More recently, she listed her goals for a House-Senate compromise without mentioning the provision she long has backed.
Rep. Chris Van Hollen of Maryland, also a member of the leadership, agreed.
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Given the opposition in the Senate,LV Luggage, Pelosi, D-Calif., signaled late last year she did not view a public option as a requirement for a final compromise. Asked in an interview Dec. 16 whether she could support legislation nike shoes outletwithout it, she said, “It depends what else is in the bill.”
While Obama favors a government option, he has said repeatedly it is only a small part of his overall effort to remake the health care system, and is not essential.
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But officials said little if any time has been spent in White House meetings on the issue, and there was scant discussion of it during a conference call for members of the Democratic rank and file earlier this adidas outletweek.
Government all star shoesintervention into the insurance market is one of the most contentious issues to be settled. Others include the fate of a Senate-passed tax on high-cost insurance plans, bitterly opposed by some labor unions; the extent to which abortions could be covered by insurance to be sold in the new exchanges; and the amount of money available to help lower-income families purchase coverage.
Additionally, House Democrats want to require insurers to spend a minimum amount of premium income on benefits, thereby limiting what is available for salaries, bonuses, advertising and other items. The House bill sets the floor at 85 percent; the Senate-passed measure lowers it to 80 percent for policies sold to small groups and individuals.
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A Republican upset would deprive Democrats of their 60th vote.
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“We’re willing to give up what’s good for America as long as we get something good back,” he said.
The bill’s future is further
complicated by a scheduled Jan. 19 election in Massachusetts. Some polls show Democrat Martha Coakley in a closer-than-expected race against Republican Scott Brown and an independent contender. The winner will replace Sen. Paul Kirk, who became the 60th member of the Democratic caucus when he was named to his seat as successor to the late Sen. Edward M. Kennedy.
“I think the House is very much of a view that before they’d consider dropping the public option” they have to be assured of a bill that achieves the goals they wanted the public option to meet.
Pelosi and Senate Majority Leader Harry Reid, D-Nev., have expressed optimism about chances for a swift agreement, but there appears to berelatively little maneuvering room. That is particularly true in the Senate,Louis Vuitton Luggage, where 60 votes will be needed to overcome a Republican filadidas shoes outlet ibuster, and any change carries the risk of alienating a Democrat whose vote is crucial.
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California Rep. Xavier Becerra, whnike outleto’s on the leadership team, said House members would only be willing to abandon the public plan if they were certain the final bill achieves the goals they want, as Pelosi described.
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The officials spoke on condition of anonymity because the negotiations are private.
Some House Democrats say the proposed government insurance option remains alive, although they speak publicly of its possible demise as long as insurance companies aren’t let off the hook.
House Democrats included it in their legislation. In the Senate, it drew opposition from Democratic moderates whose votes are essential to the bill’s fate. Even attempts to include an expansion of Medicare for uninsured individuals as young as age 55 widely viewed as a face-saving proposal for liberals had to be jettisoned.
Government health insurance option appears doomed
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The maneuvering comes as the White House and majority Democrats intensify efforts to agree on a final measure,LV Luggage, possibly before Obama delivers his State of the Union address late this month or early in February.
House Speaker Nancy Pelosi and other senior Democrats told President Barack Obama in recent meetings they want the legislation to strip the insurance industry of a long-standing exemption from federal antitrust laws, officials said. That provision is in the House-passed measure, but was omitted from the bill that the Senate passed on Christmas Eve.
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Liberals long have pressed to include a government-run insurance option in the legislation, arguing it would create competition for private companies and place a brake on costs.
“We are optimistic that there is much that we have in common in both of our bills and that we will resolve or reconcile this legislation in a way that is a triple A rating: affordability for the middle class, accountability for the insurance companies, and accessibility to many more people in our country to quality, affordable health care,” she said.
They also want the final measure to include a House-passed proposal for a nationwide insurance exchange, toadidas outlet be regulated by the federal government, where consumers could shop for private coverage. The Senate bill calls for a state-based system of exchanges.
Senior House Democrats have largely abandoned hopenike outlet s of including a government-run insurance option in thefinal compromise health care bill taking shape, according to several officials, and are pushing for other measures to rein in private insurers.
