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Today's News & Views
March 11, 2010
 
Healthcare Endgame Approaching Quickly
Part One of Three

The following is from the excellent blog, http://powellcenterformedicalethics.blogspot.com  Part Two discusses China's appalling attitude and behavior toward female babies. Part Three updates you on charges being brought against euthanasia activists. Please send your thought on any or all parts to daveandrusko@gmail.com. Follow me on http://twitter.com/daveha.

Democratic leaders are meeting and strategizing around the clock as Congress tries to pass the stalled healthcare bill either before President Obama leaves for an oversees trip on the 18th, or before the Easter recess beginning on March 26. At the same time Democrats seek a way forward, Virginia is posed to became the first state to ban mandated coverage (pending the signature of Gov. Bob McDonnell), should such a requirement be a part of a new federal health care bill.

Senator Kent Conrad (D-ND)

"Thirty-four other state legislatures have either filed or proposed similar measures -- statutes or constitutional amendments -- rejecting health insurance mandates, according to the American Legislative Exchange Council," the Associated Press has reported.

The Congressional Democratic leadership is facing two separate hurdles. The first is gaining, or keeping, enough votes to ensure passage among an increasingly large number of squeamish Democrats. The other is the process itself: the use of "reconciliation."

Reconciliation, which is a way around a Republican filibuster in the Senate, is widely believed to be the only way forward on the current bill. The rules seem to indicate that the House will have to first pass the Senate bill (the bill passed last December), and then a separate reconciliation bill containing changes--or "fixes"--can be considered.

However, a ruling is anticipated from the Senate Parliamentarian in which he determines whether the reconciliation process can be used in this case. This may mean that Obama might have to sign the legislation into law before the Senate can even consider the House "fixes." This is said to be creating distrust among House Democrats of their Senate counterparts.

Complicating matters is whether at this point the Congressional Budget Office (CBO), a key non-partisan figure, can even score (give cost estimates) of "fixes" that haven't been passed yet. Senator Kent Conrad (D-ND) has said, "For the scoring to change it has to have passed Congress, and that means [passing] both houses." Despite this, there are reports that a CBO score might be out this week on the reconciliation portion.

With the matter far from settled, and another self-imposed deadline looming, time and options are running short. All the while, serious rationing concerns described in earlier posts still remain.

Part Two
Part Three