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Daschle Pick A Clear Sign That Obama Will Attempt Ambitious Health Care Reform

The folks who know what they're talking about when discussing health care say that the choice of Tom Daschle to head Health and Human Services is hugely significant in two ways.

First, it's a sign that Obama will pursue real, meaningful, ambitious reform; and second, it shows that he's determined to avoid the mistakes that doomed Hillarycare in the 1990s.

Here's Ezra Klein:

This is huge news, and the clearest evidence yet that Obama means to pursue comprehensive health reform. You don't tap the former Senate Majority Leader to run your health care bureaucracy. That's not his skill set. You tap him to get your health care plan through Congress. You tap him because he understands the parliamentary tricks and has a deep knowledge of the ideologies and incentives of the relevant players. You tap him because you understand that health care reform runs through the Senate...

Daschle signals that the Obama administration view health care as a political problem. The key to success is votes. And Daschle is a guy whose last job was lining up votes.

And here's Jonathan Cohn:

Daschle has also thought long and hard about the failures of the 1994 reform effort -- and how to avoid them. He was actually the first person I heard mention the possibility of using the budget reconciliation process this time around. (Under reconciliation rules, it takes only 50 votes to pass something, since there are no filibusters.)...

Like Senator Max Baucus, who has also raised this possibility, Daschle was careful to say that reconciliation should be a fallback option -- something to use only if bipartisan progress became impossible because Republicans were reprising their role from 1994 and refusing to compromise. But he also noted that it was an option Democrats had to keep on the table, in order to make cooperation more likely.

Also, you'd think the Daschle pick should quiet all the pundit speculation that Obama won't be able to afford the cost or political capital to act quickly and decisively on reform. Daschle wouldn't have taken the gig if he didn't think it was a major priority for the new administration.

For more on Daschle's views of health care, see interviews with him here and here.


47 Comments

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Wow, I think that I am going to pass out. Is it really possible? Wow! I like the analysis. Wow!

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Yep, a very insightful post by Greg.

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Yes, I'm faint with hope here!

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Encouraging.

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Genuine, comprehensive, universal health care by next summer would go a long way toward absolving the sins and shortcomings of both the senate dems and the PE.

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You referring to Lieberman and FISA?

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Those and more to come. This is just the beginning of progressive/liberal disappointment with Obama.

And by that I mean there are going to be a lot of stuff we're going to have to forgive/swallow/overlook/get past/whatever in order to focus on the big victories like universal health care.

I think each big victory - Green Infrastructure, Re-Regulation, Ending the Iraq Clusterfuck, etc. - is going to be built on a mountain of compromises, moderation and sleeping with the enemy that only keeping our eyes on the big prize will make palatable.

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Hopefully it won't be as bad as you think. But what you say is essentially true, compromise when warranted gets you closer to where you want to go. At least we are moving progressively forward.

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Agreed!

Maybe this has something to do with why Lieberman got off easy.

(And you thought we'd get through a thread without Ole' Joe! HA!)

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Don't follow your thinking wrt Lieberman. How is he connected in any way to anything to do with health care reform?

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His vote and playing ball. I think that was the point. Obama will need every vote that he can get in the senate to get it through.

By the way, I can't stand traitor joe. I just want his votes until 2012 and then I will help you knock on doors for his dem opponent to take him down. Until then, the dems need his vote.

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Ned Lamont, when asked last night on the Rachel Maddow show (sans Rachel, of course), if he'd consider running in the primary, replied "Never say never!"

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I'm there with you. I liked lamont. I bet he takes down traitor joe next time.

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I'm just grasping at straws so I don't have to be quite so pissed at the Senate Leadership and Obama for feasting on Lieberman's tool.

I'm hoping they had some deal worked out ahead of time for health care or some other prime cut that required Joe's cooperation...

Hope! It's all about Hope! :-)

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I feel your frustration. I really really do. I'm going to stop, now, so I don't go into a full-blown rant about that maneuver yesterday. I'm going to give Harry Reid some time, and observe how well Joe toes the line.

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Yep. We Democrats need to focus on promoting a progressive agenda, not on punishing Joe Lieberman. Let's hold off on trashing our party's leadership, and see how things play out.

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get over this shit already! Obama has more serious issues to deal with and he will need our help. Lieberman is petty compared to the real monsters Obama will face once he is in office.

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Nice attitude. Tolerant, open to opposing viewpoints, mature. Just like Obama, huh?

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Hee hee!

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And please stop insinuating all those people who were opposed to Lieberman's continued HS committee chairmanship somehow do not care about "more serious issues." You see CT voter does, Closet does, many others do, and I do. I know some people sounded like they are holding "the monsters" hostage (an attitude I can never align myself with), but many others disagreed with that decision precisely because they care. Can't we even reasonably agree to disagree?

My feeling about the Lieberman thing now is what happened happened. I will see how it will play out in each of the key issue areas (and personally, I wouldn't mind realizing I underestimated Obama, no matter how many times).

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and personally, I wouldn't mind realizing I underestimated Obama, no matter how many times

Me too.

But I think the individual really in question is Harry Reid. Hopefully, we'll find we underestimated him as well.

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Agreed.

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Obama's decision to grant Lieberman a pardon could be very important in getting health care and other initiatives passed.

60 votes is key. As we're not at 60 yet, a Republican or two may have to be peeled off for these key votes. Each of those turned Republicans is going to demand concessions, meaning a WORSE health care bill. Fewer Republicans means a better, more comprehensive health care bill.

Frankly, it may be impossible to peel off more than two Republicans (Collins and Snow) for a bill like national health care. There are almost no moderate Republicans left. So without Lieberman, National Health Care could easily die.

Ask yourself, how high is too high a price for national health care? Is it worth giving scum like Lieberman a free pass in exchange for national health care? How many other divisive initiatives will be far easier to pass with Lieberman on board?

Such were probably the exact thoughts going through Obama's mind when he decided to grant Lieberman his effective pardon.

For what it's worth, and as much as I dislike Lieberman, I don't think Lieberman will shiv Obama in the back. He's now entirely in Obama's debt. I suspect the terms of the arrangement were worked out by McCain and Obama. Because Lieberman's closest friends brokered this deal for him, my strong guess is that Lieberman will keep his side of the deal and be a good soldier. Not because he likes or respects Obama, but because his true (only) friends put their cred on the line for him.

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You make good points. I have to object to this, though:

60 votes is key.

Of course that number is key, but I wonder about the likelihood of Dems managing to get all Dems to unite. As I said on another thread, it's like herding cats. That's why Lieberman isn't necessarily the most important Independent Democrat in the universe, even if he seems to think he is. Obama's going to need more than Lieberman. He's going to need the Blue (Bush) Dogs as well. And some moderate Republicans, as you mention. And some not-so-moderate Republicans who are in moderate districts and who are up for re-election in 2010. Joe Lieberman isn't going to solve those problems, even if he's pardoned.

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Liebermania!!! Catch it!!

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Thanks for those links detailing more about Daschle's positions.

I think the idea of a Federal Health Board is excellent. And if Obama and Daschle are going to propose it, the perfect analogy is the FAA.

Interesting times.

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Can we get a new picture of Daschle, where he doesn't look like he's in a Levitra commercial?
I'm sure Randy Spears will play him in OBAMA the movie.

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Yes, Daschle was definitely the guy for this job, and I'm glad to see that people are getting that. Between this and what Emanuel said about throwing deep, I'm certainly no longer getting any feeling that health care might not be a priority. Very good.

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He better be prepared for Harry and Louise.

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I hear that the guy (see: sicko) who brought universal health care to Canada is a treated as a national hero. Below the border, however, I don't think the average dick and jane quite realize what a great thing it would be. Too many still buy into the "socialist" debdate. If Daschle can change the tenor of the argument, it'll go a long way to getting it done.

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If Daschle can change the tenor of the argument, it'll go a long way to getting it done

I agree. That's why I like the FAA analogy. It just makes perfect sense, and would really put to sleep the whole "socialism" argument. Plus, when opponents start screaming about RATIONING HEALTH CARE ZOMG GRANNY COULD DIE BECAUSE OF RATIONED HEALTH CARE!@@#$$!! the FAA analogy could work there, as well.

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Wow. This makes my day.

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This has the makings of a Swiss watch..very precise, smooth movement, and highly accurate.

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I love your analogy!

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That's because I own one...since 1982. Best vanity investment I ever made.

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The AP's reporting that the health insurance companies will back universal coverage in return for mandates

They know what's coming...no Harold and Maude commercials

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NOOOOOOO! We don't want the insurance companies involved at all. All they do is take a cut for profits and add a level of bureaucracy to the process. Cut them out of the picture and let them rot. There are a ton of different ways to deal with it without those theives.

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I'm working for the US Armed Forces overseas and have to rely upon health care insurance to pay for health services in a socialized health care system. The care I receive is just as excellent as the care I received in the US under a company health care plan.

I did discover a very interesting fact about health insurance. I can get specialized treatment above the standard fare if my plan allows for it. Turns out the holder of my policy knows this and has limitations built in to restraint extra charges above standard rates.

So there's room in a universal health care system for those who wish to pay more out of their pockets for services above the standard fare.

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On the other side of life, McCain is responding to Jackson Browne's lawsuit about using his Running on Empty song during his campaign...

...J-Mac also makes the argument he could use the tune whenever and where he wants because he was running for Prez, not trying to make a buck off it...

I would assume if he were using it to gain a political office, he's making a buck off it. Otherwise, one could take his point to an extreme and demand free television and radio airtime for political ads...he's not benefiting from it - its' a public service announcement - right?

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BUT BUT BUT DASCHLE ONCE HAD DINNER WITH THE CLINTONS!!!

Excellent analysis, Greg.

We Democrats, Progressives, Liberals, whatever we are, have got to stop Eeyoring around. Yeah, I know it's tough to do when you have been down. In the mud. And been kicked. In the head. With an iron boot. For 14 years.

Under those circumstances it's hard to believe it, but we just won massive, massive elections all over the place. We need to get a little Sally Field ("They like us! They really like us!") and a hell of a lot more Truman in us.

We won. They lost.

We can do this job better than them. and they know it.

So kick those clouds aside, kitten! A new day is ahead! And until we are proven otherwise, I say, goddamnit, let's act like we can do anything we set our minds to. Goddamnit.

Shorter Lars: Think like the glass is half full, and not half empty because the Clintons drank the other half.

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co-sign!

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All Obama's choices indicate that he is serious, but also realistic, about changing our national direction.

Much as I love Jimmy Carter as a human being, his presidency was hampered by too much idealism, and too little ability to work through Washington. I am heartened to see someone with good judgment who recognizes the need build a strong platform from which to lead.

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I know that Daschle has been preparing for this for a long time, participating in meetings and symposia, and getting ideas from a lot of people in the field. So, it is a very serious choice. Very good

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How come no one commented that putting it in the reconciliation bill was exactly what Byrd complained about with Hillary's Task Force?

http://www.prospect.org/cs/articles?article=the_hillarycare_mythology

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And from the Atlantic:
http://www.theatlantic.com/doc/200611/green-hillary/3

The Clintons considered several legislative options before settling on a clever, but risky, strategy that seemed by then to be their best hope of getting a bill through Congress. An anonymous administration official quoted in a Time column had earlier belittled the petulant chairman of the Senate Finance Committee, Daniel Patrick Moynihan (“We’ll roll right over him if we have to”), who should have played a critical role. The decision was made to try to attach health care instead to the annual budget reconciliation bill. Theoretically, this offered a number of advantages. The reconciliation bill is the single most important piece of legislation Congress passes each year, because it locks in the spending and legislative changes in the budget—it simply must pass, or the government shuts down. As such, it is accorded special procedural shortcuts: it requires only a simple majority vote in both chambers of Congress, and, tantalizing from the administration’s standpoint, Senate rules permit just twenty hours of debate, so the bill can’t be filibustered. (Ronald Reagan used the reconciliation bill of 1981 to drastically shift spending from domestic programs to defense.)

What this strategy didn’t account for was the considerable ego of Senator Robert C. Byrd, the West Virginia Democrat who was then chairman of the Appropriations Committee, through which the reconciliation bill would pass. Byrd worships the Senate the way some cultures worship their ancestors, believing that the Founders’ ideas live on in its arcane rules and procedures. He has a flair for windy oratory—nothing clears the Senate floor like his annual perorations celebrating Mother’s Day or the first day of spring. The author of a four-volume history of the Senate, he holds strong views about what should, and should not, be permitted. And he has the means to impose them on others.

Byrd felt the Clinton strategy violated the spirit of the budget reconciliation bill by trying to attach something to it that had nothing to do with the budget. In the mid-1980s he had established the “Byrd rule,” which forbade just this sort of tampering with the bill. Health care “was a big piece of legislation, it was important—it ought to have been debated,” he told me recently. “I certainly was abhorrent of the idea of ramming this piece of legislation through by that mechanism.” A succession of eminences led by Jay Rockefeller pleaded with him to relent. The president called him. Byrd wouldn’t budge. The elaborate plan to circumvent the establishment collapsed under the stern gaze of its senior member. “I was the bear trap,” Byrd told me, with a twinkle of defiant pride.

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More than no one commenting on it, that seems in direct contradiction to Jonathon Cohn's statement:

He was actually the first person I heard mention the possibility of using the budget reconciliation process this time around.

Unless I'm misunderstanding Cohn, it seems like he thinks this would be a novel approach. (I was unaware of the history myself until you posted it, but I would expect more from journalists covering the story.)

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The choice of Daschle is perfect, just perfect. It is so reassuring to have a compassionate individual in charge of the agency that makes such a huge difference in people's lives. And, I suspect that it is politically brilliant as well, because there are enough codgers in the Senate who remember HRC's health care fiasco in the 1990s that she would not be the right person to be going there with that message at this time. Methinks Teddy and Barack have talked about this. But, politics aside, Daschle is a superb choice, really he is. I am very hopeful.

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