Obama cautiously optimistic on healthcare bill

WASHINGTON Tue Dec 15, 2009 4:33pm EST

Nurse Tanis Mittelman (L) administers a flu vaccine during a clinic at the Giant food market in Fairfax, Virginia, October 13, 2004. REUTERS/Larry Downing

Nurse Tanis Mittelman (L) administers a flu vaccine during a clinic at the Giant food market in Fairfax, Virginia, October 13, 2004.

Credit: Reuters/Larry Downing

WASHINGTON (Reuters) - President Barack Obama pushed Senate Democrats on Tuesday to pass a broad healthcare overhaul and said he was cautiously optimistic they could agree on a bill that saves money and improves millions of lives.

"We are on the precipice of an achievement that has eluded Congresses and presidents for generations," he told reporters after a White House meeting with all 60 members of the Senate Democratic caucus.

"There are still disagreements that have to be ironed out. There is still work to be done in the next few days," Obama said of the effort to win Senate passage of his top domestic priority by the end of the year. "I'm feeling cautiously optimistic we can get this done."

The meeting came one day after Democrats said they likely would drop a compromise plan to expand the Medicare government health program for the elderly and disabled after Senator Joe Lieberman said he would join Republicans in blocking any bill with the plan. Lieberman is an independent who caucuses with Democrats and is a crucial vote for the overhaul.

The compromise was announced a week ago in an effort to overcome objections by moderates to a new government-run insurance program. Known as the "public option," it is intended to offer an alternative to private insurers to help keep down the cost of medical coverage.

A provision in the compromise that is expected to survive would replace the proposed public option with a non-profit coverage plan offered by private insurers and overseen by a federal agency.

Lieberman said on Tuesday he probably could back a healthcare bill that has no government-run insurance option and no Medicare "buy-in" proposal. That proposal would have allowed people ages 55 to 64 to buy Medicare insurance, which is available to all Americans at age 65.


"I'm getting toward that position where I can say what I've wanted to say all along -- that I'm ready to vote for healthcare reform," Lieberman told reporters. "I think we're heading in the right direction."

Lieberman's support would be a big step forward for Democrats, who have no margin for error.

They control exactly 60 of the 100 votes in the Senate -- exactly the number needed to overcome Republican procedural hurdles -- and could not afford to lose Lieberman or any other member in the face of unified Republican opposition.

Many other Senate Democrats, including potential defector Ben Nelson, are waiting for cost estimates on last week's proposed compromise before making final decisions.

Those estimates, from the non-partisan Congressional Budget Office, could be released later on Tuesday or on Wednesday.

The Senate is in its third week of debate on the measure, which would extend coverage to 30 million uninsured Americans and halt industry practices like refusing coverage to people with pre-existing medical conditions.

The United States spends more on healthcare than any other country. Healthcare costs devour 16 percent of the U.S. economy -- burdening states and the federal government while also hurting the competitiveness of U.S. businesses.

Obama has pushed the Senate to finish the bill this year to avoid the issue slipping into next year's congressional election campaigns.

The Senate bill would then be reconciled in early January with a version approved by the House of Representatives on November 7, a process House Democratic leader Steny Hoyer said "will take some time." The House and Senate would then have to pass the new bill before sending it to Obama to sign into law.

To finish in the Senate by Christmas, Reid must file a series of procedural motions this week to cut off debate and move to a final series of votes.

(Additional reporting by Ross Colvin and Susan Heavey; Editing by Will Dunham)

We welcome comments that advance the story through relevant opinion, anecdotes, links and data. If you see a comment that you believe is irrelevant or inappropriate, you can flag it to our editors by using the report abuse links. Views expressed in the comments do not represent those of Reuters. For more information on our comment policy, see http://blogs.reuters.com/fulldisclosure/2010/09/27/toward-a-more-thoughtful-conversation-on-stories/
Comments (8)
Momlee wrote:
Leiberman is my hero. He takes no guff from the dems or big “O”. The dems don’t care what it takes they will push anything thru at this point. Once they have their foot in the door we’re finished.

Dec 14, 2009 8:35pm EST  --  Report as abuse
tmirdotorg wrote:
This guy personality is hypocrisy.First, he run for vice-president with democratic ticket and planned to kill Al-Gore after the election if they won. Second, he planned with Israel intelligent to destroy world trade center so that he could blame on Hamas and nuke them in American clock.So the world would blame America. Third, after defeat, he switches to Independent and lobbied with republican ticket.After, all the failures, now he is trying to make him important. what a dirty filth.

Dec 14, 2009 9:04pm EST  --  Report as abuse
bmrLosAngeles wrote:
In the beginning of the Health Care reform, Republicans kept crying out that Obama was trying to kill Medicare. Now that an idea to expand Medicare has been presented, I don’t see what the problem is. Any comments?

Dec 14, 2009 9:06pm EST  --  Report as abuse
This discussion is now closed. We welcome comments on our articles for a limited period after their publication.