The prognosis for health care reform is rather guarded at the moment. House majority whip James Clyburn is saying that the House will pass the Senate bill if there are assurances that fixes will be made through a separate budget reconciliation bill. It is far from certain that the Senate will be able to do this. Reports coming out of the Senate do not sound like they are prepared to make such an arrangement to pass such fixes even though only 50 votes (plus Joe Biden as tie breaker) are needed.
Two conservative Democrats, Blanche Lincoln and Evan Bayh, have already stated they will not support a reconciliation measure. The two Senators from Connecticut, Chris Dodd (Democrat) and Joe Lieberman (Schmuck) are suggesting that President Obama use the State of the Union Address to “re-invite” the Republicans back to negotiate on health care legislation. So far the Republicans have not shown any interest in negotiating, preferring to block any legislation trying make the Democrats look like failures regardless of how much they harm the country. So far their strategy might be working.
While I am extremely pessimistic about the Republicans being willing to negotiate in good faith, if they should shock us all there could even be one benefit. Perhaps a deal could be made in which the Democrats do concede one point to the Republicans and proceed with malpractice reform. This will have a far smaller impact on health care costs than Republicans typically claim but we should not overlook any source of savings such as this which does not require reductions in care provided.