First thoughts: Focusing on health care
Posted: Thursday, March 05, 2009 9:18 AM by Domenico Montanaro
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First Thoughts
From Chuck Todd, Mark Murray, and Domenico Montanaro
*** Focusing on health care: A week after his fiscal responsibility summit, President Obama today holds another summit -- this time on the topic of health care. The format is pretty much the same: Obama delivers opening remarks from the East Room at 1:00 pm ET, participants then attend breakout sessions, and finally the president holds a question hour with beginning at 4:00 pm. Per NBC’s John Yang, the president will tie health care to the economy his opening remarks. "The cost of health care now causes a bankruptcy in America every 30 seconds. By the end of the year, it could cause 1.5 million Americans to lose their homes," he is expected to say. "If we want to create jobs and rebuild our economy, then we must address the crushing cost of health care this year, in this Administration. Making investments in reform now, investments that will dramatically lower costs, won't add to our budget deficits in the long-term -- rather, it is one of the best ways to reduce them." By the way, HHS Secretary-designate Kathleen Sebelius won’t be at today’s summit, but Nancy-Ann DeParle will be.
*** The two goals: Today's summit is about a couple of things. The first goal is to show off the idea that this will be an open process. The White House is live-streaming all five of the breakout sessions, allowing C-Span to broadcast at least one of them. What’s more, the live streams will be archived for the public. The other goal of this summit is to make it appear as if all the stakeholders have a say -- so they invited as diverse of a group as they could, including prominent opponents of Clinton's health care plan from the early 1990s.
*** The four health-care horsemen: As for the policy debate itself, the administration’s starting point is Obama's plan from the campaign. But in talking with key White House officials, they realize their best chance at getting something big to pass is to let the plan get written in the Senate (sorry, Mr. Waxman). That means there will be at least four key players. The biggest is Senate Finance Committee Chairman Max Baucus; he'll be the guy who probably will end up as the plan's architect. Then there are Sens. Wyden and Bennett, who have a surprisingly popular bipartisan idea that, among other things, proposes shifting the Medicaid burden away from the states (we think we know 50 governors who will LOVE that idea). The fourth big Senate player: Sir Teddy. This is not to say the House won't be involved, but the reality is the Senate is the more difficult lift.
Video: Kennedy honored with knighthood.***
Party like it's 1993? With today's focus on health care, it's worth noting that the new NBC/WSJ poll doesn't show a huge appetite for an overhaul of health care right now. According to the poll, 49% say they would be willing to pay higher taxes so everyone could have health insurance, versus 45% who say they'd be unwilling to do this. Yet back in March 1993 -- just as the Clintons were embarking on their health-care drive -- 66% said they'd be willing to pay higher taxes here. And, of course, we know how that effort turned out. This is probably why you're seeing the Obama administration focus on lowering health-care costs than press for universal care. That said, the poll does find that, by a 69%-25% margin, Americans support increased spending on health care.
***
Demonizing Rahm: The Democrats have found their boogeyman in Rush Limbaugh, and now Republicans have found their own in … Rahm Emanuel. That’s right, House Minority Leader John Boehner released a statement yesterday blaming “political operatives” in the White House from diverting attention away from the country’s economic challenges to Rush Limbaugh (even though Limbaugh was in the news because he was the concluding speaker at the same conservative confab Boehner addressed). And on TODAY this morning, Newt Gingrich compared Rahm to Nixon chief of staff H.R. Haldeman.
*** A Fu(gate) good men: Think Team Obama learned not to repeat this Bush administration mistake -- appoint someone to head FEMA with little prior experience in emergency management? Yesterday, Obama named Craig Fugate, director of Florida’s emergency management -- who knows a thing or two about natural disasters -- to lead FEMA. And today, Fugate will appear with Homeland Security Secretary Napolitano and HUD Secretary Shaun Donovan at an event in New Orleans to signal the Obama administration’s commitment to rebuilding the Gulf Coast. Fugate is a Republican, and the pick was praised by former Florida Gov. Jeb Bush and current Florida Sen. Mel Martinez, who said in a statement: "Florida's loss will be the nation's gain. Craig is a top-notch individual who has helped Florida through some very severe hurricanes. He set the national model for disaster preparedness and I look forward to his swift confirmation."
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