Democrats start countdown toward health care vote |

Democrats start countdown toward health care vote

AP Special Correspondent

WASHINGTON – House Democrats triggered the countdown Monday for the climactic vote on President Barack Obama’s fiercely contested remake of the U.S. health care system, even though the legislation remained incomplete and lacked the votes needed to pass.

Obama pushed his vision of affordable and nearly universal coverage to seniors in Ohio, declaring “we need courage” in the legislative struggle now in motion, as congressional leaders showed signs of progress winning over anti-abortion Democrats whose votes are pivotal. As well, Sen. Jim DeMint, a Republican who is among the bill’s sharpest opponents, said he was “less confident” than before that it could be stopped.

“They’d have to be remarkable people not to fall under the kind of pressure they’ll be under,” he said of rank-and-file Democrats.

It was more than a year ago that Obama asked Congress to approve legislation extending health coverage to tens of millions who lack it, curbing industry practices such as denying coverage on the basis of pre-existing medical conditions, and beginning to slow the growth of health care nationally. His plan would require most Americans to buy health insurance, fine most who fail to do so and provide government subsidies to help middle-income earners and the working poor afford it.

Sweeping legislation seemed to be on the brink of passage in January, after both houses approved bills and lawmakers began working out a final compromise in talks at the White House. But those efforts were sidetracked when Republicans won a special election in Massachusetts – and with it, the ability to block a vote on a final bill in the Senate.

Now, nearly two months later, lawmakers have embarked on a two-step approach that requires the House to approve the measure passed by the Senate, despite misgivings on key provisions. That would be followed by both houses quickly passing a second bill that makes numerous changes to the first. In the Senate, that second bill would come to a vote under rules that deny Republicans the ability to delay it.

Some of the pressure in favor of the legisdlation was aimed at Rep. Dennis Kucinich, a Democrat from Ohio who flew aboard Air Force One with President Barack Obama during the day, then walked into a senior citizen center with the chief executive in time to hear a voice from the audience yell out, “Vote yes.”

A smiling Obama turned to the liberal lawmaker and said, “Did you hear that, Dennis?” Then, turning back to the audience, he added, “Go ahead, say that again.”

“Vote yes!” came back the reply.

Kucinich, who said later he remains uncommitted, is one of 37 Democrats currently in the House who voted against Obama’s legislation when it cleared the House in late 2009.

In addition, the White House is laboring to hold the support of several other Democrats who voted for the earlier bill, but only after first supporting strict anti-abortion limits that would be altered the second time around.

At least two have signaled they are open to supporting the president when the vote comes. One of them, Rep. James Oberstar, is “in the leaning yes column,” said a spokesman, John Schadl.

“When we bring the bill to the floor, then we will have the votes,” said the leader of the House, Speaker Nancy Pelosi, a Democrat.

The lobbying came as the House Budget Committee, on a 21-16 vote, took an essential first step toward the House vote, which could come by the weekend.

The details of the second, fix-it measure that comes after the House vote were closely guarded – and subject to last-minute changes. In general, officials have said they would provide more money for lower-income families unable to afford health care and states that already provide above average coverage for the poor, as well as improved prescription drug coverage for the elderly.

The legislation is expected to delete a provision in the Senate bill that singled out Nebraska for favorable treatment under a requirement to expand health coverage for the poor.

Instead, Democrats may provide as much as $15 billion to a dozen states and the District of Columbia, all of which already voluntarily provide at least some of the coverage that would be required.


Eds: Associated Press reporters Ben Feller, Ricardo Alonso-Zaldivar, Erica Werner, Alan Fram, Chuck Babington and Ann Sanner contributed from Washington. Seanna Adcox contributed from South Carolina.

Support Local Journalism