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Face it, GOP Doesn't Really Matter When It Comes to Health Care

by: David Lightman   |  McClatchy Newspapers

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Olympia Snowe (right) may wind up as the only Republican to back the Democratic health care plan. (Photo: vår resa / flickr)

    Washington - Do Republicans matter as Congress digs more deeply into the details of writing health care legislation?

    Probably not.

    The Senate Finance Committee will resume its deliberations Tuesday, when it's expected to consider whether the government should create a "public option" to compete with the private sector, as well as other issues.

    The chances are good that the committee will approve key provisions with few, if any, Republican votes.

    Nevertheless, Democratic leaders continue to talk about a yen for bipartisanship, if only because near-unanimous Republican opposition to a final health care bill could create political problems for Democrats next year.

    So far, Democrats seem to be courting only one Republican on the committee, Olympia Snowe of Maine. Their leaders have offered her lavish praise.

    "I especially applaud Olympia Snowe today for her, I think, brilliant statement. It was in keeping with how she legislates," Senate Majority Leader Harry Reid, D-Nev., told reporters after Snowe gave her opening statement.

    However, it also may have been telling that Reid's tone changed dramatically a few minutes later when he discussed other Republicans.

    "Despite all our efforts to reach across the aisle, Republicans have chosen not to be part of the discussion," he said. "They want, obviously, to maintain the status quo."

    Translation: Reid would like Republican support, but he's prepared to proceed without it.

    His task became somewhat easier Friday, when Sen. Paul Kirk, D-Mass., was sworn in to replace the late Sen. Edward Kennedy, meaning that Democrats once again control 60 Senate seats, enough to overcome procedural hurdles.

    A Republican or two is insurance against a renegade Democrat, or one who's unable to vote. (For instance, Sen. Robert Byrd, D-W.Va., has missed votes all year because of illness.) Because of a rules change in the Senate, however, after Oct. 15 it will take only 51 votes to proceed, making Republican support even less valuable.

    In the House of Representatives, where Democrats have a 79-seat majority, Republicans hardly seem to matter. Although the Blue Dog Coalition, a group of 52 conservative Democrats, has expressed concern about health care's cost and a government-run option, Democrats need to hold only 14 of them to retain a majority.

    Republicans say that they're seen but not heard.

    "I'm not aware of any formal or informal effort by the Democratic leadership in the House to engage Republicans in the formation of health care legislation," said House Republican Conference Chairman Mike Pence, R-Ind.

    The Senate is a different matter, and not just for procedural reasons. President Barack Obama would love to label health care a bipartisan effort, and having Snowe and perhaps others who've worked closely with Democrats in the past would allow him to do that.

    Finance Committee Chairman Max Baucus, D-Mont., spent months negotiating with Snowe and Sens. Charles Grassley, R-Iowa, and Michael Enzi, R-Wyo., on health care.

    The talks broke down, and Grassley, who's worked closely with Democrats on the Finance Committee for years, concluded that this time, Democrats weren't interested in compromise.

    "It seems that the White House and the leadership, from the beginning, were never really going to give it time to do it right," Grassley said Tuesday in his opening statement. "We could get no assurances that the Democratic leadership or the White House would have backed a bipartisan effort, after it left this committee, and that was a big concern on my side of the aisle over a long period of time."

    Baucus disagreed.

    "My door's always open. I just hope - believe - we can find a way where you and others can be part of this moment in history where we finally enact health care reform for America. I deeply appreciate the manner in which we have been operating together, Senator."

    Some of the other usual Republican moderates also were wary. "I am opposed to the Baucus bill because of the fiscal ramifications," Sen. George Voinovich, R-Ohio, said flatly.

    Sen. Orrin Hatch of Utah, who's worked on a number of bipartisan health care measures, saw little hope for true Republican input. He and other Republicans found too many important schisms. Senate Republican leader Mitch McConnell of Kentucky set the tone Friday, calling Baucus' bill a "trillion-dollar experiment (that) cuts Medicare, raises taxes and threatens the health care choices that millions of Americans enjoy."

    Snowe has a somewhat different constituency and agenda from most congressional Republicans. The veteran Maine senator is one of the few remaining moderate Republicans, one of three who sided with Obama earlier this year to help him pass his economic stimulus plan.

    She called Baucus' plan "a solid starting point," and praised some of the small business provisions, notably a change that would exempt many from mandatory insurance requirements. She also welcomed the creation of health insurance exchanges, in which many consumers could shop for lower-cost policies, as a "powerful" change.

    After she made those points in the committee this week, Baucus told her that he "deeply appreciated" her remarks.

    Snowe could wind up as the only Republican who's backing the Democratic health care plan, said Mark Brewer, an associate professor of political science at the University of Maine.

    "She's had that independent streak throughout her career," he said, and any worry about being an outcast is balanced by a constituency that wants changes in the health care system, and that re-elected her in 2006 for a third term with 74 percent of the vote.

    However, Hatch said, getting only one or two Republican senators to vote for a Democratic-authored plan "would not be bipartisanship," and that would mean that Democrats are taking a risk. Going into the 2010 election cycle, a bill that passed with only one or two Republican votes could leave Democrats vulnerable if the new system proves unpopular.

    "You do want bipartisan support for something as sensitive and sweeping as this," said Sen. Ben Nelson, D-Neb. "It adds to its legitimacy."

  

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Comments

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Why are the Democrats so

Why are the Democrats so tentative? Of course the Republicans are going to scream. So what? Getting this country off of its duff and tinkering with 1/6 of the GDP is going to make some folks unhappy. It's still got to be done and there is a mandate to do so. I never thought I'd hear myself say that I wish LBJ were leading this fight. But, I do.

"The GOP doesn't really

"The GOP doesn't really matter" --- Yeah, that's because all the Democrats are bought well enough.

For years, easy credit

For years, easy credit masked the fact that the average American's real after tax income was declining. Now the credit bubble has popped and many workers are struggling to pay for even basic needs like food and shelter. In this situation it's not surprising that a politically-connected industry like the health insurers would attempt to make the purchase of their product mandatory. Without the health insurance mandate they might actually have to lower premiums to match worker's declining incomes - a step that would hurt their profit margins. If the Democrats go along with this insurance industry scheme and pass a mandate without a public option, they will be voted out of office in a landslide in 2010 and 2012.

Lost in the debate is the

Lost in the debate is the quality of the treatments themselves - we have some very fancy and elaborate treatments that are of the worst quality in this country - why? It is because of the profound conflicts of interest that permeate the FDA, which is an instrument of the pharmaceutical companies. We have wildly expensive, invasive, toxic, disfiguring, ineffective treatments while far superior natural alternatives work - treatments and prevention for everything from hypertension, cancer, diabetes, autoimmune disease, heart disease, thyroid and other endocrine disorders - these are scrubbed from the curricula of all medical schools in the US, which are largely controlled by the for profit hospitals and pharmaceuticals - it is the wild west in medicine here and buyer beware - while we argue about who's going to pay, the question would better be 'for what'?

Cheaper health insurance

Cheaper health insurance policies yield less benefits. Look at the competitive car insurance companies for proof. Hmnnn...public option car and life insurance? Nahhh....

Up front: we need health

Up front: we need health care reform that includes a public option. What's disappointing in all this is that the Republicans who got elected by fear-mongering have only upped the ante. Their base is disappearing. They risk becoming irrelevant. What we need is rational, conservative input. But we also need courage and cooperation. So what do we get? "You Lie!" idiocy in the Congress. Let them have the mullet vote. The rest of us voted for change. Mr. President, please provide it.

If the blue dogs are going

If the blue dogs are going to shackle us to the insurance companies, we should at least try for "profit amelioration" (how's that for a euphemism meaning "price control?") instead of letting them maximize their profits.

I am sick to death of the

I am sick to death of the Democrats' effort to fight for bipartisan support for a healthcare bill. Of course it would be ideal if we could have it, but that's not the reality. When Republicans were in power, Reagan and both Bushes vetoed every bill that the Democrats sent to them. Obama has that power now and he should use it. He tried everything he could to get the opposition to support him and it didn't work. I admire his efforts, but taking the high road will never work with the average Republican. He gave them an opportunity and they blew it, and will continue to do so because of the whiny, selfish, spoiled, emotionally two-year-old brats that they are. If they send the president a bill with no public option, Obama should veto it, period. The Republicans may hate him, but the public won't, and they voted for him to give them affordable health care.

What "Health Care Choices"

What "Health Care Choices" do I really have? I have a good, expensive insurance policy that is incomprehensible and I know that they can choose to not pay for problems if they want to do so. I have no pre-existing conditions, low blood pressure, great health, etc. I do NOT feel safe nor do I trust any of those "caring executives" to honor their contract, feeling they can drop me at any time. --- We have NO Safety Net here in America for people who get sick. We need to feel like getting sick is not the toll of the bell of death, and that health care is there for us.

Endless game and endless

Endless game and endless love with the big money. The Democrats use the Republicans as a scapegoat for their incompetence and disloyalty with the people who voted for “Change”. The Republicans also blame the Democrats for doing nothing when they are in power. Well, not quite. They make wars, with Democrat’s support. This reality show entertains and irks people but everybody go back and vote and vote for the same corrupted politicians, who enrich themselves misleading people. The only change after an election are the recipients of money. What did you say? Change? Man, what’s that?

The old choice between guns

The old choice between guns and butter has been upped--or lowered ethically--to killing or curing. Where funding by Congress is concerned death-dealing has garnered its billions (including "deficit dollars") far more readily than life-preserving, aka medical care. Other capitalist nations realize that a healthy citizenry makes a better environment for all; why are the Republicans, backed by fundamentalists, so determined to keep us poor and sick as well as "barefoot and pregnant"?

Vote Green, forget

Vote Green, forget republocrats.

Sorry, the Republicans can

Sorry, the Republicans can cry havoc as long as they want, but I remember how many times they kept votes open for far more than usual lengths of time so they could twist arms in their own party in order to get their way from 2001 until 2008. Tough for them. It's true, Democrats need to worry next year, but I suspect a lot of people like me are only inspired to work twice as hard next year, and I'll tell anybody who doubts me.

I guess the opinions of the

I guess the opinions of the MAJORITY of the voters, regardless of party affiliation, is of no consequence as long as you liberals get your way. Wake up... you voted an empty suit into office - one with no experience leading anything or running any kind of business (not even a lemonade stand) - who is just like you: lots of talk but no ability to plan or implement. So far, he has done exactly the opposite of what needed to be done to end the recession and establish a beneficial foreign policy. He is backed in Congress by a House speaker who cannot even spell reality and has surrounded himself with tax dodgers. lobbyists, and others who have no clue how to lead nor any qualifications in the area in which he has placed them. Obama is bordering on dereliction of duty and near qualification for impeachment. If he continues, and a conservative congress is elected in 2010, impeachment may be on his horizon. At this point in time, re-election sure isn't.