House Passes Landmark Health Care Bill
Posted by Media Outrage on March 22nd, 2010
President Obama will now be remembered as the man that brought health care to ALL American’s without regard to economic class. The House passed the landmark health care bill Sunday night.
Democrats in the House of Representatives achieved a legislative landmark Sunday night that has eluded generations of lawmakers before them – reshaping the American health care system to extend insurance coverage to nearly 32 million people and halt industry practices that discriminate against the sick.
Sunday’s House vote on a Senate reform plan represents the climatic finale to a yearlong saga that has taken its toll on the president and his party – one that had dimmed Barack Obama’s once-incandescent star and now sets up an uncertain postscript for his Democratic colleagues headed for reelection fights in the fall.
The 219-212 vote, with no Republicans voting yes and 34 Democrats voting no, nonetheless secures a historic win for Obama while providing his party with some much-needed momentum after a long, grueling slog that has Democrats playing defense in the run-up to the midterm elections.
“This isn’t radical reform, but it is major reform,” Obama said shortly before midnight at the White House. Referring back to his own presidential campaign slogan, Obama said, “This is what change looks like.”
Obama watched the vote in the Roosevelt Room with Vice President Joe Biden and about 40 staffers – who burst into cheers when the vote count hit the 216-vote mark, meaning the bill was on its way to Obama’s desk and into law.
The president is likely to sign the bill Tuesday, then set off on a new campaign of selling it all over again to a deeply skeptical public. Republicans already are threatening a variety of legislative and legal challenges to the bill.
Emotions ran high on the House floor, and someone from the Republican side of the chamber shouted “Baby killer!” at Michigan Rep. Bart Stupak – a staunch opponent of abortion – as he spoke against a Republican motion to kill the reform bill.
Stupak is the leader of a group of a half-dozen anti-abortion Democrats who cut a deal with the White House that cleared the way for final passage on the bill Sunday. It wasn’t clear who shouted, but reporters and at least one GOP lawmaker said it seemed to come from a Republican House member, who couldn’t be identified Sunday night.
House Speaker Nancy Pelosi invoked the late Sen. Ted Kennedy in urging her colleagues to vote yes, reading from a letter that Kennedy left to be read by Obama after Kennedy’s death last year. “Senator Kennedy wrote that access to health care was the great unfinished business of our society – that is, until today,” said Pelosi.
She spoke in historic terms of the $938 billion bill, comparing it to landmark legislation like Social Security and Medicare – reforms that changed the social fabric of the nation and Americans’ fundamental relationship with their government.
The bill represents the biggest expansion of government-funded health care since the creation of Medicare. The legislation requires all Americans to secure insurance coverage, either through their jobs or through a state-run insurance exchange that goes into effect in 2014, and provides subsidies for those who can’t afford it. The reforms mean 95 percent of all documented Americans will have coverage by 2016, according to the Congressional Budget Office.
Also on Sunday night, the House passed a “clean-up” bill to make fixes to the Senate legislation, by a vote of 220-211. Then later this week, possibly as early as Tuesday, the Senate will take up that bill as well – but only after the president signs the underlying bill into law.
A weekend of protests by conservative activists outside the Capitol brought home the high political stakes surrounding the vote, as Republicans have vowed to try to dislodge the Democratic majorities in the House and Senate by convincing Americans reform is a costly and dangerous government overreach. Democrats believed – or hoped at least – that by putting the messy process of enactment behind them, they could make the case to the public that there is much to be gained from reform.
From the outset of the debate, Republicans favored a scaled-back approach that focused on lowering premiums for people who have coverage instead of expanding it to those who don’t. On Sunday, GOP lawmakers said the near-trillion dollar package threatened to bankrupt the government.
“This is not who we are, and it is not who we should become,” said Wisconsin Rep. Paul Ryan. “It’s unconscionable what we’re leaving the next generation.”
House Republican leader John Boehner (R-Ohio) turned to his Democratic colleagues across the aisle. “Have you read the bill? Have you read the reconciliation bill? Have you read the manager’s amendment?” Boehner said, as Democrats shouted back “yes!” each time.
“Hell no you haven’t!” Boehner thundered, as the chair gaveled him down.
At midnight, about an hour after the first vote, some Democratic lawmakers returned to a spot outside the Capitol where conservative Tea Party protestors has shouted at them over the past two days. The Democrats were cheering and thanking anyone who came by.
New York Rep. Anthony Weiner shook hands with supporters. Connecticut Rep. John Larson walked by, clutching the bill. And Georgia Rep. John Lewis, who was active in the civil rights movement, received a hero’s welcome.
“It feels good, it feels good. It feels so good to win one,” Lewis said.
The legislation has been at death’s door almost from the moment it was introduced, revived again and again by a persistent president and a core of devoted advocates on Capitol Hill. But each reincarnation sparked another round of infighting among Democrats about what the final bill should look like.
Once again, the final vote came down to a decades-old interparty fight over abortion – and Stupak.
But Democrats owe their greatest debt to vulnerable colleagues who backed the bill, even though it could easily cost them their seats come the fall – members like Pennsylvania Rep. Kathy Dahlkemper, Ohio Rep. Steve Driehaus and Virginia Rep. Tom Perriello.
“Who are you going to stand with?” declared Ohio Democratic Rep. John Boccieri, a last-minute convert to “yes” who opposed the bill when the House first voted in November.
The buildup to Sunday’s long-awaited vote lacked the drama of its predecessor, a nail-biter last November in which Democrats corralled the final votes shortly before heading to the floor.
Instead, a deal anti-abortion Democrats cut with the White House late Saturday night paved the way to passage on Sunday. After a late-night session with the president’s advisers, Stupak and others agreed to support the legislation in exchange for an executive order from the president reaffirming the longstanding ban on federal funding of elective abortion.
Stupak also forced party leaders to articulate that promise on the House floor, making it a part of the federal record. He engaged in that exchange with Energy and Commerce Committee Chairman Henry Waxman (D-Calif.), a principal author of the legislation who has locked horns with the Michigan Democrat repeatedly.
The deal came about after a personal appeal from Stupak’s longtime ally, fellow Michigan Rep. John Dingell, the former chairman of the House Energy and Commerce Committee whose father first offered legislation creating universal health care back in 1943. Dingell helped broker negotiations between an angry Stupak and party leaders at both ends of Pennsylvania Avenue when all looked lost.
“John Dingell had a piece of me yesterday for quite some time,” Stupak said. “He kept me well informed of what I should be doing.”
Stupak stole all the early headlines, but Pennsylvania Rep. Mike Doyle and some other lawmakers helped broker a truce with the White House and abortion-rights advocates, led by Connecticut Rep. Rosa DeLauro. Stupak, though, gave them all the political cover they needed to back the final package.
Democrats built momentum all week, and Sunday was no different. As news of the Stupak deal filtered out, Washington Rep. Brian Baird, who voted against the House bill, kicked off the day by announcing his plans to vote “yes” this time. North Dakota Rep. Earl Pomeroy, another wavering Democrat, followed that up by announcing his plans to back the bill, despite numerous reservations with the legislation and the final process.
The combined legislation expands Medicaid by $434 billion over the next decade so that people who make less than 133 percent of poverty are covered in every state, the CBO said. It also sets aside $466 billion in subsidies to help lower- and middle-income households that don’t qualify for Medicaid buy insurance on the exchange. The Senate bill also imposes fees on companies that don’t provide coverage to their employees and sets penalties for people who don’t participate.
The House “fix-up” bill makes changes that make the Senate legislation more palatable to House Democrats — including rolling back a tax on high-cost insurance plans to 2018 and cutting out the “Cornhusker Kickback” and other special deals.
Lost in all the drama over health care, the reconciliation fix also includes a dramatic revamp of the student-lending industry that would shift billions in federal aid from private lenders back to the government.
The president’s health care push touched off angry protests from Americans worried about the costs of the legislation, its impact on the economy and whether it would be a government intrusion on the doctor-patient relationship. Sunday was no different. On the Capitol grounds, opponents and supporters of the bill showered the building in chants. Thousands of protestors gathered on the lawn beneath the House chamber chanting, “Kill the bill! Kill the bill! Kill the bill!” Republicans, on a balcony overhead, took turns rallying the crowd by waving an American flag.
The protests at times turned ugly. After Lewis was called a racial epithet on Saturday, Pelosi and Democratic leaders locked arms with Lewis to cross the Capitol complex Sunday, brandishing the gavel used to pass Medicare.
The win enhances Pelosi’s stature as a historic figure, not just as the first female speaker in House history but also as one of its most powerful. Colleagues credit her resolve for keeping the process alive after a catastrophic special-election result for the party in Massachusetts erased its commanding 60-vote supermajority in the Senate.
But even with the votes seemingly in hand, Pelosi never stopped working.
During a round a votes Sunday, a Republican aide overheard Illinois Rep. Jerry Costello, an anti-abortion Democrats who was still holding out after the Stupak deal, tell the speaker, “I will not be intimidated.”
Speaker Nancy Pelosi just buttonholed Rep. Ike Skelton, chairman of the Armed Services Committee, who has remained a “no” vote, in the speaker’s lobby off the floor for a few minutes.

March 22nd, 2010 at 12:42 pm
I’m so happy that not ALL Americans are selfish and mad.
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March 22nd, 2010 at 1:18 pm
Obama you are moving in the right direction, All Americans need health care and the rich and politicians need to stop being so damn greedy. I have health care but alot of individuals do not and it is just not fair what goes on. Equality is a must for all but that is easier said than done. The tensions between white and black are at an all time high re: this health care issue but it has been there all along, don’t get me wrong just brought it to the simmer to the boil. Did you hear what they were saying to our congressman oh, this is just such a shame for our country with them ignorant folks spitting and using that N word. It broke my heart but not my spirit.
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March 22nd, 2010 at 1:40 pm
I am happy there will no longer be a cap on lifetime max from my Insurance. I am especially happy that by 2014 other adults will not go through what I encountered with my insurance company, the no insurance coverage for preexisting condition for a year. Medical bills were kicking my ass there for a while. Good Job Mr. President and Democrats!!!!!!
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March 22nd, 2010 at 5:37 pm
I am happy that many people that didn’t have coverage, will have it and those with pre-existing conditions won’t be discriminated against!
Thank God this is too great of a country for all of our people to not have adequate health coverage!
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March 22nd, 2010 at 7:41 pm
First of all, the Bill is 2500 pages long. The American people are kept in the dark about what it fully consists of. The idea of a gov-run health care program is scary. We will be forced to pay for coverage. I believe Canada has this same set up and its a disaster. To even get care, they’re put on a waiting list. There is something very wrong with this picture.
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Verbalism Reply:
March 22nd, 2010 at 7:42 pm
Things aren’t what they seem folks.
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Ron S. Reply:
March 23rd, 2010 at 5:09 am
yeah I agree with u verb, everything that glitters aint gold, why do you think the bill is 2500 pages long? On top of that I’m sure its written in a format that most couldn’t understand, I agree that Everyone needs health care and nobody should be allowed to be denied but goverment run health care basically mean the government will decide weather you live or die, they control the care you receive
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Nina Reply:
March 25th, 2010 at 9:43 am
True. No wool pulled over your eyes like so many.
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March 22nd, 2010 at 9:55 pm
About time. But I read on Yahoo that there could still be problems lingering. Smh. I just don’t get what’s wrong with EVERYBODY having health insurance.
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March 22nd, 2010 at 10:39 pm
THAT BILL IS WAY OVER DUE,TO MANY INSURANCE COMPANY’S HAVE BEEN PHUCKIN PEOPLE FOR TO LONG .DID YOU KNOW IF A WOMAN HAS HAD A CHILD TECHNICALLY SHE HAS WHAT IS TERMED AS A PRE-EXISTING CONDITION AND BY THAT DEFINITION THE INSURANCE COMPANY’S CAN AND DO DENY PAYING YOUR CLAIM OR EVEN PAYING THE REMAINING BILL AFTER THE DEDUCTABLE.EVEN THOUGH THEY ARE TAKING $250/$300 AMONTH OUT OF YOUR CHECK EVERY MONTH AND BEEN DOING IT FOR THE PASS 3/5 YEARS.IN YOUR CONTRACT IT STATES FOR ANY PRE-EXISTING CONDITION IT’S AT THE INSURANCE COMPANY’S DISCRETION IF THE CLAIM IS TO BE PAID.NOW HOPEFULLY DAT SHYT IS OUT DA WINDOW.PEACE OH YEAH AND OFF THE SUBJECT FOR THOSE OUT THERE WHO’S HAVING PROBLEMS WITH THIER MORTGAGE OR NO SOMEBODY WHO’S HAVING PROBLEMS PEEP GAME.YOUR LENDER YOUR BANK WAS IN BREACH OF YOUR LOANS FROM DAY ONE PEEP GAME. WHAT EVER THE AMOUNT OF YOUR LOAN IS/WAS MEANING $200/$300 OR $400 THOUSAND DOLLARS THAT THE BANK APPROVED YOU FOR WAS SUPPOSE TO BE MATCHED WITH PHYSICAL CASH IN AN ACCOUNT WHICH IS NOT THERE MEANING BREACH OF CONTRACT LOAN ON THIER END.YOU ARE SENDING PHYSICAL CASH TO THE BANK TO PAY THAT LOAN. LOOK UP J.P.MORGAN VS DAILY .DAILY DID NOT USE AN ATTORNEY AND GOT TO KEEP HIS HOUSE. THE BANKING LAWS HAVE NOT BEEN REVISED,THE AVERAGE CONSUMER DON’T KNOW SHYT ABOUT MONEY.PEACE
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March 22nd, 2010 at 11:27 pm
Insurance companies are THE biggest pimps on the planet – right next to pharmaceutical companies. This bill is WAY overdue & I’m glad it passed on Obama’s watch. Whether or not it will actually work remains to be seen, but at least it’s a step in the right direction. EVERYONE deserves quality, affordable health care.
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March 25th, 2010 at 9:53 am
I agree we need a healthcare reform but not this one. How can you mandate that ALL MUST PURCHASE this Obama care, and if you don’t you are fined and jailed…how can you FORCE people to purchase insurance? (I like my current private insurance plan.) What’s the real deal with this forced Obama care!?! And no great has ever come from a government-runned anything. Ask France, China, and Venezuela.
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