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By The Numbers: A Brown Win Could Kill Health Care

First Posted: 03/18/10 06:12 AM ET Updated: 05/25/11 04:15 PM ET

Brown

Democratic leaders freaked out on Friday as they suddenly realized that nearly a year's worth of health-care negotiations could be tripped up by an improbably close Senate race in Massachusetts.

A poorly run campaign and a toxic political environment have imperiled what should have been a smooth path for Attorney General Martha Coakley to take over the seat long held by Ted Kennedy. But now, if Republican Scott Brown emerge victorious -- and, in the process, reduces the Senate Democratic Caucus from 60 to 59 -- the numbers will be stacked against health care's passage.

"It's not an encouraging thought," said one health care activist. "We're f---d," added another.

It all comes down to timing. The Massachusetts election is being held this Tuesday the 19th, after which there is a 10-day period to count overseas ballots, screen votes for potential fraud, and certify a winner. Should he win, Brown would be seated by January 29.

It will be incredibly difficult if not impossible for health care reform negotiators in Congress to get a bill passed before then. For starters, lawmakers have not yet settled on a final product. Once they do, they have to send the legislative language to the Congressional Budget Office for scoring. An aide to Senate Majority Leader Harry Reid (D-Nev.) confirmed that it usually takes the CBO 10-12 days to respond. Under an expedited timeframe, they could conceivably be made available in seven days.
But that's not the end of the process. Once a CBO score is released (and provided that it's a good score), lawmakers have a whole set of parliamentary loopholes through which they must jump. House Speaker Nancy Pelosi (D-Calif.) has pledged that the bill will be placed online 72 hours in advance of the House voting on it. Once it is passed, it is sent to the Senate where Reid will have to file a motion to proceed (not time consuming), file a measure that blocks Senators from adding amendments (again, not time consuming) and then file for cloture. The cloture vote, requiring 60 Senators to pass, takes 30 hours. Once that's passed, then the Senate can have an up-or-down vote on the bill. All told, a Democratic aide says the chamber's process will take three to five days.

If the legislation were sent to the CBO today (possible but unlikely) it could pass the Senate in time. But this is increasingly regarded as a fantasy scenario, with strategists noting the various deadlines that congressional Democrats have already missed in the health care reform process.

In light of this, several emergency options are being bandied about. The first is that Pelosi will have to drop her 72-hour pledge (which was made just this week). "We could really use those three days," said one Democratic Senate aide.

The second option would be to simply force the House to accept the Senate's legislation (which has already been scored by the CBO). "I guess they could just swallow our bill but I think Pelosi's people would erupt in revolt," said the aide.

The third is to rework legislation around the demands of Sen. Olympia Snowe (R-ME), making her the 60th vote. But that would require even further tinkering than what's already taken place, along with the serious risks of alienating House progressives.

To be sure, a Coakley win would make this all moot. Moreover, there is some speculation that Democrats could extend the certification period beyond ten days, thus giving them a larger window to pass legislation. But, on Friday, Rep. Barney Frank (D-Mass.) dismissed such talk as conspiracy theory. A Democratic politician in the state, likewise, told the Huffington Post, that the 10-day period seemed pretty concrete.

Finally, if the election is decided by less than 0.5 percent, Coakley could petition for a recount -- which would effectively delay the seating of a new senator long enough, leaving interim Democratic Sen. Paul Kirk in place -- for Democrats to pass reform.

That Democrats have been forced to game out such scenarios is a testament not just to the value of the election, but the poor campaign that Coakley has run. It's also caused more than a bit of angina within the party.

"People in Massachusetts are freaking out," said one commonwealth pol. "Just as people nationally are freaking out."

FOLLOW HUFFPOST POLITICS

Democratic leaders freaked out on Friday as they suddenly realized that nearly a year's worth of health-care negotiations could be tripped up by an improbably close Senate race in Massachusetts. A po...
Democratic leaders freaked out on Friday as they suddenly realized that nearly a year's worth of health-care negotiations could be tripped up by an improbably close Senate race in Massachusetts. A po...
 
 
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dmsdzinr
Progression wit a twist of sarcasm.
11:25 AM on 01/18/2010
The President & The entire Democratic Party: WAKING UP, too little, too LATE! Will they EVER LEARN?
HUFFPOST SUPER USER
Okieborn
Equal Rights For All !
10:43 AM on 01/18/2010
There is nothing left in the healthcarebill for the ill and uninsured anyway !!
10:36 AM on 01/18/2010
Anyone got a link to his nekked pic that he had taken for Cosmo in 82? I wanna see it.
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11:44 AM on 01/18/2010
I attempted to link it, but I guess the moderator didn't like it. If you go to www.themudflats.net there are photos comparing Levi Johnston's photo against Brown's, with a story about Sarah's attacking Levi's posing and supporting Brown.
10:36 AM on 01/18/2010
Hillary, Hillary!!

Oh wait, the only capable Democrat to fight against DC was thrown under the bus by impressionable minds who chose rhetoric over character. Never mind.
09:44 AM on 01/18/2010
The last time the Republicans claimed they were going to save the day they put forth their Contract with America.

How did that work out for us?

2 wars
Tax cuts for the rich (during a time of war)
Terri Schiavo
Squander of the surplus
Exploding deficits
HUFFPOST PUNDIT
JimR
11:32 AM on 01/18/2010
That's all you've got? Lame attempts to link a state senator with the Bush years? That's the only reason you can give to vote for Martha Coakley?

Pitiful.
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09:36 AM on 01/18/2010
What I find disgusting is that the people of Mass already have healthcare reform although not perfect and it's not what I would like for the country but at least is something and the thought that the repuglicans in that state are going to determine heathcare for the rest of us makes me sick.
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HUFFPOST SUPER USER
patsydecline
we are so post kumbaya...
08:55 AM on 01/18/2010
he just ooo/zes sm--arm .........
he is a sy ex scan dal waiting to happen...
marka
A Purple State Progressive
07:28 AM on 01/18/2010
The White House has been out maneuvered and they have mismanaged health care reform by refusing to acknowledge the environment that they are operating under. Should they lose, they only have themselves to blame. Bad candidates, muted messaging, and passive leadership have led to the disillusionment of the people that they were supposed to be leading. They peaked during the Presidential Elections and have been sliding downhill ever since. Perhaps it will take a debacle in Massachusetts to focus the Democratic leadership. You are in a street fight, trying to use Marquis of Queensbury rules to win. No wonder the Republicans are beating you to the point of attack--you keep telegraphing your punches. When are you going to learn why your team was elected?
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HUFFPOST SUPER USER
richnerd
Retired Imagineer, soon to be a goat herder in NM
10:15 AM on 01/18/2010
You're right. All that time wasted on mollifying Republicans when Reconciliation was the right choice....now it's too late.
03:05 AM on 01/18/2010
If it kills the bill, it will help health care reform start over, with true bi-partisan support.
08:21 AM on 01/18/2010
Agreed. Maybe then they will realize that the Republicans have some ideas that will help this bill and give in to the American people and include a viable public option.
09:05 AM on 01/18/2010
Gosh, hope there's no public option, don't need Medicare part II to mess things up more!

One idea I'd like to see is much less insurance used to pay for medical care, have patienst pay for "normal" stuff more through their own Health Savings Accounts, either cash or credit. Patients pay or control bills, they shop for value, system responds to them instead of back-room negotiations by insurers, whether "private"or Medicare.
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JusdaTruth
a proud child of the 60's
11:19 AM on 01/18/2010
We had Republican ideas on health care. That's all they were ideas. No action.
marka
A Purple State Progressive
10:51 AM on 01/18/2010
There will never be bipartisan support. The status quo is the Republican plan. A defeat of the current health care plan means that there will be no health care plan.
01:18 AM on 01/18/2010
i hope this bill is killed and if it takes dems losing this seat so be it. this bill the way it is writen does not deserve a chance... we want real health care reform
HUFFPOST SUPER USER
ddanimal
01:42 AM on 01/18/2010
I agree. I'm a liberal democrat and I also want the corporate welfare "reform" bill to fail.

The democrats deserve to lose in MA, in view of how they have governed in the last year. Obamas spending and wall street bailouts and ridiculous stimulus and wall street economic team all make me want to vomit.
08:22 AM on 01/18/2010
I agree totally, and I'm a Conservative.
HUFFPOST PUNDIT
JimR
11:33 AM on 01/18/2010
Agree.
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HUFFPOST PUNDIT
Artemis34
"Women 4 the GOP" is like "Chickens 4 the KFC"
11:54 PM on 01/17/2010
Here is the President's speech on behalf of Martha Coakley today

http://www.politico.com/singletitlevideo.html?bcpid=1155201977&bctid=62040722001
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HUFFPOST PUNDIT
Artemis34
"Women 4 the GOP" is like "Chickens 4 the KFC"
10:04 PM on 01/17/2010
Brown lies http://www.dscc.org/brownlies/
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HUFFPOST PUNDIT
Artemis34
"Women 4 the GOP" is like "Chickens 4 the KFC"
02:18 PM on 01/18/2010
You go to Malkin for your fantasy "facts." That says it all.
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HUFFPOST SUPER USER
lpenny
09:42 PM on 01/17/2010
The Democratic party with a majority vote has missed the mark on legislation that would benefit the people. President Obama rather than taking a leadership role has sat on the sidelines and allowed what could have been an important piece of legislation die. The health care reform bill is a disgrace and a harm to the public. If is an out and out backdoor give away (bailout) to the insurance industry. If we continue this trend we will all be on the bread lines. We outsource our manufacturing only to see those countries, to whom we outsourced, enonomy grow while our economy declined. We crafted a Free Trade Agreement which benefits everyone but us. We talk wall street reform but we do nothing about it. President Obama expresses his outrage time and time again yet that outrage does not equate to action. If President Obama really wanted to help the people then why hasn't he used the Executive order to bring order to chaos. We still believe the Rhetoric. When will be look at Obama the president and what his administration has accomplished. We need to take a more strategic and analystical view of our president and his accomplishments or lack thereof. If the Democratic lose Masschusetts it is their fault....and a clear indication of lack of leadership. If that is what is needed to defeat the ill conceived Health Care Reform (Insurance Industry Giveaway) bill than so be it.
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11:00 PM on 01/17/2010
Here here
11:21 PM on 01/17/2010
That pretty much sums it up.
09:26 PM on 01/17/2010
Mr President:

I am not a citizen of your republic, but I love your country, and am a citizen of the world...just like you...just like all of us. I have watched how far you have come...seen how much you have accomplished...heard the hope on your constituents tongues....in your speeches.

I appreciate not only what you are trying to do for your country, but for common men and women throughout the world. You speak of peace , but will not succumb to the ev il around us all that exists. THere is so much ha te and anger and people are scared , as they have a right to be...but not of you...

You are NOT the threat. The Threat comes from within...from forces that wish you defeated ...because of their own insecurities ...their own shortcomings, ideology or prejudices.

I look at you not by the color of your skin , nor do so so many others. You are a leader and a visionary. You see the the future of what could be in matters of years and not with the confines of the twenty four news cycle.

You are doing your best against it all and succeeding ...there is light ..there is hope ...and you are on the right path sir...

yes we can..
HUFFPOST SUPER USER
ddanimal
01:44 AM on 01/18/2010
Keep drinking the Obama kool aid, sucker.

Obama doesnt give a F about you. All he cares about are wall street bankers and insurance company CEOs.
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09:30 AM on 01/18/2010
lil, you are right but I am affraid that this country is already ruined beyond repair. The repuglicans had the majority in congress since mid 90s and then came the Bush Gang that finished it off. This country will never be what it used to be.
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SirSlappy
My micro-bio is still empty.
08:44 PM on 01/17/2010
Healthcare is over Tuesday ...because the Dems are political lmbeciles.