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  • Mar
    5
    President: ‘The status quo is the one option that is not on the table’
     
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    WASHINGTON – President Barack Obama summoned allies, skeptics and health care figures of all stripes to the White House Thursday to debate ideas for overhauling the nation’s costly system and declared, “The status quo is the one option that is not on the table.”

    The big Washington session — Obama called it a health care summit — and meetings to follow around the country show the new president’s push for expanded health insurance will be more open and inclusive than the Clinton administration’s failed attempt of 15 years ago.

    “In this effort, every voice must be heard. Every idea must be considered. Every option must be on the table. There will be no sacred cows in this discussion,” Obama said as he opened his White House forum on what he calls the greatest threat to the foundation of the U.S. economy. He also issued a warning: “Those who seek to block any reform at any cost will not prevail this time around.”

    Willingness to compromise
    The U.S. system is the world’s costliest and leaves an estimated 48 million people uninsured.

    Although he wants coverage for all, the president suggested a willingness to compromise even if it means not fully meeting his goal. That, too, was a break from former President Bill Clinton’s posture in the 1990s when he promised to veto any health care measure that didn’t give him what he sought.

    This time, Obama said, “Each of us must accept that none of us will get everything we want, and no proposal for reform will be perfect.” And, he said, “While everyone has a right to take part in this discussion, no one has the right to take it over.”

    Obama is setting a rigorous timeline to address the “crushing cost of health care this year, in this administration.” His advisers say he’s determined to pass legislation in his first year in office, and they say while he hopes for a bipartisan measure, he won’t be deterred by ideological fights.

    On Capitol Hill, Democratic leaders in both the House and Senate rallied behind him, saying Thursday that they hoped to have a health care reform measure passed by the end of the summer.

    Still, the political reality of reshaping the complex medical system is certain to intervene as the broad discussion about the need for reform gives way to the details. Those may well conflict with the priorities of a host of stakeholders, including patients, doctors, labor unions, drug companies, businesses and employers, insurers and lawmakers up for re-election next year.

    At the same time, there’s also a fundamental fault line between Democrats and Republicans over the role of government in the health care system.

    Avoiding Clinton’s mistakes
    For now, Obama is seeking to use his popularity as a new president and the public’s high level of frustration with medical costs to get something done on the thorny issue without making the same mistakes as the last Democratic president.

    In hindsight, both supporters and opponents agree that Clinton made a series of missteps and miscalculations that doomed his plan from the outset.

    With first lady Hillary Rodham Clinton leading the charge, the measure was written by the White House with little input from lawmakers or interest groups. Stakeholders of all sides complained they were shut out of the process. Clinton’s veto threat also limited his room to negotiate.

    This time, Obama is making a very public point to consult with people at the start of deliberations.

    Hence, more than 120 people from all sectors — and with a wide range of viewpoints — were taking part in the program. They included longtime health reform heavyweights, including the cancer-battling Sen. Edward Kennedy of Massachusetts, and some people who helped kill Clinton’s overhaul in the 1990s.

    Also unlike Clinton, Obama is planning to send only broad principles to Congress of what he wants to see in the bill, such as increased coverage and controlled costs. The House and Senate will be left to do the heavy lifting. And, Obama is planning to hold a series of health care forums outside of Washington to solicit ideas and drum up support for his plan.


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  • Mar
    3
    Democrats, Republicans express misgivings ahead of Geithner questioning
     

    obama17WASHINGTON – President Barack Obama’s proposed tax increases are being met with misgivings by both Republicans and Democrats in Congress as he sends his Treasury secretary to Capitol Hill to defend them.

    Lawmakers in both parties question Obama’s call to reduce high-income earners’ tax deductions for the interest on their house payments and for charitable contributions. Also drawing fire is his proposal to start taxing industries on their greenhouse gas pollution — a move sure to raise consumers’ electric rates.  Obama and his top aides have been promoting the budget package since unveiling an outline last week, but Tuesday will provide the lawmakers their first opportunity to publicly question top officials about the details.

    Administration officials say the nation’s economic crisis requires bold action to right the economy and expand access to health care while providing tax breaks to middle- and low-income families.

    The economy took another hit Monday when the Dow Jones Industrial Average plunged below 7,000 for the first time since 1997.

    Treasury Secretary Tim Geithner was scheduled to appear Tuesday before the tax-writing House Ways and Means Committee, which also is likely to question him about Obama’s declaration last week that he may be asking Congress this year for another $750 billion bailout for troubled banks.

    Meanwhile, White House Budget Director Peter Orszag was to testify Tuesday before the House Budget Committee on Obama’s spending priorities in the administration’s $3.5 trillion budget blueprint for the 2010 fiscal year beginning Oct. 1.

    Taxes only on wealthiest?
    Obama has been careful throughout the presidential campaign and since being elected to say he would impose higher taxes only on the wealthiest. Republicans, however, say Obama’s energy proposal amounts to a tax that would increase energy costs for all Americans.

    “This massive hidden energy tax is going to work its way through every aspect of American life,” said Rep. Dave Camp of Michigan, the top Republican on the Ways and Means Committee. “How we light our homes, heat our homes and pay for the gas in our cars, in every phase of our daily lives, we will be paying higher costs.”

    Under the energy plan, Obama wants to reduce the emissions blamed for global warming by auctioning off carbon pollution permits. The proposal, known as cap and trade, is projected to raise $646 billion over 10 years.

    Most of the money would be used to pay for Obama’s “Making Work Pay” tax credit, which provides up to $400 a year to individuals and $800 a year to couples. The plan also would raise money for clean-fuel technologies, such as solar and wind power.

    Orszag has acknowledged that the energy proposal would increase costs for consumers, but he argues that the vast majority of consumers will get tax breaks elsewhere in Obama’s budget package.


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  • Feb
    28
    House Speaker Nancy Pelosi, shown with Rep. Henry Waxman, said lawmakers have their work cut out for them.

    House Speaker Nancy Pelosi, shown with Rep. Henry Waxman, said lawmakers have their work cut out for them.

    WASHINGTON — President Barack Obama has made it clear he intends to reorder the nation’s priorities, but Congress must act to make that a reality.

    It won’t be easy.

    Mr. Obama is asking the 111th Congress for accomplishments that rival those of the 1933 Congress that passed the New Deal and the 1965 Congress that enacted the Great Society. But despite the pain of the current crisis, it doesn’t yet compare with the devastation of the Great Depression or the upheaval of the 1960s. And Congress’s pace in recent years has been anything but speedy.

    In his prime-time speech and budget plan this week, Mr. Obama urged Congress to take on sweeping proposals he promoted during the campaign to address climate change and overhaul health care. In addition, the downturn is forcing lawmakers to simultaneously debate fixes for the mortgage crisis and the auto industry, along with ways to rewrite rules for the financial sector.

    Democrats on Capitol Hill are also pushing items on their longtime agenda, such as giving the District of Columbia a vote in Congress, expanding funding for stem-cell research and requiring broader use of renewable energy. They hope to pass a 2010 budget by early April and will need to enact a dozen individual spending bills for next year.

    Mr. Obama and the Democrats may have relatively little time to get all this done. The president has considerable political momentum now, but that might not last. By the middle of next year, the approaching November elections will make it much harder to strike legislative deals.

    After outlining the agenda this week, House Speaker Nancy Pelosi told reporters, “Our work is well cut out for us.”

    While the Republicans are in the minority, they still can create significant problems for the Democrats — especially in the Senate, where the majority often needs 60 votes to overcome parliamentary obstacles.

    That task is harder because Al Franken of Minnesota, who could give the Democrats their 59th vote in the Senate, is embroiled in an election dispute with former Republican Sen. Norm Coleman. And Sen. Edward Kennedy (D., Mass.) suffers from brain cancer, making his schedule uncertain.

    “This is going to require compromise and negotiation with Senate Republicans,” said Jim Manley, spokesman for Senate Majority Leader Harry Reid (D., Nev.). “The sooner everyone realizes that, the better off we’ll be.”

    Senate Minority Leader Mitch McConnell and other Republicans can create obstacles for President Obama's agenda.

    Senate Minority Leader Mitch McConnell and other Republicans can create obstacles for President Obama's agenda.

    At a meeting Friday of the Conservative Political Action Committee, Senate Minority Leader Mitch McConnell (R., Ky.) and House Minority Leader John Boehner (R., Ohio) left little doubt about their readiness to fight the Democrats.

    “The stimulus, the omnibus, the budget — it’s all one big down payment on a new American socialist experiment,” Mr. Boehner told cheering conservatives.

    But managing the tensions within Democratic ranks also will be a challenge. On Thursday, moderate “Blue Dog” Democrats forced House leaders to delay a vote on a bill that would empower judges to rewrite the mortgages of people declaring bankruptcy. Critics say this would add dangerous uncertainty to the home-loan market, raising interest rates and making it even harder to get mortgages.

    Beyond that, Congress, like any complex institution, can only accomplish so much at any given time. Bills must be considered by subcommittees and full committees, and lengthy negotiations often occur before legislation can be passed.

    House and Senate Democrats have concluded that climate-change legislation and a health-care overhaul will probably be the toughest items to push through.

    Rep. Henry Waxman (D., Calif.), chairman of the House Energy and Commerce Committee, has vowed to have a climate-change bill, including a cap-and-trade system for controlling harmful emissions, ready for floor action by Memorial Day. That would set the stage for votes in the full House this summer.

    That means the battle over health care will probably be put off until later in the year, if only because many of the lawmakers involved in climate-change issues also specialize in health care.

    Whatever happens, the road ahead carries risks for Democrats. Failure to deliver on the Obama agenda threatens to alienate voters. But delivering on those goals comes with risks, too, potentially forcing the majority party to explain why it raised taxes or eliminated cherished programs. And Republicans will have to balance their desire to block many of Democratic initiatives with the need to be something more than naysayers.

    Despite the obstacles, the new Congress has already enacted several major laws this year, including a $787 billion economic-stimulus package and legislation on children’s health care and pay equity.

    Those challenges pale next to what lies ahead. “We just did the easiest of the tough stuff,” Mr. Manley said. “It only gets harder from here on out.”

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  • Feb
    26
    Senator Edward M. Kennedy has been holding biweekly meetings to help build a consensus solution on health care that follows the road map laid out by President Barack Obama

    Senator Edward M. Kennedy has been holding biweekly meetings to help build a consensus solution on health care that follows the road map laid out by President Barack Obama

    As part of the $3.5 trillion budget he proposed on Thursday, President Barack Obama is pushing for a down payment on universal health care, a reserve fund of $634 billion over 10 years paid for by higher taxes on the wealthiest Americans and savings from government programs like Medicare and Medicaid.

    By putting the funding on the table before the program has even been crafted, though, Obama is essentially putting the cart before the horse. Many health-care analysts hope to see more details of the President’s plan during a White House health-care summit expected at the end of next week — but they may be looking toward the wrong end of Pennsylvania Avenue. Unlike the failed 1994 Clinton health-care-reform effort, this isn’t going to be a bill that the Executive Branch drafts in isolation and then tries to ram down the throats of Congress.

    Instead, Congress — particularly a working group convened by longtime health-care-reform advocate Senator Edward M. Kennedy — is working on a consensus solution following the road map laid out by Obama.

    In fact, since the middle of last fall, Kennedy’s group has held biweekly meetings that feel somewhat like a college class — albeit the most advanced seminar on health policy on the planet. There’s a curriculum for each of the two-hour sessions; topics have ranged from benefits packages and employer mandates to tax treatment of health insurance, payment reform and prevention and wellness.

    Although they are about halfway through the agenda, participants say progress has already been made. The group agrees on broad principles like a focus on prevention, a commitment to cutting costs and universal coverage approached through the expansion of employer plans. But the group — so far on the friendliest of terms — has disagreed on whether coverage should be mandated or simply offered to all individuals, how much money is needed and what the proper role of government plans should be in the private system. And they haven’t even gotten to some of the tougher parts yet, like how to make cuts in Medicare and Medicaid.

    Taking part in these meetings, as was reported last week in the New York Times, are a diverse group of stakeholders: AARP, the insurer Aetna, the AFL-CIO, the American Cancer Society, the American Medical Association (AMA), America’s Health Insurance Plans, the Business Roundtable, Easter Seals, the National Federation of Independent Business, the Pharmaceutical Research and Manufacturers of America (PhRMA) and the U.S. Chamber of Commerce.

    Most participants declined to comment directly on the talks, saying they were sworn to secrecy by Kennedy and risked expulsion from the meetings by talking on the record — though a few were willing to speak anonymously about some of the progress that has been made. Most were eager to praise the new momentum Obama has breathed into the talks this week, including the breakout session on health in his fiscal-responsibility summit on Monday, the underlining of his commitment to health-care reform in his address to the joint session of Congress on Tuesday and in his budget announcement on Thursday, and his announcement of a health-care summit for next week.

    “This is a frank and respectful discussion that essentially began in earnest on Monday,” says Dr. Nancy Nielsen, president of the AMA. “What we’re hearing from him is that there is an urgent need for health-care reform and that we also want to make sure that we get it right when we do those reforms.”

    Senator Chris Dodd, who often sits in on the meetings in case Kennedy, who is battling brain cancer, can’t participate, has said he expects to see legislation introduced by Memorial Day. Kennedy monitors the progress by telephone from home. Senate Finance Committee chairman Max Baucus, who has called health-care reform his top priority this year and is working hand-in-hand with Kennedy — Baucus’ staff has often been in the room when stimulus negotiations allowed them the time — has said that he expects to hold hearings in the spring.

    By all accounts, the bill will go through the usual committee process in an effort to draw as much bipartisan support as possible. Democrats control the Senate with 58 votes — two votes short of preventing a Republican filibuster, so at least some GOP support must be drawn. There has been concern among the stakeholders that the Republicans have not been in any of the meetings thus far; one person involved in the talks said they have been invited but have declined to attend, though several participants have said they keep GOP colleagues abreast of progress.

    “We would hope that any process that goes forward will actually include Republicans and Democrats to get support not only of both parties but of the American people,” says Dan Smith, president of the American Cancer Society Cancer Action Network.

    The House, meanwhile, has been waiting for guidance from the Administration before it gets the legislative ball rolling — guidance that could come as early as next week at the anticipated White House summit.

    Obama is still struggling to put his team in place after the loss of Tom Daschle, the former Senate majority leader who withdrew his name from consideration to become Secretary of Health and Human Services and the Administration’s health-care czar after revelations of his failure to pay $128,000 in taxes.

    At least three experts involved in the talks say the House is so far behind, they will have to run to catch up to the Senate. The Senate’s progress is largely due to Kennedy’s “incredible ability and strength,” says Billy Tauzin, CEO and president of PhRMA, and a former Congressman from Louisiana. “He’s anxious to make this a great legacy.”

    The sticking points within the group are no surprise to the health-care community. “You don’t need to know what’s going on in the secret meetings to know the two biggest challenges are the individual mandate and costs,” says Senator Sherrod Brown, an Ohio Democrat who sits on the Senate Health, Education, Labor and Pension Committee, which is convening the meetings. Obama’s budget also draws some battle lines on these issues: the White House, for instance, doesn’t support an individual mandate as Kennedy and Baucus do.

    Then there’s the question of whether the program can really be shoehorned into the $634 billion 10-year budget figure that Obama has proposed; some have estimated that it would take at minimum $1 trillion over 10 years. And while everyone in the room has marveled at how congenial the discussions have been, the hardest part is yet to come. “Whenever there’s change, there will be a winner and loser,” says one meeting participant. “It will be not easy.”

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  • Feb
    11

    peanut2 WASHINGTON (CNN) — The president of a peanut company and a plant manager accused of knowingly distributing contaminated food refused to answer questions posed by members of Congress on Wednesday, citing their Fifth Amendment protection against self-incrimination. Stewart Parnell, president of Peanut Corp. of America, refuses to answer congressional questions Wednesday.

    The testimony of Stewart Parnell, president of the Peanut Corp. of America, and Sammy Lightsey, manager of the company’s Blakely, Georgia, plant, before a House Energy and Commerce subcommittee lasted less than 10 minutes.

    Neither man had an opening statement. Asked whether it was their intention to cite constitutional protection in refusing to answer all the questions posed by the committee, both men said it was. It was the only question they answered; Parnell cited constitutional protection even when asked whether he had heard members of a previous panel testify.

    Rep. Greg Walden, R-Oregon, brandished a container sealed with yellow “caution” tape.

    “In this container are products that have your ingredients in them, some of which were on the recall list, some of which are probably contaminated,” he said. “It seems like, from what we’ve read, you were willing to send out that peanut base [that] went into these ingredients. “And I just wonder, would either of you be willing to take the lid off and eat any of these products now, like the people on the panel ahead of you, their relatives, their loved ones did?”

    Just before Parnell and Lightsey refused to testify, anguished family members representing victims of a salmonella outbreak traced to PCA pleaded with committee members to take action to protect the nation’s food supply. The outbreak has killed nine people and sickened more than 600 in 43 states. News of the ninth death, an elderly woman in Ohio, came as the hearing was being held.

    “It’s imperative that Americans trust their health is not compromised by the food on their plate,” said Jeff Almer, whose mother, Shirley, died December 21 after eating contaminated peanut butter. “Our family feels cheated. My mom should be here today.”

    Lou Tousignant told lawmakers his father, Clifford, 78, a decorated Korean War veteran, also died from salmonella linked to peanut butter.

    “We should not be sitting here in front of you today, any of us,” he said, adding that stories of food contamination are not new. “How can we truly be leaders of the free world if we can’t keep our own citizens safe from the food that we eat every day?”

    “This was not an accident,” said Peter Hurley, a Portland, Oregon, police officer whose 3-year-old son was sickened by salmonella after eating his favorite peanut butter crackers. “It sickens me to no end that a company and its employees could knowingly allow tainted product to go out the door and into the nation’s food supply. Does no one have a conscience anymore?”

    He likened the situation to a police officer putting a loaded gun to someone’s head, pulling the trigger and then saying he hoped the bullet in the chamber wouldn’t fire. Members of the committee said they share relatives’ outrage.

    “We are shocked at what’s been going on in this country on food issues,” said Rep. Henry Waxman, D-California, the committee chairman. “What this committee needs to do is find out the truth, hold people accountable and make sure it doesn’t happen again.”

    The company previously has said it shipped suspect products only when subsequent salmonella tests came back negative. But, Walden said, a later negative result should never negate the initial positive finding. Lawmakers cited a Food and Drug Administration report as proof that PCA cared more about its bottom line than about food safety. Documents obtained by the committee include an October 2008 e-mail from Parnell to Lightsey, a response to Lightsey’s notifying Parnell of a positive salmonella result and recommending a shipment be placed on hold.

    “We need to discuss this … the time lapse, besides the cost is costing us huge $$$$$,” Parnell’s response reads in part. The e-mails are posted on the committee’s Web site. Asked by lawmakers to look at that e-mail, Hurley said, “as a police officer, I can unequivocally say that it’s criminal.” Parnell was not in the audience to hear victims’ relatives testify.

    Rep. Anthony Weiner, D-New York, issued a statement earlier this week in which he called for the prosecution of PCA executives. “This is more than a simple lapse of regulations and incomplete paperwork,” Weiner, a member of the House Judiciary Committee, said. “This appears to be a case where someone willfully sent tainted food across the nation, including to children, and we know now that the results are fatal. These men and anyone else involved in this should face jail time.”

    In visiting the Blakely plant, FDA inspectors found “a facility riddled with unsanitary and unsafe conditions,” said Rep. Bart Stupak, D-Michigan, citing the inspector’s preliminary report. Mold was found in a cooler used to store peanut butter products; a live roach and dead roaches were found in a washroom adjacent to a production area; and salmonella was found in two locations, including one only 3 feet from finished peanut butter products.

    The salmonella outbreak has led to one of the largest food recalls in U.S. history, encompassing more than 1,000 products.

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