What Will Come of Health Reform After the Massachusetts Election?

January 27, 2010 at 07:00 PM
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The Massachusetts Senate seat has been in Democratic hands since 1953. But on Jan. 19, Republican Scott Brown was chosen over Democrat candidate Martha Coakley, thrusting the national health reform movement into turmoil.

The winner of the Massachusetts Senate seat holds the critical 60th vote necessary to make or break the health reform legislation – and the rest of President Obama's agenda. With Brown in the position, Republicans could block the effort with filibusters – and throughout his campaign, Brown made it clear that he did not plan to support the national health legislation. (Incidentally, Brown did vote in favor of Massachusetts' health reform, on which the national model is largely based, in 2005.)

Despite the election, Democrats haven't given up hope. There are several political and procedural maneuvers they could make to save their ship. One idea – certainly considered the most shameless by political analysts – is to simply burn the midnight oil and pass the legislation before Brown takes his seat, which should happen in about two weeks. Although there is precedent for such a move, many Democrats (including the president himself) have rejected the idea.

Another, more popular, alternative is for the House to pass the Senate version as it stands, rather than negotiate a new compromise bill. Then, the final bill could be amended slightly later on through a budget reconciliation, which cannot be filibustered, and therefore requires only 50 votes in the Senate – making Brown's vote meaningless.

The problem with this, of course, is that too many liberals dislike the Senate plan. And with elections coming up this fall, the more moderate Democrats worry about the political implications of voting for an unpopular plan.

Some hoped that Obama would shed some light on which direction he planned to take during his State of the Union address, but those who were hoping for some insight were left disappointed. In fact, the president didn't even address health reform until halfway through his speech, which is telling in and of itself – he knows that Americans don't want to hear about reform right now. They're more concerned about their jobs and the economy.

When he did finally address reform, he was vague and said simply that he knew the process would be difficult. He did, however, encourage a bi-partisan approach by saying, "Now, there will be many different opinions and ideas about how to achieve reform, and that is why I'm bringing together businesses and workers, doctors and health care providers, Democrats and Republicans to begin work on this issue next week." Clearly, Obama knows that a strong liberal hand, demanding the Senate bill or nothing, won't get him very far.

In order to get health reform passed now, it's likely that the president and his party will have to construct a much more moderate bill than they were initially planning. They'll take any wins they can get, while appeasing the Republicans just enough to make them agree to the legislation. And all of this because of one election in one state which ultimately gives one man one vote.

It's amazing what one vote can do.

Heather Trese is the associate editor of the Agent's Sales Journal. She can be reached at [email protected] or 800-933-9449 ext. 225.

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