Obama Plugs Staff Into Hill Health Care Debate

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First Posted: 06- 2-09 04:45 PM   |   Updated: 07- 3-09 05:12 AM

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One of the key measures the Obama White House has employed in crafting a comprehensive health care reform package is to ensure that the avenues of communication between the administration and Congress are continuously open. It is a means of avoiding the fate of the last reform effort -- former President Bill Clinton's attempt in the early nineties.

But the political calculus doesn't end there.

In Matt Bai's forthcoming comprehensive look at the process in the New York Times Magazine, Chief of Staff Rahm Emanuel acknowledges that some of the key staffing decisions have been geared toward greasing the legislative wheels.

"That was a strategy,'' Emanuel tells Bai. "We didn't kind of parallel-park into it. We had a deep bench of people with a lot of relationships that run into both the House and Senate extensively. And so we wanted to use that to our maximum advantage."

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Among the White House staffers who have played key roles monitoring and guiding health care reform to this point include Jim Messina, who served as Senate Finance Committee chairman Max Baucus's chief of staff and now as Deputy chief of staff in the White House; Phil Schiliro, Obama's legislative director and formerly a long-serving confident of Energy and Commerce Committee chairman Henry Waxman; Pete Rouse, a high-ranking Obama adviser with considerable clout on the Hill; Lisa Konwinski, Schiliro's deputy, who formerly worked with Senate Budget Committee chairman, Kent Conrad; and Melody Barnes, the domestic policy director, who was a trusted aide to Sen. Edward Kennedy.

The aides, according to Bai, do more than keep tabs on legislative landscape of the moment. They also serve as the eyes and ears for the White House. Even the president has played an active role in engaging the other side of Pennsylvania Avenue. Through mid-May, according to Bai, the Obama administration had welcomed 320 members of Congress and roughly 80 senators through its doors, for both formal and informal gatherings.

"We have a tracking system," Emanuel told Bai. "Who came to watch the football game? Who came to watch the basketball game?"

On a broader level, Bai makes the point that this strategy is very much the type of politics that has defined Obama: Inclusive, collaborative but with long-term objectives in mind. The goal, as David Axelrod told Bai, is to avoid the type of situation that took place with Clinton, when the legislation was "chiseled in stone" and "not well received."

But part of the strategy is driven by the fact that -- because he was only in the Senate a few years before running for the White House -- Obama faces a deficit in terms of congressional relations. As Bai quotes Sen. Baucus, "[Obama] didn't really serve in the Senate."

The Montana Democrat, whom Obama barely knew during their overlap in Congress, has since been to the White House twice for personal meetings. At one, he sat next to Michele Obama and discussed Sidwell Friends, the school attended by the Obama children and from which Baucus' own son graduated.


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One of the key measures the Obama White House has employed in crafting a comprehensive health care reform package is to ensure that the avenues of communication between the administration and Congress...
One of the key measures the Obama White House has employed in crafting a comprehensive health care reform package is to ensure that the avenues of communication between the administration and Congress...
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How long until this bill is finished?

    Favorite    Flag as abusive Posted 09:41 AM on 06/03/2009

You have to give President Obama for caring enough to take on this daunting task that is far over due to be addressed. I applaud his efforts. bush could have cared less about health care or anything that effected the people.

    Favorite    Flag as abusive Posted 08:17 AM on 06/03/2009
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I find myself agreeing with the Obama approach: he brings everyone to the table, he seems to move ahead very methodically. He seems to think a lot like the guy who wrote The Peter Principle.

But after some time has passed I end up feeling like he's asking me to sacrifice too much of my ideology. If you come at the health care issue thinking it should be a right, and then find out Obama is barely considering a public option...

I think about the people in that Sicko movie, as well as my own experiences, like the guy who had to choose which finger to put back on, or the mentally ill woman who was dropped off on some random street to wander around until somebody helped her, and I just don't see how this reform they're gearing up to pass is going to change this. The insurance companies are the ones who shouldn't have a seat at the table. They lost their right to have a seat.

    Favorite    Flag as abusive Posted 12:29 AM on 06/03/2009
- NHGranite I'm a Fan of NHGranite 55 fans permalink
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Single payer non-profit health care for all PERIOD

    Favorite    Flag as abusive Posted 12:12 AM on 06/03/2009

It has been advised to say:
Single-payer public health insurance for all.
NO TRIGGERS.

    Favorite    Flag as abusive Posted 06:55 AM on 06/03/2009

mad as hell. I am too. And you are the best of the best.

    Favorite    Flag as abusive Posted 11:11 PM on 06/02/2009

The economy-finance will blow up again long before a health care bill can be crafted with no money left in the till. Without a fundamentally sound economic plan, a momentous universial health plan is wishful thinking.
President Obama appears to misunderstand the peril we face with this collapse of our failed economic system. If he looks at the shortfall in tax revenues he should pause and wonder how his incompetent subordinates can tell him that things will turn up as money spreads into the pockets of thieves and fraudsters. If the economic syatem does not begin to recover, nothing else matters. Manufacturing, farming production, technological advance are everything. If they shut down and are not replaced by the government, the government fails. The government will be replaced by election or by force of arms. In the meanwhile, domestic tranquillity will most certainly be threatened. Millions upon millions of jobless people are a threat to democracy. This is what President Obama will soon come to understand. Hopefully, he will respond constructively and rationally before it is too late to control events.

    Favorite    Flag as abusive Posted 10:08 PM on 06/02/2009
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Rahm just looks too scary to me after the SNL skit about him.

    Favorite    Flag as abusive Posted 10:01 PM on 06/02/2009
- rxvette I'm a Fan of rxvette 34 fans permalink

The following story is a product of our capitalistic healthcare system here in the US. After you read this don't you think we're capable of better in this country?

http://rxvette.blogspot.com/2009/05/healthcare-reform-touches-home.html

    Favorite    Flag as abusive Posted 09:57 PM on 06/02/2009
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I worked hard for Obama and gave him money and I still support him.

I voted for Ralph Nader and gave him money also because he would usher in universal single payer health care, and I want him to keep talking about it. (My state had not a prayer of going for Obama so I did not waste my vote.)

    Favorite    Flag as abusive Posted 09:04 PM on 06/02/2009
- dlo2 I'm a Fan of dlo2 10 fans permalink

Traveling around this nation, you see from east to west, north to south, people with grossly inadequate health care and many many Americans with no health care at all. Texas has one of the worst demographic tables with more women uninsured than almost any other state. California people have lost their jobs and most can't afford Cobra payments and so go uninsured.­..pestilen­ce, odd contagious viruses may well flourish in such an era, not to speak of preventable diseases that can be treated successfully with early intervention. For those who have insurance, it is of little consolation when you enter crowded cities, your children go to school and you find yourself susceptible to contagious illnesses that are now more pathogenic than ever.

Physicians are leaving their practices in surgery and internal medicine to try to find their survival in cosmetic medicine where wealthier people can pay out of pocket. Universal health care offers these physicians some approachable form of restitution for all their years of medical education.

No, we need universal health coverage for this country to survive. We should demand it for this country whether today one has health coverage, unknowing whether tomorrow will see any of us bankrupt from unexpected health crises or unknowing that this coming winter, the bird and swine flus will create catastrophe or mass panic.

The time for universal one payer health care is now. Let's act before it is too late for ourselves and our precious loved ones.

    Favorite    Flag as abusive Posted 08:59 PM on 06/02/2009
- Halter I'm a Fan of Halter 9 fans permalink
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Where I live, it is impossible to find a primary care physician who takes Blue Cross. Many will take Medicare patients, but not Blue Cross. A sizable percentage have gone "boutique" and only take private patients on a concierge basis. They cite the insurance companies' interference with their practice of medicine as the cause. If i could afford it, I would love a concierge doctor-always available, does house calls, as much time as they need is spent with every [atient-you know-the way it used to be in the good old days.
With my PPO, I have no choice of provider, I have to drive 30 miles to a primary care physician who doesn't have priviledges at the hospital a half a mile from my house. I can hardly wait til I turn 65 and qualify for medicare and I can start seeing a local doctor and be cared for in my neighborhood hospital.

    Favorite    Flag as abusive Posted 12:11 AM on 06/03/2009
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How many billions went into the stimulus in order to put our medical records online?

That's something that never should have happened anyway, given how our privacy has been abused, but certainly it should have been keyed to single payer universal health care.

    Favorite    Flag as abusive Posted 08:43 PM on 06/02/2009
- lynettema I'm a Fan of lynettema 53 fans permalink

Privacy? What privacy? We haven't had any since 9/11.

    Favorite    Flag as abusive Posted 12:37 AM on 06/03/2009
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Four months in and I'm still waiting for someone to start talking about how (or for that matter even if ) medicine and technology R&D are going to be improved

    Favorite    Flag as abusive Posted 08:03 PM on 06/02/2009

I would like someone to ask me what I think - not someone with a Government health plan

    Favorite    Flag as abusive Posted 08:02 PM on 06/02/2009
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Careful, anyone here who tries to tell anyone else what they think is shouted down if they don't immediately fall lock step into the blind promotion of Single Payer

    Favorite    Flag as abusive Posted 08:05 PM on 06/02/2009
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Administrative Costs:

Medicare 2.1%
Private Insurance 30%

No Brainer! Single-Payer!

27.9% Savings/30% = 93% savings!

Other countries have it and live longer with a higher quality of life.
__________­__________­__________­___

Baucus wants to preserve the Insurance company profits as he is paid to do!

He must go! Even if we get a new insurance plan it will make sure his buddies get the BIG $$$$$$$!

Only Buffett and AIG will have to tighten their belts!

    Favorite    Flag as abusive Posted 07:33 PM on 06/02/2009
- sandals I'm a Fan of sandals 33 fans permalink

Medicare for all Single payer we all ready pay for it , just open it up for us.

    Favorite    Flag as abusive Posted 07:26 PM on 06/02/2009
- DinSea I'm a Fan of DinSea 25 fans permalink

medicare shuts out all mental health patients and people with teeth.

    Favorite    Flag as abusive Posted 12:02 AM on 06/03/2009
- weatherwaxx I'm a Fan of weatherwaxx 253 fans permalink

What, they're afraid of being bitten?

    Favorite    Flag as abusive Posted 01:09 AM on 06/03/2009
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