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Reports

Yes, They Made History

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Posted on Mar 22, 2010
White House / Pete Souza

President Barack Obama, Vice President Joe Biden and senior staff react in the Roosevelt Room of the White House as the House passes the health care reform bill.

By E.J. Dionne, Jr.

WASHINGTON—Yes, we did.

Finally, President Obama can use those words. The passage of health care reform provided the first piece of incontestable evidence that Washington has changed.

Congress is, indeed, capable of carrying through fundamental social reform. No longer will the United States be the outlier among wealthy nations in leaving so many of its citizens without basic health coverage.

In approving the most sweeping piece of social legislation since the mid-1960s, Democrats proved that they can govern, even under challenging circumstances and in the face of significant internal divisions.

To understand how large a victory this is, consider what defeat would have meant. In light of the president’s decision to gamble all of his standing to get this bill passed, its failure would have crippled his presidency. The Democratic Congress would have become a laughingstock, incapable of winning on an issue that has been central to its identity since the days of Harry Truman.

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This is why Republicans decided to put everything they had into an effort to defeat the measure. They said its passage would hurt the Democrats in November’s elections. They knew that its failure would have haunted Democrats for decades.

Without this concrete achievement, as House Speaker Nancy Pelosi kept warning her troops, Democrats would have been stuck with their votes for reform bills and nothing to show for them. The real and imagined flaws of their proposed system would have been hung around their necks, yet they would have had no way of demonstrating its advantages.

With success comes the chance to defend what is, in many of its particulars, the sort of plan a majority of Americans said they wanted. Yes, it is imperfect and it won’t come cheap. But it fills a gaping hole in the American social insurance system.

It affords protections that Americans had long hoped for against insurance company practices that could deny them coverage. It also grants the security of knowing that sickness would not carry the threat of bankruptcy. It will be better still if the Senate enacts the improvements the House has made.

This is also a moment of history, a culmination of the legacies of Truman and Franklin Roosevelt.

On Nov. 19, 1945, Truman stated facts that are true to this day. “People with low or moderate incomes do not get the same medical attention as those with high incomes,” he said. “The poor have more sickness, but they get less medical care.

“We should resolve now that the health of this nation is a national concern,” Truman added, “that financial barriers in the way of attaining health shall be removed; that the health of all its citizens deserves the help of all the nation.” Nearly 65 years later, Truman’s wish has come to pass.

It is also worth remembering that when Roosevelt signed the Social Security Act in 1935, he was properly modest. FDR insisted that “we can never insure 100 percent of the population against 100 percent of the hazards and vicissitudes of life.”

He knew that his bill was more a beginning than an end. The Social Security Act, Roosevelt said, “represents a cornerstone in a structure which is being built but is by no means complete.”

That’s exactly true of the reform Congress enacted Sunday night. It does not quite cover everyone—Social Security didn’t, either—and that must be taken care of. There will be years of wrangling over the system’s costs and how it works in practice. Every successful health system in the world confronts such arguments. This new law will not end all our health care problems (no law could), but it does a great deal for access, and it makes solving other problems a little easier. Above all, it puts us on a new path.

For Obama, this struggle was transformative. He began his administration full of hope that his campaign pledge to achieve concord across party lines was a realistic possibility. But, when faced with implacable Republican opposition, he jettisoned the happy talk and came out fighting.

If bipartisanship is more fashionable than partisanship, partisanship with a purpose is infinitely preferable to paralysis. Obama has made clear that he will reach out when he can, and do battle when he must.

By temperament, the president is more a consensus builder than a warrior. But he is also a practical man who wants to accomplish big things. On Sunday, he did just that on health care, and he earned a place in history.

E.J. Dionne’s e-mail address is ejdionne(at)washpost.com.
   
© 2010, Washington Post Writers Group


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By John Kace, March 25, 2010 at 7:15 pm Link to this comment

Just to comment on one thing djknoll . Now their babies until their 26 years old?! This is bull-SH#t. Make them go to school when they are three, High-school is not enough, they need to be put in debt, College, they still cant get jobs. To proud or soft to do real work now, so where do they go? 18 you are an adult. In law enforcements eyes as well as the publics and the militarys. Simple. Buy beer and kill for hire.

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Russian Paul's avatar

By Russian Paul, March 24, 2010 at 10:36 am Link to this comment

You must be kidding, a “progressive” is a ” fiscal conservative…well-educated,
middle income, between 35 and 55 years of age, usually married, not often
associated with a party, but only slightly left of center on most issues - neither
radically left nor right…”

Are you trying to be funny? A progressive is anyone who wants genuine change
and reform and who rallies to get it. What’s more important than left and right
is being anti-corporatist. Most wealthy, well educated folks who call
themselves progressives are just faux-liberals happy with the statusquo. Fiscal
conservative? are you joking?! Progressives in the early 20th century were the
anarchists and socialists and anti-war demonstrators. Now there are almost
none left. The anti-war protest last saturday added up to thousands not
millions. Most “liberals” are sitting at home comfortably wearing their Obama t-
shirts and cheering on the corporate pillaging of their country.

If you mean Paul H RAY, his studies seem irrelevant, and it doesn’t matter what
some random sociologist says, look up the standard definition of
progressivism.

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By djnoll, March 24, 2010 at 8:08 am Link to this comment

For the person who wanted a definition of Progressive, I would offer up the one first espoused by Sociologist Dr. Paul Hay in the 90s.  A Progressive is a fiscal, but realistic, conservative; a social liberal; understands the importance of education; is well-educated; middle income; between 35 and 55 years of age; usually married, but not always a family person; consider the future as important as the present in making decisions for the next generation; somewhat well traveled so that they understand cultural differences; environmentally conscious; and is open to new ideas in all areas.  These people are also, and this is important, politically interested and independent, not often associated with a party, but only slightly left of center on most issues - neither radically left nor right.  You can find a more in depth description if you google Cultural Creatives or Dr. Paul Hay. Few Dems and No Republicans would be called Progressives today, they just co-opted the name to attract real progressives to the Democratic Party.

As for this so-called health care reform.  Speaking as one of the people who will be affected by it directly - it is a pile of .....!  While I am all in favor of getting the middleman out of Medicare and saving money that way, I seriously doubt if this is going to actually do it, but I am fairly sure having watched what has happened to Medicare over the decades, that the costs to me as a disabled individual are going to go up a lot faster with fewer costs being covered so that this bill get paid for.  (And for the idiots who think that this program restricts what Doctors I see, it does not.  I still choose my own because I am not limited by a supplemental policy from private insurance which I cannot afford!)

My husband will be forced to spend the equivalent of one week’s paycheck at least if he can find work, or half a month’s unemployment to cover himself and his two daughters - whom he will have to cover for another 5 years now if they do not find work - for just a very basic 70/30 policy with a high deductible.  Why?  Because he has pre-existing conditions that will force him into the high payment pool, and we have just enough income to put us outside of the subsidies category.  My meds can cost me nearly $600 per month now, and that takes more than 1/2 of my Social Security Disability, and because I am not 65 or older, I do not get prescription coverage, so it is out of pocket.

Now if we do not purchase this insurance, we will be fined.  So would someone please tell me exactly how this is going to help someone like us, or the millions of others who will be affected the same way?  This bill is not reform.  It is just the Hillary Clinton-Insurance Company reform of 1993 reheated!  And yet I still hear the “It is better than nothing” mantra coming out of DC.  My question is this:  Why is it better?  I do not see it as being better, only coercive and punitive on the backs of the very people it claims to help.

Health care reform should not be rocket science, folks.  It is simple:  regulate the insurance industry; expand Medicare as a buy-in choice for people; cover vision and dental as well as medical; and allow people to opt-out if that is their preference.  Encourage the use of VEBA accounts by employers and HSAs by employees with tax credits, and stop with the fines already.  PPOs and HMOs are great if you want restricted choice and high school graduates determining your care levels, but personally, I like being able to choose my doctor, (even if I have to wait a while to see that doctor which would not be the case if the Medicare processors would pay more quickly and more fully)rather than having to choose from a limited number of corporate hacks with questionable credentials, which has been my experience with PPOs and HMOs.

This is not reform, and I suspect anyone from history, Mr. Dionne, seeing it would know that, even if you and DC pundits do not.

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By ofersince72, March 24, 2010 at 7:42 am Link to this comment

but squeeky…..

you really don’t need to be an “intellectual”
to see forest through the trees

its cherry pickin

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By ofersince72, March 24, 2010 at 7:31 am Link to this comment

I know what pseudo-progressivism is tooooooooooooo!!!!!!

Report this

By ofersince72, March 24, 2010 at 7:24 am Link to this comment

another label for those who don’t lock and step


pseudo intellectuals…...........wow…..

such humiliation….....


P.S.  war won 356 to   65

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By ofersince72, March 24, 2010 at 7:19 am Link to this comment

and if she is denied , we will see just who the

  P S E U D O   I N T E L L E C T U A L   is


  peace

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By Squeeky, March 24, 2010 at 6:55 am Link to this comment

In response to ofersince72:
“For progressives, the preservation of existing Medicaid and CHIP rules until the new system is fully operational in 2014, as well as the expansion of Medicaid to an additional 16 million needy souls, should be sufficient to regard this new law as progress.”

Please do your homework. There are enough pseudo-intellectuals spewing opinion as fact.

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By macduff40, March 24, 2010 at 4:37 am Link to this comment

It has been said that this is a flawed product. I agree.  It has been said that it will need tweaking. I disagree. It is beyond tweaking, some 2500 pages or so.  Can we expect this or any future gridlocked congress to deal with the thousands of points of contention that brought us this behemoth?

No, the economy will continue to suffer due to the failure to enact controls on the runaway cost of medical services, equipment and insurance.

Family’s will continue to send any and for some all of their discretionary income into the health care sector, and mind you there are other ‘medical’ expenses people need like dental. 

Employers will continue to slammed with double digit annual premium increases.

Employees will continue to be fearful of changing jobs due to insurance considerations.  Insurance tied to one’s employment means servitude in many cases.

This is a shame.  There is a term oft used in the past few years.  Here it is so very apt.  This reform bill is truly lipstick on a pig.

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By P. T., March 24, 2010 at 12:19 am Link to this comment

Ralph Nader is going to need to run in 2012

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By ofersince72, March 23, 2010 at 9:42 pm Link to this comment

Yes it is law now,  how many more got covered today ??
starting right now ???

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By P. T., March 23, 2010 at 9:35 pm Link to this comment

The struggle continues

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By Squeeky, March 23, 2010 at 9:07 pm Link to this comment

For those of you who still don’t get it, Health Care Insurance Reform is now LAW! Get over it!

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By P. T., March 23, 2010 at 8:09 pm Link to this comment

“Cuz that was the only alternative available”


Uh huh.

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Calabashe's avatar

By Calabashe, March 23, 2010 at 6:26 pm Link to this comment

PT, are you suggesting that McCain, Boehner and the Repubs would have done more? Cuz that was the only alternative available - beyond wishful thinking.

IMHO, The Dems finally stepped up to the plate and led. Hopes its a trend and not a fluke. Health Insurance Reform is flawed, expect tweaking, but its better than what the opposition gave us in the last eight years.

If you think about it, there already is a limited public option called Medicare. I wouldn’t be surprised if that develops but let’s not give away the game plan.

Point being major progress has been made. It was a f**kin’ big deal enough be have some optimism. Wouldn’t be surprised if the Dems gain seats in November with all the Repub whining. Opps said too much. <grin>

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By keymanwst, March 23, 2010 at 6:03 pm Link to this comment

EXACTLY!  Russian Paul.
Well said.
I’m getting to the end of the line with Truthdig.  So sad they don’t know
“truth” from corporatist crud.

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Russian Paul's avatar

By Russian Paul, March 23, 2010 at 5:50 pm Link to this comment

EJ Dionne supports the insurance industry, but obfuscates his reporting to make it
appear as if Washington has “changed.” What bullshit. They’re throwing us crumbs
and we’re supposed to applaud this as reform? Any step away from single payer is
not a step in the right direciton.

If it weren’t for Hedges, Truthdig would just be another rag of corporate
propaganda.

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rico, suave's avatar

By rico, suave, March 23, 2010 at 4:02 pm Link to this comment

Mass. has a 44 day waiting time on average to see your primary care doctor. The trend will spread nationwide. Is this the progress we want?

Lots of M.D.s, those nasty rich bastards, are thinking seriously about giving up their practices. Is this the progress we want?

My 27 year old son, healthy as a horse, single, and broke, will be forced to buy insurance, thus depeleting his marijuana fund and cutting severely into the money he was going to contribute to ACORN. Is this the progress we want?

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By P. T., March 23, 2010 at 10:02 am Link to this comment

Notwithstanding Democratic control of Congress and the Presidency, Barack Obama, Nancy Pelosi, and the Democrats failed to deliver on a public option despite strong public support for it.  The Democrats are weak and cannot govern.  Ralph Nader in 2012!

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By prgill, March 23, 2010 at 9:16 am Link to this comment

Hank van den Berg, interesting comment and probably true. Thanks for sharing.

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Calabashe's avatar

By Calabashe, March 23, 2010 at 8:49 am Link to this comment

Keymanwst:

I’m sure you will be missed (NOT).

It’s really amusing to watch these Tea Baggers throw their temper tantrums. Who is ramming what down who’s throat?

Although more insurance reform than health reform, we now have a Patient’s Bill of Rights that the Left can be proud of. It’s a major progressive step forward, regardless of how loud and often Boehner’s Tea Baggers rant and rave.

Keep you heads, Lefties and be amused by what’s being thrown at US.

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By Louis Proyect, March 23, 2010 at 5:22 am Link to this comment
(Unregistered commenter)

Seriously, why does TD keep publishing the garbage that
Dionne spews out?

—-

Obviously because Robert Scheer agrees with it. After all, despite his leftist pretensions, he has had a decades long professional association with the bourgeois media. In fact, if he was still making money from a job with the LA Times, I doubt he would have bothered with this website.

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By Hank Van den Berg, March 23, 2010 at 4:22 am Link to this comment
(Unregistered commenter)

The Healthcare bill solidifies corporate control of the social safety net, a process that began with Clinton and his so-called welfare reform that forced single mothers to abandon their children to corporate-run daycare in order to take one of the poorly paid jobs offered by corporate employers.  We will now use taxpayer money to enrich the insurance companies and drug companies and force those who are not yet destitute to fork over even more to the same.  To call this bill “progress” is an insult to every progressive accomplishment that came before it.
Let’s not forget that the White House intentionally took single payer universal healthcare off the table from the start.  Well, they got what they wanted.  It is a pre-programmed defeat for the rest of us, although the bastards are now trying to convince us we have won.

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By prgill, March 23, 2010 at 2:52 am Link to this comment

Let us be realistic. Health reform is only the first of many reforms necessary to “promote the public welfare” and ensure “liberty and justice for all”.

What’s the next “big” project: rebuilding our cities and public infrastructure? reform of our wasteful land usage habits (i.e. limiting urban sprawl)? education? reduction of our carceral population? anti-trust enforcement?

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By ofersince72, March 23, 2010 at 1:53 am Link to this comment

Don’t go no where keyman….  these people need to be
disturbed by everyone at every chance they get !!!!!!

  ALL THE TIME .....EVERY DAY…...

our government and its media have got about as disgusting
and disgracful as they posibly can get.

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By keymanwst, March 23, 2010 at 1:20 am Link to this comment

Who the hell is this Dionne?  Get her out of here of or I am finished with TD. 
She’s a corporatist-kissing, boot-licking toadie for the Bushobama Crime Family.  Gimme a f*ckin break.

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Calabashe's avatar

By Calabashe, March 22, 2010 at 9:31 pm Link to this comment

rfidler - WRONG!

Health and Human Services is empowered to oversee what transition there needs to be, especially in the areas of rates and rules.

Kathleen Sebelius is not going to make or prevent treatment decisions between you and your doctor - like insurance companies now do.

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Calabashe's avatar

By Calabashe, March 22, 2010 at 9:10 pm Link to this comment

ofer

For what it’s worth, I remember first hearing the term progressive maybe 10 years or more ago - from Ted Kennedy, I think. It was coined about the same time the Right successfully made liberal a dirty word.

A progressive believes the government has an obligation to not only protect the people’s health and safety but to also protect US from unfair business tactics that the individual can’t do alone.

I’m not exactly a Swedish style socialist. I believe entrepreneurs should have their encouragement, incentives and just rewards but I also believe there needs to be reasonable rules.

If being progressive causes a few so-called welfare Cadillacs, so be it. That possibility is not what halved my 401k.

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By John Kace, March 22, 2010 at 8:44 pm Link to this comment

Some of the best days of my life have been spent being poor. This health-care bill is probably only worth a chickens poop on a mile wide floor. My question is why did the republicans and their supporters make such a big deal out of socialism and our personal freedom over free health-care. While they stomped the patriot act over us and backed up to piss on us and the constitution and the only governmentally inacted bill of rights in the process? And why didnt the democrats care? Vote Libertarian.

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By ofersince72, March 22, 2010 at 8:03 pm Link to this comment

i know what racist is and a misogynist

  but just what is a progressive??????

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By Kitschwheeler, March 22, 2010 at 7:49 pm Link to this comment

This victory is so, so very sweet. Almost as sweet as Obama winning the election.
For all the haters out there…for all the racists, for all the misogynists, for all the
anti-progressives…THIS is what a president with “no experience” can accomplish
when he puts his mind to it. This…is change.

Bravo, Mister President. Bravo.

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Calabashe's avatar

By Calabashe, March 22, 2010 at 6:49 pm Link to this comment

Ah! So the Tea Baggers are here too.

IMHO, Dionne is pretty spot on.

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By ofersince72, March 22, 2010 at 5:06 pm Link to this comment

It is all the same topic !!!!!

  How are they dictating….
  You listen to Limbaugh and Beck WAY TOOOOO MUCH !!!!!!

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rico, suave's avatar

By rico, suave, March 22, 2010 at 5:01 pm Link to this comment

ofer:
I’m not defending an economic system! Stay on topic! You are let Congress decide what is best for you regarding your health care decisions. I’m only asking if that is what you really want.

Report this

By ofersince72, March 22, 2010 at 4:43 pm Link to this comment

Not near as hapless and pathetic of ur defense of an

economic system that has rendered this country

to the world’s largest, by far,  debtor nation.

Report this

By gila, March 22, 2010 at 4:11 pm Link to this comment
(Unregistered commenter)

EJ,

You are extolling the historical virtues of this bill, while just down the frong page of Truthdig is your own article pointing out that this bill is warmed over Republican ideas from the 90’s.

So, is it historical cost controls and universal coverage, “a moment of history, a culmination of the legacies of Truman and Franklin Roosevelt”?

Or is it “a Republican version of health care”?

Both are your quotes.  Care to try to square that circle?

Report this

By Support Cindy Sheehan, March 22, 2010 at 4:08 pm Link to this comment
(Unregistered commenter)

There was a large ANTI WAR protest in DC this weekend.

The group ‘Camp OUT NOW being led by Cindy confronted our criminal president at the White House and they were arrested fighting the good fight.

Please support her ‘Peace of the Action’ camp.

Maybe I missed it but there does not seem to be a mention of it on here..

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rico, suave's avatar

By rico, suave, March 22, 2010 at 4:06 pm Link to this comment

Do you progs understand that the government has just started the process of taking all of your health care decisions away from you?

Are you really ok with that?

Really?

Are you really that helpless and pathetic?

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rico, suave's avatar

By rico, suave, March 22, 2010 at 3:57 pm Link to this comment

Did you see the stock market today? Health insurance stocks went up.

Why?

The government has just told the industry that they have to cover 30 million more customers, and… THE GOVERNMENT WILL PICK UP THE TAB!!!

Hurrah for the 30 million freeloaders.

Too bad for the tax payers who will have to pick up that tab.

Hopey changy rules!

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By ofersince72, March 22, 2010 at 3:25 pm Link to this comment

This one really did make me visit the toilet.

“most sweeping piece of legislation since the mid 1960s,
Democrats proved they can govern….....”

At least Hedges has it somewhat right….

For those that still believe we can vote ourselves out
of this with primary voting…
please explain what kind of math you are using…
Not posible in your or my lifetime…
we are stuck with what we got until the walls finish
crumbling down…......which will probably be soon enough
most likely before the 2014 kick in time.

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EJH's avatar

By EJH, March 22, 2010 at 3:24 pm Link to this comment

“It’s always a good day when the Republican smear
machine is defeated.” - Ed

I’d say it’s always a good day when your healthy,
wealthy and do not need medical care.  Or if you are
an insurance company.

If the healthcare issue was a football game, I guess
we could say Ed’s team won.  Hooray!  But it is
politics in the USA and what really happened is the
only team on the field, the corporations, won just as
they always do.  Republicans or Democrats, it makes
no difference.  Both parties play for the same team. 
When are people going to wake up and figure this out? 
Vote for a third parties or leave the country before
it is too late. http://theunpeople.blogspot.com/

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By heyletsevolve, March 22, 2010 at 2:57 pm Link to this comment

So damn sad.

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By balkas, March 22, 2010 at 2:48 pm Link to this comment

Dionne`s history 1 is not a house person`s history 2 is not fisher`s history 3 and so fourth.
And dionne has the right to his history 1 and i have the right to my history 4.

Deadman`s history 6 or his health care 6 is not BHO`s heatlth care 1.

But anyhow, history 1 won. Health care 1 won. Did anyone ever doubt that?

God 1, the god in God bless America won. God 2, 3, 4, 5, y, x lost. As always before. tnx

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By glider, March 22, 2010 at 2:11 pm Link to this comment

The Democrat spin machine is fully engaged.  This horrible legislation is transformative only in that is defines unequivocably the Democrat party as a Corporatist entity entirely uninterested in serving the good of the people.  You now own a policy of forcing poor and lower middle class citizens to purchase high profit margin private insurance with a history of uncontrolled outrageous cost/benefit ratio increases.  Go ahead and keep that spin machine going, telling yourselves that the people will reward this fraud in the coming elections.  You are in for a well deserved wake up call.

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By Ed, March 22, 2010 at 1:50 pm Link to this comment
(Unregistered commenter)

At this point I don’t care how flawed this bill is. It’s always a good day when the Republican smear machine is defeated.

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By rollzone, March 22, 2010 at 12:36 pm Link to this comment

hello. congratulations are in order. how those soft headed Republicans ever trusted a spying turncoat from Michigan in their midst: was a marvelous deception. for the first time, we can all look at a man standing as President; as he is clearly responsible for the paltry success of not even carrying a party line. it was close, and there was some insincere fighting, so it was no cake walk to put his name to this legislation. congratulations Mr. President, you are clearly in stride.

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mindful's avatar

By mindful, March 22, 2010 at 12:35 pm Link to this comment

I would be for a single payer system or even allowing a single payer as an alternative for competition with for profits.

This is NOT the legislation needed and it will fail miserably. The rest of the western world enjoys a no co-pay or pay for visit healthcare. Even SSI part B is a sham. It deducts 110.00 from a small an paltry SSI check seniors receive. The part B Medicare is the most important because it involves doctors fees and preventive care.

The for profits, even if you have a policy go to secondary and part B primary. So seniors are sucked dry. Only after 90,000 a year in a retirement income does it make the insured pay more. It should be a sliding scale and less than 15,000 in income pay nothing.

So much for the government healthcare.

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By TAO Walker, March 22, 2010 at 12:33 pm Link to this comment

Git-along, li’l dogies, git-along.

HokaHey!

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By Miko, March 22, 2010 at 11:27 am Link to this comment
(Unregistered commenter)

Seriously, why does TD keep publishing the garbage that
Dionne spews out?  I mean, I understand why WaPo does,
but aren’t the journalistic and editorial standards
here just a bit higher than WaPo’s?

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By Commune115, March 22, 2010 at 11:15 am Link to this comment

Dionne is once again just a puppet licking the boots of power. How does this put us at the same level as other developed nations? This bill was one big gift for insurance companies, women’s reproductive rights were left out and so-called “Liberals” are trying to justify it all with the sole purpose of “beating” the Republicans.

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Blackspeare's avatar

By Blackspeare, March 22, 2010 at 9:35 am Link to this comment

The problem with health care in the USA, simply put, is the cost of health insurance and the cost of medical care.  Can someone please tell me how this health care legislation controls either of these costs.  It certainly doesn’t control the cost of physicians or hospitals and while it may provide a subsidy to insurance carriers for those individuals or families below the income cap, it doesn’t control the cost of insurance.  Why it may even be a windfall for the insurance industry as millions will be required to obtain insurance with or without government help.  It will be interesting to see the particulars on those policies.  The cuts to Medicare will require higher premiums to be taken out of SS payments.  The legislation has a nice ring to it, but it’s efficacy is still in question.

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