Obama pushes healthcare reform, critics slam cost

By Jackie Frank

WASHINGTON (Reuters) - President Barack Obama's far-reaching plan to guarantee all Americans healthcare ran into trouble on Friday over its more than $1 trillion price tag, forcing Democrats to look for ways to reduce costs as they moved the bill forward.

Obama took his case for his signature domestic issue to the American public, insisting that "now is not the time to slow down" the effort to overhaul the troubled system.

"Now we've got to get over the finish line, and part of this process is figuring out how to pay for it," he said at the White House.

A preliminary analysis of the plan being pushed by Democrats in the House of Representatives concluded the legislation would increase federal budget deficits by $239 billion over 10 years.

The analysis was conducted by the Congressional Budget Office and the Joint Committee on Taxation, both of which work for Congress.

But changes to the House Democrats' plan were already under consideration and the House Energy and Commerce Committee late on Friday insisted that the healthcare reform effort will be fully paid for.

Three of five congressional committees have agreed to a plan that would revolutionize the $2.5 trillion healthcare industry by setting up a government-run health insurance plan to compete with private insurers. It would also bring insurance coverage to many of the 46 million uninsured and ease the burden of high medical costs on millions more.

Obama, who said he was "absolutely convinced" it could happen this year, has high public approval ratings that give him the political capital to spend when hammering out a deal with lawmakers. A delay to 2010, a congressional election year, could make it harder to reach a final deal.

But there is dissent among his own Democrats, who control Congress. Two groups totaling about 70 lawmakers have said healthcare costs must be brought down further if they are to back the bill. The loss of these votes could scuttle the bill in the House of Representatives.

One of these, a group of first-term House Democrats, brought their concerns about higher taxes to White House chief of staff Rahm Emanuel on Friday. They are worried that new taxes would harm small business and further hurt employment.

"Especially in a recession, we need to make sure not to kill the goose that will lay the golden eggs of our recovery," Representative Jared Polis said in a letter to House Speaker Nancy Pelosi.

'ON SCHEDULE'

Doubts about the high cost of the overhaul emerged on Thursday when Congress' own independent budget analyst said reforms being considered would not control rising costs.

Republicans and fiscally conservative Democrats seized on this analysis, and called for more controls on the scale and cost of the plan. They are concerned the United States, with its $1 trillion deficit this year, can't afford expanded care.

But White House spokeswoman Linda Douglass said on Friday that Congressional Budget Office chief Douglas Elmendorf's prediction that it would expand federal spending on healthcare "to a significant degree" did not take into account the many ways it is expected to bring down healthcare delivery costs.