October 22, 2009

WASHINGTON — Under immense pressure from the liberal wing of his caucus, the Senate majority leader, Harry Reid, has told colleagues that he may include a government-run health insurance plan in a health care bill he will soon take to the Senate floor, Democratic senators said Thursday.

Mr. Reid’s latest thinking seemed to reflect a calculated gamble that the 60 members of his caucus could be persuaded to vote for the public plan, if it included some mechanism for states to opt out.

His decision was shaped, in part, by opinion polls showing public support for a government insurance plan, which would compete with private insurers. Speaker Nancy Pelosi said again Thursday that the House would definitely include a public option in its version of the legislation.

At a meeting at the White House on Thursday, Mr. Reid informed President Obama of his inclination to add the public option to the bill, but did not specifically ask the president to endorse that approach, a Democratic aide said. Mr. Obama asked questions, but did not express a preference at the meeting, which was called on short notice by the White House.

Just six weeks ago the public option appeared to be dying, under fierce attack by the insurance industry. A clear majority of Democratic senators favor a government-run plan. But public statements by other senators indicate that the proposal does not have the 60 votes ordinarily needed to secure Senate approval for hotly contested legislation.

Democratic champions of the public plan, like Senator Charles E. Schumer of New York, have urged Mr. Reid to take an aggressive posture, by putting the public plan in the bill and forcing opponents to try to strip it out.

“There is a growing sense that we need to lead on this issue and not wait for it to be offered on the Senate floor,” a senior Democratic aide said. “The idea is that it’s better to show some fight.”

Chris Bowers says the undecideds in the House need to hear from us ASAP:

I am receiving new information tonight that the House DOES NOT have 218 "solid' yes votes for health care reform with a Medicare +5% public option. Representative John Larson's claim earlier today that the House had the votes appear to have included at least 12, and as many as 15, Representatives who are "lean yes" votes.

Further, I am told that if the leadership does not confirm 218 "solid" yes votes by the end of the 9:30 a.m. Democratic caucus meeting tomorrow morning, they will probably include the negotiated rate public option in the bill that is sent to the floor, not the Medicare +5% public option. At the very latest, we have until 2 p.m. to get the votes.

We need another 12-15 solid votes. Based on information combined from multiple sources, here is the best chart I could put together on short notice:

Medicare +5% Target Chart

It is sorted into "lean yes," "undecided" and "lean no." I have also included the leadership.

If your member of Congress is on the list, call and leave a message tonight. We have to get through before 9:30 a.m., if possible.

If your member of Congress is not on the list, but you are represented by a Democrat, call your member of Congress and urge them to support the Medicare +5% option at the caucus meeting tomorrow morning.

If you are represented by a Republican, call either a member of the Democratic leadership or a Representative on the list who is from your state.

Call and leave a message. The campaign could really go either way depending on what happens in the next 14-18 hours.

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