Blog2017-06-03T09:45:07-07:00

Challenges of the two bill strategy

Speaker Pelosi, Leader Reid, and their Administration allies face seven challenges in implementing the two bill strategy:

  1. Yes/no political question
  2. Yes/no reconciliation question
  3. Sequencing
  4. Money
  5. Procedural
  6. Substance & vote counting, especially in the House
  7. Timing

I have a companion post which describes the mechanics of the two bill strategy. Warning: the mechanics post is intended as a technical reference and gets into more detail than you may want.

Last August I posted a primer on reconciliation which may be helpful.


1. Yes/no political question

Irrespective of the bills’ substantive details, can Speaker Pelosi and Leader Reid convince each of 217 House Democrats and 50 Senate Democrats that it is in their crass political self-interest to vote aye (multiple times) and have a major health bill become law?

Most Democrats are from safe districts so this isn’t an issue. But there are some House Democrats who voted aye for House passage and are nervous about voting aye a second time.

Argument: You already voted aye. Your opponent this November can already run an ad against you for that vote. There is therefore no political cost to you voting aye a second time.

Response: If you vote aye a second time, the bills will become law. You are then committed to defending these laws and your votes for them through the remainder of this year (and thereafter). If you change your vote to no, the bill will not become law and you give yourself a response to that negative ad. Your message changes to “I changed my mind, and here’s why I opposed the bills.”

The crass and self-interested political question is not “Do I do additional damage by voting aye a second time?” It is “Given that my opponent will attack me for voting aye last October, am I better off (A) voting aye, having it become law, and defending it, or (B) voting no, having it not become law, and explaining why I changed my vote?”

Let’s use an extreme example to illustrate this tradeoff. Suppose you cared only about getting re-elected. Suppose you knew today that on Election Day a new comprehensive health care law would be intensely unpopular with 95% of your constituents. Clearly you would be politically better off to change your vote and explain why you did. You would still take heat for voting aye last October, but that’s true in either case. And some fraction of those 95% of your constituents would give you credit for voting no the second time and helping kill the bill. Even if all of the other 5% took retribution against you for flip-flopping, the severe imbalance in the numbers makes it politically advantageous to change your vote.

This is an extreme example, and I am not arguing it makes sense for all these nervous House Democrats to switch. I am instead making the less contentious claims that (i) there is a potential political benefit to switching from an aye to a no, and (ii) this political benefit gets bigger the less popular is a new health care law in fall of 2010.

A new law may make the anger and opposition go away. If so, the arguments for sticking with your aye vote are valid. But if you think opposition will continue to climb and intensify after a new bill is signed into law, then it may be in your narrow political interest to switch from aye to no.

Nervous House Democrats from purple districts know this, presenting a significant challenge for Speaker Pelosi.

2. Yes/no reconciliation question

Do Speaker Pelosi and Leader Reid lose any votes if they use reconciliation to pass Bill #2?

I think this is the smallest challenge of all those I list. I think the proposed process is an abuse of the intent and spirit of reconciliation. Even when made aggressively by Congressional Republicans, that argument so far does not appear to be dissuading Congressional Democrats from pursuing this path.

Still, if only two or three House Democrats who previously voted aye decide they cannot take the political heat associated with what is being labeled as a “nuclear option,” they could jeopardize the entire strategy. The vote-counting margins are so thin, especially in the House, that this procedural debate could still matter.

It also feels like this issue is still ripening. It appears the Blair House Debate and the President’s upcoming remarks this week are in part designed to provide those nervous Congressional Democrats with air cover for the process aspects of some tough votes.

It doesn’t really matter what the viewers of Fox News or MSNBC, or the editors of the New York Times or Wall Street Journal think on this point, except to the extent they influence the behavior of those swing votes in the House.

3. Sequencing

The core challenge here is to sequence three votes:

  1. House passage of the Senate-passed bill (which I call Bill #1);
  2. House passage of the new reconciliation bill (Bill #2);
  3. Senate passage of Bill #2.

(I’m glossing over working out differences between the House-passed and Senate-passed versions of Bill #2. For this purpose that’s a detail.)

Each leader wants (needs?) the other body to go first:

  • Some Democratic Senators will want to vote for a new reconciliation bill only if they are certain that it will lead to a new law. They therefore want the House to pass Bill #2 before the Senate does, so that if Speaker Pelosi can’t get the votes for Bill #2, the Senate Democrats don’t have to vote and don’t have to take any risk.
  • Some Democratic House members feel the same way about the Senate, and won’t want to vote aye for Bill #2 in case the Senate might not pass it. I would imagine more nervous House Democrats from purple districts might fit into this group. Many of these Members already feel burned from when they cast a politically damaging vote for a cap-and-trade bill that died in the Senate.
  • I expect some House Democrats will insist the Senate pass the reconciliation bill (#2) before the House passes Bill #1. They fear that, if the House passes Bill #1 unchanged and the President signs it into law, the Senate has little incentive to take any additional political risk and Bill #2 will die in the Senate. Interestingly, I can imagine both some House liberals and some more moderate House Democrats (especially the pro-life ones) falling into this group.

These dynamics definitely exist at the Member level. They may also exist at the Leader level. I wrote about the possible blame-shifting exit strategy dynamics among Team Obama, Speaker Pelosi and Leader Reid last week.

Lesson #1 in how a bill really becomes a law: The House and Senate are two separate legislative bodies that occasionally work out their differences.

Corollary: Never underestimate the potential for friction and distrust between the House and Senate, even (especially?) between Members of the same party. Former Republican House Majority Leader Dick Armey once said, “The Democrats are the opponents. The Senate is the enemy.” This sentiment exists in both parties and both bodies.

Illustrating this, here is a POLITICO article from Friday:

Still, Pelosi and Senate Majority Leader Harry Reid have been in a staring contest of sorts about who should move first on a revised health care bill. To that end, the speaker and her no. 2 prodded the Senate Friday to move forward with reconciliation.

That’s in part a sign of the distrust that has crept in between Democrats in the two chambers, with some House Democrats angry that the more moderate Senate caucus hasn’t been able to pass a liberal version of reform.

… “Yesterday took us further down the path,” Pelosi said of Thursdays summit. “Now, we’ll put something together. Harry – will see what he can get the votes for, and then we’ll go from there.”

Update: After further discussions it looks like the Speaker and Leader Reid may not have much flexibility to choose a sequence. The money problem I describe below in #4 appears unsolvable. If so, that means Bill #1 will have to pass the House (but not necessarily be signed into law) before the Senate can consider Bill #2. In addition, while there is technically a choice in which body goes first on Bill #2, I would bet heavily on the House going first. If the Senate goes first then two Senate committees need to mark up Bill #2 (Finance & HELP). That’s a nightmare.

So I predict that the likely sequence is:

  • House passes Bill #1, the Senate-passed bill.
  • The House initiates and passes Bill #2, the reconciliation bill.
  • The Senate passes Bill #2, the reconciliation bill.
  • The President signs Bill #1.
  • The President signs Bill #2.

4. Money (& sequencing again)

The Congress is still operating under the quantitative limits established by last year’s budget resolution. This will continue to be true even though Congress is now working on this year’s budget resolution. The old limits apply until a conference report on the new budget resolution is passed by the House and Senate. That would rarely happen before the mid-April statutory deadline for the budget resolution, and it’s a safe bet that Speaker Pelosi and Leader Reid will delay it as needed to avoid further complicating their health care efforts.

Still, Bill #2 must comply with the limits in last year’s budget resolution. Since the House Rules Committee can waive budget rules with a simple majority, this is probably a bigger practical challenge in the Senate, where waiving those same rules requires 60 votes (and therefore the cooperation of a Senate Republican).

There is also a vote counting dynamic that goes beyond the formal procedural limits. The President and Democratic Leaders worked hard to get CBO to say their bills reduce the budget deficit over ten years, and also over the long run. I think those claims are misleading because of factors ignored in the CBO analysis, but my view is beside the point.

The tension here is that the leaders will want to spend taxpayer money in Bill #2 to include popular provisions that engender political support from wavering Democrats. (A cynic would call this “buying votes with taxpayer money.”) Since Bill #2 is a reconciliation bill, it must reduce the budget deficit over ten years and must not increase it in the long run (I’m oversimplifying).

There is an additional and potentially fatal challenge introduced by the two bill strategy. Senate Finance Committee Chairman Baucus said it well but I’ll bracketed language to further clarify it:

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blockquote>The general rule is, if there is reconciliation, you have to amend something that is passed

[and signed into law]. You can’t amend nothing.

Let’s look at an example from my way-too-detailed post Mechanics of the two bill strategy.

Example

  • The Cornhusker Kickback is a provision in Bill #1 that increases federal spending on Medicaid for Nebraska. If this bill and provision were signed into law, and then Bill #2 contained a provision to repeal it, Bill #2 would reduce federal spending. CBO would score this as savings, which could then be spent within Bill #2 on sweeter benefits for someone without Bill #2 resulting in a net deficit increase.
  • But if Bill #1 is not yet law, then repealing a non-existent provision of law doesn’t save any money, and they won’t get scored with any savings. This means they cannot offset their other spending, and their Bill #2 will increase the deficit.

This is a huge problem. if the strategy is to hold Bill #1 until Bill #2 has passed the Senate. There may be a procedural way to work around this problem, but I don’t know it. If there is not a way around it, they may be forced to enact Bill #1 into law before the Senate passes Bill #2.

You can see how the money, procedure, and sequencing all interact to cause a potential nightmare for the Speaker and Leader Reid:

  • While there is tension about which House should pass the reconciliation bill (#2) first, it seems like an easy strategic call to save the House vote on Bill #1 until last.
  • If they cannot find a way around this scoring problem, then when the Senate considers Bill #2 it cannot get any scoring credit for deficit-reducing amendments it makes to Bill #1.
  • This makes it harder to spend money in Bill #2 to build support for it in both the House and Senate.
  • There may be other complications with trying to amend a law that does not yet exist. I’m still exploring this. In the extreme, it may mean that Bill #1 has to become law for Bill #2 to avoid 60-vote points of order in the Senate.
  • The conventional wisdom is that there’s no way Speaker Pelosi can pass Bill #1 unless her members are certain Bill #2 will become law. So far this has meant that Bill #1 has to wait for Bill #2.
  • Potential catch-22: Bill #1 must become law first for Bill #2 to survive the Senate, but House Democrats will not pass Bill #1 and send it to the President until the Senate passes Bill #2.

Press reports and my sources suggest Democrats are hard at work on this problem. I will surmise that there may be tricky procedural ways to work around it. If so, those solutions would strengthen Republican process abuse arguments, but to Democrats those have to look trivial compared to this potential problem.

I don’t understand this problem as well as I should, and procedural discussions are ongoing. I will update this section as I learn more.

Update: Further conversations convince me there is no way around this. The House will have to pass Bill #1 (the Senate-passed bill) before the Senate can consider Bill #2 (the reconciliation bill). Technically, the President doesn’t have to sign Bill #1 into law before the Senate can consider Bill #2, but that’s a minor point. I am updating my mechanics post to reflect this.

5. Procedural

I have described two procedural challenges resulting from reconciliation:

  • Bill #2 must reduce the budget deficit over ten years and in the long run, as scored by CBO. (There are more particulars which I will gloss over.)
  • Bill #2 can’t be scored right if it amends a non-existent law. This is an effect of an unusual two bill strategy.

The other two big procedural challenges are the Senate’s Byrd rule and the vote-a-rama.

The Senate’s Byrd rule

Oversimplifying, the Byrd rule precludes you from including provisions in Bill #2 (which is a reconciliation bill) that don’t affect spending or taxes. An exception is made for a provision that does not affect spending or taxes by itself but is a necessary term or condition of a provision that does.

You can ignore this limitation if you have 60 votes to waive the Byrd rule. Leader Reid will not have 60 votes to waive anything.

I have not discussed the details with experts, but I imagine this is a big challenge for the Stupak abortion provision. That debate centers around limitations the federal government would place on health insurance plans sold through new State-based exchanges, including plans that are not directly subsidized with federal dollars.

The first order test for the Byrd rule has two parts and is simple:

  1. If we remove this provision from the bill, does the bill’s score change? Does federal spending or revenues change?
  2. If we remove this provision from the bill, is there another provision that affects spending or revenues that will no longer work?

I don’t know what the discussions are with the Senate parliamentarian, but based on my experience it would seem the Stupak amendment would fail both tests. As with all Byrd rule tests, this procedural judgment is independent of anyone’s policy views. Whether the provision is good or bad policy is irrelevant to the procedural test. It does not matter whether the state exchanges would work well or as Mr. Stupak would like. They would still function without his amendment, and so it’s difficult to argue that his language is a necessary term or condition of the exchanges.

This makes me think that one of the primary challenges for Speaker Pelosi and Leader Reid looks like this:

  • Speaker Pelosi needs Mr. Stupak and his allies to vote for Bill #2 in the House.
  • To get these votes, she needs to include his amendment (or maybe some variant thereof depending on their negotiations).
  • Setting aside the separable problem of whether including his language causes other House members to vote no, let’s assume the Stupak language violates the Byrd rule.
  • Even if the House includes his language and passes the bill, that language is subject to a 60-vote test in the Senate.
  • I assume that 41 Republicans would vote against waiving the Byrd rule on the Stupak language. They would do this even though almost all of them are pro-life.
  • The Stupak amendment would automatically be removed from the bill. Ironically this probably makes it easier for Leader Reid to get 50 more liberal Democrats to vote for final passage.
  • But Bill #2 has now been changed and must again be passed by the House. How does the Speaker now get Mr. Stupak and his allies to support the bill without his language?

If my view on how the Byrd rule applies to the Stupak language is correct, then this is the most important but not the only Byrd rule consequence of a possible Bill #2. The President’s proposed new federal authority to regulate health insurance premiums might also violate the Byrd rule. I’m sure there are others.

In each case, the practical problem is more than just the loss of the policy. It’s the votes the leaders lose from Members who demand that policy change for their aye votes.

As a cultural observation, few things exacerbate institutional House-Senate tension like the Byrd rule. House leaders, Members, and staff often (justifiably) lose their cool when this Senate rule places practical limits on their ability to pass legislation in the House.

A wild card challenge to Democratic Leaders would be if Senator Byrd were healthy enough to weigh in publicly on whether reconciliation should be used for this whole strategy. A single Democratic Senator could not block the strategy’s implementation any more than could a single Republican, but the psychological effect on the Senate majority of hypothetical Byrd opposition would be devastating. Such opposition would be consistent with Senator Byrd’s longstanding views on the appropriate use of reconciliation.

For more background on reconciliation, see my post from last August: What is reconciliation?

The Senate’s vote-a-rama

I have few legacies in Washington, but one is that I coined the term vote-a-rama as a young Senate Budget Committee staffer in 1995.

Senate floor debate on a reconciliation bill is limited to 20 hours. There is no limit on amendments that can be offered. This means that, after two full days of debate and amendments, twenty hours will have expired. Any amendments which are queued up (or are then offered) are then voted on, in sequence, with no debate (in theory). In practice the Senators will often agree to precede each vote with 30 seconds of debate from the proponent and 30 seconds from an opponent.

For a normal reconciliation bill, there are anywhere from 15 to 60 amendments stacked up. Assume 15 minutes per vote when the Senate is working at top speed. The Senate spends many hours in a seemingly endless series of stacked votes. This is called the vote-a-rama.

The Senate floor is usually mostly empty. When things are really busy there might be eight or ten Senators and twice that many staff on the floor.

During the vote-a-rama you have 100 Senators and about the same number of staff on the Senate floor or in the cloakrooms for anywhere from four to fifteen or more consecutive hours.

A well-disciplined Senate majority party can defeat every amendment with a simple majority by simply voting to table (kill) each amendment. This has a slightly different procedural and political feel than defeating the amendment but the same practical effect. Still, the minority can often use the vote-a-rama to force members of the majority party to take politically tough votes. I would expect vulnerable Senate Democrats to be looking to vote with Republicans on some of these votes to avoid political risks for their campaign. This should not be too big of a challenge for Leader Reid, since he needs to hold only 50 of 59 for each tabling vote. He can allow vulnerable individual Democrats to take a walk on particularly difficult amendments.

The novel twist this time would be the possibility of a Senate Republican filibuster by amendment during the vote-a-rama. Even a single Republican could, in theory, offer an infinite sequence of amendments to each word of the bill, never allowing Leader Reid to get to final passage.

This has never happened. Even in times of extreme partisan stress over highly contentious reconciliation bills, the minority has forced a handful or two of tough votes and then allowed the reconciliation bill to move to final passage. But in sixteen years I have never seen the reconciliation process placed under as much stress as is suggested by this strategy.

This provokes two questions to which I do not know the answer:

  • If Senate Republicans continue to press their argument that use of reconciliation is abusive in this case, will they avail themselves of this tool?
  • Does Leader Reid have a procedural option to shut it down? I will guess his staff are exploring options for a ruling by the chair to shut down such a sequence if the Chair (controlled by Reid) determines the extended sequence of amendments is dilatory.

This is another area where I know only the questions.

6. Substance & vote counting

Suppose there are 217 House Democrats and 50 Senate Democrats who are willing to vote for health care reform as a political matter and to use reconciliation as a procedural matter. You still need them all to agree to the same substance and legislative text.

The primary challenge to Democratic success on the two bill strategy is getting 217 House votes for both bills. Leader Reid’s job of holding 50 votes for one bill is very difficult, but not as difficult as Speaker Pelosi’s job of rounding up 217 votes for two bills. Reid needs 50 of the 59 who voted for the Senate-passed bill. Pelosi needs 217 votes. 220 voted aye in October, but two of them are no longer in the House and Republican Rep. Cao now says he’s a no. She is playing with zero margin, or maybe less than that.

House Republican Whip Eric Cantor released a memo that describes Speaker Pelosi’s challenge in getting to 217. The key difficulty to predicting what will happen is that we don’t know how close Cantor’s memo is to the Speaker’s reality. If you pay attention to only one thing in the near future, watch what these various swing vote House Democrats say about whether they will support or oppose a reconciliation bill.

This is interesting because it’s the reverse of last fall’s legislative process. When they were operating under regular order and Leader Reid needed 60 of 60 Senate Democrats to shut down a filibuster, he had the more challenging job. (Pelosi’s job was not simple then by any measure.) This relative difficulty last fall gave the Senate [Democrats] leverage over the House [Democrats] on substance and process. This is a fundamental rule of House-Senate negotiations: if one body has only one option that can pass, that body wins in negotiations with the other. Vote counting weakness becomes negotiating leverage.

Now the vote counting weakness and therefore the negotiating leverage is reversed. In House-Senate negotiations Speaker Pelosi and the House have the upper hand over Leader Reid and the Senate for all issues on which she can legitimately claim that the issue matters for getting a particular Member’s vote. If losing a substantive issue means Leader Reid loses one of his 59 votes on Bill #2, he still has eight more to go before he jeopardizes final passage.

This is why everyone is so focused on Mr. Stupak and his allies. It also means each House Democrat suddenly has tremendous leverage over the House leaders and the President. I don’t know that many of them will be bold/stupid enough to use that leverage, but the next Cornhusker Kickback is far more likely to be for a Democratic House Member than a Democratic Senator.

7. Timing

Recent chatter is about an Easter recess deadline. That would leave the leaders four weeks to overcome all of these challenges.

Congressional recesses are useful forcing mechanisms but I won’t treat this as an absolute even if the President sets it this week. Health care legislative deadline credibility evaporated last year.

More important is how the passage of time affects general enthusiasm within the House and Senate Democratic caucus. Today it seems like they are gung ho, energized by the Blair House debate (I struggle to understand why). Will the popularity of these bills continue to slide as time passes, and, if so, how much harder will that make Speaker Pelosi’s effort to corral the votes she needs?

I have been arguing for a while that time is not the President’s friend on this legislation, and that last fall he should have pushed Congress to move much faster. While I think events have proven this argument correct, I underestimated the President’s and his allies’ willingness to press forward despite large and increasing opposition. I mistakenly thought they would have given up long ago.

(Photo credits: Hurdles by iowa_spirit_walker)

Monday, 1 March 2010|

Mechanics of the two bill strategy

I am going to describe the mechanics of the anticipated “two bill strategy” to enact health care reform using reconciliation.

If you don’t care about all this procedural mumbo jumbo you can skip this post and head over to my strategic analysis: Challenges of the two bill strategy. I intend this to be a reference post for those who want the gory details.

This is a follow-up post to What is reconciliation? (posted 5 August 2009).

Last August I wrote two other posts analyzing the prospects for using reconciliation for health care reform:

This post in effect updates and replaces those two posts for the current legislative environment.

Thanks to two experts who helped check this. I will update it to reflect suggestions and corrections from others.

Update: I think the “Bill #2 amending a bill that is not yet current law” problem is unsolvable. This changes the likely sequence. I have updated my projected sequence to reflect this.

Step by step

For this explanation I will assume success at each stage of the process, ultimately leading to President Obama achieving victory and enacting comprehensive health reform into law. The following is what I believe would be the most “normal” scenario for a highly unusual procedural path. It’s unusual not just because of the use of reconciliation, but because Congressional Democrats would be attempting to enact one substantive set of reforms spread across two bills, one of which realistically cannot change. This is procedurally novel for policy changes of this magnitude. It is also incredibly difficult to execute. You will seen so that there are many potential failure points.

There are many even more complex variants of this basic scenario. I will ignore them — this is complex enough. If you understand all of what’s below then you can understand variants of it.

I will assume that the House will go first on Bill #2 (the reconciliation bill), and that Bill #2 will pass both Houses in identical form before Bill #1 passes the House. This is a reasonable scenario but by no means the only one. I am choosing this because it is the closest approximation to “standard practice,” given an extremely unusual two bill process. Indeed, a budget problem discussed below may require the leaders to enact Bill #1 into law before Bill #2 comes to the Senate floor. For more on this challenge, please see challenge #4 in Challenges of the two bill strategy. Luckily for me, the bulk of the explanation below remains intact even if you assume a different sequence.

The hard steps are in red. The really hard steps are in bold red.

  • House and Senate Democrats negotiate a substantive agreement on health care reform that they think can get 217 votes in the House and 50 in the Senate.
    • Speaker Pelosi and Leader Reid are the ultimate arbiters and sign off on the final deal.
    • The White House may be able to help, but they don’t formally have the pen. Since we know the President will sign any bill(s) that make it to his desk, the substantive agreement of the President’s advisors is helpful but not necessary. The Administration’s role is a supporting one.
    • Speaker Pelosi needs 217 rather than 218 votes because the House is down three members, so 217 is a majority. Please see House Minority Whip Eric Cantor’s memo to get a feel for the Speaker’s vote-counting challenge.
    • For majority votes Leader Reid needs 50 Senators rather than 51 because VP Biden can break ties. On other questions (like waiving certain points of order) he still needs 60 and the VP plays no role.
    • As a formal procedural matter this substantive agreement is not essential, but they would be crazy to proceed without doing so.
  • As a part of this substantive agreement and vote-counting exercise, Speaker Pelosi and Leader Reid reach a procedural agreement on which bill goes first and which body goes first.
  • Since I think they cannot figure out a way around the Senate scoring problem, then I think this sequence is the most likely: (updated to reflect better information on the Senate scoring problem)
    • House passes Bill #1, the original Senate-passed bill.
    • House passes Bill #2, the new reconciliation bill.
    • Now that the House has passed Bill #1, the Senate passes Bill #2.
    • House and Senate conference or ping-pong Bill #2 until they have passed identical text.
    • Bill #1 is sent to the President.
    • The President signs Bill #1.
    • Bill #2 is sent to the President.
    • The President signs Bill #2.
    • (I will assume the other sequence for the rest of this explanation, not this one.)
  • I will assume they figure out a way around the scoring problem described below and sequence the bills this way:
    • House passes Bill #2, the new reconciliation bill.
    • Senate passes Bill #2.
    • House and Senate conference or ping-pong Bill #2 until they have passed identical text.
    • House passes Bill #1, the original Senate-passed bill.
    • Both bills are sent to the President.
    • The President signs Bill #1.
    • The President signs Bill #2.
  • The Leaders tell committee staff to draft the agreement as two bills:
    1. Bill #1: The Senate-passed bill is already drafted and not a word can be changed, so there is no work to be done there.
    2. Bill #2: Draft a new bill, the text of which is the agreement minusBill #1 so that if both bills become law, the substantive deal is in effect.
      • They probably draft Bill #2 as if Bill #1 has already been signed into law. Example: Bill #2 would say “Repeal the provision of law that is the Cornhusker Kickback.” Thus the President would sign Bill #1 into law creating the Cornhusker kickback, and then immediately sign Bill #2 into law repealing that provision of law. In my primary scenario, the Cornhusker kickback would be the law of the land for only a few seconds. In my fallback scenario Bill #1 is law for many days while Bill #2 moves through the process. This is one reason why the fallback scenario is so difficult.
      • They need to draft Bill #2 so it can move through the legislative process as a reconciliation bill.
      • Some in Washington are referring to bill #2 as the “reconciliation sidecar.”
  • They get CBO scoring. They then tweak the bill to make it (a) comply with reconciliation rules and (b) satisfy whatever political constraints are mandated by the votes you need to get. Assuming no change from before, this means CBO must say the bill reduces the deficit over 10 years, and that it reduces the deficit in the long run. In some cases they then have to check to make sure the CBO-induced changes have not changed their vote count. This iterative process could easily take at least a week during which all sorts of other things can go wrong.
    • One area of procedural uncertainty and therefore risk is that you would draft (reconciliation) Bill #2 to amend Bill #1. How does CBO score Bill #2, given that Bill #1 is not yet law? This could cause budget points of order (and therefore 60-vote problems) in the Senate.
      • Example: The Cornhusker Kickback is a provision in Bill #1 that increases Federal spending on Medicaid for Nebraska. If this provision were signed into law, and then Bill #2 contained a provision to repeal it, Bill #2 would reduce federal spending. CBO would score this as savings which could then be spent within Bill #2 on sweeter benefits for someone without resulting in a net deficit increase.
      • But if Bill #1 is not yet law, then repealing a non-existent provision of law doesn’t save any money, and they will not get scored with any savings. This means they cannot offset your other spending, and their Bill #2 will increase the deficit.
    • This is a major problem if the strategy is to hold Bill #2 until Bill #1 has passed the Senate. If there is a way to work around this problem, I don’t know it. If there is not a way around it, they may be forced to enact Bill #1 into law before the Senate passes Bill #2. But this causes severe tension between House and Senate Democrats because House Democrats will fear the Senate will abandon Bill #2 after Bill #1 becomes law.
    • Update: I am strengthening my view that there is no way around this. This makes my alternate sequence more likely than my main sequence. I have updated this post to reflect this scoring challenge, and therefore to assume that the House must pass Bill #1 before the Senate can consider Bill #2. The Speaker might try to play a game by holding a House-passed Bill #1 and not sending it to the President until Bill #2 has passed both the House and Senate, but I don’t think that’s her problem. Her problem is getting House Democrats who don’t trust the Senate Democrats to vote for Bill #1 before Bill #2 looks certain.
  • The House passes Bill #1, the Senate-passed bill, with at least 217 Democratic votes.
    • The Speaker might try to instruct the House Clerk to hold Bill #1 and not send it to the President until Bill #2 has passed both bodies. I don’t know for how long she can do this.
  • The House then initiates and passes Bill #2, the reconciliation bill. Assuming they solve this Senate-side scoring problem, we begin with the House passing bill #2, the reconciliation bill, with at least 217 votes.
    • The House Budget Committee formally creates an empty shell of a Bill #2 and reports it out of committee on a party line vote. There’s no real substantive markup and no amendments. The Budget Committee is just doing the formal procedural work for the bill given to the Chairman by the Speaker.
    • The Speaker gives the legislative language for the new Bill #2 to the Chair of the House Rules Committee (Rep. Louise Slaughter).
    • None of the three committees of jurisdiction need to meet or mark up the bill: Ways & Means, Energy & Commerce, or Education & Labor.
    • The House Rules Committee reports a rule that will “self-execute” to insert the new legislative language of the agreement into the text of Bill #2 as reported from the House Budget Committee.
    • The House passes this rule for bill #2.
    • The House passes bill #2.
    • Bill #2 goes to the Senate.
  • The Senate proceeds to, debates, amends, and passes bill #2 using the reconciliation process.
    • When Bill #2 arrives in the Senate, Leader Reid holds it at the desk so it is not referred to a Senate committee.
    • Reid proceeds to bill #2. This is a privileged motion, so if Republicans challenge it Reid can immediately have and win a majority vote to begin debate on the reconciliation bill.
    • (If necessary) Reid makes a procedural motion to “refer the bill to the Finance Committee and report forthwith” to satisfy reconciliation rules.
    • Neither the HELP Committee nor the Finance Committee needs to meet or mark up the bill.
    • The Senate spends twenty hours debating bill #2 and maybe voting on amendments to it. Assume 10 hours of debate per day, so this takes two full days.
      • Amendments must be germane. This is a technical term that basically means “related to something in the bill.” In a non-reconciliation bill, you can amend a bill on the Senate floor with a completely unrelated amendment.
      • Amendments cannot be filibustered.
      • During the amendment process, some elements of the bill may be stricken by the Byrd rule. I describe the Byrd rule below.
      • The Senate has a long sequence of votes in the vote-a-rama. Some are majority votes (need 51 or 50+VP to win), other point of order waiver votes require 60 to win. This is the one area where Republicans may have procedural leverage. (See #5 in Challenges of the two bill strategy for details.)
    • The Senate votes on final passage. A majority vote (51 Senators or 50+VP) wins.
    • No extended debate (aka “filibuster”) is possible at any stage in this process, but Republicans can technically offer an infinite sequence of amendments in the vote-a-rama. (See #5 here.)
  • If the Senate does not amend the House-passed version of Bill #2, then it is enrolled by the House Clerk and then is ready to go to the President. But it doesn’t yet.
  • If the Senate does amend the House-passed version of Bill #2, then the differences between the House-passed and Senate-passed versions of Bill #2 need to be worked out. Either the two bodies go to conference, or they ping pong Bill #2.
    • Conference path:
      • The Senate-passed version of Bill #2 goes to the House.
      • The House then disagrees with the Senate amendment, requests a conference with the Senate, and appoints conferees. These messages travel to the Senate.
      • The Senate insists on its amendment, agrees to the conference with the House, and appoints conferees. (That’s three formal procedural steps that each take only a few seconds.) Unlike with a non-reconciliation bill, if Republicans try to block any of these steps Leader Reid can accomplish each instantly with only a simple majority. Senate Republicans could force him through three votes, but they lack the procedural ability to block going to conference.
      • Now the House and Senate are in conference.
      • Democratic conferees from the House and Senate work out a compromise between the House-passed and Senate-passed versions of Bill #2.They ignore/shut out Republican conferees.
        • As necessary, Pelosi and Reid jointly arbitrate (or negotiate between them) any issues the conferees can’t resolve. Or Pelosi and Reid bypass the conferees and work out all the substantive differences themselves. This would be unusual but fits with the current environment.
      • All the while both Democratic leaders and their whips are checking with their members to ensure that the final conference report can get 217 House votes and 50 Senate votes.
      • Senate Budget Committee staff, supervised by Reid and Pelosi’s staff, do a Byrd bathon the agreed conference text.
        • They review the bill text and identify Byrd rule violations.
        • They check any questionable provisions with the Senate parliamentarians. This is a staff process over several days.
        • They tell the Leaders about the violations.
        • The Leaders then remove those provisions from the conference report, even if they think in theory that those provisions might be supported by 60 or more Senators. They do this because they cannot risk Senate Republicans voting strategically not to waive the Byrd rule, and because if a single provision of a conference report is stricken by the Byrd rule, the entire conference report dies and you have to start from scratch. The leaders have to be extremely risk averse in this situation.
      • Democratic leaders and whips recheck to make sure they have 217 + 50.
      • A majority of the House conferees (the Democrats) and a majority of the Senate conferees (the Democrats) sign the conference report on Bill #2.
      • One body (I’ll guess the Senate goes first, since the House vote is probably harder to win) passes the conference report, again under reconciliation protections.
        • Reid’s motion to proceed to the conference report is privileged, so it cannot be filibustered. If Senate Rs force a vote on it, Reid needs only a majority to win.
        • Ten hours of debate are allowed on the conference report, followed by a majority vote on final passage. No amendment is in order, and no extended debate/filibuster is possible.
        • Points of order can be raised, but if the Democratic staff did their job with the scoring and Byrd bath, no points of order are available against the conference report.
        • 41 Senate Rs therefore have no procedural tools to prevent a majority from passing the conference report on Bill #2.
      • The conference report on Bill #2 goes to the House.
      • With 217 or more votes, the House passes the conference report on Bill #2. The bill is enrolled by the House Clerk and then is ready to go to the President. But it doesn’t yet. The Speaker instructs the House Clerk to hold it.
    • Ping pong path:
      • The Senate-amended version of Bill #2 returns to the House.
      • The House takes it up and either passes it or amends it and send it back to the Senate.
      • The Senate either debates and passes it as is, or amends it and sends it back to the House.
      • Repeat as necessary until both bodies have passed the same text. If it returns to the Senate, the same reconciliation rules and protections apply (20h of debate, no filibustering, amendments and vote-a-rama).
      • At the end of the ping pong, Bill #2 is enrolled by the House Clerk and then is ready to go to the President. But it doesn’t yet.
  • Now that Bill #2 is ready to go to the President, the House passes Bill #1.
  • The Speaker tells the House clerk to enroll Bill #1 (the original Senate-passed bill) and send it to the President, immediately followed by Bill #2 (the reconciliation bill).
  • At a triumphal signing ceremony, the President signs Bill #1, immediately followed by Bill #2.
  • The substantive agreement for comprehensive reform is now law.

See, that wasn’t so hard. Or was it?

If you’d like you can read about the challenges of the two bill strategy.

(Photo credits: Wikipedia: Pelosi & Reid)

Monday, 1 March 2010|

What can President Obama learn from President Bush’s bipartisan successes?

Conventional wisdom says the tenure of President George W. Bush was dominated by partisanship. There were deep partisan splits over the war in Iraq, enhanced interrogation, wiretapping, the 2003 tax cuts, and Social Security reform.

This conventional wisdom ignores significant bipartisan legislative accomplishments led by President Bush. I will focus on domestic policy accomplishments.

Each of the following major laws was enacted on a bipartisan vote:

President Bush also reached across party lines to reform immigration law. His bipartisan outreach on this issue was successful, but the legislation failed due to opposition from both wings. In that effort President Bush’s team negotiated with a broad group in the Senate, led by Senator Kennedy on the left and Senator Kyl on the right. President Bush’s attempts deeply split his own party, yet he persisted until it became apparent there was not a 60 vote coalition to succeed.

I imagine some readers are skeptical of the above list so, once again, I’m going to show you some pictures. I’m going to show you a lot of pictures. I want to hammer home the Bush-bipartisan success point. I will then try to draw some lessons for Team Obama.


Let’s begin with the 2001 tax cuts to orient ourselves to the graph format.

  • Dark shading means they voted aye. Light shading means they voted no. So in the top bar in this first graph, 12 Democrats and 46 Republicans voted aye, while 31 Democrats and 2 Republicans voted no.
  • Blue shows Democrats and independents caucusing with Democrats (like Senators Lieberman and Sanders).
  • Red shows Republicans.
  • I left out those who didn’t vote, which explains why many Senate votes don’t total 100, and many House votes don’t total 435.
  • In each case I tallied the vote on final passage.
  • As always, you can click on any graph to see a larger version.

On final passage of the Bush tax cuts of 2001:

  • in the Senate 46 Republicans and 12 Democrats voted aye, while 2 Republicans and 31 Democrats voted no; and
  • in the House 211 Republicans and 28 Democrats voted aye, while 10 Republicans and 154 Democrats voted no.

It should be fairly easy to see that the 2001 tax cuts were enacted by a center-right coalition. Almost all Republicans supported the final product, and about 1 in 4 (Senate) or 1 in 6 (House) Democrats voted aye.

This bill was bipartisan largely because the Bush White House, Senate Majority Leader Lott and Senator Grassley worked closely with Democratic Senators Breaux and Baucus to craft a bill and keep moderate Democratic Senators onboard. We used the reconciliation process, and therefore had 58 votes when we needed only 51 for final passage in the Senate.

You can see that the 2001 tax cuts would not have had even a simple majority in the Senate if Republicans had acted alone. The Senate was split 50-50 at the time.


Now let’s turn to education.

This was a broad bipartisan coalition. President Bush reached out to Senator Kennedy and instructed his team to negotiate directly with Kennedy. You can see the result. This is about as bipartisan as it gets for major legislation.

The Senate was a 51-49 Democratic majority when this bill became law.


Next up, trade.

Trade Promotion Authority, formerly known as fast track, gives the President authority to negotiate trade deals with other countries and have them subject to only an up-or-down vote by Congress, rather than being amended to death. It is essential for Congress to give the President this authority if you’re to have free trade agreements.

Again you can see the center-right coalition that dominates much of American economic policymaking. This has even a little more Democratic support than the 2001 tax cuts, and slightly more opposition from protectionist Republicans. As with the 2001 tax cut, you can see that there are more economic centrist Democrats in the Senate than in the House.

This bill could not have passed either the House or the Senate with only Republican votes. A bipartisan coalition was necessary for legislative success.

This is with a 51-49 Democratic majority in the Senate.


Medicare and Health Savings Accounts are next.

Now we’re back to a Republican majority in the Senate.

Once again, President Bush, his team, and Senator Grassley worked closely with centrist Democratic Senators Baucus and Breaux to negotiate a deal. The final details were hammered out in a fierce negotiation between Baucus/Breaux and Rep. Bill Thomas (R-CA), with extensive White House support.

President Bush held a few meetings at the White House with Baucus, Breaux, and the key Republicans to strengthen the coalition and keep the ball moving forward. This bill created the Medicare drug benefit (which split Republicans) and Health Savings Accounts (which Republicans and conservatives especially like). Democratic leaders opposed this bill, but we managed to hold Democratic moderates anyway.

Once again, the winning majority coalition in both the House and Senate was bipartisan, and the bill could not have become law without Democratic support. A key vote before Senate final passage was a cloture vote, in which some of the 9 Republicans who ultimately voted no supported cloture.


Now we turn to the first major energy law during the Bush tenure.

Senators Bingaman and Baucus were key to this legislative success, which you can see was more bipartisan than some of the prior successes. The legislative process was filled with amendments and negotiations across the partisan aisle and fierce regional conflicts.

Senate Democrats split roughly equally and 75 House Democrats supported final passage. This law focused on electricity (rather than fuel), which sometimes has more of a regional policy focus than a partisan split. This bill originated with VP Cheney’s Energy Task Force, which was labeled by the Left as a dark and evil conspiracy. And yet the final legislation had significant bipartisan support.


Pension reform gets less attention than the others but is important.

I highlight this law because it is easy for pension issues to break down along party lines, with Republicans favoring management interests, Democrats favoring labor interests, and the taxpayer getting shafted. Republican committee chairmen and the Bush Administration reached across party lines to elevate the interests of protecting the pension system, future retirees, and taxpayers, battling against tremendous lobbying pressure from business and labor interest groups to relax the pension rules and allow pension plans to be underfunded.

The law was far from a complete victory for good pension policy, but it was a definite improvement over what preceded. And again, you can see the tremendous breadth of bipartisan support.


Still in President Bush’s tenure, we now shift to Democratic majorities in the House and Senate. The 2007 energy law focused on fuel.

In the 2007 State of the Union Address, President Bush proposed to increase fuel economy standards (CAFE), and to increase the mandated amount of renewable fuels (ethanol) that had to be blended with gasoline. This “energy security” proposal infuriated conservatives – the Wall Street Journal editorial page trashed us for it all year. The President recognized that, with new Democratic majorities in the House and Senate, he would have to build a different legislative coalition than had worked for him when his own party was in the majority.

The final bill was negotiated via an exchange of letters between the Bush White House and Speaker Pelosi. You can see unanimous Democratic support and Republicans deeply split, especially in the House. As with his unsuccessful immigration reform efforts, President Bush was willing to negotiate a compromise with leaders and even wingers from the other party.


Next is the early 2008 stimulus law.

Before announcing his stimulus proposal, President Bush called Speaker Pelosi and Senate Majority Leader Reid to brief them on it. They urged him to propose a broad outline rather than detailed specifics. President Bush agreed to do so.

President Bush hosted a meeting with the bipartisan / bicameral leaders to discuss the stimulus, similar in composition to the upcoming Blair House meeting. That Cabinet Room meeting was unproductive.

The President then assigned his Treasury Secretary, Hank Paulson, to negotiate directly with Speaker Pelosi and Minority Leader Boehner. The three of them negotiated a compromise that followed the President’s outline, and that the President, Speaker, and Minority Leader supported. Almost all Democrats supported the bill, as did most Republicans, but with a significant contingent voting no.


Housing reform legislation was stuck for a long time until Fannie Mae and Freddie Mac started to collapse. Then it suddenly broke free.

Again you can see the results of negotiations between a Republican President and a Democratic-majority House and Senate. The bill had unanimous Democratic support and a fairly serious split on the Republican side.


Finally we have the TARP.

The first version of TARP was negotiated by Secretary Paulson with Democratic and Republican leaders and committee chairmen in an intense and conflict-ridden negotiation. The legislation failed spectacularly on the floor of the House the first time. The President’s team then negotiated by phone with House and Senate leaders of both parties, leading to a few modifications to the original package. The Senate formed a broad center-out coalition to pass the bill easily, which then succeeded the second time around in the House.

You can see broad bipartisan support, as well as significant opposition from both parties. As with the 2007 energy law and the 2008 stimulus, the 2008 TARP was enacted with Democratic majorities in the House and Senate, with leaders from the opposite party working out compromises with a Republican President.


Now we turn to the three big domestic policy issues of President Obama’s tenure so far. We begin with the February 2009 stimulus.

Other than three Senate Republicans, the bill was passed and became law on party line votes. There were no negotiations with Congressional Republicans.


Cap-and-trade is next, but only in the House.

Eight House Republicans voted for the bill, providing Speaker Pelosi with her winning margin. A significant block of Democrats voted no.


We end with the health care bills that are the subject of this Thursday’s meeting.

Once again you can see straight partisanship.


Observations and common threads

Senate Republicans peaked at 56 votes during Bush’s tenure.

President Bush used reconciliation twice three times: once in 2001 for the bipartisan tax cuts, once in 2003 for the partisan tax cuts (not shown), and once in 2005 to cut spending.

In all other cases he had to deal with potential filibusters, occasionally from both sides of the aisle.

In Republican majority Congresses, the winning margin was often provided by Democrats, especially in the Senate.

There are at least four different versions of a bipartisan vote:

  • Unifying your own party (or nearly so) and picking off a moderate block from the minority: tax cuts, TPA, Medicare/HSAs. You do this by trying to split the other side’s moderates from their party leaders.
  • Picking up the majority of the other party, at the cost of a losing a significant block from your own side: 2005 energy, TARP. You do this by negotiating with the other party’s leaders.
  • Working with the majority of the other party and getting all of their side while your own side splits deeply: 2007 energy, 2008 stimulus, housing. You do this by negotiating with the other party’s leaders when they’re in the majority.
  • Near consensus: No Child Left Behind, Pension Protection Act (in the Senate). You do this by negotiating with everyone. Miracles occasionally happen.

Why did Bush succeed at enacting bipartisan legislation?

I assume that some on the Left will say the Republican minority is now far more unified, partisan, and obstinate than the Democratic minority ever was. I think this is silly. Whatever you think of Republicans, they’re not that unified. I’m reminded of the organized crime boss in the movie Sneakers: “Don’t kid yourself. It’s not that organized.”

I believe there are six keys to President Bush’s bipartisan legislative successes:

  1. He sometimes reached out to Congressional Democrats and negotiated directly with them, even at the expense of upsetting his Congressional Republican allies.
  2. He knew how to count votes, and when not to rely on a razor-thin partisan margin for victory.
  3. He knew how to nurture existing bipartisan discussions and alliances in Congress and turn them to his own advantage.
  4. He was willing to preemptively split his own party when necessary to get a deal.
  5. He knew when and how to split the other party, negotiating with Democrats who were potential supporters of a compromise and isolating those who would oppose a deal no matter what.
  6. He and his allies generally stuck with a traditional legislative process, which builds credibility and makes members feel they are getting their fair shot, even if they lose a vote.

President Obama needs to learn each of these lessons if he wants to succeed as President Bush did.

  • President Obama explains that his proposals include {modified versions of) Republican ideas. That’s not how you bring the other party on board. You can end up at the same place by bringing members of the other party into the room and negotiating with them. Then they (in this case, Republicans) have ownership of the compromises and are more likely to support the final product. The way you get someone to agree is by bringing him into the room and negotiating with him (or her). Make the other guy feel like he got a win.
  • For a year he tried to enact legislation by relying on a universe of 60 votes from which he needed 60. That’s nearly impossible to do on any important issue, especially when you simultaneously provoke the other 40 to stand firm by shutting them out.
  • On health care he undercut Senate Finance Committee Chairman Baucus, whose bipartisan “Gang of Six” had the best chance to negotiate the core of a bipartisan compromise. Recently Leader Reid blew up a Baucus-Grassley deal on the jobs bill, further poisoning the water for any potential future bipartisan efforts. No Senate Republican can now have confidence that any Democratic committee chairman has the authority to negotiate a binding deal. Why should Republican Sen. Lindsey Graham enter into bipartisan cap-and-trade negotiations after he saw what Reid did to Baucus-Grassley?
  • President Bush alienated a significant share of his own party when he announced his 2007 energy proposal, his 2008 stimulus proposal, immigration reform, and the TARP. On cap-and-trade and especially health care, President Obama has instead tried to hold onto his left wing as long as he possibly could, making the inevitable break even more painful and losing the ability to demonstrate to Republicans that he is willing to make hard choices in his own party to bring Republicans onboard.
  • Bipartisan doesn’t always mean negotiating with the leaders of the party. You have to know when to negotiate with the opposition leaders, when to negotiate with a winger from the other party (e.g., Bush-Kennedy on education, or Bush-Kennedy-Kyl on immigration), and when to try to pick off a few moderates from the other party to squeak out your margin of victory. Other than Speaker Pelosi picking off eight House Republicans for cap-and-trade, Team Obama and Congressional Democrats have failed with each of these tactics. But have they actually tried?
  • The traditional legislative process creates legitimacy within the halls of Congress. Committee markups, bipartisan negotiations, open amendment processes, and traditional open conferences are processes that create predictability, order, and a sense of fair play. It is much easier to cultivate members of the minority party when they perceive you are playing by the rules. Team Obama and their allies repeatedly try to bypass the rules, creating new substantive products behind closed doors and relying upon nontraditional legislative processes. This undermines both public confidence and the minority’s willingness to play ball. If Senator Reid were to allow floor amendments to be offered to major legislation, even amendments he might lose, he might not face quite so many filibusters and failed cloture votes.

If President Obama wants bipartisan legislative success, he could learn a few things from his predecessor.

(photo credit: Official White House photo by Eric Draper)

Tuesday, 23 February 2010|

The President’s new health care proposal

While I oppose the President’s health care proposals (old and new), I have to give the White House staff credit for a slick new website in advance of Thursday’s Blair House health care debate.

I will highlight a few policy elements of the President’s new proposal, then turn to tactical analysis.

Major changes in the President’s proposal

  1. Like the Senate bill, the President’s proposal would raise taxes on wages by 0.9 percentage points for individuals with incomes > $200K and families with incomes > $250K. In addition, the President’s new proposal would impose a 2.9 percent tax “on income from interest, dividends, annuities, royalties, and rents” for those with income above $200K (individuals) and $250K (families). Flowthrough income from ownership in a small business or partnership would not be subject to this tax.
  2. The President’s proposal delays the taxes on pharmaceutical and health insurance companies. It appears (but we can’t be certain) that they intend to raise the same amount of revenue from these industries, meaning that the per-year tax would go up.
  3. The “Cadillac tax” has been delayed to begin in 2018 and the threshholds would be $27K for families (as opposed to $23K in the Senate bill). The Senate-passed levels were so high as to be absurd – they would apply to almost no one. This exacerbates that problem. No word on whether union plans are still exempt.
  4. The President would create a new federal Health Insurance Rate Authority “to provide needed oversight at the Federal level and help States determine how rate review will be enforced and monitor insurance market behavior.” Health plans would therefore be subject to state and federal rate regulation. I presume this is a reaction to the recent California/Anthem premium hike story.

Strategy and tactics

Far more interesting than the substance of the new proposal (which is excruciatingly detailed) is trying to understand what Team Obama is trying to do with it.

Speaker Pelosi released a statement that she “look

[s] forward to reviewing it with House Members.” I can’t find anything from Senate Majority Leader Reid yet.

POLITICO reports that White House communications director Dan Pfeiffer said:

We view this as the opening bid for the health meeting. … We took our best shot at bridging the differences. We think this makes some strong steps to improving the final product. Our hope is Republicans will come together around their plan and post it online.

Q: Whose opening bid? The President’s? Or Democrats’?

I struggle to understand how the President’s new proposal is relevant to any serious attempts at legislating if he cannot deliver either House or Senate Democrats in support of it. Maybe this is the first part of a well-coordinated strategy in which Pelosi and Reid press their own members to line up behind the President’s proposal. Or they could just be winging it again.

One week ago I wrote about four possibilities for what the President might be trying to accomplish with the Blair House meeting:

  1. If he thinks a Democrat-only deal is possible, then they’ll need to use reconciliation to pass a bill. The meeting is to set up that hardball legislative process by demonstrating that Republicans are uncooperative.
  2. If he thinks no Democrat-only bill is possible, then he may be looking to set up Republicans as the fall guy for his exit strategy.
  3. He may want to begin negotiations with Congressional Republicans.
  4. He doesn’t have a game plan.

Speaker Pelosi’s comment suggests that (1) does not yet apply. If you’re about to coordinate with House and Senate Democrats and ram through a compromise using reconciliation, you need to have a unified proposal. The point of the Blair House meeting would be to highlight obstructionist Republican behavior and justify hardball procedural tactics. If Democrats aren’t unified behind the President’s substance, then Republican opposition is once again irrelevant.

House and Senate Democratic leaders have been signaling to their friends to get ready for a big partisan reconciliation push. Doing so requires substantive agreement, at least between Pelosi and Reid. That substantive agreement clearly does not yet exist.

Somebody in the Administration put a lot of work into this proposal. It is extremely detailed, and it reads like a best effort to find a fair middle ground between two warring legislative bodies. All that substantive work is subsumed by the apparent lack of strategic coordination and substantive agreement with Members of his own party. The President’s staff appear to be trying to set up the Blair House meeting as a partisan debate, but Democrats are not yet unified. Maybe the pressure of the Blair House meeting will bring Democrats together on substance?

I will believe that a reconciliation push is going to happen only when (a) Pelosi and Reid both definitively say that it will, (b) they announce agreement on a substantive proposal, and (c) a House floor vote has been scheduled. Until then it’s just bluster. For now I continue to believe there’s a 90% chance of no law.

This strengthens my argument from last week that this Thursday Congressional Republicans should show up, propose ideas of their own, and respectfully critique the various plans. Republicans should come with their own reform ideas but should not feel obliged to unite behind a single Republican proposal. They should also ask Speaker Pelosi and Leader Reid if each supports the President’s proposal as a legislative compromise. If Team Obama wants to highlight the partisan differences and Republican obstruction, then the Republicans should want to highlight their positive reform ideas, their problems with the Democratic proposals, and ongoing Democratic disunity.

Blame-shifting exit strategies?

It is possible that we are witnessing uncoordinated Democratic leaders each pursuing their own exit strategy in anticipation of legislative failure:

  • The President proposes a “compromise” and blames Republicans for being unreasonable and unconstructive. Legislative failure is the Republicans’ fault, not the President’s.
  • Speaker Pelosi continues to press for a two bill strategy in which the House and Senate will pass a new reconciliation bill. If the Senate cannot or will not do so, legislative failure is the Senate’s fault, not the House’s or Speaker Pelosi’s.
  • Supported by outside liberals, Leader Reid points out that the House could just take up and pass the Senate-passed bill. Legislative failure is therefore not his fault or the Senate’s.

Each of these strategies is consistent with telling your allies that you’re continuing to push forward, right up until the moment you give up and blame someone else. Of these hypothetical blame-shifting rationalizations, the President’s would be the weakest. It is common knowledge that Republicans have no procedural authority to block either Speaker Pelosi’s two bill strategy, nor to prevent the House from taking up and passing the Senate-passed bill.

Maybe they’re almost ready for a big partisan legislative push using reconciliation, leading to a triumphant partisan signing ceremony at the White House. Maybe the “Never give up, never surrender!” comments from the President and Speaker Pelosi over the past month are preparation for a stunning legislative victory.

I’m still in the maybe not camp.

Monday, 22 February 2010|

Six good Obama economic policies

I have been fairly aggressive in my recent criticism of the Administration. I figure it’s time I say something positive about good things they are trying to do.

Here are six of President Obama’s economic policies that I support. Several come with caveats.

  1. Make
    [some of] the Bush tax cuts permanent: The President proposes to make permanent the individual income tax rate cuts enacted in 2001 and 2003 for the 10%, 15%, 25%, 28%, and part of the 33% brackets. This is good.
    • Caveat: He proposes to allow the other part of the 33% bracket to increase to 36%, and for the 35% bracket to increase to 39.6%. I oppose this.
  2. Index the Alternative Minimum Tax: The AMT is screwed up. For the past ten years Congress has annually “patched” the Alternative Minimum Tax so that it doesn’t affect millions of new taxpayers. The President proposes to permanently indexing the current AMT parameters for inflation. This is good.
  3. Slow out-of-control health care cost growth: The President argues that cost growth is the core problem to be solved by health care reform. Out-of-control health care cost growth (1) leaves those with health insurance with less money available for other things; (2) prevents millions of people from being able to afford health insurance; and (3) contributes to the unsustainable growth of Medicare and Medicaid spending. The Beltway health care reform debate usually focuses on only the uninsured, ignoring the other symptoms and, more importantly, the underlying cause. Kudos to the President.
    • Caveat: Despite his Administration’s claims, the President did not propose policies that would have significantly slowed this cost growth. He identified a problem and then did not propose an effective solution.
    • Caveat: Congress ignored the President’s problem definition and again just tried to expand taxpayer-financed coverage for the uninsured.
    • Caveat: The pending legislation would dramatically increase long-term health care spending through the expansion of third-party payment for health insurance.
  4. Slow the growth of Medicare spending: The President has proposed modest policy changes to slow the growth of Medicare spending. Medicare spending is unsustainable and its growth must be slowed to prevent fiscal collapse.
    • Caveat: We need to slow Medicare spending growth even more than the President has proposed.
    • Caveat: He proposed to spend those savings on a new health care entitlement, undoing all the fiscal policy good of slowing spending health care growth. <forehead slap>
    • Caveat: I would slow the growth of different parts of Medicare. The President is primarily squeezing Medicare Advantage plans. I would make beneficiaries pay higher cost-sharing and have more means-testing, and I would squeeze fee-for-service Medicare providers (hospitals, physicians and nurses, nursing homes, home health providers, medical equipment providers, the whole ball of wax).
  5. Approve Free Trade Agreements with South Korea, Panama, and Colombia: In this year’s State of the Union the President said “We will strengthen our trade relations – with key partners like South Korea and Panama and Colombia.” These are the three nations with whom the U.S. has Free Trade Agreements pending Congressional approval. I assume with this language the President means he will submit to Congress these three FTAs and push Congress to enact them this year. This is good and long overdue.
    • Caveat: If he means something else by “strengthen our trade relations” then he’s playing a game.
    • Caveat: I’d like to say the same thing about the global free trade negotiations based in Doha, but his language was so vague I cannot draw a positive conclusion.
    • Caveat: He did almost nothing to advance free trade and free capital flows in his first year.
  6. Expand nuclear power: The President now supports the expansion of nuclear power: “And we’re going to have to build a new generation of safe, clean nuclear power plants in America.” His recent budget proposed significantly expanding financial support for the construction of new nuclear power plants.
    • Caveat: He opposes using Yucca Mountain in Nevada as a repository for nuclear waste but offers no alternative solution.
    • Caveat: Some suggest his support is contingent on enactment of a cap-and-trade bill. I see no evidence of this.

The packaging caveats in (1) and (4) are important. If Congress packages policy changes to slow Medicare spending growth with policies to increase health spending, then the result is worse than doing nothing. Similarly, if the legislative result of making some of the Bush tax cuts permanent is to cause other tax rates to go up, that’s bad.

(photo credit: Official White House photo by Pete Souza)

Saturday, 20 February 2010|

The Blair House debate

The President has invited Congressional leaders to the Blair House ten days from now to discuss health care reform. While the press has labeled it a summit, it has much more the feel of a televised debate, a kabuki dance played out for the cameras.

I am having difficulty understanding what the President is trying to accomplish with this meeting. Four possibilities are:

  1. If he thinks a Democrat-only deal is possible, then they’ll need to use the reconciliation process to try to pass a bill without Republican help. If the President can portray Congressional Republicans as uncooperative, he may be able to mitigate anticipated Republican process complaints from implementing a partisan two bill strategy. “I tried to work with Republicans, but they wouldn’t work with me. They left us no alternative but to use reconciliation to pass a new bill through the House and Senate on a majority vote.”
    • If this is the primary purpose, then the meeting is not about the substance, but instead about Democrats trying to make Republicans look unreasonable to influence press coverage and public opinion, and to calm Congressional Democrats as they embark on a risky partisan legislative path. This is a cynical view of a potentially important meeting.
  2. If he thinks no Democrat-only bill is possible, and if he thinks no Republicans can be brought around to support a bill, then he may be looking to set up Republicans as the fall guy for his exit strategy. Liberals will be furious if the President, Speaker Pelosi, and Leader Reid abandon their efforts to pass legislation. If he can somehow shift the blame to Congressional Republicans, then at least he gets an election-year benefit from legislative failure.
    • I don’t think this works because everyone knows that two Democrat-only legislative options exist: (1) the House could in theory pass the Senate-passed bill, or (2) the two bill strategy can be implemented using the reconciliation process. If the Democratic votes are there, either option works procedurally, even in the face of unanimous Republican opposition. If he cannot pass a Democrat-only bill through the Congress, it would again be because he could not hold 218 House Democrats and 50 (+VP) of 59 Senate Democrats. This procedural reality makes it hard to credibly blame Republicans for not getting a signed law.
  3. He may want to begin legislative negotiations with Congressional Republicans.
    • If this is his goal he is going about it all wrong. The invitation letter sets up a structure of confrontation and nowhere mentions bipartisanship, inclusion, or compromise. The tone of the letter is horrible. It reads like an invitation to a televised debate rather than an attempt to find common ground. In parallel to the meeting, Speaker Pelosi and Leader Reid continue to work behind closed doors to build a Democrat-only substantive compromise and procedural path, causing key Congressional Republicans to suspect the Blair House meeting is either meaningless or a trap. Leader Reid scuttled a bipartisan Baucus-Grassley “jobs” bill compromise late last week, further undermining any remaining Republicans who might try for a compromise. If the President hopes in this meeting to foster bipartisanship on health care reform, he is setting himself up for failure.
    • Yes, this perspective is skewed based on my partisan affiliation and policy views. Even if you believe the lack of bipartisan progress so far is entirely the fault of Congressional Republicans, that does not change the reality that Republicans are approaching this meeting convinced that it is a confrontation or a trap. Whomever you choose to blame for that, the setup of the meeting discourages anyone in either party who might be interested in building bipartisanship. I see almost no possibility that bipartisan progress results from this debate.
  4. He didn’t have a specific game plan when he announced the invitation, but he knows he performed extremely well when he sparred on camera with House Republicans a few weeks ago. He is recreating a similar environment, one even more favorable to his strengths. Whatever his goal, he knows that a partisan conflict in this environment will likely play in his favor on camera.
    • This seems like the most reasonable explanation.

The President’s new proposal

The invitation letter from White House Chief of Staff Rahm Emanuel and HHS Secretary Kathleen Sebelius says the President will “post online the text of a proposed health insurance reform package.” House and Senate Democratic leaders have so far been unable to negotiate a compromise. What will the President propose?

  • If there is a Pelosi-Reid-Obama substantive deal by the 25th, then it’s easy and ideal from the President’s standpoint. He can tell the Republicans, “Here’s the deal. I’ll tweak it for you to get your support. Otherwise we’ll pass it with only Democratic votes using reconciliation.” Democrats have so far been unable to close such a deal and round up 218 + 50 votes for it. I’ll give them a 3-5% chance of success before the 25th. It should be lower, but I think they deserve some credit for bull-headed perseverance.
  • If there is not a Pelosi-Reid-Obama agreement by the 25th, then what will the President propose?
    1. Something midway between the House-passed and Senate-passed bills? If so, then Republicans can just reject it (easy for them, since they opposed both endpoints of that negotiation) and turn the focus back to disagreements between Pelosi and Reid. In the meeting Republicans could ask Congressional Democrats if they support the President’s new proposal and if they have the votes for it, and likely watch it break down in intra-party squabbling.
    2. The President could make concessions to Republicans in his proposal, even if they are only token concessions. In doing so he would risk angering Speaker Pelosi and Leader Reid, whose help he needs to pass a bill.

I am perplexed by the Emanuel/Sebelius commitment. The letter also challenges Congressional Republicans to offer their own proposal. Again, this makes sense if Team Obama is looking to embarrass Congressional Republicans for not having a unified substantive proposal transparently available to the public. I struggle to think of another context in which this idea makes sense for the President.

What should Republicans do?

I think that good policy is also good politics for Republicans. Even if they take the most cynical view of the Blair House meeting, I recommend they take the invitation at face value and attempt to participate constructively.

  • Show up as invited.
  • Focus your public comments on substance more than process. Republican leaders are spending too much time on a “start over” message. I would instead talk about why you oppose the House-passed and Senate-passed bills, and how you are open to any legislative process and solution that addresses those problems. Since the policy problems are core to the bill, you achieve the same effect, but you will be getting your substantive message out rather than looking like you’re bickering over process.
    • The bills create a nearly trillion dollar entitlement program when we know that entitlement spending drives our long-term budget problem.
    • The bills slow the growth of Medicare spending (a good thing) but then turn around and respend that money on a new spending program (bad).
    • Health insurance would essentially become a governmental function, even without a public option.
    • More decisions about the costs and benefits of various medical procedures and treatments would be pushed away from individuals and toward government officials.
    • National health spending would increase. Health premiums would increase for most who have employer-based health insurance today. The cost control measures, weak as they were, have been further watered down to the point of irrelevance.
    • The bills are filled with targeted benefits and carve-outs: especially the Nebraska and Louisiana Medicaid deals, exempting unions from the Cadillac tax, and carve-outs for certain Blue Cross / Blue Shield plans.
  • Offer a wide range of substantive health policy changes (to current law, not to the bill), but do not feel obliged to have a single unified Republican proposal. It’s critical that Republicans step up and offer policy solutions, but they don’t have to be afraid of admitting that they are not unified as a party on those solutions. Different Members can push for different reforms: talk about medical liability reform, buying insurance across state lines, replacing the current law tax exclusion with a deduction or a credit, high risk pools, association health plans, health savings accounts and high deductible health plans. Republicans need to be aggressive in pushing positive policy ideas for health policy reform, even if they disagree amongst themselves. Embrace the differing views within the big tent, and use those differences to make your argument for an open amendment process.
  • Hammer home that this should have been a legislative debate and process among multiple options, rather than a take-it-or-leave-it or option A vs. option B exercise.
  • Aggressively push back on anyone who suggests this is “reform vs. status quo.” And push back on anyone who insists that reform must be all-or-nothing.
  • When in doubt, shift the camera’s focus to your disagreements with Congressional Democrats, who will be a far easier opponent in a public snowball fight than the President.

When he announced this invitation the evening of the Super Bowl, the President bought himself nearly three weeks of breathing room. If the meeting fulfills my pessimistic expectations, I would expect a lot of partisan finger-pointing in the days following. Team Obama, Speaker Pelosi, and Leader Reid will then be back in the hot seat as they struggle to answer the question, “OK, so what are you going to do?”

(photo credit: No room at the inn by afagen)

Monday, 15 February 2010|

Medicare: Krugman v. Gingrich, and Krugman v. Ryan

For background on Medicare fights, please see my post The Medicare battle begins anew.

In his column today Dr. Paul Krugman attacks former Speaker Newt Gingrich and think tank chief Dr. John Goodman for the Medicare section of their Wall Street Journal op-ed. He then proceeds to attack Rep. Paul Ryan, ranking Republican on the House Budget Committee.

Krugman v. Gingrich/Goodman

In their op-ed “Ten GOP Health Ideas for Obama,” Newt Gingrich and John Goodman write:

Don’t cut Medicare. The reform bills passed by the House and Senate cut Medicare by approximately $500 billion. This is wrong. There is no question that Medicare is on an unsustainable course; the government has promised far more than it can deliver. But this problem will not be solved by cutting Medicare in order to create new unfunded liabilities for young people.

Dr. Krugman quotes only the first three sentences, losing the context:

‘Don’t cut Medicare. The reform bills passed by the House and Senate cut Medicare by approximately $500 billion. This is wrong.’ So declared Newt Gingrich, the former speaker of the House, in a recent op-ed article written with John Goodman, the president of the National Center for Policy Analysis.

And irony died.

Now, Mr. Gingrich was just repeating the current party line. Furious denunciations of any effort to seek cost savings in Medicare – death panels! – have been central to Republican efforts to demonize health reform. What’s amazing, however, is that they’re getting away with it.

Speaker Gingrich and Dr. Goodman could have better insulated themselves from Krugman’s attack if their first italicized sentence had read, “Don’t cut Medicare to finance an expensive new entitlement.” I disagree with them in the way they have written it. It is not wrong to “cut” (slow the growth of) Medicare. It is wrong to do so if you are turning right around and spending those savings on a new spending program, leaving our long-term fiscal situation essentially unchanged.

They are doing what some Congressional Republicans did during the health care debate – take the most politically effective elements of a legitimate policy position on Medicare, and use them to attack the pending health care legislation. In doing so they help keep ObamaCare dead, but at the cost of weakening the Republican position on Medicare and undermining our ability to address long-term budget problems.

They cover themselves with their “unsustainable course” sentence, but they make it easy for Dr. Krugman and others to frame their position as one of irresponsible opposition to doing anything to address our the long run fiscal challenge. Many Congressional Republicans did the same thing, falsely wrapping themselves in the cloak of “protecting Medicare” when in fact in a deficit-reduction context they would probably make more significant changes to Medicare than those contained in the pending health care legislation.

I think Speaker Gingrich and Dr. Goodman are right on policy but are trying to be too cute on the politics. While it’s probably effective, they expose themselves unnecessarily to attacks from the left. And the language they used undermines responsible Republicans who want to push for long-term Medicare reforms.

Unsurprisingly, Dr. Krugman is in the vanguard of those attacks, and he is once again over the top.

Krugman v. Ryan

I wish that Speaker Gingrich and Dr. Goodman were not trying to play the senior card against ObamaCare, especially now that it’s dead. Dr. Krugman attacks them for doing so, and then immediately does the same to Rep. Paul Ryan for being responsible. Dr. Krugman is attacking the Medicare component of Mr. Ryan’s “Roadmap for America’s Future.”

In the same column, Dr. Krugman goes way beyond Gingrich/Goodman in his use of inflammatory scare language:

… people would receive vouchers and be told to buy their own insurance … this new, privatized version of Medicare would erode over time … there wouldn’t be much of a Medicare program left … In short, there would be Medicare cuts.

So much for subtlety.

1. The size of changes

Stepping back a bit:

  • President Obama and Paul Ryan agree we need to significantly slow the growth of Medicare spending to address our long-term fiscal situation.
  • They differ on what should be done with the savings. The President wants to spend the savings on a new entitlement. Mr. Ryan wants to address our long-term deficit spending problem.
  • They also have different ways of changing the way Medicare works.
  • Dr. Krugman is attacking Mr. Ryan for the structure he proposes for Medicare. I imagine most Democrats would agree with the policy critique if not the inflammatory langauge.
  • Dr. Krugman is also attacking Mr. Ryan for the magnitude of the changes he wants to make – how much he wants to slow Medicare spending growth. But in this respect, he is attacking a rough Obama/Ryan agreement. Dr. Krugman is the irresponsible one here, not Obama/Ryan.

The policy reality is that if we are to prevent a massive debt explosion, unprecedented tax increases, and/or the destruction of other federal spending programs, Medicare’s spending growth will have to be dramatically curtailed from its current unsustainable 6.6% average annual growth rate. Medicare’s cost to taxpayers this year will be $25 B larger than last year. The one-year increase in Medicare spending exceeds this year’s spending on any of the following:

  • total federal spending for child nutrition ($17 B) and foster care ($7 B);
  • agriculture subsidies ($21 B);
  • NASA, space science and space flight ($19 B); or
  • higher education ($20 B).

Every time Dr. Krugman, Speaker Gingrich, or Dr. Goodman say “cut Medicare” to describe a proposal that would merely slow its growth, they contribute to our long-term deficit problem, the likelihood of future tax increases, and the pressure on other purposes of the federal government. Responsible policymakers on both sides of the aisle need to elevate the debate and agree that Medicare spending must be slowed, even as we debate how best to do that and whether those changes should be combined with other spending increases.

2. How to change the structure of Medicare

Dr. Krugman also attacks Mr. Ryan’s structural reforms for Medicare. The modern Medicare program consists of two different structures.

and

 

Dr. Krugman, the Obama Administration, and Congressional Democrats want to move more Medicare beneficiaries into the first structure, fee-for-service Medicare. Were this model applied to everyone, we’d call it a single payer system. The government directly interacts with providers of health care goods and services. It pays those providers and it regulates them. The functions of insurance are contained within the government. This allows the government and policymakers not just to pool risk, but to redistribute the costs of that risk among beneficiaries.

Mr. Ryan and most Congressional Republicans want over time to move Medicare to the second structure, now called Medicare Advantage. This is a parallel to our employer-based health insurance system, in which the payer (in Medicare’s case the government, for working people their employer) pays premiums to a risk-bearing private health insurance plan. The plan then interacts with providers of health care goods and services, negotiating payment rates with them and “regulating” them through contract terms. One huge advantage of this system is that a private firm is much better able to adapt to changes in medical care. The government is slow, bureaucratic, and vulnerable to political pressure.

Today new seniors are enrolled in fee-for-service Medicare and have to choose to switch into a Medicare Advantage plan. The Ryan plan would say that, over time, new senior citizens would be enrolled in Medicare Advantage. I wonder if Dr. Krugman dislikes the “voucher” he gets now from his employer (the New York Times or Princeton), “forcing him to buy his own insurance?”

3. Means-testing

Finally, Dr. Krugman attacks the Ryan plan for increasing the means-testing in Medicare. Mr. Ryan wants to focus whatever amount of money is spent on those who are least able to afford paying. Dr. Krugman instead wants to subsidize everybody.

Dr. Krugman claims “By the time Americans now in their 20s and 30s reached the age of eligibility, there wouldn’t be much of a program left.” This is an absurd claim. Under the Ryan plan, per capita Medicare spending would grow over time. Dr. Krugman further argues that “the value of these vouchers would almost surely lag ever further behind the actual cost of health insurance.” He apparently fails to understand that the “actual cost of health insurance” grows over time in large part because private sector payers follow Medicare’s lead in setting provider payment rates. In addition, both the Medicare benefit and private health insurance benefits improve over time as new, more expensive procedures and technologies are added.

4. The usual Krugman ad hominem conclusion

Dr. Krugman concludes:

The bottom line, then, is that the crusade against health reform has relied, crucially, on utter hypocrisy: Republicans who hate Medicare, tried to slash Medicare in the past, and still aim to dismantle the program over time, have been scoring political points by denouncing proposals for modest cost savings – savings that are substantially smaller than the spending cuts buried in their own proposals.

And if Democrats don’t get their act together and push the almost-completed reform across the goal line, this breathtaking act of staggering hypocrisy will succeed.

He apparently fails to realize:

  • Democrats are not a unified block. They have different interests and different views on how, and even whether, to enact health reform.
  • Health care reform died a few days after Senator Scott Brown won the Kennedy seat.
  • Republicans are not a unified block. Yes, some are using senior scare politics to try to kill an already-dead health care bill. I think they should not do this.
  • Others like Rep. Paul Ryan are both attacking ObamaCare for fiscal and health policy irresponsibility, and at the same time pushing constructive policy solutions that would address our long-term fiscal challenges.

We need more serious policy debates and fewer spitting matches. Kudos to Mr. Ryan for playing offense and defense. Pushing good policy often involves political risk, but what’s the point of being in office if you don’t actually solve our most important policy problems? I hope more elected Republicans follow Mr. Ryan’s lead.

(photo credit: Wikipedia)

Friday, 12 February 2010|

The Medicare battle begins anew

I like to oversimplify the Medicare debate into three questions:

  1. Do you think we need to slow the growth of Medicare spending?
  2. If yes, what should we do with the savings?
  3. How should we change Medicare to slow the growth of its spending?

I will address the first two questions in this post by creating a 2X2 box:

We should use Medicare savings to offset new entitlement spending We should use Medicare savings to reduce future deficits
We must slow the growth of Medicare spending Obama
Democratic Congress
Rep. Paul Ryan
Sen. Judd Gregg
Hennessey
Some Republicans, especially younger ones
We should not slow the growth of Medicare spending AARP
Hospitals, doctors, nursing homes, drug companies, health insurers
Other (scared) Republicans

Yes, AARP’s position is nonsensical. I’ll come back to that.

Medicare spending this year will be $516 billion. Seniors will pay about $78 B in premiums, and taxpayers will pay the other $444 B, making it the second largest item in the federal budget after Social Security (at about $700 B). The taxpayer cost of Medicare is projected to grow about 6.6% per year over the next decade, while the economy is projected to grow 4.5% per year over the same time period. If the projections are right, our economy will grow 54% (in nominal dollars) and Medicare will grow 89%. The cost to taxpayers will grow from 3% of GDP to 3.5% of GDP. (All data is from CBO.)

If Medicare spending growth is not slowed, then some combination of three bad things will happen, and sooner than you might think:

  • budget deficits will grow to unsustainable levels, forcing a U.S. debt and currency crisis;
  • taxes will have to be increased to historically high levels, and then they will have to be raised again, and again, and again;
  • other spending priorities within the federal budget will be squeezed. Federal spending for education and defense, cancer research and agriculture, border security and clean energy research will all suffer.

The President and Congressional Democrats

For most of my time in Washington, Congressional Democrats were in the bottom left green box. They opposed any attempts to slow the growth of Medicare spending, and played the politics of the “senior card” to try to scare off Republicans. Before 2009 the defining feature of Beltway Democrats on Medicare was their opposition to “cuts.” This provided them with a potent political weapon.

They were supported by both the seniors lobby (most notably AARP) and all classes of health providers. This alliance is why Medicare is so much harder to reform than Social Security. Elected officials may be willing to challenge AARP if the alternative is raising taxes, but few elected officials are willing to brave the additional onslaught from their local hospitals, doctors, and nursing homes.

President Obama moved Congressional Democrats and even AARP from the bottom left green box to the top left blue box. The President argued that Medicare spending should be slowed and proposed policy changes to do so. He combined these savings proposals with a new federal entitlement program for the uninsured.

This was a radical idea:

  • Democrats were now proposing to slow Medicare spending growth.
  • When combined with the new entitlement, the politics play out as a transfer from seniors to the uninsured. Seniors vote far more consistently than do uninsured people.

The Administration and its Congressional allies (most notably Senate Finance Committee Chairman Baucus) brokered explicit deals with the health sector to move them to the top left green box. They (legitimately) argued that health providers would benefit from the increased health care usage resulting from millions more Americans having taxpayer-financed prepaid health insurance. This explains the back room deals with the formerly-evil health plans and the formerly-evil drug companies. Baucus’ staff were explicit with health industry lobbyists: “Your industry will make $X B more from increased demand. You therefore need to support nearly $X B in Medicare savings in our bill.”

Unfortunately, our best evidence that these health care bills would not slow national health care spending is that these health sector interest groups made this rational decision. Had these bills actually achieved the President’s stated goal of slowing national health care spending, the industry groups would almost certainly have opposed them.

AARP’s support for the health care bills is harder to understand. Their position is best described as “We oppose ‘cutting’ Medicare spending, but if you do it, then spend it on a new health entitlement for the uninsured.” I will guess that their support for the President’s plan and Democratic bills was a combination of three factors.

  1. AARP’s leadership leans heavily leftward and Democratic. In this respect they were placing their own ideologies above the interests of their members.
  2. Some of the uninsured are near retirement. They would benefit from the new entitlement. (AARP accepts members as young as 50.)
  3. AARP’s leadership probably made a strategic decision to support the new President who can help and/or hurt them on any number of fronts.

Little discussed in the past year of debate on health care reform is that Beltway Democrats are now for slowing the growth of Medicare spending, as long as those savings are “used” to offset a new health care entitlement for the uninsured.

Congressional Republicans

In 1995 the Republicans proposed to slow the growth of Medicare spending as part of the Balanced Budget Act. That bill was paired with a separate tax cut bill. Congressional Republicans argued they were slowing the unsustainable growth of Medicare spending as part of a shared sacrifice to balance the budget. President Clinton and Congressional Democrats argued Republicans were cutting Medicare to pay for tax cuts. Republicans argued they were in the top right red box above. Democrats would have argued that Republicans were in a different box labeled “Use the Medicare savings for tax cuts.” President Clinton vetoed both 1995 bills. (At the time I worked on Medicare for Senate Budget Committee Chairman Pete Domenici.)

In 1997 President Clinton negotiated a balanced budget (and tax cutting) deal with Congressional Republicans which significantly slowed the growth of Medicare and Medicaid spending. The structure of the 1997 law was parallel to that in 1995, but the magnitudes were smaller and President Clinton got some of his spending priorities addressed as well. That deal could have been attacked in the same way as the 1995 deal, but instead everyone agreed to frame the Medicare savings as contributing to deficit reduction and a balanced budget, putting Congressional Republicans, Democrats, and President Clinton squarely in the top right red box above. (At the time I worked on budget and health issues for Senate Majority Leader Trent Lott.)

Today Congressional Republicans make two arguments:

  1. We need to slow the growth of Medicare spending as part of a solution to long-term entitlement spending and deficit problems.
  2. We should not use Medicare savings to finance a new entitlement.

The key to understanding Congressional Republicans’ behavior over the past year is that all of them have made argument #2, while only a few of them bravely make argument #1 as well.

I have argued for both. I wrote a few months ago that I believe our long-term deficit and entitlement spending problems are more important than the lack of health insurance today. While I support slowing the growth of Medicare spending, I oppose doing so if we’re just going to turn around and create a new entitlement program. We would then lose a key opportunity to address what I believe is America’s most important economic policy problem.

Last year Congressional Republicans discovered that policy weaknesses in ObamaCare created political vulnerabilities. One of their criticisms was #2 above, that the pending legislation would slow the growth of Medicare spending but also create a new entitlement program.

Most Congressional Republicans were careful in their language. They said they opposed “cutting Medicare to pay for a new entitlement.” Even in being responsible, they were using the intentionally inflammatory word “cut.” They were turning the seniors card back against Democrats. This was savvy politics but damaging to efforts to slow the growth of Medicare spending for deficit reduction. As a policy matter it helped kill a bill that was both fiscally irresponsible and terrible health policy, but at the cost of validating the word “cut” and the senior scare tactic.

Other Congressional Republicans short-handed their criticism to “I oppose this bill, which cuts Medicare by $500 billion.” This is much harder to justify, unless you go with an ends-justify-the-means argument.

It’s easy for me to sit on the outside, after a terrible health care bill has died, and say “I wish they hadn’t used attack X to kill the bill because of its long-term damage to other policy goals.” We cannot know if that attack was dispositive, and those in office have the responsibility for making those judgment calls. At the same time, it’s amazing that it was effective in contributing to the bill’s death, given that AARP and the entire health sector were essentially paid for their silence.

To see the Medicare battle playing out today, continue reading with Medicare: Krugman v. Gingrich, and Krugman v. Ryan.

(photo credit: WILL I GET A REFUND FROM MEDICARE? by roberthuffstutter)

Friday, 12 February 2010|

The Administration’s employment projections

Today President Obama’s Council of Economic Advisers, chaired by Dr. Christina Romer, released the annual Economic Report of the President. The economic projections in the report and form the baseline for the President’s budget and all Administration policy making through the year.

We can learn a lot from these projections. I will focus on employment.

Projected unemployment rate

Here is a comparison of the historic unemployment rate, the Administration’s projection, and CBO’s projection.

I need to make an important caveat: the Administration and CBO project average unemployment levels over each year. As an example, CEA projects unemployment in 2010 will average 10.0%, and CBO projects it will average 10.1%. Since I don’t have monthly data, I have graphed the average rate as if it were the rate for each month in the year. This is an inaccuracy in my graph and an oversimplification, but an unavoidable one given the limited data we have. It’s why the projections look like stair steps rather than smooth lines.

We know from other sources (including the text of the CEA report) that they project the rate will in fact roughly hold constant for 2010, so a downward slope probably begins in 2011.

Even with this oversimplification we can draw a few conclusions from this graph:

  1. For at least the first month of 2010, the unemployment rate is better than projected. (Then again, this may be because workers are dropping out of the labor force.)
  2. CBO’s projections are slightly more pessimistic than CEA’s. It’s not a huge difference, though.
  3. The Administration projects the unemployment rate will be high throughout President Obama’s term.
  4. For purposes of political analysis, CEA projects a 10% average unemployment rate this election year, and an 8.2% average in 2012.

Projected number of people working

I think the second graph is even more interesting. I have loaded it up a bit. Click it for a bigger version.

A similar caveat applies to this graph. The CEA report (table 2-3 on page 75) projects the average monthly change in the number of people working, averaged out over a calendar year. Lacking a more refined projection, I have assumed a constant monthly growth rate during each calendar year equal to that average. This is an unavoidable oversimplification and inaccuracy in my graph of their projection, but it’s the best that can be done with this data. If their projection holds the real world won’t look this smooth, but it will be sloped up like I have shown.

Example: CEA projects job growth in 2010 will average +95,000 jobs per month. I have graphed this as a straight line beginning in January, with each month 95,000 jobs higher than the prior one. CEA is not necessarily projecting such smooth growth, or even that it begins in any particular month in 2010. They do project average monthly employment growth of +95,000 net new jobs.

I have added some historic reference points to the graph. I think they tell an interesting story, beginning with the Bush Administration:

  • You can see the economic recession resulting from the bursting of the tech bubble as President Bush takes office in January 01. Look – he inherited a recession.
  • In June of 2001 we enacted his big tax cut. Would it have stopped the recession and the job loss? We’ll never know because 9/11 hammered the economy. You can see the dramatic job loss continuing into early 2002.
  • Things flatten out in 2002. The President and his team were worried, however, of another downleg. At the beginning of 2003 President Bush proposed another tax cut.
  • In April of 2003 employment flattened out. The President signed the 2003 tax cut in May.
  • In August 2003 we began 46 months of continuous job growth, the second longest period since they started keeping track in 1939.
  • A mild recession began in December 2007 and employment began to decline.
  • In September 2008 the financial crisis occurred. Economic growth and employment plummeted.

It’s also interesting to note that employment was almost precisely the same at the two Bush inaugurals. We lost jobs for 2 1/4 years, plateaued for five months, and grew rapidly for 1 3/4 years. This raises a political question: how important to reelection is the level of employment/unemployment rate, versus the direction and rate of change?

Turning to President Obama’s time in office and remembering the graph’s oversimplification, we can see:

  • Employment continued to plummet since the President took office and since enactment of the stimulus in February 2009.
  • It appears that employment has flattened out (from the flattish green segment at the end). We sure hope it has.
  • The Administration/CEA projects modest job growth in 2010, only enough to keep up with population growth: +95,000 jobs per month on average. That projection is generally consistent with a steady unemployment rate.
  • CEA projects +190,000 jobs per month on average in 2011, and +251,000 jobs per month on average in 2012.
  • If those projections play out, and if they are relatively smooth (my assumption, not CEA’s), then the Obama Administration will reach a point of net job creation during its tenure in the second quarter of 2012, and be at that last blue dot on Election Day.
  • We would still be 2.5 – 3 million jobs short of the December 2007 high point. But since the potential labor force grows over time, the unemployment rate would be much higher (probably high 7s) than the 5.0 percent we had in December 2007.

The Administration has taken a lot of grief for missing the depth of the recession when they took over. I do not fault them for an inaccurate projection – these things have huge error margins, and to a large extent they are nothing more than educated guesses. Nobody knows what the economy will look like eighteen months from now. The Administration’s foul was rather in overselling their projections, and in particular the projected effects of the stimulus, to convince Members of Congress and the public to support their desired policy.

Thursday, 11 February 2010|

Carbon cap = Public option

Let’s compare the public option of health care reform with a carbon cap in the clean energy/climate change/cap-and-trade debate.

Public option Carbon cap
Policy / goals
Top priority for the Left yes yes
Important to policy goals of the President yes? yes
Policy can work without it, although less effectively from the Left’s perspective yes yes
Initially pushed by outside left President
House
Passed the House yes yes
Moderate/nervous House Ds hated voting for it yes yes
Speaker and House liberals insist on it yes
(for a while)
yes
Senate
Has majority support in the Senate maybe maybe
Has 60 votes in the Senate no no
Can pass the Senate no no
Republicans
Republicans oppose the policy all almost all
Republican base hates it yes yes
Republicans see political gain if Democrats continue to push it yes yes
President Obama
Supports it when asked yes yes
Pushes for it when speaking publicly no no
Will insist on it in legislation no no

Fleshing out the comparison

I believe there is an extremely high likelihood a carbon cap, like the public option, will not become law any time in the near future. Today I would give 100:1 odds against it becoming law in 2010, and 50:1 odds against it becoming law during this Presidential term. Cap advocates have some limited leverage through EPA’s regulatory authority, which I will explain below.

The key to this conclusion is the President’s posture toward both policies. The President rarely mentioned the public option in his speeches and almost never initiated a discussion about it. Yet when asked, he always said something like “It’s good policy, I support it, it should be in a bill. I am focused on the policy goal of _____, and it’s a good way to reach that goal.” He never (slipping once) said it must be in a bill to merit his signature. This posture allowed him to insulate himself somewhat from left-side attacks, while allowing himself the flexibility to sign a bill that excluded the public option if one made it to his desk.

The President appears to take the same posture on a carbon cap. When asked, he says he supports it and that it’s good policy. Yet he rarely mentions it in speeches, never aggressively, and he always focuses instead on policy goals: clean energy through technology development and so-called green jobs. He occasionally says that pricing carbon is a good way to achieve these goals and that he supports it. In doing so he sounds exactly like he did when he spoke about the public option. The President rarely talks about “climate change,” “greenhouse gases,” or “cap-and-trade.” He much more frequently talks about “clean energy technology” and “green jobs.”

There are some differences, but they don’t affect my conclusion:

  • I agree with a friend who guesses that the President believes more in a carbon cap than he does in the public option, which arose as a relatively late legislative addition resulting from outside pressure. If this is true, then the President’s goal is to price carbon, but he is making a language/messaging choice that he should instead talk about clean energy and green jobs. I think the President is also making a tactical calculation that he cannot get a carbon cap through the Senate. As a result, the political investment he appears willing to make in a carbon cap appears comparably small to that which he made in the public option.
  • A handful of Congressional Republicans support pricing carbon and even a carbon cap. I don’t think this will have a big effect on the legislative dynamics of the two issues.

The President sets up a potential deal without a carbon cap

A few weeks ago in his State of the Union Address, the President signaled support for nuclear power, clean coal, and expanded access to oil and gas drilling. I read this high-profile signal as an offer of compromise, throwing the door open to a bipartisan energy/climate bill which I will guess might include:

  • a flexible Renewable Portfolio Standard for electricity, (possibly) mandating that each State generate a fraction of its power from renewable/clean/low greenhouse gas sources;
  • more financial support for nuclear power (the President mentioned expanded loan guarantees; dealing with nuclear waste is key but lags behind);
  • more financial support for clean coal;
  • something unspecified on oil and gas drilling (onshore? offshore? both?);
  • even more subsidies for technology R&D.

Such a bill could, I think, garner broad bipartisan support in the Senate because it would not include a carbon cap. I think Team Obama is trying to set up such a deal without getting blamed for being the one to stick the knife into the carbon cap.

Now the President has not said that he would support the above package without a carbon cap, and if asked I’ll guess he would say a bill should include all of the above and a carbon cap. This is what he did with health care and the public option until he approached the endgame. The more important question is what the President would do if it becomes clear that this package can pass the Senate without a carbon cap, and cannot pass with one. In the current environment, I think he would grab the compromise, declare victory, and tell unbelieving carbon pricing advocates that he’ll try again in the future.

Hurdles to a clean energy law without a carbon cap

The biggest hurdle to a signing ceremony is whether the most aggressive advocates for a carbon cap (who tend to concentrate on the left side of the Democratic party) would block such a bill. They could do so in at least three ways:

  1. Liberals could continue to pressure Senate Majority Leader Reid into not bringing up the bill in a procedural manner that allows such a vote. Leader Reid has so far deferred to Senator Boxer’s Environment and Public Works Committee on this issue. As long as he maintains this jurisdictional view, a non-cap compromise deal is highly unlikely. To allow for the possibility of such a deal, Reid would need to either introduce his own bill, or shift jurisdiction to Senator Bingaman’s Energy Committee. Each move would require Reid to make an explicit decision to split his conference.
  2. Even if Leader Reid were to bring such a compromise bill to the Senate floor, liberals might be able to kill the above compromise in the Senate because it’s not good enough from their perspective.
  3. Speaker Pelosi and House Democrats could refuse to accept a bill that excludes a carbon cap in a conference with a hypothetical Senate-passed bill like the one above.

Like the public option debate, this one centers on the question “Is half a loaf better than nothing?” I think the President has decided that it is. I’m not sure how the fiercest advocates of climate change legislation might feel. Their strategic challenge is that if a bill like the one described above becomes law, the chance of future enactment of a carbon cap drops from near-zero to zero. The subsidies are the dessert that accompanies the political pain of voting for a carbon cap. Once that dessert has been eaten, there is little to encourage members to vote for a later bill capping carbon.

At the same time, those advocates have to know that their chances of enacting a carbon cap this year are near zero, and there is little to suggest that those chances will improve over the next few years. So how much of a sacrifice is it to give up something now that has only a very small chance of becoming law if you wait?

I think the President can, if he pushes hard enough, get his left to yield and send him a clean energy bill excluding a carbon cap before Election Day 2010. I don’t know, however, whether he will push hard enough. I think he made a strategic mistake on health care by allowing the process to drag on (and I’m glad that he did). By not stepping up and knifing the public option early, he shifted the blame for killing it to the Senate, but at the cost of tremendous delay and ultimately of the health care bill’s failure. The same tactical calculation may present itself on a carbon cap. Would declaring a carbon cap dead increase the prospects for a clean energy law in 2010, and if so is the President willing to take the heat for being the one to say this?

A wildcard is the Environmental Protection Agency’s ability to regulate greenhouse gas emissions under current law, thanks to a 2007 Supreme Court decision Massachusetts v. Environmental Protection Agency, and a subsequent endangerment finding by the EPA. Advocates and opponents of capping carbon agree that EPA’s regulatory authority is clunky, bureaucratic, and more economically damaging than a carbon cap might be. But carbon cap advocates want EPA to move forward to pressure cap opponents into a legislative trade: we’ll stop EPA if you give us a law capping carbon.

This is the awakening climate change issue for 2010: will EPA be allowed to use their authority? Will the threat to use this authority resuscitate a carbon cap, or will it backfire and cause Congress to stop EPA from acting? The fiercest carbon cap advocates are willing to allow EPA to do some economic damage if it generates pressure for a future legislative solution. Yet there is growing center-right support, including from some Congressional Democrats, that this threat is too damaging and that EPA’s wings should be clipped. It’s easy to imagine this issue being injected into a legislative debate, and a stalemate blocking a signed law. It’s also easy to imagine a Tea Party-like tidal wave focusing on a rogue EPA as their next target, and sweeping nervous in-cycle Democrats along with them.

Conclusions

  1. Carbon cap = public option.
  2. The President is willing to sign a clean energy bill this year that excludes a carbon cap.
  3. He almost certainly won’t admit that until late in the legislative debate.
  4. In the State of the Union he created the framework for such a deal.
  5. That means such a legislative deal could happen, not that it will happen.
  6. If the President signs a clean energy bill that excludes a carbon cap, the prospects for a legislated carbon cap drop from near zero to zero.
  7. The public option dynamics could replicate themselves for the carbon cap. I would expect teeth gnashing on the left as the President hedges and ultimately dumps it overboard.
  8. While the carbon capping left wants to use EPA’s regulatory authority as legislative leverage, it’s possible this will backfire. A bipartisan center-right-Tea Party coalition to clip EPA’s wings could soon pick up steam.
  9. The effects on a clean energy bill of such a fight over EPA’s regulatory authority are unpredictable.
(photo credit: Bruno D Rodrigues)
Wednesday, 10 February 2010|
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