We have a national health emergency, and Senate Republicans are stalling the surgeon general's confirmation. But then, they don't live in the same country as the rest of us:

A GOP stall on all Health and Human Services nominees has left the department without a surgeon general during a period of a global flu pandemic, prompting the HHS secretary to call for Senate action.

Regina Benjamin, the surgeon general nominee, “is ready to be voted on in the Senate, and we would just strongly urge the United States Senate” to act, HHS Secretary Kathleen Sebelius said during an MSNBC interview Friday in which she discused the department's response to the spread of the H1N1 virus.

President Barack Obama on Saturday declared the H1N1 outbreak a national emergency.

“We are facing a major pandemic, we have a well-qualified candidate for surgeon general, she’s been through the committee process. We just need a vote in the Senate,” Sebeilus said. “Please give us a surgeon general.”

Benjamin was unanimously approved by the Health, Education, Labor and Pensions Committee on Oct. 7, but Senate Republicans are holding up all HHS nominees over a so-called gag order on insurance companies that have been critical of Democratic efforts to reform health care.

“We’ve not received any recent calls from the administration about their nominee,” a senior Republican aide said. “There won’t be any time agreements for confirmation of HHS nominees until their actions have been fully reviewed.”

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(h/t David)
From This Week with George Stephanopolous, some good news for those of us who want to be vaccinated. Remember, you minimize your risk of side effects by getting it a few weeks apart from your regular flu shot. I got my flu shot this week, I'm getting the pneumonia vaccine in two weeks and the swine flu shot two weeks after that:

Amid concerns that H1N1 swine flu vaccine will come too late this flu season, Health and Human Services Secretary told me this morning on ‘This Week’ that the vaccine will be available by the first week of October, 2 weeks earlier than previously expected.

“We are on track to have an ample supply rolling out by mid October, but we may have some early vaccine as early as the first full week in October. And we plan to get the vaccine rolling out the door as fast as it hits the production line.”

This week, DHHS released new research showing that one dose of the H1N1 vaccine will be enough to protect people from the virus rather than multiple doses.

“The earlier doses are probably going to be targeted to health care workers and other high priority groups, but the one dose means that people will be able to have a robust response in about 10 days of getting that first shot and that’s incredibly helpful,” Sebelius said.

While I have many problems with Obama's leadership on certain issues, there is one area where I won't fault him a bit: He's doing a wonderful job as a role model to kids everywhere.

The President of the United States has a lot in common with Philadelphia schoolchildren, U.S. Health and Human Services Secretary Kathleen Sebelius told a classroom full of them.

"He didn't know his dad," Sebelius, former governor of Kansas, said of President Obama. "He moved a lot. But he knew how important school was."

Sebelius, U.S. Sen. Bob Casey (D-Pa.), U.S. Rep. Chaka Fattah (D-Phila.) and Mayor Nutter watched the president's address to schoolchildren this afternoon at Thurgood Marshall Elementary, a K-8 school in Olney.

Sitting in a classroom with all the dignitaries was Teasia Squire, 12, a 7th grader. She sat up straight and never took her eyes off the big screen that projected the president's image into the room.

She was wowed by the speech, Teasia said.

"It was a wake up call," she said. "It was really good."

Her take away?

"We need to be in school, and we need to be our best," Teasia said.

Her social studies teacher, Crystal Gary-Nelson, was inspired by the message.

"I wrote down key quotes, and I'm going to post them throughout the year," Gary-Nelson said. "We're going to discuss this, and they'll have to take a pledge - 'This is what I pledge to do to help my nation.'"

"When I say jump, you say, 'How high?'"

That would be Chuck "Don't Let Them Pull the Plug on Grandma" Grassley. Why does Obama want Republican approval so badly? Protective cover for the watered-down version he promised Big Pharma and the insurance companies?

WASHINGTON (CNN) -- The lead Republican senator in bipartisan health care negotiations said Tuesday that he urged President Obama this month to make clear he would accept a bill without a government-funded public insurance option.

"I told the president then that he needed to make public whether or not he could sign a bill that didn't have a public option in it," Sen. Charles Grassley of Iowa said on Radio Iowa. "He didn't have to take a position against a public option, but would he sign a bill that wouldn't have a public option in it, and I thought a statement from him would be very helpful."

Grassley and the five other bipartisan negotiators met with the president on August 6 to discuss their efforts toward a health care bill that can pass the Senate Finance Committee in September, when Congress returns from its August recess.

On Saturday, Obama said the "public option, whether we have it or we don't have it, is not the entirety of health care reform."

Then on Sunday, Health and Human Services Secretary Kathleen Sebelius said a public option is "not an essential element" of overhauling the health care system.

Why is President Obama so much more concerned with what Republicans want? It's a mystery!

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Oh, the Republicans have been having a field day with this mantra - that employers would shunt their employees into the public plan. But they're really upset for the same reason Sebelius mentioned as a positive: Job lock. Above all else, the Republican party stands for cheap, disposable labor with no rights or protections. God forbid you should have a public option - you could up and leave your job anytime you wanted!

In the meantime, a White House staffer sent this statement to health care activists late this afternoon:

Nothing has changed. POTUS has always said that what is essential is that health insurance reform must lower costs, ensure that there are affordable options for all Americans and increase choice and competition. He believes the public option is the best way to achieve those goals.

From This Week, with Jake Tapper:

TAPPER: OK, I'll -- I'll take that as a "yes" and then we'll move on. The president often -- and he did last night in Colorado -- says to the American people that, if they like their doctor, they can keep their doctor. If they like their insurance plan, they can keep their insurance plan. But according to the Congressional Budget Office, if a public plan, if a public option is introduced, at least 2 million Americans will be switched by their employer from a private plan to the public plan.

Now, that doesn't get into the whole issue of employers dropping health care coverage in general and all the people that will be added to the rolls, and I understand that. But how can the administration make the promise that if you like your insurance plan you can keep it, when CBO and other analysts estimate that some people will be switched from private to public?

SEBELIUS: Well, I think, Jake, if you -- if you think about a marketplace option and new plans being created in Toledo, Ohio, or in California or in Florida, the network of doctors is likely to be pretty identical. A lot of plans exist in the same marketplace, and doctors are part of a variety of networks. So the idea that you would keep your own doctor is highly likely.

The other thing about the -- the new marketplace is, I think, the president is eager to stabilize the employer marketplace. Small- business owners right now are dropping coverage because they can't any longer afford it. They can't stay in the market.

With the new tax incentives that are part of health reform, small-business owners would be encouraged to actually stabilize their insurance plans, to offer coverage to their employees. They'd have tax credits. They'd have some help for the low-income employees to be able to afford the coverage.

So I think, if anything, it wouldn't dismantle the present market. It would actually help to provide a more stable private marketplace, which right now serves 180 million Americans very well. People like those plans. They want to make sure that if they have employer-based coverage that they like, they can keep it. And this would actually encourage and help employers to stay in the market.

On the other hand, if you lose your job, right now you lose your coverage. And -- and the new reform plan would make sure that you had an affordable option even if you lost your job, if you wanted to go out on your own and start your new business, which lots of people want to do, you wouldn't lose your health coverage.

So it would have some choices for consumers to make so they wouldn't have the kind of job lock that we see now across America.

But she backs off on the public option on CNN's State of the Union today:

WASHINGTON (AP) - President Barack Obama's health secretary is suggesting the White House is ready to accept nonprofit insurance cooperatives instead of a government-run public option in a health overhaul plan. A Republican senator says that is worth looking at.

Health and Human Services Secretary Kathleen Sebelius says Obama still believes there should be choice and competition" in the health insurance market - but that a public option is "not the essential element."

Obama has been pressing for the government to run a health insurance organization to help cover the nation's nearly 50 million uninsured. But he had not seen a not-for-profit co-op as sufficient to offer consumers choice and competition that would bring down the costs of private insurance.

Sebelius spoke on CNN's "State of the Union."

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Health and Human Services Secretary Kathleen Sebelius told CNN's John King that insurance co-ops could work in place of a government insurance option. Sebelius said that there should be "choice and competition" but a public option was not "essential."

"I think what's important is choice and competition and I'm convinced at the end of the day, the plan will have both of those. But [a public option] is not the essential element," said Sebelius.

Newt advises Sarah (h/t Blue Gal. Click here for larger.)

Can you believe it? I'm actually looking forward to this morning's shows. No, not George Snufflupagus on This Week or William the Bloody on Fox News Sunday, but our very own Rachel Maddow is subbing for David Gregory is on the panel opposite Dick Armey on Meet the Press. Rachel has been relentless in the last couple of weeks on the astroturfing of FreedomWorks, so this promises to be a lot of fun. Around the dial, it's all about the health care reform bill, with HHS Sec. Kathleen Sebelius on This Week and State of the Union, Robert Gibbs on Face the Nation and executives from the AMA and AARP on Fox News Sunday. Arlen Specter will be on This Week, to share his take on the recent Town Hall shout fests. Fareed Zakaria will continue his interview Sec of State Hillary Clinton and you can bet her defensive responses in Africa will definitely be brought up.

ABC's "This Week" - Health and Human Services Secretary Kathleen Sebelius; Sens. Arlen Specter, D-Pa., and Orrin Hatch, R-Utah.

CBS' "Face the Nation" - White House press secretary Robert Gibbs; former Sen. Chuck Hagel, R-Neb.; former Rep. Lee Hamilton, D-Ind.

NBC's "Meet the Press" - FreedomWorks chairman and former Rep. Dick Armey, R-Texas; Sen. Tom Coburn, R-Okla.; former Sen. Tom Daschle, D-S.D.; R. Bruce Josten, executive vice president of the U.S. Chamber of Commerce; Rep. Charles Rangel, D-N.Y.; Gov. Bill Ritter, D-Colo.

NBC's "The Chris Matthews Show" - Panel: Rick Stengel, Trish Regan, John Heilemann, Kathleen Parker. Topics: Has the domestic "change" President Obama promised stalled? How has Woodstock in 1969 impacted the politics of the past forty years? Meter Questions: Will outspoken fringe players dominate GOP for the rest of Obama's term? YES: 9 NO: 3; If unemployment is still high next year, will Obama revise his tax proposals? YES: 11 NO: 1.

CNN's "State of the Union" - Sebelius; Sen. John Barrasso, R-Wyo.; Reps. Mike Ross, D-Ark., Tom Price, R-Ga., and Eddie Bernice Johnson, D-Texas.

CNN's "Fareed Zakaria GPS" - The first television interview with Michael Oren as Israel's new Ambassador to the United States. Plus, the Prime Minister of Kenya and an unusual event in Nairobi featuring Hillary Clinton and Fareed.

"Fox News Sunday" - Sens. Kent Conrad, D-N.D., and Richard Shelby, R-Ala.; J. James Rohack, president of the American Medical Association; John Rother, executive vice president for policy and strategy at AARP.

So, what's catching your eye this morning?

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Lawrence O'Donnell filling in for Ed Schultz asks Kathleen Sebelius about the astroturf protests that she and other politicians have been met with at these town hall meetings. Sebelius noted the similarities with other town hall meetings nation wide and the goal of those doing the shouting being just to disrupt the meetings and stop any meaningful discourse on health care reform.

Every Congressman who is going to hold a town hall meeting this month might want to take note of this diary at Daily KOS, and how one Congressman, Rep. Pete Visclosky managed to stop his town hall to turn into a mob scene.

We don't really know. But the draft of a GAO risk assessment says the decision was based on "unrepresentative accident scenarios," "outdated modeling" and "inadequate" information about the sites. Gee, I'm not feeling real good about that:

The Department of Homeland Security relied on a rushed, flawed study to justify its decision to locate a $700 million research facility for highly infectious pathogens in a tornado-prone section of Kansas, according to a government report.

The department's analysis was not "scientifically defensible" in concluding that it could safely handle dangerous animal diseases in Kansas -- or any other location on the U.S. mainland, according to a Government Accountability Office draft report obtained by The Washington Post. The GAO said DHS greatly underestimated the chance of accidental release and major contamination from such research, which has been conducted only on a remote island off the United States.

DHS staff members tried quietly last week to fend off a public airing of the facility's risks, agency correspondence shows. Department officials met privately with staff members of a congressional oversight subcommittee to try to convince them that the GAO report was unfair, and to urge them to forgo or postpone a hearing. But the House Energy and Commerce Committee's oversight and investigations subcommittee, chaired by Rep. Bart Stupak (D-Mich.), decided otherwise. It plans to hold a hearing Thursday on the risk analysis, according to two sources briefed on the plans.

The criticism of DHS's site selection comes as the proposed research lab, the National Bio and Agro-Defense Facility (NBAF), was expected to win construction funding in the congressional appropriations process.

"Drawing conclusions about relocating research with highly infectious exotic animal pathogens from questionable methodology could result in regrettable consequences," the GAO warned in its draft report. DHS's review was too "limited" and "inadequate" to decide that any mainland labs were safe, the report found. GAO officials declined to comment on the findings.

The new developments started another round of accusations that politics steered DHS's decision in January to build the proposed lab in Manhattan, Kan. Critics of the choice argue that a Kansas contingent of Republican Sens. Sam Brownback and Pat Roberts and then-Gov. Kathleen Sebelius, a Democrat, aggressively lobbied DHS to pick their state. Records show that a DHS undersecretary and his site selection committee met frequently with the senators, one of whom is a member of an appropriations subcommittee that helps set DHS funding.

What's a Sunday without another Bobble Head session.

Meet the Press: "White House senior adviser David Axelrod will discuss President Barack Obama's agenda with host David Gregory. From the other side of the aisle will be former Gov. Mitt Romney (R-Mass.) and Sen. Lindsey Graham (R-S.C.).

ABC's "This Week," David Axelrod along with Sen. Chuck Grassley (R-Iowa), a major player in the health care debate from his perch as ranking member of the Senate Finance Committee.

"Face the Nation" Mississippi Gov. Haley Barbour gives his first Sunday interview since succeeding Sanford as chairman of the Republican Governors Association last week. Also, the U.S. ambassador to the United Nations, Susan Rice, will sit down to provide her perspective on Iran, Iraq, North Korea and Afghanistan.

"Fox News Sunday." Health and Human Services Secretary Kathleen Sebelius and Senate Minority Leader Mitch McConnell (R-Ky.) debate health care reform. Army Gen. Ray Odierno, will give an assessment as American forces prepare to withdraw from major cities.

State of the Union" Gen. Ray Odierno along with Gov. Tim Pawlenty (R-Minn.) and BP Capital CEO T. Boone Pickens, the Texas oilman who's been pushing wind and natural gas as major power sources.

Please lend us your tips and comments...

You know, I'm not a Democrat to protect our politicians. As far as I'm concerned, they're little more than tools to execute the policies I support. But I know not everyone else feels that way, and that's why it really makes me furious to see them use people by promising one thing and delivering something completely different - you know, like this expensive mishmosh of a healthcare "reform."

The Kathleen Sebeliuses of the world, those timid souls who can be found out in the middle of the road hugging the center line with the rest of the road kill, can go take a flying leap if they think we're going to support backward thinking like this:

As lawmakers on Capitol Hill hammer out legislation to overhaul the nation's health care system this year, Health and Human Services Secretary Kathleen Sebelius says that a single-payer option is not on the table.

"This is not a trick. This is not single-payer," Sebelius told Steve Inskeep. She added: "That's not what anyone is talking about — mostly because the president feels strongly, as I do, that dismantling private health coverage for the 180 million Americans that have it, discouraging more employers from coming into the marketplace, is really the bad, you know, is a bad direction to go."

[...] Republicans have also raised the specter that a public option could evolve into a single-payer health care system where funding comes from one source — usually the government. The GOP says that such a system would lead to health care rationing and long delays in treatment.

Asked if the administration's program will be drafted specifically to prevent it from evolving into a single-payer plan, Sebelius says: "I think that's very much the case, and again, if you want anybody to convince people of that, talk to the single-payer proponents who are furious that the single-payer idea is not part of the discussion."

Sebelius says such concerns are unfounded because a single-payer plan is not under consideration, and these "draconian" scenarios have muddled the conversation over the president's proposal for a public option.

If Obama does, in fact, include language to prevent the public health plan from becoming a single-payer option, we might as well kiss this Democratic majority goodbye. Because, as history shows, given the choice between a fake Republican and a real one, people will pick the real one every time!

(You can let the Secretary know how you'd feel about that. HHS - 202-619-0257.

Better still, Democracy for America, Health Care for America Now and Open Left join Stand With Dr. Dean in a project to pin down the politicians on where they stand.

Send an email asking the following four questions:

Do you support a public healthcare option as part of healthcare reform?

If so, do you support a public healthcare option that is available on day one?

Do you support a public healthcare option that is national, available everywhere, and accountable to Congress?

Do you support a public healthcare option that can bargain for rates from providers and big drug companies?

The goal is to remove all hedges and dodges. We want to know where they stand on the public option.

Add your responses to the form at Stand With Dr. Dean.

Just try to remember: The AMA only represents a mere percentage of doctors. More doctors want single payer than don't. In the meantime, more on the proposed reform from Kathleen Sebelius:

As debate gets under way over Obama's initiative to revamp health care, Republican opposition has centered on one of the key pillars of the president's proposal: the so-called public option — a publicly funded insurance plan that would likely compete against private insurers.

A public health insurance plan, Sebelius said, will put pressure on private insurers to keep costs competitive. "And that's a good thing," she says. "I think that's a good thing for the American public. Medicare right now has lower overhead costs than private insurers."

Republicans argue that upward of 100 million Americans would opt out of private insurance in favor of a public plan if such a plan were available. That figure comes from a study by the Lewin Group, a consulting group owned by Ingenix, a subsidiary of UnitedHealth Group, but it is a selective representation of the study's findings.

Big surprise there, huh!

"The whole idea of the public option has been difficult, in part, because some of the opposition has described it as a potential for a, you know, draconian scenario that was never part of the discussion in the first place," Sebelius says. "So, disabusing people of what is not going to happen is often difficult, because there's no tangible way to do that."

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I actually found a pretty good segment on TV: Kathleen Sebelius, the Secretary of Health and Human Services was excellent today on CNN's State of the Union. She spoke clearly and effectively of the importance that there be a public option available for health care to all Americans. No Luntz talking points, just straight talk about how the public option will benefit Americans.

SEBELIUS: Well, I think that competition is a good thing, that most Americans understand that choice and competition is what we want. So, if you look at a health exchange, a marketplace, where people can have some options -- in many parts of the country, private insurers have no competitor, in -- in a state like my own home state of Kansas. There is a dominant insurance company in a lot of the states.

So, we created a public option for state employees, so they could choose side by side benefits and prices. Competition is good. You can write the rules for a level playing field.

The president does not want to dismantle privately-owned plans. He doesn't want the 180 million people who have employer coverage to lose that coverage. He wants to strengthen the marketplace.

But, you know, I -- I don't think it's a big surprise that a lot of insurers say, you know, what we would really like is, everybody who doesn't have insurance to be told they must buy it, and buy it only from us.

The president feels that having a public option side by side, same playing field, same rules, will give Americans choice and will help lower costs for everybody. And that's a good thing

.
Wow, who would have thought that Insurance companies would be against a public option. She beat back the "trigger" that many HICers want to try and put in place. She said that we can't afford to wait for some trigger to go off. The time is now to attack this problem.

KING: ...So, how about a trigger? How about you enact reforms that give the private insurance industry, maybe it's three years; maybe it's five years, and if, by then, they haven't lowered costs, they haven't brought the uninsured into the thing, then the government option would trigger and kick in then"? What's wrong with that?

SEBELIUS: Well, there are a lot of, now, specific ideas being discussed on Capitol Hill. And, certainly, the trigger is one of them.

But what Massachusetts found when they moved to insuring all citizens of the commonwealth is that, unless you address costs from the very first day, unless you have a system where cost control and cost lowering is one of the goals, you don't do so well. You -- you can bring everybody into the system, but the costs may rise.

So, I think having a public option from the outset, having the design, being competitive, and making sure there is some choice, making sure that consumers have a choice of plan, and, for the first time ever in the United States, making sure that insurers don't decide who gets covered -- if you got a preexisting condition, we want you in the marketplace, we want you and your family to be covered, and we want you to be able to go to a doctor of your choice and have preventive care and wellness care. That's part of reforming the system.

Goodbye to the "trigger effect." It won't work and it gives the health care industry a license to fleece us. And I loved what she said here.

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Fifty People, One Question--By the end of the day, what do you wish to have happen?

I have simple needs, I really do. I have no desire for a bigger home or a newer car. I don't want jewelry, designer clothes, a maid, or any other "keeping-up-with-the-Jones" status symbols. But sadly, the things that I do want seem far more unreachable than the possibility of getting those things. I want to see an honest debate in media over issues that concern Americans. Not pundit after pundit asserting some opinion as fact or some politico drumming up some stupid strawman that never gets questioned by the purported journalist hosting the show. We're at it again this week, with the ongoing topic of Sonia Sotomayor's nomination, Iran's election and health care reform topping the list. Perhaps rather than focusing on the crooks and liars in the media, we should start a blog of moments of honest debate...nah, there'd be next to no content.

ABC’s “This Week” - Kathleen Sebelius, Mitt Romney. Roundtable: Ron Brownstein, Kimberly Strassel, Donna Brazile, George Will.

CBS’s “Face the Nation” Sen. Mitch McConnell, Sen. Dick Durbin

NBC’s “Meet the Press” – Vice President Joe Biden. Roundtable: Joe Scarborough, Mike Murphy

NBC’s “The Chris Matthews Show” – Panel: Katty Kay, Claire Shipman, Helene Cooper, Norah O’Donnell. Topics: Why is Obama a more elusive target for Republicans than Bill Clinton was? Why do women report higher job satisfaction even if they are paid less? Meter Questions: Will President Obama's policies be a riper target than his personality for Republican critics? YES: 12 NO: 0; Will Senate Republicans attack Sonia Sotomayor as a liberal or show deference to her? YES: 10 NO: 2

CNN’s “State of the Union” - Kathleen Sebelius, James Carville and Mary Matalin, Sen. Ben Nelson, Sen. Susan Collins, Sen. Kent Conrad

CNN’s “Reliable Sources” - ABC News President David Westin on "The New Normal" -- a network-wide series devoted to what life will be like after the recession ends.

CNN’s “Fareed Zakaria GPS” - This week, the big story is the Iranian elections. What should the world expect from Iran? What will the outcome mean for Iran's relations with the U.S. and the rest of the world? And can real reform come to Iran?

“Fox News Sunday” - Sens. Chris Dodd and Charles Grassley. Thomas Donahue, the head of the Chamber of Commerce.

So, what's catching your eye this morning?

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The media and conservatives are going to be falling all over themselves today to claim that Sunday's murder of Dr. George Tiller was an "isolated incident."

Never mind, of course, that the killer -- one Scott Roeder -- was formerly a Freemen who was arrested in the 1990s for possessing bomb parts. Never mind that he was someone who had been filling his head with far-right propaganda for decades.

And never mind that Dr. Tiller was made into a national cause celebre, accused of "executing babies" by none other than Bill O'Reilly and the crew of far-right transmitters at Fox News.

No connection there, folks! Move along, move along.

Three years ago, O'Reilly and his ambush-crew specialist, Jesse Watters, went hard after Tiller, accusing him of wantonly murdering babies because he performs late-term abortions:

Bill summarized in a heartfelt Talking Points Memo on Friday, November 10th: "If we as a society allow an undefined mental health exception in late-term abortions, then babies can be killed for almost any reason... This is the kind of stuff that happened in Mao's China and Hitler's Germany and Stalin's Soviet Union... If we allow this, America will no longer be a noble nation... If we allow Dr. George Tiller and his acolytes to continue, we can no longer pass judgment on any behavior by anybody."

Including, evidently, murderous extremists. And, as you can see in the video above (from 2006), O'Reilly similarly accused anyone who refused to buy into his accusation of coddling killers:

I don’t care what you think. We have incontrovertible evidence that this man is executing babies about to be born because the woman is depressed…if you don’t believe me, I don’t care…You are OK with Dr. Tiller executing babies about to be born because the mother says she’s depressed.

O'Reilly later attacked Kathleen Sebelius for her refusal to prosecute Tiller. And he kept it up. As recently as this spring he again spent a segment excoriating Tiller as a murderer.

Priscilla at Newshounds ran through the file in March:

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