| New idea floating in the healthcare ether: split the bill.
A public option can almost certainly be adopted under Senate reconciliation rules, since it is heavily related to the budget. But many of the other most crucial pieces of reform -- the exchange (where the option would likely live) and insurance regulations -- cannot.
So split the bill: pass the regulations and exchanges and subsidies, etc., via a normal process, break the filibuster, etc.
Then, go back and pass the public option via reconciliation.
Now, it should be clear that just putting this option on the table will likely cause the Congressional GOP to flip out even more, since any bill without a public option will now be a stalking horse for a later public option bill (now even no public option is a public option, HA!). But it is hard to see how Nelson, Bayh, Conrad, or Lieberman could maintain a filibuster of a public option-less bill.
Finally, because I want to be berated for being insufficiently progressive, I wanted to highlight Paul Starr's "Sacrificing the Public Option." Starr, one of the founders of The American Prospect and a damn notable liberal intellectual (author of Freedom's Power: The True Force of Liberalism) basically says that if the public option goes away, so be it. Better to have regulations and exchanges, which require 60 votes, than to get a public option and no regulations or exchanges...and we can always come back for the public option via reconciliation. So my advice to progressives is to chill, at least on this matter. To get health-care reform through the Senate, the public option is almost certainly going to have to be dropped. Perhaps, after House-Senate conference, some version will survive; for example, if the House bill includes a public plan and the Senate bill includes health co-ops, a logical compromise would be to give states a choice between them. But if no public option survives this year, it can be enacted separately later.
If health-care reform passes this year, a lot more will need to be done to make it work. But if it dies this year, it will be very dead indeed. The opponents of reform understand that, and the supporters must too. |