Here's How the GOP Plans to Kill Health Care Overhaul
Thursday 04 November 2010
by: Tony Pugh | McClatchy Newspapers | Report
Washington - In a symbolic show of opposition, resurgent House Republicans are eyeing an early up-or-down vote to repeal the Obama administration's health care overhaul, though a successful overturn of the controversial measure is well beyond their reach.
Even if a proposal passes the soon-to-be GOP-controlled House of Representatives, it's unlikely to go any further, considering the Democrats' control of the Senate and President Barack Obama's power to veto legislation.
But with many of the law's provisions years away from implementation, the GOP can use its new House majority to slow the measure's funding and progress through a gantlet of congressional hearings, investigations, aggressive oversight and legislative delays. A conservative commentator called the guerrilla warfare-like tactic "defund, delay and debunk."
The real value of the House vote is to show disgruntled voters that GOP lawmakers haven't conceded defeat on the president's signature domestic-policy triumph, said James Capretta, a fellow at the Ethics and Public Policy Center.
"It sends a signal to the people that put them in power that (House Republicans) are going to keep faith with them in terms of their priorities. It really needs to happen," Capretta said.
A House vote also will help, from a public awareness standpoint, keep the controversial law in play for the 2012 elections.
"We can — and should — propose and vote on straight repeal, repeatedly," Senate Minority Leader Mitch McConnell, R-Ky., told an audience Thursday at the conservative Heritage Foundation. "But we can't expect the president to sign it. So we'll also have to work, in the House, on denying funds for implementation, and, in the Senate, on votes against its most egregious provisions."
Because funding for many provisions in the law is authorized but not appropriated, James Gelfand, health policy director at the U.S. Chamber of Commerce, said there'd be numerous opportunities for Republicans to hold up the funding train. He cited as a prime example funding for thousands of new IRS agents to enforce provisions of the law.
"I don't expect Speaker Boehner to be eager to throw away money on anything he doesn't approve of in the bill, so there are going to be huge amounts of things in the bill that won't be funded," Gelfand said, a reference to Rep. John Boehner, R-Ohio.
Tevi Troy, a Republican health strategist and visiting senior fellow at the conservative Hudson Institute, cautioned eager Republicans against changing many unpopular portions of the law. He said the revisions would make the measure more palatable to the public and consequently dampen desire to see the law overturned in 2012.
Capretta said Republicans should resist the temptation to go it alone on opposing the health law. He urged them to court centrist and conservative Democrats who could be vulnerable in the 2012 elections.
With hundreds of new Republican state legislators and a handful of new GOP governors, states also will play a crucial role in slowing implementation of the law, said Nina Owcharenko, director of health policy studies at the Heritage Foundation. She cited a lawsuit by 20 states challenging the law's requirement that citizens buy health insurance or pay a fine as the kind of state-led initiative needed to help topple the measure.
"I'm hopeful that the states continue this focus not only by pushing back on the federal government, but also pushing back by forging ahead with their own reforms," Owcharenko said.
On the campaign trail, some Republican candidates had talked confidently about repealing the law, but most observers realized the odds were long.
That alone prompted Tommy Thompson, the health and human services secretary under President George W. Bush, to question whether targeting the law is worthwhile.
"When it's all said and done, you're not going to be able to repeal health care because President Obama is not going to sign it. And they don't have enough votes to override a veto, so why push a cart uphill when you know it's not going to be able to get to the top?" Thompson said this week in an interview on CNBC.
While the economy and jobs topped voter concerns in this week's election, the political potency of health care reform hasn't been forgotten. On Wednesday, McConnell said the law became a "tipping point" for voter anger and "a metaphor for the government excess that we've witnessed over the last two years."
In a news conference the same day, Obama defended the law and its many popular provisions, such as no coverage exclusions for people with pre-existing illnesses.
"I don't think you'd have a strong vote for people saying, 'Those are provisions I want to eliminate,' " Obama said.
But no one seems more intent on doing just that than Rep. Joe Barton, a Texas Republican. In August 2009, Barton told Fox News that "in the next Congress I'll be Chairman Joe Barton of the Energy and Commerce Committee, and we'll repeal it."
Barton's chairmanship is far from certain, following his infamous "apology" to BP after he called its Gulf Coast oil spill compensation fund a "$20 billion shakedown." He's pushing for the seat, and he recently outlined seven concerns about the law that he'd investigate within six months of getting the post.
Specifically, Barton wants to talk with Medicare Chief Actuary Richard Foster about cost and spending estimates for the overhaul bill and when they were first available. He wants HHS Secretary Kathleen Sebelius and Dr. Donald Berwick, the Medicare and Medicaid chief, to testify before the committee more often.
Barton also wants to know more about HHS' use of government money to promote Medicare improvements and whether Sebelius improperly told insurers not to blame rate increases on the new law.
"I think we're just 10 hearings away from finding the workaday details of how the Obama administration's health and economics policies turned massive, stunningly expensive, unworkable and unwanted," Barton wrote last week in a Washington Times editorial.
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Comments
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the kill-button was always
Fri, 11/05/2010 - 12:28 — Taz Delaney (not verified)the kill-button was always there... forcing the people to take insurance... seems to me that requires an amendment? of course, these amendments can be done or ignored and not done. prohibition, aka drugwar I, required an amendment. but prohibition II, aka the 75 year long drug war, never got the constitutionally required amendment as those folks knew no such amendment could pass in 1933, what with the abysmal failure of prohibition... that was 37 million imprisoned americans ago... yes, the health care reform was insipid but better than nothing... but we can kiss it goodbye, i do believe.
Lack of vision but
Fri, 11/05/2010 - 13:17 — Orly (not verified)Lack of vision but destruction, obstructionism and complete disregard for the people characterize republicans. They will waste the next two years attempting to dismantle everything the democrats propose. They have nothing to offer but their “gut-brainless policies- and the country will get nothing from them. The country will be worse two years from now. Remember Gingrich and Tom DeLay. Even DeLay announced his return. One doesn’t have to be a seer. No one can build anything with a destructive mentality anchored in the past. They may repel the health care reform, and the democrats will do nothing but whine. The only thing that will happen will be as many scandals as during Gingrich tenure. They will collect their salaries and lobbyist’s money and that will be an accomplishment.
When I lived in La. had to
Fri, 11/05/2010 - 13:51 — Margaret Currey (not verified)When I lived in La. had to purchase car insurance or face a fine, I would like to know what is the difference plus those who cannot afford the coverage will be covered anyway.
This is just sour grapes on the Republicans they don't want anything that will help the middle class.
Would not be surprised if they wanted the Bush Tax cuts, but for the middle class they would take it away.
These people want less government and less government is a dictatorship. Yet they want the government to have a state religion and that is in the constitution but some would have you believe not.
These people will tell a lie and lie that it is the truth.
It is interesting to me that
Fri, 11/05/2010 - 14:20 — Anonymous (not verified)It is interesting to me that Jon Stewart and Colbert managed to get the number of people in Washington that they did. I think it is time that the Center and the Left put about 10 times that number in Washington and demand 1) A real end to the wars 2) A reduction of the military budget 3) A Universal Health Care
I do mean to demand it. This country is really broken beyond repair though. It is time we go the way of the Soviet Union and break up into several countries. I personally will stay in the Union of PNW States.
Driving is a Licensed
Fri, 11/05/2010 - 14:56 — Vic Anderson (not verified)Driving is a Licensed PRIVILEGE; healthcare is an inalienable Right of LIFE (Liberty, and the pursuit of happiness, As WELL). SINGLE-PAYER or Obamanible single term!
Is anyone else effing sick
Fri, 11/05/2010 - 16:16 — Jake (not verified)Is anyone else effing sick and tired of Republican obstructionism? All they do is oppose, oppose, OPPOSE! Rescind! Roll back! Take away our rights (but not their right to steal and lie)! It's shameful! Why would anyone in their right mind ever vote Republican? Oh, wait. I just answered my own question.
The Pharmaceutical Corporate
Fri, 11/05/2010 - 16:33 — Bill O'Rights (not verified)The Pharmaceutical Corporate Wet Dream, aka the Health Care Overhaul, deserves to die in it's sleep. For real reform, we start with removing regulatory power from the FDA - it is full of Monsanto and Pharma people - corrupt to the core. Thanks to them, we have incredibly dangerous food - the approval of GMO foods, aspartame, and the parade of toxic drugs, which our doctors are obliged to use to avoid being sued for malpractice, in the event they use a natural treatment that was not sanctioned by the Pharma owned FDA. How this piece of s___ legislation was heralded as progress an indication of just how careless Congress and Progressives have become.
@bill O'Rights.... blaming
Fri, 11/05/2010 - 17:12 — doubter (not verified)@bill O'Rights.... blaming Progressives for the revolving door between gov and big business employees is not justified, both parties are equally guilty for gutting true regulation of American Corporations and preventing the type of corruption you speak of, we are all losing this battle together.
Here's a simple response to
Fri, 11/05/2010 - 17:19 — Mike Middlesworth (not verified)Here's a simple response to those who want to kill the requirement that we all have insurance: If you don't have insurance you can't get treatment in a government funded or subsidized institution.
If the greedy were not
Fri, 11/05/2010 - 18:56 — Anonymous (not verified)If the greedy were not grabbing every thing they can and the lazy and the inept were not in charge of billing oversight for Medicare an 82 year old woman in ICU in the last month of life would not be seen by 40 casually stopping by specialists all billing YOU AND ME for each visit independently. They would not be giving this woman a pap smear on her death bed. Why can't we watch what happens to our funding more carefully then there would be enough to pay for care for all! 50 billion last year alone in Medicare for heroic end of life care. Baloney- to make the boat payments of the shysters called to practice healing.
Everyone, everybody, send a
Fri, 11/05/2010 - 20:35 — JCM (not verified)Everyone, everybody, send a message
to the President.
NO TAX CUTS TO THE RICH
Pass it on!
http://www.whitehouse.gov/contact
Thanks for all the good
Fri, 11/05/2010 - 23:27 — Stacy Lambe (not verified)Thanks for all the good information you send out to us all. I really appreciate that you ppl put out such important information when so many are trying to pull the wool over our eyes. You do very good work. Please keep it up. Thank you once again.
attacking funding is a real
Sat, 11/06/2010 - 03:07 — Anonymous (not verified)attacking funding is a real double edged sword, the political equivalent of the use of nuclear or biological weapons against invaders on home-soil.
Republicans who try this will be paying for it (literally) through the destruction of all military spending, pork for their states, bailout funds for their cronies.
They will either cave, or lose what little they have left in a government in which they are still heavily outnumbered by democrats, and increasingly polarized ones now that the blue dogs are thinned.
Sad but true: now that we
Sat, 11/06/2010 - 08:05 — Bill (not verified)Sad but true: now that we have Sen.-elect Rand "Headstomping's OK" Paul & his ilk coming on board, the top 2% are going to be making it tougher on all of us.
Republicans are
Sat, 11/06/2010 - 09:32 — Anonymous (not verified)Republicans are pathadic!
Obama needs to let the people know what the health care is!
While I don't really like
Sun, 11/07/2010 - 12:13 — theprogressiveanalyst (not verified)While I don't really like the health care bill as passed (Medicare for all as an option is so much simpler and better), it is much superior to the status quo or what the Republicans want. We need to stop letting the GOP frame the debate. The fact is that the bill is based on Republican ideas and basically the same as the bill Romney pushed and signed in Massachusetts. The mandate to buy insurance was first proposed by 20 GOP senators in 1993. So let's start calling it Romney Care and ask the Republicans why they don't support their own policies.