Dems seal majority to advance health care legislation

WASHINGTON — In a show of unity, Senate Democrats sealed a 60-vote majority needed to advance health care legislation Saturday ahead of an evening showdown with Republicans eager to doom the bill and inflict a punishing defeat on President Barack Obama.

Two final holdouts, Sens. Mary Landrieu of Louisiana and Blanche Lincoln of Arkansas, announced in speeches a few hours apart on the Senate floor they would vote to clear the way for what is expected to be a bruising, full-scale health care debate after Thanksgiving.

At a 10-year cost approaching $1 trillion, the measure is designed to extend coverage to roughly 31 million who lack it, crack down on insurance company practices that deny benefits, and curtail the growth of spending on medical care nationally.

“It is clear to me that doing nothing is not an option,” said Landrieu, who noted the legislation includes $100 million to help her state pay the costs of health care for the poor.

Lincoln, who faces a tough re-election next year, said the evening vote will “mark the beginning of consideration of this bill by the U.S. Senate, not the end.”

Both stressed they were not committing in advance to vote for the bill that ultimately emerges from next month’s debate. Even so, their announcements marked a major victory for Senate Majority Leader Harry Reid, D-Nev., and the White House in a year-end drive to enact the most sweeping changes to the nation’s health care system in a half-century or more.

The legislation would require most Americans to carry insurance, and large firms would incur large costs if they did not provide it to their workforce.

Congressional budget analysts put the legislation’s cost at $979 billion over a decade and said it would reduce deficits over the same period while extending coverage to 94 percent of the eligible population.

The House approved its version of the bill earlier this month on a near party line vote of 220-215.

In hours of debate before the Saturday evening vote, Republicans attacked the legislation as a government takeover of health care and worse.

“Move over, Bernie Madoff. Tip your hat to a trillion-dollar scam,” said Sen. Kit Bond, R-Mo., likening the bill’s supporters to the imprisoned investor who fleeced millions.

Sen. Judd Gregg, R-N.H., said Reid had delayed implementation of many of the bill’s key provisions and made it look less costly as a result. He put the true price tag at $2.5 trillion over a decade once implemented.

“Senators who support this bill have a lot of explaining to do,” said the Republican leader, Sen. Mitch McConnell of Kentucky. “Americans know that a vote to proceed on this bill is a vote for higher premiums, higher taxes and massive cuts to Medicare. That’s a pretty hard thing to justify supporting.”

That was a rebuttal to Landrieu and other Democrats who described the evening vote as one of procedure instead of substance.