Why Pelosi Wants No Filibusters on Health Care

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Nancy Pelosi (Getty)

House Speaker Nancy Pelosi isn’t hedging on her budget strategy in any way: She thinks preventing Senate filibusters is the only way to get a decent health care overhaul package later this year.

The issue is whether to include “reconciliation” instructions for health care in the budget blueprint that’s moving through Congress right now. If they’re included, Republicans can’t filibuster whatever health care package moves through Congress later on, and the Senate can pass it with a simple majority. Right now, the House version has the reconciliation instructions, and the Senate version doesn’t.

The House, as you may have gathered, hates Senate filibusters. They also hated it when Senate Democrats had to give concessions to moderate Republicans to win passage of the stimulus bill. So Pelosi, D-Calif., and other House Democratic leaders are hammering away at their arguments about why reconciliation is the key to a non-watered-down health care package.

At her press conference this morning, Pelosi said it’s the only way to get a final health care package that includes a public health plan option. Most Democrats believe that’s essential to trigger enough changes in the broader system to cover uninsured people, but Republicans see it as a step toward government-run health care.

“I believe that it’s absolutely essential that we come out of this year with a substantial health care reform — substantial health care reform legislation. I believe that that is best served by having reconciliation in the package,” Pelosi said.

As for Republican warnings that reconciliation would be a partisan move that would undermine cooperation on anything else, Pelosi’s view is, bring it on. “Some of these same people on the Republican side didn’t have a problem with it — and we have their quotes — when President Bush wanted to put forth his tax cuts to the wealthiest people in the America,” she said.

Sure enough, House Democrats do have those quotes, thanks to a helpful fact sheet assembled yesterday by the office of House Majority Leader Steny H. Hoyer of Maryland. It includes a list of all the times that Republicans used budget reconciliation during their dozen years in the majority.

Senate Democratic centrists say that would be a bad idea, a poke in the eye of Republicans that would be sure to haunt the Democrats later. Senate Democratic leaders think reconciliation should only be used as a last resort. And Obama administration officials, including Office of Management and Budget director Peter Orszag yesterday, say it should be a last resort, but they won’t rule it out.

That’s pretty much how Senate Majority Leader Harry Reid of Nevada handled the question at a press briefing this afternoon. “We are going to do health care. I think that says it all,” Reid said. He said Senate Finance Chairman Max Baucus of Montana, who opposes using reconciliation, “should have a chance to do what he can on health care on a bipartisan basis,” but warned that “we’re taking nothing off the table.”

It’s the latest example of the House-Senate wars that President Obama will have to mediate. But Pelosi can be confident of one thing: As long as former House Democrat Rahm Emanuel is the White House chief of staff, the administration isn’t about to insist on letting Republicans filibuster anything.

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