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Michael J.W. Stickings

Michael J.W. Stickings

Posted: January 19, 2010 12:34 PM

Coakley Will Lose to Brown, but What Will Become of Health Care Reform?

What's Your Reaction:

In Massachusetts... oh, Massachusetts... what are you doing? Seriously.

Republican Scott Brown may be up by as many as nine points over Democrat Martha Coakley. Actually, he may even have a double-digit lead.

Polling expert Nate Silver has Brown as a 3:1 favorite.

We'll know by this evening, but it's pretty clear what's going on: Brown has surged ahead over the last week, further and further ahead, in poll after poll. And he will win today.

Even if the race is closer than the polls would seem to suggest, even if, if Coakley internals are to be believed, there's been some last-minute tightening, I just don't see how the Democrats can pull this off.

There would have to be overwhelming Democratic turnout, and a major shift to Coakley (among Democrats, who aren't supporting her at the level Republicans are supporting Brown), and that just ain't happening. I'm getting reports of Democratic enthusiasm on the ground, enough to be optimistic, but it likely won't be enough.

Reality may bite, but there it is.

Yesterday, citing Paul Krugman, I suggested that Brown is ahead of Coakley, and would likely win, because the Republican "outrage machine" is in full swing, because, I wrote, "Republicans are outraged and pissed off and unified behind smears, and because Democrats are deeply divided and somewhat apathetic, and because the media are promulgating the Republican narrative and declaring it to be the truth."

Andrew Sullivan eloquently, and correctly, made a similar point on a larger scale:

I can see no alternative scenario but a huge -- staggeringly huge -- victory for the FNC/RNC machine tomorrow. They crafted a strategy of total oppositionism to anything Obama proposed a year ago. Remember they gave him zero votes on even the stimulus in his first weeks. They saw health insurance reform as Obama's Waterloo, and, thanks in part to the dithering Democrats, they beat him on that hill. They have successfully channeled all the rage at the massive debt and recession the president inherited on Obama after just one year. If they can do that already, against the massive evidence against them, they have the power to wield populism to destroy any attempt by government to address any actual problems.


This is a nihilist moment, built from a nihilist strategy in order to regain power... to do nothing but wage war against enemies at home and abroad.

Andrew thinks that "serious health insurance reform is over for yet another generation," that "the bill is dead." I'm not so sure, but it will indeed be a challenge for Congressional Democrats to do what needs to be done. I wouldn't describe myself as optimistic, but I think Jonathan Chait, rebutting Andrew, is right that:

There are perfectly viable ways to pass a major health care reform without taking another vote in the Senate. The easiest is just to have the House pass the Senate bill, and promise to use a reconciliation bill, which requires just a majority vote, to smooth out any changes. It's very, very doable. It's also in the interest of the Democrats in Congress. They already cast a vote, might as well reap the benefit of having an accomplishment.


The only question is whether they can keep their heads.

That's the big question, and I'm not sure they can. For more on this, check out more from Jon and his health-care-expert colleague Jonathan Cohn. See also Ezra Klein:

Scott Brown's victory would change the math in the Senate but not the fundamentals of the bill. It's true, of course, that the addition of a 41st Republican means that the GOP can thwart the will of the 59 Democrats in the majority and successfully filibuster legislation. But this particular bill has already passed the Senate. It can be signed into law without ever seeing Harry Reid's desk again.

Democrats will need to keep their heads, put aside their differences, and pass the bill, the Senate bill as is -- and then seek improvements, which House Democrats seek, through reconciliation.

Will they do it? We'll see, but one thing's for sure: The alternative, letting the bill die, is not an option. It would be political suicide for the Democrats, and they can ill-afford to let this opportunity to pass historic legislation, which would boost their fortunes in the long run, slip away.

(Cross-posted from The Reaction.)

 

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09:53 PM on 01/19/2010
Unless Dems can fix HCR in 10 days (why am I even typing this?), they should just put a REAL reform bill up for vote and let Senators and Reps define themselves for 11/10.
05:23 PM on 01/19/2010
The people who sppt this bill have CLEARLY not read it ( or CBO memos or Managers Amendment) or DONT understand it. Leaving aside the huge problems it will create (see Mayo Clinic in AZ NO LONGER treating Medicare patients; See CA, NY, IL among other states claiming the UNFUNDED Medicaid expansion will damage/bankrupt the states); deficits (CBO states estimates for 2nd 10 yrs are MEANINGLESS (their word). Yes, leaving those "details" aside, this bill required the Senate to bribe senators, the drug co's (Medicare CANT negotiate drug prices, CANT import cheaper drugs from Canada, EXTENDS patent protections so limits generics), Insurance co's (leaves anti-trust protections in place; FORCES hundreds of MILLIONS of people to buy their product - perhaps the largest transfer of wealth from "we the People" IN HISTORY. This bill, for the first time in the US's history puts a citizen in JAIL if they refuse to buy a product/service (defined by the Govt) they dont want from a private company chosen by the Govt. Further, the Govt can and will fine the citizen (seize their assets) and FORCE that citizen to buy that product as noted.

Yes, uncovered people need help: High risk pool funded by the govt/tax payers to handle catastrophic illnesses and pre-existing conditions. HSA's, portability (U own UR policy), remove anti-trust protections, allow inter state competition, Medicare negotiates LOWER drug prices ala VA. DONT BURN DOWN the house because somebody is homeless.
03:53 PM on 01/19/2010
"Remember they gave him zero votes on even the stimulus in his first weeks."

I don't remember that.

I remember 3 Republicans in the Senate voting for the Stimulus bill... but that's only because I remember what actually happened.

Now, rather than match my memory against Sullivan; I'll just do 30 seconds of research.

http://www.msnbc.msn.com/id/29179041/

"The Senate approved the measure 60-38 with three GOP moderates providing crucial support..." - Feb 14th news report

"Andrew Sullivan eloquently, and correctly, made a similar point on a larger scale:"

Before calling Sullivan "correct" you might want to do the research he never does. Or not, if you don't mind being completely wrong on the facts.
04:18 PM on 01/19/2010
However, I beleive more research will discover that NO House Republicans voted for the stimulus. One of the three GOP Senators later switched to the Democratic party.
01:22 PM on 01/19/2010
This all could have been avoided if they would have passed a bill back in August when President Obama asked them to have it completed. The house passed this bill quickly, but the senate dragged its feet for months and once they didn't meet the deadline in august it was pushed to October then by Christmas. NOw it is january and we find ourselves 1 vote away from derailing not only a year worth or work on this bill but obama's whole agenda that is important to democrats. Folks have microwave patience and attention span of a a flea. This bill should have been passed with some urgency cause obama saw this trainwreck coming in 2010 that is why he wanted this completed in his first year. I blame Harry Reid, Lieberman, Ben Nelson and all the rest of the blue dogs who tried to cut a deal to get their way. The bottom line is this. Democrats have proven even with a supermajority they can't govern. Too many egos and too many career politicians who need to retire. They better get it together and grow a pair. If you can't pass big legislation with a supermajority what is the point of having it? President bush got almost everything he wanted but yet we can't get anything passed with this congress..
04:48 PM on 01/19/2010
Since we have in Harry Reid the weakest senate leader in modern history it's not at all suprising that this didn't get done. Of course, come November, he'll be gone.
01:21 PM on 01/19/2010
The Dems abandoned their age old strategy of incrementalism with a burst of enthusiasm when they won so much in 2008. They thought the American people had changed philosophy rather than simply changing parties in power.

What they did was try to give the hard left democrat what they wanted, then had to compromise it for more conservative members, and in the end had a bill that didn't satisfy anyone on the left, right or center. This is what Scott Brown capitalized on.

The best thing that can happen for the country is to have this bill disappear and start over looking at incrementally reforming health care rather than trying to completely change it. A good start would be reforming insurance to insure portability (including existing conditions). Open up all states to all insurance companies (should lower rates). Tort reform would help hold down costs. Do these three things and people will be a lot happier with the president, the congress, and incumbants.
04:21 PM on 01/19/2010
Credible studies show that in states where Tort Reform ha been enacted the TOTAL savings was 3.4%. Hardly worth the efforts compared to the 35-40% that the Health insurance industry sucks out of the system.
12:59 PM on 01/19/2010
The Democrats are horrible strategist. Even with a super-majority they manage to f this up. Is there no one in the party watching what is happening out there. It seem that the party is contantly suprised when it is undermined.
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12:43 PM on 01/19/2010
Just a thought. Did it every occur to the President and the Democratic leadership that most of their own base doesn't want a mandate to buy for-profit health insurance? especially a mandate with no choice of a public option or Medicare buy-in?

Just a thought.
04:19 PM on 01/19/2010
And a Good thought it is. When 73% of people support the Public-Option or a Medicare buy-in and 37% support the current plan I think you are on to something.