Obama Trims Sails On Health Reform
He Seeks to Rally Support by Promising Less
By Ceci Connolly
Washington Post Staff Writer
August 2, 2009
Now, as lawmakers begin to flee Washington for a month-long recess, the White House team is retooling its message and strategy, hoping a more modest approach will reinvigorate Obama's signature domestic policy initiative and give him a first-year victory for Democrats to carry into the 2010 midterm elections.
Four congressional committees have approved bills, largely on party lines, that would require that every person carry health insurance, would offer credits to families and small businesses that have trouble affording coverage and would begin to realign financial incentives toward performance-based care.
A key fifth committee in the Senate is negotiating a more centrist bill, which could pave the way for a less-ambitious compromise.
By leaving the bill-writing up to Congress, Obama is better-positioned to claim success no matter which bill is adopted. Already, he has abandoned his opposition to the proposed requirement that everyone have insurance, known as an individual mandate, and signaled a willingness to consider financing schemes -- including tax increases -- that originally were not on his agenda.
Administration officials have also begun whispering a phrase used during the presidential campaign, speaking of putting the nation on a "glide path" to universal coverage rather than the insurance-for-all trumpeted by many Democrats. Though few remember, Obama never promised coverage to all 47 million uninsured Americans. A slower, phased-in attempt to cover everyone would help reduce the cost of legislation.
"Americans are asking what's in it for them, and I don't think the Democrats have responded as directly as we should on that," said Sen. Sherrod Brown (D-Ohio). With so much attention focused on the legislative brawls and missed deadlines, he said, "it looks like we're drifting."
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