About 'united health care part d'|.... But I don't care. I know there are a lot...then don't pay. We're happy to part as friends and return...EVER not happy with our work, we'd simply like to part as ...
Democrats in Congress are debating about what the next best step is concerning health care reform. Most people in the United States would agree that health care reform is needed to both reel in costs, as well as to help provide health care for people who do not have it. For many different reasons, partly due to conservative attacks on the current proposal as well as fear about choice of doctors, the current health care reform bill, or actually bills, have become unpopular with the American public. However, Democrats want to pass a bill both for their political survival, as well as to help more people obtain health care insurance coverage in addition to reigning in unfair insurance company practices. What seemed like an unnecessarily drawn out process that would quietly in January or early February as the House and Senate versions are reconciled has been torpedo by the "Shot the heard around the world" which erased democrats filibuster proof majority in the Senate, and even more so turned the election into a de facto national referendum for health care. There are a number of options available: The House Could Pass the Senate's Version of Health Care Reform A seemingly simple alternative would be for the House to pass the Senate's version of the bill, and then to later work out any kinks in the legislation once the bulk of it is passed. This makes sense as passing a new health care bill in the Senate would be more difficult now that Scott Brown has been elected to replace Ted Kennedy, and specifically because he was elected in part based on a promise to vote against health care legislation. However, CNN has reported that many House democrats are opposed to passing the Senate's version of the bill. The Senate's version is more conservative than the House's version of the bill, and does not sit well with more liberal democrats. This is due in part to a tax on so-called "Cadillac health care plans" which are in reality popular with many middle-class democrats, as well as restrictions on abortions that may actually be more liberal than what some house democrats want. The House would prefer taxing the top wage earners to pay for health care reform. Piecemeal Passage Possible One possibility is that the House and Senate could work together to pass a smaller series of pieces of legislation which are health care reform, but of course not as sweeping as how the original health care legislation was envisioned. These smaller measures, presumably, would be more popular with democrats and some republicans, and would include measures such as ending health insurance rejection due to pre-existing conditions, as well as closing the "dounut hole" in paying for prescription drugs. It may be possible to pass such smaller pieces of legislation with limited republican support in the Senate, such as with the support of a moderate republican like Olympia Snowe from Maine. Going Nuclear? The so-called nuclear option involves using the legislative process of reconciliation to pass some sort of health care legislation by reconciling the two bills, House and Senate bills, to a piece of legislation that can pass under reconciliation rules, which is normally used to pass tax cuts as only items related in a specific manner to the budget can be changed. I am no expert on the reconciliation process, but it does require only a simple majority in the Senate, or 51 votes, meaning that Scott Brown's 41st vote couldn't block its passage. Although I don't think that this is the option that the democratic leaders of Congress will take, I think it would be the option that would most make sense politically. Instead of caving to Scott Brown's win and admitting, in essence, that the health care legislation was flawed, if Senate and House democrats utilized reconciliation to pass something then voters would note their gutsy move in the face of pressure. While health care reform is unpopular now, its popularity may rise after its passage and democrats could crow during the 2010 elections how they stood up to big business interests for the little guy. Canary in the Mine, Health Care Reform Dead For Now Many democrats may view Scott Brown's win as the canary in the mine which signals that democrats are somehow "off track" with regards to health care reform. His election may have derailed the massive and far reaching health care reform that progressive have dreamed about for generations. Because of his victory, health care reform may not be passed this year and instead go to committee indefinitely, or where bills go to die. Sources: http://www.cnn.com/2010/POLITICS/01/20/house.democrats.health.care/ |
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