Monday, September 14, 2009

Of Blue Dogs and Dying Options

With 256 Democrats (257 probable by November) and only 178 Republicans in the U.S. House, why, you might ask, don’t Democrats just get HR 3200, “America's Affordable Health Choices Act of 2009” through the House and be done with it? The bill has already gone through three of the five committees it must navigate, so what’s the deal? Even if health care reform has rougher sailing in the Senate, where the Democratic majority is not filibuster-proof, at least it will have passed the House. Right?

Maybe. But maybe not in its current form. That’s because the Democrats are far from united. Though the President spoke last week of his preference for the public option, the way he did it signaled that he will be open to compromise—a compromise that will be pushed not only by Republicans but by a number of Democrats.

First, a bit of background. The House has more than 250 Congressional Member Organizations—caucuses or coalitions formed to discuss and strategize about member causes.  Most of them are specialized issue groups like the Hydropower Caucus or the Composites Caucus. There are also identity CMOs like the Black Caucus, the Hispanic Caucus, the Native American Caucus, the Caucus for Women’s Issues. Most important, there are the major Democrat and Republican caucuses.

But most relevant to the Health Care Reform debate are those CMOs that divide up the two major parties by where the members place themselves on the political spectrum. Republicans have their Republican Study Committee (right-wing) and their Republican Liberty Caucus (libertarian). Democrats have three sizeable groups: the Progressive Caucus, the New Democratic Coalition, and the Blue Dogs.

The Progressive Caucus is made up of 83 House Democrats most in favor of strong health care reform, including a public option. The NDC is the group of 63 moderate Democrats. The 52-member Blue Dogs are  conservatives, especially when it comes to fiscal matters.                             

Republicans aside, the Blue Dogs are the House members most reluctant to vote for HR 3200.  The public option—a budget insurance plan managed by the government, like Medicare—is a major sticking point for the Blue Dogs. While Progressives say that the public option is a very important feature that will help keep insurance and hospital prices down, Blue Dogs claim that such a plan would cost too much and would be unfair competition for insurance companies. The opposition of the Blue Dogs, coupled with that of some of the moderates, managed to postpone the vote on HR 3200 until after the August recess.

Interestingly, Blue Dogs are the biggest recipients these days of fundraising largesse from the health care industry.  That’s not to say that members of the other Democratic caucuses aren’t also getting money from the industry; you can bet that whoever is currently in a power position, like House Speaker Nancy Pelosi—a Progressive—is going to be pulling down big contributions even from unlikely sources.  Money doesn’t buy votes exactly; it’s not as simple as that. What it buys is a chance to rub shoulders with the powerbrokers.  Nevertheless, the health care industry apparently figures its bucks are best spent with the Blue Dogs.

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Who Gets Whose $$$
 If you ever have a free hour to spend investigating what lawmakers get what money from what sources, take a look at Open Secrets, a website that tracks contributions and even allows you to plug in individual lawmakers to see what they are getting from whom. 

For instance, click the Congress tab under Politicians & Elections. In the second gray box on the right, put in the name of a Congressperson and then check out who their big contributors were during what year.

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So in the end, what will the Blue Dogs do about HR 3200? That depends on the deals that can be made across party lines and across caucus lines. Will the public option survive the pressure from the Blue Dogs and their allies? Even now the Progressive Caucus is lobbying Democrats to find out who will declare the public option a must.  If the count is not high enough, the public option will die in the House. Even if the public option gets through the House, and Democrats for a moment appear to be speaking with one voice, the Blue Dogs may yet prevail when the Senate and House have to work out a compromise bill.  Whether there is anything in the final bill that will actually provide the competition and cost containment we need remains to be seen.







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Cartoon for the day

Thursday, September 10, 2009

Was the President’s Speech to Congress a Game Changer?

Immediately after last night’s presidential address to Congress (Sept. 9), pundits were calling the speech a game changer in the health care reform debate. Immediate polling by CNN showed a significant bump in popularity for health care reform plans. This morning the editorials were more sober, as is always the case for post-speech analysis. We will have to wait a bit to learn what the big national polls show and longer to see how politicians will vote.

One thing is sure. If anyone hoped that distortions about the reform plans were put to rest last night, the sad news is that deliberate misinformation is not going to go away.  It has been far too effective in shaping opinion to hope that propagandists will drop their efforts and instead engage in informed debate about real issues. All we have to do is surf the TV/radio talk shows today to see that the landscape has changed very little.

What the President’s speech did was to signal that reform efforts are not dead, that the President himself is ready to take a tougher, more visible role in the fight, and that we can expect that no bill is going to pass without significant changes—for good or ill.

For a couple of morning-after analyses, check this New Yorker piece or this piece by Alan Katz.


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Why is the White House plan so much shorter than the Congressional Plans?

The White House plan is merely a couple of pages, while the Congressional plans are huge—over a thousand pages for HR 3200. Why the difference?

HR 3200 is written as an actual law, with all the legal language and specificity necessary to rule out loopholes and prepare for the law’s execution. The President’s plan is a succinct list of what he will and will not support.  He does not need to present all the legal language, because the bill that will ultimately reach his desk will be written in Congress.

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Comic strip for the day