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Health and Wellness
House of Representatives Passes Health-Care Reform Bill in Historic Vote
Posted by Adele Stan, AlterNet on November 7, 2009 at 8:32 PM.
In an historic vote in the U.S. House of Representatives, a health-care reform bill containing a public health-insurance plan passed the chamber by a vote of 220-215. One Republican, Joseph Cao of Louisiana, voted with the Democrats, while 39 Democrats, including Ohio Democrat Dennis Kucinich, voted against H.R. 3962, the Affordable Health Care for America Act.
Both of the Democrats who won special elections last week, Bill Owens of New York's 23rd district, and John Garamendi of California's 10th voted for the bill.
As the time allotted for voting drew to a close, Democrats, shouting in unison, counted down the final seconds like it was New Year's Eve. Speaker Nancy Pelosi smiled broadly as she pounded the gavel and announced the result.
At a meeting with reporters following the bill's passage, Pelosi called up Rep. Patrick Kennedy, D-R.I., son of the late Sen. Ted Kennedy, the upper chamber's long-time champion of health-care reform. "My dad was a senator," Kennedy said, "but tonight his spirit was in the House."
Rep. John Dingell, D-Mich., also played an historically symbolic role in the vote, gaveling the start of the proceedings. Like his father before him, who was also a congressman, Dingell has introduced a health-care reform bill every year of his 54-year career in the House, and gaveled to order the 1964 proceedings for the passage of Medicare.
The bill passed in the House includes a public health-insurance plan that is one of a number of plans -- the rest offered by private and non-profit insurers -- that consumers will be able to purchase on an insurance exchange, which has been described as a sort of shopping mall of insurance policies. Lower-income citizens will be eligible for federally-financed subsidies of premiums. All Americans will be required to carry a minimum level of health insurance or face a tax penalty. Individuals earning more than $500,000 annually, and couples who earn more than $1 million per year, will face an additional tax to help finance the health-care plan.
Included in the legislation are protections against exclusion from coverage for pre-existing conditions and a prohibition on rescissions that have seen people suddenly dropped from coverage because they failed to disclose a minor condition such as acne. Women will be protected from elimination of coverage for gender-specific conditions. Young adults will be able to remain on the parents' policies until their 27th birthdays, and several discriminatory practices against LGBT people will be prohibited.
(For more on what's in the bill and likely battles to arise in a conference committee, see 5 Key Fights We Face Against the Insurance Industry by AlterNet's Joshua Holland.)
It was a week of wrangling, arm-twisting and conservaDem-whispering for House leaders as they sought to put together the 218 votes necessary to pass the bill. Originally scheduled for Friday, the vote was put off for a day as House Whip James Clyburn and Pelosi's whip team worked members of the Democratic caucus to bring more on board. President Barack Obama consequently delayed a planned Friday visit to Capitol Hill for a meeting with Democrats about the bill, instead making the trek today in a bid to sway any stragglers.
Much of the slow-down came at the hands of Rep. Bart Stupak, D-Mich., who insisted that the bill was not strong enough in preventing the use of federal funds for abortion procedures, since the bill would permit a woman who bought private health insurance -- with her own money -- through a federally-administered insurance exchange to purchase a policy that covered abortion. With the backing of the U.S. Conference of Catholic Bishops, Stupak and Joe Pitts, R-Penn., held up the bill, looking for a deal on language that would appease the church. (Both Stupak and Pitts belong to the secretive Capitol Hill religious group known as The Family.)
As of Friday night, Pelosi thought she had worked out a language compromise with the pro- and anti-choice forces, but before daybreak, the deal had fallen apart "because they can't count," Stupak said of Pelosi's negotiators during a press conference after the House vote.
Unable to deliver the compromise she thought she had forged, Pelosi allowed Stupak to bring his concerns to the floor in the form of an amendment, which passed with the votes of 64 Democrats. (More about the amendment from AlterNet here and RH Reality Check here.)
Part of Pelosi's calculus in allowing the Stupak amendment seems to be the unlikelihood that it will survive in the conference committee that will reconcile the House bill with whatever the Senate eventually passes and calls health-care reform. Certainly House Minority Leader John Boehner seemed to think so, as he made a point, during the general debate on the larger health-care bill of asking each of the committee chairmen who together crafted the Affordable Health Care Act whether they would commit to preserving the amendment when the bill is finalized in conference committee.
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House Takes Up-or-Down Vote on Stupak Amendment, Threatening Women's Rights
Posted by RH Reality Check, RH Reality Check on November 7, 2009 at 5:00 PM.
This post is from Jodi Jacobson's blog at RH Reality Check.
House Democratic leaders will allow an up-or-down vote on the Stupak-Pitts amendment, which seeks to block even private insurance plans from funding abortion care.
In other words, this amendment, if passed and included in a final health reform bill, would block you from getting insurance to cover legal procedures in the United States of America, with premiums paid with your personal funds. Planned Parenthood, NARAL Pro-Choice America, the National Women's Law Center and other groups are calling for immediate action against the amendment, and you can click here to find your representative and tell them to vote no on Stupak.
The amendment, named for Representatives Bart Stupak, D-Mich, and Joe Pitts, R-Penn. Stupak is a so-called "Democrat for Life;" Pitts has been a dogged supporter of failed abstinence-only policies, domestically and internationally, and was among those who succeeded in adding language forbidding the provision of contraceptive supplies for HIV-positive women in US global AIDS funding.
The agreement to vote on the Stupak-Pitts amendment came after 1:00 am this morning when an effort to adopt compromise language crafted by Rep. Brad Ellsworth apparently was rejected by Stupak and his supporters. We reported on the Ellsworth Amendment here. Rejection of the Ellsworth Amendment makes clear the agenda of Stupak's amendment is to ban abortion care in private insurance plans, because Ellsworth provided numerous protections against the use of federal funds for abortions other than those for rape, incest, and danger to the life of the mother, for all of which the law now allows federal funding.
The Hill reports that:
Liberals on the committee threatened to vote against the final healthcare bill if it included Stupak's language, warning that it would be a return to the days of back-alley abortions.
"I forsee a return to the dark ages," Alcee Hastings, D-Fla., told The Hill. "I'm 73, I've seen these dark things, they use these coat hangers and die."
"I used to think that life was black or white, but the older I get the most gray it becomes," liberal Rep. Jim McGovern, D-Mass., told the panelists of the House Rules committee as they debated whether to allow the amendment. "I find this amendment very, very uncomfortable."
Having successfully made birth control "too controversial for health reform," Stupak, working with other "Dems for Life," the now unabashedly ultra-right Republican party and the U.S. Conference of Catholic Bishops threatened to block passage of the health reform bill unless he got his way on the vote. His efforts are backed up by a massive organizing effort undertaken by the Catholic Bishops to mobilize ultra-conservative Catholics throughout the country. More than 85 percent of Catholics in the United States use birth control, and Catholic women have abortions at the same rate as women in the general population.
Women's rights advocates, including the speaker of the House and a majority of the Democratic caucus, support a provision in the health-care bill that would subsidize abortions for poor women who can't afford them, in keeping with current law.
"Rep. Stupak’s proposal to codify the Hyde amendment in health-care reform would force women who want comprehensive reproductive health-care coverage to purchase a separate, single-service rider," said Cecile Richards, President of Planned Parenthood Federation of America. In the statement, Richards explains:
Such an "abortion rider," whereby abortion care could only be covered by a single-service plan in the exchange, is discriminatory and illogical. Women do not plan to have unintended pregnancies or medically complicated pregnancies that require ending the pregnancy. In fact, about half of all pregnancies in the U.S. are unintended, and abortion is not something that women plan to insure against. As a result, an "abortion rider" policy is unworkable. Women would not choose to purchase it, and would subsequently be unable to obtain the care they need. Proposing a separate ‘abortion rider’ represents exactly the type of government interference in the health care marketplace that conservatives purport to vehemently oppose.
For these and other reasons, "Planned Parenthood strongly opposes the Stupak-Pitts amendment which would result in women losing health benefits they have today," said Richards in a statement released early this morning. The statement continues:
This amendment would violate the spirit of health care reform, which is meant to guarantee quality, affordable health care coverage for all, by [instead] creating a two-tiered system that would punish women, particularly those with low and modest incomes. Women won't stand for legislation that takes away their current benefits and leaves them worse off after health care reform than they are today.
While Rep. Stupak claims that his amendment simply applies the Hyde amendment to health reform, nothing could be farther from the truth
In fact, "the Stupak-Pitts amendment would result in a new restriction on women's access to abortion coverage in the private health insurance market," continued Richards, "undermining the ability of women to purchase private health plans that covers abortion, even if they pay for most of the premium with their own money."
On Friday, House Energy and Commerce Chairman Henry Waxman, D-Calif., said passing Stupak's legislation could jeopardize passage of the bill, because abortion-rights supporters were likely to vote against a bill that includes it.
BACKGROUND on STUPAK-PITTS AMENDMENT:
The Stupak-Pitts amendment would:
The current compromise in the bill, the Capps Amendment, already strikes the right balance between pro-choice and anti-choice interests.
It stipulates that health plans cannot be mandated to cover abortion, but they can choose to.
The following is a list of editorials in major newspapers that have opposed Stupak-Pitts and similar proposals:
An editorial in USA Today (11/2/09): “[The Stupak amendment] goes too far. It would mark a broad new expansion in the effort to restrict access to abortion. Nearly 90% of private health insurance policies now offer abortion coverage, and almost half of women with private insurance have it. But women covered under the new system would have to find supplemental insurance or pay out of pocket for an unanticipated procedure that can cost from hundreds to tens of thousands of dollars, depending on complexity. For anyone unable to afford it, this would amount to a de facto ban.”
An editorial in the New York Times said (10/1/09):
“Conservative critics of pending reform bills want to prohibit the use of tax subsidies to buy any health insurance policy that covers abortion. Some want to require women to buy an extra insurance “rider” if they want abortion coverage, an unworkable approach given that almost no one expects to need an abortion, few women would buy the rider and, therefore, few insurance companies would even offer it.”
An editorial in the LA Times said (11/6/09):
“The real goal of abortion opponents isn't to maintain the status quo. It's to extend federal prohibitions into private pocketbooks. By restricting coverage offered through the exchange, they hope to make abortion coverage so unattractive that insurers eventually stop offering it in the market for individual and small-group policies.”
An editorial in The St. Petersburg Times said (11/5/09):
"Contrary to the claims of Rep. Bart Stupak, D-Mich., who has been leading the antiabortion effort, the Capps amendment would not expand federal funding for abortion. Instead it would establish some basic principles to reflect the current health insurance landscape in which nearly 90 percent of private plans offer abortion coverage."
If Tea-Baggers Are Such Populists, Why not Vent Fury Over Flu Shots Going to Wall Street While Kids Go Without?
Posted by Jill C., Brilliant at Breakfast on November 7, 2009 at 4:12 AM.
Instead of going to Washington and mindlessly parroting what right-wing talk show hosts tell them, much of which is flat-out wrong, perhaps the teabaggers who marched on Washington would be better served directing their outrage at this:
Today, Citizens for Responsibility and Ethics in Washington (CREW) asked Health and Human Service (HHS) Secretary Kathleen Sebelius to investigate why the Center for Disease Control (CDC) approved the distribution of the H1NI vaccine to Wall Street firms at a time when the vaccine is unavailable to most Americans.
Recent news reports indicate 13 companies, including Citigroup, Goldman Sachs, JP Morgan Chase and Time Warner, have been cleared to receive the vaccine.
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