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    Chill out, Republicans: Grassley won't vote for health care reform

    by: desmoinesdem

    Fri Aug 07, 2009 at 08:48:17 AM CDT


    Iowa conservatives are becoming increasingly concerned by Senator Chuck Grassley's refusal to "just say no" to President Obama's health care reform plans. Grassley is part of a group of six Senate Finance Committee members who are working on a compromise bill. While some Republicans are hoping that defeating health care reform will become Obama's "Waterloo," Grassley has warned Republicans should could pay a price for blocking reform.

    Now it's not just Bill "crazier than Steve King" Salier who is floating the idea of a primary challenge against Grassley. Craig Robinson wrote at the Iowa Republican blog on Thursday,

    The longer Sen. Grassley strings along Iowa Republicans, the more difficult his re-election effort may become. At the beginning of the year, it would have been absurd to suggest that Sen. Grassley could face a legitimate primary challenge. Now, with each and every passing day that Grassley flirts with supporting some version of health care reform, the possibility of a primary challenge grows. In fact, some Republican sources have told TheIowaRepublican.com that if Sen. Grassley votes for President Obama's healthcare proposal, Grassley will indeed face a serious primary challenge.

    Republicans needn't worry about the game Grassley is playing on health care. I'll explain why after the jump.

    desmoinesdem :: Chill out, Republicans: Grassley won't vote for health care reform
    If Grassley had ruled out voting for health care reform, as many Iowa Republicans wanted, the Senate might have given up on bipartisan negotiations months ago. Democrats might have been able to pass a bill before the August recess, as the president wanted. Instead, in a body with 60 Democrats, Grassley has managed to hold up the bill until three centrist Democrats can reach agreement with two conservative Republicans and a moderate. This group of six excludes all Democrats who support a strong public health insurance option, including Senator Jay Rockefeller of West Virginia, who chairs the Senate Finance Committee's subcommittee on health care. I agree with Rockefeller's assessment of what's going on:

    Changes to the bill have been frustrating, Sen. Jay Rockefeller (D-W.V.) told reporters at a press conference, particularly given that the Republicans -- Mike Enzi of Wyoming, Chuck Grassley of Iowa and Olympia Snowe of Maine -- are, in his opinion, just stalling for time.

    "You just watch as the bill diminishes in its scope, in its coverage, in its ferocity to try to attack the problem. I don't know where it will come out," Rockefeller said. "My own personal view is that those three Republicans won't be there to vote it out of committee when it comes right down to it, so that this all will have been a three-or-four-month delay game, which is exactly what the Republicans want."

    Iowa Republicans are taking Grassley at his word when he says he wants a bipartisan health care bill. It seems far more likely that he is working to move the health care bill as far to the right as possible, removing any effective public health insurance option, before he votes against the final version of the bill. Bought-and-paid-for Senate Finance Committee Chairman Max Baucus is going along with Grassley, which is no surprise. It's depressing that the White House hasn't pulled the plug on the group of six negotiations, desperate as they are to achieve a bipartisan agreement.

    If Grassley were serious about helping pass health care reform, he wouldn't be falsely claiming that cancer patients like Senator Ted Kennedy would be worse off with a public health insurance plan.

    On the contrary, Grassley keeps making excuses for holding up the process, telling The Hill this week that Obama "didn't serve in government long enough to understand really how things work."

    Daily Kos user The Bagof Health and Politics published a diary with more links and analysis supporting Rockefeller's view:

    Grassley and Wyoming Senator Mike Enzi have sought to appear supportive of health care reform by merely staying at the table. Every time they get close to a deal between members of the Secretive Six, Grassley and Enzi back out, claiming they are being rushed. Enzi even went as far as to demand that the President and the Speaker of the House completely respect the back room deals of the Secretive Six, and agree not to alter any deal that may emerge from Secretive Six's committee.

    Earlier this week, Max Baucus agreed to impose a deadline of September 15th for the Secretive Six's talks. Baucus said that if no deal is reached by September 15th, he will move forward--with or without the votes of Grassley and Enzi.  For their part, Grassley and Enzi insist that there is no deadline, and that health care talks can go on indefinitely.

    Of course, what this is really about is stopping health care reform.

    October 15 is the deadline for getting health care reform passed as part of the budget reconciliation process, which would allow Democrats to pass a bill with 51 votes (or 50, with Vice President Joe Biden breaking the tie). If Congress misses that deadline, then a health care bill will need to go through the normal Senate process, requiring 60 votes to overcome a Republican filibuster.

    That scenario is win-win for Republicans. Either Democrats are unable to pass a bill, and Obama's presidency is seriously damaged, or Democrats are forced to pass a convoluted, expensive bill with a fake public option in order to get to 60 votes in the Senate. That won't solve the current problems with our health care system and will reinforce claims that Democrats are incompetent.

    As much as I would love to see Grassley get a serious primary challenger, I am convinced that Iowa Republicans should be thanking Grassley instead of griping about his involvement in the health care debate.

    Tags: , , , , , , , , , , , , , , (All Tags)
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    I just have one thing to say (0.00 / 0)

    OptumHealth provides a broad range of services, from a 24-hour hotline where nurses can suggest the best hospital for a transplant to "health coaches" who dole out meal plans, to-do lists, and motivational messages. Some OptumHealth clients bring coaches into the office or onto the factory floor to teach about diet and exercise. Many of the cost-containment strategies Democrats are pushing call for more of the preventive care that OptumHealth sells.

    There is nothing defensible about this "health insurance reform" legislation. The real issue is that we're cleaving into a two-tier society, where one half gets the "aggressive supervision" to fill corporate coffers in the name of cost containment, and the other half is full of "Cadillac Queens" who need to pare down their overconsumption of health care in the name of cost containment.

    Should I blame Grassley? I think we have a much bigger problem.



    plenty of blame to go around (0.00 / 0)
    but Grassley isn't trying to fix any of the real problems with our current health care system, or the real problems with the bill.

    The best approach for cost-containment would be single-payer. Failing that, a strong public health insurance option would do much more to lower costs than anything like what you just cited.

    Invite other Iowa political junkies to join us at Bleeding Heartland.


    [ Parent ]
    LOL (0.00 / 0)
    I just saw your comment on this topic at TIR.

    You might as well be speaking a foreign language.


    [ Parent ]
    question for you, ragbrai08 (0.00 / 0)
    Let's assume that any bill Congress produces on any topic is going to have a lot of giveaways to corporate America.

    We know that there are a lot of pressing problems in the health care system. Rescission affects thousands of people with serious illnesses, and millions of people have pre-existing conditions. There are all kinds of hidden costs in the system too. The status quo is not sustainable.

    How would you propose to deal with these problems? Do you think that if the bill is defeated this year we have a chance for a better bill next year? How much would you be willing to give up in order to solve at least a few problems, like rescission?

    Invite other Iowa political junkies to join us at Bleeding Heartland.


    [ Parent ]
    dealing with problems (0.00 / 0)
    I will have to break up my response into several comments ...

    How much would you be willing to give up in order to solve at least a few problems, like rescission?

    Nothing, zero.

    Rescission based on medical claims or diagnosis of illness is already prohibited under HIPAA (1996), aka "guaranteed renewal." Enforcement is through the states. States have a consumer division in the office of the commissioner.

    It may seem difficult to believe, but health insurance exists to serve a public policy goal. Since health insurance is in the service of the public welfare, it is regulated both by the federal and state governments. That the rescission practice continues unabated is an issue of weak or lax enforcement.

    CA has really stepped up on enforcement recently. Yet, the end result is the same:


    It seems like I have already written or heard of this story before. Oh, I have. In September of 2008 I posted on another settlement reached by Health Net with 926 of its policy holders that were wrongfully rescinded. This time the settlement was for $13 million, and was supposed to be accompanied by a moratorium on policy rescisions and cooperation with regulatory agencies.

    Insurance companies continue the practice undeterred, because they know a solid nr of victims will not have the time, the resources, or simply will be too sick, to pursue relief. It goes to arbitration. If your state isn't doing enough on your behalf, you need an attorney for action.

    We don't have a bill yet. The only reference I could find is in HR3200, and specific guidelines don't get written up by HHS until mid-2010.

    The devil will be in the details. If the guidelines are simply discretionary, leaving actual enforcement to the state exchanges, then we are right back to the status quo.

    I do not give up things in exchange for what I already have. Guaranteed renewability (prohibition of recsission for non-fraud) already applies to all markets: group and individual. The issue is enforcement, and sadly, it is possible for this 'reform' to create a new regulatory framework even weaker than what we currently have (I would outline how, but it seems a little silly given that we have no bill to discuss).

    This is a perfect issue for standalone action. However, as it currently stands, it is a state-level issue. Possible solutions include advocating for even greater enforcement, that is, the revocation of licenses for chronic abusers.

    Personally, I favor criminal charges.

     


    [ Parent ]
    Planning on attending a town hall next week? (4.00 / 1)
    I see that Grassley is scheduled to be in both Adel and Winterset next Wednesday.  If I can swing some child care, I'm hoping to attend one of his town hall meetings to ask a pointed question about just what he's hoping to accomplish in these "bipartisan" back room meetings.

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