<table cellspacing="0" cellpadding="0" border="0" ><tr><td valign="top" style="font: inherit;"><DIV>Just as I predicted, Senator Ben Nelson (D-NE) sold out on Obamacare!</DIV>
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<DIV>His abortion amendment was blasted as UNACCEPTABLE by conservatives, the National Right to Life Committee, and Congresman Bart Stupak (D-MI), the principal author of the Stupak-Pitts pro-life amendment that was adopted in the House.</DIV>
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<DIV>While the bill will probably go to a conference committee, we can only hope that, if the Stupak-Pitts Amendment is taken out, the (alleged) pro-life Democrats in the House strongly oppose the Obamacare Bill. If the liberals fully understand that an Obamacare Bill that provides federal funding of abortion on demand will definitely, positively fail, then they will relent and keep Stupak-Pitts in the bill.</DIV>
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<DIV>Do not take seriously any threats by some liberals to vote against this bill. While it may not be everything the liberals want, it still provides for a massive expansion of federal control over health care. </DIV>
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<DIV>The (alleged) pro-life House Democrats will face intense pressure to vote for Obamacare. How many of them wilt under this tremendous pressure is not yet known.</DIV>
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<DIV>Someone should send each of them a copy of John F. Kennedy's book,<EM> Profiles in Courage</EM>, <A href="http://www.amazon.com/Profiles-Courage-P-S-John-Kennedy/dp/B002T452OY/ref=sr_1_1?ie=UTF8&s=books&qid=1261263227&sr=1-1">http://www.amazon.com/Profiles-Courage-P-S-John-Kennedy/dp/B002T452OY/ref=sr_1_1?ie=UTF8&s=books&qid=1261263227&sr=1-1</A></DIV>
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<DIV>Our only other hope is that Nelson, having "touched the hot stove," will get burned in Nebraska. If conservatives and pro-lifers react very adversely to his sell out, there is an outside chance he might vote against cloture to on the fillibuster against the conference committe report.</DIV>
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<DIV>At this point, the game is not over yet. But in the parlance of football, we are behind by 10 points early in the 4th quarter and the other team has the ball.</DIV>
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<DIV><STRONG><FONT color=#0000ff size=3>Art</FONT></STRONG></DIV>
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<DIV><A href="http://news.yahoo.com/s/ap/20091219/ap_on_go_co/us_health_care_overhaul">http://news.yahoo.com/s/ap/20091219/ap_on_go_co/us_health_care_overhaul</A></DIV>
<DIV><STRONG><FONT size=4>Obama hails 60th Senate vote for health care</FONT></STRONG></DIV>
<DIV class=byline><CITE class=vcard>By DAVID ESPO, AP Special Correspondent <SPAN class="fn org">David Espo, Ap Special Correspondent</SPAN> </CITE><ABBR class=recenttimedate title=2009-12-19T13:14:53-0800>1 hr 17 mins ago</ABBR> </DIV><!-- end .byline -->
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<DIV>WASHINGTON – Jubilant Democrats locked in Nebraska <SPAN class=yshortcuts id=lw_1261261117_0>Sen. Ben Nelson</SPAN> as the 60th and decisive vote for historic <SPAN class=yshortcuts id=lw_1261261117_1>health care legislation</SPAN> Saturday, putting President <SPAN class=yshortcuts id=lw_1261261117_2>Barack Obama</SPAN>'s signature issue firmly on a path for Christmas Eve passage.</DIV>
<DIV>At the White House, Obama swiftly welcomed the breakthrough, saying, "After a nearly century-long struggle, we are on the cusp of making <SPAN class=yshortcuts id=lw_1261261117_3>health care reform</SPAN> a reality in the United States of America."</DIV>
<DIV>In the Capitol, <SPAN class=yshortcuts id=lw_1261261117_4>Senate Majority Leader Harry Reid</SPAN> smiled broadly when asked if Nelson's decision gave him the 60-vote majority necessary to overcome solid Republican opposition. "Seems that way," he said. The Nevada Democrat agreed to a series of concessions on abortion and other issues demanded by Nelson in daylong talks on Friday, then informed Obama of the agreement in a late night phone call as the president flew home from climate talks in Copenhagen.</DIV>
<DIV>The <SPAN class=yshortcuts id=lw_1261261117_5>Congressional Budget Office</SPAN> said the Senate bill would extend coverage to more than 30 million Americans who lack it. It also imposes new regulations to curb abuses of the insurance industry, and the president noted one last-minute addition would impose penalties on companies that "arbitrarily jack up prices" in advance of the legislation taking effect.</DIV>
<DIV>CBO analysts also said the legislation would cut <SPAN class=yshortcuts id=lw_1261261117_6>federal deficits</SPAN> by $132 billion over 10 years and possibly much more in the subsequent decade.</DIV>
<DIV>The developments unfolded on a day of improbables — a snowstorm enveloped the Capitol, creating whiteout conditions outside; while inside senators staged dueling <SPAN class=yshortcuts id=lw_1261261117_7>news conferences</SPAN> as if their presence on the Saturday before Christmas was the rule rather than the rarest of exceptions.</DIV>
<DIV>At its core, the legislation would create a new insurance exchange where consumers could shop for affordable coverage that complied with new federal guidelines. Most Americans would be required to purchase insurance, with federal subsidies available to help defray the cost for lower and middle income individuals and families.</DIV>
<DIV>In a concession to Nelson and other moderates, the bill lacks a government-run insurance option of the type that House Democrats inserted into theirs. In a final defeat for liberals, a proposed Medicare expansion was also jettisoned in the past several days as Reid and the <SPAN class=yshortcuts id=lw_1261261117_8>White House</SPAN> maneuvered for 60 votes.</DIV>
<DIV>Outnumbered Republicans unleashed a new series of attacks against the legislation and vowed to delay its passage as long as possible. The next — and most critical — test vote was set for about 1 a.m. Monday.</DIV>
<DIV>To secure passage, Democrats will need to show 60 votes on two additional occasions, and in the meantime, Reid made sure Republicans would have no additional chances to seek changes to the measure.</DIV>
<DIV>"This bill is a legislative train wreck of historic proportions," the party's leader, <SPAN class=yshortcuts id=lw_1261261117_9>Sen. Mitch McConnell</SPAN> of Kentucky, said at a news conference. He pointed to cuts to Medicare that CBO said totaled more than $470 billion over a decade, with reductions in planned payments to <SPAN class=yshortcuts id=lw_1261261117_10>home health care agencies</SPAN> and hospices. He also said the bill includes "massive tax increases" at a time of double-digit unemployment.</DIV>
<DIV>Republicans also noted that CBO concluded that under the bill, "federal outlays for health care would increase during the 2010-2019 period, as would the federal budgetary commitment to health care."</DIV>
<DIV>True to their word, Republicans objected when Reid sought permission for Nelson to announce his decision in a speech on the Senate floor, then insisted clerks read aloud 383 pages of last-minute changes the majority leader unveiled.</DIV>
<DIV>Many of Reid's revisions were designed to secure the 60 votes needed to steer the bill past the GOP filibuster.</DIV>
<DIV>Those drafted at Nelson's behest drew the most attention, and included further restrictions on abortion coverage in policies sold inside the exchanges.</DIV>
<DIV>States would be permitted to ban insurance coverage of abortions in policies sold in the exchange, except in cases of rape, incest or when the life of the mother is in jeopardy. In states where such coverage is permitted, consumers must notify their insurance company they want it, and pay for it separately.</DIV>
<DIV>The Nebraskan also won increased federal funds to cover his state's cost of covering an expanded Medicaid population at a cost that one Democratic official put at $45 million over a decade, and took credit for easing the bill's impact as well as other, smaller changes.</DIV>
<DIV>When he finally announced his decision, Nelson did so at a news conference in a Capitol corridor, rather than from his Senate desk as Democrats had preferred. Noting the bruising negotiations over abortion, he said, "I know this is hard for some of my colleagues to accept and I appreciate their right to disagree. But I would not have voted for this bill without these provisions."
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<DIV><STRONG>Senators who support abortion rights accepted the changes reluctantly, but</STRONG> <STRONG>conservative</STRONG> <STRONG>Republicans and the <SPAN class=yshortcuts id=lw_1261261117_11>National Right to Life Committee</SPAN> criticized them as a step backward from the equivalent part of the House bill. </STRONG>
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<DIV><STRONG><SPAN class=yshortcuts id=lw_1261261117_12>Rep. Bart Stupak</SPAN>, D-Mich., who pushed through the restrictions in the House-passed bill, also rejected Nelson's deal. <U>He called it "not acceptable" because it "would allow the federal government to subsidize insurance policies with abortion coverage</U>." He said he intends to keep working to find a solution that would allow him to ultimately vote for the <SPAN class=yshortcuts id=lw_1261261117_13>health care bill</SPAN>. </STRONG>
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<DIV>Nelson, Nebraska's former <SPAN class=yshortcuts id=lw_1261261117_14>state insurance commissioner</SPAN>, wasn't the only squeaky senatorial wheel within the 60-member Democratic caucus.
<DIV><SPAN class=yshortcuts id=lw_1261261117_15>Sen. Bernie Sanders</SPAN>, I-Vt., claimed credit for a last-minute, $10 billion increase in funding for <SPAN class=yshortcuts id=lw_1261261117_16>community health centers</SPAN> nationwide, which he said would create new or expanded facilities in 10,000 areas and provide primary care for 25 million more Americans.
<DIV>Sanders made an impassioned speech on the Senate floor earlier in the week on behalf of a doomed proposal for government-run health care. In an interview, he said he only agreed to vote for the legislation on Friday, when Reid told him additional billions for the health centers would be included.
<DIV>Another provision in Reid's changes provides additional federal funding for hospitals in <SPAN class=yshortcuts id=lw_1261261117_17>Montana</SPAN>, <SPAN class=yshortcuts id=lw_1261261117_18>North Dakota</SPAN>, <SPAN class=yshortcuts id=lw_1261261117_19>Wyoming</SPAN> and the Dakotas, although no cost estimate was available.
<DIV>The House passed its version of the bill in November, and final compromise talks are expected to begin after a brief break for the holidays. Numerous issues must be resolved — including the role of government in the new insurance market and abortion restrictions. But Democrats have made a point all year of compromising on difficult issues in the name of the most far-reaching changes in the <SPAN class=yshortcuts id=lw_1261261117_20>nation's health care system</SPAN> in generations, and hope to have a bill for Obama to sign before next month's <SPAN class=yshortcuts id=lw_1261261117_21>State of the Union address</SPAN> to Congress.
<DIV>In place of a government-run insurance option, the estimated 30 million Americans purchasing coverage through new insurance exchanges would have the option of signing up for national plans overseen by the same office that manages health coverage for federal employees and members of Congress. Those plans would be privately owned, but operated on a nonprofit basis, as many <SPAN class=yshortcuts id=lw_1261261117_22>Blue Cross Blue Shield plans</SPAN> are now.
<DIV>Insurance companies would be barred immediately from denying coverage to children because of a pre-existing health condition. The prohibition on denial of coverage for adults would not take effect in the Senate bill until 2014, a disappointment for consumer advocates.
<DIV>Among the changes Reid incorporated was dropping a proposed tax on <SPAN class=yshortcuts id=lw_1261261117_23>cosmetic surgical procedures</SPAN>, including Botox injections. Instead, Senate Democrats are proposing a 10 percent sales tax on tanning salons, to be paid by the person soaking up the rays. The <SPAN class=yshortcuts id=lw_1261261117_24>Food and Drug Administration</SPAN> says <SPAN class=yshortcuts id=lw_1261261117_25>ultraviolet radiation from</SPAN> tanning can increase the risk of skin cancer.
<DIV>The revised bill also calls for a .9 percent increase in the Medicare payroll tax on incomes over $200,000 for individuals and $250,000 for couples. Reid's earlier bill had a smaller hike, .5 percent.
<DIV>The bill also taxes high-cost insurance plans as part of a plan to put downward pressure on health care use.
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<DIV>Associated Press writers Ricardo Alonso-Zaldivar, Andrew Taylor, Donna Cassata and Erica Werner contributed to this story.</DIV>
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