Posted on Tue, Nov. 10, 2009
WHEN 219 Democrats - and one Republican - passed the Affordable Health Care for Americans Act just before midnight on Saturday, there was loud cheering and extended applause in the House of Representatives. It was deserved. In 60-plus years of talking about it, a bill aimed at providing universal health insurance had passed a house of Congress. It was an historic victory.
So why did the celebration feel so hollow? What should have been a sweet victory was soured by the razor-thin margin of the House bill's passage. And Democrats paid for it by allowing an amendment that, if allowed to stand, could lead to a ban on even private insurance coverage for abortions.
Still, there's a lot to like in H.R. 3962: Several reforms that would take effect immediately would end nightmares that have ruined -if not ended - the lives of millions of Americans: The law would outlaw the denial of insurance because "pre-existing" condition and end lifetime caps on insurance. Americans would no longer face death or bankruptcy because their insurance "ran out." It would allow young adults to be carried on their parents' health insurance until age 27, even if they aren't full-time students.
In the longer term, the bill would establish an insurance exchange from which individuals could choose plans that meet minimum standards, including a "public option," a government-administered insurance plan that would provide some competition to private plans that has become the progressive litmus test for true health-care reform.
But 39 Democrats voted against their leadership so the legislation limps into the Senate, where it will be even more difficult to pass since it will need 60 votes to end a filibuster. This threatens more compromises that could so weaken the law as to make it unworkable. President Obama did visit Capitol Hill to rally the troops on Saturday, but he continues to signal a strange reluctance to fight for what was, just a year ago, the centerpiece of his campaign for change.
In the weeks ahead, the bill moves to the Senate and, if we're lucky, to conference. You can help by letting the White House know how, through calls and e-mails - and, yes, refusals to donate - you expect the president to speak less softly in battle ahead and be willing to demand, as he has said, that members of his party do what they "were sent here to do." *