How Could the Democrats Screw up Health-Care Reform?

15 or 16 months ago, many people began to ask me if Obama was a shoe-in to win the presidency. I pointed out that Democrats find ways to fumble the ball just before the goal line. I had an uneasy feeling for two weeks before the election. Even on election night, as every major state was going towards Obama, I still had that queasy feeling. Now, reports are coming in that health-care reform is in the bag. The Democrats have found a way to pass everything they need to pass in order to get a bill to President Obama within the next week. Everything is a green light. Not so fast. I’m getting that queasy feeling again.

From TPM:

Whoops! The votes aren’t there in the House

While this would kill reform in swift fashion, it’s also the least likely scenario. House Democrats aren’t going to bring a bill to the floor they don’t have the votes to pass. But where they could run into trouble is if rank-and-file Democrats start to buy into Republican claims that the procedure leadership chooses for getting the bill done isn’t fair or smacks of a backroom deal. Yesterday, Rep. Jason Altmire (D-PA) suggested as much.

Whoops! The votes aren’t there in the Senate

They only need 50 plus Vice President Joe Biden to break a tie, but as we’ve seen in this yearlong fight it is not always that easy. Several Senate Democrats have expressed reservations over the next vote. They’re probably close to it, but sometimes those whip counts aren’t as robust as they initially seem. This will be a critical question in the coming days.

Sens. Blanche Lincoln (D-AR) and Evan Bayh (D-IN) have already pushed back from the table, and others could follow. Lincoln already said she doesn’t like the procedural moves in the House. Bayh is retiring and could throw a wrench in the plans and insist the Senate have a bipartisan bill. He also has complaints about the student loan provision that might be included in the final product. (See below) Then again, Sen. Olympia Snowe (R-ME) could always come back into the fold.

I asked Rep. Barney Frank (D-MA) about this earlier, and he scolded me and the rest of the press for looking for problems when things look so certain. But he did concede that there was “no question” the Senate has the votes to pass the reconciliation measure and that “there would be no way for this to happen” without Senate leadership giving reassurances to frazzled House Democrats who don’t always trust the upper chamber.

Parliamentary problems

The bigger risk is something we’ve been writing about a lot in recent weeks. It is not clear that the Senate parliamentarian will agree that the bill the House Democrats will reveal any minute actually fits within the narrowly tailored reconciliation rules.

The White House helped craft that measure with those reconciliation rules in mind, but anything is possible and Republicans say they are going to raise points of order against as many elements as they can. They aren’t likely to win those battles, but it puts the brakes on momentum. Sen. Kent Conrad (D-ND) told Brian earlier today he isn’t sure that everything in the bill will pass the reconciliation test.

Student loans, in a health care bill?

Rep. George Miller (D-CA) is chairman of the Education panel and is going full-speed ahead at including student loan reforms in the final reconciliation package. It’s a popular measure with some GOP support that sweetens the vote on health care – in the House. It originally passed 253-171, with six Republicans voting for it. Democrats tell me that so far they aren’t sure the votes are there in the Senate. Wary aides said they fear a repeat of the process that played out in the Senate last fall, with individual senators having the ability to gum up the works and every vote is critical. One aide told me that element “complicates the math” in the Senate.

Expect the unexpected

Blumenauer had it right, anything is possible with Congress. Unexpected retirements, illness or scandal have the potential to change the numbers need to pass a bill at any moment.

As the Democrats race the clock before Obama leaves on an (already delayed) international trip to Indonesia, Guam and Australia Sunday, there’s also the possibility the timing might not work out. The Daily Caller’s Jon Ward had a piece today with Democrats suggesting Obama shouldn’t be too celebratory about the vote in the House this weekend before he boards Air Force One. Rep. John Conyers (D-MI) warned that the American people can’t think the health care fight is over, since the bill would head over to the Senate before it’s passed in its final form.

  • margaret

    Okay so there are a few democrats who say that this bill will allow federal dollars to pay for abortions. No matter how many times someone will say it doesn’t there will be no convincing some that it does not do just that.

    Instead of voting NO for the whole package. Why don’t they vote yes and then write an amendment to fix the part they don’t like. Then they can argue about abortion instead of helping people get healthcare. This bill can be tweaked and improved or corrected. But you have to have something to start with.

    The congressmen just love being in the news and on tv. Abortion is a no win situation so it shouldn’t be a discussion on this bill.