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Reconciliation Rules - Not Bipartisanship - Will Kill Health Care Reform

Posted: 06/18/09 08:08 PM ET

Right off the bat, I want to be clear: I support health care reform. I share all of the goals laid out by the president in his June 2 letter. I believe that every American should have high-quality, affordable health care. And I believe that reforming health care should be Congress's top priority.

Let me repeat that: health care reform should be Congress's top priority. We are not here to slow it down. That's the Senate's job. So don't believe the phony talking points that are being circulated that we're trying to "slow down the process." The process is already creaking under its own weight and we haven't even seen full bill text yet. Don't take my word for it; just read your own publications.

On the contrary, we are trying to ensure that reform actually happens. We are here because we see health care reform bogging down in the Senate, and we worry that the chance to achieve this great victory for the American people is slipping out of reach.

Here's why what's happening in the Senate worries me so much. If reform gets bogged down, it will have to go through the Senate's reconciliation process. This is not good news for supporters of health care reform. In fact, it's awful news.

Reconciliation is just what the trillion dollars of vested interests who want to kill health care reform are hoping for. That's because they know something that few people in Washington have figured out: the Senate's very restrictive reconciliation rules will prevent a true health care reform bill from passing.

Has anyone here actually looked at the reconciliation process and the Byrd rule? Every committee would have to report a bill that reduced the deficit by $1 billion in five years. It would have to be deficit-neutral each year after that. It couldn't include "extraneous" material -- like all the vitally important changes to our health care delivery system. Or, if we couldn't find the savings, our grand health care reform achievement would have to sunset.

In short, health care reform under reconciliation wouldn't be health care reform at all. It would be a deficit reduction bill relating to health care. Or a reform package with an expiration date.

And hey, you know me, I think deficit reduction is great. But this is about passing a robust health care reform bill. One that provides every American with low-cost, high-quality health insurance. One that focuses on prevention. One that keeps people healthy. One that gives them choices. One that modernizes our delivery system. And one that lowers cost. After all, the out-of-control cost of health care is bankrupting the American people.

Something major happened yesterday. Democrats and Republicans, working together, unveiled a bipartisan comprehensive health care reform plan. Tom Daschle, Bob Dole and Howard Baker did what Congress is failing to do. They met all of President Obama's goals, and they fully financed their proposal.

And the White House released a statement praising this bipartisan leadership. In the House of Representatives, meanwhile, we are explicitly told not to work with Republicans.

Now, my personal belief is that Congress could begin marking up the bipartisan Wyden-Bennett Healthy Americans Act right away. Smart commentators like Jonathan Cohn at The New Republic and Ezra Klein at the Washington Post have praised this bill. It's progressive, it's bipartisan and it's deficit-neutral.

All I know is that health care reform is on life support because the Senate can't figure out how to pay for it. Jon Cohn and Ezra Klein are worried. I'm worried. And I'm speaking out today because I've been through a failed health care reform process before. We can't afford to repeat those mistakes this year. Let's follow President Obama's lead and work together to finally provide health care to every American. And let's do it right now.

 
 
 
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04:54 PM on 06/19/2009
Shame on you, for the political pandering. A Medicare for all like public option hasn't bankrupted any other civilized country. It is also uniquely American to extend Medicare to EVERYONE who wants it, instead of only the elderly and disabled..
Remember this year is the 40th anniversary of when Medicare came into existence, what better way to celebrate than to do the right and civilized thing to extend it to everyone. Let's not play with people's lives anymore for the sake of greed.
04:22 PM on 06/19/2009
Can anyone tell me of ANY GOVERNMENT PROGRAM that is successful???? Billions are being waisted every day by their programs, we are broke, so why if the Titanic is sinking, why add additional water. We need health care reform, but we need to make sure there is competition in the plan if it is to work.
06:11 PM on 06/19/2009
Security, police, military, transportation (building/repairing highways, e.g.) and as Jon Stewart so cleverly said - okay, so we pay 44 cents to have someone come to our home to pick up our drivel and send it on a plane to Wyoming - what's so bad about that (paraphrasing, of course), Medicare, yes Medicare - it doesn't have even CLOSE to the amount of administrative (beauracratic) costs as insurance companies (around 30%), Social Security, which has helped people for years, it's easy, people get their money every month, Unemloyment Insurance ... I could go on, but don't be so general in your blanket "government can't do anything" type statement. No it's not all perfect, but President Obama is out to clear out some of the programs that aren't needed or need streamlining. And it's "wasted" not "waisted."
04:17 PM on 06/19/2009
Chances are that the Democrats and Republicans will never be able to come to an agreement on health care, as Obama invited the liberal media into the W.H. for an hour of discussion on health care, BUT NOT ONE REPUBLICAN OR consertative reporter was ALLOWED IN. Obama said that he wanted a vigorous debate on health care, but he sure is not allowing it to happen. Just meeting with the Republicans and discussing the weather and their families, is not what we need to be happening, yet he gets away with saying that he has also met with both sides. Now, I don't care if you are a democrat or a republican, it does not change what is fair and right. Please have an open mind and seek truth, then face it once it stares you in the face.
03:49 PM on 06/19/2009
Representative Cooper, why do you and other "centrists" assume that the average American cares one way or the other about whether any bill is "bipartisan"? Families that are being bankrupted want relief, not political pandering. Shame on you.
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HUFFPOST SUPER USER
Lemeritus
Been there, done that, lived to tell
04:44 PM on 06/19/2009
Blue Dogs are only considered "centrists" because the Republican Party has fallen over a right wing cliff and is dragging the rest of the political spectrum with them.

Everything worthwhile in this country was accomplished with a progressive agenda.
05:21 AM on 06/21/2009
It is not the average American who cares about "bipartisanship"; it is the politicians themselves. If one side ramrods something through with no support from the other side, and it does not achieve its goals, there is only one party taking all the blame. The politicians are all far more concerned about being re-elected than to work together to do what's right for the country.
03:26 PM on 06/19/2009
Public option if not single payer is the only way to go.

Finance it by individuals paying in based on income, and TAX every fast food item, every food beverage with high fructose corn syrup and every alchohol bottle and glass ONE PENNY. This is not going to bankrupt any business or individual if you increase something from 1.99 to 2.00 or a bottle of vodka from 19.99 to 20.00 and anyone who says different is an uneducated idi ot. New Yorkers are paying 9-10 dollars a pack for cigarettes. It hasn't bankrupted them and it hasnt bankrupted the tobacco companies. Why can we tack on multiple dollars in taxes on cigarettes which kill, but not one penney on fatty and sugary foods and alchohol, which also kill or do great damage to health?

We need to repeal the bush tax cuts and tax these things and not be afraid of the rethuglicans. They will never support a tax increase, but if we get the american people behind a 1penney tax, they will see that it will benefit them and support it.

Tax now, public option now!!! And if a public option does not get passed, I want every senator and congressman and their staff to lose my taxpayer funded health care, since I can't afford any for myself.
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HUFFPOST SUPER USER
Lemeritus
Been there, done that, lived to tell
04:40 PM on 06/19/2009
Excellent and common-sensical suggestions, WinterParkMom. I wish we could run a whole lot of people like you for Congress and get rid of the corrupt nabbobs we have now.

One additional series of suggestions.... end the Iraq invasion that's costing us $720 milion a day. There's your health plan, Representative Cooper! And since the big banks would rather repay the TARP money than trim their executive compensation, let them! We can use that money on Main Street!
03:21 PM on 06/19/2009
All health insurance companies have to go. why should they get all our money and tax dollars and on top of that , still cause american people to die every day because of their greed.
we need health care, not health insurance.
02:59 PM on 06/19/2009
We really need to have a public option that gives us somewhere to go other then the insurance companies.

I pay for insurance out of pocket, a lot...

Too bad the health care it provides is very limited in scope and treatment modality, comes with a high gate fee and does not cover my entire bodys health.

I suppose I could shop around for a better deal...

WRONG!

I have a pre-existing condition and can not get coverage elsewhere.

The co-pays and deductables are astronomical and I can not afford to cover my whole family properly.

Pay more taxes ? I would be more then happy to send the absurd amount of money I am sending to the insurance company to an entity that would actually give me some health care.

I dont need health insurance I NEED HEALTH CARE.

The insurance I have is not providing that service in a reasonable fashion. I have no choices and I have been waiting for 2 years for an important piece of work to be done.

You and your peers are standing in the way of my family getting health care and that is unacceptable.

We really need SINGLE PAYER health care but if that is impossible a ROBUST PUBLIC OPTION will serve. Co-ops or 7 year triggers is patently unacceptable, we are talking about peoples lives here after all...

Please reconsider what you are doing because you seem to be intent on making an already untenatable situation much worse.
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illinoisan
We don't need no stinking badges
02:34 PM on 06/19/2009
We call your bluff. Let the sunset provisions pass with reconciliation and when the time comes for the sun to set, we'll just see about that.
02:26 PM on 06/19/2009
Sorry Cooper, but we're tired of the DC BS excuse making!

You want to find the money to pay for this?

1) Just so we're all on the same page, effective immediately, everyone in the house and senate can foot the bill for their own healthcare insurance; that should help a little.

2) GET PRACTICAL I: WARS cost money--stop fighting, bring'em home. Yeah there are problems with terrorism, but there has always been problems with terrorism. We're tired of fighting and we're tired of footing the bill for it--so just stop.

3) GET PRACTICAL II: Everyone in the House and senate can take a PAY CUT; just another drop in the bucket, I know, but every little bit helps.

4) Legalize marijuana & hemp farming: legalize it and tax it, and you will find significant revenue.

5) RAISE TAXES: yes, we know, that means the end of the world...NOT! A relatively small tax would generate a significant amount of supplimental revenue.

You people on the hill JUST DON'T GET IT: we know what you are all about. We know that the only thing that really matters to you is the crony capitalistic bribery you endulge in with the healthcare industry has greased your palm so that real healthcare reform will slip right between your fingers.

Get back to the hill and get busy, or get out of the way.
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HUFFPOST COMMUNITY MODERATOR
Chernynkaya
02:02 PM on 06/19/2009
Representative Cooper:

You really don't get it! WE DON'T WANT THE BILL YOU ARE SUPPORTING. We want health care reform- which means a public option.

And don't lecture me about "the perfect being the enemy of the good." This is NO GOOD. The "perfect" is SINGLE PAYER - the minimum is a public option.

So if reconciliation kills this bill, great. I'd rather you guys passed NOTHING, and then you won't be able to pat yourselves on the back for passing "historic" health legislation that no one wants.
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JayHorus
Your talking points don't impress me!
01:47 PM on 06/19/2009
Right off the bat, let ME be perfectly clear Mr. Cooper: You DO NOT represent the American Public. You are not now, nor have you EVER been, a common person. You are a product of a good family and you have been living your life off the tax payer’s dime for 27 years. You do not go through the same problems that the average person goes through when it comes to health care and you never have. Why should anyone trust your word when you get the best Health Care MY money can buy, but are not ok with every American citizen having the same exact coverage that you get as a member of Congress? You talk a good game but you have taking money from the Insurance industry for for your campaign and then rallied for measures that would help them more than the common American citizen. I doubt you have the courage to respond back to the 6 pages worth of complaints about your article, but it feels better putting our thoughts down to where you might read them. Good day to you sir!
01:47 PM on 06/19/2009
Yeah this is some sweet rationalization. I'm tired of listening to excuses. For 8 years george bush got nearly everything he wanted passed. No more excuses Mr. Cooper. I don't want to hear it. I've got an idea, how about opening Medicare up to everybody? I'm sure the insurance companies that own you law makers won't like that so us "average Americans" will never see a single payer plan.
01:34 PM on 06/19/2009
What we really ought to be discussing are the details of how a single-payor plan would work. Short of that, we need a strong public option along side the private plans, just like candidate Obama said he wanted.

I understand that Congress is far too afraid of the idea of single payor to actually attempt it. That's fine, I understand that the health care lobby has a lot of influence. What I don't understand is why anyone gives a rat's ass what the Republicans and so-called moderate Democrats want on this issue. It's really quite simple, they don't want it to pass if it means actually changing the status quo.

The other industrialized democracies have some form of universal health care, i.e. Canada, the UK, Europe, Scandinavia, etc. They spend less than we do and achieve better outcomes in terms of life expectancy, infant mortality and other measures of public health. If you are afraid of "socialism," then I guess we'd better start terminating all of those socialist interstate highways, police and fire departments, national parks, military units, water treatment districts, schools, the Veterans Administration healthcare system, etc.

In addition, for every horror story about some apocryphal patient in Canada or the UK who had to wait a year for elective surgery, we can probably list at least ten or twenty Americans who went bankrupt because of medical bills even though they had insurance. Remember this when the obstructionist talking points start getting too thick.
01:33 PM on 06/19/2009
"I support health care reform."
No, sir. No you don't. You serve interests other than those of your constituents. Shame on you.
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HUFFPOST COMMUNITY MODERATOR
Icantbelieveher
I'm for the separation of church and hate!
01:27 PM on 06/19/2009
How are you going to have a bipartisan bill when the republicans are against anything that helps the people? Why do the people have to compromise? We pay taxes, we should get a say in where they are spent! Americans voted the republicans out for a reason -- not because we wanted to continue with their policies, but because we wanted an end to them! HOW LOUD DO WE HAVE TO VOTE?

Grow a pair and start representing the people!