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Can Obama win over moderate Senate Dems?
Unease remains for those in the middle focused on budget implications
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WASHINGTON - Even as President Obama seeks to answer Republican critics of his health care overhaul plan in Wednesday night’s address to a joint session of Congress, he has yet to close the sale with moderates in his own party.
Sen. Mark Warner of Virginia, a pro-business Democrat and former governor, said he would agree to a government-run insurance option favored by the White House — the so-called public option — only if the legislation would bring health care costs under control and promote competition.
“If we do nothing, Medicare and Medicaid costs are going to continue to explode, and it’s going to blow up the federal deficit,” he said.
Before the August recess, uneasiness among moderate Democrats emerged as three House panels raced to approve a bill. Now Senate moderates are looking to the president to explain how the legislative plan will rein in costs and keep from expanding the deficit.
Mark Pryor of Arkansas, who typically seeks to find the middle ground on issues, said Obama needed to address the budget implications of an overhaul. “It is a very difficult budget environment right now,” the second-term senator said, adding that people want a health care overhaul crafted “in such a way that it doesn’t break the bank.”
Begich, the first Democrat to represent his state in the Senate in almost three decades, said he hopes that the president will help him “feel more comfortable” about how legislation would preserve coverage for those who are already insured and will reiterate his support for making sure that pre-existing conditions do not disqualify an individual from coverage. And, Begich said, he wants clarity on where the president stands on the issue of a public option.
Evan Bayh of Indiana, who on fiscal matters often strays from the Democratic party line, agreed that the president needs to address how a health care overhaul would contain costs.
“I think cost control is the major issue, both how do we slow the increases in costs for American families and businesses and how do we deal with the deficit, which is being driven — in significant part — by the rising cost of health care,” said Bayh, who is also a former governor. “So that’s number one. I hope he focuses on what we can do to make it not only more affordable, but more secure and stable for the 85 percent of Americans who have coverage.”
Throughout the August recess, a number of moderate Democrats called for a health care overhaul plan that focused on reining in costs and spending less. Some, such as Bayh and Mary L. Landrieu of Louisiana, expressed strong skepticism about inclusion of a public option.
Similarly, Ben Nelson of Nebraska has suggested he could only support a public option were it subject to a “trigger,” possibly akin to a plan floated by moderate Republican Olympia J. Snowe of Maine. A trigger mechanism would eventually allow a public option if private insurers did not meet targets for holding down costs and expanding coverage.
Nelson and Landrieu were among a bipartisan group of six senators who wrote Senate leaders in July, urging them to resist setting a timeline for action and to give the Finance Committee enough time to produce a bill with bipartisan support.
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