How to Combine the 2 Bills and Improve on Both

Sacrifices in store for Pelosi and Co.—and maybe for the industry
By Kevin Spak,  Newser Staff
Posted Dec 23, 2009 8:32 AM CST
How to Combine the 2 Bills and Improve on Both
House Speaker Nancy Pelosi, D-Calif., speaks during a news conference with other house leaders on Capitol Hill in Washington, Wednesday, Dec. 16, 2009.   (AP Photo/Alex Brandon)

The House will need to make a lot of last-minute sacrifices when combining its health care bill with the Senate’s, but if legislators play their cards right, the final bill could be a stronger beast. The Senate must stand by its strong cost control mechanisms, writes David Leonhardt of the New York Times. The “Cadillac tax,” the independent Medicare commission, and vouchers that give people with employer-purchased health insurance access to the exchanges are all essential.

But asking the House to accept all that and ditch the public option is asking a lot. So, in return, the House can demand that the bill go into effect in 2013 rather than 2014. It can push for a national health insurance exchange, instead of 50 state-run ones. And it can demand lower drug prices, or other industry concessions. That'll annoy the industry-friendly White House, but given the concessions the House is making, it's perfectly reasonable. (More health care reform stories.)

Get the news faster.
Tap to install our app.
Install the Newser News app
in two easy steps:
1. Tap in your navigation bar.
2. Tap to Add to Home Screen.