United States wastes up to $700 billion a year - a third of the nation's total $2 trillion health care spending.

As Robert Kelley, vice president of healthcare analytics at Thomson Reuters and author of the white paper, put it:

"The bad news is that an estimated $700 billion is wasted annually. That's one-third of the nation's healthcare bill. The good news is that by attacking waste, healthcare costs can be reduced without adversely affecting the quality of care or access to care. That's the point of this report - to identify areas in the healthcare system that can generate game-changing savings."

Those game-changing savings, TR found, could be found across a broad range of health care spending. Between $600 billion and $850 billion, it estimated, is wasted on:

• Unnecessary Care (40% of healthcare waste): Unwarranted treatment, such as the over-use of antibiotics and the use of diagnostic lab tests to protect against malpractice exposure, accounts for $250 billion to $325 billion in annual healthcare spending.
• Fraud (19% of healthcare waste): Healthcare fraud costs $125 billion to $175 billion each year, manifesting itself in everything from fraudulent Medicare claims to kickbacks for referrals for unnecessary services.
• Administrative Inefficiency (17% of healthcare waste): The large volume of redundant paperwork in the U.S healthcare system accounts for $100 billion to $150 billion in spending annually.
• Healthcare Provider Errors (12% of healthcare waste): Medical mistakes account for $75 billion to $100 billion in unnecessary spending each year.
• Preventable Conditions (6% of healthcare waste): Approximately $25 billion to $50 billion is spent annually on hospitalizations to address conditions such as uncontrolled diabetes, which are much less costly to treat when individuals receive timely access to outpatient care.
• Lack of Care Coordination (6% of healthcare waste): Inefficient communication between providers, including lack of access to medical records when specialists intervene, leads to duplication of tests and inappropriate treatments that cost $25 billion to $50 billion annually.

But in its catalog of health care spending horrors, however, Thomson Reuters may have understated potential savings in one area while overstating them in another.

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The Bitter Man strikes back.

Democratic moderates who control the balance of power on health care legislation balked Tuesday at a government-run insurance option for millions of Americans, underscoring the enormity of the challenge confronting Senate Majority Leader Harry Reid one day after he unveiled the plan as a consensus product.
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The decision to include a government insurance option in his legislation had obvious appeal for liberals who account for a strong majority inside the Senate Democratic caucus, and it is likely to please labor unions and party activists in Nevada.

But it has gained less-than-effusive support from Obama, who is eager to have at least a dollop of bipartisanship for his signature domestic issue. Sen. Olympia Snowe of Maine, the only Republican who has sided with Democrats in committee this year, has announced she will not support the bill Reid drafted.

Still, if Reid is pressed in coming weeks by moderates to fall back, he can explain to liberals that he was forced to do so because his preference — a government insurance option — proved to be unobtainable in the Senate. Already, that pressure is evident...read on

Joe Lieberman is a bitter old man who was looking for some media juice yesterday when he decided to spit in the face of Americans who want real health care reform. Can you trust either his motives or what he says anymore?

Joe Lieberman has once again rolled a political hand grenade into the Democrats’ tent.

The Connecticut independent obliterated any illusion that Senate Majority Leader Harry Reid (D-Nev.) can quickly ram through health care reform with a public option, telling reporters on Tuesday that he would join Republicans in a filibuster to prevent a vote on Reid’s plan if it isn’t changed first.

“We’re trying to do too much at once,” said Lieberman, who signaled he would vote with Reid on the first procedural vote that requires 60 votes, the motion to proceed.

The media will never call out Lieberman over his bullshit.

And Lieberman’s justification on this is just nonsense – the public option would SAVE money for the government, to the tune of $100 billion dollars over 10 years according to the Congressional Budget Office. It also would cost nothing to the taxpayer, being financed by individual premiums.

The public option saves money and Holy Joe knows it. And the Senate will never take action against another Senator no matter how outrageous their behavior is.

But Lieberman’s fellow Connecticut senator, Democrat Chris Dodd, who faces a tough reelection fight in 2010, dismissed the idea that Lieberman would incur any retribution.

“No, no, no. People are going to be all over the place,” he said when asked if Lieberman should be punished. “The idea that people are going to be reprimanded because somehow they have a different point of view than someone else is ridiculous. That isn’t going to happen.”

Lieberman can thank President Obama for retaining his committees and unless he gets caught in bed with a goat, he gets to do whatever he wants. The House of Lords always protect their royal status over their constituents. Well, Mr. President -- it's time to reign in this herd of Conservadems if you really want the public option. All this could be the awesome kabuki dance that pols do as they negotiate legislation through the media. Well, Mr. President, you got him -- you own him now so make him pony up. Oh, wait -- Senators are immune to any type of accountability. Sorry, I forgot what I wrote earlier in this piece.

Too bad Ned Lamont didn't win in 2006, but we forced Joe out of the Dem Party and Ned is still speaking up against Lieberman. They did debate health care and Holy Joe was for "universal health care" at the time, but now he has a Republican base to protect.

I asked Lamont if he thinks that Obama, who intervened last November to keep Senate Democrats from stripping Lieberman of his committee chairmanship, was guilty of trusting Connecticut's junior senator too much.

"I would really hope that Senator Lieberman would have returned that courtesy by talking to the president's team before walking out on this filibuster plank," he replied.

Lieberman's seat will be up in 2012. His polls numbers have improved a little this year, but they're still very shaky, a 48-45 percent approval rating among all voters in the state. But among Democrats, they're poisonous. Does Lieberman's latest move mean he's abandoning any thought of running as a Democrat again in '12?

"He got re-elected in '06 with overwhelming Republican support," Lamont said. "So I guess he's just taking care of his base."

Do me a favor and contact Joe's offices and tell him to give us an up-or-down vote on health care and not to join Republicans in a filibuster. He likely won't listen, but it's important that he hear our voices.

One Constitution Plaza
7th Floor
Hartford, CT 06103
(860) 549-8463 Voice
--
706 Hart Office Building
Washington, DC 20510
(202) 224-4041 Voice

And please: Donate to Blue America's Campaign For Health Care Choice so we can continue to fight for health care reform. We have several actions we're working on...