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Bleeding Heartland is a community blog for Democrats and progressives in the state of Iowa. Join up, post your thoughts as comments or diaries, and help build up current majorities and keep our leadership honest.
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- desmoinesdem
- Mark Langgin
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- Iowa politics in 2008
- Iowa politics in 2009 (pt. 1)
- Iowa politics in 2009 (pt. 2)
- National politics in 2009 (pt. 1)
- National politics in 2009 (pt. 2)
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    health care reform

    Braley undecided on health insurance reform vote

    by: desmoinesdem

    Fri Mar 19, 2010 at 16:16:07 PM CDT

    On Sunday, the House of Representatives will vote on the Senate's health insurance reform bill and some "fixes" to that bill. The procedural details have not been fully worked out (David Waldman takes you through the weeds here and here), but it's clear that the vote will be very close. House Speaker Nancy Pelosi needs to find 216 votes to pass the bill.

    Various whip counts are floating around the internet. Take your pick from David Dayen's version at FireDogLake, the Chris Bowers tally at Open Left, or the latest from The Hill staff. Several Democrats who voted against the House health care reform bill in November have announced plans to vote for this version. However, others who voted for the House bill remain undecided or have said they will vote no.

    Today Peter DeFazio (OR-04) threatened to vote no on the bill because of changes in language on correcting geographical disparities in Medicare spending. DeFazio explained, "We spent months working this out. If we don't get it in this bill, we will never get it." The Huffington Post reported that other House Democrats share DeFazio's concerns.

    Because all three Iowa Democrats in the House strongly supported the changes to Medicare reimbursement rates that were included in the House bill, I contacted their offices today to find out whether they, like DeFazio, consider this issue a deal-breaker. I have not yet heard back from staffers for Representative Leonard Boswell (IA-03) or Dave Loebsack (IA-02), but a spokeswoman for Bruce Braley (IA-01) sent me this response:

    Congressman Braley has spent hours in meetings with Speaker Pelosi and House Leadership this week, discussing the need to correct geographic disparities in Medicare reimbursement and how those corrections can be accomplished in this final bill.  Congressman Braley is still very much undecided on how he will vote on the reconciliation package and this is one of many factors that will play a role in his final decision.

    I've never seen Braley on any list of wavering Democrats on the health insurance reform bill. If he and DeFazio do end up voting no, it will be much harder for Pelosi to find 216 votes. On the other hand, a compromise could be reached before Sunday:

    At her press briefing Friday morning, House Speaker Nancy Pelosi (D-Calif.) was asked about Rep. Peter Defazio's objections to the removal of the Medicare disparity fix from the final bill. "We're working on that language," said Pelosi. "I feel comfortable about where we are heading." She said she supports the language that was in the House bill and is working toward restoring it as much as possible.

    "We have reached agreement before," she said of the dicey political issue.

    I will update this post if and when I hear back from Loebsack's and Boswell's offices.

    Discuss :: (3 Comments)

    Steve King sounding more ignorant than usual

    by: desmoinesdem

    Wed Mar 17, 2010 at 07:00:00 AM CDT

    Which isn't easy, considering how high he normally sets the bar.

    The Huffington Post covered Representative Steve King's speech to yesterday's "smaller-than-expected" Tea Party rally against health care reform:

    King implored the crowd to bring the nation's capital to a sort of paralysis. Warning, erroneously, that the health care bill would fund abortion and fund care for 6.1 million illegal immigrants, he demanded that concerned citizens "continue to rise up."

    "I look back 20 years ago in the square in Prague... when tens of thousands showed up there and they shook their keys peacefully and they took over their country and they achieved their freedom back again," he said. "If you can keep coming to this city, fill up the congressional offices across the country but jam this city. If you can get on your cell phones, and get on your Blackberries and your email, and ask people to keep coming to this town. Storm this city, fill up Washington D.C., jam this capital so they can't move. And if tens of thousands, hundreds of thousands of you show up, we will win. We will defeat this bill and you will have your liberty back."

    King stood his ground when given a chance to clarify his remarks, saying the current U.S. government is "very, very close" to the Czechoslovak Communist regime, because of "the nationalization of our liberty and the federal government taking our liberty over."

    I mentioned these comments to Mr. desmoinesdem, who has forgotten more about Czechoslovakia than King will ever know. He observed that if anything, the Obama administration resembles the government that took power after the Velvet Revolution. The administration changed some personnel and policies, but they didn't punish or prosecute people who committed crimes on behalf of the old regime. That said, I don't see Obama as much like former dissident Vaclav Havel, the first post-Communist Czech President (other than that both men are intellectuals and smokers).

    Getting back to King, only the most deluded Tea Partier could imagine that the Senate health insurance bill nationalizes our health care system. The Obama administration and the Democratic-controlled Congress have sold out to corporate interests in almost every major aspect of this bill (as well as on financial regulation, energy policy, you name it).  

    King's wrongheaded analogy got me wondering how the Czech health care system measures up against ours. Here's a report on changes in Czech health care since the Velvet Revolution. The Czech Republic spends about half as much on health care as the U.S. as a percentage of the country's annual gross domestic product. The U.S. has slightly longer life expectancy than the Czech Republic, but our infant mortality rate is more than double theirs.

    Another featured speaker at yesterday's Tea Party rally was Representative Michele Bachmann of Minnesota. She recently encouraged non-payment of taxes as a response to the "illegitimate" health reform bill. Bachmann will headline an event for King next month in Sergeant Bluff (near Sioux City). The two have been collaborating on a "Declaration of Health Care Independence" since January. In October 2008, both King and Bachmann made Esquire's list of the 10 worst members of Congress.

    Discuss :: (5 Comments)

    Health care summit discussion thread

    by: desmoinesdem

    Thu Feb 25, 2010 at 18:20:19 PM CST

    I didn't watch President Barack Obama's health care summit today, but I wanted to post this thread for people to discuss the spectacle and the state of play for health care reform. Blog for Iowa liveblogged the proceedings, as did FireDogLake (in four parts).

    Senator Tom Harkin got good reviews for his comments at the summit today but disappointed a lot of Democrats yesterday by saying the public health insurance option can't pass this year. Harkin repeatedly promised during 2009 that Congress would approve a health care bill with a public option. House Speaker Nancy Pelosi is still advocating for the public option, but clearly there is no hope. Glenn Greenwald wrote an excellent piece at Salon about "the Democratic Party's deceitful game" (click over and read the whole thing):

       Progressives:  We want a public option!

       Democrats/WH:  We agree with you totally!  Unfortunately, while we have 50 votes for it, we just don't have 60, so we can't have it.  Gosh darn that filibuster rule.  

       Progressives:  But you can use reconciliation like Bush did so often, and then you only need 50 votes.

       Filbuster reform advocates/Obama loyalists:  Hey progressives, don't be stupid!  Be pragmatic.  It's not realistic or Serious to use reconciliation to pass health care reform.  None of this their fault.  It's the fault of the filibuster.  The White House wishes so badly that it could pass all these great progressive bills, but they're powerless, and they just can't get 60 votes to do it.  

       [Month later]

       Progressives:  Hey, great!  Now that you're going to pass the bill through reconciliation after all, you can include the public option that both you and we love, because you only need 50 votes, and you've said all year you have that!

       Democrats/WH:  No.  We don't have 50 votes for that (look at Jay Rockefeller).  Besides, it's not the right time for the public option.  The public option only polls at 65%, so it might make our health care bill -- which polls at 35% -- unpopular.  Also, the public option and reconciliation are too partisan, so we're going to go ahead and pass our industry-approved bill instead . . . on a strict party line vote.

    I have to give credit to Bleeding Heartland user ragbrai08, who called this one a long time ago.

    Meanwhile, the Republicans made one bogus argument after another today. David Waldman blows up some of their ridiculous claims about the Senate reconciliation process, which is used to avoid a filibuster.

    Ezra Klein reminds you why selling insurance across state lines (the centerpiece of the Republican "plan") is a terrible idea:

    Conservatives want the opposite: They want insurers to be able to cluster in one state, follow that state's regulations and sell the product to everyone in the country. In practice, that means we will have a single national insurance standard. But that standard will be decided by South Dakota. Or, if South Dakota doesn't give the insurers the freedom they want, it'll be decided by Wyoming. Or whoever.

    This is exactly what happened in the credit card industry, which is regulated in accordance with conservative wishes. In 1980, Bill Janklow, the governor of South Dakota, made a deal with Citibank: If Citibank would move its credit card business to South Dakota, the governor would literally let Citibank write South Dakota's credit card regulations. You can read Janklow's recollections of the pact here.

    Citibank wrote an absurdly pro-credit card law, the legislature passed it, and soon all the credit card companies were heading to South Dakota. And that's exactly what would happen with health-care insurance. The industry would put its money into buying the legislature of a small, conservative, economically depressed state. The deal would be simple: Let us write the regulations and we'll bring thousands of jobs and lots of tax dollars to you. Someone will take it. The result will be an uncommonly tiny legislature in an uncommonly small state that answers to an uncommonly conservative electorate that will decide what insurance will look like for the rest of the nation.

    Jonathan Cohn discusses the same problem here.

    Post any comments related to health care reform in this thread.

    Discuss :: (0 Comments)

    Steve King wants to let insurance companies keep fixing prices (updated with Tom Latham hypocrisy)

    by: desmoinesdem

    Wed Feb 24, 2010 at 18:59:45 PM CST

    The House of Representatives approved a bill to repeal the insurance industry's exemption from anti-trust laws today by an overwhelming margin of 406 to 19. All 253 Democrats present were joined by 153 Republicans in voting for H.R. 4626, the Health Insurance Industry Fair Competition Act. Representative Tom Latham of Iowa's fourth district voted with the majority, but Steve King disgraced the fifth district again by voting no (roll call here).

    The anti-trust exemption has helped health insurers to avoid meaningful competition in most markets. Price-fixing is wonderful for corporate profits but doesn't help consumers obtain affordable insurance coverage. The anti-trust exemption is one reason insurers have been able to jack up premiums by far more than the rate that medical costs are increasing (and many times the overall rate of inflation). Wellmark Blue Cross Blue Shield, which controls about 70 percent of the health insurance market in Iowa, recently announced rate hikes averaging 18 percent for about 80,000 individual policy-holders. Many of those policies (including my family's) will see premiums go up by 22 percent as of April 1.

    How many of King's constituents will be forced to downgrade their coverage or drop their insurance because of this rate increase? How many Iowa businesses will suffer because their customers have less disposable income to spend on other goods and services? I've come to expect outrageous votes from King, but I'm curious to hear how he will justify his vote to keep consumers at the mercy of colluding insurance companies. I will update this post when I see an official statement from him.

    A press release from the Democratic Congressional Campaign Committee noted that King has received $53,835 in campaign contributions from the insurance industry. (That number appears to have come from Open Secrets site.) I posted the full text of the release after the jump.

    The White House issued a statement yesterday supporting the Health Insurance Industry Fair Competition Act. It's unfortunate that the the Obama administration didn't fight to get this provision in the larger health care reform package, but passing it as a stand-alone bill would still be a step forward.

    Quite a few Senate Republicans are on record claiming to support repealing the insurance industry's anti-trust exemption. Senate Majority Harry Reid should bring this bill to a vote as soon as possible. I suspect that if it reaches the floor, Senate Republicans will be as afraid to vote against it as the majority of House Republicans were today.

    UPDATE: The Associated Press reports that prospects for this bill "are dim in the Senate." If that turns out to be correct, it's yet another reason rank and file Democrats should stop giving to the Democratic Senatorial Campaign Committee.

    Meanwhile, David Dayen notes that before the anti-trust exemption bill passed, "there was also a motion to recommit, which would have essentially stopped the bill in its tracks, and 165 Republicans voted for that, along with 5 Democrats."

    Iowa's own Tom Latham was among the 100-plus Republican cowards who voted for the procedural motion to stop the bill, then for the bill once the blocking attempt had failed.

    There's More... :: (0 Comments, 433 words in story)

    Health insurers hit individuals with steep rate hikes

    by: desmoinesdem

    Wed Feb 17, 2010 at 10:26:24 AM CST

    How does a 15 to 20 percent increase in one of your household's major expenses sound to you? About 80,000 Iowans (including me) better get used to the idea:

    About 80,000 Iowans who buy their own health insurance through Wellmark Blue Cross Blue Shield will pay an average of 18 percent more this year, the largest increase in four years.

    The state's largest health insurer will begin notifying the individual policyholders this week of the increase.

    Rising health care costs are driving the premium increases, said Rob Schweers, a Wellmark spokesman. Premium increases, which take effect April 1, range between 10 percent and 25 percent, the company said.

    It's the largest average annual increase since 2006, Wellmark data show.

    Last year, Wellmark raised insurance rates for individual policyholders by an average of 9.3 percent.

    This year's increases "are a combination of medical cost inflation and increased usage," Schweers said. "Also, people are getting sicker as a population. There are more chronic diseases."

    Premiums tend to be more volatile for individual policies than for those bought by employers and other large groups, which can negotiate for lower rates and spread risk among employees and members.

    Hey, it could be worse: about 700,000 Anthem Blue Cross customers in California will see an average rate increase of 25 percent in May, and many of those will see their insurance premiums go up 35 to 39 percent. The rate hike cannot be justified by increasing medical costs alone. According to California's insurance commissioner, medical costs in that state have gone up about 10 to 15 percent.

    The U.S. inflation rate in 2009 was about 2.7 percent, by the way. Many people have seen their wages decrease during the recession.

    Not many businesses can get away with increasing prices for goods or services by many times the rate of inflation year after year. The health insurance industry is different because most of their customers have no place else to go. In most parts of the country, one or two insurance companies dominate the market. Wellmark controls about 70 percent of the market in Iowa, for instance. Wellmark customers may not be able to find another insurance company willing to cover them, especially if they have any pre-existing conditions.

    Aren't you glad Republicans and cowardly Democrats "saved" us from "government-run" health care in the form of a public health insurance option?

    The Des Moines Register's editorial board cited the insurance premium hikes as evidence that the U.S. needs comprehensive health care reform with a "public option." I couldn't agree more, but the events of the past few months give me zero hope that Congress will approve any decent health care legislation.

    Eight Democratic senators are urging Majority Leader Harry Reid to include a public option in a new health care bill that could be passed using the Senate's budget reconciliation rules. Bills passed that way are not subject to a filibuster and can pass with 51 votes, or in this case 50 votes plus Vice President Joe Biden. Some bloggers are asking activists to contact Senate Democrats to get them on board with this effort. If you are so inclined, feel free to contact Senator Tom Harkin's office. He was a vocal advocate of the public option last year. Frankly, I don't feel like wasting my time anymore. If 50 Democratic senators were committed to passing a good health care bill through the reconciliation process, Reid would have been working on that option six months ago.

    More important, if President Barack Obama had been interested in passing a strong health care bill, he would have been pushing for reconciliation all along instead of cutting backroom deals with industry while his spokesman praised efforts to find a bipartisan compromise in the Senate. It was obvious last summer that Republicans like Chuck Grassley were just stringing out the process with a view to killing reform.

    The White House summit that Obama is convening next week looks like nothing more than a photo-op to me. I can't see what good can come out of that other than PR for the president.

    Share any relevant thoughts in this thread.

    UPDATE: More than a dozen Senate Democrats have signed on to passing health care reform with a public option through reconciliation.

    LATE UPDATE: We received a letter from Wellmark on February 23 informing us that our premiums will go up 22 percent as of April 1, 2010.  

    Discuss :: (1 Comments)

    The least bad path forward on health care reform

    by: desmoinesdem

    Wed Jan 20, 2010 at 15:24:29 PM CST

    Even before the Bay State debacle, Democrats faced no easy path forward on health care reform. If House Democrats like Bart Stupak, Anthony Weiner and Jerrold Nadler are to be believed, there are not 218 votes in the House for passing the Senate health care bill unchanged. Nor should there be, given the weak state-based exchanges in that bill and an excise tax that will encourage employers to downgrade the coverage they provide. Accepting a promise from the White House that problems will be fixed later would be idiotic. If the president didn't keep his campaign promises to let Medicare negotiate for lower drug prices or allow re-importation of prescription drugs from Canada, why would he keep any promises made to House Democrats now?

    Key labor leaders are calling on Congress to pass a separate bill through the reconciliation process (requiring only 51 votes), while "simultaneously" passing the Senate bill in the House. I don't know what they have in mind for that separate bill besides fixing some of the problems with the excise tax on expensive health insurance policies.

    Ezra Klein would prefer something like what labor is advocating (House swallows Senate bill, hopes for fixes through reconciliation), but the other option he lays out here seems far superior to me:

    Democrats could scrap the legislation and start over in the reconciliation process. But not to re-create the whole bill. If you go that route, you admit the whole thing seemed too opaque and complex and compromised. You also admit the limitations of the reconciliation process. So you make it real simple: Medicare buy-in between 50 and 65. Medicaid expands up to 200 percent of poverty with the federal government funding the whole of the expansion. Revenue comes from a surtax on the wealthy.

    And that's it. No cost controls. No delivery-system reforms. Nothing that makes the bill long or complex or unfamiliar.

    I would add a few more things to that smaller bill, like the money for primary care clinics that Senator Bernie Sanders has been fighting for.

    Democrats could then offer the insurance reforms you can't pass through reconciliation as regular bills. Will the Republicans dare to vote against allowing re-importation of prescription drugs, or revoking the insurance industry's anti-trust exemption? Will they dare to vote against banning insurance companies from discriminating because of pre-existing conditions? I don't think so. We should be able to get 60 votes for all of those reforms and more. If we can't, everyone will be able to see who stood up for consumers and who voted to protect corporate interests.

    The smaller bill wouldn't solve all of the status quo problems with health care delivery, but neither would the Senate bill. Politically, this course would be less risky as well.

    Feel free to tell me why I'm wrong in the comments.

    Discuss :: (6 Comments)

    Year in review: Iowa politics in 2009 (part 2)

    by: desmoinesdem

    Fri Jan 08, 2010 at 14:13:59 PM CST

    Following up on my review of news from the first half of last year, I've posted links to Bleeding Heartland's coverage of Iowa politics from July through December 2009 after the jump.

    Hot topics on this blog during the second half of the year included the governor's race, the special election in Iowa House district 90, candidates announcing plans to run for the state legislature next year, the growing number of Republicans ready to challenge Representative Leonard Boswell, state budget constraints, and a scandal involving the tax credit for film-making.

    There's More... :: (0 Comments, 5535 words in story)

    Year in review: national politics in 2009 (part 2)

    by: desmoinesdem

    Thu Jan 07, 2010 at 14:56:38 PM CST

    Following up on the diary I posted this morning, this post compiles links to Bleeding Heartland's coverage of national politics from July through December 2009. Health care reform was again the number one topic. I wish there had been a happy ending.
    There's More... :: (0 Comments, 3389 words in story)

    Year in review: national politics in 2009 (part 1)

    by: desmoinesdem

    Thu Jan 07, 2010 at 07:52:32 AM CST

    It took me a week longer than I anticipated, but I finally finished compiling links to Bleeding Heartland's coverage from last year. This post and part 2, coming later today, include stories on national politics, mostly relating to Congress and Barack Obama's administration. Diaries reviewing Iowa politics in 2009 will come soon.

    One thing struck me while compiling this post: on all of the House bills I covered here during 2009, Democrats Leonard Boswell, Bruce Braley and Dave Loebsack voted the same way. That was a big change from 2007 and 2008, when Blue Dog Boswell voted with Republicans and against the majority of the Democratic caucus on many key bills.

    No federal policy issue inspired more posts last year than health care reform. Rereading my earlier, guardedly hopeful pieces was depressing in light of the mess the health care reform bill has become. I was never optimistic about getting a strong public health insurance option through Congress, but I thought we had a chance to pass a very good bill. If I had anticipated the magnitude of the Democratic sellout on so many aspects of reform in addition to the public option, I wouldn't have spent so many hours writing about this issue. I can't say I wasn't warned (and warned), though.

    Links to stories from January through June 2009 are after the jump. Any thoughts about last year's political events are welcome in this thread.

    There's More... :: (0 Comments, 3702 words in story)

    Which party would benefit from nationalizing the election?

    by: desmoinesdem

    Tue Jan 05, 2010 at 13:04:39 PM CST

    Some Republicans are excited about making this year's Congressional races a referendum on Barack Obama's policies. I see their point, since Democrats the president has lost some ground with independents, and Republicans benefit from an "enthusiasm gap" right now. The right direction/wrong track numbers are also frightening for Democrats, and the health reform bill is likely to give the GOP good fodder for attacks.

    However, Democratic Congressional Campaign Committee chairman Chris Van Hollen told Greg Sargent that he isn't worried about Republicans nationalizing this year's House races. (continues after the jump)

    There's More... :: (0 Comments, 412 words in story)

    Steve King's nonsense of the week

    by: desmoinesdem

    Wed Dec 30, 2009 at 10:39:34 AM CST

    Congressman Steve King is the guest on Iowa Public Television's "Iowa Press" program this week. Unfortunately, it sounds like no one on the panel asked our ACORN-obsessed representative about last week's Congressional Research Service report, which cleared ACORN of violating any federal regulations during the past five years, or about the federal court ruling that halted a Congressional ban on federal funding for ACORN.

    But don't worry, King served up plenty of nonsensical right-wing talking points yesterday. You can watch the program on Iowa Public TV this weekend, but a few highlights are after the jump.

    There's More... :: (3 Comments, 594 words in story)

    An early look at next year's campaign messages on health care

    by: desmoinesdem

    Sun Dec 27, 2009 at 07:28:26 AM CST

    Assuming the House and the Senate pass whatever health insurance bill comes out of the conference committee, Republicans and Democrats are likely to highlight the reform during next year's campaigns. Recent polls have shown that most Americans don't expect action by this Congress to improve the quality of their own health care or reduce its cost. Complicating matters for Democrats, key provisions of the bill won't take effect until 2013 or 2014, giving Republicans plenty of time to exploit fears about the so-called "government takeover" of health care.

    After the jump, Mariannette Miller-Meeks and Senator Chuck Grassley preview messages we'll hear from GOP candidates across the country, while Senator Tom Harkin summarizes some "immediate benefits" of the health insurance reform.

    There's More... :: (12 Comments, 1447 words in story)

    Senate passes health reform bill 60-39

    by: desmoinesdem

    Thu Dec 24, 2009 at 07:10:24 AM CST

    Senators approved the health care reform bill 60-39 as Vice President Joe Biden presided over the Senate's first Christmas Eve session in at least four and a half decades. It was the expected party-line vote, with Republican Jim Bunning absent.

    More updates and reaction to this vote to follow.

    Yesterday Tom Harkin asked for unanimous consent to move up the final health care vote to make it easier for some members to spend Christmas with their families, but Republican David Vitter of Louisiana said no.

    Speaking of health care maneuvering, Joe Lieberman's brand has taken a hit this month. It's no mystery why. As Nate Silver observed here and here, being at the center of the health care reform debate tends to bring senators' approval ratings down.

    Recent polls have shown Chuck Grassley still above 50 percent approval, but with far less support than he has enjoyed for most of his career. He has already been running some positive television ads, but I don't think he'll be able to get his numbers back up to the 70 percent range by next year's election. Nevertheless, Grassley's Democratic challenger will need to make a broad-based case against him, because his double-dealing on health care reform won't be the focus of news coverage next fall.

    After this morning's health reform vote, the Senate moved on to raise the debt ceiling. Retiring Republican George Voinovich of Ohio voted yes, making up for the no vote by Democrat Evan Bayh of Indiana.

    UPDATE: On Tuesday Chris Bowers previewed some of the key fights coming up as House and Senate members reconcile their bills in conference.

    From a statement Richard Trumka of the AFL-CIO released today:

    At this historic moment, it is so important to the future of working Americans-and to our country-to get health care reform right. Despite doing some good things, the Senate bill remains inadequate. Substantial changes must be made in the final bill. [...]

    It makes no sense to tax the benefits of hard-working Americans to pay for health reform. The House bill curbs insurance companies and taxes the wealthy who benefited so richly from the Bush tax cuts. The Senate bill instead includes exorbitant new taxes on middle class health benefits that would affect one in five workers with employer-provided health coverage-or about 31 million people-in 2016. That's the wrong way to pay for health care reform and it's political suicide.

    The House bill is the right model for reform. It covers more people, takes effect more quickly and is financed more fairly. The AFL-CIO is ready to fight on behalf of all working families to produce a final bill that can be called genuine reform. Working people cannot accept anything less.

    SECOND UPDATE: This chart at the Washington Post site shows how each senator voted, how much he or she has received in campaign contributions from the health industry, and what percent of that state's residents lack health insurance.

    Discuss :: (0 Comments)

    New GOP robocall uses old GOP playbook

    by: desmoinesdem

    Tue Dec 22, 2009 at 19:23:18 PM CST

    Oh no! Representative Leonard Boswell must be quaking in his boots now that the National Republican Campaign Committee is running this robocall against him in Iowa's third district:

    "Leonard Boswell spent 2009 helping liberal Speaker Nancy Pelosi push a massive government takeover of health care, a cap-and-trade energy bill that will increase costs for Iowa workers, and a massive $787 billion pork-laden spending bill that he called a stimulus but that has not helped the Iowa economy. Tell him your New Year's resolution is to watch his votes in 2010 to make sure he is voting for Iowa families, not the liberal agenda of the Democrat party leaders in Washington."

    For years, Republicans have trotted out versions of this script against Boswell: blah blah blah Nancy Pelosi blah blah blah liberal agenda blah blah blah Democrat Party. It hasn't resonated before, so why would it work now?

    Specifically, I don't think they will get far running against the stimulus package. Even in a weak economy, Boswell will be able to point to dozens of programs from the stimulus bill that benefited Iowa families. He has brought money to the district through several other bills passed this year as well. The Republican alternative, passing no stimulus and freezing federal spending, would have made the recession far worse.

    The health care bill doesn't even contain a weak public insurance option, let alone a "government takeover." I don't dispute that there will be plenty for the Republicans to attack in that bill, but Boswell will be able to point to items that benefit Iowans, such as new Medicare reimbursement rates to benefit low-volume hospitals (including Grinnell Regional Medical Center and Skiff Medical Center in Newton).

    Boswell fought for concessions in the climate change bill that weakened the bill from my perspective but will be touted by his campaign as protecting sectors of the Iowa economy. Anyway, many people's utility bills are lower this winter because the recession has brought down natural gas prices.

    It's fine with me if the NRCC wants to drain its coffers by funding robocalls like this around the country. I doubt they will scare Boswell into retirement or succeed in branding him as a Washington liberal.

    Discuss :: (5 Comments)

    Health reform bill clears 60-vote hurdle in Senate

    by: desmoinesdem

    Mon Dec 21, 2009 at 09:19:08 AM CST

    Last night the U.S. Senate voted 60 to 40 to move forward with debate on the health insurance reform bill. All senators who caucus with Democrats voted for cloture, and all Republicans voted against. The breakthrough came on Saturday, when Senate Majority Leader Harry Reid secured Senator Ben Nelson's support with extra money for Medicaid in Nebraska and new language on abortion.

    At Daily Kos mcjoan published a good summary of what's in the latest version of the bill.

    Reid reportedly promised Nelson a "limited conference" on this bill, meaning that very few changes will be made to the Senate version. However, it's far from clear that the House of Representatives will approve the Senate's compromise. About two dozen House Democrats plan to vote against health care reform no matter what, meaning that it will only take 15-20 more no votes to prevent supporters from reaching 218 in the House.

    Bart Stupak, lead sponsor of the amendment restricting abortion coverage in the House bill, has been working with Republicans against the Senate's abortion language. Meanwhile, the leaders of the House pro-choice caucus have suggested the Senate language may be unconstitutional.

    Even before Reid struck the final deal with Nelson, Representative Bruce Braley told the Des Moines Register, "I think the real test is going to be at the conference committee and if it doesn't improve significantly, I think health care reform is very remote based on what I'm hearing in the House."

    Senator Tom Harkin has done several media appearances in recent days defending the Senate compromise. He seems especially pleased with the Medicaid deal for Nebraska:

    The federal government is paying for the entire Medicaid expansion through 2017 for every state.

    "In 2017, as you know, when we have to start phasing back from 100 percent, and going down to 98 percent, they are going to say, 'Wait, there is one state that stays at 100?' And every governor in the country is going to say, 'Why doesn't our state stay there?'" Harkin said. "When you look at it, I thought well, god, good, it is going to be the impetus for all the states to stay at 100 percent. So he might have done all of us a favor."

    Ezra Klein has posted some amazing spin this morning about how the Senate bill is "not very close to the health-care bill most liberals want. But it is very close to the health-care bill that Barack Obama promised." Sorry, no. Obama campaigned on a health care plan that would control costs and include a public insurance option, drug re-importation, and letting Medicare negotiate for lower drug prices. Obama campaigned against an individual mandate to purchase insurance and an excise tax on insurance benefits.

    Those of you still making excuses for Obama should listen to what Senator Russ Feingold said yesterday:

    "I've been fighting all year for a strong public option to compete with the insurance industry and bring health care spending down," Feingold said Sunday in a statement. "Unfortunately, the lack of support from the administration made keeping the public option in the bill an uphill struggle."

    Republican Senator Olympia Snowe was about as unprincipled and two-faced during this process as White House officials were. She voted for the Senate Finance Committee's bill in October and had suggested her main objection to Reid's compromise was the inclusion of a public health insurance option. Yet Snowe remained opposed to the bill even after the public option was removed last week. Because of her stance, Reid cut the deal with Nelson. The supposedly pro-choice Snowe could have prevented the restrictions on abortion coverage from getting into the bill if she had signed on instead.

    Speaking of Republicans, the Iowa Republican posted this rant by TEApublican: "Nebraska And Huckabee Respond To Ben 'Benedict' Nelson's Christmas Senate Sellout." If you click over, be prepared to encounter mixed metaphors and misunderstandings about what this "reform" does. Still, the rant is a good reminder of how Republicans will still scream about government takeovers even though corporate interests got everything they wanted out of the bill.

    Discuss :: (6 Comments)

    MoveOn.org has lost credibility with me

    by: desmoinesdem

    Thu Dec 17, 2009 at 09:15:00 AM CST

    I'm likely to ignore future e-mails from MoveOn.org Political Action after reading the last two appeals they've sent me. They are raising money off the health care reform battle while absolving President Obama from blame for the pitiful state of the Senate bill.

    Excerpts from the MoveOn.Org appeals and some commentary are after the jump.

    There's More... :: (11 Comments, 524 words in story)

    New polls show more skepticism on health care reform

    by: desmoinesdem

    Wed Dec 16, 2009 at 19:31:07 PM CST

    Democratic strategists who are counting on a bounce from passing fake health care "reform" won't be comforted by the latest poll numbers. Highlights are after the jump.
    There's More... :: (5 Comments, 670 words in story)

    Hey, DSCC: Quit whining about Republican obstruction

    by: desmoinesdem

    Tue Dec 15, 2009 at 20:37:01 PM CST

    I have had it with e-mail blasts like the one I got over the weekend from J.B. Poersch of the Democratic Senatorial Campaign Committee:

    Republicans tried every trick in the book to block us, but Senate Democrats scored important health care reform wins in the past two weeks. We passed the Mikulski Amendment, to make sure every woman gets crucial cancer screenings. And we defeated the Senate's version of the Stupak Amendment - one of the biggest attacks on choice in a generation.

    But these wins didn't faze the Republicans. A lot of what they are doing to kill the Senate's bill isn't making the headlines - but that doesn't make it any less insidious. We've pulled together facts on their latest heinous tactics in our new Obstruction Report.

    There's More... :: (8 Comments, 480 words in story)

    More problems with the Senate health care bill

    by: desmoinesdem

    Tue Dec 15, 2009 at 09:56:35 AM CST

    Nate Silver thinks that thinks any Democrat who opposes it is "batflippin' crazy." He posts a chart showing how a family of four earning $54,000 a year would get much more in subsidies if the bill goes through than if no bill passes.

    I discuss a few problems with the bill and Silver's analysis after the jump.

    There's More... :: (7 Comments, 508 words in story)

    White House orders capitulation to Lieberman

    by: desmoinesdem

    Mon Dec 14, 2009 at 22:12:51 PM CST

    White House Chief of Staff Rahm Emanuel told Senate Majority Leader Harry Reid to give in to all of Joe Lieberman's demands.

    So Reid did. We have a "health insurance reform" bill with no public option, no trigger, no Medicare buy-in. And it will probably continue to get worse from here.

    There is no point in pretending that President Obama wanted any comprehensive bill to pass. There was zero pressure on Lieberman to cave, no talk of using the budget reconciliation process--only pressure on Reid to give Lieberman everything.

    Emanuel didn't just leave it to Reid to find a solution. Emanuel specifically suggested Reid give Lieberman the concessions he seeks on issues like the Medicare buy-in and triggers.

    "It was all about 'do what you've got to do to get it done. Drop whatever you've got to drop to get it done," the aide said. All of Emanuel's prescriptions, the source said, were aimed at appeasing Lieberman--not twisting his arm.

    Organizing for America will get a rude awakening when they try to round up canvassers and phone bankers. All the volunteers and donors and voters who brought Obama where he is turned out to be less important than one senator from Connecticut who campaigned for John McCain.

    Yes, you early Obama supporters out there have every right to be furious. My candidate before the caucuses turned out to be a jerk in his personal life, but he was right to warn against replacing "a group of corporate Republicans with a group of corporate Democrats."

    UPDATE: Darcy Burner explains why the Senate bill is worse than doing nothing on health care.

    Discuss :: (4 Comments)
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