Obama buys health care passage with executive order on abortion

Rep. Bart Stupak: His vote was for sale (AP)

President Barack Obama and House Democratic leaders struck a last-minute deal Sunday with abortion foes to secure the final few votes needed to remake America’s health care system, writing a climactic chapter in a century-old quest for near universal coverage.

The House argued its way through a thicket of Republican objections toward an evening vote on the bill to extend coverage to 32 million Americans who lack it, ban insurers from denying coverage on the basis of pre-existing medical conditions and cut deficits by an estimated $138 billion over a decade.

A shouting band of protesters outside the Capitol dramatized their opposition, and one man stood up in the House visitor’s gallery shouting, “Kill the bill” before he was ushered out — evidence of the passions the yearlong debate over health care has stirred.

Passage of a central health care bill already cleared by the Senate would send it to Obama for his signature. That still would leave one more step, a companion package of changes would go to the Senate.

Obama lobbied by phone from the White House, then took the crucial step of issuing an executive order that satisfied a small group of Democrats who demanded that no federal funds be used for elective abortions. “We’re well past 216″ votes, a majority, said Rep. Bart Stupak of Michigan, swinging behind the bill after leading the holdouts in a rebellion that had left the outcome in doubt.

Democratic aides confirmed his vote count.

After more than a year of political combat — certain to persist into the fall election campaign for control of Congress — debate on the House floor fell along predictable lines.

“The public has been grievously and purposely lied to,” by Republicans in their efforts to defeat the legislation, said Rep. Louise Slaughter, D-N.Y., a clear reference to GOP accusations that included the claim that there would be death panels for elderly patients.

Republicans opposed the measure as a takeover of government health care that would cut Medicare and raise taxes by nearly $1 trillion combined. Rep. David Dreier, R-Calif., criticized the Democrats for their tactics on the House floor, but said, “the greatest outrage has always been for the bill itself.”

Over and over, Democrats stressed the historic nature of the day.

“Health care isn’t only a civil right, it’s a moral issue,” said Rep. Patrick Kennedy, D-R.I. He said his late father, Sen. Edward M. Kennedy, D-Mass., had worked his entire career for nationwide health care, and President John F. Kennedy before him.

Slaughter, read a message President Franklin Roosevelt sent Congress in 1939 urging lawmakers to address the needs of those without health care, and said Democrat Harry Truman and Republican Richard Nixon had also sought to broaden health insurance coverage.

Obama has said often that presidents of both parties have tried without success to achieve national health insurance, beginning with Theodore Roosevelt early in the 20th century.

The 44th president’s quest to succeed where others have failed seemed at a dead end two months ago, when Republicans won a special election for a Massachusetts Senate seat, and with it, the votes to prevent a final vote.

But the White House, House Speaker Nancy Pelosi, D-Calif., and Senate Majority Leader Harry Reid, D-Nev., soon came up with a rescue plan that required the House to approve the Senate-passed measure despite opposition to many of its provisions, then have both houses pass a fix-it measure incorporating numerous changes.

Under the order of the day, set down by Democrats, the House was voting first on the Senate-passed bill, sending it to Obama for his signature. A final vote on the fix-it bill would follow. Its passage would set up a final showdown in the Senate, where Reid says the votes are in hand for its final approval.

Under the legislation, most Americans would be required to purchase insurance, and face penalties if they refused. Much of the money in the bill would be devoted to subsidies to help families at incomes of up to $88,000 a year pay their premiums.

The legislation would also usher in a significant expansion of Medicaid, the federal-state health care program for the poor. Coverage would be required for incomes up to 133 percent of the federal poverty level, $29,327 a year for a family of four. Childless adults would be covered for the first time, starting in 2014.

The insurance industry would come under new federal regulation. They would be forbidden from placing lifetime dollar limits on policies, from denying coverage to children because of pre-existing conditions and from canceling policies when a policyholder becomes ill.

Parents would be able to keep older kids on their coverage up to age 26. A new high-risk pool would offer coverage to uninsured people with medical problems until 2014, when the coverage expansion goes into high gear.

Once enacted, the two bills would create a series of so-called “insurance exchanges” beginning in 2014 where consumers could shop for individual coverage that meets federal standards.

To pay for the changes, the legislation includes more than $400 billion in higher taxes over a decade, roughly half of it from a new Medicare payroll tax on individuals with incomes over $200,000 and couples over $250,000. A new excise tax on high-cost insurance policies was significantly scaled back in deference to complaints from organized labor.

In addition, the bills cut more than $500 billion from planned payments to hospitals, nursing homes, hospices and other providers that treat Medicare patients. An estimated $200 billion would reduce planned subsidies to insurance companies that offer a private alternative to traditional Medicare.

The insurance industry warned that seniors would face sharply higher premiums as a result, and the Congressional Budget Office said many would return to traditional Medicare as a result.

The subsidies are higher than those for seniors on traditional Medicare, a difference that critics complain is wasteful, but insurance industry officials argue goes into expanded benefits.

____

Associated Press writers Jim Kuhnhenn and Erica Werner contributed to this report.

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19 Responses to "Obama buys health care passage with executive order on abortion"

  1. griff  March 21, 2010 at 7:14 pm

    You f**king scumbag criminals.

    • Guardhouse lawyer  March 22, 2010 at 3:30 am

      OH, there’s another example of meaningful debate.

      • griff  March 22, 2010 at 6:21 am

        Great – another drive-by troll.

        • Guardhouse lawyer  March 22, 2010 at 7:07 am

          And another example: When one has nothing meaningful to say in a debate call the other person names. Very adult. Very Republican.

          And shameful.

          • griff  March 22, 2010 at 7:55 am

            In case you haven’t noticed, time for debate is over. Too bad you weren’t around for it, as I was. So spare me the self-righteous indignation, I’ve seen it all before.

            Considering your obvious obedience to the two-party charade, I’ll forgive you this once for calling me a Republican. Of course, I haven’t seen any thing resembling intelligent discourse from yourself, only party worship.

  2. Carl Nemo  March 21, 2010 at 8:11 pm

    Yep, we’re getting down to the last few nails in Lady LIberty’s coffin.

    These people are beneath contempt. Evidently American’s now have the government they so sorely deserve…no?

    It has become a criminally disposed “Idiocracy” run amok. : |

    Carl Nemo **==

    • Guardhouse lawyer  March 22, 2010 at 3:54 am

      We have progress. You can take the egress.

      The nails were actually being pounded into the plywood coffin of the Republican Party.

      • Carl Nemo  March 22, 2010 at 11:35 am

        You sound like a “partisan” to me. / : |

        Carl Nemo **==

        • griff  March 22, 2010 at 9:44 pm

          Like I said – drive-by. Feelin’ good because his team won, trolling around heralding the victory with nary an idea of what this means. Never seem him here, and will probably never see him again.

          Boot licker.

          • Bill Cravener  March 23, 2010 at 4:58 pm

            With abusive folks like you on this board can’t blame him if he doesn’t.

            Crock sucker.

          • Mightymo  March 25, 2010 at 6:19 pm

            We may never know in our own lifetimes, but I firmly believe that the collapse of this nation is closer than many think.
            Considering how much pride we take in patting ourselves on the back with the thought of being a part of a Nation created by God, with our trust in God, and being blessed by God, such a quick collapse is quit a surprise.
            But when I read anti-social comments such as those of Griff and Carl I can understand how such a quick collapse could come.

  3. Judson  March 21, 2010 at 8:31 pm

    America has been a world leader for a long time now and history has shown that world powers always collapse, how could America start its decline unless the Freedom it was built on gets removed first, While most countries looked to the U.S. for leadership, the leaders here decided to look to those who were following to see how we should do things

  4. Warren  March 21, 2010 at 8:52 pm

    Anyone have any experience or recommendations on transferring one’s assets to a a foreign country? I’m serious.

    —W—

    • Guardhouse lawyer  March 22, 2010 at 3:31 am

      Adios.

    • Carl Nemo  March 22, 2010 at 3:42 pm

      Hi Warren,

      Here’s a link to an all services point of contact for opening offshore accounts. They are not illegal, just pay your taxes on any interest that merits taxation.

      http://www.caymanbankingservices.com/

      The Rydex Family of funds offers currency share ETF’s which can traded through your broker. This allows you to move out of USD into a number of currencies. The Australian dollar ETF is also paying a nice 3.37% dividend. The Mexican Peso too, but I personally feel the peso is too volatile and the country is unstable. Also its major Cantarell oil field slowing in production to the tune of one million bbl per annum; ie., its drying up which is a major surce of revenue for the country.

      Australia is rich in mineral resources and the Chinese have major stakes in that nation to not only develop these resources, but are the main customers for Australia’s products. Their banks have continued to pay old fashioned interest on savings acounts nominally in the 5% range and their stock market has shown much better returns over a long period of time than US markets.

      Stay away from the Euro because its in a major downtrend right now due to the instability of a number of minor Euro Union members; ie., Greece, Spain, Portugal, and Iceland. The British Pound is also being dumped due to far greater issues in that country than even the U.S.

      FOREX is like a beauty contest with the least ugly winning on any given day in these times. So the Aussie $ looks the best also balanced against there mineral rich country. They also have large gold deposits too.

      http://www.currencyshares.com/

      Hope this helps. : )

      Carl Nemo **==

  5. silentSCREAM  March 21, 2010 at 9:36 pm

    [griff, Carl & Warren] Contain your exuberance, fellows. The end is near. Really. It’s true… this time. Just last week I was personally informed by an evangelical type that Jesus is on his way. Arrival date: any day now… before December 21, 2012. Seriously. I believe. Yeah, just like I believe the HCR bill won’t be ‘laundered’ by future compassionate GOP influence.

    • Carl Nemo  March 22, 2010 at 11:33 am

      Jesus best be cleared to land his cloud along with his escort of angels or most likely they’ll be treated as terrorists and taken out by ‘Patriot’ missiles … : ))

      Carl Nemo **==

  6. Doc_Holiday  March 22, 2010 at 2:43 am

    Nuts!

    • b mcclellan  March 23, 2010 at 6:16 pm

      I’m with you Doc,
      we shall stand and repeat resoundingly as did General A.C. McAuliffe 101st. to the Nazi General H.F. von Luffwitz,

      NUTS !

      We are still in this fight regardless of rosy pictures of doom that seek to erase the Constitution overnight, ne’er will we be deterred, her chosen protectors, fore we are mission specific to the last man…Allons

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