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On Healthcare, Pelosi Makes Her Move | The Nation

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On Healthcare, Pelosi Makes Her Move

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Speaker Nancy Pelosi has laid out a strategy to pass healthcare reform in the next couple of days by allowing the House to vote on the details of the reconciliation package instead of the Senate bill itself. As usual, progressives are fretting that winning will make them look bad. On the other hand, conservatives are baying for blood and calling for revolution.

About the Author

Lindsay Beyerstein
Lindsay Beyerstein writes about health care for the Media Wire project at the Media Consortium. She is a freelance...

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'Deem and Pass'

Nick Baumann of Mother Jones discusses the parliamentary tactic known as "deem and pass" (D&P), which House Democrats plan to use to avoid voting for the Senate bill before the Senate fixes the bill through reconciliation. The House doesn't want to sign a blank check. If the health care bill passes the House first, there's no guarantee that the Senate will make the fixes as promised.

Originally, the hope was that the Senate could do reconciliation first. The problem is that you can't pass a bill to amend a bill that isn't law yet. That would be like putting the cart before the horse. To clear that hurdle, the House will invoke a rule that deems that Senate bill to have passed if and when the House passes the reconciliation package. It's sort of like backdating a check. Ryan Grim explains the process in more detail on Democracy Now!

D&P Does Not Equal Treason

Progressives like Kevin Drum worry that D&P will make the Democrats look bad. Meanwhile, the Tea Party crowd is calling for Nancy Pelosi to be tried for treason, as TPM reports. The bottom line is that D&P is no big deal. Republicans used the process thirty-six times in 2005 and 2006; Democrats used it forty-nine times in 2007 and 2008. D&P is constitutional. We know because it has already been upheld by the Supreme Court. Kevin Drum writes, "If you have a life, you don't care about the subject of this post and have never heard of it."

Teabag Revolution

There is no joy in Tea Party Land, as Dave Weigel reports in the Washington Independent. The tea baggers are frantically lobbying to stop the bill, but the reality is starting to sink in. Their leaders are shifting from trying to kill the bill to planning the tantrum they're going to throw when it passes: 

"While many held out hope that plans to pass the Senate's version of reform in the House would stall out, others pondered their next steps. Some, like Rep. Steve King (R-IA), took a dark view of what might come. 

"Right now, they're civil, because they think they have a chance of stopping this bill," said King to reporters, waving his arm at a pack of "People's Surge" activists forming a line to enter the Cannon House Office Building. "The reason we don't have violence in this country like they do in dictatorships is because we have votes, and our leaders listen to their constituents. Now we're in a situation where the leaders are defying the people!" Later, King would expand on those remarks and speculate on a possible anti-Washington revolt in which Tea Parties would "fill the streets" of the capital."

Sounds like King is calling for a revolution, doesn't it? As it turns out, that's exactly what he says he wants if healthcare reform passes. Eric Kleefeld of TPMDC reports that King is hoping for something akin to the uprising that overthrew the Communists in Prague in 1989. "Fill this city up, fill this city, jam this place full so that they can't get in, they can't get out and they will have to capitulate to the will of the American people," King said in an interview with the Huffington Post.

Women and Healthcare Reform

Healthcare reform seems poised to pass. Amid the heady excitement, there's a sense of gloom in the reproductive rights community. Bart Stupak was defeated, but healthcare reform will probably end private insurance coverage for abortion.

In The American Prospect, Michelle Goldberg urges feminists to support reform anyway. She argues that the women suffer disproportionately under the status quo. If reform passes, it will insure 17 million previously uninsured women. Expanding healthcare coverage might help reverse rising maternal mortality rates in the United States.

A recent report by Amnesty International found that at least two women die in childbirth every day in the United States, a much higher rate than in most developed countries. The antichoicers had the advantage because they were willing to kill health reform over abortion. The prochoice faction did not allow itself the luxury of nihilism.

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