Reading the health care tea leaves

If Scott Brown wins today (86% on Intrade), the Democrats have indicated that they will try to pass the Senate bill in the House.

That will be hard. In November, the House passed the Democratic bill by a razor-thin 220-215 margin. Bart Stupak (D-MI) and this morning Joseph Cao (R-LA) have vowed to oppose the Senate bill due to its funding of abortion. That leaves the vote at 218-217, if no other votes change.

Can the House Democrats get every single vote that they had for their own bill to vote for the Senate bill as well? Here’s what has to happen: Every single member of the pro-life Democrat coalition other than Stupak himself caves. Not a single progressive follows through on their threat to vote against a bill without a public option. (Okay, that sounds pretty likely.) Not a single vote is swayed by union opposition to the “Cadillac tax”.  And, not a single blue dog gets scared straight by the spectacle of a Republican winning the Massachusetts Senate race despite appearances by Bill Clinton and Barack Obama.

It could happen, but it doesn’t seem likely.

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