MORE MUSINGS ON HEALTH CARE
Al Capone
All righty then. The House of Representatives has passed a health care act that is 2000 pages long, and we all wish to know what happens now.
Please take time to at least check out Ducky's take on this bill. http://tpmcafe.talkingpointsmemo.com/talk/blogs/oldengoldendecoy/2009/11/health-reform-bill-implementation-2010-or-2013.php
Yeah, I already know that all women must mandatorily bear babies now. But I must move on. Women are up in arms and up in legs and for chrissakes this has to be fixed. I watched Kitt Bonds (what the fuck kind of name is kitt bonds anyway, sounds like a porno queen but I am attempting to get more info from LarryH on this issue) on Stewart last night and he thinks that any woman he impregnates should have his baby and all, and I hate those people.
At any rate we have a bill that was passed by the House of Representatives. Now the bill GOES to the Senate. No ifs, and or buts, the damn bill goes to the Senate.
YOU DO NOT NEED 60 VOTES FOR PASSAGE IN THE SENATE. I am sick and tired to hear, every goddamn time that we need 60 votes in the Senate. It pisses me off almost as much as Glenn Beck & Mel Gibson to hear this tripe.
The Senate of the United States of America MUST CONSIDER THIS BILL. PERIOD.
So, the Senate will and must address this bill.
Now, the Senate has its own rules, separate from the House as to how to address this issue. It will not, because of pride and indigestion not bring a vote to the floor of the Senate to vote up or down on the provisions in the House Bill.
Through several different committees including the
so-called Baucus Committee, a bill will be prepared by the Democrats
(the repubs just say no to everything except for amendments that
include the outlawing of all abortions even if the victim was raped by
Kitt Bonds who has not had an erection in at least a decade--thank god
almighty for that) and will be somehow introduced to the Floor of the
Senate for consideration.
Then the repubs (who are sick fucks who never
cared about anything except for their own reelection and finding a way
to get nooky in the local bars without getting found out) will attempt
to filibuster---they will attempt to play Mr. Smith Goes to Washington.
That is they will attempt to stop all consideration of the proposed
legislation by talking a lot about nothing which is what they have been
doing for a century.
The Democrats control 58 seats in the Senate. A wonderful man by the name of Sanders calls himself a socialist and caucuses with the Dems.
Joe Lieberman has two or three tongues as well as one testicle and a yarmulke and appears weekly on Jon Stewart. He caucuses with the Dems but spends most of his time performing fellatio upon repub kingpins and insurance traitors.Now, at least four Dems may not like the legislation that is proposed. But it will only take Joe to enter into an agreement with the true traitors to the U.S. Constitution to stop all consideration of the bill.
But Joe is an egoist as well as an egotist. And he
might demur as far as joining with the traitors to stop any
consideration of the proposed legislation. I predict that he will lose all committee posts if he does such a heinous thing.
And Olympia Snow (Is that not the coolest name you have ever heard) or even her Maine Colleague might also demur as far as voting for a filibuster. Olympia Snow is in deep doo doo with the fascist side of her party in Maine. She is losing 60 to 39 according to the polls there in a proposed primary.
At any rate, the Senate WILL NOT UNDER ANY CIRCUMSTANCES vote on the same bill that was passed by the House.
But if the Senate votes on a health care package
and it passes and it does not echo every single provision of the House
package, what the hell happens?
Reconciliation is a legislative process of the United States Senate intended to allow a contentious budget bill to be considered without being subject to filibuster. Because reconciliation limits debate and amendment, the process empowers the majority party. Reconciliation also applies in the United States House of Representatives, but since the House regularly passes rules that constrain debate and amendment, the reconciliation process represented less of a change in that body.
A reconciliation instruction (Budget Reconciliation) is a provision in a budget resolution directing one or more committees to submit legislation changing existing law in order to bring spending, revenues, or the debt-limit into conformity with the budget resolution. The instructions specify the committees to which they apply, indicate the appropriate dollar changes to be achieved, and usually provide a deadline by which the legislation is to be reported or submitted.[1]
A reconciliation bill is one containing changes in law recommended pursuant to reconciliation instructions in a budget resolution. If the instructions pertain to only one committee in a chamber, that committee reports the reconciliation bill. If the instructions pertain to more than one committee, the House Budget Committee reports an omnibus reconciliation bill, but it may not make substantive changes in the recommendations of the other committees.[2]
Oh and did you know that CSPAN has its own definitional component?
The Byrd Rule (described below) was adopted in 1985 and amended in 1990. Its main effect is that reconciliation cannot be used for provisions that would increase the deficit beyond ten years after the reconciliation measure.
Congress used reconciliation to enact President Bill Clinton's 1993 (fiscal year 1994) budget. (See Pub.L. 103-66, 107 Stat. 312.) President Clinton wanted to use reconciliation to pass his 1993 health care plan, but Senator Robert Byrd (D-WVa) insisted that the health care plan was out of bounds for a process that is theoretically about budgets. However, on August 25, 2009, Senator Jeff Bingaman (D-NM), one of the members of the Senate Finance Committee's "Gang of Six" bipartisan group to work on a health insurance reform bill in the Senate, has said that reconciliation may be used, is an acceptable option, and that he can support it.
Until 1996, reconciliation was limited to deficit reduction, but in 1996 the Senate's Republican majority adopted a precedent to apply reconciliation to any legislation affecting the budget, even legislation that would increase the deficit.[3]
Under the administration of President George W. Bush Congress used reconciliation to enact three major tax cuts. These tax cuts were set to lapse after 10 years to satisfy the Byrd Rule. Efforts to use reconciliation to open the Arctic National Wildlife Refuge to oil drilling failed.
How has this worked in the past?A CONFERENCE COMMITTEE is a temporary panel of House and Senate negotiators.
A conference committee is created to resolve differences between versions of similar House and Senate bills.
One of the most ambitious environmental restoration efforts ever proposed for the Great Lakes appears imminent following the emergence from a House-Senate conference committee of legislation providing $475 million for a comprehensive Great Lakes restoration and protection initiative.
Oh and take a look at this take.
Here's what is different this time, though: House progressives are showing some muscle, some guts, and some cohesiveness. They have pledged in writing that they will not get rolled this time, and I think that their leadership is whipping and organizing this thing in the right way. I had a progressive friend awhile back ask me, "Has a bill ever gotten better in conference?" And actually, the answer is yes. The 1993 budget bill, the 1994 crime bill, the S-CHIP bill in 1998, and even several of the budget bills in the 1990s after the Republicans took control of Congress all got better in conference in some significant ways. It's up to House progressives to make this a strong bill. This legislation is too important to the White House for this to die, so if they stick together and negotiate well, House progressives can make this happen.Now don't get me wrong: what happens on the Senate floor is incredibly important. We need to get the best possible bill out of the Senate. But progressives should not panic if the language on the public option, or any other major issue in the bill, is not great. No matter what happens in the Senate the first time around, I am convinced that how good this bill is will ultimately come down to how good the House negotiators are on the bill. Sen. Reid has some tough choices on how to approach the Senate strategy, and Senate progressives and all of the pro-health care reform movement need to work together to get the best possible bill in the Senate floor fight. But don't give up on the conference committee process: this time, the House (and House progressives) will be a player.
Read more at: http://www.huffingtonpost.com/mike-lux/conference-committee-coun_b_313749.html&cp
Okay, now lets say that a new bill comes out of committee and a vote must be taken by the House of Representatives and the Senate.
The House needs 218 votes for passage.The Senate needs 50 plus the vote of the Vice-President of the United States. to break the tie.
I do not think that the members of the Senate of the United States can filibuster the proposed vote on this reconciled bill on the Senate Floor.
Finally, this penalty thing is getting to me. You
cannot be thrown in prison for not having health insurance. But you can
be imprisoned for lying on your income tax return. Remember Al Capone.
"H.R. 3962 provides that an individual (or a husband and wife in the case of a joint return) who does not, at any time during the taxable year, maintain acceptable health insurance coverage for himself or herself and each of his or her qualifying children is subject to an additional tax." [page 1]
"If the government determines that the taxpayer's unpaid tax liability results from willful behavior, the following penalties could apply…" [page 2]
"Criminal penalties: Prosecution is authorized under the Code for a variety of offenses. Depending on the level of the noncompliance, the following penalties could apply to an individual:
Section 7203 - misdemeanor willful failure to pay is punishable by a fine of up to $25,000 and/or imprisonment of up to one year.
Section 7201 - felony willful evasion is punishable by a fine of up to $250,000 and/or imprisonment of up to five years." [page 3]
http://prorev.com/2009/11/morning-line-health-care-could-be.html
I could be wrong. Show me.
















I swear, I never thought that Congressional procedure could be hilarious. Great stuff.
So you're definitely right. At worst, we make Joe Lieberman irrelevant with a trigger bill -- which gets Snow (who might think about pulling an Arlen Specter) and maybe some other Republicans. That way there's no filibuster. Then the conference committee can put back in the public option. Badda-bing!
November 10, 2009 9:51 PM | Reply | Permalink
SNOW IS GETTING SCREWED MBH. No kidding. Just read it today.
These teabaggers might be the salvation of us all. !!!!!!!!!!!!!
November 10, 2009 9:56 PM | Reply | Permalink
HAHAHAHAHA!!! Oh, the levels of irony!!!
November 10, 2009 10:03 PM | Reply | Permalink
And now I am hearing "Let's stop calling them teabaggers - it's rude!"
Fuck that noise. They don't like it, that's what they wear. Payback's a bee-otch, ain't it?
I do think that they will find a way to get this done in the Senate, and this is but a first step - remember that. Nothing's perfect, this can and will be improved with time.
You read it here.
November 10, 2009 10:11 PM | Reply | Permalink
There ya go. There is time Grouch. We shall see how this is finished.
And then, every year, changes must be made anyway.
THAT IS WHAT THE RESPONSIBILITY OF CONGRESS IS.
Is it not?
I aint givin up yet anyway. For whatever that counts.
November 10, 2009 10:36 PM | Reply | Permalink
Some dear to us are saying No bill is better than this, but I'm with Clinton. He's seen it. He's demanded it all be done his way and he's had it blow up in his face.
He says, "Whatever you do, don't lose!"
It shows that failure is nothing bad if you can learn from it. He did.
November 11, 2009 1:23 PM | Reply | Permalink
They *must* want to be called teabaggers, Grouch, cuz otherwise why do I even call them that??
See? Teabaggers, bigots, and buttheads.
Ninnies.
I would not so refer to them if i didn't sense they wanted this deep down.
November 11, 2009 1:28 PM | Reply | Permalink
Thanks Dickon, for wading into this mess and making sense of it.
=D
November 10, 2009 10:15 PM | Reply | Permalink
I do not know how much sense is here really.
Frankly, I am looking for someone to show me where I am wrong. We shall see. I just logged some thoughts over a couple of days.
But I think this is right.
November 10, 2009 10:27 PM | Reply | Permalink
I do not think that the members of the Senate of the United States can filibuster the proposed vote on this reconciled bill on the Senate Floor.
If you mean the conference report, where the House and Senate bill is reconciled, it can be filibusterd in the Senate.
It gets to the floor without being filibusterd, but from the floor it can be filibustered.
It's confusing, but reconciliation as a budgetary matter in the Senate is different from reconcilation of House and Senate bills that produce a "conference report".
November 10, 2009 10:44 PM | Reply | Permalink
There ya go. Definitive. I would accept that Indie.
BUT I HAVE TO SEE IT.
And I cannot find it.
At any rate a real feat of chess is involved here.
WE SHALL SEE.
November 10, 2009 10:49 PM | Reply | Permalink
http://www.congressmatters.com/storyonly/2009/9/30/1663/-Questions-on-the-Senates-health-care-procedure
November 10, 2009 10:52 PM | Reply | Permalink
http://en.wikipedia.org/wiki/United_States_congressional_conference_committee
the key is searching on "conference report"
reconciliation gets you too much to sift through
November 10, 2009 10:54 PM | Reply | Permalink
thank you. I mean it. I am not being snarky.
This is important.
And I wish to hell you blogged this.
THIS IS NOT A CLEAR ANSWER TO OUR QUESTION.
But I think YOU have given a clear answer.
GO AHEAD AND BLOG THIS.
I WILL SUPPORT YOU.
I mean it. Thank you for the links.
November 10, 2009 11:31 PM | Reply | Permalink
I have no intention of blogging. I garner quite enough "ill will" just by commenting my opinions.
Your blogs are sufficient.
And what happens when the conference report goes back to the House and Senate?
Generally, it has somewhat expedited consideration. That simply means you don't need a rule in the House to bring it up. And you vote it up or down. It still can be filibustered, but in general, you cannot offer amendments to it. You either approve it or disapprove it.
http://voices.washingtonpost.com/ezra-klein/2009/07/jim_horney_walks_you_through_c.html
November 10, 2009 11:52 PM | Reply | Permalink
We really need to have a recommend system for comments and links.
November 11, 2009 12:04 AM | Reply | Permalink
I will accept this Indie. But if you do not blog it, I intend to come back to this issue and simply relate what you have taught us.
Thank you very much.
November 11, 2009 12:16 AM | Reply | Permalink
It is using Budgetary Reconciliation to pass HCR that is sticky, and confusing. There's the Byrd Rule and the Senate Parliamentarian to consider, but I think we've covered the gist.
But without using budgetary reconciliation to pass HCR, the conference report can be filibustered in the Senate.
November 11, 2009 12:31 AM | Reply | Permalink
Indie and dd, I found something interesting. The Bush tax cut bill of 2003 (HR 2) was reconciled to produce a "conference report." I don't know how that wouldn't count as a budgetary matter also. It passed 50-50 (with our dark under-lord breaking the tie). I would imagine that the Democrats would have filibustered if they could. Though I'm not certain on their intentions. Here is what I'm referencing.
November 10, 2009 11:12 PM | Reply | Permalink
Okay, here is where we'll all get confused.
Budgetary matters are handled differently. This example you found is when the GOP used "reconciliation" (the strategy many want Reid to use for HCR) in the Senate to pass their tax cuts.
Budgetary matters can be reconciled (meaning the different senate committees reconciling their work) and not be subject to filibuster, because you gotta have a budget.
Then when that Seante "reconciled bill" goes to conference to be combined with the house bill, when that "conference report" comes back to the Senate, there is a 10 hour cut off for debate. It can not be filibustered either.
This was done because budgets are too important to be held up for policital reasons (See California trying to pass a budget last year).
November 11, 2009 12:15 AM | Reply | Permalink
I'm with you now. The Ezra Klein piece was very helpful. Thanks.
November 11, 2009 12:28 AM | Reply | Permalink
I am curious though. Bill Clinton today frames HRC as an economic issue. Is there procedural precedent for presenting a bill -- which is not explicitly a budgetary matter -- as a budgetary matter?
November 11, 2009 12:34 AM | Reply | Permalink
http://www.rules.house.gov/Archives/byrd_rule.htm
November 11, 2009 12:41 AM | Reply | Permalink
So if I understand correctly: the Byrd Rule is all that stands in the way of Reid introducing the House bill onto the Senate floor as a budgetary matter -- requiring 50 votes, unable to be filibustered.
The Byrd Rule disallows parts of a reconciled bill which are irrelevant to the budget. But, so long as the case can be made that all of the House bill is relevant to the budget, then it's good as gold?
November 11, 2009 1:22 AM | Reply | Permalink
This is just fascinating, do you not think?
So many chess games, protocol everything you would wish for in a mystery novel. ha
November 11, 2009 12:46 AM | Reply | Permalink
You aren't kidding. I hate that I have work in the morning!
November 11, 2009 12:57 AM | Reply | Permalink
They say making laws and sausage are equally disgusting processes. I gotta tell you...I wish I didn't know all this. I hesitate to get too upset in advance of need, but there are things in this bill so far that give me the willies...I sure hope that once the compromises and dirty deals are done and we know what it actually says we'll have time to digest it before the vote.
As much as I hate to come away empty handed, if this is little more than a windfall for the insurance industry (because they start jacking up rates now, before the bill takes effect, then screws over people afterward)we may wish it never passed...
November 10, 2009 10:52 PM | Reply | Permalink
(because they start jacking up rates now, before the bill takes effect, then screws over people afterward)we may wish it never passed...
there are plenty of things that can be done to keep that from happening, if the democratic party wants it.
even once it goes to committee they can sneak it in. But will they.
November 10, 2009 10:58 PM | Reply | Permalink
Oh I missed this. I am still confused.
But I was born confused.
November 10, 2009 11:16 PM | Reply | Permalink
meh, it's confusing.
when the house and senate bills are combined, which is what produces the conference report, nothing new is supposed to be added, only a merger of what was in the two bills originally are supposed to be considered.
but that isn't what happens. things are often snuck in to legislation during conference. Often in hopes no one sees it until it is too late. Isn't supposed to happen, but it happens.
November 10, 2009 11:56 PM | Reply | Permalink
i have some interruptions here by pc.
I know. It is scary. I mean mandatory health care but universal means mandatory.
you cannot have voluntary and then say: hey you did not volunteer so screw you and your heart attack.
This is not easy Stilli.
Well let us see, and let us pray, as to what the final legislation looks like.
November 10, 2009 11:08 PM | Reply | Permalink
I'm feeling more than a little stupid right about now. I thought that a womans right to an abortion was settled law. How can congress make a law that seems to me to explicitly take that away? I don't see that who pays has anything to do with this. You have a right or you don't. Money isn't part of the rights equation. Jim Crow laws were supposedly stricken long ago. Somebody help me with this for I am apparently clueless about how this works.
November 11, 2009 7:23 AM | Reply | Permalink
Just as we have the right to bear arms, that doesn't mean the government will provide you a gun. We have the right to "choice" but not to the financial means to have the abortion if that is our choice. The Hyde Amendment says that federal money may not be used for abortions, and some are extending that out to mean that if federal subsidies are used to provide insurance, then that insurance cannot cover abortions, because it would indirectly be using federal money for abortions.
I don't like the language because it appears to do an end run around our right to choose, but does it really? These women were already not insured, so they would have to pay for their own abortion. Nothing changes. EXCEPT for the potential argument that now many of them are paying out money for insurance premiums which COULD have been used for the abortion, but now that money is not available.
Nothing is simple.
November 11, 2009 11:26 AM | Reply | Permalink
for what it is worth, I offer these two reads:
The Far Reach Of Stupak’s Amendment
http://wonkroom.thinkprogress.org/2009/11/10/stupak-reac/
How The Stupak Amendment Changes The Status Quo
http://wonkroom.thinkprogress.org/2009/11/11/stupak-amendment-changes/
November 11, 2009 11:59 AM | Reply | Permalink
The Hyde Amendment is in play without putting in this bill. Putting this in the bill institutionalizes the Hyde Amendment as currently it has to be voted on separately as it was tagged onto an appropriations bill.
The Stupak amendment is even worse as it denies not just those who receive a stipend for health care, but all plans which have "customers" in the pool who are receiving stipends, from access to this legal medical procedure. It effectively end runs the protections under Roe v Wade.
November 11, 2009 2:39 PM | Reply | Permalink
I got so many things wrong on this post but we sure had a fun discussion.
Life is complicated, is it now Rowan
November 11, 2009 8:47 PM | Reply | Permalink
Good info, Rowan...I didn't know it applied to those who don't get the subsidy. Sometimes I hate politics.
November 12, 2009 3:15 AM | Reply | Permalink
If this insurance is theoretically applicable to every citizen then it can't have language that removes a right the SC previously ruled on. It can't even deny that right to one person. As I said the money aspect isn't applicable. It can't be.
November 11, 2009 4:06 PM | Reply | Permalink
The Supreme Court ruled essentially that money is applicable when it okayed the Hyde Amendment -- women who depended on the government for their health care were denied the right to have their reproductive health looked after if they chose an abortion. It was wrong then and wrong now and Unconstitutional in my opinion but I'm not on the Supreme Court.
Stupak is Hyde on steroids.
November 11, 2009 6:16 PM | Reply | Permalink
ditto
November 11, 2009 8:50 PM | Reply | Permalink
Yeah, I know. Depending what restrictions remain in the bill assuming it is enacted, the damn thing will be in the courts for a decade.
Remember, there were no Second Amendment rights according to Warren Burger. He gave speeches about this all over the country and received death threats every day. Well that idea has gone its course.
Yoo, Bybee and Gonzo would tell you that Eighth Amendment protections do not come into play until you are convicted of something.
The law is a process and you must be very careful whom you appoint to the bench. The law always has been and always will be political.
November 11, 2009 11:50 AM | Reply | Permalink
Our politicians should respect the separation of church and state and be required to keep their personal religious extremism out of all policy reforms. Fighting corporate hegemony is enough.
http://www.now.org/press/11-09/11-08.html
November 11, 2009 1:08 PM | Reply | Permalink
You said, it, strato. This sucks so much. It is just another step toward over-turning Roe. They know exactly what they are doing with this amendment. I'm glad some folks are kickin' up a big hairy ruckus. Asshats. And all this in a time where it is even more financially dire to face an unexpected pregnancy. I think the Hyde amendment even sucks.
November 11, 2009 1:15 PM | Reply | Permalink
You hit the nail on the head. Could you please do the same to our elected representatives? I'll start a fund to pay you. TPM's hitfrog.
November 11, 2009 2:41 PM | Reply | Permalink
Healthcare reform might also be about educating those people who are still deluded enough to think they can control women. They are Anti-Choice politicians like the 64 Dems in the House who voted for the Stupid-in-the-Pitts amendment.
Here’s the hit parade on which to pluck your magic twangers:
http://clerk.house.gov/evs/2009/roll884.xml
November 11, 2009 3:30 PM | Reply | Permalink
And the asshaat Democratic Senators who have announced that they won't vote for a HRC bill that doesn't include similar language. Bob Casey (D-PA) is writing one. The House bill is already a Crap Bill without the Stupak amendment; WITH it, it is Crap Squared. Trined.
November 11, 2009 4:29 PM | Reply | Permalink
DD, the 60 votes thing is just a diversionary tactic and a way to avoid responsibility. They know they can pass whatever they want. That's the key word here: "want". They don't want healthcare reform. They want what their masters in big insurance and big pharma want: the status quo.
Want an honest, quick take on what's going on? Go to my post "I'm A Democrat" And "I'm A Republican". It's just a link to a short video that exposes the BS we're being fed by the politicians.
November 11, 2009 1:09 PM | Reply | Permalink
Well for some reason I am down today Oleeb. I cannot even have cable on IN THE BACKGROUND. I know that if this abortion language came up under w, well all house dems and senate dems would be screaming bloody murder.
Same with monies to banks and hedge funds...
Same reaction toward unemployment at ten percent.
Same reaction toward two wars.
I dont know.
November 11, 2009 1:42 PM | Reply | Permalink
Good job DD! And great discussion - kudos all!
I say, start over. Let's go to Medicare-E which many have recommended. Fix the compensation issues, rural/urban disparities, the doughnut hole, pay day for big pharma, and the racist and sexist inequities. That would probably be about 100 pages added to Medicare. Make it single payer and take it out of taxes - the hell with collecting money and sending it back. Then pass the damn thing.
November 11, 2009 2:47 PM | Reply | Permalink
Interesting discussion so far.
As I interpret Senate rules and precedent, there is no practical way to pass meaningful healthcare reform legislation without 60 votes. Discussion of a Senate-House Conference Committee report can be filibustered, and the type of "reconciliation" used for strictly budgetary items would be successfully challenged if applied to some of the most critical elements of reform.
Regarding abortion, I would distinguish between the moral abomination inherent in the Stupak amendment and its less than overwhelming practical impact, even if it survives into the final bill, which we all hope won't happen.
The amendment would affect insurance coverage of abortion, but not a woman's right to pay for abortions herself. Most women today pay out of pocket for abortions, with only a minority covered by insurance. Federal laws already prohibit federal subsidies, but Medicaid recipients are often covered by the respective state contributions - it varies from state to state - and since Medicaid is not part of the proposed exchange, I don't believe Medicaid abortion coverage would be affected.
Abortions today typically run, I believe, in the $500-$600 range - a sizeable chunk for non-Medicaid but low income women, but not about to lead to bankruptcy, as would be the case for very expensive illnesses. Since politics is the art of the possible, we will have to swallow hard and accept some offensive provisions if necessary to preserve major progress, while doing our best to eliminate the offenses.
November 11, 2009 3:24 PM | Reply | Permalink
Typical. It's not YOUR ox getting gored.
"We" don't have to accept anything, Fred.
November 11, 2009 4:37 PM | Reply | Permalink
Some of the comments following my previous one signify indignation at the prospect of achieving less than an ideal bill. What is missing is a recognition of how enormous an advance even the less-than-ideal legislation will be.
I realize it's asking people to put extra time into it, but if one makes the effort, for example, to go through the 2000 page HR 3962 - not word for word but topic by topic - the accomplishment will become clearer. It's a huge step forward, with many extra steps needed even beyond that. I don't see how dogmatic assertions about what one will or won't accept can change that reality, given that not everyone's ideal is achievable in a single political session.
The concessions made so far are fairly minor compared with what the bills retain, but that's not something that can be argued in the abstract, but only after assessing each item and its implications. That also requires more than a general, vague understanding of what those multiple items entail.
In stating my perspective, I'm not "agreeing" to anything, but rather describing the way things are. The fact that we may have to accept the abortion language (although I hope not) can't possibly be read by anyone reviewing my previous comments as "agreeing" with it. I thought I made that clear, but others can read what I wrote to judge for themselves.
November 11, 2009 5:44 PM | Reply | Permalink
People have put time into it, how arrogant of you to assume they haven't.
I reread what you wrote, Fred, and it certainly sounds like you are saying women will have to take a backseat (again) so that you can get your viagra. Judging from other comments here, I am hardly alone. If you are backtracking from that statement, I am glad.
It is indefensible.
November 11, 2009 6:03 PM | Reply | Permalink
I don't believe you've read HR3962, Bwakfat, and I've seen no evidence yet that you're aware of the extraordinary amount of future suffering that will be alleviated if the legislation passes, even in imperfect form. I sympathize with the indignation of women at the denial of insurance coverage for abortions (most of which are not covered by insurance anyway), although abortions themselves are not being denied. Yes, Bwakfat, that is deplorable, but I'm here to tell you it is minor compared to the savings in lives that will ensue if we achieve the proposed reforms.
Please don't begrudge these individuals their lives, their well-being, their happiness, their ability to function in comfort rather than pain - their future in essence - as a hostage to your anger.
If you can show an error in my assessment, please do it, but without the personal accusations.
November 11, 2009 7:07 PM | Reply | Permalink
As I never said I read the bill, it is interesting that you start out with your sideways personal accusations from the get go. So let me return the favor.
Fred, you addle-pated liar. I know you haven't read the bill, I think you have your idiotic, short-sighted insurance industry talking points and that's about it.
Further, I don't think you understand what it is like to go without insurance. I do. You new disgusting talking point about, "aaawwww, think of the poor folk this will help," propaganda, kinda fails to move me because I'm one of "them." You might want to try a different tack.
That you are incredibly clueless and a bullying ignorant lobbyist for industry is pretty apparent.
It hardly surprises me that you could care less about women's rights, or what is the actual ultimate long-term best thing for America, because corporate shills do not understand long term thinking or care about anyone except other rich, old, white men. That is what makes them ignorant. Your sense of entitlement and unrelenting arrogance are another clue.
I will keep on pointing out your mealy-mouthed immoral statements, which you coat in globs of unintelligible verbiage by design, so that you can claim that you didn't actually say what you said. Fair warning? People like you make me kind of ill.
Lastly, if you can't fool a common lil chicken like me, Fred, maybe you need to get into another line of work. Please consider it.
November 11, 2009 7:59 PM | Reply | Permalink
Would you be willing to say that everybody will just have to accept this bill if it decreed that Germans only got 90% of their health care covered? And that for 5% of that care -- say they needed prostrate surgery that might damage their fertility -- they had to get government permission? And to get that permission they had to show that they had not willingly engaged in sex?
November 11, 2009 6:26 PM | Reply | Permalink
Don't shoot the messenger, AJM - we will have to accept what we have to accept. On the other hand, the legislation says nothing about goverment permission for care, only about what is insurance-covered. No-one is denied care, and in the case of abortions, their cost is relatively small as medical costs go, which is why the large majority of abortions today are paid for out of pocket rather than by insurance.
Also, please don't keep harping on the unfairness of denying insurance coverage for abortions, as though that was my decision. Yes, it's unfair. Yes, it should be changed. No, this extraordinarily valuable, life-saving set of reform proposals shouldn't be sacrificed if, after exerting as much pressure as we can, we fail to get it changed. Keep that in perspective, because support for the reform bill will make a life or death difference for many thousands of Americans over the coming years.
November 11, 2009 7:17 PM | Reply | Permalink
We have to accept what we have to accept? Why don't you just pat all us women on the head and tell us, "Don't worry, sweetie. The men will take care of everything. Trust us."
Jesus, could you possibly be any more condescending?
November 11, 2009 8:15 PM | Reply | Permalink
Lighten up, Darlin'.
Whoops.
Ummmm... yeah.... if Fred had added that "Darlin'" bit, that would've been more condescending.
Nice try though, Fred. B+.
November 11, 2009 9:28 PM | Reply | Permalink
But beyond everything are glaringly amazing stupidities and hypocrisies:
1. Abortion is legal. The fact that it is objectionable because of religion was taken care of in the Constitution.
2. Republicans have (and rely on) abortions for their daughters and wives just as Democrats and those who are not affiliated with a party.
3. If someone's supposed moral beliefs make it impossible for them to allow their tax money to, even tangentially be associated with abortion, then the rest of us who have moral objections should also be respected.
a. I am morally opposed to war
b. I am morally opposed to capital punishment
c. I am morally opposed to giving federal government employees subsidized health care when other Americans do not have access to it.
d. I could go on, but it is getting late. You get my drift, no?
The whole abortion facade is a wedge issue designed to appeal to hyper-religious people who are not consistent enough in their beliefs to fight for the children whom they desperately want to be born, once they are.
November 11, 2009 10:30 PM | Reply | Permalink
That is the argument Cville. you really nailed it.
November 11, 2009 10:49 PM | Reply | Permalink
C'ville, that comment should really be a post of it's own. Absolutely spot on.
November 11, 2009 11:08 PM | Reply | Permalink
Ya! Post it CVille.
November 11, 2009 11:14 PM | Reply | Permalink
OK! but I have to wait until tomorrow! Thanks for the support!
November 12, 2009 8:47 PM | Reply | Permalink
Oh, crap, Fred. Nice dodge, as ever.
November 11, 2009 4:44 PM | Reply | Permalink
It is bad enough to have to settle one more time for this "art of the possible" bullshit that leads people like Fred to agree to any kind of backsliding on principles and substance for so long as we pass something, regardless of how closely (or not) the end legislation might hue to the original intent. For an example, simply consider how quickly our political leaders moved this effort from "Health Care Reform" to the "Health Insurance Industry Profit Enhancement & Protection Act."
It is almost inevitable under such wholesale retreat from common sense and decency that we would finally cross a bridge too far. To consider backtracking on women's reproductive rights to gain "success" in passing this abortion of a health care reform act is almost ironic. It is most certainly stupid. And it is indefensible.
The Religious extremists have taken the GOP down paths none of us should be too anxious to follow. Now, we have the Catholic Bishops dictating political policy for the Dems. Do we really think we're going to compete with the GOP for the religious whacko vote? I say get the bishops out of my party. Now! Before it's too late.
November 11, 2009 5:14 PM | Reply | Permalink
And the Evangelical Dems, please remember! (The Dems who voted for the Stupid Stupak amendment were all 'Family' members, I believe. The Theory has been: if the public option were successful, it would be eventually broadened to include more people. Then the stupid amendment would prevent reproductive rights for more and more women.
Aaaaarrrrrrgghhh!
November 11, 2009 5:24 PM | Reply | Permalink
See my reply above. It's critical to understand the magnitude of what the proposed bills will achieve in order to gain perspective on what remains to be done.
November 11, 2009 5:49 PM | Reply | Permalink
Aw, Geez, Fred. I read what you wrote. And my response is to tell you it's about time to get off your knees rather than hoping for a few scraps from the insurance lobby table, regardaless of what else you might have to give up on behalf of women's rights or other considerations .
You say it's "hard to swallow." Get off your knees and fight back, and you'll find yourself in a position where swallowing is no longer the issue.
November 11, 2009 6:05 PM | Reply | Permalink
By the time this bill is cooked it's going to do for health what the Patriot Act did for liberty.
November 11, 2009 6:33 PM | Reply | Permalink
It's one thing to be angry, bluebell, and you have a right to anger over the abortion issue, but that doesn't exempt you from the need to know what the proposed reforms would or wouldn't do. I may be boring bystanders, but it bears repeating that the proposed achievements, even though less than ideal, will make a profound, life or death difference for thousands of Americans.
As another example, the same sense of proportion applies to the proposed public option. It's desirable, but not central to reform efforts. With it, reform will be better. Without it, reform will still represent a monumental accomplishment.
Fight for what you believe in, but don't fight to deny a large segment of our population what they are now on the verge of getting, and what they have never before been able to have.
November 11, 2009 7:28 PM | Reply | Permalink
Fred, the abortion thing came out of the blue. We don't know what's going to be in the final bill. We just know it's likely to be much worse than the House version. Above all we do not know how many people who cannot afford insurance now will be able to afford it after they get through caving in to every special interest. We also don't know how many people will be forced to choose between mandatory insurance they cannot afford and something else like say their house payment or their rent. We don't know what happens when the subsidies get cut and the cost of insurance goes up. We don't know how this impacts the already bankrupt states.
The bill is underfunded.
But go on cheering for an increase in billions for a futile war in Afghanistan. It's not like we need the money.
November 11, 2009 7:39 PM | Reply | Permalink
I agree it will be underfunded. Afghanistan, where we may disagree, is a separate issue, because the underfunding will be due to the unwillingness of people who can well afford to give up a little more in the way of income to help out those who can't.
I'm glad that we see eye to eye about the underfunding. Even though the abortion provision is deplorable, it doesn't risk lives or impoverishment to the extent that a generally underfunded system does.
Underfunded is better than unfunded. I believe we have to push hard for adequate funding, and if it doesn't happen this year, continue pushing until it does. Eventually, I'm confident we'll get there.
Regardless of what laws are passed, the actual progress toward a truly good healthcare system will require at least a decade and probably more. You and I can probably agree that Afghanistan should involve a much shorter timeframe.
November 11, 2009 8:10 PM | Reply | Permalink
What part of political theater are some of you not grasping? The Stupak Amendment is literally the dictionary definition of political theater.
Stupak-Pitts will not end up in the final bill. Getting worked up about an admittedly atrocious amendment to a bill that will still need to be reconciled with the Senate and then pass both Houses doesn't make any sense. In the very unlikely event that Stupak-Pitts makes it into the law, the language of the bill will be as such that it will have loopholes so large, you (actually more like a lawyer from NOW,NARAL etc.) could drive a tractor trailer through it.
Other then the Stupak Amendment, why so much hate for the House bill? The votes simply weren't there to be able to have enacted a robust public option. Hell, the damn thing barely got passed as it is now. Does it have flaws, yes. Nothing is perfect.
Instead of reflexively throwing yourself under the bus, try and take a deep breath and remember how the legislative process works. You may not like how it works, but tough shit. If you want to get anything done, you have to suck it up and play the game. Progressive members of Congress aren't giving up, so why should you? This isn't anywhere near over yet. HCR still has to pass the Senate and conference, and don't count the Senate out of making parts of the bill more progressive. The fact that the House bill has a public option is in and unto itself an achievement, not to mention that there is a very good chance, if not likely that the Senate bill will have a Public Opt as well, and the level of subsidies to help individuals and families by insurance are in place up to 400% of the poverty line, in the Baucus bill of all places!
There is a lot of room for improvement no doubt, there is still ways to go. Make sure to keep the pressure on Blue Dogs, "moderates" (ie owned by the insurance co.'s) and conservadems and the few republicans who are serious about their jobs. If we want to have the chance at a Health care system that isn't based on perverse incentives and work ass backwards the progressives will have to stick it out.
Progressive politicians and policies are finally making their way into the mainstream. Health care reform is just the start. There will be things that you won't like about the final bill, but overall there is going to be a lot more positive than negative. Progressive participation throughout the entire process will lead to a more progressive bill. Giving up and going home because it doesn't have 100% percent of what you want or the way you want it will cede the tone and subject of the debate to the "centerists" and teabaggers.
The only other option is to do what progressives have done since Watergate, which would be exist somewhere on the fringes and bitch about The Man and how there needs to be a "true and honest" progressive party, and how you'd rather cast a throwaway vote for Nader or Kucinich and see Bush get elected than compromise your vaunted "principles" and vote for Gore. Because that strategy worked so well amitrite?
Then again, getting Bush elected in 2000 was the closest thing to relevance that progressives in this country had from Watergate till 2008.
Oh and an FYI to anyone saying that nothing significant in the HCR bill fazes in till 2013 at earliest, check this out.
http://tpmcafe.talkingpointsmemo.com/talk/blogs/oldengoldendecoy/2009/11/health-reform-bill-top-14-provisions-that-take-effect-immediately.php
And the insurance mandate wouldn't take effect till effect till 2013, with penalties fazed in between 2013 and 2017.
Don't blow this.
November 16, 2009 6:50 PM | Reply | Permalink