Obama Seeks to Push Health Care to Final Vote
Last Updated: 2010-03-03 16:36:31 -0400 (Reuters Health)
WASHINGTON (Reuters) - President Barack Obama began a final push for healthcare reform on Wednesday, urging Congress to vote on the plan in the next few weeks even if it means passing the measure with a narrow Democratic majority and no Republican support.
Although much uncertainty remains on the path to passage of the legislation, Obama opposed Republican calls to throw out broad bills passed by the House of Representatives and Senate last year and begin again with a more step-by-step approach.
"For us to start over now could simply lead to delay that could last for another decade or even more," Obama said.
Americans are waiting for the administration to lead, Obama said in remarks at the White House backing a muscle tactic known as "reconciliation" as a way of overcoming rock-solid Republican opposition.
Republicans dismissed Obama's remarks and said Democrats risked paying a price in mid-term congressional elections in November.
"Every election in America this fall will be a referendum on this issue," Senate Republican leader Mitch McConnell said after the speech.
Wall Street shrugged off Obama's remarks.
"It doesn't really seem like there's any change here. Basically, what it was was a call to action," said Steve Shubitz, a healthcare analyst at Edward Jones. "There really wasn't much new in there, meaning nothing incrementally more damaging to the health insurance companies," he said, adding that the big question was whether anything would be passed.
"My opinion it's still just political maneuvering on healthcare ... I'd be surprised if anything does get done," said Wayne Schmidt of Minnesota-based Gradient Investments.
The Morgan Stanley Healthcare Payor index of health insurer stocks was up about 1 percent on Wednesday.
"Now is the time to make a decision about how to finally reform health care so that it works, not just for the insurance companies, but for America's families and businesses," Obama said in his speech.
ANOTHER YEAR WOULDN'T HELP
He said his plan included ideas from both his fellow Democrats and rival Republicans, who staunchly oppose the idea of a large-scale overhaul of the $2.5 trillion healthcare industry that accounts for one-sixth of the U.S. economy. Republicans say such a plan is too expensive for a government running huge budget deficits.
Obama renewed his effort to win Republican backing with a healthcare summit last week and a letter on Tuesday outlining some of their ideas he was willing to adopt.
With those efforts, he can now say he gave bipartisanship another chance - even as he and Democrats move ahead with a procedure that bypasses them.
"Given these honest and substantial differences between the parties ... I do not see how another year of negotiations would help," Obama said.
Democrats have been preparing to pass a final measure in the Senate without opposition support through reconciliation, which requires only simple majority approval instead of the usual 60 votes that are needed in the 100-member chamber to overcome procedural hurdles. The Democrats lost their "super majority" with the loss of a Senate seat in a special election in January.
Obama did not use the word reconciliation, a term not understood by many Americans, but made clear he supported that process with his comments urging Congress to vote.
"No matter which approach you favor, I believe the United States Congress owes the American people a final vote on health care reform," he said.
The political stakes are enormous. Obama's approval ratings have dropped during the healthcare fight amid public worries about an unemployment rate hovering around 10 percent.
With polls providing a mixed picture of the public's attitude on healthcare, the president made clear he was willing to let voters decide in November whether healthcare should be approved or not. With more than one third of the Senate and all seats in the House up for grabs, his fellow Democrats want to move past healthcare to focus on job creation and the economy.
It is unclear whether House Speaker Nancy Pelosi will be able to muster a bare majority of 216 Democrats to support the plan in the House, with moderates fearing a rebellion from voters more concerned about jobs.
The House approved its version in November with only three votes to spare, and will take up a Senate version that includes several provisions House Democrats do not like. Those include a tax on high-cost "Cadillac" insurance plans and lower federal subsidies to make insurance more affordable.
Obama has offered proposals to ease some of the House concerns, watering down the tax on expensive insurance plans and boosting federal subsidies. It is those items that will be taken up through reconciliation.
But reconciliation cannot be used to change a Senate provision that weakened language banning the use of federal funds for abortion, and as a result Democratic Representative Bart Stupak said he will vote against the bill - and he says as many as a dozen other Democrats might too.
Using reconciliation to pass the final healthcare bill would be a two-step process. The House would approve the Senate-passed bill and changes to the Senate bill sought by the House would be passed separately through reconciliation.
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