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Kill (the) Bill, Pt 2 (aka: I Want My Pony)
Author: BobR    Date: 12/18/2009 13:42:28

In Wednesday's blog, I pointed out the absurdity of "kill the bill and start over" mantra, because - realistically - there will be no starting over, and even if there was - what makes anyone think it would turn out differently? The Republicans want to kill the bill because they're against everything the Dems do, and those on the left want to kill it because it doesn't have [insert pet priority here]. I have to wonder if creative thinking and long-range thinking have been replaced with stubbornness and instant gratification?...

Is it a great bill?... even a good bill?.. No. It is a watered-down mediocre bill. Is it better than nothing? Of course it is:
I can get very stirred up by all of that. But I can also say this: The core provisions of the Senate bill -- expanding coverage to perhaps 30 million people; doing away with insurance company discrimination against those with preexisting conditions, preventing them from cruelly throwing the insured who suddenly need coverage off the rolls, and abolishing caps on insurance coverage (caps would seem to be the opposite of insurance) -- those are important accomplishments.

Another take:
What is in the Senate bill that is worth passing? A lot. I have blogged previously about elements of the House and Senate bills that will help a lot of Americans. I am pleading with my fellow progressives to first read the whole bill before you go over the cliff with Dr. Dean. If you read the whole bill, I think you cannot help but see the good that it will do. 1) Expand Medicaid 2) Train more physicians and nurses 3) Help young adults stay on their parents' plans until they are 26 4) Remove the discriminatory practices of the insurance industry related to pre-existing conditions and 5) Reform the way Medicare pays providers so that payment is related to outcomes not just volume. And I could go on. Major economists like Dr. Alan Garber of Stanford University and others have supported the cost containment in the Senate bill, while urging even more reform.

Yet another:
From any kind of progressive point of view it's hard to see how you could seriously argue that the current bill is a net harm. Sure, it makes compromises to powerful interests that are hard to swallow. But that's why they're called powerful interests: because they can kill your legislative priorities if you don't assuage them. In return, though, the Senate bill brings down insurance rates, expands Medicaid, offers the prospect of moderately priced insurance to tens of millions of the uninsured, forces insurers to take you on even if you have a chronic pre-existing condition, mandates minimum levels of coverage, and takes several small but important steps toward reducing the future growth of healthcare costs. That's an enormous advance for the progressive agenda.

(bold-face mine)

Notice the highlighted phrase: several small but important steps... I - like my fellow liberals - are bitterly disappointed that this bill doesn't do more. But I am pragmatic enough to know that Rome wasn't built in a day, and neither will a working comprehensive health care system in the United States. Incremental reform is still reform, and lays the groundwork for future changes. To use baseball terms, it's better to hit 4 singles and score a run than to strike out with a home-run swing. So we get to first base this time... sure we'd like a home run, but a single is better than missed home run swing (aka: killing the bill). Even Howard Dean is backing away from his "kill the bill" position (although - like the "Dean Scream", once he let it out of the bottle, there's no getting it back in).

Some people say it's a giveaway to insurance companies - yet the insurance companies still oppose the bill. Why? Because it contains several steps toward regulating them. It seems some people want the insurance companies to suffer in a schadenfreud-like display worthy of the Republicans' obsession with punishment. I just want them to serve their customers and provide the service they're contracted to do.

Some people are upset that there's no provision for importing cheaper drugs from Canada. Do these people realize that the reason the drugs are cheaper in Canada is because they are subsidized by the Canadian government? Do we really want a program that essentially steals tax dollars from Canada?

The options at this point are to "kill the bill" and go with the House bill (and the Stupak amendment), get a bill out using the double-edged sword of budget reconciliation (where non-budget-related items could be removed by Republicans), or get the weak bill out, and merge it's best parts with the House bill in committee. That last option seems like the best strategic move to me. This would be particularly nice if the abortion coverage in the Senate bill was less draconian than the Stupak amendment; it could replace that amendment in the House bill.

The bottom line is: There are good strategic reasons to get a bill out of the Senate, even a weak bill. It will NOT be the final bill that gets voted on (and only needs a simple majority to pass) after the merging with the House bill. I understand why Harry Reid and other leaders in the Senate aren't articulating this - it would make it even harder for them to get the bill out, although I'm sure that all of the Senators involved know this.

We on the left just need to stop crying that we're not getting our pony. This bill gets us part of the way there, and the bill that ends up getting passed by both Houses and ends up on Obama's desk will likely take us even further. Patience people - this is all part of the process...

 

41 comments (Latest Comment: 12/19/2009 05:51:56 by Al from WV)
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Comment by velveeta jones on 12/18/2009 14:04:52
Morning all.



We got a metric buttload of snow!



I am leaning towards killing the bill and starting over. Yes, I know all the consequences, but I am hoping - perhaps naively - that if it totally fails it will light a fire under more peoples asses that we need to FIGHT. (And get rid of the loser dems).



Comment by wickedpam on 12/18/2009 14:10:00
Morning



Damn your snow! It's coming our way and I'm not done my shopping!

Comment by Raine on 12/18/2009 14:18:45
Snow?



aww crap.

Comment by Scoopster on 12/18/2009 14:19:16
Morning all, welcome back, and happy Fridee!



After doing some thinking and after listening to a segment on today's Morning Edition, I've realized something that was known but not widely discussed.. we do still have some time to make other changes to supplement this year's efforts. Namely, we have two election cycles to get a better crop of Senators in there.

Comment by Scoopster on 12/18/2009 14:20:45
Quote by Raine:

Snow?



aww crap.


It's 'sposed to start snowing up this way sometime tomorrow afternoon.. and I've only done my shopping so far for Blogger Joe!

Comment by BobR on 12/18/2009 14:29:27
Quote by velveeta jones:

Morning all.



We got a metric buttload of snow!



I am leaning towards killing the bill and starting over. Yes, I know all the consequences, but I am hoping - perhaps naively - that if it totally fails it will light a fire under more peoples asses that we need to FIGHT. (And get rid of the loser dems).



When are the loser Dems up for re-election? That's the soonest "we" can get rid of them (and that's a dicey proposition). I'd rather not wait for that. I'd rather get what we can now to lay a groundwork, and then - if we get a better set of Senators in the next election(s) - let them enhance the laws with more incremental bills.



Comment by wickedpam on 12/18/2009 14:30:07
jeez how did I forget how to add fractions!

Comment by wickedpam on 12/18/2009 14:31:30
Quote by Raine:

Snow?



aww crap.






darling have you not been watching the weather? Topper Shutt has been doing the snow dance for a week now

Comment by wickedpam on 12/18/2009 14:32:42
Quote by Scoopster:

Quote by Raine:

Snow?



aww crap.


It's 'sposed to start snowing up this way sometime tomorrow afternoon.. and I've only done my shopping so far for Blogger Joe!






here it's supposed to start around midnight - I have tons to do today alone - which includes going to a friends viewing

Comment by wickedpam on 12/18/2009 14:36:11
Quote by BobR:

Quote by velveeta jones:

Morning all.



We got a metric buttload of snow!



I am leaning towards killing the bill and starting over. Yes, I know all the consequences, but I am hoping - perhaps naively - that if it totally fails it will light a fire under more peoples asses that we need to FIGHT. (And get rid of the loser dems).



When are the loser Dems up for re-election? That's the soonest "we" can get rid of them (and that's a dicey proposition). I'd rather not wait for that. I'd rather get what we can now to lay a groundwork, and then - if we get a better set of Senators in the next election(s) - let them enhance the laws with more incremental bills.







As much as I hate this bill and would like to start over with something better, I have to say I'm FOR gettting the first layer of groundwork in.



I have a friend who's working on her writing empire and refers to every converstation or networking activity (including FB and Twitter) as building her Lego empire one brick at a time.



That's what we have to do - right now we just have to get that green lego platform thing in place

Comment by BobR on 12/18/2009 14:42:50
Quote by wickedpam:

Quote by Raine:

Snow?



aww crap.






darling have you not been watching the weather? Topper Shutt has been doing the snow dance for a week now


We haven't been watching the local news. I just checked the weather page and we're supposed to be getting 8-12 inches tomorrow!!



But it looks like it will be even heavier in Velveeta's area, so stay safe VJ!! (and Auntie)

Comment by wickedpam on 12/18/2009 14:45:14
Quote by BobR:

Quote by wickedpam:

Quote by Raine:

Snow?



aww crap.






darling have you not been watching the weather? Topper Shutt has been doing the snow dance for a week now


We haven't been watching the local news. I just checked the weather page and we're supposed to be getting 8-12 inches tomorrow!!



But it looks like it will be even heavier in Velveeta's area, so stay safe VJ!! (and Auntie)






I'm hoping it moves into the ocean rather then later so we get less though - I can't deal with a paniking mom for 24hrs

Comment by Al from WV on 12/18/2009 15:18:43
yup, and I gotta work until midnight or later tonight....



oh boy...

Comment by BobR on 12/18/2009 15:20:54
Quote by Al from WV:

yup, and I gotta work until midnight or later tonight....



oh boy...


Drive carefully!

Comment by wickedpam on 12/18/2009 15:27:37
Quote by Al from WV:

yup, and I gotta work until midnight or later tonight....



oh boy...






be careful driving home!

Comment by wickedpam on 12/18/2009 15:28:38
very nice

Comment by Raine on 12/18/2009 15:29:27
Quote by Al from WV:

yup, and I gotta work until midnight or later tonight....



oh boy...


oh man. How far is the place from work?



Comment by Scoopster on 12/18/2009 15:41:35
Quote by BobR:

Quote by velveeta jones:

Morning all.



We got a metric buttload of snow!



I am leaning towards killing the bill and starting over. Yes, I know all the consequences, but I am hoping - perhaps naively - that if it totally fails it will light a fire under more peoples asses that we need to FIGHT. (And get rid of the loser dems).



When are the loser Dems up for re-election? That's the soonest "we" can get rid of them (and that's a dicey proposition). I'd rather not wait for that. I'd rather get what we can now to lay a groundwork, and then - if we get a better set of Senators in the next election(s) - let them enhance the laws with more incremental bills.


Well, aside from the special elections in NY & MA, there's open seats all over the place (NH, IL, OH, DE, MO, KS, KY, FL).. Only real loser I see so far in 2010 in Blanche Lincoln, tho she hasn't been at the forefront of this whole mess. Bennet in CO is vulnerable, but so are Thune and maybe Vitter & Burr on the other side. We could pick up as many as five seats if we do really well, but it'll likely end up being two or three.



2012 is still a long way off at this point. Lots of older senators who could decide to seek other office, retire or even pass away. Hutchinson's already quitting. But the key in this class is getting rid of Lieberman, and if we can manage it the two Nelsons.

Comment by Al from WV on 12/18/2009 15:50:42
Quote by Raine:

Quote by Al from WV:

yup, and I gotta work until midnight or later tonight....



oh boy...


oh man. How far is the place from work?



my place?? 15 miles, over to N. Capitol St from WNY, then up to Ga Ave at the MD line, then up to Wheaton.



If it gets too bad, I'll sleep in the office, and go home when the sun gets up good tomorrow morning.

Comment by BobR on 12/18/2009 16:03:23
Quote by Al from WV:

Quote by Raine:

Quote by Al from WV:

yup, and I gotta work until midnight or later tonight....



oh boy...


oh man. How far is the place from work?



my place?? 15 miles, over to N. Capitol St from WNY, then up to Ga Ave at the MD line, then up to Wheaton.



If it gets too bad, I'll sleep in the office, and go home when the sun gets up good tomorrow morning.


It's supposed to snow most of the day tomorrow.

Comment by Raine on 12/18/2009 16:03:23
Quote by Al from WV:

Quote by Raine:

Quote by Al from WV:

yup, and I gotta work until midnight or later tonight....



oh boy...


oh man. How far is the place from work?



my place?? 15 miles, over to N. Capitol St from WNY, then up to Ga Ave at the MD line, then up to Wheaton.



If it gets too bad, I'll sleep in the office, and go home when the sun gets up good tomorrow morning.


Damn -- I was at least hoping you could take mass transit. If you want, you have a place here.

Comment by livingonli on 12/18/2009 16:28:12
Good morning everyone.



Don't remind me about the snow. It's supposed to hit here tomorrow night and I am so not looking forward to it and being closer to work it's going to be harder for me to use getting plowed in as a copout. At least I am not stuck on a dead end street like before and I am closer to my job.

Comment by wickedpam on 12/18/2009 16:37:52
off to run part 1 of todays errands

Comment by livingonli on 12/18/2009 16:44:24
Have fun. Looks like I will have to get boots.

Comment by TriSec on 12/18/2009 17:06:57
Howdy folks!



SEIU no longer supports the crappy Senate bill, and based on a recommendation from Brother TriSec, I called Kerry's office yesterday to urge him to vote no.



I'm sorry; it's the mandate that's a deal-breaker for me, and Keith was talking about that last night and what Candidate Obama said. What changed for President Obama?



Good luck to the DC wing of the blog; it sucks down there with two inches of snow, what are you going to do with two feet?





Comment by livingonli on 12/18/2009 17:20:18
Quote by TriSec:

Howdy folks!



SEIU no longer supports the crappy Senate bill, and based on a recommendation from Brother TriSec, I called Kerry's office yesterday to urge him to vote no.



I'm sorry; it's the mandate that's a deal-breaker for me, and Keith was talking about that last night and what Candidate Obama said. What changed for President Obama?



Good luck to the DC wing of the blog; it sucks down there with two inches of snow, what are you going to do with two feet?





I have a feeling that the watering down that was down to appease the Conservadems and Lieberman means that this bill has turned to me into a national version of Romney care with only a few bones of health care reform. Maybe we can pass real reform through reconciliation so we can tell the obstructers and people who want business as usual to go fuck themselves..

Comment by BobR on 12/18/2009 18:39:17
Quote by TriSec:

Howdy folks!



SEIU no longer supports the crappy Senate bill, and based on a recommendation from Brother TriSec, I called Kerry's office yesterday to urge him to vote no.



I'm sorry; it's the mandate that's a deal-breaker for me, and Keith was talking about that last night and what Candidate Obama said. What changed for President Obama?



Good luck to the DC wing of the blog; it sucks down there with two inches of snow, what are you going to do with two feet?





My thought (as I stated in the blog) is that no matter what the Senate comes up with, it still needs to be merged with the House bill. That merger process can fix a lot of things.

Comment by Raine on 12/18/2009 18:56:58
Quote by TriSec:

Howdy folks!



SEIU no longer supports the crappy Senate bill, and based on a recommendation from Brother TriSec, I called Kerry's office yesterday to urge him to vote no.



I'm sorry; it's the mandate that's a deal-breaker for me, and Keith was talking about that last night and what Candidate Obama said. What changed for President Obama?



Good luck to the DC wing of the blog; it sucks down there with two inches of snow, what are you going to do with two feet?





It's my understanding that SEIU has pulled back support, but has not made a decsion until Harry Reid releases a bill after the CBO. They are not pleased, I know, but they have not pulled support.



from the Hill:
The SEIU executive board will hold what Lodes described as an "emergency" meeting Wednesday night to decide how to move forward. "Right now, they don't have the information they need to make this decision," said Lodes, who added that the SEIU informed the other organizations on Tuesday they would not be joining the press conference.



The board meeting likely will not produce a final determination by the union about whether to support advancing the Senate healthcare bill, which not only lacks a public option and the Medicare buy-in but also would levy an excise tax on so-called Cadillac health insurance plans that some union members have, Lodes said.



"We will not have an absolute decision coming," largely because Reid has not released the final language of the healthcare bill, she said.






Comment by clintster on 12/18/2009 19:15:36
Ah, finally done with the first semester of the year. Now I can concentrate on the season and everything that entails.



Hey, everybody!!!!



Comment by velveeta jones on 12/18/2009 19:17:31
Yep, Double metric buttload. YEOW! I'm not sure how deep it is 'cause I can't see outside. Thank God we still seem to have internet and electr

Comment by TriSec on 12/18/2009 20:09:05
Boing?





Comment by Raine on 12/18/2009 21:18:18
Quote by velveeta jones:

Yep, Double metric buttload. YEOW! I'm not sure how deep it is 'cause I can't see outside. Thank God we still seem to have internet and electr


EEP!!!

Comment by Raine on 12/18/2009 21:29:33
Comment by BobR on 12/18/2009 21:32:16
Quote by velveeta jones:

Yep, Double metric buttload. YEOW! I'm not sure how deep it is 'cause I can't see outside. Thank God we still seem to have internet and electr






Of course - if the electric had gone off, you wouldn't have been able to post the comment...

Comment by TriSec on 12/18/2009 21:35:09
hmpf. Blog seems a bit flaccid this afternoon.



I'm off to the Police Department tonight....taking my Cubbies to see the Coppers. Should be a fun evening.



I will resist the temptation to leave my troublemaker scouts in a small, barred room.



Their parents, however.....





Comment by Raine on 12/18/2009 21:56:09
Quote by TriSec:

hmpf. Blog seems a bit flaccid this afternoon.



I'm off to the Police Department tonight....taking my Cubbies to see the Coppers. Should be a fun evening.



I will resist the temptation to leave my troublemaker scouts in a small, barred room.



Their parents, however.....



Sorry, been busy finishing the cards...



and then I tried to take them to the UPS store to print -- That was such a mistake that I walked out. 89 cents for me to do ALL the work? hell no.



Staples tonite here I come!!

Comment by BobR on 12/19/2009 03:09:32
Let it snow, let it snow, let it snow...

Comment by Al from WV on 12/19/2009 03:36:05
Quote by velveeta jones:

Yep, Double metric buttload. YEOW! I'm not sure how deep it is 'cause I can't see outside. Thank God we still seem to have internet and electr


>>Gets out his official ex-Navy-engineering-guy MBTMD (Metric Butt Ton Measuring Device) and heads for Velveeta-ville, mumbling, "damn southern girls, get all excited when they see white stuff flying everywhere."

Comment by Raine on 12/19/2009 04:15:14
Heya Al -- how you doing there?

Comment by Al from WV on 12/19/2009 05:51:56
Quote by Raine:

Heya Al -- how you doing there?


this damned piece of Access/VB crap is almost as slow as the abacus when invented, and I'm trying to get it to produce .pdf files that nobody ever taught it to produce, and that in the middle of the night, and I'm not by any means a code slinger or a dB manager (in the IT sense), AND the certification of a submarine hangs on me getting it right.



At least it ain't boring.