Today, Kent Conrad (D-ND) basically declared the current Senate bill–with a plan to pass fixes using reconciliation–dead. Conrad said the only way forward is that the Senate bill must first pass completely unchanged in the House. There is simply not (nor will there be) the votes for that in the House. From TPM:
“The only way this works is for the House to pass the Senate bill and then, depending on what the package is, the reconciliation provision that moves first through the House and then comes here,” said Sen. Kent Conrad (D-ND) outside the upper chamber this morning. “That’s the only way that works.”
I pointed out that House leadership, including Speaker Nancy Pelosi, has repeatedly insisted they won’t take a flier on a reconciliation package–that they will only pass the Senate bill after the smaller side-car reconciliation bill has been all wrapped up.
“Fine, then it’s dead,” Conrad said.
I simply do not believe Nancy Pelosi can ever whip the votes to pass the current Senate bill unchanged. Even with a solemn promise from Democratic senators that they would support reconciliation, I don’t believe it is possible.
Voting on the Senate bill first would require House Democrats to vote for the Cornhusker kickback, the extremely toxic excise tax, and the Nelson abortion language that Bart Stupak has called unacceptable. That vote would be bad politics even if the reconciliation fix did happen later–and there is no reason to trust that it would. The House Democrats simply don’t–and shouldn’t–trust the Senate Democrats. Also, the reconciliation fixes Obama outlined are small, and unlikely to make the unpopular Senate bill any more popular.
If (and that is a big “if”) Conrad is correct and Pelosi is wrong, the Senate bill and reconciliation sidecar strategy are really dead. I can’t see them passing the House and Democrats need to switch to a plan B. It would seem Democrats’ best path forward is to pass a new clean, simple, easy to explain, reconciliation-only bill. Say, for example, just Medicaid/CHIP for all the uninsured below 200% FPL, and small business tax credits to help buy insurance. The only other option is to see what small bipartisan bills are out there and try to do a piece-by-piece approach.



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If Pelosi were serious & truely wanted to distinguish herself & the House Dems, she’d pass the Dorgan Amendment this week with a huge majority of Dems and send it over to the Senate. What do you think, think she’s serious or doing the same as the rest of our leaders – talk, talk, talk!
It’s shameful, just shameful.
Last Great American Whale
wtf? Will the b.s. never end?
Kent Conrad sounds trustworthy.
“The Undertaker”
Nice touch.
So, one way or another, we’re still on course to a huge corporate welfare program, with a pittance side dish of actual (means-tested) “welfare.”
Assuming the entire thing doesn’t go down in flames.
AND THE KILLIN’ GOEZ ON AND ON AND…
Citizen Jon Walker and the Firepup Freedom Fighters:
I think this may be a good thing especially right now just before the great photo-op tomorrow unless the fascists grab the narrative and make the discussion all about reconcilliation and process but I don’t think they can unless ObamaRahma let ‘em.
Obama and One Hung Harry could put the squeeze on this second rate conman from the insurance industry by way of North Dakota and Obama could use the Tiny Dancer to handle the brass knuckles and the back-stabbin…it seems to me that this is the last gasp of the Blue Dogs and if Obama caves in it curtains for all the flea-ridden currs AND Obama.
The only thing that could get Obama motivated to go after the right people in this fight is exactly this…I LOVE it!!
KEEP THE FAITH AND PASS THE AMMUNITION, BUT HOLD YOUR FIRE UNTIL THEY STOP SHOOTIN’ THEIR FEET OUT FROM UNDER THEMSELVES!!
“Fine. Then it’s dead.”
There’s good news.
Too bad Obama doesn’t have a really popular proposal like a public option and doesn’t have staff that knows how to rally tens or hundreds of thousands of people nearly every state. I bet even Rep. Boehner would lose his dayglow tan if faced with a large crowd demanding health care.
WTF?! Is he pretending he doesn’t know what’s in that steaming pile of Senate sh!t?
It fucking better be dead!
Wall Street owns the White House, which owns the Senate, which now demands complete subjugation of the will of the people to Class interest?
Look to Greece. France, Germany on what to do here.
The problem is Obama’s proposed sidecar sucks. It makes the individual mandate much more punitive plus some minor tweaks of dubious benefit. Why bother.
I must agree on optics. The American people are going to be like “why are you passing this sidecar? There is nothing in it why is it important?”
Chill man, do not dismay, like calm down, be cool.
I am everyman and I tripped over, stepped in, or more precisely accidentally discovered a tiny gas leak in the billing department of both my Health Services Foundation and University Health System. The leak has been going on for a long time and the people responsible for billing policy cannot smell it anymore. The have become ignorant of it’s presence.
Any person engaged with a city county or municipality Social Services Department, and is on Medicaid Spend Down(a requirement to document expenses applicable to his or her “Medicaid SPEND DOWN, when that is met the person qualifies for full Medicaid Coverage. “destitute beyond poor.”
Some of those people that are clients of their SS Dept., and are on Medicaid Spend Down are in EMINENT MEDICAID SPEND DOWN within 3 -6 months. if they were billed only once for a new service each month, rather than to keep billing for that service, the bill that must be sent to SS Dept to apply to MEDICAID SPEND DOWN. So each and every bill sent that repeats the previous new bill costs only $4.99 to process and send. Each bill after the first is nothing but absolutely pure an accidentally , by oversight and not recognizing a definite pattern and group set has cost the entire health care system a fair pile of cash. Enough in fact to enable
Free Universal Health Care for all Person Residing or visiting the USA EVEN the Undocumented, that is just who we are at our best.
I repeat ALREADY PAID FOR NOW. That sound impossable. NOT. For example
To find out more go to http://www.you gotta’bekiddin’menoI’mnot.org
If they want to kill the bill, let it die on floor with congress voting. They are paid to make hard choices, and to be elected/relected on those choices. That is why they are afraid of this bill. They do not want accountability.
This is bullshit and the House should tell Conrad to shove it. Unbelievable.
LOL – I bet he’s known for this kind of brilliance around DC.
Absolutely agreed! Progressives have repeatedly fallen for promises that, if the progressives give the conservatives what the conservatives want, right now, the conservatives can be trusted to make the fixes that they have promised. This promise has been broken so often that any progressive who falls for it this time should simply be voted out of office. Memo to House Progressive Caucus: this means you!!!!
Nope, never. These fools will go on talkin long after anyone cares what they say. It’s what they do, it’s all they do.
Conrad just said it.
There’s no deals, the bill is killed.
That’s better than PASSING the POS Senate/WH creature from the swamp giveaway!
And THAT, my dear Pups, raises the pressure threshold on Dem’s and WH yet another few notches.
I LIKE that view, anyone read it like I do?
Chill man, do not dismay, like calm down, be cool.
I am everyman and I tripped over, stepped in, or more precisely accidentally discovered a tiny gas leak in the billing department of both my Health Services Foundation and University Health System. The leak has been going on for a long time and the people responsible for billing policy cannot smell it anymore. The have become ignorant of it’s presence.
Any person engaged with a city county or municipality Social Services Department, and is on Medicaid Spend Down (a requirement to document expenses applicable to his or her “Medicaid SPEND DOWN”, when that is met the person qualifies for full Medicaid Coverage.) “destitute beyond poor.”
Some of those people that are clients of their SS Dept., and are on Medicaid Spend Down are in EMINENT MEDICAID SPEND DOWN within 3 -6 months. If they were billed only once for a new service each month, rather than to keep billing for that service repeatedly, the bill that must be sent to SS Dept to apply to MEDICAID SPEND DOWN need only be sent one time.. So each and every bill sent that repeats the previous new bill costs only $4.99 to process and send. Amere pittance you say? Each bill after the first is nothing but absolutely pure and accidentally , by oversight and not recognizing a definite pattern and group set has cost the entire health care system a fair pile of cash. Enough in fact to enable
Free Universal Health Care for all Person Residing or visiting the USA EVEN the Undocumented, that is just who we are at our best.
I repeat ALREADY PAID FOR NOW. That sound imposable. NOT. For example
To find out more go to http://www.you gotta’bekiddin’menoI’mnot.org
(hello again)
Repea,t For Example,
$4.99 per second and monthly bills thereafter, until they stop aging the account, or send it to collections at additional expense/loss. Times a low estimate of 5 bills in the three months, double for six months. Lets use $25 total for three months for both Doctor and Hospital. times 10% of 220,000 patients from a population of 692,000 Outpatient events, and 28,000 inpatient events (I am allowing for repeat admissions and multiple clinical visits.) that is 20,000 EMINENT MEDICAID SPEND DOWN patients served per year. I am only considering a 3 -6 month window.
20,000 x $25 = One half million dollars !!A $500,000 gas leak that no one can smell any more, and if it is not fixed ASAP……. per year to infinity and beyond. At one Health care facility in one city in one state.
How many hospitals accept Medicaid Patients in the U S A and it’s territories and protectorates ? lets say there is an average of 50 hospitals that Bill Medicare per STATE that average the size and scope of my example (data sources on request), times 50 states the last I counted.
Well that comes to 2,500 Hospital averaging 20,000 Patients Annually equals 50,000,000 patients. The total population of the U S is, I’M guessing, 333,000,000. OK 10% of 50,000,000 is FIVE MILLION EMINENT MEDICAID SPEND DOWN PATIENTS?SS CLIENTS. TIMES $25 = One billion, two hundred and fifty Million DOLLARS leaking slowly in the billing dept.In ten years that is TWO POINT FIVE TRILLION DOLLARS We is done already spendin’ on a tiny gas leak enough to get ‘er done fo all. FREE, prepaid. Deficit, what deficit. I onder how many jobs this will begin to create and Move on to amyriad of other very important things. I’m thinking “Banksters”, but thats another day. If it does not stop tomorrow it will be a crime. Too much gas in a contained space, lucky it ‘s aHospital, the have pregrounding outlets, but for that it would have exploded long ago.
Happy Easter everybody,
love, everyman,
sales and service division
Yes, yes it is, one more staredown and the pressure escalates.
VERY good, and yes to Norske, above, also, I’m with ya.
Chill man, do not dismay, like calm down, be cool. Be of good cheer.
I am everyman and I tripped over, stepped in, or more precisely accidentally discovered a tiny gas leak in the billing department of both my Health Services Foundation and University Health System. The leak has been going on for a long time and the people responsible for billing policy cannot smell it anymore. The have become ignorant of it’s presence.
Any person engaged with a city county or municipality Social Services Department, and is on Medicaid Spend Down (a requirement to document expenses applicable to his or her “Medicaid SPEND DOWN”, when that is met the person qualifies for full Medicaid Coverage.) “destitute beyond poor.”
Some of those people that are clients of their SS Dept., and are on Medicaid Spend Down are in EMINENT MEDICAID SPEND DOWN within 3 -6 months. If they were billed only once for a new service each month, rather than to keep billing for that service repeatedly, the bill that must be sent to SS Dept to apply to MEDICAID SPEND DOWN need only be sent one time.. So each and every bill sent that repeats the previous new bill costs only $4.99 to process and send. Amere pittance you say? Each bill after the first is nothing but absolutely pure and accidentally , by oversight and not recognizing a definite pattern and group set has cost the entire health care system a fair pile of cash. Enough in fact to enable
Free Universal Health Care for all Person Residing or visiting the USA EVEN the Undocumented, that is just who we are at our best.
I repeat ALREADY PAID FOR NOW. That sound imposable. NOT. For example
To find out more go to http://www.you gotta’bekiddin’menoI’mnot.org
(hello again)
Repea,t For Example,
$4.99 per second and monthly bills thereafter, until they stop aging the account, or send it to collections at additional expense/loss. Times a low estimate of 5 bills in the three months, double for six months. Lets use $25 total for three months for both Doctor and Hospital. times 10% of 220,000 patients from a population of 692,000 Outpatient events, and 28,000 inpatient events (I am allowing for repeat admissions and multiple clinical visits.) that is 20,000 EMINENT MEDICAID SPEND DOWN patients served per year. I am only considering a 3 -6 month window.
20,000 x $25 = One half million dollars !!A $500,000 gas leak that no one can smell any more, and if it is not fixed ASAP……. per year to infinity and beyond. At one Health care facility in one city in one state.
How many hospitals accept Medicaid Patients in the U S A and it’s territories and protectorates ? lets say there is an average of 50 hospitals that Bill Medicare per STATE that average the size and scope of my example (data sources on request), times 50 states the last I counted.
Well that comes to 2,500 Hospital averaging 20,000 Patients Annually equals 50,000,000 patients. The total population of the U S is, I’M guessing, 333,000,000. OK 10% of 50,000,000 is FIVE MILLION EMINENT MEDICAID SPEND DOWN PATIENTS?SS CLIENTS. TIMES $25 = One billion, two hundred and fifty Million DOLLARS leaking slowly in the billing dept.In ten years that is TWO POINT FIVE TRILLION DOLLARS We is done already spendin’ on a tiny gas leak enough to get ‘er done fo all. FREE, prepaid. Deficit, what deficit. I onder how many jobs this will begin to create and Move on to amyriad of other very important things. I’m thinking “Banksters”, but thats another day. If it does not stop tomorrow it will be a crime. Too much gas in a contained space, lucky it ‘s aHospital, the have pregrounding outlets, but for that it would have exploded long ago.
Happy Easter everybody,
love, everyman,
sales and service division
ps Take it LeRoi, I miss your sweet, intuitive joy tunes.
Good lord, is that you Birdman?
For everyone cheering this bill’s imminent demise, can you tell me exactly how we go about getting affordable health care in this country once the bill goes down?
We start by electing folks who will insist upon affordable health care.
Why don’t you tell me how encouraging passage of a promise for rates to continue skyrocketing… with a mandate that we all pay private insurance (and pharma) whatever they want to charge will get us there?
Good for Nancy Pelosi. If she listened to the conservadem Conrad, they would vote in the Senate Bill and then the Senate would feel the pressure was off and they could celibrate the success of passing their corporate bill. This is worse than Lucy with the football. This is Wimpy asking Popeye “I would gladly pay you tuesday for a hamburger today”. You pass their bill on spec, they are not doing anything else except symbolic votes for the rest of the year.
Oh it will never happen because we’re all so spineless! Boo hoo!
That’ll add more insured.
We also need to control/lower costs.
Add to that 1) more funding for education for doctors, nurses & other health care professionals who will commit to working in federal healthcare centers and 2) more funding for those positions and 3) funding for more federal healthcare centers, to be placed in areas of need.
Adding federal healthcare centers and more doctors who will work in salaried positions will create competitive pressure on all doctors to keep their prices lower.
We also need better service from existing insurers.
Ban reccissions on policies with paid up premiums and ban caps on annual or lifetime payouts on policies with paid up premiums.
This is a pretty minimal list of what we should be able to get done and have good effects. Obviously more is needed, but this might be doable.
If the problem is that there are not enough votes for the Senate bill as is in the House, then the collection of fixes has to be sweetened to change the nay votes in the house. Those fixes have to be altered to be politically popular, — popular enough for a hesitant moderate Dem to vote for the original Senate bill and take the chance that the fixes will happen.
So what could possibly be added to the promised Senate fixes that would be politically popular and would stiffen the spine of moderate House Dems? Simple: the public option, which persistently and consistently for over a year has always polled extremely well.
This is a no-brainer; I don’t understand why the congress critters are not jumping on this route to passage. I must be missing something.
Good for Harry Reid in pointing out Republicans using Reconciliation for pushing thru their agenda.
Facts don’t matter to Republicans. They have their script which is written to justify and rationalize their ideology.