Monday, March 23, 2009

Lying with Dogs

Comment: The Blue Dog coalition in the House of Representatives has often assisted Republicans in preventing the advancement or even the introduction of progressive legislation that increases government spending. Supposedly their mission is merely to avoid deficit spending by enforcing "paygo" rules (all new spending is offset with other program cuts or with new revenues), but all too often they seem to not only support elimination of deficit spending, but also the policy of "no new taxes." It appears that they are not only concerned about deficits, but they also seem to want to avoid an increase in the size of the federal budget.


Now Sen. Evan Bayh and fifteen of his colleagues have decided to establish a Blue Dog-type coalition in the Senate. In an obvious effort to wield more power from the middle, they "are joined by a shared commitment to pursue pragmatic, fiscally sustainable policies across a range of issues, such as... health care reform..." Ouch!


Although most observers of the Washington political scene believe that the make or break on comprehensive health care reform will occur in the Senate, there are enough Blue Dogs in the House to not be discounted as major players since they could side with the Republicans if new taxes are used to comply with paygo.


But look at what has happened in the Senate. The moderate Democrats are no longer passive observers (not that they ever really were). Now with their newfound power, the battle for cloture has shifted. Instead of Democrats simply requiring one or two Republican votes to invoke cloture, they must also meet the demands of these sixteen Senate Blue Dog look-alikes. The Republicans now not only have one vote to spare on preventing cloture, they also have a very large buffer in the Democratic Party to prevent comprehensive tax-and-spend health care reform.


There goes any adequate government option to the private plans - "because of adverse selection, we can't pay for it." There goes adequate subsidies for private plans for average-income Americans - "without new taxes, we can't pay for it." There goes adequate regulatory oversight for the private plans - "unless we have high deductibles and stripped down benefits, the people can't pay for the plans."


Single payer would provide the Blue Dogs with the reform they want, or should want. Health care budgets would be balanced without increasing spending over our current level. They just have to understand that funneling health care dollars through our tax system is more efficient than turning them over to private insurers. They need to look at all dollars going into health care, and not just the public dollars.

Quote-of-the-day@mccanne.org

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