Pimples Legs

Weekly Pulse: Obama to Promote Health Plan at Summit

By Lindsay Beyerstein, Media Consortium blogger

On Monday, the White House released its plan for health care reform, which resembles the Senate bill with additional concessions for liberals and labor unions. Tomorrow, President Obama will hold a televised health care summit. Obama is billing the summit as a last-ditch attempt to solicit Republican ideas for health care reform. In fact, he's hoping to give the GOP enough rope to hang itself.

It takes two…

As Katrina vanden Huevel argues in the Nation, bipartisanship takes two parties, but the Republicans have refused to negotiate unless health care reform starts over from scratch. That's not bipartisanship, that's showboating. President Obama is giving the Republicans one last chance to waste the entire country's time so that he can point to the sorry spectacle and say, “Look, what they made us do.”

In other words, the White House has finally accepted what progressives have been saying for months: There's no way to pass an acceptable health care reform without using the budget reconciliation process to circumvent the filibuster.

What's in the White House plan?

What does the White House want for health reform? Kevin Drum of Mother Jones summarizes some highlights of the Obama plan: Increasing premium subsidies for working families; delaying the so-called “Cadillac” tax on expensive health plans and increasing the threshold at which plans are subject to tax; and empowering the Department of Health and Human Services to crack down on exploitative premium hikes, like the 39% increase recently announced by Anthem of California.

In AlterNet, Byard Duncan points to a lesser-known but important facet of the president's plan, reviving the Indian Health Care Improvement Act–which would modernize the Indian health care system, which serves 1.9 million Native Americans and indigenous Alaskans, and not a moment too soon. American Indians are 3 times more likely to die of diabetes, 5 times more likely to die of alcoholism, and 6 times more likely to die of tuberculosis than any other ethnic group. If Obama's plan is approved, the Indian Health Service (IHS) will get a 13% budget increase to address these and other pressing issues.

Stupak, stopped?

Abortion continues to cast a shadow over health reform. As Nick Baumann explains in Mother Jones, the original House health care bill only passed by 5 votes. Then Rep. Robert Wexler (D-FL) resigned and Rep. John Murtha (D-PA) died. Rep. Joseph Cao (R-LA) only voted for the House bill because he liked the Stupak abortion funding ban, which is no longer operative. Rep. Bart Stupak (D-MI) and his coalition of anti-choice Democrats supported health reform last time around in exchange for their notorious amendment. Nobody knows how many of them Speaker Nancy Pelosi can keep in the fold. At this point, she has the counter-intuitive advantage of having nothing to offer them.

The Senate's abortion language can't be modified through reconciliation for procedural reasons. The Stupack Pack's bluff has been called: Either they'll kill health reform out of spite, or they'll fall into line. They could go either way.

Speaking of abortion, Jodi Jacobson of RH Reality Check reports that “Amelia”, a young pregnant woman in Nicaragua is being denied chemotherapy because it might hurt her fetus. Amelia's doctors say she needs an abortion, but all abortion is illegal in Nicaragua. Nicaraguan women's groups are urging people to write to the Inter-American Commission on Human Rights (IACHR) and Nicaraguan government officials to protest.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

The loss of 36,000 jobs in February is better than expected but it's still miserable. 26,000 were lost in January, according to the government's revised figures. And the “underemployment” rate — including jobless workers who have given up looking for work and part-time workers who want full time jobs — rose from 16.5% in January to 16.8% in February, offsetting some of January's gains.

And don't blame it mostly on the weather. Although the surveys on which the report is based were done in mid-February during winter snowstorms in the east, the major impact of bad weather was on hours worked, not the numbers of jobs. If you had a job in February but were snowed in, the Bureau of Labor Statistics reported you as having a job.

This complicates the president's final push for health care reform. With employers still shedding jobs and consumer confidence down, Americans are worried first and foremost about paying their bills. Because most people aren't aware of how much of their paychecks are being eaten up by rising health care costs, but can easily be persuaded they'll be paying more to cover those who don't have health insurance under any new health plan, the continuing bad news on the jobs front makes it harder for the president to make his health-care sale.

The bad news on jobs also allows economic illiterates (and scoundrels who know better) to continue to claim the stimulus is failing and what's needed is less government rather than more, including not only a smaller “jobs bill” but less or no health care reform.

In politics as in economics and love, timing is everything. Obama can't wait much longer if he wants to convince wavering and worried conservative Democrats to join him in a last ditch 51-vote reconciliation measure to get health care through the Senate. We're already in the gravitational pull of November's mid-term elections. But the economy is taking a longer time to turn around than anyone expected, and telling Americans the jobs numbers are getting worse more slowly isn't exactly reassuring.

One small political consolation is the worst job numbers continue to be on the coasts and the old rust belt where Democrats are relatively safer, and the best numbers in the midwest and mountain states and south where Democrats are weakest. So at least Blue Dog Democrats who are under the most pressure from their conservative constituents on health care aren't grappling with the biggest job losses.

Another is that all across the nation, the people being hit worst by this continuing jobs recession/depression are poor and the lower-middle class who Republicans are trying to court. They're in greatest danger of losing health care coverage if they haven't lost it already, and in greatest need for subsidies to allow them and their families to afford it. Wavering and worried congressional Dems should be reaching out to them.

Americans desperately need health care reform. They also desperately need jobs. Even if it's difficult for many to make the connection, it's still possible for the nation to try to do two important things at the same time. We need a big jobs bill — including especially extended unemployment insurance, aid to hard-hit states and cities — and we need health care reform. The sooner we do the former and get the economy moving into positive job numbers again, the more quickly and easily we can afford the latter. The big question is whether the president can make the case.

Cross-posted from RobertReich.org