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If bill fails, Pelosi has strategic alternative
San Francisco Chronicle ^ | 3/17/10 | Carolyn Lochhead, Chronicle Washington Bureau

Posted on 03/17/2010 7:36:24 AM PDT by SmithL

House Speaker Nancy Pelosi on Wednesday traded fire with Republicans over a procedural rule that would allow House members to pass sweeping health care changes without a direct up-or-down vote on the Senate-passed version of the legislation.

Republicans are riveting their fire on the maneuver - which could marry Senate health care legislation that some of her members don't like with "fixes" that they do - as possibly their last chance to stop the nearly $1 trillion, 10-year plan as it nears a make-or-break vote as soon as this weekend.

The vote promises to be extremely close, and Pelosi has made clear that it will be a decisive test of party loyalty for all Democrats.

"We will do what is necessary to pass a bill," the San Francisco Democrat said at a news conference with advocates for the elderly.

Waving a sheaf of papers that she said she got from a friend in San Francisco who was in the Johnson administration when Medicare was passed in 1965, she said the vote tallies then showed how Republicans tried to kill Medicare on a procedural motion and succeeded at one point.

Democratic leaders "then went through the sheets with the names of the members and all the rest," she said, and "ended up with a victory at the end."

The Senate has passed the underlying legislation, and if Pelosi can corral 216 votes to pass that same legislation in the House, it would go to President Obama for his signature and become the law of the land.

If she can't get the 216 votes, Democrats will have to decide whether to use the controversial rule, which Pelosi said would "deem" the Senate bill passed when the House approves the changes it wants.

Identical bills needed

Under the Constitution, both chambers must pass identical bills.

(Excerpt) Read more at sfgate.com ...


TOPICS: Extended News; Front Page News; Government; Politics/Elections
KEYWORDS: 111th; 2010; cultureofcorruption; deem; deeming; deemingrule; deemocrats; democrats; donttreadonme; elections; healthcare; liberalfascism; medicare; medicare1965vote; obamacare; pelosi; rapeofliberty; reconciliation; socialisthealthcare; tyranny; unconstitutional
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1 posted on 03/17/2010 7:36:25 AM PDT by SmithL
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To: SmithL

And if they pass the bill by any means what will we do then?


2 posted on 03/17/2010 7:40:42 AM PDT by Country Eagle
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To: SmithL
Rat talking points for today: The people don't care about the "process". They just want this health care bill passed.
3 posted on 03/17/2010 7:40:56 AM PDT by SMM48
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To: SmithL

Nancy has forgotten..that Medicare in 1965 affected a very small percentage of We the People.

this bill affects ALL Americans...except for the Oligarchs on Capitol Hill.

Historically Congress has ALWAYS been careful...ever since 1859-1860...to be sure legislation affecting a large percentage of the population, has full bipartisan support.

Her recklessness WILL catch up to her...hopefully it won’ catch up all of us in her insanity.


4 posted on 03/17/2010 7:41:24 AM PDT by mo
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To: Country Eagle
1. Challenge to the SCOTUS

2. Vote them all out in 2010/2012 and repeal it immediately.

5 posted on 03/17/2010 7:41:57 AM PDT by rintense (Only dead fish go with the flow, which explains why Congress stinks.)
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To: SmithL
This whole thing has echoes of the MN election that put Franken into office:

Election result -- Franken loses -- Democrats demand recount.
Recount #1 -- Franken loses -- Democrats demand recount.
Recount #2 -- Franken loses -- Democrats demand recount.
Recount #3 -- Franken loses -- Democrats demand recount.
Recount #4 -- Franken wins.

Okay! We have a winner! Everyone can go home now.

Democrats are relentless, they will just pound away until they get what they want.

6 posted on 03/17/2010 7:42:02 AM PDT by ClearCase_guy (We're all heading toward red revolution - we just disagree on which type of Red we want.)
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To: SmithL

I heard yesterday on the radio that Dumb0 was calling the Dems and threatening that unless they voted for the Dumb0care he wouldn’t come campaign for them. I thought all right!

Now they’ll all run to vote NO! We’ve seen how him campaigning for someone turns out to be the kiss of death in most cases and I can’t imagine, with the GREAT job he did campaigning for Harry Reid recently, that anyone would want him to campaign for them!


7 posted on 03/17/2010 7:42:10 AM PDT by leapfrog0202 ("the American presidency is not supposed to be a journey of personal discover" Sarah Palin)
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To: SmithL

If they use “fire” we should use “fire”.

If this bill becomes law through this arcane method, so too shall it go down in repeal in the future!


8 posted on 03/17/2010 7:42:42 AM PDT by LibFreeUSA (Show me what Obama brought that was new and there you will find things only blind and destructive.)
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To: SmithL

My head is going to explode soon. This nightmare has to end. Is there anyway this bill will actually be defeated and stopped? Please G-d, help us stop this takeover of America.

I have a headache.....


9 posted on 03/17/2010 7:42:54 AM PDT by Mrs. B.S. Roberts
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To: mo

You’re absolutely right, Nanzi Pelousy is insane!


10 posted on 03/17/2010 7:43:07 AM PDT by downtownconservative
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To: SmithL
The vote promises to be extremely close, and Pelosi has made clear that it will be a decisive test of party loyalty for all Democrats

Keep all the rats on the ship when it goes under in November.

11 posted on 03/17/2010 7:43:47 AM PDT by mlocher (USA is a sovereign nation)
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To: SMM48

Rat talking points for today: The people don’t care about the “process”. They just want this health care bill passed.
****************************************************
That’s weird. Yesterday’s talking points were that people like what’s in the bill, they just didn’t like the process. LOL!


12 posted on 03/17/2010 7:45:33 AM PDT by ConjunctionJunction (LOLcat sez: "ObamaCare: Do Not Want!")
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To: SMM48

Rat talking points for today: The people don’t care about the “process”. They just want this health care bill passed.
___________________________________________________________

Many, many people died who CARED for the PROCESS! Damn these tyrants. Every one of them.


13 posted on 03/17/2010 7:45:45 AM PDT by RushIsMyTeddyBear (I don't have a 'Cousin Pookie'.)
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To: Mrs. B.S. Roberts

http://www.freerepublic.com/focus/f-religion/2472397/posts


14 posted on 03/17/2010 7:46:30 AM PDT by mikelets456
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To: SmithL

When the Federal government ignores is contract with the people it has declared war on the people. It is just a matter of time before the hostilities begin. Do you see nasty and keebler elf manning the barricades?


15 posted on 03/17/2010 7:47:38 AM PDT by equalitybeforethelaw
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To: Mrs. B.S. Roberts

Hang in there. If it goes into April, it’s finished.


16 posted on 03/17/2010 7:49:40 AM PDT by Track9 (A good education is knowing what truly sets you free.. and then crushing liberals with it)
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To: mo

“Nancy has forgotten..that Medicare in 1965 affected a very small percentage of We the People.”

She’s also forgotten that Medicare passed on a bipartisan vote. Indeed, more House Republicans voted FOR Medicare than voted against it! http://www.ssa.gov/history/tally65.html


17 posted on 03/17/2010 7:52:55 AM PDT by DrC
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To: All

Call these so-called “moderate” Democrats who were called to the White House to be pressured to vote YES, and tell them that any vote for ObamaCare will cost them their jobs:

John Adler
http://clicks.electionemail.com/v/?u=14a1c389ab31d4d32c1ba47abb3410f9&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-4765
3rd District of New Jersey


Jason Altmire
http://clicks.electionemail.com/v/?u=9c0c9feb83c3de7be02bf03e5dec58e2&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: 202-225-2565
4th Congressional District of Pennsylvania

Melissa Bean
Phone: 202-225-3711
http://clicks.electionemail.com/v/?u=071cfdab45f22a0b944c03d4b2ce3efa&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
8th Congressional District of Illinois

Lois Capps
http://clicks.electionemail.com/v/?u=73f6ba4f5e8e23579ece543bbfc90ce7&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-3601
23rd Congressional District of California

Joseph Crowley
http://clicks.electionemail.com/v/?u=6fd4353fb062f7e67fc78aaf1a999666&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: 202-225-3965
7th Congressional District of New York

Ron Kind
http://clicks.electionemail.com/v/?u=06984a1e415edae00422061e2fd35d7b&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-5506
3rd Congressional District of Wisconsin

Allyson Schwartz
http://clicks.electionemail.com/v/?u=3a5372353ecf731ec17d1d00a5e91861&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
phone—202/225-6111
13th Cong

Call the 12 Pro-Life Members who supported the pro-life Stupak Amendment but voted for Obamacare in 2009, and tell them to stand up for life and oppose ObamaCare:

Ahn “Joseph” Cao (Republican)
http://clicks.electionemail.com/v/?u=008096afee12d23e2949a485d33a1667&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-6636
Louisiana’s 2nd Congressinoal District


Jerry Costello
http://clicks.electionemail.com/v/?u=82a73c3737c1e0e94970c71875ebf874&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
(202) 225-5661
Illinois 12th Congressional District

Kathy Dahlkemper
http://clicks.electionemail.com/v/?u=5bdb71e6899fe636033c1aa320c6e3cd&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-5406
Pennsylvania’s 3rd Congressional District

Joe Donnelly
http://clicks.electionemail.com/v/?u=f0c435c5b838f0598b006ddb403361e4&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-3915
Indiana’s 2nd Congressional District

Steve Driehaus
http://clicks.electionemail.com/v/?u=8c2a38d00b30a5146b24494c251d2255&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-2216
Ohio’s 1st Congressional District

Brad Ellsworth
http://clicks.electionemail.com/v/?u=e66870531b484a7ace7579100452a3cb&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
phone: (202) 225-4636
8th Congressional District of Indiana

Marcy Kaptur
http://clicks.electionemail.com/v/?u=ac738214ca6bac35d3f92f10565eef9a&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-4146
9th Congressional District of Ohio

Dale E. Kildee
http://clicks.electionemail.com/v/?u=db1a8c004af310e13ee490047ec499e1&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: 202-225-3611
5th Congressional District of Illinois

Daniel Lipinski
http://clicks.electionemail.com/v/?u=d65d360e80448391bf6294d9b77246d5&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-5701
3rd Congressional District of Illinois

James Oberstar
http://clicks.electionemail.com/v/?u=8aecbace8293dafa5f9e348a98239720&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-6211
8th Congressional District of Minnesota

Bart Stupak
http://clicks.electionemail.com/v/?u=38e099f10c02d5d1a01a40e773da18ce&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225 4735
1st Congressional District of Michigan

Charlie Wilson
http://clicks.electionemail.com/v/?u=8d178e91c9ffd17ef3040c2139cdaa72&g=253&c=3672&p=43b0ed538a1b56672200d2e2e0503ad3&t=1
Phone: (202) 225-5705
6th Congressional District of Ohio


18 posted on 03/17/2010 7:53:31 AM PDT by Matchett-PI (Sowell's book, Intellectuals and Society, eviscerates the fantasies that uphold leftist thought)
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To: All

WSJ
MARCH 17, 2010
ObamaCare’s Worst Tax Hike
For the first time, payroll levies will hit investment income.
http://online.wsj.com/article/SB10001424052748704131404575117623860083574.html?mod=WSJ_newsreel_opinion

<>

Critical Mass [Mark Steyn]

Kathryn, Grace-Marie Turner’s analysis is well worth reading. [SEE BELOW] I sympathize with Mitt Romney (his health-care plan was really the only big signature legislation of a very brief time in executive politics), but what he did is part of the problem, not the solution.

According to what he’s told at least a couple of NR audiences I’ve been among, he sought to solve a problem that doesn’t exist - ie, that the uninsured are using emergency rooms as their family doctor, and supposedly the rest of the populace has to pick up the tab for that in increased health care costs. In fact, ER use by the uninsured is in rough proportion to their percentage of the population, and the rest of the populace has to pick up a far greater tab for the under-reimbursement of doctors by Medicare. In other words, Mitt misdiagnosed the disease, and his prescription was a bigger dose of it:

The result is all the problems familiar to patients in socialized systems - longer wait times, fewer doctors, overstretched emergency rooms - with the uniquely American wrinkle of dramatically increased costs. Mass residents now pay 27 per cent more than the US average.

If costs are the issue, it isn’t very difficult: As has been noted here many times, third-party transactions are always more expensive, whether the third party is an insurer or the government.

Most people in the waiting room don’t care whether the procedure costs $200 or $20,000: Their only concern is whether the third party will grant access to it. If you mandate universal third-partyism, your costs by definition will increase. As a businessman, Mitt should have known that. So it reflects poorly on his judgment.

And it’s worse than that, because, of those citizens forced by Mitt to acquire insurance, nearly 70 per cent are getting it all but totally subsidized by Massachusetts taxpayers. That’s a good example of another general principle - that, even if you accept his characterization of the plan, wonkish non-partisan technocratic reforms will invariably be turned leftward by the statist bureaucracy.

The Massachusetts State Treasurer now says Masscare nationwide will bankrupt America. No doubt.

But first it will drive out doctors and private insurers, providing the perfect pretext a half-decade down the road for politicians to step in and move to full-blown single-payer governmentalization. Obama wants that.

So, from his point of view, Obamacare makes sense. Mitt presumably doesn’t want that. So what was he thinking?

<><>

WSJ OPINION
MARCH 16, 2010, 10:30 P.M. ET
The Failure of RomneyCare
The former Massachusetts governor enacted something very similar to the Obama health plan. It isn’t working well.
By GRACE-MARIE TURNER
http://online.wsj.com/article/SB10001424052748703625304575115691871093652.html

Former Massachusetts governor and likely 2012 presidential aspirant Mitt Romney has been on the wrong side of the defining political battle of our time.

Mr. Romney claimed earlier this month on “Fox News Sunday” that the Massachusetts health reform plan he signed into law in 2006 is “the ultimate conservative plan.” But there are many similarities between it and the ObamaCare loathed by conservative voters.

Both have an individual mandate requiring most residents to have health insurance or pay a penalty. Most businesses are required to participate or pay a fine. Both rely on government-designed purchasing exchanges that also provide a platform to control private health insurance. Many of the uninsured are covered through Medicaid expansion and others receive subsidies for highly-prescriptive policies. And the apparatus requires a plethora of new government boards and agencies.

While it’s true that the liberal Massachusetts legislature did turn Mr. Romney’s plan to the left, his claims that his plan is “entirely different” will not stand up to the intense scrutiny of a presidential campaign, especially a primary challenge. Mr. Romney needs to be more honest about his Massachusetts experiment and its failings.

Mr. Romney insisted in a recent interview on “Fox News Sunday” that “our plan is working well,” and he defended his state’s right to create its own plan. He also said in his book “No Apology” that because of the plan everyone in Massachusetts now has access to “portable, affordable health insurance.” Not exactly.

While Massachusetts’ uninsured rate has dropped to around 3%, 68% of the newly insured since 2006 receive coverage that is heavily or completely subsidized by taxpayers. While Mr. Romney insisted that everyone should pay something for coverage, that is not the way his plan has turned out. More than half of the 408,000 newly insured residents pay nothing, according to a February 2010 report by the Massachusetts Health Connector, the state’s insurance exchange.

Another 140,000 remained uninsured in 2008 and were either assessed a penalty or exempted from the individual mandate because the state deemed they couldn’t afford the premiums.

Mr. Romney’s promise that getting everyone covered would force costs down also is far from being realized. One third of state residents polled by Harvard researchers in a study published in “Health Affairs” in 2008 said that their health costs had gone up as a result of the 2006 reforms. A typical family of four today faces total annual health costs of nearly $13,788, the highest in the country. Per capita spending is 27% higher than the national average.

The state’s stubbornly high health costs are partly the result of intrusive government regulations that stifle competition in the insurance market and strict mandates on what services insurance must cover. A 2008 study by the Massachusetts Division of Health Care Finance and Policy found that the state’s most expensive insurance mandates cost patients more than $1 billion between July 2004 and July 2005. The Massachusetts health reform law left all of them in place.

Further, insurance companies are required to sell “just-in-time” policies even if people wait until they are sick to buy coverage. That’s just like the Obama plan. There is growing evidence that many people are gaming the system by purchasing health insurance when they need surgery or other expensive medical care, then dropping it a few months later.

Some Massachusetts safety-net hospitals that treat a disproportionate number of lower-income and uninsured patients are threatening bankruptcy. They still are treating a large number of people without health insurance, but the payments they receive for uncompensated care have been cut under the reform deal.

The Bay State is also suffering from what the Massachusetts Medical Society calls a “critical shortage” of primary-care physicians. As one would expect, expanded insurance has caused an increase in demand for medical services. But there hasn’t been a corresponding increase in the number of doctors. As a result, many patients are insured in name only: They have health coverage but can’t find a doctor.

Fifty-six percent of Massachusetts internal medicine physicians no longer are accepting new patients, according to a 2009 physician work-force study conducted by the Massachusetts Medical Society. For new patients who do get an appointment with a primary-care doctor, the average waiting time is 44 days, the Medical Society found.

As Dr. Sandra Schneider, the vice president of the American College of Emergency Physicians, told the Boston Globe last April, “Just because you have insurance doesn’t mean there’s a [primary care] physician who can see you.”

The difficulties in getting primary care have led to an increasing number of patients who rely on emergency rooms for basic medical services. Emergency room visits jumped 7% between 2005 and 2007. Officials have determined that half of those added ER visits didn’t actually require immediate treatment and could have been dealt with at a doctor’s office­if patients could have found one.

Mr. Romney insists that in Massachusetts, “We didn’t do what President Obama’s doing, which is putting controls on our system of premiums for private insurance companies.”

But that is what’s happening now: Faced with soaring medical expenses, Gov. Deval Patrick, Mr. Romney’s successor, wants to cap insurance rate increases at 4.8%, not the 8% to 32% increases the companies have requested for April 1. Three of the four major health insurers in Massachusetts showed operating losses for 2009. If their rates are capped, they say they’ll be forced to cut payments to health providers, putting further pressure on doctors and fragile hospitals.

One of the challengers Mr. Romney could face in 2012 is Gov. Mitch Daniels of Indiana. Mr. Daniels went in a very different direction in tackling the problem of the uninsured.

He created a program targeted to lower-income uninsured people who weren’t eligible for Medicaid or employer insurance.

Mr. Daniels’s Healthy Indiana program has a fixed budget and relies on shared responsibility between the newly insured and the government in managing health spending.

The nation may well be eager to have a leader in three years with Mr. Romney’s experience in tackling and fixing complex systems and who has a record as a successful businessman.

But health care is likely to be the defining issue of the 2010 and 2012 elections. Unless Mr. Romney is more honest about the system he set in motion in Massachusetts, he will have a hard time convincing Republican primary voters that he has learned his health-care lesson.

Ms. Turner is president of the Galen Institute, a nonprofit research organization focusing on patient-centered health reform.


19 posted on 03/17/2010 7:55:47 AM PDT by Matchett-PI (Sowell's book, Intellectuals and Society, eviscerates the fantasies that uphold leftist thought)
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To: Mrs. B.S. Roberts

My head is going to explode soon. This nightmare has to end. Is there anyway this bill will actually be defeated and stopped? Please G-d, help us stop this takeover of America.

I have a headache.....
_____________________________________

I’m with you and I think that’s what they are hoping for. We’re all getting so sick of hearing nothing but Dumb0care for the better part of a year and that’s just want the Dems want. They want us to get complacent, get fed up and get tired of this bill. Then it will sail through.

Thank goodness you, I and many others have this front and center and are working against it!


20 posted on 03/17/2010 7:55:50 AM PDT by leapfrog0202 ("the American presidency is not supposed to be a journey of personal discover" Sarah Palin)
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