Remember back in July when Obama spoke about what he would do to help the health care bill along once we got to this point, when the bill got to conference comity?
The House bills and the Senate bills will not be identical. We know this. The politics are different, because the makeup of the Senate and the House are different and they operate on different rules. I am not interested in making the best the enemy of the good. There will be a conference committee where the House and Senate bills will be reconciled, and that will be a tough, lengthy and serious negotiation process.
I am less interested in making sure there’s a litmus test of perfection on every committee than I am in going ahead and getting a bill off the floor of the House and off the floor of the Senate. Eighty percent of those two bills will overlap. There’s going to be 20 percent that will be different in terms of how it will be funded, its approach to the public plan, its pay-or-play provisions. We shouldn’t automatically assume that if any of the bills coming out of the committees don’t meet our test, that there is a betrayal or failure. I think it’s an honest process of trying to reconcile a lot of different interests in a very big bill.
Conference is where these differences will get ironed out. And that’s where my bottom lines will remain: Does this bill cover all Americans? Does it drive down costs both in the public sector and the private sector over the long-term. Does it improve quality? Does it emphasize prevention and wellness? Does it have a serious package of insurance reforms so people aren’t losing health care over a preexisting condition? Does it have a serious public option in place? Those are the kind of benchmarks I’ll be using. But I’m not assuming either the House and Senate bills will match up perfectly with where I want to end up. But I am going to be insisting we get something done.
Now that we are at the point of reconciling (not to be confused with reconciliation) the House and Senate bills, it is important to hold Obama to the promises that he made to progressives back in July.